Wright Childcare Solutions

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: The facility did not have a written policy for recognition of potential signs, symptoms of abusive head trauma, strategies for coping with a distressed child, or the prevention and detection of child maltreatment.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment on file for Child #1 was dated 3/25/23 and Child #2 had an initial health assessment dated 5/10/24 both later than 60 days following 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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #1 and staff person #2 was lacking the verification of experience needed to qualify them as an AGS.

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.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact forms for children #1, #2, and #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.

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The emergency plan was not posted. There was no posting stating that the emergency plan could be viewed upon request.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: Documentation of the facility's fire drills did not include the names of the facility persons who participated in the drill. Documentation only included the name of the staff person leading the drill.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: Staff stated that the child possibly sat down on a chair that had been sprayed with a bleach and water solution to clean it.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the office where children's milk and packed lunches are kept did not contain a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form of child #3 did not contain the work address of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form of child #1 and 2 did not contain information on the child's special needs.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: A list of parents and emergency contact persons was posted in classroom 117 and 118, but did not contain the emergency contact forms.

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.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: The health report of child #2 did not contain their immunization record.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The health assessments of facility person #3 were dated 9/19/2019 and 9/23/2021 exceeding 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.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The tuberculosis screening of facility person #2 (start date 1/4/2021) was dated 1/8/2021, which was after their start date with children.

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.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Adult scissors were accessible to the children on the windowsill in front of a desk in Room 118.

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

Regulation: 3270.31(f)/3270.31(f)(10)

Description: Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: The training certificate for pediatric first aid and CPR of facility person #2 (start date 1/4/2021) was dated 7/12/2021 which exceeded 90 days of starting with children.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: Pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3270.32(a)/3270.192(2)(ii)

Description: Comply with CPSL/Exp, educ., training prior to facility

Noncompliance Area: Mandated reporter training of facility person #4 was dated 7/19/2016 and 7/23/2021 exceeding 60 months.

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 prior to service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #1 (start date 7/1/2021) contained an incomplete FBI clearance. The file of facility person #4 contained child abuse clearances dated 7/11/2016 and 7/19/2021, PA state police clearances dated 7/12/2016 and 7/23/2021 and FBI clearances dated 7/18/2018 and 7/21/2021 all over 60 months.

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.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Hand sanitizer labeled "keep out of the reach of children" was accessible to the children on the windowsill in front of a desk in Room 118.

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

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: "Bingo dabbers" labeled "keep out of the reach of children" were on a shelf in classrooms 117 and 118.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit for the school age children did not contain tweezers.

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.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The handwashing sign in the restroom of classroom 117 was on the door of the restroom and not at the toilet.

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.

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The hypothetical location of the fire drills were documented as the same for consecutive drills.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The facility did not have proof of purchase of the fire detection system.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Noncompliance Area: Adult scissors were accessible to children on the craft cart in Room 118. The scissors were removed and locked in a cabinet at the time of inspection.

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

Noncompliance Area: The corner of a tray on the mobile cart was cracked exposing children to 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: An unlocked drawer in the toddler room contained pom pom balls, glue sticks, small foam craft pieces, google eyes, latex balloons,rubber bands and small plastic letters, all under 1 inch in diameter or with removeable parts with less than 1 inch in diameter, accessible to children still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The financial agreement of child #3 did not contain the amount of the fee to be paid.

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

Noncompliance Area: The financial agreement of child #3 did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The financial agreement of child #3 did not specify the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The original financial agreements of child #1 and 6 were in their files.

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

Noncompliance Area: The emergency contact form of child #6 did not contain the home telephone number of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The emergency contact information did not include the health coverage or policy number for child #3, 4 and 5.

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: The emergency contact information of child #4 did not contain the address of one of the release persons 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: The school-age space did not contain a written plan identifying the means of transporting a child to emergency care and the staffing provisions in the event of an emergency posted conspicuously.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: The health assessment of child #1, now a young school-age child, was dated 8/26/2016 and lacked an updated health assessment. The health assessments of child #2, a preschool age child,were dated 8/29/2018 and 10/9/2019, exceeding the 12 month requirement for a preschool child.

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: A sausage and cheese breakfast sandwich and a Lunchable, which was labeled "keep refrigerated," were on the counter in the preschool classroom.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Noncompliance Area: Facility person #1 and 2 contained fire safety training on 7/16/2018 and again on 9/23/2019, exceeding the requirement of participating annually in fire safety training. Facility person #1 and 2 now have current fire safety training.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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 facility person #3, with a hire date of 9/16/2019, contained a PA State Police and Child Abuse clearance for a volunteer. The correct clearances were obtained the day of the inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 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.

Noncompliance Area: Facility person #3, identified as a group supervisor, did not have documentation of education to qualify as a group supervisor.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at 3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Facility person #4, identified as an assistant group supervisor, did not contain at least 2 years of documented experience to qualify for the position.

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: In the preschool classroom, an open trash can without a lid contained used tissues.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Noncompliance Area: In the older toddler classroom, a plastic bin containing crayons was broken exposing children the children to sharp and 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: Three toothbrushes were in a plastic bag in the cupboard outside of the restroom not stored with the bristles up and exposed to circulating air. The toothbrushes were not labeled with the name of the child for which they were intended.

Correction Required: A child shall have a labeled toothbrush if brushing teeth is a program activity. Toothbrushes shall be stored with the bristles up and exposed to circulating air.

