Ymca/northwestern Elementary

Regulation: 3270.101(a)/3270.101(c)

Description: Age appropriate/Include 6 categories of development

Noncompliance Area: The cafeteria with a childcare capacity of 66, is lacking play equipment and materials required to be provided in a child care space.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include the items specified at §3270.101(c)(1) - (6).

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for facility person #1, a voluntary interacting directly with children, is lacking a valid initial health assessment.

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.

Regulation: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: Observed the child files are kept in a file cabinet that does not lock.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.193(a)

Description: Confidential; stored in locked cabinet

Noncompliance Area: Observed the facility person files are kept in a cabinet that does not lock.

Correction Required: Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #1, serving as a volunteer, start date (see IS code sheet), contains a signed disclosure statement that was not witnessed, a DHS FBI clearance and NSOR verifications dated after the initial start date as evidenced by FBI and NSOR dated 4/2/2026 and is lacking Ohio state clearances required since the individual is a current Ohio resident.

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. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the preschool classroom a torn canvas cover.on the small indoor trampoline.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has completed Pediatric first aid and CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility fire alarm test log identifies that the most recent alarm test was conducted 1/8/2026 which has exceeded 30 days and the provider is lacking documentation of a current fire system inspection report from within the past 12 months and is unable to test the alarm during inspection.

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.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The gym play space is lacking a written plan of daily activities.

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

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The file for child #1, preschool aged, contains an immunization report that is lacking one dose of HIB, one dose of pneumoccal and one dose of Hep A according to the ACIP immunization schedule.

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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility emergency drill log identified that emergency drills were conducted on 9/22/2023 and 11/13/2024, exceeding 12 months between drills.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff person #1 contains current mandated reporter training that was competed greater than 60 months after the previous mandated reporter training as evidenced by trainings dated 1/30/2020 and 2/8/2025. The training is now current.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility fire alarm test log identifies that alarm tests exceeded 30 days between tests from 1/16/2025 to 2/24/2025 and from 2/24/2025 to 3/27/2025 and a fire system inspection report within the previous 12 month period was not available. The facility is located in a school building and classes were in session, so the provider was not able to demonstrate that the alarm system is operational.

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.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for staff person #1 contains a current health assessment that was obtained greater than 24 months after the previous health assessment. The 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.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The preschool classroom sink is lacking a lidded waste receptacle.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On the day of inspection the provider was unable to demonstrate that the fire alarm is operational due to being located in a school with a different legal entity and was unable to provide the current fire system inspection report.

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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Room 600 a broken plastic bin was observed to have rough edges and sharp corners.

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.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file for child #3 lacked an agreement that specified the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.123(a)/3270.182(8)

Description: Signed /Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files for children #1, #2, and #3 lacked agreement forms.

Correction Required: An agreement shall be signed by the operator and the parent. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #1 and #5 were observed to be caring for children unsupervised. Staff persons #1 and #5 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First-Aid & CPR Training.

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. Until such time as the required pre-service trainings are completed, staff persons #1 and #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility lacked an emergency plan that addressed continuity of operations.

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(a)(1)

Description: Emergency plan

Noncompliance Area: The facility lacked an emergency plan that included accommodations for shelter of children during an emergency including lock-down.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: It was observed that an emergency drill was not conducted in the past year.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: It was observed that the operator did not review the emergency plan within the past year. The last review was done on 7/29/21.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for staff person #1 lacked emergency plan training that was completed 12 months from the previous emergency plan training. The emergency plan training in the file was dated 1/10/22 and 8/1/23. The file for staff person #2 lacked emergency plan training that was completed 12 months from the previous emergency plan training. The emergency plan training in the file was dated 6/6/22 and 8/1/23. The files for staff persons #3 and #4 lacked emergency plan training that was completed 90 days from the hire date (See LIS Code Sheet). The emergency plan training in the file was dated 8/1/23 and 8/2/23. The file for staff person #5 lacked emergency plan training that was completed 12 months from the previous emergency plan training. The emergency plan training in the file was dated 8/18/21 and 8/1/23. The file for staff person #6 lacked emergency plan training that was completed 12 months from the previous emergency plan training. The emergency plan training in the file was dated 9/30/21 and 8/1/23. The file for staff person #7 lacked emergency plan training that was completed 12 months from the previous emergency plan training. The emergency plan training in the file was dated 9/9/21 and 8/2/23.

