YUM YUMS 123 ABC CHILDCARE CENTER

Noncompliance Area: During a renewal inspection conducted on 11/13/2020, 6 child files were reviewed. Child # 1,3,4,5 and 6 files contained fee agreements that did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: During a renewal inspection conducted on 11/13/2020, 6 child files were reviewed. Child # 2 file contained an emergency contact form that did not list the enrolling parents work phone number.

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

Noncompliance Area: During a renewal inspection conducted on 11/13/2020, 6 child files were reviewed. Child # 2 file contained an emergency contact form that did not list the address of the person 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 a renewal inspection conducted on 11/13/2020, Certification Representative observed electrical outlets without protective receptacle covers in the 2 and 3 year old rooms.

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

Noncompliance Area: During a renewal inspection conducted on 11/13/2020, Certification Representative observed toxins in a cabinet that was not locked in an area 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 a renewal inspection conducted on 11/13/2020, Certification Representative measured the water in the second bathroom at 120 degrees F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: On 1/28/2020, an initial health report was not observed in the file belonging to Child #1 (enrolled 5/2019).

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

Noncompliance Area: On 1/28/2020, an updated health assessment was not observed in the file belonging to Child #2 and Child #3.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerThe 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: On 1/28/2020, updated emergency contact and agreement information was not observed in the file belonging to Child #1 (dated 5/29/19).

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

Noncompliance Area: On 1/28/2020, wet ceiling tiles were observed in the 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.

Noncompliance Area: The sensor to the electronic doors at the main entrance to the facility was not properly working at the time of inspection on 1/3/19. The door would partially open and close without notice and could pose a hazard to the children.

Correction Required: Floors, walls, doors, 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: On 12/3/19, emergency contact information for 3 children was not in the Infant child care space where children were receiving care. Emergency contact information for 2 children was not in the PK child care space where children were receiving care.

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: On 12/3/19, diaper cream instructing to "keep out of reach of children" was observed accessible to children in the Toddler room (continued non compliance). Additionally, a bin of plastic bags accessible to children were observed in the infant room. (continued non compliance)

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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: On 12/3/19, at approximately 2:30pm, three dirty training chairs containing urine were observed in the bathroom. (continued non compliance)

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

Noncompliance Area: On 12/3/19, the back exit door was obstructed by unused cots and toys preventing egress.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: On 10/23/19, a cracked blue chair was observed in the multipurpose room. Plastic bags were observed on the diaper changing table shelves accessible to children in the infant room.

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. 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: On 10/23/19, Child #3 was observed asleep in the crib belonging to Child #4. Child #2 was placed in the crib belonging to Child #5. Additionally, 2 pack n plays were not labeled for the specific use of individual children. Infants were observed sleeping in cribs that were not at least 2ft apart on three sides.

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.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: On 10/23/19, Child #1 (9months old) and Child #2 (9 months old) were observed sleeping in an upright position in bouncy seats. A statement signed by a physician documenting the medical reason in which Child #1 and Child #2 should not be placed in a sleeping position recommended by the AAP was not on file at the facility.

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

Noncompliance Area: On 10/23/19, a discarded bottle containing formula was observed on the diaper changing table shelf. A container of infant cereal and a gallon of water was observed on the diaper changing pad located in the infant room.

Correction Required: The diapering area may not be used for food preparation or food service.

Noncompliance Area: On 10/23/19, bottles containing milk from previous feeding were observed in the infant room and in the young toddler room. The milk was not discarded. Staff #1 states that some non disposable bottles are left at the facility and are maintained by the facility. The facility is not equipped with a commercial dishwasher.

Correction Required: Food that has been previously served to a person or returned from a table shall be discarded. Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Noncompliance Area: On 10/23/19, three bottles observed in the infant room were not labeled with the child's name. (continued non compliance from renewal inspection dated 10/8/19)

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

Noncompliance Area: On 10/23/19, discarded bottles containing formula was observed on the changing table shelf and on a bouncy seat accessible to mobile children in the infant room. The discarded bottles pose a possible threat to the health and safety of the children if an infant drinks from a bottle that does not belong to them.

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

Noncompliance Area: On 10/23/19, Staff #1 was observed out of ratio with 6 infants while Staff #2 left the room to use the restroom.

Correction Required: The required staff:child ratios must be maintained at all times. 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: On 10/23/19, uncovered electrical outlets were observed on a power strip accessible to children in the infant room.

