Young With Options Academic Center

Noncompliance Area: Observed outdoor play toys unclean.

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: Observed outdoor front and back area unclean with debris.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Noncompliance Area: STAFF 1 AND STAFF 2 DID NOT HAVE PROOF OF A HEALTH ASSESSMENT ON FILE AT THE TIME OF THE INSPECTION AND WAS WORKING WITH THE CHILDREN.

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: STAFF 3 WAS MISSING THE RESULTS OF A TB TEST

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: The rest equipment in the first floor classroom was not labeled for individual use.

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

Noncompliance Area: The facility's refrigerator was dirty and had an unpleasant odor. The freezer area of the refrigerator had black grit/mold in the seams of the rubber gasket. In the refrigerator the installed thermometer did not appear to be working, and the other thermometer said that the internal temperature was 70 degrees.. None of the food felt cold.

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.

Noncompliance Area: Staff person #4 acknowledged during the inspection that during the summer of 2018 children from the facility participated in swimming . There was no file present for Staff person #5 who was identified by staff person #4 as the individual that was the trained lifeguard . Proof of staff person #5 lifeguard training was not produced.

Correction Required: When children are swimming, supervision shall include one person certified in lifeguard training, as described in 3270.31(e)(4)(iii) (relating to age and training).

Noncompliance Area: Agreements found in child records # 3, and 4 were not signed by both the parent, and the operator.

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

Noncompliance Area: Agreements in child records # 3, and 4 did not specify the amount of the fee being charged.

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

Noncompliance Area: The agreements in child records # 1, and 2 did not include a description of the services being provided.

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: Agreements in child records #1, and 2 did not indicate the child's arrival and departure times.

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

Noncompliance Area: Agreements in child records #1, 2, and 3 did not specify the names of persons to whom the child can be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. This is a requirement for all child records.

Noncompliance Area: Agreements in child records #1, 2, and 3 did not include the child's admission's date to the facility.

Correction Required: An agreement shall specify the date of the child's admission. This is a requirement for all agreements.

Noncompliance Area: The health insurance information was not present in child record #1.

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: The emergency contact information in child record #5 had not been updated at six month intervals.

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. This is a requirement for all child records.

Noncompliance Area: The file for child #4 whose date of enrollment is 7/26/18 did not have a health assessment on file.

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

Noncompliance Area: The file for child # 2, did not include an up to date health report. The health report on file was dated 6/3/17.

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. This is a requirement for all enrolled children.

Noncompliance Area: The file for staff person #1 did not include a health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.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: There was no fruit or vegetable observed in the lunch that was served during the inspection on 10/11/2018.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one fruit or vegetable.

Noncompliance Area: An infant bottle that contained milk was observed in the first floor classroom. The bottle was not labeled with a child's name.

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

Noncompliance Area: The facility was not able to produce proof of current liability insurance. The policy on file had expired in 5/2018

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: The agreement and emergency contact forms in child record #5 had not been updated at least once every six months.

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

Noncompliance Area: The files for staff persons #1, and 3 did not include two written non family references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. This is a requirement for all staff working at the facility.

Noncompliance Area: The facility's emergency plan did not include methods for notifying parents that an emergency had commenced, nor did it include a method of notifying parents that an emergency had ended.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: File for staff person #2 did not include proof of annual firesafety training. The record include firesafety training verification that was dated 7/24/17

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff person #3 did not include a complete state police clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #3 -- 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. Staff Person #3--- may not work in a child care position at the facility until the state police clearance is obtained.

Noncompliance Area: The file for staff person #1 did not contain proof of education needed to qualify her for the position of aide.

Correction Required: An aide shall have attained one of the qualification levels specified in 3270.37(b)(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: Staff person #4 was observed in the second floor classroom with 11 preschool children. No other staff person was present.

Correction Required: When children are grouped in similar age levels, the following ratios of staff persons apply: Preschool children 1:10.

Noncompliance Area: Staff persons #1 and 2 were observed in the first floor classroom with 9 children, that included 1 infant, and 8 young toddlers. There were no other staff persons present.

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 ratio for infants is 1:4 . A third staff person would have been required for this.

Noncompliance Area: The outdoor play space had a large overhanging tree that needed to be trimmed back in order to not be a hazard to children while playing outdoors.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. The tree needs to be trimmed.

Noncompliance Area: An electrical outlet was observed in the second floor classroom in the computer area with no protective receptacle cover. This roomed is occupied by preschool children that are younger than age 5.

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

Noncompliance Area: A spray bottle with a bleach solution was observed in the first floor classroom in an area that was 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 kits on the facility premises, and the one on the vehicle used for transportation did not included all the items as required per regulation. Missing were soap, tweezers, and scissors.

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

Noncompliance Area: The rug on the steps leading to the second floor classroom was frayed and in need of repair, and or replacement.