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.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: It was observed that the provider did not provide to the parent of each enrolled child a letter explaining the lock-down procedures and the special accommodations for children with special needs and chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The file for staff person #6 lacked firesafety training that was completed one year from the current firesafety training. The firesafety training in the file was dated 1/13/22 and 5/3/23. The file for staff person #7 lacked firesafety training that was completed within the last year. The firesafety training in the file was dated 7/28/22.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1, #3, #5, and #7 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid & CPR Training.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #1, #5, and #7 will have until 9/13/23 to complete the required training. Until such time as the required training has been completed, staff persons #1, #5, and #7 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #5, and #7, staff persons #1, #5, and #7 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1, whom was hired as the director on (See LIS Code Sheet), lacked a Child Abuse Clearance and an FBI Clearance that was completed 60 months from the previous clearance. The Child Abuse Clearances in the file were dated 7/6/18 and 7/28/23. The FBI Clearances in the file were dated 6/28/18 and 8/1/23. The file for staff person #3, whom was hired as an AGS on (See LIS Code Sheet), lacked a dated disclosure statement. The file for staff person #4, whom was hired as an AGS on (See LIS Code Sheet), lacked a Child Abuse Clearance.

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. Facility Person #4 may not work at the child care.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff person #2 lacked a staff evaluation written by the director within the past year. The staff evaluation in the file was dated 7/15/22. The file for staff person #5 lacked a staff evaluation written by the director 12 months from the previous staff evaluation. The staff evaluations in the file were dated 8/10/21 and 1/20/23. The file for staff person #7 lacked a staff evaluation written by the director within the past year. The staff evaluation in the file was dated 8/10/21.

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: 3270.151(a)

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

Noncompliance Area: The file for staff person #1 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file were dated 2/12/20 and 3/17/22.

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: 3270.32(a)/3270.192(2)(iii)

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

Noncompliance Area: The file for staff person #1 lacked mandated reporter training that was completed 60 months from the previous mandated reporter training. The mandated reporter trainings in the file are dated 2/23/17 and 6/30/22.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2, whom was hired as an assistant group supervisor on (SEE LIS CODE SHEET), lacked an NSOR verification certificate in the file prior to working with the children. The NSOR verification certificate in the file is dated 6/8/22. The file for staff person #3, whom was hired as an assistant group supervisor on (SEE LIS CODE SHEET), lacked an FBI clearance in the file prior to working with the children. The FBI clearance in the file is dated 10/13/21.

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. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: It was observed in the restroom above 2 sinks handwashing signs were not posted. It was observed in the boys restroom that a handwashing sign was not posted above the toilet in one stall. It was observed in the girls restroom that 3 handwashing signs were not posted above the toilets in three 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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire drill log was observed. Smoke detector checks were conducted more than 30 days apart. The smoke detector checks were 37 days between 9/15/21 and 10/22/21; 31 days between 1/21/22 and 2/21/22; 33 days between 3/18/22 and 4/20/22; 37 days between 5/11/22 and 6/17/22; 42 days between 7/5/22 and 8/16/22.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: 2nd citation; originally cited 8/20/2021: The white classroom refrigerator is lacking 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: 2nd citation; originally cited 8/20/2021:The files for children #2 and #3, all school aged, lack health assessments and have been in attendance for greater than 90 days.

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: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: 2nd citation; originally cited 8/20/2021: The files for child #2 and #3, all school aged, lack immunization reports and have been in attendance for greater than 60 days.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: 2nd citation; originally cited 8/20/21: The facility emergency plan does not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

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

Noncompliance Area: 2nd citation; originally cited 8/20/2021: The file for staff person #1 does not include documentation of professional development in the health and safety topics within 90 days of employment.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: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: 2nd citation; originally cited 8/20/2021: In the cafeteria child care space there is a stage with steps accessible to the children and a barrier is not in place on the edge of the stage.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: 2nd citation; originally cited 8/20/2021: The provider does not have proof of purchase of the hard-wired interconnected fire detection system. The annual fire inspection report by a fire safety professional shows uncorrected deficiencies. The facility does not have documentation of 30 day fire system tests.