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

Noncompliance Area: On 10/23/19, two open jars of Vaseline, hand sanitizer and Clorox wipes were observed on the diaper changing table shelves accessible to children in the Infant room. Hand cream and sanitizer was observed on a shelf accessible to children in the Older Toddler room. (continued non compliance from renewal inspection dated 10/8/19)

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: On 10/23/19, a waste receptacle without a lid containing dirty diapers was observed next to the changing table located in the Infant Room.

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

Noncompliance Area: On 10/10/19, a health assessment dated 10/19/18 was observed in the file belonging to Staff #3. Upon further review of the health assessment, the document appears to be altered.

Correction Required: The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.

Noncompliance Area: On 10/8/19, exposed bolts accessible to children were observed on the interior fence located on the outdoor play space. A broken bookshelf was observed in the multipurpose room located on the left side of the facility. Torn sofa/chair sets with exposed stuffing was observed in the 3 yr old area. Torn soft climbing block with exposed stuffing was observed in the Young Toddler area. A cracked blue adult chair was observed in the Older Toddler area. A dirty step stool used by children was observed in the bathroom. A rusted filing cabinet accessible to children was observed by the 4 yr old area.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: On 10/8/19, a Bumbo seat without safety straps was observed in the Infant room. The Bumbo seats that do not contain a safety strap was recalled by the United States Consumer Safety Commission on Aug 15, 2012.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Noncompliance Area: On 10/10/19, designated release persons were not observed on the agreement belonging to Child #1. Health Insurance including policy number information was not observed in the file belonging to Child #3.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. 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: On 10/8/19, emergency contact information was not observed in the child care space where children were receiving care. Additionally, an updated agreement was not observed in the file belonging to Child #1 (agreement dated 3/17/19).

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.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: On 10/10/19, an initial health report, including immunization records, was not observed in the file belonging to Child #2 (enrolled 4/18/19). An initial health report was not observed in the file belonging to Child #3 (enrolled 12/2018). The file belonging to Child #3 only contained immunization record.

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

Noncompliance Area: On 10/8/19, an expired epi-pen and expired allergy medication belonging to Child #6 was observed in the facility's medicine cabinet. The epi-pen and allergy medication expired in 2017.

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

Noncompliance Area: On 10/8/19, children in the 3 yr old area did not wash hands prior to eating lunch.

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

Noncompliance Area: On 10/10/19, the health assessment belonging to Staff #8 (hired 9/25/19) was not dated by a physician.

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 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.

Noncompliance Area: On 10/10/19, an initial health assessment including results of tuberculosis testing by Mantoux method was not observed in the file belonging to Staff #5 (hired 10/7/19) and Staff #3 (hired 2/2814).

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: On 10/8/19, menus were not observed posted or on file at the facility for the current week.

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

Noncompliance Area: On 10/8/19, bottles located in the infant room did were not labeled with the child's name.

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

Noncompliance Area: On 10/10/19, verification of education was not observed in the file belonging to Staff #5.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: On 10/10/19, two letters of reference were not observed in the file belonging to Staff #5.

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: On 10/10/19, a minimum 6 hours of child care training was not observed in the file belonging to Staff #1 (hired 5/2/16), Staff #2 (hired 8/10/15) and Staff #4 (hired 6/8/15). Additionally, annual fire safety training was not observed in the file belonging to Staff #2 (hired 8/10/15).

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.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: On 10/10/19, an updated child abuse (3/9/14) and FBI clearance (11/12/13) was not observed in the file belonging to Staff #3 (hired 2/29/14). An FBI clearance and Mandated Reporter training was not observed in the file belonging to Staff #9 (hired 6/5/19). A Child Abuse clearance was not observed in the file belonging to Staff #7 (the child abuse on file was processed as a Volunteer). Staff #6 is working as a Volunteer at the facility. A volunteer child abuse clearance was not observed in the file belonging to Individual #6. Requests for FBI clearance was not observed in the file belonging to Staff #8 (hired 9/25/19). Request for NSOR clearance was not observed in the file belonging to Staff #5 (hired 10/7/19). Mandated Reporter training was not observed in the file for Staff #10 (hired 2/14/13).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3, #6, and #9 -- 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, child abuse registry, fbi and NSOR and a copy of the disclosure statement required under the CPSL. Facility Person # 8--- may not work in a child care position at the facility.

Noncompliance Area: On 10/8/19, protective outlet covers were not observed on a power strip accessible to children located in the 3 yr old area. Protective outlet covers were not observed on two outlets accessible to children in the enclosed child care space.

