Waynesboro Early Learning Center

The facility's Lilac room was observed to have an electrical outlet strip under the bulletin board, along the window that failed to have a protective receptacle covers in one of the electrical outlets.

The facility's Poppie room was observed to have multiple containers of sunscreen labeled "keep out of reach of children" within reach of children.

The facility was observed to have a first-aid kit in the Daisy room that lacked scissors, and a first-aid kit in the Tulips room that lacked tape.

The facility's Poppie room was observed to have a play easel with a broken tray.

The file for Child #5 was observed to lack an initial immunization record obtained no later than 60 days following the first day of attendance at the facility. As evidenced by an immunization record dated 11/14/2023 being the only immunization report in the file.

The facility was observed to have a medication log in their tulip room that failed to include special notes (if any) related to problems of administration.

The facility was observed to lack hands free trash cans in the Lilac and Buttercup rooms. This was evidenced by the facility using swing top lidded trash cans in these two rooms.

An infant bottle that lacked a name label was observed in the Buttercup room.

The file for Child #5 was observed to lack an initial health report obtained no later than 60 days following the first day of attendance at the facility. As evidenced by a health report dated 11/14/2023 being the only health report in the file.

The files for Children #3, #4, #6 and #7 were observed to lack the Department's approved form (Child Service Report) which is to be provided to the family about the child's growth and development in the context of the services being provided.

The file for Child #1 was observed to contain an agreement that failed to specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The file for Child #1 was observed to contain an emergency contact form that failed to include the telephone number of the child's physician or source of medical care

Facility Director stated that a water leak at the outside spigot caused flooding of the floors in two rooms used as child care space, causing children to get wet while playing and sitting on the floors.

Based on documentation, staff have had Child #1 sit alone or did not allow Child #1 to play outside as a result of behavioral issues.

Based on interviews, staff have yelled at children when they are angry and when they are trying to get the children's attention.

Based on interviews, Staff #1 has grabbed children by the arm and left marks that last for 1/2 hour. Based on interviews, Staff #1, #2, and #3 have placed their arms under a child's arms and held the child at chest level. Based on interviews, Staff #1, #2, and #3 have placed children on their laps and held them there even when the children have tried to get away or have asked staff to let them go.

Based on video foot age observed by CR, child #1 was left alone outside on the fenced in play space for approximately 1 minute 40 seconds and child #2 was left alone outside on the same fenced in play space for 3 minutes 4 seconds.

Based on video foot age observed by CR, child #1, preschool age was left alone outside on the fenced in play space for approximately 1 minute 40 seconds and child #2, preschool age was left alone outside on the same fenced in play space for 3 minutes 4 seconds. In addition, staff #1 and staff #2 who were present with the group of children could not indicate who was responsible for child #1 and child #2 the day of the incident.

Based on video foot age observed by CR, child #1 was left alone outside on the fenced in play space for approximately 1 minute 40 seconds and child #2 was left alone outside on the same fenced in play space for 3 minutes 4 seconds.

Based on video foot age observed by CR, child #1 was left alone outside on the fenced in play space for approximately 1 minute 40 seconds and child #2 was left alone outside on the same fenced in play space for 3 minutes 4 seconds. In addition, staff #1 and staff #2 who were present with the group of children could not indicate who was responsible for child #1 and child #2 the day of the incident.

2nd citation. Previously cited on 12/19/23. Child #1, an 8-month-old, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #1 had documentation of 2 DTAP/DTP/TD immunizations and 2 Pneumococcal immunizations.

The file of Staff #4, a provisional hire, lacked a National Sex Offender Registry Certificate within 45 days of start (SEE LIS Code Sheet). The file of Staff #4 contained a NSOR dated 10/26/23, and Staff #4 was not suspended after 45 days.

On 12/18/23 observed a pair of adult scissors in the top small drawer of the desk in Room 7 which were accessible to children.

The file of Staff #1 lacked documentation of training regarding the emergency plan on an annual basis. The file of Staff #1 contained documentation of emergency plan training on 8/18/23 with previous training on 2/21/22.

On 12/18/23 observed an electrical outlet which lacked a protective receptacle cover by the toy oven in the kitchen area in Room 2.

On 12/18/23 observed Desitin which indicated "keep out of the reach of children" on the changing table in Room 5 which was accessible to children.

On 12/18/23 the first-aid kits in Room 2 and in Room 7 lacked disposable, nonporous gloves.

On 12/19/23 observed an exposed screw on the sand box/bench in the Preschool/School-Age Outdoor Play Space. On 12/19/23 observed 8 raised rebar stakes used to secure the carport in the Preschool/School-Age Outdoor Play Space.

On 12/18/23 observed approximately a 1-inch hole in the drywall to the left of the shelf under the cubby by the entrance in Room 4.

On 12/18/23 observed approximately a 1-inch piece of foam missing from the protective surface under the climber in Room 4. On 12/18/23 observed a red, green, and yellow ball pit with exposed foam in Room 4. On 12/18/23 observed an orange tray with 2 cracked corners creating rough edges in the art area in Room 2. On 12/19/23 observed a Little Tykes see saw with approximately an 8-inch crack on the bottom creating pinch points in the Preschool/School-Age Outdoor Play Space. On 12/18/23 observed cracked LEGOS and a broken connector in Room 7. On 12/18/23 observed cracked LEGOS in Room 8.

On 12/19/23 observed embedded equipment in the Young Preschool Outdoor Play Space with approximately 7 inches of mulch. On 12/19/23 observed embedded equipment in the Preschool/School-Age Outdoor Play Space with approximately 7 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

On 12/18/23 observed indoor play equipment for climbing in Room 3 which was not installed or used over a protective surface covering.

