Foundations Early Learning Academy Of Bethlehem Ll

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

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

Noncompliance Area: On 4/13/26 during a complaint inspection Staff # 1 and # 2 admitted that Child # 1 left the facility. Staff # 2 admitted Child # 1 was gone for at least 20 minutes. Child was found down the street at a grocery store.

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. 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. 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 arrange for all staff to receive a minimum of three hours of training regarding Supervision. The training must be in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. This portion of the plan shall have a correction date of when training is complete. 3. The operator shall demonstrate the ability to maintain compliance with supervision of children during all unannounced inspections conducted by the Department over the next three months. This date will be 3 months from the time the corrections are accepted.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During a complaint inspection on 4/13/26 staff # 3 admitted that the gate in the toddler room was broken on 4/2/26 when Child # 1 left the facility.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 3 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Topics including pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10, Health and Safety Topics including pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff person # 3 will have until 3/6/26 to complete the required training. Until such time as the required training has been completed, staff person # 3 must be supervised, when interacting with children, by a staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person # 3, staff person # 3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Files for Staff # 1 and # 3 were not in compliance with CPSL regulations. File for Staff # 1 contained an expired mandated reporter training dated 1/26/21. File for Staff # 2 contained an expired NSOR dated 2/8/21.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 2 may not work in a childcare position at the facility. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. Tiered LIS: 1. CPSL regulations will be followed at all times. This portion of the plan must be immediate. 2. The legal entity must attend and arrange for anyone responsible for hiring new staff and maintaining files for current staff to register for and attend the existing provider orientation conducted by the NE Regional Office on 2/25/26. This portion of the plan must be completed by 2/25/26.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Play globe in the school age room was observed to be broken, causing 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.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: School age room was missing a daily schedule.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The Emergency Transportation Plan was missing from the Infant room, Toddler room and school age rooms.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Files for Staff # 1 and # 2 were not in compliance with CPSL regulations. File for Staff # contained an expired NSOR clearance dated 12/23/19. File for Staff # 2 did not contain the Mandated Reporter Training.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed in the school age gross motor skills room upstairs.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person # 3 was observed to be caring for children unsupervised in the toddler room. Staff person # 3 has not completed the following pre-service training required prior to caring for children unsupervised: 2022 Revised - 10 Hour Health and Safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person # 3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff persons available to supervise staff person # 3, staff person # 3 may not work in a childcare position at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff person # 1 does not have 12 hours of childcare training of the required annual training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility person # 1 did not have a State Police clearance completed in over 60 months from 10/19/18 to 2/6/24. Facility person # 1does not have a current FBI clearance on file. The FBI clearance for facility staff # 1 expired on 10/30/23. Facility person # 2 hired and working in childcare does not have a state police clearance or child abuse clearance on file for employment. Facility person # 2 has volunteer state police and child abuse clearances on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 & # 2 may not work in a childcare position at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the toddler room does not have gloves or tape in the first aid kit.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: There are 3 stained ceiling tiles in the preschool bathroom and peeling chipped paint behind the toilet. The school aged classroom - Door 7 on the second floor- has storage (car seats, toys, infant swings in boxes, and holiday decorations) in the room measured as childcare space. There is a microwave on a child's chair in the SA classroom Door 6 that is 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care 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: During a complaint investigation conducted on 5/15/23, rep observed the original incident report on file at facility with no parent signature for an incident reported on 5/8/23 for child # 1. The original incident report was on file also for an incident reported on 9/21/22 with child # 1. Operator did not have a copy or original incident report of two incidents reported to happen on 3/21/23 and 4/6/23 with child # 1.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Facility staff # 1 hired and working in childcare does not have the required pre-service training within 90 days of their date of hire: 10-hour Health and Safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person # 1 shall complete will have until 6/16/23 to complete the required training. Until such time as the required training has been completed, staff person # 1 must be supervised, when interacting with children by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person # 1, staff person # 1 may not work in a childcare position at the facility.

