Carlisle Early Education Center

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed on 7/29/2026 in the Turtle Islands (older toddlers) room wipes in plastic packaging are being stored on a shelf in the bathroom and are accessible to children who are still placing objects in their mouths. It was observed on 7/29/2026 in the Hedge Hog Hideaway (young toddlers) room plastic bags are being stored on a shelf in the bathroom that are accessible to children who are still placing objects in their mouths. It was observed on 7/29/2026 in the Dinos (2-3 year olds) room plastic bags containing soiled clothing are being stored in individual cubbies and are accessible to children. (ALL CORRECTED ON SITE)

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: it was observed on 7/29/2026 in the Big Bears room (infant room) a written plan of daily activities is not posted in the group space.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent Child Service Report (CSR) or other 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 for Child #1 (admission date see LIS code sheet) is dated 6/17/2025, which exceeds the every 6 month requirement.

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).

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: It was observed on 7/29/2026 in the Dinos room a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency is not displayed conspicuously in the child care 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: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The operator did not require the parent of Child #1 (DOB see LIS code sheet) to provide an updated health report at least every 12 months for a preschool child. This is evidenced by the most recent health report dated 6/16/2025, which exceeds 12 months.

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: It was observed on 7/29/2026 written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The director stated that an emergency drill was not conducted annually. Documentation of a past emergency drill was not on file at the facility.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: It was observed on 7/29/2026 the emergency plan was not posted in the facility at a conspicuous location.

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

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff person #2 (DOH see LIS code sheet) did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This is evidenced by training documents dated 11/20/2023 - 2025 and 1/29/2026 -2028. Staff person #3 (DOH see LIS code sheet) did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This is evidenced by training documents dated 11/20/2023 - 2025 and 1/29/2026 -2028. Staff person #4 (DOH see LIS code sheet) did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This is evidenced by training documents dated 11/20/2023 - 2025 and 1/29/2026 -2028. Staff person #5 (DOH see LIS code sheet) did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This is evidenced by training documents dated 11/20/2023 - 2025 and 1/29/2026 -2028. Staff person #6 (DOH see LIS code sheet) did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This is evidenced by training documents dated 11/20/2023 - 2025 and 1/29/2026 -2028. Staff person #7 (DOH see LIS code sheet) did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This is evidenced by training documents dated 11/20/2023 - 2025 and 1/29/2026 -2028.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff person #1 (DOH see LIS code sheet) contains a PSP clearance without a dissemination date on the bottom and is therefore not complete. The record also contains two copies of the FBI clearance but not the results of a Child Abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #1 may not work in a child care position with direct contact with children or routine interaction with children until the results of all clearances have been obtained and are on file at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The director has not completed a written evaluation of staff person #2 (DOH see LIS code sheet) on a regular basis, a minimum of one evaluation every 12 months. This is evidenced by staff evaluations dated 2/24/2025 and 7/28/2026, which exceeds 12 months. The director has not completed a written evaluation of staff person #5 (DOH see LIS code sheet) on a regular basis, a minimum of one evaluation every 12 months. This is evidenced by staff evaluations dated 3/7/2025 and 7/28/2026, which exceeds 12 months. The director has not completed a written evaluation of staff person #7 (DOH see LIS code sheet) on a regular basis, a minimum of one evaluation every 12 months. This is evidenced by staff evaluations dated 3/7/2025 and 4/23/2026, which exceeds 12 months. The director has not completed a written evaluation of staff person #8 (DOH see LIS code sheet) on a regular basis, a minimum of one evaluation every 12 months. This is evidenced by staff evaluations dated 2/4/2025 and 4/26/2026, which exceeds 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.

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

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

Noncompliance Area: The record for staff person #1 (DOH see LIS code sheet) contains documentation of a CDA and 2 years of experience with children but does not include documentation of a high school diploma or a general educational development certificate. Staff person #1 is being used as an assistant group supervisor at the facility. The record for staff person #7 (DOH see LIS code sheet) contains documentation of a CDA and 5 years of experience with children but does not include documentation of a high school diploma or a general educational development certificate. Staff person #7 is being used as an assistant group supervisor at the facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: It was observed on 7/29/2026 Virginia Creeper is growing on top of the fence to the toddler playground. The leaves and berries are considered to be toxic and are not permitted in a child care space.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: It was observed on 7/29/2026 in the Turtle Island room the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center are not posted by the telephone. It was observed on 7/29/2026 in the Hedgehog Hideaway room the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center are not posted by the telephone. It was observed on 7/29/2026 in the Lizards room the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center are not posted by the telephone.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed on 7/29/2026 in the Turtle Islands room the wall under the paper towel dispenser in the bathroom is visibly dirty. It was observed on 7/29/2026 in the downstairs school-age classroom a ceiling tile is water stained and not in good repair.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The director or designated staff person who is responsible for compliance with this chapter does not have proof of purchase of an interconnected fire detection system which is required to be kept with the facility's fire drill logs in accordance to section 1016(c) of the act (62 P.S. § 1016(c)).

