All About Kids Early Learning Center

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the infant classroom. *Corrected at the time of the inspection.

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 file for child #1 included a health report which was not updated within 12 months of the previous health report for an older toddler or preschool child (see LIS code sheet); the current health report on file was dated 11/13/2024 with the previous health report dated 10/18/2023.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed a power strip in the PreK classroom which was accessible to children 5 years of age and younger which did not have protective receptacle covers in the unused outlets. *Corrected at the time of the inspection.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed charging cords which were plugged into an outlet but not plugged into a device lying on the floor in the PreK classroom. *Corrected at the time of the inspection.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed small stones in the play kitchen sink located in the toddler outdoor play space which were less than 1 inch in diameter and accessible to children who are still placing objects in their mouths. The stones were accessible through a gap at the bottom of the fence along the concrete area in the 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: 3270.177(b)

Description: During boarding and exiting

Noncompliance Area: Upon returning to the facility from transporting 2 younger school age children from school, observed staff person #2 open the bus door for the children to exit the vehicle. Staff person #2 exited the vehicle behind the children and closed the vehicle door. An adult was not observed outside the vehicle while the children exited.

Correction Required: Children shall be supervised during boarding and exiting vehicles by an adult who remains outside the vehicle.

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

Description: Age and Training

Noncompliance Area: Staff person #1 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 04/2025. Documentation of updated Pediatric first aid and CPR training is not on file

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. Until such time as the required training has been completed, staff person #1must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: Observed the hot water temperature of the sinks located in the young toddler classroom, young todder bathroom, school age classroom, and school age bathroom reached a temperature of 111 - 112° F.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #1, #2, #3 and #4 included a child service report (CSR), providing information to the family about the child's growth and development, which was not completed at least once every 6 months. The file for child #1 included a CSR completed on 09/04/2024 with the previous one completed on 02/20/2024. The file for child #2 included a CSR completed on 03/01/2024 with no subsequent CSR on file. The file for child #3 included a CSR completed on 10/21/2024 with the previous one completed on 03/18/2024. The file for child #4 included a CSR completed in 02/2024 with no subsequent CSR on file.

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(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact information and/or financial agreement for child #1, #2 and #4 was not reviewed by a parent at least once every 6 months. The emergency contact information for child #1 was reviewed in 09/2024 with the previous review completed in 02/2024. The emergency contact information and financial agreement for child #2 was reviewed in 08/2024 with the previous review completed in 01/2024. The emergency contact information for child #4 was reviewed in 08/2024 with the previous review completed in 12/2023 and financial agreement was reviewed in 08/2024 with the previous review completed in 01/2024 .

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child #2 included a health assessment which was not updated at least once every 6 months. The health reports on file completed between 11/03/2023 - 06/26/2024 exceeded 6 months.

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.

Regulation: 3270.166(3)

Description: Disposable nursers or parents

Noncompliance Area: Reusable bottles were observed in a drying rack located in the infant room. According to staff, the bottles provided by the parents are hand washed and reused. Staff stated that some parents take them home each day and others are returned to the parent on Fridays. The facility is not washing the bottles with a commercial dishwasher between uses.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Regulation: 3270.21/3270.119

Description: General Health and Safety/Infant sleep position

Noncompliance Area: Observed Pack N Plays in the infant classroom with regular size crib sheets on the mattresses in lieu of sheets intended for a Pack N Play mattress. The sheets were too big for the mattress and created access material which creates a potential suffocation hazard.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter provided to the parent of each enrolled child explaining the emergency procedures did not include information regarding accommodations will be made for infants, toddlers, children with disabilities and children with chronic medical conditions or a statement that emergency drills will be conducted annually.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The director or designated staff person did not ensure a manual test of the fire detection system was completed within 30 days of the previous test. The following dates exceeded 30 days: 03/07/2024 - 04/10/2024.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

