The Imagination Station Academy

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: Facility did not have emergency transportation plan posted in each childcare space.

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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff persons #1,2,3 and 4 did not have documentation showing that staff have received 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.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff persons #1,2,3 and 4 did not have annual fire safety training on file.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 did not have CPSL clearances completed within the last 60 months. Staff person #1 had a PSP clearance dated 3/2/21, an FBI clearance dated 3/17/21, a child abuse clearance dated 3/3/21, and an NSOR dated 3/16/21. Staff person #2 did not have an FBI clearance on file. Staff person #3 did not have and NSOR completed within the last 60 months. NSOR on file for staff person #3 was dated 3/16/21. Staff person # 3 did not have and FBI clearance, PSP clearance, or child abuse clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Persons # 1,2 and 3 may not work in a child care position at the facility. A staff person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Persons #1,2. and 3 may not work in a child care position at the facility.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: Staff person was left alone in the facility supervising 4 toddler children.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was bleach disinfectant in an unlocked cabinet 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.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: First aid kit in the rear childcare space did not include 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.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not observed in the infant and toddler classroom.

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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff person #1 did not have 12 clock hours of child care training on file.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #1,2, and 3 did not have annual fire safety training on file.

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.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: There were 8 children observed with one staff person in the front child care space. The youngest child was 2 years old and the oldest child was 4 years old.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was an electrical outlet uncovered in the entrance area of the facility.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A bottle of disinfectant and hand sanitizer was observed on the counter next to the diaper changing area in the infant child care space.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the infant classroom did not have tweezers and the first aid kit in the toddler classroom did not have gloves.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Chipped paint was observed on the right wall in the infant classroom

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information of child #1 and #2 did not include health insurance policy number.

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

Regulation: 3270.151(a)

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

Noncompliance Area: Staff person # 3 did not have a health assessment on file conducted with in the last 24 months at the time of inspection. Staff person # 3's health assessment was dated 3/11/21.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Bottles in the infant room were not labeled with children's name.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff person #1, #2, and #3 did not have annual emergency plan training on file. All staff person had emergency plan training dated 2/1/22 on file.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)). (8) Handling and storage of hazardous materials and appropriate disposal of biocontaminants. (9) Precautions when transporting children.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff person #1, #2, and #3 did not have a written evaluation on file.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a bottle of "quick clean" disinfectant placed next to the diaper changing table in an area accessible to children. There was also disinfectant cleaner in an unlocked lower cabinet in the kitchen 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.

Regulation: 3270.121(a)/3270.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: On 5/2/23, it was determined that the facility did not discuss or provide an enrolled family a parent handbook at the time of enrollment.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the hybrid renewal inspection on 5/2/23, peeling paint was observed on several walls of the facility (front and middle areas).

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

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: During the unannounced visit on 3/15/22, 23 mixed age children was observed in the facility that has a measured capacity established for 22 children.

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: On 10/24/19, Staff #1 stated she was responsible for 4 children in her assigned group. Certification representative observed Child #1 sitting out of site sitting on the floor next to a stack of cots. Staff #1 acknowledged Child #1 was also assigned to her group giving her 5 children. Staff #1 did not know the whereabouts of Child #1.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised 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 OCTOBER 24, 2019 DURING THE UNANNOUNCED INSPECTION, GROWTH AND DEVELOPMENT INFORMATION USING THE DEPARTMENTS APPROVED FORM WAS NOT COMPLETED WITHIN A 6-MONTH PERIOD FOR CHILD # 1 AND # 3.(CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

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: ON OCTOBER 24, 2019 DURING THE UNANNOUNCED INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 1 AND # 3 DID NOT SPECIFY THE DATE OF THE CHILD'S ADMISSION. ( CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: ON OCTOBER 24, 2019 DURING THE UNANNOUNCED INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 4 DID NOT INCLUDE HEALTH INSURANCE COVERAGE INFORMATION.(CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

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: ON OCTOBER 24, 2019 DURING THE UNANNOUNCED INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 5 DID NOT INCLUDE THE ADDRESS OF THE INDIVIDUAL DESIGNATED BY THE PARENT TO WHOM THE CHILD MAY BE RELEASED. (CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

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: ON OCTOBER 24, 2019 DURING THE UNANNOUNCED INSPECTION, A WRITTEN EMERGENCY TRANSPORTATION PLAN WAS NOT PRESENT IN THE FRONT AND BACK CHILD CARE SPACES AT THE FACILITY.- (CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