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed on 3/5/2026 two (2) stacked chairs are right beside the closet door where the sub pump is located. The sub pump is situated in a hole in the concrete floor that is approximately 3 feet wide and 4 feet deep, making it a potential hazard to children. While the door is secured with a slide lock, a child could easily climb on top of the chairs and gain access to the lock. (CORRECTED ON SITE)

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed on 3/5/2026 there are several water stained ceiling tiles in the bathroom in the Alligator Alley room, in the corner by the desk in the Leaping Lizards room, by the window in the Busy Bees room and in the indoor 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.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 11/26/25, staff person #1 was to supervise the children in the pre-school classroom. At 8:06am, Staff persons #2 and #3 entered the room. Staff persons #1, #2, #3 gathered in a corner and had a conversation. At that time, 2 children were able to get scissors and cut each other hair. It is unknown where the scissors were in the room and how the children were able to get the scissors.

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.

Regulation: 20.71(b)(5)

Description: Perpetrator in an indicated or founded report of child abuse

Noncompliance Area: Staff person #1 has been named as a perpetrator in an indicated report of child abuse

Correction Required: A facility person who has been named as perpetrator in a founded/an indicated report of child abuse may not be present in the facility.

Regulation: 3270.111(c)/3270.113(b)

Description: Promote development/No physical punishment

Noncompliance Area: On 12/1/25, staff person #1 placed child #1 in a chair for time out for an unknown reason. Child #1 was sitting in time out from 10:23am to 11:02am. At 11:02am, as child sat in the chair, Staff person #1 kicked the chair. Child #1 fell onto the floor which resulted in a bruise and bump to the head. Staff person #1 stated they were trying to move the chair to prevent child #1 from falling.

Correction Required: TIERED IS: 1. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding appropriate behavior management of children. The legal entity must receive DHS approval of training content prior to scheduling the training. Documentation of completed training must be submitted to DHS. This portion of the plan will have an immediate correction date. 3. The legal entity must develop and implement a written staff observation plan for all staff present with a group of children on the facility's premises. The legal entity must receive DHS approval of the observation plan before it is implemented. Documentation of completed observations must be submitted weekly to the Central Regional Office of Child Development and Early Learning. The observations from the following week will be submitted the following Monday for a period of 3 months. Submissions must be submitted to DHS by the Monday following the completed week. Documentation of completed observations must also be kept on file at the facility. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the observation plan.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The ceiling tiles located in the closet of Alligator Ally were observed to be stained from water damage. A ceiling tile located by a light fixture in the ceiling approximately halfway down the main hallway of the facility was observed to be stained from water damage. A ceiling tile located in the staff bathroom was bowing and observed to be stained from water damage.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for child #1, child #2 child #3 child #4, did not specify the person designated by the parent that child may be released to.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Child #1, child #3, child #5 did not have a date of admission on file

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

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: Staff person #1 did not have on file documentation 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. 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.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: From 4/15/25 to 7/1//25 the facility did not have documentation on file the fire alarm was tested very 30 days. *** CORRECTED UPON CITE***

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Child #1 was in the care of staff #1 for 2 hours prior to combining groups. At approx. 9:30, staff #2 observed a red, swollen area with bruising to the area above child's right eye and forehead. When asked about child #1's injury, staff #1 stated that it happened at home. At pick up, staff #3 asked the child's mother if child came in with the injury. Staff #3 stated the child's mother was surprised and stated the child did not come in with the injury. Child #1 was injured at the facility and was not adequately supervised as staff responsible for the child were unable to explain how the injury occurred to the child.

