Turning Paiges Islamic Learning Center

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff members numbers 1,2,3 and 5 did not have current Mandated Reporter Training on file during the Renewal Inspection. Staff member number 2 did not have Health and Safety Training on file.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff member number 6 did not have current Emergency Plan Training on file during the Renewal Inspection. The Emergency Training on file for this staff member was last done on 02/27/2023.

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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff member number 4 did not have staff evaluation on file during the Renewal Inspection and has hire date of 01/01/2023.

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

Regulation: 3270.62(b)(2)

Description: Toddler - 50 sq ft/child

Noncompliance Area: During the Renewal Inspection, 15 toddlers were observed in the Indoor Play Space at one time when capacity for this room - for toddlers is calculated as 6 at one time.

Correction Required: The minimum outdoor or indoor play space required per young or older toddler is 50 square feet.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: There was no written proof of a health assessment in the file for facility child #1.

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.

Regulation: 3270.31(f)/3270.192(2)(iii)

Description: Health and Safety Training/Exp, educ., training at facility

Noncompliance Area: At the time of inspection on 2/12/24, there was no written proof of training in the file for staff #1-#3 as required by regulation.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the facility restroom on the second level there was a piece of wood with exposed screws and bolts that could pose a hazard to the children. There were also exposed bolts and screws on the door in the stall (toilet area) in the children's bathroom.

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.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: There was peeling paint observed on the stairs leading to the second floor and in areas of the hallway at the time of inspection on 2/21/24.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: Observed all classrooms on second floor missing daily schedule posting.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: Observed second floor open space with no first aid kit.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: Observed art room with no schedule posted.

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.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Observed all bathrooms with no handwashing sign posted.

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: Observed second floor front room with no daily activities schedule posted.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: Observed child 4 and 7 file with no child service report.

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: Observed child 1 agreement form with no designated release person.

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

Noncompliance Area: Observed child 3 and 6 emergency contact form with no phone number for child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: Observed child 6 and 7 emergency contact form with no health insurance coverage or policy number listed.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: Observed child 4 and 7 emergency contact form with no release person address and telephone number.

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: Observed child 1 and 7 agreement form and emergency contact form not updated within the last 6 months.

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: Observed child 1,2 and 5 file with no updated health assessment.

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: Observed staff 1 file with no verification of experience.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Observed staff 1,2,and 3 file without annual 6 hours of training.

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

Noncompliance Area: Observed staff 2 file with no 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: Observed staff 1,2,3 file with no staff evaluations.

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: Observed cleaning materials down in bathroom low and accessible to children.

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: Observed playspace and second floor front middle and back childcare space with no emergency telephone numbers posted.

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: Observed indoor play space with no first aid kit.

Correction Required: A first-aid kit shall be in a child care space.

Noncompliance Area: Observed rug in second floor middle room rolled up causing tripping hazards.

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: Observed chipped paint in indoor play space, second floor middle room and second floor back room at baseboard.

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

Noncompliance Area: Observed fire drill log with last recorded fire drill as 12/20/19.

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. A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: Observed back classroom on second floor with no evacuation route posted.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: Child was left on school bus alone and unattended.

Correction Required: 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. Children may not be left unattended in a vehicle.

Noncompliance Area: Cubby on the third floor was not securely mounted to the wall.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: 3 out of 5 children's records reviewed did contain the specify date of the child's admission or an agreement signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Noncompliance Area: 2 out of 5 children's records reviewed did not contain emergency contact information that include health insurance coverage and policy number .

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: Child # 1 and Child #4 children's records did not contain current health assessments.

Correction Required: The operator must 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: A letter to the local traffic authority was not on file at the time of renewal inspection.

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: Staff person #1, Staff person # 5 and Staff person #10 records did not contain verification of education.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Staff person # 9 and Staff person# 10 records did not contain a written report of health assessment.

Correction Required: 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: Staff person # 5 , record did not contain a completed FBI clearance. Staff person #9 , record contain volunteer child abuse clearance and no FBI clearance.

Correction Required: 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. Facility Person #5 and #9 may not work in a child care position at the facility.

Noncompliance Area: A floor fan was accessible to children in the main child care area on the third floor.

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

Noncompliance Area: Staff persons # 1, 2, 3, 4,6,7,8,10,11,12 and 13 adult records did not contain documentation of emergency plan training at the time of initial employment.