Regulation: 3270.121(a)

Description: Review policies and procedures

Noncompliance Area: Child # 1 enrolled and attending facility does not have a fee agreement on file.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The following facility staff have been hired and working and have not had fire safety training in over 12 months: Facility staff # 1, 2, & 3.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 &# 3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/22.

Correction Required: Staff person #1 & # 3 shall complete the required one-hour 2022 update to the health and safety training by 3/16/23.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Facility red children's single chair in the school aged classroom and a tumbling mat in the school aged classroom have tears in the seat cushion of the chair and the side corner of the mat. The wooden heater cover in the preschool classroom=om has nails sticking out on top.

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: 3270.31(f)/3270.31(f)(10)

Description: Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Staff person # 1 has not completed the following pre-service training within 90 days of their date of hire : PQAS approved Pediatric First Aid and CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person # 1 will have until 1/25/23 to complete the required training. Until such time as the required training has been completed, staff person # 1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff to supervise staff # 1, staff person # 1, may not work in a childcare position at the facility.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Child # 1 was observed sleeping in an unlabeled pack in play in the infant classroom.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person # 1 was observed to be caring for children unsupervised. Staff person # 1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required per-service training is completed, staff person # 1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff persons available to supervise staff # 1, staff person # 1, may not work in a childcare position at the facility.

Regulation: 20.71(a)(5)

Description: Mistreatment or abuse of a child/children cared for in facility

Noncompliance Area: During a complaint investigation on 9/29/22, it was determined that facility person # 1 has mistreated or abused child # 1 on 9/23/22 while being cared for in the facility.

Correction Required: Facility person # 1 cannot have access to children in the facility. The operator may not allow abuse to occur at the facility. The Department may deny, refuse to renew or revoke a certificate of compliance for mistreatment or abuse of a child/children cared for in facility.

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

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

Noncompliance Area: During a complaint investigation on 9/29/22, it was determined that child # 1 was not supervised while at the facility. Child sustained a serious injury and facility staff # 1 was unaware what may have happened and thought maybe child # 1 tripped. During an unannounced visit on 10/13/22 rep observed anther agency worker take child # 2 to another facility classroom to do therapy with child # 2. No facility staff were in the classroom with child # 2 and the other agency worker.

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)/3270.113(a)(1)

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

Noncompliance Area: During a complaint investigation on 9/29/22, it was determined that child # 1 was not supervised while at the facility. Child sustained a serious injury and facility staff # 1 was unaware what may have happened and thought maybe child # 1 tripped. During an unannounced visit on 10/13/22 rep observed anther agency worker take child # 2 to another facility classroom to do therapy with child # 2. No facility staff were in the classroom with child # 2 and the other agency worker.

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 operator shall submit their policy for supervision to the region office for review and approval. The operator shall ensure that the policy addresses how supervision will be maintained when services are being provided by outside agencies.

Regulation: 3270.162(a)

Description: Four or more hours

Noncompliance Area: Child # 2 was observed in facility classroom sleeping at 12:30 pm while rep was at facility in facility infant/toddler classroom. Staff # 1 reported child# 2 had not eaten lunch at facility as facility staff # 1 was waiting for child #2's father to return to facility with child #2's lunch as they forgot to send it with child #2in the am when child #2 arrived at facility for the day. Child # 2 was at facility for 4 hours and did not have lunch. Child # 2 was observed in child's pack n play asleep before having lunch or a parent or guardian arriving at facility.

Correction Required: If a child receives care for 4 or more consecutive hours, nutritional, appropriately-timed meals and snacks shall be served.

Regulation: 3270.162(c)

Description: Not withheld as discipline

Noncompliance Area: During a investigation at facility on 7/21/22, child # 1 a school aged child reported to certification rep that if children are not listening and following facility class rules before lunch, the children not following the rules are not served lunch until after all the other children in the classroom are served and are done eating their lunch as a form of discipline for not following the rules. There were 11 other school aged children (7 years of age and up) present when this was discussed and all the children confirmed to rep this was true.