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

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

Noncompliance Area: Continued non-compliance, on 12/21/2023 observed a face-to-name method of supervision to utilize in each classroom was not implemented. Previously cited on 09/19/2023. On 08/04/2023 at approximately 10:45 am, the young toddler classroom was outside on the playground for splash day with Staff person #1 and #2. Child #1 walked away from the group and entered the door (which was propped open) leading into the school-age classroom. Staff person #3, found child #1 as child #1 was turning around to get down the steps. Staff person #3 immediately took child #1 back outside to their group. Staff person #1 and #2 were unaware that child #1 had left the playground as they were busy tending to other children.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The facility must develop a face-to-name method of supervision to utilize in each classroom, which shall be approved by Certification prior to implementation. 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a shelf approximately 3 feet in height in the older toddler classroom which was not stable, creating a tip hazard.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed a table in the infant classroom with bucket seats that did not have the safety straps attached to the seats. Observed the green plastic cushion in the reading corner located in the preschool/Kindergarten classroom was torn.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the Preschool/Kindergarten classroom lacked a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact information for child #3 was not reviewed and updated by the parent at least once every 6 months. The most recent update was completed on 08/18/2023 with the previous update on 01/30/2023. The emergency contact information and financial agreement for child #1 and #2 were not reviewed and updated by the parent at least once every 6 months. The most recent update for child #1 was completed on 08/22/2023 with the previous update on 01/08/2023. The most recent update for child #2 was completed on 08/21/2023 with the previous update on 01/31/2023.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza immunization.

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

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised in the infant classroom. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid & CPR and Mandated Reporter 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. Until such time as the required pre-service trainings are 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 person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The health assessment on file for staff person #1 did not include the results of a tuberculosis screening by the Mantoux method at initial employment (see LIS code sheet).

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.

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

Description: Age and Training

Noncompliance Area: Staff person #8 and #9 did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the previous certification. The current training on file for staff person #8 was completed on 10/02/2023, with the previous training valid 08/26/2021 - 08/2023. The current training on file for staff person #9 was completed on 05/15/2023, with the previous training valid 03/01/2021 - 03/2023.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #2, #3, #4, #5, #6 and #7 did not complete annual fire safety training within 12 months of the previous training. The current fire safety training for staff person #3, #4 and #5 was completed on 10/03/2023 with the previous training completed on 09/17/2022. The current fire safety training for staff person #2 and #6 was completed on 10/03/2023 with the previous training completed on 09/21/2022. The current fire safety training for staff person #7 was completed on 10/03/2023 with the previous training completed on 09/14/2022.

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: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: Staff person #1 was observed working alone in the infant classroom as an Assistant Group Supervisor (AGS). The file for staff person #1 did not include acceptable verification of education to qualify as an AGS.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The director or designated staff person did not ensure a fire drill was conducted at least once every 60 days. The most recent fire drill was conducted on 09/27/2023 with the previous completed on 07/07/2023, which exceeded 60 days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

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

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

Noncompliance Area: On 08/04/2023 at approximately 10:45 am, the young toddler classroom was outside on the playground for splash day with Staff person #1 and #2. Child #1 walked away from the group and entered the door (which was propped open) leading into the school-age classroom. Staff person #3, found child #1 as child #1 was turning around to get down the steps. Staff person #3 immediately took child #1 back outside to their group. Staff person #1 and #2 were unaware that child #1 had left the playground as they were busy tending to other children.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. 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: 3270.113(a)/3270.113(a)(1)

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

Noncompliance Area: ***On 08/04/2023 at approximately 10:45 am, the young toddler classroom was outside on the playground for splash day with Staff person #1 and #2. Child #1 walked away from the group and entered the door (which was propped open) leading into the school-age classroom. Staff person #3, found child #1 as child #1 was turning around to get down the steps. Staff person #3 immediately took child #1 back outside to their group. Staff person #1 and #2 were unaware that child #1 had left the playground as they were busy tending to other children.

Correction Required: ***Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The facility must develop a face-to-name method of supervision to utilize in each classroom, which shall be approved by Certification prior to implementation. 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: 3270.113(a)/3270.113(a)(1)

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

Noncompliance Area: **On 08/04/2023 at approximately 10:45 am, the young toddler classroom was outside on the playground for splash day with Staff person #1 and #2. Child #1 walked away from the group and entered the door (which was propped open) leading into the school-age classroom. Staff person #3, found child #1 as child #1 was turning around to get down the steps. Staff person #3 immediately took child #1 back outside to their group. Staff person #1 and #2 were unaware that child #1 had left the playground as they were busy tending to other children.