On 12/18/23 observed plastic bags under the changing table in Room 4 which were accessible to children. On 12/18/23 observed plastic bags under the changing table in Room 5 which were accessible to children. On 12/18/23 observed foam peg boards with bite marks in Room 6.

The file of Child #5 contained a health report which did not include a list of the child's current medication and the reason for the medication or if a special diet was prescribed for the child.

The file of Child #5 contained a health report which did not include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing, or lead poisoning.

Child #9, a 7-month-old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, Polio, and influenza immunizations according to the recommendations of the ACIP. Child #10 had documentation of 1 Rotavirus immunization, 1 DTAP/DTP/TD immunization, 1 HIB immunization, 1 Pneumococcal immunization, and 1 Polio immunization.

The file of Child #5 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file of Staff #6 lacked a health assessment conducted every 24 months. The file of Staff #6 contained a current health assessment dated 10/11/23 with a previous one dated 9/22/21.

The operator did not conspicuously post the menu at least 1 week in advance.

On 12/18/23 a written statement giving the formula and feeding schedule for an infant was not obtained from the parent.

On 12/18/23 observed bottles not labeled with the child's name in Room 4.

The file of Child #4, a school-age child, lacked a health report no later than 60 days following the first day of attendance at the facility. Child #4 who had an admission date of 10/19/20 had a health report dated 10/19/21. The file of Child #10, an infant, lacked a health report no later than 60 days following the first day of attendance at the facility. Child #10 who had an admission date of 7/24/23 had a health report dated 12/1/23.

The file of Staff #1 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing the health and safety update on 10/11/23.

The file of Staff #1 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #1 contained documentation of fire safety training conducted on 10/5/23 with previous training on 2/21/22.

The file of Staff #1 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #1 contained a written evaluation dated 10/6/23 with a previous one dated 12/6/21.

The files of Staff #3 and #5, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children.

The agreement for Child #4 did not specify the amount of the fee to be charged per day or per week.

Emergency contact information for Child #1 did no include the complete address of the child's physician or source of medical care.

Emergency contact information for Child #1 did not include the complete work address of the enrolling parent. Emergency contact information for Child #3 did not include the work telephone number of the enrolling parent.

Emergency contact information for Child #6 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable. Emergency contact information for Child #9 did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Emergency contact information for Child #1 did not include the address of the individual designated by the parent to whom the child may be released. Emergency contact information for Child #2 did not include the complete address and telephone number of the individual designated by the parent to whom the child may be released. Emergency contact information for Child #5 did not include the complete address of the individual designated by the parent to whom the child may be released. Emergency contact information for Child #7 did not include the complete address of the individual designated by the parent to whom the child may be released. Emergency contact information for Child #9 did not include the complete address of the individual designated by the parent to whom the child may be released.

On 12/19/23 it was observed that an agreement was not on file at the date of admission. Child #2 had an admission date of 8/24/23 but did not have an agreement.

The file of Staff #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #2 contained one written, nonfamily reference.

Based on video footage and interviews, Staff #1 grabbed Child #1 by the neck trying to get a bottle of bubbles from the child which resulted in Child #1 receiving a scratch and several red marks.

*Based on video footage, Staff #1 was seen standing up and walking over to Child #1and taking Child #1's hand. Video then showed Staff #1 carrying Child #1 approximately 12 ½ feet by his/her one hand while his/her feet are in the air. As they neared the table, video showed Child #1 dropping to his/her knees and then showed Staff #1 picking Child #1 up by both of his/her upper arms and roughly placing him/her in a chair. Video showed Staff #1 sitting down and then getting close to Child #1's face before turning away.

**Based on video footage, Staff #1 was seen standing up and walking over to Child #1and taking Child #1's hand. Video then showed Staff #1 carrying Child #1 approximately 12 ½ feet by his/her one hand while his/her feet are in the air. As they neared the table, video showed Child #1 dropping to his/her knees and then showed Staff #1 picking Child #1 up by both of his/her upper arms and roughly placing him/her in a chair. Video showed Staff #1 sitting down and then getting close to Child #1's face before turning away.

Based on video footage and interviews, Staff #1 picked up Child #1 by his/her right arm and carried him/her approximately 5 feet before roughly placing him/her on a mat.

Based on video footage and interviews, Staff #1 picked up Child #1 by his/her right arm and carried him/her approximately 5 feet before roughly placing him/her on a mat.

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: mandated reporter training.

Based on staff interviews, Staff #2 stated to Child #1 that he/she was tired of Child #1 being fussy and crying and stated he/she could not stand Child #1.

2nd citation. Previously cited on 4/17/23. The refrigerator between Rooms 8 and 9 lacked an operating thermometer.

2nd citation. Previously cited on 4/19/23. The file of Child #1, a 7-month-old, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #1 had documentation of 2 DTAP/DTP/TD and 2 Pneumococcal immunizations.

2nd citation. Previously cited on 4/19/23. The facility did not have an emergency plan that provides for accommodations for children with chronic medical conditions.

2nd citation. Previously cited on 4/19/23. The file of Child #2 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

2nd citation. Previously cited on 4/17/23. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in Room 9.

Facility staff released a child to an outside service provider to receive services outside of the classroom without written permission; therefore, leaving the child in a room without child care staff present to supervise the child and maintain ratio while the child was receiving services.

*2nd citation. Previously cited on 4/17/23 under SIN-00222758. At approximately 1:10 PM on 6/13/23 Certification Staff observed 1 older toddler lying on rest equipment behind a bookcase in Room 5 which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee. Facility staff released a child to an outside service provider to receive services outside of the classroom without written permission; therefore, leaving the child in a room without child care staff present to supervise the child and maintain ratio while the child was receiving services.