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

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: During an unannounced inspection at facility on 7/21/22, facility staff # 1 and # 3 reported that no school aged children were present at facility at the time that they were on a field trip at Urban Air Adventure Trampoline Park in Allentown, PA until appx 1 PM. Certification rep reported to the trampoline park, facility staff and children were not at park verified by trampoline park staff for the day. When rep returned to facility , school aged children present reported they did not go to the park at all or leave facility for a field trip at all on 7/21/22 as reported to rep by facility staff # 1 & # 3.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records

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

Description: Age and Training

Noncompliance Area: During an unannounced monitoring inspection on 7/11/22, rep observed facility staff # 2's file and facility staff #2 has pediatric first aid and cpr that is expired on file. Pediatric first aid and CPR expired in April 2022. Facility staff # 2 was off for the day and not working at the facility at the time of the inspection.

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. Facility staff # 2 will have 15 days to get PQAS approved pediatric first aid and cpr. PQAS approved pediatric first aid and cpr to be obtained by 9/28/22. Until such time as the required training is completed, facility staff # 2 must be supervised by an AGS who has completed the required training related to this citation. If there are no staff persons available to supervise staff # 2 , staff person # 2 may not work in a child care position at the facility.

Regulation: 3270.31(f)/3270.31(f)(10)

Description: Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Staff person #1 has not completed the following required 10 hour Health and Safety Training and Pediatric First Aid and CPR pre-service training's within 90 days of their date of hire. Facility staff person # 1 was being supervised by a staff person that qualifies as an AGS and has completed the 10 hour Health and Safety training and Pediatric First aid and cpr training.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire and the 10 hour health and safety training. Staff person # 1 will have until 9/28/22 to complete the required trainings. Until such time as the required trainings have been completed, staff person # 1 must be supervised, when interacting with children, by an AGS who has completed the required trainings related to this citation. If there are no staff available to supervise staff person # 1 , staff person # 1 may not work in a child care position at facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During an unannounced inspection conducted at facility on 7/22/1/22, rep observed facility staff # 2 unsupervised and alone with 11 children, the youngest child in the school aged classroom with facility staff # 2 was 4 years old.

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.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: A complaint investigation was conducted on 1/11/22. At time of the investigation certification rep observed facility exits from the basement to the first floor landing front door and the first floor landing to the second floor obstructed with large boxes, storage totes, a microwave, car seats, bags of clothes, stuffed animals, a vacuum, gazebo box, floor cleaner, baby gates, floor lamps, an air duct system and a vase.

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: There was a small area of peeling paint on one of the walls in the indoor gross motor room.

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

Noncompliance Area: During the Renewal Inspection on 8/23/2019, the agreements on file for Child #1 and Child #4 did not specify the fee amount to be charged per day or per week.

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

Noncompliance Area: During the Renewal Inspection on 8/23/2019, Child #2 and Child #3 did not have updated child service reports on file. Both children have attended for longer than 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: During the Renewal Inspection on 8/23/2019, the most recent health report on file for Child #1, an infant at the time was dated 12/10/2018.

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

Noncompliance Area: During the Renewal Inspection on 8/23/2019, Staff #3 did not have proof of annual fire safety training on file within the previous 12 months. Staff #3 did obtain annual fire safety.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: During the Renewal Inspection on 8/23/2019, Staff #1 and Staff #2 were observed working with a mixed age group of 6 young toddlers and 6 older toddlers. One staff was assigned to the 6 older toddlers and the one staff to the 6 young toddlers The required ratio for the young toddler group is 1 staff to 5 children.

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: During the Renewal Inspection on 8/23/2019, a cracked outlet cover case with sharp edges exposed was observed in the toddler classroom. The radiator guard in the young school classroom was also loose leaving sharp edges exposed.

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. Radiator guard in classroom was repaired.

Noncompliance Area: During the Renewal Inspection on 8/23/2019, peeling paint was seen near the sink in the upstairs bathroom. Peeling paint was also seen on the window sills in the young school age classroom and classroom 5 upstairs.

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

Noncompliance Area: On 8/8/2019 at 7:25 AM, Staff #2 was working alone in a classroom with a mixed age group of 8 preschool and school age children. Staff #2 left the room to answer the door. This left the classroom unsupervised for 1 to 2 minutes.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: On 8/8/2019 at 7:20 AM, Staff #1 was observed working alone in a classroom with a mixed age group of 5 children, that included infants and young toddlers. Two of the children were infants and three were young toddlers. The required ratio for this combined age group is 1 staff to 4 children.