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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must develop and implement a written staff observation plan for all staff present with a group of children on the facility's premises. The legal entity must receive DHS approval of the observation plan before it is implemented. Documentation of completed observations must be submitted on a weekly basis to the Central Regional Office of Child Development and Early Learning for a period of 3-months. Documentation of completed observations must also be kept on file at the facility. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the observation plan.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Staff #1, staff #2 and staff #3 did not complete an incident report when child #1 was observed with a red mark and bruise above the right eye area and forehead.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. TIERED LIS: 1. A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive training regarding the facility's policies about reports of accidents, injuries and illnesses involving a child in care at the facility. Training content must be reviewed and approved by DHS prior to being presented to facility staff. Documentation that all staff completed the training and reviewed the policies must be submitted to DHS. The operator shall provide a date for when the training will be completed.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The facility did not conduct a 30 day inspection of the fire detection devices from 8/27/24 to 11/4/24.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 10/10/24, staff #1 changed the diaper of child #3. Staff #1 then pushed child #3 out of the bathroom. Child #3 fell and hit their head. Child #3 sustained a bruise to their forehead and upper left eye.

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

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Complaint investigations revealed, Staff #1 would become frustrated when there was chaos in the classroom. Staff #1 would put their hands under the arms of children and force children to the ground. Staff #1 was described as not being friendly with children and handling children in a rough manner. Staff #1 tripped children, pushed children down, and used a "demeaning" tone when speaking to children.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Complaint investigations revealed, Staff #1 would become frustrated when there was chaos in the classroom. Staff #1 would put their hands under children's arms and force children to the ground. Staff #1 was described as not being friendly with children and handling children in a rough manner. Interviews with other staff members confirmed staff #1 tripped children, pushed children down, and used a "demeaning" tone when speaking to children.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The legal entity must arrange for all facility staff to complete the training titled "Self-care for ECE Professionals Who Care for Children Impacted by ACEs" on the Better Kid Care website.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Complaint investigation revealed that staff #1 was observed talking on a cell phone instead of supervising children in their care on the playground. On 10/3/24, staff #1 was observed by 2 staff members falling asleep as she fed an infant. On 10/28/24, a staff member returned from break during nap time, to find staff #1 asleep. The staff member had to say staff #1's name and touch staff #1's shoulder to wake staff #1.

Correction Required: Children must be supervised at all times. The legal entity must arrange for all staff to complete the Better Kid Care Training titled, "Supervision: Positioning -- Where Do I Stand?" Documentation of completed training must be submitted to DHS and be kept on file at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Complaint investigation revealed that staff #1 was observed talking on a cell phone instead of supervising children in their care on the playground. On 10/3/24, staff #1 was observed by 2 staff members falling asleep as she fed an infant. On 10/28/24, a staff member returned from break during nap time, to find staff #1 asleep. The staff member had to say staff #1's name and touch staff #1's shoulder to wake staff #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.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 10/22/24, staff #1 was observed pushing child #2 to the ground during "screen time". During the week of 10/22/24, a staff member observed staff #1 push child #2 onto the floor.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Complaint investigation revealed on 10/30/24, staff #1 grabbed child #1 by the hands. Child #1 began to wiggle. Staff #1 pushed child #1 to the ground, then dragged child #1 across the playground by one leg. Staff #1 was observed to have pulled child #1's arm back. Child #1 was struggling to get up and staff #1 slammed a knee into the child's back forcing the child arm even further back. Child began to cry. It was also reported that prior to this incident, staff #1 pushed child #1 into another child which caused both children to fall to the ground.

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

Regulation: 3270.19(b)

Description: Child abuse reporting

Noncompliance Area: Complaint investigations revealed the following incidents: On 10/10/24, staff #1 changed the diaper of child #3. Staff #1 then pushed child #3 out of the bathroom. Child #3 fell and hit their head. Child #3 sustained a bruise to their forehead and upper left eye. On 10/22/24, staff #1 was observed pushing child #2 to the ground during "screen time". During the week of 10/22/24, a staff member observed staff #1 push child #2 onto the floor. On 10/30/24, staff #1 grabbed child #1 by the hands. Child #1 began to wiggle. Staff #1 pushed child #1 to the ground, then dragged child #1 across the playground by one leg. Staff #1 was observed to have pulled child #1's arm back. Child #1 was struggling to get up and staff #1 slammed a knee into the child's back forcing the child arm even further back. Child began to cry. It was also reported that prior to this incident, staff #1 pushed child #1 into another child which caused both children to fall to the ground. Staff members #2, #3, and #4 stated they did not make reports of mistreatment to ChildLine. Per staff, they have been directed to inform their director of any instance of mistreatment of children. Upon review of the staff handbook, there is a section regarding mandated reporting and staff were required to bring reports of mistreatment to the director in order for the report to be made.