**2nd citation. Previously cited on 4/17/23 under SIN-00222758. At approximately 1:10 PM on 6/13/23 Certification Staff observed 1 older toddler lying on rest equipment behind a bookcase in Room 5 which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee. Facility staff released a child to an outside service provider to receive services outside of the classroom without written permission; therefore, leaving the child in a room without child care staff present to supervise the child and maintain ratio while the child was receiving services.

*Facility staff released a child to an outside service provider to receive services outside of the classroom without written permission; therefore, leaving the child in a room without child care staff present to supervise the child and maintain ratio while the child was receiving services.

**Facility staff released a child to an outside service provider to receive services outside of the classroom without written permission; therefore, leaving the child in a room without child care staff present to supervise the child and maintain ratio while the child was receiving services.

On 4/17/23 observed 1 crib with a loose sheet creating a potential suffocation hazard in Room 4. On 4/17/23 observed a cord to a baby swing which was not secured creating a potential tripping and/or strangulation hazard in Room 4. On 4/19/23 observed 4 pair of adult scissors in a cup on the teacher's desk in Room 7 which were accessible to children. On 4/17/23 observed 2 pair of adult scissors on the teacher's desk and 1 pair of adult scissors on the moveable cart by the outside exit in Room 9 which were accessible to children.

Staff #3, who initially started as a volunteer and then became employed as an aide, lacked a valid Child Abuse Clearance at the time of initial employment (SEE LIS Code Sheet). Staff #3 had a volunteer Child Abuse Clearance dated 1/24/22 and an employment Child Abuse Clearance dated 3/7/23. The file of Staff #12 contained a disclosure statement with no witness signature.

At approximately 1:00 PM on 4/17/23 Certification Staff observed 1 young toddler lying on rest equipment behind a bookcase in Room 3 which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee. At approximately 1:15 PM on 4/17/23 Certification Staff observed 1 preschooler lying on rest equipment behind a bookcase in Room 6 which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

The emergency plan did not address continuity of operations.

On 4/17/23 observed Great Value Bleach which indicated "keep out of the reach of children" under the bathroom sink in Room 9 which was accessible to children.

The first aid kit in Room 2 lacked tape. The first aid kit in Room 7 lacked tweezers. The first aid kit in Room 8 lacked soap. The first aid kit in Room 9 lacked disposable, nonporous gloves.

On 4/17/23 observed a cracked red cover at the bottom of the phone cord in Room 4. On 4/19/23 observed cracked siding at the corners of the gray shed in the outdoor play space beside the building. On 4/19/23 observed damaged ceiling tile above the bump out in Room 7.

On 4/19/23 observed peeling paint at the entrance and on the bump out to the right of the teacher's desk in Room 7.

On 4/17/23 observed 2 urinals in the Boys' Bathroom across from the office that lacked handwashing signs. On 4/17/23 observed the first sink and the last stall in the Girls' Bathroom by the office that lacked handwashing signs. On 4/19/23 observed a toilet in the bathroom in Room 7 that lacked a handwashing sign. On 4/17/23 observed a toilet in the bathroom in Room 8 that lacked a handwashing sign.

On 4/17/23 the Girls' and Boys' Bathrooms by the office lacked a clean, lidded waste receptacle. On 4/19/23 the lidded can at the sink in Room 7 was not operable.

On 4/17/23 observed rest mats blocking the exit in Room 6.

On 4/17/23 observed a cracked purple tray with rough edges in the art area in Room 1. On 4/17/23 observed a cracked orange triangular magna tile in Room 2. On 4/17/23 observed a torn green circular mat with exposed foam in Room 4. On 4/17/23 observed cracked Magna Tiles in Room 5. On 4/19/23 observed cracked Magna Tiles and cracked LEGOS in Room 7. On 4/19/23 observed cracked bins containing Magna Tiles and LEGOS in Room 7. On 4/17/23 observed a cracked plastic bin containing foam blocks in Room 8. On 4/17/23 observed cracked Magna Tiles in Room 9.

On 4/19/23 observed 4 saucer swings in the outdoor play space beside the building with no mulch under them. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

On 4/19/23 observed foam mats/shapes with bite marks in the gray shed in the outdoor play space beside the building. On 4/19/23 observed stones with a diameter of less than 1 inch in the Infant/Toddler Outdoor Play Space. On 4/17/23 observed foam peg boards with bite marks in Room 5. On 4/17/23 observed foam blocks with bite marks in Room 8.

On 4/17/23 observed a cubby containing rest equipment which was not anchored creating a potential tipping hazard in Room 6. On 4/19/23 observed a broken divider in a cubby by the exit to the outdoor play space in Room 7. On 4/19/23 observed cubbies which were not anchored creating a potential tipping hazard in Room 7. On 4/17/23 observed a dramatic play shelf which was not anchored creating a potential tipping hazard in Room 8. On 4/17/23 observed cubbies and 2 shelves containing dress up clothes which were not anchored creating a potential tipping hazard in Room 9.

On 4/17/23 observed a child sleeping in a large wooden cube in Room 6.

The refrigerator between Rooms 8 and 9 lacked an operating thermometer.

The file of Child #2 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained health reports dated 2/10/22, 12/8/22, and 3/28/23.

The file of Child #3 lacked an updated health report at least every 12 months for an older toddler or preschool child. Child #3, with an admission date of 10/1/20, contained a health report dated 8/15/22 but did not contain a health report for 2021. The file of Child #5 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #5 contained health reports dated 10/28/21 and 12/20/22. The file of Child #6 lacked an updated health report at least every 12 months for an older toddler or preschool child. Child #6, with an admission date of 6/20/20, contained health reports dated 7/18/22 and 10/10/22 but did not contain a health report for 2021. The file of Child #9 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #9 contained health reports dated 4/12/21 and 5/4/22.