Correction Required: The operator must 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 must document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: Staff person # 5 and 9 school age children went on an excursion to the movies without a first aid kit and emergency contact forms.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3270.75(c).When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: The stairs leaving to the second floor child care space were not equipped with nonskid surfaces.

Correction Required: Inside stairs shall be equipped with nonskid surfaces.

Noncompliance Area: A record of fire drills were not available for review at the time of the renewal inspection..

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: ON NOVEMBER 5, 2018 DURING THE COMPLAINT INVESTIGATION, STAFF #1 AND STAFF #2 ACKNOWLEDGED THEY PLACED A SIGN CONCERNING THE OUTBREAK OF AN ILLNESS BUT DID NOT GIVE TO PARENTS INDIVIDUALLY.

Correction Required: The operator shall inform parents of enrolled children when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency in the opinion of the Department of Health.

Noncompliance Area: During the renewal inspection on 2/20/18, the emergency contact for Child #3 did not include the address of the individual designated by the parent to whom the child may be released.

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: During the renewal inspection on 2/20/18, the file for Child #1, enrolled 10/26/15, and Child #2, enrolled 1/17/16, did not contain an initial health report within 60 days nor an updated report at least every 12 months.

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.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: During the renewal inspection on 2/20/18, the file for Staff #1 contained an invalid health assessment, dated 10/14/15, with no subsequent health assessments on file.

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: During the renewal inspection on 2/20/18, the facility's indoor surfaces had peeling/cracked plaster and/or peeling paint in the second floor art room on the left and right sides of pillar; in the second floor play area at the bottom of pillar; and in the first floor back hallway on pillar.

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

Noncompliance Area: During the inspection on 1/16/18, the cots in Room #1 and Room#2 were pushed close together and did not have 2 feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: During the inspection on 1/16/18, in Room 1, Staff #1 was providing care for six young toddlers who were all age 1. In Room 5, Staff #2 and Staff #3 were together with 16 children ages 2-3; Staff #2 had eight of the children in her primary care group which included Child #1, a two year old.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by maintaining a record of the documentation at the facility for a period of three months after the form has been approved. The forms will be made available to the Regional Office of Child Development and Early Learning staff for review during unannounced visits. Verification of compliance with ratios will be completed by more than one on site visit at the facility over a three month period of time.

Noncompliance Area: During the renewal inspection on 9/12/17, the agreement for Child #1 was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: During the renewal inspection on 9/12/17, the agreement for Child #1 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: During the renewal inspection on 9/12/17, the emergency contact for Child #3 did not include the telephone number of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: During the renewal inspection on 9/12/17, the emergency contact for Child # 1 did not include the health insurance policy number. The emergency contact for Child #4 did not include the health insurance coverage or policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: During the renewal inspection on 9/12/17,emergency contact forms were not present in the child care space on the main floor group 1, on the second floor small room group 1, group 2, group 3 and in the large room.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: During the renewal inspection on 9/12/17, the file for Child #2 start date 7/20/15, and Child #4 start date 4/25/16 did not contain an initial health report nor subsequent health reports at least every 12 months.

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. 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: During the renewal inspection on 9/12/17, the file for Staff #1,start date 8/16/17, did not contain a health assessment conducted within 12 months prior to providing initial service in a child care setting or the results of initial tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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: During the renewal inspection on 9/12/17, the file for Staff #2 contained a tuberculosis screening but did not contain a health assessment.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. An adult health assessment must include a physical examination.

Noncompliance Area: During the renewal inspection on 9/12/17, the emergency contact and the financial agreement for Child #1 wwere not updated by the parent in a 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: During the renewal inspection on 9/12/17, the facility's emergency plan did not provide for evacuation of children to a location away from the facility premises.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3270.94 (f) and (g) (relating to fire drills).

Noncompliance Area: During the renewal inspection on 9/12/17, the emergency plan did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises or a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: During the renewal inspection on 9/12/17, the files for Staff #3, Staff #4 and Staff #5 did not contain Mandated Reporter Training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3, #4, #5 may not work in a child care position at the facility. 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. Facility Person #3, #4, #5 may not work in a child care position at the facility.

Noncompliance Area: During the renewal inspection on 9/12/17, the facility had an enrollment of 50 children. All staff, except the director, qualified as assistant group supervisors or aides.