Noncompliance Area: The health assessment for facility person #1 did not contain documentation of the person's suitability to provide child care from a physician or CRNP.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: The boys restroom off the cafeteria space did not have a posted handwashing sign at one sink, the urinal or the toilet in the stall. The girls restroom off of the cafeteria space did not have a posted handwashing sign at one sink and both of the toilets in the stalls.

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: The preschool classroom contained 2 broken lids on bins, one was to a craft bin and the other to the counting toys. The younger preschool classroom contained a broken lid on the paint bin. The broken lids has 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: The file of child #4 contained a financial agreement which did not specify the amount to be charged per day or week.

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

Noncompliance Area: The file of child #4 contained a financial agreement which did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The file of child #2 contained a financial agreement which did not contain the telephone number of the 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: The file of child #1 contained an emergency contact which did not include the home address if the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The file of facility person #1 contained a health report dated 10/12/2016 but does not contain documentation of an update within 24 months. The file of facility person #2 contained a health report dated 8/4/2016 with an update on 10/11/2018, exceeding the requirement of having a health report at least every 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: The file of child #1 contained an emergency contact and financial agreement dated 7/1/2017 with an update on 5/29/2018, exceeding 6 months. The file of child #3 contained an emergency contact and financial agreement dated 8/8/2017 with an update on 8/3/2018, exceeding 6 months. Child #1 and 3 now have current emergency contact and financial agreements.

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 facility person #3, identified as an assistant group supervisor, did not contain documentation of 2500 hours of child care experience.

Correction Required: 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 of facility person #3 contained 2 written references which did not attest to the person's suitability to serve as a facility person.

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: A spray bottle which not labeled with its contents under the sink in the preschool classroom. The contents were identified as a cleaning material.

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 first-aid kit in the younger preschool classroom did not contain soap.

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: In the boys restroom off the cafeteria, the urinal and stall did not have handwashing signs posted. One stall in the girls restroom off the cafeteria did not contain a posted handwashing sign.

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: In the older toddler classroom, a bin containing children's paint had a cracked lid exposing 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: Adult scissors were accessible to children on a shelf in the preschool classroom.

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

Noncompliance Area: In the older toddler restroom, Aquafor and Johnson's Baby Shampoo labeled keep out of the reach of children were accessible to children on the bottom shelf of the changing table. In the cafeteria, a paint can was accessible to the children behind a curtain under the stage area.

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 preschool classroom contained an arts and crafts bin that had a cracked lid with rough sharp 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: The file of child #3 did not contain the health insurance policy number on the emergency contact.

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: The older toddler, preschool and cafeteria classrooms did not contain emergency contact information in the child care space for children receiving care in that space.

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: The file of child #1 contained an emergency contact form dated 10/3/16 and a financial agreement dated 10/7/16. Both were updated on 9/13/17, exceeding 6 months. The file of child #2 contained an emergency contact form dated 10/3/16 and a financial agreement dated 10/3/16. Both were updated on 9/12/17, exceeding 6 months.

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 #1 did not contain documentation of fire safety training at least annually.

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 electrical outlet in the hallway, which leads to the toddler and preschool classrooms, did not contain a protective receptacle cover.

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

Noncompliance Area: A large container of "Member's Mark" soap for refilling containers was labeled "keep out of the reach of children" but stored in an unlocked cupboard accessible to the children. Glass cleaner and "Goo Off" labeled "keep out of the reach of children was behind an unlocked door off the cafeteria 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: Two cans of shaving cream labeled "keep out of the reach of children" was observed under the locked sink. When asked what they were used for, the Director stated for art projects like puffy paint.

Correction Required: Arts and crafts materials shall be nontoxic.

Noncompliance Area: A plate cover on the pillar in the cafeteria was cracked causing sharp and rough edges.

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: The girl's restroom off of the cafeteria had 2 stalls that did not contain handwashing signs and the boy's restroom had 1 stall that did not contain a handwashing sign.

Correction Required: 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: The file of child #7 lacked the address of the release persons designated by parents.

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 #1, 3 and 6 lacked initial health reports within 60 days of their first day of attendance at the facility.

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 #2, a preschool child, contained a health assessment dated more than 1 year prior to their first day of attendance at the facility.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

Noncompliance Area: The file of child #5 lacks a health report containing the statement of the child's medical information pertinent to diagnosis and treatment in case of emergency.

Correction Required: A health report shall include a statement of the child`s medical information pertinent to diagnosis and treatment in case of emergency.

Noncompliance Area: The files of child #1 - #7 lacked parental consent for emergency medical care for the child.

Correction Required: A child`s record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: Instructions for contacting the appropriate regional day care office were not posted in a location used by parents.

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 file of staff person #1 lacked a signed disclosure statement at the time of hire.

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

Noncompliance Area: Two plastic containers with were not labeled with a child's name or its contents and accessible to children under the changing table in the older toddler classroom.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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: In the older toddler classroom, bubbles and bingo markers labeled "keep out of reach of children under 3" were accessible to children. In the preschool classroom bingo markers labeled "keep out of reach of children under 3" were accessible to children.

Correction Required: Arts and crafts materials shall be nontoxic.

Noncompliance Area: In the older toddler and preschool classrooms handwashing signs were not present above each toilet in the restrooms.

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.