The file of Child #1, a 7-month-old, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #1 had documentation of 2 DTAP/DTP/TD and 2 Pneumococcal immunizations.

The files of Staff #4, #5, and #11 lacked a health assessment conducted every 24 months. The file of Staff #4 contained a current health assessment dated 10/10/22 with a previous one dated 9/26/20. The file of Staff #5 contained a current health assessment dated 3/7/22 with a previous one dated 12/19/19. The file of Staff #11 contained a current health assessment dated 2/1/22 with a previous one dated 1/28/20.

The file of Staff #12 contained a health assessment which did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

The facility did not have an emergency plan that provides for accommodations for infants, toddlers, and children with chronic medical conditions.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 4/21/22, 6/17/22, 7/11/22, 9/8/22, 11/3/22, 12/21/22, and 2/9/23.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days or inspected by a fire safety professional annually. The facility did not have a written record that the fire detection system was tested manually. The facility provided documentation the fire detection system was inspected by a fire protection professional on 1/10/22 and then again on 2/8/23.

The files of Staff #4, #6, #8, #9, and #10 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022. The file of Staff #4 contained no documentation of completing the health and safety update. The file of Staff #6 contained documentation of completing the health and safety update on 3/22/23. The file of Staff #8 contained documentation of completing the health and safety update on 3/21/23. The file of Staff #9 contained no documentation of completing the health and safety update. The file of Staff #10 contained documentation of completing the health and safety update on 3/21/23.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (SEE LIS Code Sheet): 10 hour health and safety training.

Staff #7, who initially started as a volunteer and then became employed as an assistant group supervisor, lacked documentation of completing mandated reporter training at the time of initial service in a child care setting (SEE LIS Code Sheet). Staff #7 had documentation of completing mandated reporter training on 3/25/22.

Staff #4 lacked documentation of completing mandated reporter training within 90 days of hire (SEE LIS Code Sheet). Staff #4 had documentation of completing mandated reporter training on 1/24/21.

The written plan of daily activities was not posted in Room 4 and Room 9.

The file of Child #3 lacked an agreement signed by the operator.

The files of Children #4 and #8 lacked the birth date of the child on the emergency contact form.

The file of Child #5 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.

The file of Child #1 lacked the work address of the enrolling parent on the emergency contact form. The file of Child #3 lacked the complete home and work addresses of the enrolling parent on the emergency contact form. The file of Child #6 lacked the home telephone number of the enrolling parent on the emergency contact form.

The file of Child #1 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #3 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #6 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #7 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in Room 9.

The agreement for Child #5 was not reviewed and updated at least once in a 6-month period. Child #5's agreement was reviewed on 12/15/21, 7/20/22, and 1/9/23. The agreement for Child #6 was not reviewed and updated at least once in a 6-month period. Child #6's agreement was reviewed on 7/12/21, 7/18/22, and 1/13/23. The emergency contact for Child #9 was not reviewed and updated at least once in a 6-month period. Child #9's emergency contact was reviewed on 2/23/22, 9/20/22, and 1/6/23.

The files of Staff #1 and #2 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 2/21/22. The file of Staff #2 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 2/20/23.

The file of Staff #3, who was designated as an aide, lacked documentation of a minimum of 200 clock hours of supervised training in a child care facility.

2nd citation. Previously cited on 8/29/22. On 8/22/22 at approximately 1:41 PM video footage shows Child #1 standing at the window and then walking away as Staff #1 approaches him/her. At that point Staff #1 is observed picking up Child #1 and putting him/her on his/her rest mat. When Child #1 gets off his/her rest mat, Staff #1 is observed placing one of his/her leges over Child #1 to keep him/her on his/her mat. When Child #1 tries to get off his/her mat again, Staff #1 is observed pulling Child #1 back on the mat using his/her legs and then Staff #1 places both his/her legs over Child #1's legs. Based on the video footage, Staff #1 has his/her legs on top of Child #1's legs for approximately 4 minutes.

Based on interviews, Staff #1 swears in the presence of the children on a regular basis.

2nd citation. Previously cited on 5/18/22. At approximately 1:40 PM Certification Staff observed 2 children lying on rest equipment behind bookcases in the Marigolds Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

On 8/22/22 at approximately 1:41 PM video footage shows Child #1 standing at the window and then walking away as Staff #1 approaches him/her. At that point Staff #1 is observed picking up Child #1 and putting him/her on his/her rest mat. When Child #1 gets off his/her rest mat, Staff #1 is observed placing one of his/her legs over Child #1 to keep him/her on his/her mat. When Child #1 tries to get off his/her mat again, Staff #1 is observed pulling Child #1 back on the mat using his/her legs and then Staff #1 places both of his/her legs over Child #1's legs. Based on the video footage, Staff #1 has his/her legs on top of Child #1's legs for approximately 4 minutes.

The file of Staff #1 lacked documentation of competence in water safety instruction demonstrated by the completion of basic instruction in water safety from a certified lifeguard.

When Children #1, #2, #3, #4, #5, #6, #7, and #8 were at the swimming pool, emergency contact information specific to each child on the excursion did not accompany a staff person on the excursion.

The file of Staff #9 lacked a State Sex Offender Registry Check from the State(s) in which Staff #9 resided in the last 5 years by 7/1/20. The file of Staff #10 lacked a signed disclosure statement.

On 6/7/22 observed 2 pair of adult scissors in a cup on a cabinet at the entrance to the Butterflies Classroom which were accessible to children. On 6/7/22 observed adult scissors in a cup on a cabinet at the entrance to the Owls Classroom as well as 5 pairs of adults scissors and a screw driver in a green container on the shelf in the corner of the room which were accessible to children. On 6/7/22 observed adult scissors in a cup on the teacher's desk in the Monkeys Classroom which were accessible to children.