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: ON OCTOBER 24, 2019 DURING THE UNANNOUNCED INSPECTION, THERE WAS NO EVIDENCE THAT THE OPERATOR NOTIFIED THE 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. (CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

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: ON OCTOBER, 24 2019 DURING THE UNANNOUNCED INSPECTION, EMERGENCY CONTACT INFORMATION IN THE FRONT CHILD CARE SPACE WERE INCOMPLETE. Child # 2, # 4, # 9, # 12- Insurance policy # missing Child # 6, # 7, # 10, # 11, # 12- Release person addressed missing Child # 10, # 12- physician information missing CHILD # 9 - parental consent signature for first aid missing (CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: ON OCTOBER 24, 2019 DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR CHILD # 3 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE FOR THE CHILD. (CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

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: ON OCTOBER 24, 2019 DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR CHILD # 3 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST-AID PROCEDURES BY FACILITY STAFF.(CONTINUED NON- COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

Correction Required: 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: ON OCTOBER 24, 2019 DURING THE UNANNOUNCED INSPECTION, THE RECORD REVIEWED FOR CHILD # 3 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR WALKING EXCURSIONS. (CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: ON OCTOBER 24, 2019 DURING THE UNANNOUNCED INSPECTION, STAFF PERSON # 1 DID NOT OBTAIN AN ANNUAL MINIMUM OF 6 CLOCK HOURS OF CHILD CARE TRAINING. FIVE HOURS OF CHILD CARE TRAINING WAS PRODUCED FOR THE STAFF PERSON.- (CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

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

Noncompliance Area: ON OCTOBER 24, 2019 DURING THE UNANNOUNCED INSPECTION, THE FIRST-AID TRAINING REVIEWED FOR STAFF PERSON # 1, # 2 AND # 3 WAS NOT ACCEPTABLE. STAFF PERSON # 1 AND # 2 ACKNOWLEDGED THAT THE FIRST AID TRAINING IN THE RECORD WAS COMPLETED ONLINE- ( CONTINUED CON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

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

Noncompliance Area: ON OCTOBER 24, 2019 DURING THE UNANNOUNCED INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 1 COMPLETED FIRE SAFETY TRAINING WITHIN A 12-MONTH PERIOD. ( CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

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: ON OCTOBER 24, 2019 DURING THE UNANNOUNCED INSPECTION, THE FIRST-AID KIT IN THE BACK INFANT CHILD CARE SPACE WAS MISSING TAPE. (CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

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: ON OCTOBER 24, 2019 DURING THE UNANNOUNCED INSPECTION, THERE WAS CHIPPING PAINT ON THE YELLOW WALL NEAR THE KITCHEN AREA, ON THE YELLOW WALL NEAR THE CRIBS IN THE BACK INFANT CHILD CARE SPACE, ALONG THE YELLOW WALL NEAR THE COTS, ALONG THE GREEN WALL IN THE FRONT CHILD CARE SPACE, ON THE BATHROOM DOOR FRAMES AND ON THE GREEN WALL IN THE MIDDLE CHILD CARE SPACE.(CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 09/30/19)

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

Noncompliance Area: On 10/24/19, a stroller was observed obstructing the exit located in the back of the facility. (continued non compliance from inspection dated 8/30/19)

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 SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE FINANCIAL AGREEMENT REVIEWED FOR CHILD # 1 WAS NOT SIGNED BY THE OPERATOR, THE AGREEMENT REVIEWED FOR CHILD # 5 WAS NOT SIGNED BY THE PARENT.

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

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, GROWTH AND DEVELOPMENT INFORMATION USING THE DEPARTMENTS APPROVED FORM WAS NOT COMPLETED WITHIN A 6-MONTH PERIOD FOR CHILD # 1 AND # 3.

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: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 1 DID NOT SPECIFY THE CHILD'S ARRIVAL AND DEPARTURE TIME.

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

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 1 DID NOT SPECIFY THE PERSONS DESIGNATED BY A PARENT TO WHOM THE CHILD MAY BE RELEASED.

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

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE AGREEMENT REVIEWED FOR CHILD # 1, # 2, # 3, # 4 AND # 5 DID NOT SPECIFY THE DATE OF THE CHILD'S ADMISSION.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 2 DID NOT INCLUDE THE NAME. ADDRESS AND TELEPHONE NUMBER OF THE CHILD'S PHYSICIAN OR SOURCE OF MEDICAL CARE.

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

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 2 AND # 4 DID NOT INCLUDE HEALTH INSURANCE COVERAGE INFORMATION.

