Train Up A Child Daycare And Learning Center

Noncompliance Area: Broken equipment was observed at the facility on 10/5/20. The following were observed in the toddler area; a sharp staple protruding through the rear wall of a white wooden dollhouse, two sharp protruding screws in the cubbies and a cracked plastic lid with sharp edges on the bin containing musical instruments. The following were observed in the outside play space; a purple tricycle with a broken seat with sharp edges, a yellow plastic lawn mower with two cracked areas which create pinch points, a blue plastic shopping cart with sharp edges on a broken handle, and a crack on the steps to the 2nd level of the green Little Tikes climbing structure. A cracked plastic bin containing toy trucks was also observed in the preschool area.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The file for child #1 contained an agreement which did not specify the fee.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: The file for staff #3 contained a health assessment conducted after their first day in a child care position. The most recent health assessment on file is now current.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: At the time of the inspection, the file for staff #3 did not contain the results of a tuberculosis screening

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: The file for staff #3 did not contain 2 written references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: Inspection summary SIN-00168374, with unverified corrections, was not posted at the facility.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Noncompliance Area: The file for staff #3, with a start date of 9-15-20, did not contain documentation of receiving emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The files for staff #1 and #2 lacked documentation of participating in fire safety training annually as required. The most recent fire safety training was completed on 1-19-20 by both staff.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Based on documentation at the facility, staff #1 and staff #2 did not update mandated reporter training within 60 months as required. Staff #1 last completed the training on 3-25-15. Staff #2 last completed the training on 7-5-15.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #3, with a start date of 9-15-20, did not contain proof of application or completed results for the required state police clearance, child abuse clearance, or FBI clearance. The file for staff #3 also lacked a signed disclosure statement. Staff #3 was observed alone with children on 10-5-20 and 10-19-20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #3 may not work in a child care position at the facility.

Noncompliance Area: The file for staff #3, designated as an assistant group supervisor and observed in that role on 10/5/20 and 10/19/20, did not contain a high school diploma or verification of 2 years experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Electrical outlets, accessible to children 5 years of age or younger, which lacked protective covers were observed on a green extension cord in the toddler area and a green extension hub in the entry area.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: The following toxics were observed to be accessible to children; a tube of super glue on a cubby shelf in the toddler area, bottles of bleach, pine-sol, and Windex in an unlocked lower cabinet in the ungated kitchen, and an open bag of snow and ice melt and a bottle of Ortho weed killer with a spray hose were observed behind the trash can at the facility entrance.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: The edges of the rubber pads under the outdoor play equipment were warped and curled creating a tripping hazard.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: At the time of the inspection on 10-19-20, the last documented fire drill was conducted on 2-13-20. The facility reopened with children in care on 9-15-20.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: At approximately 10:25 AM two staff were observed with 12 children; 6 preschoolers, 4 older toddlers, and 2 young toddlers. When asked to identify the children they were responsible for supervising staff #1 named the 6 preschoolers and staff #2 named the remaining 6 children which included a mix of young and older toddlers. Staff #3 had left the facility to purchase items for the children's lunch. Staff #3 returned at approximately 11:15 AM.

Correction Required: ** Within 2 months of the approval of this plan, the director will provide documentation of having completed the following training; Balancing Child-Staff Ratios (for Center Directors) accessible online through Better Kid Care from the Penn State Extension. The training will not count toward the mandatory 6 training hours required by the Department.

Noncompliance Area: The file for staff #1 contained 1 written reference.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: The file for staff #1, designated as an aide, did not contain documentation of having obtained a high school diploma or a general educational development certificate.

Correction Required: An aide shall have a high school diploma or a general educational development certificate.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The file for staff #2, designated as an aide, did not include verification of child care experience.

Correction Required: *For a period of 3 months following the approval of this plan the legal entity will submit qualifications for all potential new staff to the department for approval. The documentation submitted will include both verification of education and verification of child care experience. Staff will not be placed in a child care position until the qualifications are reviewed and approved by an agent of the department.

Noncompliance Area: A blue ride-in car in the outdoor play space had a broken plastic dash with sharp edges. A plastic shopping cart in the toddler room had a protruding screw in the basket and broken sharp edges. The fabric seat of the exersaucer in the infant room was split at the side seam.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: On 5-8-19, child #4 was observed sleeping on a cot labeled for child #5. Child #5 was observed in a cot labeled with a number. The room did not have a corresponding cot chart designating which children were assigned to specific numbered cots.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: The file for child #1 contained a child service report last updated on 5-3-18.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The file for child #3, who was in care on the day of the inspection, did not contain a financial agreement.