The facility did not have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instructions as to how parents can safety be reunited with their children.

On 6/22/22 observed electrical outlets which lacked protective receptacle covers under the shelf beside the sink, between the 1st and 2nd windows, and directly across from the entrance in the Ducklings Classroom.

On 6/7/22 observed 2 Bingo Daubers which indicated "keep out of the reach of children" on the window sill by the plants in the Owls Classroom which were accessible to children. On 6/7/22 observed Bingo Daubers which indicated "keep out of the reach of children" in the art area in the Flamingoes Classroom which were accessible to children. On 6/7/22 observed Bingo Daubers which indicated "keep out of the reach of children" behind the easel by the office in the Unicorns Classroom which were accessible to children. On 6/22/22 observed a plastic bin containing various sunscreens which indicated "keep out of the reach of children" on the shelf at the entrance to the Ducklings Classroom which were accessible to children. On 6/22/22 observed WD-40 and Lysol Disinfectant Spray which indicated "keep out of the reach of children" under the sink in the Daisies Classroom which were accessible to children. On 6/7/22 observed Fabuloso and Pure Bright Germicidal Ultra Bleach which indicated "keep out of the reach of children" under the kitchen sink in the School-Age Classroom which were accessible to children.

On 6/7/22 the hot water temperature was 113 degrees at the bathroom sink located in the Monkeys Classroom.

On 6/22/22 a first-aid kit was not in the Duckling Classroom.

On 6/13/22 observed a first-aid kit on a shelf by the exit door in the School-Age Classroom which was accessible to children in care.

On 6/7/22 the first-aid kit in the Calves Classroom lacked tweezers. On 6/7/22 the first-aid kit in the Lamb/Piglet Classrooms lacked soap and tape.

On 6/13/22 observed approximately a 4 foot long loose tree root causing a potential tripping hazard in the Outdoor Playspace. On 6/7/22 observed loose baseboard trim under the telephone in the Piglets Classroom.

On 6/7/22 observed peeling paint under the mirror in the Daisies Classroom. On 6/7/22 observed peeling paint on the wall to the right of the block shelf in the Lambs Classroom. On 6/7/22 observed peeling on the door frame by the refrigerator in the Piglets Classroom.

On 6/7/22 observed the first sink and 2nd and 3rd stalls in the Girls Bathroom lacked handwashing signs. On 6/7/22 observed the urinals and 1st stall in the Boys Bathroom lacked handwashing signs. On 6/7/22 observed the sink and toilet lacked a handwashing sign in the bathroom located in the Unicorns Classroom. On 6/7/22 observed the toilet lacked a handwashing sign in the bathroom located in the Lambs/Piglets Classrooms. On 6/7/22 observed the toilet lacked a handwashing sign in the bathroom located in the School-Age Classroom.

On 6/7/22 observed the lidded waste receptacle had a broken foot pedal in the bathroom located in the Monkeys Classroom.

On 6/7/22 observed a cracked green bin containing animals in the Butterflies Classroom. On 6/7/22 observed torn rest mats with exposed foam in the Butterflies Classroom. On 6/7/22 observed a cracked bin containing "hatchimals" with approximately 2 inches missing from the corner in the Owls Classroom. On 6/7/22 observed a cracked bin containing small blocks with approximately 2 inches missing from the corner in the Owls Classroom. On 6/7/22 observed cracked Magna Tiles in the Owls Classroom. On 6/7/22 observed torn rest equipment with exposed foam in the Owls Classroom. On 6/7/22 observed cracked Magna Tiles in the Flamingoes Classroom. On 6/7/22 observed a cracked blue bin containing animals in the Flamingoes Classroom. On 6/7/22 observed a child's blue sofa with approximately a 2 inch hole on the left arm and approximately a 6 inch tear where the arm and seat join on the left side in the Unicorns Classroom. On 6/7/22 observed torn rest mats with exposed foam in the Daisies Classroom. On 6/7/22 observed torn rest mats with exposed foam in the Lambs Classroom. On 6/7/22 observed torn rest mats with exposed foam in the Piglets Classroom. On 6/7/22 observed a cracked blue bin…

On 6/7/22 observed foam blocks with bite marks in the Monkeys Classroom.

On 6/7/22 observed rest equipment not labeled for the use of a specific child in the following classrooms: Butterflies, Owls, Flamingoes, Calves, Lambs, and Piglets. On 6/7/22 observed 2 children sleeping on climbing mats used by all children in the Calves Classroom.

The file of Child #1 contained a health report which lacked a review of the child's health history.

The file of Child #1, a 4 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #4, a 2 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #6, a 2 year old, lacked Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #6 contained documentation of one Hepatis A immunization. The file of Child #9, a 3 year old, lacked a current influenza immunization and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #9 contained documentation of one Hepatitis A immunization. The file of Child #10, a 3 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

On 6/7/22 observed prescription medication for Child #11 was not accepted in an original container.

On 6/7/22 the operator did not establish and maintain a medication log for Child #10.

The file of Staff #5 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS CODE SHEET). The file of Staff #5 contained a health assessment dated 1/19/22. The file of Staff #7 lacked a health assessment conducted every 24 months. The file of Staff #7 contained a current health assessment dated 12/14/21 with a previous one dated 3/18/19. The file of Staff #8 lacked a health assessment conducted every 24 months. The file of Staff #8 contained a current health assessment dated 2/23/21 with a previous one dated 2/8/19. The file of Staff #9 lacked a health assessment conducted every 24 months. The file of Staff #9 contained a current health assessment dated 5/26/21 with a previous one dated 8/4/17.