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

Noncompliance Area: On 10/8/19, disinfectant and hand sanitizer was observed on a shelf accessible to children in the 3 yr old area. Three container of Clorox wipes, hand sanitizer, and Glade air freshener was observed accessible to children in the infant area. Clorox wipes and hand sanitizer was observed accessible to children in the OT area. Additionally, spray bottles containing bleach and water in the 4 yr old and infant areas were not labeled specifying the contents inside.

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: On 10/8/19, at the time of the inspection, wet carpeting from water damage was observed in the multipurpose child care space located on the left side of the building. The baseboards located by the entrance in the 3 yr old area and in the bathroom was damaged and in poor repair. Additionally, the back emergency exit stairwell area was not lighted by artificial light.

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.Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Noncompliance Area: On 10/8/19, a dirty training chair was observed in the bathroom.

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: On 10/8/19, no evidence of a fire drill conducted at least every 60 days was observed on file at the facility. The last fire drill was dated 12/12/18.

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: On 10/8/19, an evacuation route and a written medical emergency transport plan was not posted in the multipurpose child care space located on the left side of the facility.

Correction Required: Evacuation routes shall be posted. 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: During the renewal inspection on 9/19/18, a daily schedule was not posted in the Busy bees room. (CORRECTED ON SITE)

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

Noncompliance Area: During the renewal inspection on 9/19/18, an emergency transportation plan was not posted in the busy bees room. (CORRECTED ON SITE)

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: During the renewal inspection on 9/19/18, the record for staff members #1, #4, #7, #8, #10, #11#13, #15, #16, #17 and #18 contained health assessments that had not been updated in the last 24 months. The record for staff members #2, #3 and #5 did not contain health assessments.

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 9/19/18, unlabeled bottles were observed in the refrigerator located in the infants area.

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

Noncompliance Area: During the renewal inspection on 9/19/18, facility member #19 was introduced as a volunteer. Facility did not have a record on file for member #19.

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

Noncompliance Area: During the renewal inspection on 9/19/18, the record for staff members #8, #12 and #15 did not include two written, nonfamily reference letters.

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: During the renewal inspection on 9/19/18, the record for staff members #2 and #3 did not contain verification of annual emergency plan training,

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: During the renewal inspection on 9/19/18, the record for staff member #4 did not include the required annual 6 clock hours of child care training.

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

Noncompliance Area: During the renewal inspection on 9/19/18, the record for staff member #5 (hired on 1/6/18) did not include a completed copy of the criminal clearance. The record for staff member #7 (hired on 3/2/11) did not include current criminal, child abuse or FBI clearances. Clearances on file expired in 2016. The record for staff member #9 (hired on 3/3/18) did not include a completed copy of a criminal or FBI clearance. The record for staff member #12 (hired 8/1/17) did not include a completed copy of the child abuse or FBI clearance. The record for staff member #13 (hired 6/1/16) did not include a completed copy of the child abuse clearance. The record for staff member #14 (hired 7/27/16) did not include a completed copy of the FBI clearance. The record for staff member #17 (hired 3/2/15) did not include a completed copy of the criminal 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 #5, #7, #9, #12, #13, #14 and #17 may not work in a child care position at the facility.

Noncompliance Area: During the renewal inspection on 9/19/18, the record for staff member #15 did not contain verification of education or experience on file that qualifies the staff member for the position performing at the facility.

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: During the renewal inspection on 9/19/18, the record for staff member #9 did not contain verification of education or experience on file that qualifies the staff member for the position performing at the facility.

Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at 3270.36(b)(1)-(5).

Noncompliance Area: During the renewal inspection on 9/19/18, the record for staff member #6 did not contain verification of education or experience on file that qualifies the staff member for the position performing at the facility

Correction Required: An aide shall have attained one of the qualification levels specified in 3270.37(b)(1)-(3). 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 renewal inspection on 9/19/18, the first aid kit located in the Infant area, butterfly room and school age room did not contain all seven items (gauze, tape and gloves missing). (CORRECTED ON SITE)

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 9/19/18, a hole was observed in the wall of the bathroom used by children.

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

Noncompliance Area: During the renewal inspection on 9/19/18, peeling paint was observed on the walls in the infant room and busy bee room.

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 9/19/18, the sink in the bathroom and in the kitchen area (back of facility) did not have hand washing signs posted. (CORRECTED ON SITE)

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: Child #7 did not have an Agreement Form and Child # 1,2,5, and 6 either did not have an Agreement form or were missing multiple fields on their form.

