Care Bear Day Care

Noncompliance Area: On 11/5/20 the indoor temperature in the Infant Room was measured at 62.8 F. The temperature in Toddler Room was measured at 63 F and the temperature in the Upstairs Room was measured at 64.2 F. The facility reported having an issue with the heating system and were awaiting maintenance on a part.

Correction Required: The indoor temperature shall be at least 65 F.

Noncompliance Area: Space heaters were reportedly being utilized at the facility due to issues with the heating system.

Correction Required: Portable space heaters are not permitted.

Noncompliance Area: On 11/2/20 Staff Person #1, who had been removed from a child care taking position on 10/30/20 for not having an NSOR certificate, was observed to be providing care for children and a completed NSOR certificate was still not on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: The rest equipment in the upstairs Preschool Classroom was not all labeled for the child it was intended for.

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: An emergency contact form was observed to be missing for one child receiving care in the Toddler Classroom and two emergency contact forms were missing for children receiving care in the upstairs Preschool Classroom.

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

Noncompliance Area: The health assessment on file for Staff Person #2 lacked a statement that they had been examined for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: The instructions for contacting the Regional Office were not posted with the Regulation Book and current Certificate.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The file for Staff Person #1 lacked updated mandated reporter training within 60 months of their initial training.

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

Noncompliance Area: The file for Staff Person #2 lacked a request for their NSOR certificate, State Police Clearance and verification that they had been fingerprinted for their FBI Clearance prior to starting in a child care taking position. Staff Person #2 was observed to be working alone with a group of children and they did not have a completed State Police, Child Abuse or NSOR certificate on file at the time of the inspection. Staff Person #2 has exceeded 45 days at the facility. The file for Staff Person #3 lacked a signed disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 may not work in a child care position at the facility. 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.

Noncompliance Area: In the upstairs Preschool Room a bottle of hand sanitizer labeled keep out of reach of children was observed on the radiator cover. A tube of toothpaste that was labeled to be kept out of reach of children under age 6 was observed on a low shelf outside the restroom. The items were accessible to children receiving care in the 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.

Noncompliance Area: The first aid kit in the Toddler Classroom was missing scissors.

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

Noncompliance Area: At approximately 12:00 p.m. Staff Person #1 was observed alone in the Toddler Room with a mixed age group that included 1 young toddler, 3 older toddlers and 7 preschool age children while Staff Person #2 was preparing lunch in the kitchen. Staff Person #1 was observed to leave the Toddler Room to heat up a lunch in the Infant Room while Staff Person #2 was still in the kitchen This left the children alone in the Toddler Room as Staff Person #1 was in the Infant room and Staff Person #2 was in the Kitchen.

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.

Noncompliance Area: The Director has not consistently been scheduled to be present 30 hours per week at the facility.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: At approximately 11:45 a.m. Staff Person #1 was observed to be alone in the Toddler Classroom with a mixed age group that included 1 young toddler, 3 older toddlers and 7 preschool age children while Staff Person #2 prepared lunch for the children. No other staff were present in the building to assist with meal preparation.

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: The swing set in the preschool area children play space did not have the required 9 inches of loose fill as Operator reported recently tilling the area to remove some grass that had grown in the area.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: The most recent agreements for Children #3, #4 and #5 did not include the designated release persons.

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

Noncompliance Area: The original agreement was on file for Child #3.

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

Noncompliance Area: The emergency contact form for Child #5 lacked the addresses for the release person's listed.

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

Noncompliance Area: The file for Child #1 lacked an initial health assessment within 60 days following the child's first day of attendance at the facility.

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

Noncompliance Area: The files for Children #1 and #2, young toddlers, lacked updated health assessments that had been completed within the last 6 months. The file for Child #4, who is now an older toddler, lacked updated health assessments while they were a younger toddler which has resulted in the child not being current at this time.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: The file for Child #4 lacked a copy of the child's current vaccination record. As a result the file lacked verification that the child had received their 15-18 month DTAP and their 12-15 month HIB vaccinations.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The file for Staff Person #3 lacked a current health assessment completed within the last 24 months.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: The health assessment on file for Staff Person #1 lacked a statement that they had been examined for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: The update to the emergency contact form for Child #1 exceeded 6 months between review and update. The updates to the emergency contact form and financial agreement for Child #5 have exceeded 6 months between review and update.

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

Noncompliance Area: The file for Staff Person #1 lacked verification of education.

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

Noncompliance Area: The file for Staff Person #2 lacked 3 hours of child care training in their respective hire year.

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

Noncompliance Area: The file for Staff Person #1 lacked verification that they had been fingerprinted for their FBI clearance prior to starting in a child care taking position. The file also lacked verification that they had requested their State Police Clearance through EPatch. Staff Person #1 was observed to be working alone with 5 young toddler age children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: In the upstairs Preschool classroom damaged wood lattice was observed along the structure surrounding the furnace resulting in sharp edges accessible to the 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: Staff Person #1 caused an injury to the arm of Child #1, a four year old, when they were attempting to place the child into a chair with a safety strap for purposes of a "time out".

