Ken Crest-lehigh

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During the allocated unannounced monitoring, certification representative reviewed 2 staff files and the file for staff #1 did not include an updated health assessment. (last 4/1/24)

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.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the comprehensive general liability insurance expired on 2/28/26

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 staff files and the file for staff #1 and #2 did not include the update disclosure statement that was effective: February 1, 2025.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 and #2--- may not work in a childcare position at the facility.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During the renewal inspections, certification representative conducted a facility walkthrough and observed a toilet in the last stall close to the window in disrepair the bathroom is across from the main office.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: DURING THE RENWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 5 CHILDRENS FILES AND THE HEALTH REPORTS FOR CHILD #1, #2 AND #3 DID NOT INCLUDE THE STATEMENT THAT THE CHILD IS ABLE TO PARTICIPATE IN CHILD CARE AND APPEARS TO BE FREE FROM CONTAGIOUS OR COMMUNICABLE DISEASE.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED THE FACILITY FILES AND THE COMPREHENSIVE GENERAL LIABILITY INSURANCE EXPIRED ON 2/28/2025

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.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 4 STAFF FILES AND THE FILES OF STAFF #1 AND STAFF #2 DID NOT INCLUDE PEDIATRICE FIRST AID AND CPR TRAINING WITHIN 90 DAYS OF HIRE.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: DUDRING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH AND THE TRASH CAN IN ROOM 3 NEXT TO THE CHILDRENS COMPUTER DESK, AND IN THE BATHROOMS OF ROOM 3, ROOM 6, AND ROOM 7 DID NOT HAVE A TRASH CAN LID.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and staff #1 and staff #2 did not know how many children were assigned to them.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, certification representative reviewed facility files and the policy for Shaken Baby Syndrome and Child Maltreatment did not address recognition for potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing or distraught child and the identification and prevention of child maltreatment per Announcement C-22-03 that was issued on January 24,2022.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

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

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 7 staff files and the file for staff #3, STAFF #4, staff #5 and staff 68 did not include a verification of child care experience.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and there was chipped paint throughout in the following areas: GREY WALL ACROSS FROM TOILET IN ROOM 7.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: While conducting a renewal inspection on 5/11/23 it was observed classroom #4 located on the 2nd floor dramatic play area kitchen handle is broken and a sharp nail is exposed causing a cutting threat to children.

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

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: While conducting a renewal inspection on 5/11/23 it was observed child#1 emergency contact form has not been reviewed or updated within 6 month period

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.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: While conducting a renewal inspection on 5/11/23 it was observed the 1st floor bathroom in classroom # 1; the toilet area in classroom# 2 and toilet area in classroom #3 did not have the required handwashing signs posted.

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.