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

Noncompliance Area: Current Child Service Reports were not on file for Child # 2,4, 5 and 6 at the time of the renewal inspection.

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: Child #2 and #4 did not work address and or work number present on their Emergency Contact form at the time of the renewal inspection.

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

Noncompliance Area: Review of files reveal Child #2 did not have consent for minor first aid or emergency medical care at the time of the Renewal Inspection.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: Health insurance coverage and policy number were missing for Child #2 and #3 Emergency Contact Form during the renewal inspection.

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: Release person's address was missing from Child # 1 Emergency contact form.

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

Noncompliance Area: Review of files reveal that Child # 4, 5 and 6 did not have a renewed agreement or emergency contact form at the time of the renewal inspection.

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: Upon file review, it was determined that Child #2,4,6, and #7 did not have current health assessments on file at the time of the renewal inspection.

Correction Required: A child`s record shall contain initial and subsequent health reports.

Noncompliance Area: Staff #2 had a physical that expired at the time of the renewal inspection with a date of 7/8/15. upon receipt of corrections for renewal that occured on 9/28/17 there were violations that still remained.

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: Upon file review, it was determined that Staff # 2,3,4,6,7,9,12,13,14, and 15 did not have the required number of hours documented and on file at facility at the time of the renewal inspection.

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

Noncompliance Area: Review of file reveal that Staff # 2, #4,#6, did not have a record current for Fire Safety Training at the time of the renewal inspection.

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: Upon review of files it was revealed that Staff #1 had an expired FBI Clearance as the one on file was dated 12/30/10. Staff #3 Criminal clearance results were undetermined at the time of the renewal inspection.

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 # -- 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: Child #7 did not have an Agreement Form and Child # 1,2,5, and 6 either did not have an Agreement form or were missing multiple fields on their form.

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

Noncompliance Area: Current Child Service Reports were not on file for Child # 2,4, 5 and 6 at the time of the renewal inspection.

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: Child #2 and #4 did not work address and or work number present on their Emergency Contact form at the time of the renewal inspection.

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

Noncompliance Area: Review of files reveal Child #2 did not have consent for minor first aid or emergency medical care at the time of the Renewal Inspection.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child`s record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: Health insurance coverage and policy number were missing for Child #2 and #3 Emergency Contact Form during the renewal inspection.

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: Release person's address was missing from Child # 1 Emergency contact form.

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

Noncompliance Area: Child #7 did not have a file on site at facility at the time of the renewal inspection.

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

Noncompliance Area: Review of files reveal that Child # 4, 5 and 6 did not have a renewed agreement or emergency contact form at the time of the renewal inspection.

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: Upon file review, it was determined that Child #2,4,6, and #7 did not have current health assessments on file at the time of the renewal inspection.

Correction Required: A child`s record shall contain initial and subsequent health reports.

Noncompliance Area: Staff #2 had a physical that expired at the time of the renewal inspection with a date of 7/8/15; Staff #4 had a physical form that was completed by the employee as opposed to the physician;

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: Upon file review, it was determined that Staff # 2,3,4,6,7,9,12,13,14, and 15 did not have the required number of hours documented and on file at facility at the time of the renewal inspection.

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

Noncompliance Area: Review of file reveal that Staff # 2, #4,#6, did not have a record current for Fire Safety Training at the time of the renewal inspection.

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: Upon review of files it was revealed that Staff #1 had an expired FBI Clearance as the one on file was dated 12/30/10. Staff #3 Criminal clearance results were undetermined at the time of the renewal inspection.

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 # -- 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: Per file review, it was revealed that Staff # 3,#4, #8, #12, and staff #14 did not have a current Staff Evaluation on file as required annually.

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: There was peeling paint throughout facility on the baseboards at the time of the renewal inspection.

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

Noncompliance Area: Fire evacuation route was missing from the Pre-K space and preschool room at the time of the renewal inspection.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: An infant that was 5 months per staff account was changed and their hands were not washed after the changing. Instead thw staff washed their own hands and gave the infant to another staff whom fed the baby a bottle.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: Staff #1 did not have a current health assessment on file at facility with TB results at the time of the complaint investigation.

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: There was no evidence of two written, nonfamily references from individuals attesting 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: Review of files during the Complaint Investigation revealed that Staff #1 did not have a State Criminal Clerance with results; a Child Abuse Clearance for employment as opposed to volunteer; DHS/DPW FBI results and Mandated Reporter Training.

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 # -- 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.