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: The files for staff persons #5, #6 and #7 do not contain verification of training regarding the facility emergency plan at the time of initial employment / within one week of employment. The files do contain current 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 persons #1, 2, 3 and 4 contain current fire safety training that was conducted more than 12 months after the prior 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 most recent fire drill was conducted on 2/13/2020. The facility was closed from 3/13/20 to 8/24/2020 due to covid-19 mitigation. The facility has been operating since 8/24/2020 without conducting a fire drill.

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: The file for child #3 does not contain a child service report completed in the previous 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 #2 does not contain an emergency contact and financial agreement updated within the previous 6 month period. The files for child #1, #3 and #4 do not contain emergency contacts updated within the previous 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 informationA 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 files for child # 2,3,4 and 5, all preschool aged, do not contain verification of a flu vaccination received during the previous 12 month period as required according to the ACIP schedule.

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: In the preschool classroom medication box there were Rexall Anti Itch Lotion, Equate Children's Ibuprofen and Equate Children's Pain And Fever Relief, all lacking the name of the child for whom they were intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: In the classroom there was a container of Clonazepam which stated 'discard after 4/10/19'.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: In the child care classroom in a childproof cabinet under the sink there was a spray bottle of yellow cleaning solution that was not labeled with the name of the contents. Staff identified the contents as Mr. Clean Disinfectant.

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 files for child #1, #2, #3 and #4 contain current emergency contact and financial agreements that were reviewed more than 60 days after the previous review. The files are now current.

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 informationA 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: In the backpack containing the first-aid kit there was a bottle of Advil Gel Caps that was not labeled with the name of the child for whom it was intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: The operator did not notify the local traffic safety authorities in writing in the previous 12 month period of the location of the facility and the program's use of pedestrian and vehicular routes around the 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 staff person #1, hire date 7/19/18, does not contain verification of a request for a criminal history clearance prior to starting in a child care position as required under the CPSL. The file does contain a completed criminal history clearance dated 8/17/18.

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.

Noncompliance Area: The files for facility persons #1 and #2, identified as the facility lifeguards during swimming activity at Camp Sherwin, do not contain documentation of lifeguard credentials.

Correction Required: When children are swimming, supervision shall include one person certified in lifeguard training, as described in 3270.31(e)(4)(iii) (relating to age and training). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: A health assessment including a TB test was not on file for facility person #2.

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.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.

Noncompliance Area: An individual record was not available for facility persons #1 and #2, both serving as facility lifeguards.

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

Noncompliance Area: A health assessment including a TB test was not on file for facility person #2.

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: Two written references were not available for facility person's #1 and #2, both serving as facility lifeguards.

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: Facility persons #1 and #2 , observed serving as facility lifeguards, did not receive training regarding the facility emergency plan at the time of initial employment.

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.

Noncompliance Area: Signed disclosure statements were not available for facility person #1, hire date 6/11/18 and facility person #2, hire date 6/11/18, as required under CPSL.

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. Facility Person #1 and #2 may not work in a child care position at the facility until a signed disclosure statement is obtained.

Noncompliance Area: Rest mats being used as rest equipment for preschoolers were numbered but a list identifying which child used which mat was not available.

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 was lacking an agreement between the parent and the provider.

Correction Required: An agreement shall be signed by the operator and the parent.A child`s record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: The liability insurance on file at the facility was expired.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: The emergency plan was kept in the director's office and not posted in a conspicuous location.

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

Noncompliance Area: The file for staff person #1, hire date of 9/14/15, contained mandated reporter training by an unapproved training source and dated 8/13/13. Mandated reporter law changed in 2014. The staff file for staff #1 was lacking verification of valid mandated reporter training within 90 days of hire as required by CPSL.

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 first-aid kit contained an open package of gauze therefore making it not sterile.

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: Handwashing signs were missing from 4 toilets in the girls bathroom and 2 urinals and 2 toilets in the boys bathroom.

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 bathroom was lacking a lidded trash container.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.