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: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 2 AND # 5 DID NOT INCLUDE THE ADDRESS OF THE INDIVIDUAL DESIGNATED BY THE PARENT TO WHOM THE CHILD MAY BE RELEASED.

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

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, EMERGENCY CONTACT INFORMATION WAS NOT PRESENT IN THE BACK INFANT CHILD CARE SPACE FOR CHILD # 1, WHO WAS RECEIVING CARE IN THE 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: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, A WRITTEN EMERGENCY TRANSPORTATION PLAN WAS NOT PRESENT IN THE FRONT AND BACK CHILD CARE SPACES AT THE FACILITY.

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: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE HEALTH REPORT REVIEWED FOR CHILD # 1 WAS NOT UPDATED IN A 6-MONTH PERIOD. ( HEALTH REPORT DATED 12/19/18)

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child's record shall contain initial and subsequent health reports.

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, STAFF PERSON # 2 DID NOT WASH HER HANDS AFTER DIAPERING A CHILD. ( THE STAFF PERSON USED HAND SANITIZER AFTER DIAPERING)

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 SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, STAFF PERSON # 2 DID NOT WASH THE HANDS OF CHILD # 2 AFTER DIAPERING THE CHILD.

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

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT THE OPERATOR NOTIFIED THE 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.

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: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 3 WAS NOT UPDATED IN A 6-MONTH PERIOD ( DATED- 05/30/18) THERE WAS NO EVIDENCE THAT THE AGREEMENT REVIEWED FOR CHILD # 3 AND # 5 WAS UPDATED WITHIN A 6-MONTH PERIOD.( THE AGREEMENT REVIEWED WAS NOT DATED)

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 SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, EMERGENCY CONTACT INFORMATION IN THE FRONT CHILD CARE SPACE WAS EXPIRED/INCOMPLETE.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR CHILD # 2 AND # 3 DID NOT CONTAIN SIGNED 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: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR CHILD # 2, # 3 AND # 4 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST-AID PROCEDURES BY FACILITY STAFF.

Correction Required: 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: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR CHILD # 2, # 3 AND # 5 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR WALKING EXCURSIONS.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 1 OBTAINED AN ANNUAL MINIMUM OF 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: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE FIRST-AID TRAINING REVIEWED FOR STAFF PERSON # 1, # 2 AND # 3 WAS EXPIRED- 03/21/2017-03/21/2019)- A FACILITY STAFF PERSON COMPETENT IN FIRST-AID WAS NOT PRESENT IN THE FACILITY.

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

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE FIRE-SAFETY TRAINING REVIEWED FOR STAFF PERSON # 1 WAS NOT UPDATED WITHIN A 12-MONTH PERIOD. ( DATED 09/25/17)

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: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, AT APPROXIMATELY 10:00 AM, THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 2 ALONE IN THE BACK INFANT SECTION OF THE FACILITY WITH FIVE CHILDREN. ( THE YOUNGEST CHILD IN THE GROUP WAS AN INFANT AGE CHILD)

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

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, AN OUTLET WAS MISSING A PROTECTIVE RECEPTACLE COVER ON THE WALL ACROSS FROM THE FOOD PREP AREA.

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

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THERE WAS DISINFECTANT CLEANING MATERIALS ON THE CHANGING TABLE IN THE FRONT BATHROOM 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: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE FIRST-AID KIT IN THE BACK INFANT CHILD CARE SPACE WAS MISSING TAPE AND 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.

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THERE WAS CHIPPING PAINT ON THE YELLOW WALL NEAR THE KITCHEN AREA, ON THE YELLOW WALL NEAR THE CRIBS IN THE BACK INFANT CHILD CARE SPACE, ALONG THE YELLOW WALL NEAR THE COTS, ALONG THE GREEN WALL IN THE FRONT CHILD CARE SPACE, ON THE BATHROOM DOOR FRAMES AND ON THE GREEN WALL IN THE MIDDLE CHILD CARE SPACE.

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

Noncompliance Area: ON SEPTEMBER 30, 2019 DURING THE RENEWAL INSPECTION, THE BACK EXIT WAS BLOCKED WITH STROLLERS AND AN EXCERSAUCER BOUNCY INFANT CHAIR.