Correction Required: A director may not function as a group supervisor in a facility in which more than 45 children are enrolled. In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Noncompliance Area: During the renewal inspection on 9/12/17, a can of disinfectant spray was accessible to children on a counter near the girl's bathroom on the second floor.

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: During the renewal inspection on 9/12/17, the main floor first aid kit did not contain scissors.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: During the renewal inspection on 9/12/17, metal strip on the carpet in the upstairs play space close to the art room was raised causing a tripping hazard. The rugs in the upstairs play space and art room were unraveling creating a possible 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: During the renewal inspection on 9/12/17, peeled and damaged paint was present on the upstairs play space baseboards and on the art room baseboards.

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

Noncompliance Area: During the renewal inspection on 9/12/17, fire drills were not conducted every 60 days. The last fire drills occurred on 3/1/17 and 7/10/17.

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: During the renewal inspection on 9/12/17, evacuation routes were not posted in the main floor child care space.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 9/6/17, STAFF 4 NAMED ALL 8 TODDLERS IN THE CHILDREN. CONTINUOUS NON COMPLIANCE FROM SIN 00119802.

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: DURING THE UNANNOUNCED INSPECTION ON 9/6/17, CHILD 1 AND 2 FILE DID NOT CONTAIN A PHYSICAL. CONTINUOUS NON COMPLIANCE FROM SIN 00119802.

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: DURING THE UNANNOUNCED INSPECTION ON 9/6/17, STAFF 1 AND 2 WERE MISSING DOCUMENTS FROM THERE FILE. STAFF 1 IS MISSING VERIFICATION OF TB. STAFF 2 IS MISSING VERIFICATION OF COMPLETED PHYSICAL. CONTINUOUS NON COMPLIANCE FROM SIN 00119802.

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: DURING THE UNANNOUNCED INSPECTION ON 9/6/17, STAFF 5 AND 6 WAS UNABLE TO LOCATE CHILD 3 FILE. CONTINUOUS NON COMPLIANCE FROM SIN 00119802.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 9/6/17, STAFF 2 FILE DID NOT CONTAIN VERIFICATION OF AGE.

Correction Required: A facility person`s record shall include verification of age.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 9/6/17, STAFF 3 FILE DID NOT HAVE VERIFICATION OF PA STATE POLICE CLEARANCE AND CHILD ABUSE CLEARANCE IN THERE FILE. CONTINUOUS NON COMPLIANCE FROM SIN 00119802.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 9/6/17, STAFF 3 FILE DID NOT HAVE VERIFICATION OF EXPERIENCE. CONTINUOUS NON COMPLIANCE FROM SIN 00119802.

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: DURING THE UNANNOUNCED MONITORING ON 8/7/17, OBSERVED A TABLE IN THE LOBBY THAT WAS NOT STURDY, ACCESSBILE TO CHILDREN CAUSING A POTENTIAL HAZARD TO THE CHILDREN.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child`s size, age and special needs.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 8/7/17, SOME OF THE INFANTS CRIBS WERE NOT LABELED.

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: DURING THE UNANNOUNCED MONITORING ON 8/7/17, STAFF 6 NAMED ALL 14 (2 YT, 11 OT, 1 PRESCHOOLER) CHILDREN WHEN ASKED WHOM SHE WAS SPECIFICALLY RESPONSIBLE FOR. STAFF 3 DID NOT KNOW THE NAMES OF TWO OF THE CHILDREN IN HER GROUP WHEN ASKED.

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: DURING THE UNANNOUNCED MONITORING ON 8/7/17, CHILD 1 AND 2 CHILD PHYSICAL WAS NOT IN THE CHILDREN'S FILE.

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: DURING THE UNANNOUNCED MONITORING ON 8/7/17, STAFF 1,2,3 AND 4 WERE MISSING VERIFICATION OF COMPLETED PHYSICAL AND TB FROM THEIR FILE.

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: DURING THE UNANNOUNCED MONITORING ON 8/7/17, THERE WAS EXPIRED MILK IN THE REFRIGERATOR DATED 8/3/17.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 8/7/17, CHILD 3 AND 4 DID NOT HAVE A FILE AT THE FACILITY.

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

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 8/7/17, THE INSPECTION SUMMARIES SIN-00111417, SIN- 00114979, AND SIN 00112965 WERE NOT POSTED IN A CONSPICUOUS LOCATION 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: DURING THE UNANNOUNCED MONITORING ON 8/7/17, STAFF 3 AND 4 FILE DID NOT CONTAIN VERIFICATION OF BEING TRAINED IN THE EMERGENCY PLAN.