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: Staff Person #1 placed Child #2, a four year old child, into a chair and strapped the child in with the safety strap for the purpose of "time out".

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: In the upstairs Preschool classroom one cracked bin containing paint and another containing lacing beads were observed. The outside toddler area play space a Fisher Price rocking horse was observed to have cracked and broken areas on the pole area resulting in sharp edges.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: A Bumbo seat that had been recalled due to the need for a safety strap was observed in the infant room. A safety strap was not installed on the Bumbo seat.

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: An Infant was observed to be sleeping in a pack and play with a pillow and toys also present in the pack and play.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: Child #4, a preschool age child, was observed to be seated in a wooden chair with a tray in place to keep the child seated for time out purposes. This restricted the child's movement. The child had been placed in time out by Staff Person #3.

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: The agreement form for Child #1 lacked the date of admission.

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

Noncompliance Area: The original agreements for Children #1, #3 and #5 were observed in the children's files.

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

Noncompliance Area: The emergency contact form for Child # 2 lacked addresses for two of the release persons listed.

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

Noncompliance Area: The health assessment on file for Child #1 lacked updated immunization records that would have included vaccinations received at 4 months of age. The immunization records for Children #2, #3 and #4 lacked verification that they had received an annual influenza vaccination. A letter of exemption was not on file.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Staff Person #1 was observed to change an infant and the soiled diaper was laid down on the changing table and was not discarded immediately. Staff Person #3 was observed to change a preschool age child upstairs and the soiled diaper was observed to be placed on the carpet next to the changing pad. The soiled diaper was not immediately discarded.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The file for Staff Person #1 lacked a current health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: The health assessment on file for Staff Person #3 lacked information related to information concerning communicable diseases.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: Written statements completed by the parents giving the formula and feeding schedule for the infants were not in place for the children in care.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: Bottles are currently being kept at the facility and hand washed. A commercial dishwasher is not in place to wash the bottles.

Correction Required: 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: The file for Child #2 lacked an emergency contact form that had been updated in the last 6 months.

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

Noncompliance Area: The emergency contact form for Child #1 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid by facility staff.

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.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: The file for Staff Person #3 and #4 lacked verification of education to qualify them for the position they were observed to be performing. The file for Staff Person #4 also lacked verification of experience.

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

Noncompliance Area: The file for Staff Person #4 lacked two written, nonfamily references attesting to their suitability to provide child care.

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: The file for Staff Person #1 lacked 6 hours of annual training in their respective training year.

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

Noncompliance Area: Staff Person's #3 and #4 were classified as Aides on the Staff Worksheets and also did not have verification to qualify them as an Assistant Group Supervisor. They were both observed to be caring for a group of children alone.

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.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: The file for Staff Person #2 lacked a staff evaluation that had been completed by the Director. The evaluation has been completed by the Operator, who is not the Director.

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: The first aid kit in the upstairs Preschool classroom was observed in a low cubby and could be accessible to children receiving care in the space.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: A hand washing sign was missing from one of the toilets in the upstairs Preschool classroom.

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: One of the three doors in the Infant classroom was observed to have a swing and jumper in front of it which blocked the 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: The last documented fire drill was dated 4/1/18.

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.

Noncompliance Area: One cracked bin containing art supply items was observed in a cabinet in the upstairs Preschool Classroom.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: At the time of the unannounced inspection the facility does not have a Director employed.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: Eighteen exposed bolts were observed along the fence surrounding the outdoor play areas.

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: A hand washing sign was missing from one of the toilets in the upstairs preschool restroom and the toilet in the restroom next to the school age restroom on the first floor.

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: A lidded garbage can was missing from the sink in the kitchen area and the sink in the upstairs kitchenette area. The garbage can in the school age restroom was missing a lid.

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

Noncompliance Area: A portable Heat Surge Electric Fireplace was observed in the upstairs office.

Correction Required: Portable space heaters are not permitted.

Noncompliance Area: Two cracked bins resulting in sharp edges were observed in the Upstairs Preschool Classroom.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The child service reports for Children #1 and #2 were not completed in accordance with the updates in emergency contact information (at least once every 6 months).

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The agreement forms for Children #3 and #4 lacked admission dates for the child.

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

Noncompliance Area: The facility does not have a Director employed at this time.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: The hot water in the restroom sink in the Older Toddler Classroom was measured at 137.7 F. The hot water in the Infant / Young Toddler Room was measured at 134.5 F. The hot water in the School Age Restroom was measured at 134.4 F. The hot water in the Upstairs Preschool Classroom was measured at 130.3 F. On 6/25/18 The hot water in the Older Toddler Classroom measured at 124.4 F. The hot water in the Infant/Young Toddler Room was measured at 122.4 F. The hot water in the School Age Restroom was measured at 125.4 F. The hot water in the upstairs Preschool Classroom was measured at 123 F.