Correction Required: A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department.

Regulation: 3270.19(b)

Description: Child abuse reporting

Noncompliance Area: Complaint investigations revealed the following incidents: On 10/10/24, staff #1 changed the diaper of child #3. Staff #1 then pushed child #3 out of the bathroom. Child #3 fell and hit their head. Child #3 sustained a bruise to their forehead and upper left eye. On 10/22/24, staff #1 was observed pushing child #2 to the ground during "screen time". During the week of 10/22/24, a staff member observed staff #1 push child #2 onto the floor. On 10/30/24, staff #1 grabbed child #1 by the hands. Child #1 began to wiggle. Staff #1 pushed child #1 to the ground, then dragged child #1 across the playground by one leg. Staff #1 was observed to have pulled child #1's arm back. Child #1 was struggling to get up and staff #1 slammed a knee into the child's back forcing the child arm even further back. Child began to cry. It was also reported that prior to this incident, staff #1 pushed child #1 into another child which caused both children to fall to the ground. Staff members #2, #3, and #4 stated they did not make reports of mistreatment to ChildLine. Per staff, they have been directed to inform their director of any instance of mistreatment of children. Upon review of the staff handbook, there is a section regarding mandated reporting and staff were required to bring reports of mistreatment to the director in order for the report to be made.

Correction Required: A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department. The legal entity must arrange for all facility staff and facility administration to receive a minimum of two hours of training regarding Mandated Reporting. The legal entity must receive DHS approval of the training content prior to scheduling the training. Documentation of completed training must be submitted to DHS and be kept on file at the facility.

Regulation: 3270.19(b)

Description: Child abuse reporting

Noncompliance Area: Complaint investigations revealed the following incidents: On 10/10/24, staff #1 changed the diaper of child #3. Staff #1 then pushed child #3 out of the bathroom. Child #3 fell and hit their head. Child #3 sustained a bruise to their forehead and upper left eye. On 10/22/24, staff #1 was observed pushing child #2 to the ground during "screen time". During the week of 10/22/24, a staff member observed staff #1 push child #2 onto the floor. On 10/30/24, staff #1 grabbed child #1 by the hands. Child #1 began to wiggle. Staff #1 pushed child #1 to the ground, then dragged child #1 across the playground by one leg. Staff #1 was observed to have pulled child #1's arm back. Child #1 was struggling to get up and staff #1 slammed a knee into the child's back forcing the child arm even further back. Child began to cry. It was also reported that prior to this incident, staff #1 pushed child #1 into another child which caused both children to fall to the ground. Staff members #2, #3, and #4 stated they did not make reports of mistreatment to ChildLine. Per staff, they have been directed to inform their director of any instance of mistreatment of children. Upon review of the staff handbook, there is a section regarding mandated reporting and staff were required to bring reports of mistreatment to the director in order for the report to be made.

Correction Required: A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department. The legal entity must arrange for facility director and administrators to receive technical assistance (TA) from a DHS approved source regarding the facility's Mandated Reporting policies, procedures and expectations. Following TA, the facility director and administrators must revise and update the facility's policies, procedures and expectations. Updated policies, procedures and expectations for Mandated Reporting at the facility must be submitted to DHS for review and approval. Once DHS approval is received, facility director and administrators will train all facility staff on the facility's Mandated Reporting policies, procedures and expectations. Documentation of completed TA and staff training must be submitted to DHS and be kept on file at the facility.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: On 2/28/24, Child #1 was noticed by staff #1 and staff #2 to have a bruise to the crown of her ear. Staff #1 and staff #2 did not contact the parent or provided the parent with a report about the bruise. On 2/29/24, staff #3 observed the bruise to the child's ear. Staff #3 told the director of injury and was directed by the Director to complete an injury report for the parent. Staff #3 failed to discuss the injury with the parent when mother picked child #1 that afternoon.