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: The toilet tank top on one of the toilets was cracked.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: There was no source of running water in the area in the first floor classroom that had been designated for diapering.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Noncompliance Area: During unannounced visit on 07/27/18, QR code for city license posted at facility scanned and revealed that Food Prep and Serve license expired 03/27/18 and was inactive as of 05/26/18.

Correction Required: Food handling practices shall conform to the requirements of the Department of Health or the Department of Environmental Resources or its delegate agency where the child care facility is located.

Noncompliance Area: During unannounced inspection on 07/27/18, file of staff person #1 did not contain verification that emergency plan training had been received at time of initial employment.

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 is awaiting trial on charges involving crimes of child abuse, child neglect, physical violence or moral corruptness.

Correction Required: The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness.

Noncompliance Area: During the inspection on 5/3/18, the file for Staff #3 and Staff #4 did not contain an initial health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: During the inspection on 5/3/18, the files for Staff #1, #2, and #5 did not contain proof of education and/or child care experience.

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

Noncompliance Area: During the inspection on 5/3/18, the file for Staff #4, hired 1/11/18, did not contain documentation of emergency plan training at the time of initial employment.

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: During the inspection on 5/3/18, the file for Staff #1 and Staff #2 did not contain an FBI clearance nor registration receipt; the file for Staff #4 contained an expired FBI Clearance dated 6/9/11 and all required pages were not attached.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #2 and #4 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 #1, #2, #4 may not work in a child care position at the facility.

Noncompliance Area: During the inspection on 5/3/18, Staff #1, hired 3/1/18, who qualifies as an aide was alone with five children ages 1 to 2; Staff #2, hired 5/1/18, who qualifies as an aide was alone with four infants ages 8 months to 9 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Noncompliance Area: During the inspection on 5/3/18, the facility had six staff persons employed with Staff #1, #2, #4 and #5 qualifying as aides.

Correction Required: At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

Noncompliance Area: During the inspection on 5/3/18, the facility did not have a director employed.

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

Noncompliance Area: During the renewal inspection on 9/28/17, the provider indicated the operating hours are 6:00am to 6:00pm. The daily activitiy schedule in Room 2 covered the hours 7:00am to 4:00pm which did not reflect complete hours of operation.

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.

Noncompliance Area: During the renewal inspection on 9/28/17, the emergency contact for Child #3, enrolled on 7/5/17, did not include signed parental consent for emergency medical care, prior to nor after child's admission.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child`s record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: During the renewal inspection on 9/28/17, the emergency contact for Child #3 did not include the address of the individual designated by the parent to whom the child may be released.

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

Noncompliance Area: During the renewal inspection on 9/28/17, the files for Child #1, enrolled 6/27/17, Child #2, enrolled 7/27/17, and Child #3, enrolled 7/5/17, did not contain initial health reports.

Correction Required: A child`s record shall contain initial and subsequent health reports.

Noncompliance Area: During the renewal inspection on 9/28/17, the emergency contact for Child #3 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child`s record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: During the renewal inspection on 9/28/17, the file for Staff #1 did not include verification of education.

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

Noncompliance Area: During the renewal inspection on 9/28/17, the facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified were not posted in a conspicuous location used by parents

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

Noncompliance Area: During the renewal inspection on 9/28/17, protective receptacle covers were missing in the outlet over the shelf near closet in Room 2.

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

Noncompliance Area: During the renewal inspection on 9/28/17, air freshener, hand sanitizer and disinfectant wipes were accessible to children on top of the cubbies in Room 1. Lysol wipes were accesssible to children on the stall divider in the children's bathroom.

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: During the renewal inspection on 9/28/17, the first aid kit in Room 2 did not contain scissors.

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

Noncompliance Area: During the renewal inspection on 9/28/17, Staff #2 did not wash hands or toddler's hands after changing the child's diaper.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: During the renewal inspection on 9/28/17, no fire drills had been held since children began enrolling in June 2017.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 9/6/17, CHILD 1,2 AND 3 DID NOT HAVE AN AGREEMENT ON FILE.

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

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 9/6/17, CHILD 1,2 AND 3 DID NOT HAVE AN EMERGENCY CONTACT FORM ON FILE.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 9/6/17, CHILD 4 AND 5 DID NOT HAVE A MEDICATION LOG FOR THE MEDICATION AT THE FACILITY.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 9/6/17, STAFF 1 AND 6 WERE MISSING DOCUMENTS FROM THERE FILE. STAFF 1 IS MISSING VERIFICATION OF TB. STAFF 6 IS MISSING TB AND PHYSICAL FROM THERE FILE. CONTINUE NON COMPLIANCE FROM SIN - 00119592.

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

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 9/6/17, STAFF 2,4 AND 5 IS MISSING I.D. FROM THERE FILE. CONTINUE NON COMPLIANCE FROM SIN - 00119592.

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

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 9/6/17, STAFF 3 AND 4 ARE MISSING TWO NON FAMILY REFERENCE FROM THERE FILE. CONTINUE NON COMPLIANCE FROM SIN - 00119592.