Correction Required: **Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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. The training may not be counted towards the required 12 hours of annual training. 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: 3270.113(d)

Description: No harsh language

Noncompliance Area: During the course of the complaint investigation two people stated they have witnessed staff #1 and #2 yelling at the children in the young toddler classroom on more than one occasion.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: **During the course of the complaint investigation two people stated they have witnessed staff #1 and #2 yelling at the children in the young toddler classroom on more than one occasion.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children. The legal entity must arrange for staff person #1 and #2 to receive a minimum of two hours of training regarding Infant-Toddler Care. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed cribs in the infant room with less than 2 feet of space on three sides while the equipment was in use.

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

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: Observed the mulch at the bottom of the slides on the preschool playground did not meet the 9" of mulch required. Observed piles of mulch surrounding the equipment which did not provide an adequate fall zone and can present a trip hazard. The mulch piles do not meet the requirements of the regulation 3270.102(c) or the CPSC playground safety recommendations

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator located in the young toddler classroom did not have a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: A written plan of daily activities and routines was not established or posted in the infant classroom.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: The first-aid kit located in the Minibus used to transport children did not include soap and tweezers as specified in §3270.75 (relating to first-aid kit).

Correction Required: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1, who resided outside of Pennsylvania in the previous 5 years, did not have out-of-state clearances on file at the facility within 45 days of hire (see LIS code sheet).

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.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed a pouch of Earth Kind - Stay Away Ants labeled "Keep out of Reach of Children" in the corner of the windowsill located in the infant classroom which was accessible to the young toddler in care.

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: Observed carpet on the windowsill located in the infant classroom which was fraying and exposed staples creating sharp points.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 11/04/2021, observed during naptime, some of the 3 year olds from the young preschool classroom were taken to the older toddler room or to the older preschool classroom for naptime. Emergency contact information was not taken to the older toddler or older preschool classroom for the 3 year old children that were receiving care in the space.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1, 4 years old, included a record of the child's immunization status which lacked a current influenza immunization.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 11/04/2021, observed sanitizing and disinfectant spray next to the sink at the edge of the counter in the older toddler classroom which 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.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: On 11/04/2021, observed the first-aid kit in the 4 year old classroom on the ledge of the half wall which was assessible to children in care in the school-age and preschool classroom.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: On 11/04/2021, observed the first aid kit located in the young toddler classroom lacked sterile gauze pads.

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 10/28/20, it was observed that the glass door in the Pre K classroom did not have visual identification on it. CORRECTED ON SITE.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Noncompliance Area: On 10/11/19 it was observed that the edge of the portable sink in the pre K room was damaged around the front right corner where the children would be in contact with while watching their hands. 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.

Noncompliance Area: On 10/11/19 it was observed that the trim under the window in the 3's classroom was loose and peeling away from the wall. 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.

Noncompliance Area: On 10/11/18 it was observed that child 2, 3, 4, and 6 did not have an admission date noted on their agreement form.

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

Noncompliance Area: On 10/11/18 it was observed that child 2 did not have a work address on file for the enrolling parent.

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

Noncompliance Area: On 10/11/18 it was observed that staff persons 1, 2, and 3 did not have a physical update completed before the previous physical expired at 24 months. Staff person 1 had a previous physical on file dated 9/14/16, update was not completed until 9/28/18. Staff person 2 had a previous physical on file dated 7/30/16, update was not completed until 8/20/28. Staff person 3 had a previous physical dated 7/5/16, update was not completed until 9/27/18. Physicals are only valid 24 months following the date of the physical

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

Noncompliance Area: On 10/11/18 it was observed that child 2, 3, 4, and 6 had not had a file update in the previous 6 months.

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

Noncompliance Area: On 10/11/18 it was observed that, staff person 4 (hire date 6/19/18) did not have a child abuse clearance or provisional paperwork on file at time of hire. Child Abuse clearance dated 7/12/18.

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

Noncompliance Area: On 10/30/17, the lego boards in the school age classroom were observed to be dirty with a dust buildup which could not be brushed off.

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

Noncompliance Area: On 10/30/17, the file of child 1 was observed to not have addresses for 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.

Noncompliance Area: On 10/31/17, the file of staff 1 was reviewed. Staff person 1 had clearances which expired on 1/31/17. New clearances were not obtained until 10/16/17. Staff person was working with expired clearances for 10 months.

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