The file of Staff #1 lacked an initial health assessment which included tuberculosis screening by the Mantoux method at initial employment (SEE LIS CODE SHEET). Staff #1 had a health assessment dated 3/26/21 but a Mantoux test read date of 3/27/20.

On 6/7/22 the operator did not conspicuously post the menu at least 1 week in advance.

On 6/7/22 observed bottles which were not labeled with the child's name in the Calves Classroom.

On 6/13/22 written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

On 6/13/22 the first-aid kits for both vans lacked soap.

The facility did not conduct an emergency drill annually. The facility had documentation that an emergency drill was conducted on 5/27/22.

The Director or designated staff person did not ensure that fire drills are conducted at least once every 60 days. The facility provided documentation that fire drills were conducted on 3/8/21, 4/29/21, 6/25/21, 8/23/21, 10/8/21, 12/22/21, 2/23/22, 4/21/22.

The files of Children #2, #4, #5, and #7 lacked an initial health report no later than 90 days following the first day of attendance at the facility. Child #2 had an admission date of 10/25/21 and had no health report on file. Child #4 had an admission date of 1/6/20 and had a health report dated 5/5/22 on file. Child #5 had an admission date of 6/7/21 and had a health report dated 1/13/22 on file. Child #7 had an admission date of 10/25/21 and had no health report on file.

The facility did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, and distraught child, and the prevention and identification of child maltreatment.

The file of Staff #8 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #8 contained documentation of participating in fire safety training on 12/29/20 and then on 2/21/22.

Staff persons #4 and #6 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic. Staff person #11 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training.

The files of Staff #2 and #3, who were designated as assistant group supervisors, lacked documentation of 2 years experience with children. The file of Staff #12, who was designated as an assistant group supervisor, lacked documentation of a high school diploma and 2 years experience with children.

On 6/7/22 the written plan of daily activities was not posted in the following classrooms: Unicorns, Monkeys, and Daisies.

The files of Children #4 and #9 lacked the persons designated by a parent to whom the child may be released on the emergency contact form.

The files of Children #4 and #9 lacked the date of the child's admission on the agreement.

The files of Children #1, #2, #3, #4, #5, #6, #8, #9, and #10 contained the original copy of the agreement. The facility did not make a copy for the files and give the original to the parent.

The files of Children #7 and #10 lacked the address of the child's physician or source of medical care on the emergency contact form.

The file of Child#1 lacked the home address, work address, and work telephone number of the enrolling parent on the emergency contact form. The file of Child #2 lacked the home address of the enrolling parent on the emergency contact form. The file of Child #3 lacked the work address and work telephone number of the enrolling parent on the emergency contact form. The file of Child #5 lacked the work address and work telephone number of the enrolling parent on the emergency contact form. The file of Child#8 lacked the home address, work address, and work telephone number of the enrolling parent on the emergency contact form. The file of Child #9 lacked the complete work address of the enrolling parent on the emergency contact form. The file of Child #10 lacked the work address and work telephone number of the enrolling parent on the emergency contact form.

The files of Children #2, #8, and #10 lacked signed parental consent for emergency medical care prior to admission on the emergency contact form. Child #1 had an admission date of 10/25/21 with an emergency contact form signed on 1/25/22. Child #8 had an admission date of 8/30/21 with no signed parental consent for emergency medical care. Child #10 had an admission date of 4/25/22 with no signed parental consent for emergency medical care.

The files of Children #8, #9, and #10 lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the emergency contact form.

The files of Children #1 and #3 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Children #5, #6, and #10 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The files of Children #7 and #8 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

On 6/7/22 observed emergency contact information for Children #12, #13, and #14 was not present when the children were receiving care in the Calves Classroom. On 6/7/22 observed emergency contact information for Children #6 and #15 was not present when the children were receiving care in the Lamb Classroom. On 6/7/22 observed emergency contact information for Children #16, #17, and #18 was not present when the children were receiving care in the Piglets Classroom.

On 6/7/22 a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the following classrooms: Butterflies, Owls, Flamingoes, Calves, Unicorns, Monkeys, Ducklings, Daisies, Lambs, Piglets, and School-Age.

The emergency contact for Child #4 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #4's emergency contact was reviewed on 1/27/21 and then again on 6/9/22. The emergency contact for Child #5 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #5's emergency contact was reviewed on 5/25/21 and then again on 2/15/22. The emergency contact form for Child #6 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #6's emergency contact was signed on 7/16/21 with no reviews. The emergency contact form for Child #7 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #7's was signed on 9/8/21 with no reviews. The emergency contact form for Child #8 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #8's emergency contact form was signed on 8/24/21 and then reviewed on 5/8/22.

The file of Child #8 lacked signed parental consent for administration of medications or special dietary needs on the emergency contact form.

The files of Children #2, #8, and #10 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission on the emergency contact form. Child #2 had an admission date of 10/25/21 with an emergency contact form signed on 1/25/22. Child #8 had an admission date of 8/30/21 with no signed parental consent for administration of minor first-aid procedures. Child #10 had an admission date of 4/25/22 with no signed parental consent for administration of minor first-aid procedures.

The file of Child #8 lacked signed parental consent for transportation, walking excursions, swimming and wading on the emergency contact form.

The file of Child #7 lacked a copy of the initial agreement and subsequent agreements between the parent and the operator. The file of Child #7 did not contain any agreements. It was observed that an agreement was not on file at the date of the enrollment for Children #6, #8, and #9. Child #6's date of admission was 7/26/21 with an agreement dated on 8/1/21. Child #8's date of admission was 8/30/21 with an agreement dated on 12/16/21. Child #9's date of admission was 1/3/22 with an agreement dated 2/2/22.