Correction Required: An agreement shall be signed by the operator and the parent.An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: The file for child #2, enrolled for longer than 60 days, did not contain a health assessment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The file for child #1, a preschooler, contained a health report which has not been updated in 21 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The file for child #1 contained an immunization record which lacked documentation of receiving the influenza vaccine within the past 12 months.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The files for staff #3, #4, and #5 contained health assessments which were not updated within 24 months. The most recent health assessments on file for staff #3, #4, and #5 are now current. The file for staff #8 contains a health assessment that has not been updated in 34 months.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: The file for staff #7 did not contain the results of a tuberculin skin test, x-ray or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: The menu posted on the day of the inspection did not show what would be served past 5-6-19.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: Based on statements made by the operator, the local traffic authorities have not been notified this year in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: The file for child #2 contained a financial agreement which has not been updated since 5-3-18 and emergency contact information that was not updated within the required 6 month time period. The emergency contact information for child #2 was updated on 11-13-18 and again on 5-1-19.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: A 4 foot tall Little Tykes basketball hoop, which was not anchored or weighted to prevent it from tipping over, was observed in the outdoor play space.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The certificate posted on the day of the inspection expired on 8-19-18.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The files for staff #6 and staff #8 did not contain documentation of having received training regarding the emergency plan within the past 12 months. The file for staff #7 contained documentation of having received initial emergency plan training 4 weeks after starting at the facility.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The files for staff #6 and staff #8 did not contain documentation of having received fire safety training within the past 12 months. The last documented training for both staff took place 1-21-18.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #1, provisionally hired on 3-26-19, contained a child abuse clearance obtained on 4-8-19 and an FBI clearance obtained on 5-8-19, after their first day in a child care position. The file did not contain documentation of having applied for the clearances on or before their start date. The file for staff #1 also contained an incomplete FBI clearance making the clearance invalid. The file for staff #2, with a start date of 10-8-18, did not contain a signed disclosure statement. The file or staff #5 contained a child abuse clearance which was not updated within the required 60 months; the previous child abuse clearance was obtained on 4-29-14 and updated on 5-8-19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #1 may not work in a child care position at the facility.

Noncompliance Area: Rust Protectant spray and TNT Poppers were accessible to children in a basket on the table near the main entrance.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: Nine cigarette butts were observed in the outdoor play space along the fence near the parking area.

Correction Required: Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.

Noncompliance Area: The infant room did not have emergency telephone numbers posted near the phone.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: Protruding nails were observed in the trim at the base of the entrance to the infant room and the door to the infant room supply closet. The trim was also detached at the base of the supply closet door leaving nails exposed on the back side of the trim. Four sharp screws were observed protruding into the cubbies of the toddler area.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: Peeling paint was observed in the preschool space; on the green wall below the clock and on the blue wall near the baseboard below the calendar.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: The toilet bowl of the 2nd toilet in the restroom was broken with sharp porcelain edges.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: A hand washing sign was not posted at the 2nd toilet in the restroom.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: At approximately 11:20 AM, the certification representative arrived onsite and observed staff #3 outside the toddler care space. The care space has 1/2 walls. Staff #3 was assigned to supervise 4 older toddlers who were inside the care space with staff #1 and 4 young toddlers. Staff #3 was unable to supervise the children he was assigned to from his position on the other side of the wall.

Correction Required: *All staff persons at the facility will be required to attend an OCDEL-approved training regarding supervision of children presented by the ELRC within 2 months of the approval of this plan of correction. The training will not count towards the mandatory 6 training hours required by the Department.

Noncompliance Area: At approximately 11:25 AM, staff #1 and staff #3 were present in the care space with 8 children, 4 older toddlers and 4 young toddlers. Staff #3 was asked to identify the children he was assigned to supervise. Staff #3 named the 4 older toddlers. Staff #1 was asked to identify the children she was assigned to supervise. Staff #1 began to name all 8 children. Staff #3 intervened and explained he had already named the older toddlers. Staff #1 was again asked to name the children she was assigned to supervise. Staff #1 again named some of the same children named by staff #3. Staff #1 could not name one of the young toddlers.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: Staff and children in the toddler room and in the preschool room were observed eating lunch without washing hands first.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: The file for staff #1, employed since 8-27-18, and the file for staff #2, employed since 10-8-18, both lacked proof of receiving training regarding the emergency plan.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #1, with a start date of 8-27-18, did not include a completed state police clearance or a completed FBI clearance and the staff person has been employed for over 90 days.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #1 may not work in a child care position at the facility.

Noncompliance Area: The file for staff #2, designated as a group supervisor, lacked proof of obtaining the required qualifications for the position.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The file for staff #1, designated as an aide, lacked proof of obtaining the qualifications required for the position

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: A tricycle with peeling paint on the wheels was observed in the outdoor play space.

Correction Required: Toys soiled by secretion or excretion shall be cleaned with soap and water, rinsed and sanitized before being used by a child.