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 8/30/19, Child #1 (6 month old infant) was observed asleep in a bouncy seat for approximately 5 minutes. When Staff #2 instructed Staff #1 to move the sleeping infant to the crib, Staff #1 was observed placing Child #1 down on his stomach in the crib. A medical reason documented and signed by a physician for Child #1 to be placed in a position other than recommended by 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 8/30/19, emergency contact information was not observed in the child care space where Child #1 was 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 8/30/19, at approximately 10:00am, upon entering the facility, 6 children (2 infants, 4 toddlers) were observed unsupervised by a staff person in infant/toddler area located in the back of the facility. During this time, Staff #1 was observed at the front door of the facility and not physically present with the children in her group. When Staff #1 returned to the infant/toddler area, Staff #1 was observed out of ratio with the 6 children (2 infants, 4 toddlers).

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. 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 8/30/19, areas of peeling paint were observed on the green walls located in the child care space. A broken screen was observed on the outdoor play space.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: On 8/30/19, infant play equipment was observed obstructing the exit door leading to the back of the facility.

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: During compliant investigation on Monday, 11/19/18, cert rep observed cribs in use in infant room failed to have required 2 feet of space on three sides.

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

Noncompliance Area: During compliant investigation on Monday, 11/19/18, new hire staff file reviewed and staff person 1 file failed to contain a health assessment form.

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 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 compliant investigation on Monday, 11/19/18, new hire staff file reviewed and staff person 1 file failed to contain a health assessment form with TB results.

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

Noncompliance Area: During compliant investigation on Monday, 11/19/18, new hire staff file reviewed and staff person 1 file failed to contain address and telephone number.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Noncompliance Area: During compliant investigation on Monday, 11/19/18, new hire staff file reviewed and staff person 1 file failed to contain two written nonfamily references.

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

Noncompliance Area: During compliant investigation on Monday, 11/19/18, new hire staff file reviewed and staff person 1 was not trained on the facility's emergency plan.

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

Noncompliance Area: During compliant investigation on Monday, 11/19/18, new hire staff file reviewed and staff person 1 file failed to contain verification of age.

Correction Required: A staff person shall be 18 years of age or older. A facility person's record shall include verification of age.

Noncompliance Area: During compliant investigation on Monday, 11/19/18, new hire staff file reviewed and staff person 1, who was hired on 10/21/18, file failed to contain proof of required clearances or request of clearances (PA state, child abuse and FBI).

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: During compliant investigation on Monday, 11/19/18, new hire staff file reviewed and staff person 1 file failed to contained verification of education and years of child care experience.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: During compliant investigation on Monday, 11/19/18, cert rep observed an aide alone unsupervised in the infant room.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Noncompliance Area: During compliant investigation on Monday, 11/19/18, cert rep observed a portable space heater located in the infant room.

Correction Required: Portable space heaters are not permitted.

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 9/17/18, SOME MATS WERE BUSTED WITH FOAM EXPOSED ACCESSIBLE TO CHILDREN CAUSING A POTENTIAL HAZARD.

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

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 9/17/18, THERE WAS CHILDREN SLEEPING ON OTHER CHILDREN'S MATS/COTS THAT DID NOT BELONG TO THEM. SOME MATS WERE NOT LABELED AS WELL.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 9/17/18, THERE WERE TWO YOUNG TODDLER BEING RESTRICTED FROM MOVEMENT STANDING IN THEIR CRIBS AWOKE. ONE CHILD WAS CRYING AND STANDING AND THE OTHER WAS STANDING. NEITHER CHILD HAD SUPERVISION.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 9/17/18, THERE WERE TWO INFANTS SLEEP IN SITTING CHAIRS, NOT BEING SUPERVISED.

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: DURING THE COMPLAINT INVESTIGATION ON9/17/18, THE FACILITY WAS OUT OF RATIO. THERE WERE TWO STAFF WITH 18 CHILDREN RANGING FROM INFANT TO PRESCHOOLERS. (2 INFANTS, 3 YOUNG TODDLERS, 2 OLDER TODDLERS, 11 PRESCHOOLERS)

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

Noncompliance Area: During renewal inspection on Monday, 07/23/18, cert rep observed an infant asleep in a bouncy chair, which is not suitable rest equipment.

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.

Noncompliance Area: During renewal inspection on Monday, 07/23/18, cert rep observed refrigerator in infant room, station 1, did not contain a thermometer.

Correction Required: The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: In review of children files, child 3 was missing child service reported.

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: In review of children files, child 3 fee agreement failed to contain child's arrival and departure times.

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

Noncompliance Area: In review of children files, child 3 fee agreement failed to specify the persons whom the child may be released to. Child 4 and 5 emergency contact failed to state the designated release person's address.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. 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: In review of children files, child 3 fee agreement failed to specify the child's admission date.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: In review of children files, child 3 fee agreement failed to specify services that are extra.

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