The files of Staff #2, #4, #10, and #11 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #2 contained one written reference. The file of Staff #4 contained no written references. The file of Staff #10 contained one written reference. The file of Staff #11 contained one written reference.

The files of Staff #1, #8, and #9 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

Based on interviews and video footage, Staff #1 grabbed Child #1 by the arm and pulled Child #1's arm to pull him/her out from under a table in the kitchen.

Staff persons #2 and #5 were observed to be caring for children unsupervised. Staff person #2 and #5 have not completed the following pre-service training required prior to caring for children unsupervised: health and safety training.

At approximately 1:10 PM Certification Staff observed 2 children lying on rest equipment behind bookcases in the Piglet Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

Staff Persons #1, #2, #3, #4, and #7 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic. Staff Persons #2, #3 and #6 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training.

After viewing the video of the event, it was observed that Staff #1 grabbed a running child by the wrist and lifted them off the ground.

** It was observed on video tape and disclosed during staff interviews that Staff #1 was removing an older toddler aged child from the playground and was aggressive with the child while moving them to another classroom. Staff person #1 can be seen dragging the child by his or her hood before placing the child under their arm and then placing the child in a classroom. Approximately 5 to 10 minutes later it was confirmed that staff person #1 went back into the classroom and is seen on video sticking his or her finger in the child face.

* It was observed on video tape and disclosed during staff interviews that Staff #1 was removing an older toddler aged child from the playground and was aggressive with the child while moving them to another classroom. Staff person #1 can be seen dragging the child by his or her hood before placing the child under their arm and then placing the child in a classroom. Approximately 5 to 10 minutes later it was confirmed that staff person #1 went back into the classroom and is seen on video sticking his or her finger in the child face.

* It was observed on video tape and disclosed during staff interviews that Staff #1 was removing an older toddler aged child from the playground and was aggressive with the child while moving them to another classroom. Staff person #1 can be seen dragging the child by his or her hood before placing the child under their arm and then placing the child in a classroom. Approximately 5 to 10 minutes later it was confirmed that staff person #1 went back into the classroom and is seen on video sticking his or her finger in the child face.

** It was observed on video tape and disclosed during staff interviews that Staff #1 was removing an older toddler aged child from the playground and was aggressive with the child while moving them to another classroom. Staff person #1 can be seen dragging the child by his or her hood before placing the child under their arm and then placing the child in a classroom. Approximately 5 to 10 minutes later it was confirmed that staff person #1 went back into the classroom and is seen on video sticking his or her finger in the child face.

** It was observed on video tape and disclosed during staff interviews that Staff #1 was removing an older toddler aged child from the playground and was aggressive with the child while moving them to another classroom. Staff person #1 can be seen dragging the child by his or her hood before placing the child under their arm and then placing the child in a classroom. Approximately 5 to 10 minutes later it was confirmed that staff person #1 went back into the classroom and is seen on video sticking his or her finger in the child face.

* It was observed on video tape and disclosed during staff interviews that Staff #1 was removing an older toddler aged child from the playground and was aggressive with the child while moving them to another classroom. Staff person #1 can be seen dragging the child by his or her hood before placing the child under their arm and then placing the child in a classroom. Approximately 5 to 10 minutes later it was confirmed that staff person #1 went back into the classroom and is seen on video sticking his or her finger in the child face.

** Staff #3 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement. The file for staff #4 was observed having a hire date of (SEE LIS CODE SHEET) and a Pennsylvania State Police (PSP) clearance dated 12/7/21. Staff #4 was observed having a volunteer Pennsylvania Child Abuse clearance. Staff #6 was observed having only a receipt for their current PSP clearance dated 7/16/21, which identified no record existed. Staff #7 was observed having a Maryland address but lacked a Maryland DHS Child Abuse clearance. Staff #10 lacked a disclosure statement on file and was observed having only a receipt showing they were fingerprinted for the FBI clearance on 4/23/21. Staff #12 was observed having only a receipt for their current PSP clearance which identified no record existed. The file for staff #13 was observed having a hire date of (SEE LIS CODE SHEET) and a PSP clearance dated 12/6/21. The file for staff #14, utilized as a volunteer, lacked an FBI clearance on file. Staff #16 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement on file. Staff #16 was observed having only a receipt for their current PSP clearance dated…

**** Staff #3 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement. The file for staff #4 was observed having a hire date of (SEE LIS CODE SHEET) and a Pennsylvania State Police (PSP) clearance dated 12/7/21. Staff #4 was observed having a volunteer Pennsylvania Child Abuse clearance. Staff #6 was observed having only a receipt for their current PSP clearance dated 7/16/21, which identified no record existed. Staff #7 was observed having a Maryland address but lacked a Maryland DHS Child Abuse clearance. Staff #10 lacked a disclosure statement on file and was observed having only a receipt showing they were fingerprinted for the FBI clearance on 4/23/21. Staff #12 was observed having only a receipt for their current PSP clearance which identified no record existed. The file for staff #13 was observed having a hire date of (SEE LIS CODE SHEET) and a PSP clearance dated 12/6/21. The file for staff #14, utilized as a volunteer, lacked an FBI clearance on file. Staff #16 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement on file. Staff #16 was observed having only a receipt for their current PSP clearance…

*** Staff #3 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement. The file for staff #4 was observed having a hire date of (SEE LIS CODE SHEET) and a Pennsylvania State Police (PSP) clearance dated 12/7/21. Staff #4 was observed having a volunteer Pennsylvania Child Abuse clearance. Staff #6 was observed having only a receipt for their current PSP clearance dated 7/16/21, which identified no record existed. Staff #7 was observed having a Maryland address but lacked a Maryland DHS Child Abuse clearance. Staff #10 lacked a disclosure statement on file and was observed having only a receipt showing they were fingerprinted for the FBI clearance on 4/23/21. Staff #12 was observed having only a receipt for their current PSP clearance which identified no record existed. The file for staff #13 was observed having a hire date of (SEE LIS CODE SHEET) and a PSP clearance dated 12/6/21. The file for staff #14, utilized as a volunteer, lacked an FBI clearance on file. Staff #16 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement on file. Staff #16 was observed having only a receipt for their current PSP clearance dated…