Correction Required: The legal entity must arrange for all facility staff to receive training regarding the facility's policies about reports of accidents, injuries and illnesses involving a child in care at the facility. Documentation that all staff completed the training and reviewed the policies must be submitted to DHS.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: On 2/28/24, Child #1 was noticed by staff #1 and staff #2 to have a bruise to the crown of her ear. Staff #1 and staff #2 did not contact the parent or provided the parent with a report about the bruise. On 2/29/24, staff #3 observed the bruise to the child's ear. Staff #3 told the director of injury and was directed by the Director to complete an injury report for the parent. Staff #3 failed to discuss the injury with the parent when mother picked child #1 that afternoon.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information form on file for child #1 did not list the addresses of the individuals designated by the parent to whom the child may be released to.

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.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Staff #1 did not have on file a diploma or other verification of education.

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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: The mulch from the older children's playground was observed on the sidewalk the young toddlers' use to enter the playground designated for younger toddlers. Mulch was observed in the play space used by the younger toddlers. Per staff, the older children kick the mulch which goes through the chain link fence into the younger toddlers' play space.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Upon investigation of complaint concerns, it was found that staff person #1 was found asleep while in ratio during child naptime. No children were reported to be awake at that time, but the duration of time that staff person #1 was asleep is unknown.

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.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Upon investigation of complaint concerns, it was found that staff person #1 was found asleep while in ratio during child naptime. No children were reported to be awake at that time, but the duration of time that staff person #1 was asleep is unknown.

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. Facility Director will increase the level of direct supervision of staff personnel during nap time intervals to ensure that proper supervision is being conducted.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 1/25/23, it was observed that the brown couch in the Pre K classroom was torn and had expose stuffing. CORRECTED ON SITE

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

Regulation: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: On 1/25/23, it was observed that small items such as paper clips and rubber bands were accessible to toddlers in the Hippo classroom in a drawer near the sink.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 1/25/23, it was observed that child 7 and 8 did not have addresses on file for their release persons.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: On 1/25/23, it was observed that staff health assessments were not updated every 24 months. Staff person 1 had a health assessment on file that expired on 2/27/21 which was not updated until 3/29/22. Staff person 5 had a health assessment on file that expired on 8/26/22 which was not updated until 9/9/22. Staff person 7 had a health assessment on file that expired on 9/14/20 which was not updated until 4/19/22. Staff person 9 had a health assessment on file that expired on 12/5/21 which was not updated until 6/13/22.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 1/25/23, it was observed that staff person 14 and 16 did not have 2 nonfamily references attesting to the persons suitability to serve as a facility person. Staff person 14 needs 2 references and staff person 16 needs 1 additional reference.

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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On 1/25/23, it was observed that staff persons 1, 3, 4, 5, 6, 7, 8, 9, 10, 11, and 12 had been employed longer that 1 year and did not have updated emergency plan training 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 1/25/23, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 7 had a child abuse clearance on file that expired on 9/19/21. Child Abuse clearance was not updated until 2/16/22. Clearances must be updated every 60 months. Staff person 7 had a FBI clearance on file that expired on 9/21/21. FBI clearance was not updated until 2/22/22. Clearances must be updated every 60 months. Staff person 8 had a FBI clearance on file that expired on 6/16/22. FBI clearance was not updated until 1/23/23. Clearances must be updated every 60 months. Staff person 10 had a state police clearance on file that expired on 3/17/21. State police clearance was not updated until 2/2/22. Clearances must be updated every 60 months. Staff person 10 had a Child Abuse clearance on file that expired on 3/20/21. Child Abuse clearance was not updated until 3/22/22. Clearances must be updated every 60 months. Staff person 10 had a FBI clearance on file dated 3/24/22 which was after their start date. Clearances or Provisional Paperwork must be on file before starting employment with children. Staff person 13 had provisional FBI clearance paperwork dated 9/19/22 which was after their start date. Clearances or Provisional Paperwork must be on file before starting employment with children. Staff person 14 had provisional FBI clearance paperwork dated 10/19/22 which was after their start date. Clearances or Provisional Paperwork must be on file before starting employment with children. Staff person 15 had provisional FBI clearance paperwork dated 11/23/22 which was after their start date. Clearances or Provisional Paperwork must be on file before starting employment with children. Staff person 17 had provisional NSOR paperwork dated 5/31/22 which was after their start date. Clearances or Provisional Paperwork must be on file before starting employment with children. Staff person 13 did not have a NSOR (National Sex Offender Registry) certificate on file and is past 45 days of employment. Staff person may not work in the facility until NSOR certificate is on file. Staff person 14 did not have a NSOR (National Sex Offender Registry) certificate on file and is past 45 days of employment. Staff person may not work in facility until NSOR certificate is on file. Staff person 17 had a FBI clearance on file for the Department of Education. FBI Clearances must be for the Department of Human Services. Staff person 17 may not work in the facility until the correct FBI clearance is on file. Staff person 10 had a Mandated Reporter training on file that expired on 1/16/22 that was not updated until 2/11/22. Mandated Reporter Training must be updated every 60 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 13, 14, and 17 may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 1/25/23, it was observed that toxics were accessible to children. Clorox wipes were observed in the lower cabinets to the right of the sink in the Teddy (infant) classroom. Cleaning spray was observed in the cabinet under the sink in the Bears (infant) classroom.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 1/25/23, it was observed that there was a protruding screw, in the Bees Room, under the calendar board. CORRECTED ON SITE.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On 1/25/23, it was observed that there was peeling paint in the facility. Peeling Paint was observed in the Puppy room on the heat register by the windows. Peeling Paint was observed in the Hippo classroom on the wall by the reading area.