Correction Required: The legal entity must demonstrate continuing compliance with the required staff to child ratios through unannounced monitoring visits by DHS on a monthly basis to be conducted for a period of three months after DHS receives acceptable plans of correction from the legal entity. 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: On the morning 12/21/2018 at Freemansburg Elementary School, 7 school age children were observed exiting a mini-van that the facility uses to transport children. The names and ages of the 7 children were requested from the facility in order to know if any of the children required/require child booster seats. The requests were made as follows: Phone conversation with Staff #1 on 12/28/2018, emails to the facility on 1/4/2019 and 1/9/2019, and phone conversation with Staff #2 on 1/22/2019. As of 1/28/2019, this information has not been provided by the facility.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Noncompliance Area: On the morning of 12/21/2018, Staff #1 was observed dropping off a group of school age children at Freemansburg Elementary School. Seven children were observed exiting a mini-van that is designed for 7 passengers (Including the driver). Staff #1 stated that two of the smaller children shared a seatbelt in the backseat

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Safety restraints installed in the vehicle at the time of manufacturing shall be used by all occupants.

Noncompliance Area: On 9/27/2018 at 2:20PM, Staff #1 was observed to be alone in a classroom with a mixed age group of 9 infants/young toddlers. Staff #1 was asked how many of the children were infants and how many were young toddlers. Staff #1 stated that 4 of the children were infants and 5 were young toddlers. Staff #1 stated that she was alone because it was nap time.

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. The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children

Noncompliance Area: During the renewal inspection on 8/17/2018, Staff #1 was working alone in a classroom with 12 children. The children were identified as young school age children. However, three of the children had not yet started kindergarten on 8/17/2018. One of these three children will be age 4 until 9/17/2018.

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: During the renewal inspection on 8/17/2018, the first-aid kit in toddler classroom was missing bandaids, gloves, and tape, the first-aid kit in the preschool classroom was missing scissors, and the first-aid kits in the school age and young school age classrooms were missing soap.

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

Noncompliance Area: During the renewal inspection on 8/17/2018, cracked wood with a risk of splinters was observed on the door entering the preschool classroom. In addition, a cracked outlet cover case with a sharp edge exposed was seen in the toddler classroom, and the lower piece connecting the stall to the wall in the school age bathroom was also loose making the stability of the stall loose.

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: On 8/17/2018, peeling paint was seen on the wall behind the changing table in the toddler classroom and also on the window sills in the school age and young school age classrooms.

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

Noncompliance Area: On 6/13/2018, Staff #1 admitted that she had screamed "Shut up" to a group of school age children the day before on 6/12/2018. Staff #1 also admitted on 6/13/2018 that she had told some of the children that they were "Acting a fool" on 6/12/2018.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: On the morning of 6/13/2018, Staff #1, a Provisional Hire, was observed working alone in a classroom with 8 school age children. Staff #1 also had not yet been fingerprinted through the FBI on the morning of 6/13/2018.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 may not work in a child care position at the facility until she is fingerprinted and receives her FBI results clearance. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: During a complaint follow-up visit on 5/30/2018, Staff #1 and Staff #2 were supervising a mixed age group of 5 infants and 4 young toddlers. The 3rd staff in the room was on a break at this time. The additional staff in the room (3rd staff) was needed due to 5 infants being present at this time.

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: On the date of this inspection, staff files were reviewed. At the time of review, Staff # 1 was working alone in ratio with children but the staff file was lacking proof of education to properly qualify this staff person for an assistant group supervisor position.

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.

Noncompliance Area: On the date of this inspection, staff files were reviewed. At the time of review, Staff file # 2 and Staff file # 3 were missing documentation of participation of annual fire safety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility`s fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: On the date of this inspection, staff files were reviewed. At the time of review, Staff # 1 was working alone in ratio with children but the staff file was lacking proof of education to properly qualify this staff person for an assistant group supervisor position.

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