Correction Required: The facility shall have an emergency plan

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 8/7/17, STAFF 1,2,3 AND 4 WERE MISSING DOCUMENTS FROM THEIR FILE. STAFF 1 IS MISSING STATE POLICE, CHILD ABUSE, AND FBI CLEARANCE. STAFF 2 IS MISSING FBI CLEARANCE, STAFF 3 IS MISSING STATE POLICE, CHILD ABUSE, FBI, AND MANDATE REPORTER TRAINING. STAFF 4 IS MISSING STATE POLICE AND CHILD ABUSE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2, -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. Facility Person #1,3,4,--- may not work in a child care position at the facility.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 8/7/17, STAFF 1, 2, 3 AND 4 WERE MISSING PROOF OF 2 YEARS OF EXPERIENCE FROM THERE FILE.

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: DURING THE UNANNOUNCED INSPECTION ON 8/7/17, STAFF 4 WAS OUT OF RATIO ONCE STAFF 5 LEFT THE ROOM TO RETRIEVE SOMETHING FROM STAFF 3. CONTINUE NON COMPLIANCE FROM 4/18/17 SIN 00112965.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 8/7/17, THERE WAS A MISSING PROTECTIVE OUTLET COVER IN THE PLAYSPACE THAT WAS SHOWN TO THE DIRECTOR.

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

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 8/7/17, THERE WAS TOXIC ACCESSIBLE TO CHILDREN CAUSING A POTENTIAL HAZARD. PEROXIDE WAS OBSERVED IN THE BLUE ROOM ON A LOW SHELF ACCESSIBLE TO CHILDREN. THERE WAS LYSOL SITTING ON THE TOILET IN THE UNLOCKED BATHROOM ON THE FIRST FLOOR WALKWAY GOING UPSTAIRS TO THE SECOND FLOOR. THERE WAS UNDERLAYMENT IN UNLOCKED BASEMENT WALKWAY ACCESSIBLE TO CHILDREN.

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: DURING THE UNANNOUNCED MONITORING ON 8/7/17, THERE WAS PEELING PAINT NEAR THE COTS ON THE SECOND FLOOR.

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

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 5/12/17, CERTERFICATION REP OBSERVED TWO SCHOOL AGE CHILDREN LEAVING THE RESTROOM UNSPERVISED.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 5/12/17, STAFF 1 DID NOT HAVE A FILE AT THE FACILITY.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 5/12/17, THERE WERE 13 SCHOOL AGE CHILDREN IN THE ART ROOM, THAT HAS A CAPACITY OF 6.

Correction Required: The capacity established for an indoor space may not be exceeded.When the capacity of a space is exceeded while children are eating, the number of children present in the space may not be more than twice the measured capacity of the space.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 4/18/17, OBSERVED VIDEO FOOTAGE FROM 4/1/17 OF STAFF 1 WITH 9 CHILDREN. THE CHILDREN RANGED IN AGE OF 2 YEARS TO 9 YEARS

Correction Required: .The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by MAINTAINING A RECORD OF THE DOCUMENTATION AT THE FACILITY FOR A PERIOD OF THREE MONTHS AS THE FORM HAS BEEN APPROVED. THE FORMS WILL BE MADE AVAILABLE TO THE REGIONAL OFFICE OF CHILD DEVELOPMENT OF EARLY LEARNING STAFF FOR REVIEW DURING UNANNOUNCED VISITS. VERIFICATION OF COMPLIANCE WITH RATIO WILL BE COMPLETED BY MORE THAN ONE ON SITE VISIT AT THE FACILITY OVER A THREE MONTH PERIOD OF TIME.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 4/181/17, VIDEO FOOTAGE SHOWED STAFF 1 SWING CHILD 1 INTO A POSITION IN FRONT OF HER.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. LEGAL ENTITY MUST ARRANGE FOR ALL FACILITY STAFF TO RECEIVE A MINIMUM OF TWO HOURS OF TRAINING REGARDING SUPERVISON OF CHILDREN. THE LEGAL ENTITY MUST RECEIVED DPW APPROVAL OF THE TRAINING CONTENT PRIOR TO SCHEDULING THE TRAINING.