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

Regulation: 3270.193(b)

Description: May not disclose

Noncompliance Area: Facility person 1 disclosed confidential information concerning facility person 2 to enrolled families through the "Hi Mama" app.

Correction Required: A facility person may not disclose information concerning another facility person or adult providing a service at the facility, except in the course of investigations or inspections by agents of the Department.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: On 12/7/22, Facility staff person #1 was witnessed, at lunch, taking a chair from child because child would not sit still. When lunch arrived, child played with the food on the plate. Facility staff took the plate from child, dumped it in the trash and returned the empty plate to child.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.162(c)

Description: Not withheld as discipline

Noncompliance Area: On 127/7/22, facility staff #1 was witnessed taking food from a child and throwing food away in trash can. The plate was returned to the child. Facility staff #1 took food away from child because child was playing with their lunch.

Correction Required: Food may not be withheld from a child for purposes of discipline.

Regulation: 3270.151(a)

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

Noncompliance Area: Facility person #2 was hired 9/4/21. Facility person #3 was hired 3/8/21. Facility person #4 was hired 08/23/21. Facility person #5 was hired 6/3/21. Facility person #2 has on file health assessment and TB test was dated 1/27/22. Facility Person #3 has a health assessment dated 11/5/21. Facility person #4 has a health assessment on file dated 1/31/22. Facility person #5 health assessment was dated 2/7/22.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Facility person #2 had 1 reference on file.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility person #1 was hired 2/4/21. The file for facility person # 1 does not contain a completed PSP criminal history clearance. Although the LE has an approved waiver on file effective 1/31/20, the requirement to have either the completed PSP or DHS required FBI clearance on file was not met.

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. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: Facility person #1 health assessment on file does not include a tuberculosis screening.

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.

Noncompliance Area: Facility person #1, #2, #3 health assessment on file does not address an assessment for communicable diseases and results of that examination or includes information as facility's person's ability to provide adequate 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 information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: Facility person #7 did not have on file verification of age

Correction Required: A facility person's record shall include verification of age.

Noncompliance Area: Facility persons #1 and #4 had on file one written non family reference. Facility person #6 did not have two written nonfamily references on file.

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

Noncompliance Area: Facility person #7 did not have documentation on file that facility person #7 received emergency plan training at time of initial hire.

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 of facility person #1 hired 11/25/19 does not contain completed criminal history information (FBI and NSOR) required under the CPSL and does not contain a copy of a request for criminal history clearance ( FBI and NSOR). The file of facility person #2 hired 01/20/20 does not contain completed criminal history information (NSOR) required under the CPSL and does not contain a copy of a request for criminal history clearance ( NSOR). The file of facility person #2 did not contain documentation facility person #2 completed mandated reporter training. The file of facility person #4 hired 01/27/20 does not contain completed criminal history information (NSOR) required under the CPSL and does not contain a copy of a request for criminal history clearance ( NSOR). The file of facility person #4 did not contain documentation facility person #4 completed mandated reporter training. The file of facility person #6 hired 06/03/19 does not contain completed child abuse history required under the CPSL and does not contain a copy of a request for child abuse history. The file of facility person #7 hired 12/23/19 does not contain completed child abuse and criminal history information (FBI, NSOR) required under the CPSL and does not contain a copy of a request for child abuse and criminal history clearance ( FBI, NSOR). The file of facility person #8 hired 01/29/20 does not contain completed child abuse and criminal history information (FBI, NSOR) required under the CPSL and does not contain a copy of a request for child abuse and criminal history clearance (FBI, NSOR).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons # 1, #2, #4, #6, #7, #8 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1,#2, #4,#6,#7,#8 may not work in a child care position at the facility.