*Staff #3 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement. The file for staff #4 was observed having a hire date of (SEE LIS CODE SHEET) and a Pennsylvania State Police (PSP) clearance dated 12/7/21. Staff #4 was observed having a volunteer Pennsylvania Child Abuse clearance. Staff #6 was observed having only a receipt for their current PSP clearance dated 7/16/21, which identified no record existed. Staff #7 was observed having a Maryland address but lacked a Maryland DHS Child Abuse clearance. Staff #10 lacked a disclosure statement on file and was observed having only a receipt showing they were fingerprinted for the FBI clearance on 4/23/21. Staff #12 was observed having only a receipt for their current PSP clearance which identified no record existed. The file for staff #13 was observed having a hire date of (SEE LIS CODE SHEET) and a PSP clearance dated 12/6/21. The file for staff #14, utilized as a volunteer, lacked an FBI clearance on file. Staff #16 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement on file. Staff #16 was observed having only a receipt for their current PSP clearance dated…

Staff #11 was observed having a hire date of (SEE LIS CODE SHEET) but lacked documentation of training regarding the emergency plan at the time of initial employment. No current training was observed on file. Staff #12 was observed having a hire date of (SEE LIS CODE SHEET) but lacked documentation of training regarding the emergency plan at the time of initial employment. No current training was observed on file.

The "Unicorns" child care space located in the basement was observed having cabinets with an approximate 6 foot height and 3 foot width which lacked anchoring to wall, creating a safety hazard.

The "Calf" child care space located on the main floor was observed having children's rest mats which lacked a label for the use of a specific child.

Staff #2 lacked health assessments completed every 24 months. Health assessments observed on file were dated 10/6/17 and 8/23/21, exceeding 24 months between assessments. Staff #5, who is utilized as a facility person, lacked health assessments completed every 24 months. Health assessments observed on file were dated 2/22/18 and 5/29/20, exceeding 24 months between assessments. The file for staff #14, utilized as a volunteer, lacked a health assessment on file.

The file for staff #14, utilized as a volunteer, lacked record of tuberculosis screening by the Mantoux method.

The facility lacked documentation for the installation of the current fire detection system on file. The facility lacked testing of the fire detection system on a monthly basis or current fire detection system inspection.

The file for child #1 was observed having an enrollment date of 5/17/21 and lacked an initial health assessment on file within 90 days as required by the governors suspension of regulations during this time period. The file for child #2 was observed having an enrollment date of 9/2/21 and lacked an initial health assessment on file within 90 days as required by the governors suspension of regulations during this time period.

Staff #1 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. The most current certification on file was dated 9/24/19, exceeding 24 months.

The file for staff #8 was observed having a hire date on (SEE LIS CODE SHEET) and Mandated Reporter training completed 0n 8/26/21, exceeding 90 days after employment. The file for staff #11 was observed having a hire date on (SEE LIS CODE SHEET) and lacked Mandated Reporter training within 90 days. No current training was observed on file.

During renewal inspection on 1/4/22 the facility was found lacking a director. Staff #7, who is was currently being utilized as the facility director, had a documented hire date of(SEE LIS CODE SHEET). Staff #7 was observed having an out of state address and lacked the required out of state clearances on file which disqualifies staff #7 from the director position until all required clearances are obtained.

The file for child #3 lacked a copy of the agreement.

The file for child #4 lacked the work addresses and telephone numbers of the enrolling parent.

Staff #4 lacked verification of education prior to service at the facility. No educational record was observed on file. Staff #6 lacked verification of education prior to service at the facility. No educational record was observed on file. Staff #9 lacked verification of education prior to service at the facility. No educational record was observed on file. Staff #12 lacked verification of education prior to service at the facility. No educational record was observed on file.

Staff #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Staff #4 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Staff #6 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Staff #10 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for staff #14, utilized as a volunteer, lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for staff #17 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff #3 was observed having an initial employment date of (SEE LIS CODE SHEET) and lacked pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff #11 was observed having an initial employment date of (SEE LIS CODE SHEET) and lacked pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. No current training was observed. Staff #15 was observed having an initial employment date of (SEE LIS CODE SHEET) and lacked pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. No current training was observed.

Staff #1 lacked professional development topic 1-9 completed under subsection (f). No current training was observed. Staff #2 lacked professional development topics 1-9 completed under subsection (f). No current training was observed. Staff #3 lacked professional development topics 1-9 completed under subsection (f) within 90 days of hire. No current training was observed. Staff #6 lacked professional development topics 1-9 completed under subsection (f) within 90 days of hire. No current training was observed. Staff #8 was observed having a hire date of (SEE LIS CODE SHEET) and professional development topics 1-9 under subsection (f) completed on 9/20/21, exceeding within 90 days of hire. Staff #10 lacked professional development topics 1-9 completed under subsection (f) within 90 days of hire. No current training was observed. Staff #11 lacked professional development topics 1-9 completed under subsection (f) within 90 days of hire. No current training was observed. Staff #12 lacked professional development topics 1-9 completed under subsection (f) within 90 days of hire. No current training was observed. Staff #15 lacked professional development topics 1-9 completed under…

The facility lacked the current certificate of compliance posted in a conspicuous location used by parents, information on how to access the regulations in this chapter electronically, and instructions for contacting the appropriate regional child care office.