Noncompliance Area: The infant room lacked a posted written plan of daily activities and routines.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

Noncompliance Area: The file for child #1, with an admission date of 8-29-17, contained a child service report completed on 5-1-18 which exceeds the required 6 month period. The file for child #2, with an admission date of 5-10-17, contained only one child service report completed on 5-21-18 which exceeds the required 6 month period.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The file for child #1 contained an agreement which did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The files for children #1, #3, and #4 contained original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The file for child #1 contained emergency contact information and a financial agreement which were both initially signed on 8-29-17 and updated on 5-24-18 which exceeds the required 6 month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: The file for child #2 contained an initial health report which was conducted more than 60 days following the first day of attendance at the facility. The health report on file is now current.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: The file for child #4 contains a health report which does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: The file for staff #1 contained an initial health assessment which did not include the results of an examination for communicable diseases or the physician's assessment of the person's suitability to provide child care. An updated health assessment is now on file and includes the required statements.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: An infant's bottle, which was not labeled with the child's name, was observed in the refrigerator in the infant room.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: The facility's emergency plan lacked specific details regarding sheltering in place at the facility.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Noncompliance Area: The file for staff #2, provisionally hired on 5-15-18, lacked a disclosure statement. On 5/31/18, the file for staff #3, provisionally hired on 5-14-18, contained a SP clearance indicating a record, however the attachment was not on file. The file for staff #3 also contained an FBI clearance with a missing disposition for one charge making it an invalid clearance. Staff #3 has been working alone with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: The file for staff #1, designated as an assistant group supervisor, lacks verification of the experience needed to qualify her for the position. The file for staff #3, designated as an assistant group supervisor, lacks proof of obtaining a HS diploma or GED.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Upon arrival, at approximately 8:45 AM. staff #4 was observed to be the only staff person present with 9 preschoolers and 1 older toddler in the preschool room. The staff person responsible for the older toddler was not present in the care space.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: When asked how the infants are placed in their cribs, staff #2 stated they are placed on their stomach. When I asked again, staff #2 confirmed infants are placed on their stomach in the crib which is not the recommended sleeping position by the American Academy of Pediatrics.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: At approximately 9:25, I pulled into the facility parking lot and staff #1 was at the door with 2 individials. I entered the facility and began supervision and ratio. Staff #1 was supervising 17 preschool and school-age children on the far side of the room. When at the door, staff #1 was unable to see, hear, direct and assess the group. Staff #1 also could not identify 2 children. Two staff arrived at about 9:40 and took over the classroom.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Noncompliance Area: The toddler classroom had a cracked basket and the preschool classroom had a cracked basket and broken tool box lid which had sharp, rough edges.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: Child #5, an infant, was observed sleeping in a crib with a pillow.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: The file of child #3 lacked documentation of information provided to the family about their child's growth and development in accordance with the updates regarding the emergency contact information.

Correction Required: The services to be provided to the family and the child, including the Department`s approved form to provide information to the family about the child`s growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The file of child #1 lacked the address of a release person on the emergency contact form.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: The file of child #2 and 4 lacked an initial health report no later than 60 days from their first day of attendance.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: The file of child #3, a preschool-age child, contained a health report dated 6/30/15 with an update on 4/25/17 exceeding the required annual update.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: The file of staff # 1 contained a health report dated 12/11/14 and the file of staff #3 contained a health report dated 7/2/14, both lacking the required update within 24 months.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: Infant formula and feeding schedules were not obtained from the parents.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The file of child #1 contained an emergency contact and financial agreement exceeding the required update within a 6 month period. The file of child #2 contained a financial agreement that was not updated in the required 6 month period.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: The file of staff #4 lacked 2 written nonfamily references.

Correction Required: A facility person`s record shall include two written, nonfamily references from individuals attesting to the person`s suitability to serve as a facility person

Noncompliance Area: The three cribs in the infant room contained loose fitting sheets which was a suffocation and strangulation hazard to the children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The facility did not have an emergency plan.

Correction Required: The facility shall have an emergency plan

Noncompliance Area: The file of staff #1, 3, 4 and 5 did not contain documentation of at least 6 clock hours of annual training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: The file of staff #4, the van driver who transports school-age children alone, did not contain documentation of first-aid training.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: The file of staff #1 lacked documentation of annual fire safety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility`s fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: The file of staff #4 and 5 lacked documentation of the required mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: The file of staff #1 through 5 lacked documentation of a written evaluation at least every 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: The file of staff #2 and 4, both identified as assistant group supervisors, lacked verification of education.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person`s record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: An outlet by the cubby in the toddler classroom and 2 outlets in the schoool-age area by the coat hangers lacked protective receptacle covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: The infant classroom and kitchen each contained a spray bottle filled with toxic liquid not labeled with its contents. The toddler room contained a spray bottle which contained liquid labeled as bleach and water but staff stated it was Pine Sol.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The preschool space did not have the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center posted by the telephone.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: A backpack, which contained a first-aid kit, was accessible to children on the floor by the cubby in the toddler room. A backpack, which contained a first-aid kit, was accessible to children in an unlocked cabinet in the preschool room.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: The fence in the outdoor play space contained a pole that had sharp, rough edges exposed and accessible to the children.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility`s outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: At approximately 11:55 am, staff #1 was supervising 2 infants, 1 of which was sleeping in a baby swing.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: When interviewed, staff stated accident reports were not always completed on children and shared with families at the facility.

Correction Required: A child`s record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child`s file.

Noncompliance Area: When interviewed, staff stated a 1 year old child from the toddler room would be taken into the preschool classroom where there was 1 staff person, putting them over the 5:1 on some afternoons at the faciltity.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).