Noncompliance Area: Facility person #5 is designated as a Group Supervisor (GS). Facility person #5 did not have on file verification of child care experience prior to employment.

Correction Required: A group supervisor is responsible for the minimum duties described at 3270.35(a)(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: Facility Persons #1 and #6 are designated as an assistant group supervisor (AGS). Facility persons #1and #6 did not have on file verification of child care experience prior to employment at the facility. Facility persons #4 and #7 are designated as an AGS. Facility persons #4 and #7 did not have on file verification of education prior to employment. Facility person #8 is designated as an AGS. Facility person #8 does not have on file verification of education and experience prior to employment.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: On 7/31/19, at approximately 12:15 pm, staff #1 put her cigarettes and purse on a low bookshelf. Child #1 was able to pull herself up on the bookshelf, get the cigarettes and put cigarettes into her mouth. Staff #1 found child with cigarettes in her mouth. Staff #1 picked up child #1and rinsed child's mouth out.

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: On 7/31/19, at approximately 12:15 pm, staff #1 put her cigarettes and purse on a low bookshelf. Child #1 was able to pull herself up on the bookshelf, get the cigarettes and put cigarettes into her mouth. Staff #1 found child with cigarettes in her mouth. Staff #1 picked up child #1and rinsed child's mouth out.

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 7/31/19, at approximately 12:15 pm, staff #1 put her cigarettes and purse on a low bookshelf. Child #1 was able to pull herself up on the bookshelf, get the cigarettes and put cigarettes into her mouth. Staff #1 found child with cigarettes in her mouth. Staff #1 picked up child #1and rinsed child's mouth out.

Correction Required: Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.

Noncompliance Area: Staff #2, #3, #4,#5 did not have on file the 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. Going forward, staff hours will be completed annually.

Noncompliance Area: The file of facility person #2 hired 5/3/18 does not contained completed child abuse and criminal history information (FBI clearance) required under the CPSL and does not contain a copy of a request for criminal history clearance (FBI clearance).

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

Noncompliance Area: Facility was observed to be using 2 rooms, Dinosaur Drive and Fox Hollow, for child care that were not listed on the facility's current license and not measured for room capacity prior to use.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Noncompliance Area: Staff #1 & Staff #4 did not have on file a health assessment and tuberculosis screening 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: Staff #2 did not have 2 nonfamily written references on file. Staff #3 had 1 nonfamily reference and the 2nd reference was from a family member. Staff #4 had 1 nonfamily reference on file and the 2nd reference was from a family member.

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: In the playful Puppies room, cleaning solution and sanitizer was observed on a shelf next to the changing table. The cleaning solution and sanitizer were 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: The first-aid kit located in the Leapin Lizard Room was observed not to have 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 12/20/17 child #1 (age 23 months) entered the building from the outside play space without supervision. Child #1 was inside the building unsupervised by staff between 4:01 pm to 4:15 pm. Once notified child #1 was missing, director located child #1 in the building and returned child to the classroom. Staff #1 was assigned the responsibility for supervision 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. 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: It was observed the outdoor embedded playground equipment's protective surface covering did not meet the recommendations of the USCPSC.

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: Staff in the Big Bears Room and Dinosaur Drive Room could not name primary groups for supervision.

Correction Required: 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: Child #2 emergency contact form did not provide parental consent for emergency medical care

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

Noncompliance Area: Child #1 emergency contact form did not provide health insurance coverage and 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.

Noncompliance Area: Child #1 agreement was not updated every six months between 12/29/14-12/27/16. Child #2 agreement was not updated since 08/20/15. Child #3 agreement was not updated every 6 months between 08/21/15-03/03/17.

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: Staff #3 & #4 did not have 2 references on file.

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: Staff #5 file did not have documentation verifying emergency plan training within one week of hire.

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: Staff #1-#6 are qualified as Assistant Group Supervisers. Saff #1-#6 did not have documetation of 2 years (2500 hours) of experience with children on file. Staff #3-#6 did not have documentation of education on file.

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