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: DURNING THE UNANNOUNCED MONITORING ON 9/6/17, THE INSPECTION SUMMARY WAS NOT POSTED IN A CONSPICUOUS LOCATION.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 9/6/17, STAFF 1,2,4 AND 5 IS MISSING DOCUMENTS FROM THERE FILE. STAFF 1 IS MISSING DISCLOSURE STATEMENT. STAFF 2 IS MISSING MANDATE REPORTER TRAINING, COMPLETE RAP SHEET AND DISCLOSURE STATEMENT. STAFF4 IS MISSING FBI,MANDATE REPORTER TRAINING AND DISCLOSURE STATEMENT. STAFF 5 IS MISSING DISCLOSURE STATEMNT. CONTINUE NON COMPLIANCE FROM SIN - 00119592.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person`s record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1,2,5--- may not work in a child care position at the facility.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 9/6/17, THERE WERE THREE AIDES PRESENT WITH NINE CHILDREN. CONTINUE NON COMPLIANCE FROM SIN - 00119592.

Correction Required: At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 9/6/17, THE DIRECTOR FILE DID NOT CONTAIN VERIFICATION OF TRANSCRIPT WITH REQUIRED CREDIT HOURS AND DEGREE EARNED.

Correction Required: A director shall have attained one of the following qualification levels specified at 3270.34(b)(1) - (4). 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: DURING THE UNANNOUNCED INSPECTION ON 9/6/17, THE DIRECTOR WAS NOT PRESENT AT ASSIGNED SCHEDULED TIME STATED BY OWNER. CONTINUE NON COMPLIANCE FROM SIN - 00119592.

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

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 9/6/17, STAFF 1,3,4 AND 5 WERE MISSING VERIFICATION OF EDUCATION AND EXPERIENCE FROM THERE FILE. CONTINUE NON COMPLIANCE FROM SIN - 00119592.

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: DURING THE UNANNOUNCED MONITORING ON 9/6/17, NONE OF THE AIDES WERE BEING SUPERVISED. CONTINUE NON COMPLIANCE FROM SIN - 00119592.

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

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 9/6/17, STAFF 1 WAS OUT OF RATIO, WHEN SHE WAS SUPERVISING ONE INFANT AND 4 YOUNG TODDLERS.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 8/7/17, OBSERVED AN INCIDENT REPORT INDICATING A STAFF GAVE A CHILD THE INCORRECT MEDICATION.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 8/7/17, STAFF 2,3 AND 4 WAS MISSING THERE PHYSICAL AND TB RESULTS FROM THEIR FILE.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 8/7/17, STAFF 5 DID NOT HAVE A FILE AT THE FACILITY.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 8/7/17, STAFF 1,2 AND 3 DID NOT HAVE VERIFICATION OF AGE IN THE FILE.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 8/7/17, STAFF 1,2,3, AND 4 DID NOT HAVE TWO NON FAMILY 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: DURING THE UNANNOUNCED INSPECTION ON 8/7/17, STAFF 1,2,3,4, AND 5 FILE DID NOT CONTAIN VERIFICATION OF EMERGENCY PLAN TRAINING.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 8/7/17, STAFF 1,2,3 AND 4 WERE MISSING DOCUMENTS FROM THERE FILE. STAFF 1,2,3 AND 4 ARE MISSING A DISCLOSURE STATEMENT. STAFF 3 IS MISSING RECEIPT FOR STATE POLICE, CHILD ABUSE, FBI, AND MANDATE REPORTER TRAINING. STAFF 4 IS MISSING FBI RECEIPTS, AND MANDATED REPORTER TRAINING.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1,2 -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person`s record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3,4--- may not work in a child care position at the facility.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 8/7/17, STAFF 1,3 AND,4 ARE CONSIDERED AIDES.

Correction Required: At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 8/7/17, THE DIRECTOR QUIT ON 7/25/17.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 8/7/17, STAFF 2 FILE DID NOT HAVE PROOF OF EXPERIENCE IN IT.

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: DURING THE UNANNOUNCED INSPECTION ON 8/7/17, STAFF 1 WAS NOT BEING SUPERVISED WHILE WATCHING ONE PRESCHOOLER AND TWO YOUNG SCHOOL AGE CHILDREN.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 8/7/17, THERE WAS SPOTTED CEILING TILES ON THE FIRST FLOOR.

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: DURING THE INITIAL INSPECTION ON 5/12/17, THE REGAULATIONS WERE NOT POSTED IN A CONSPICUOUS LOCATION.

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

Noncompliance Area: DURING THE INITIAL INSPECTION ON 5/12/17, THERE WERE NUMEROUS BLINKING LIGHTS NOT IN SERVICE.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Noncompliance Area: DURING THE INITIAL INSPECTION ON 5/12/17, THE EXIT FROM THE YARD GATE WAS LOCKED AND HAD LARGE OUTDOOR TOYS BLOCKING THE EXIT GATE.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.