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

Noncompliance Area: Based on a complaint investigation it was determined that the facility has been noncompliant with the staff:child ratio on several occasions during the month of November and December due to a lack of available staff. This has reportedly occurred while Staff prepare lunch and when school agers arrive after school.

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

Noncompliance Area: One cracked lid was observed on a bin in the Upstairs Preschool classroom.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: A wooden swing set in the outdoor play space lacked an appropriate amount of loose-fill to meet the recommendations of the Consumer Products Safety Commission. Some areas were measured at less than 1 inch of mulch.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: The files for Children #1, #2, #3, #4 and #5 lacked current child service reports, completed within the last 6 months, for the children.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The emergency contact form for Children #1 and #4 lacked the addresses for the release persons listed.

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: A prescription Nystatin cream was observed in the toddler medication box. The physician's instructions were missing for the prescription cream.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: Written parental consent was missing for two inhalers intended for a child in care

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: The School Age restroom lacked soap at the sink to allow for appropriate hand washing after toileting.

Correction Required: Liquid or powdered soap shall be used for handwashing.

Noncompliance Area: A diaper was observed to be placed into an individual bag and tied prior to disposal into the hands free covered can in the Toddler classroom. This does not meet the requirement that soiled diapers be immediately disposed into a hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The last health assessment on file for Staff Person #1 was completed in excess of 24 months.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: A menu for the following week was not posted at the facility. The regulation requires that the menu be posted at least 1 week in advance.

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

Noncompliance Area: The updates to the financial agreement for Child #1 exceeded 6 months between review and update.

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: A copy of the current regulations were not posted in a conspicuous location used by the parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: Copies of previous Inspection Summaries were not posted in a conspicuous location and verification of compliance and correction has not been verified by the Department at this time.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Noncompliance Area: The posted emergency plan has a last review date as 11/15. Verification of annual emergency plan review was not available at the time of the inspection.

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

Noncompliance Area: The file for Staff Person #1 lacked verification that they had 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.

Noncompliance Area: The file for Staff Person #1 lacked completion of mandated reporter training with an approved provider.

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

Noncompliance Area: The file for Staff Person #1 lacked a current written evaluation that had been completed within the last 12 months.

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: A director is not employed and present at the facility site for a required minimum of 30 hours per week.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: Cleaning supplies were observed on a lower shelf in an unlocked utility room next to the School Age restroom.

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

Noncompliance Area: The hot water in the Toddler restroom was measured at 121.1*F. The hot water in the Preschool restroom was measured at 121.8*F. The hot water in the School Age restroom was measured at 122.1 F.

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

Noncompliance Area: Exposed bolts were observed along the fence surrounding the outdoor play space. Metal ties to connect the fence posts to the fencing were also observed to be turned into the play space in many areas and the edges were sharp to the touch.

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: Staff person #1, who was providing direct care to children, did not have a health assessment conducted within 12 months prior to providing initial service in a child are setting.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: The file for Staff Person #1 lacked verification of child care experience, education and training prior to service at the facility.

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

Noncompliance Area: The file for staff person #1 did not include verification of child care experience, education and training following the outset of service at the facility.

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

Noncompliance Area: The file for staff person #1 did not include a copy of application for PA State Police Clearance or a signed disclosure statement and a copy of the completed clearance information required under the CPSL.

Correction Required: A facility person`s record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #-1 may not work in a child care position at the facility.

Noncompliance Area: The file for staff person #1 lacked 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: The file for Staff Person #1 lacked a PA State Police Clearance and a signed disclosure statement in accordance with the CPSL and Chapter 3490.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility.

Noncompliance Area: Staff Person #1 lacked the qualifications to be an Assistant Group Supervisor, the role in which she was performing at the time of the inspection.

Correction Required: Staff Person #1 is no longer employed at the facility. 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.

Noncompliance Area: At 11:00 am, Staff #1 was observed in the toddler room supervising 5 toddlers with no other staff present. Staff #1 does not have documentation on file at the facility to qualify as a staff person included in regulatory ratio. Previously cited on 5/15/17 and 5/5/17.

Correction Required: A volunteer shall be supervised by a staff person who is qualified at minimum as an assistant group supervisor.

Noncompliance Area: The file for Staff Person #1, who was performing the duties of an Assistant Group Supervisor, lacked a high school diploma or a general educationsl development certificate and 2 years of experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: At 11:00 am, Staff #1 was observed in the toddler room supervising 5 toddlers with no other staff present. Staff #1 does not have documentation on file at the facility to qualify as a staff person included in regulatory ratio. Previously cited on 5/15/17 and 5/5/17.

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

Noncompliance Area: Per staff statements, on more that one occasion Staff Person #1 was observed to be sitting in a rocking chair with her eyes closed or a blanket over her head affecting her ability to properly supervise the children.

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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: A plastic picnic table located in the upstairs classroom had a crack in the top causing a pinch point. The plywood cover used to cover the sand and water table had rough edges and splinters.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The agreement for Child #1 lacked the date of the child's admission.

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