3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

On 05/05/2026, while under the supervision of Staff Person #1, Child #1 was able to climb the outside of the indoor play structure, which is approximately 14 feet tall, falling from the structure when Staff Person #2 called Child #1's name, hitting their face on the floor, resulting in nasal bleeding, a black eye and swelling and tearing of upper lip.

Corrected Corrected by May 20, 2026

Category: supervision. Marked corrected in the state record.

3270.119/3270.166(6) · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

At the time of the Unannounced Monitoring Visit conducted on 05/14/2026, Child #1 was placed in a crib on their back, on top of a boppy pillow with a loose blanket over the child being used to prop the bottle up to their mouth.

Corrected Corrected by May 15, 2026

Category: health medication. Marked corrected in the state record.

3270.113(a) · 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. 1. 04/10/2026: Children must be supervised at all times. 2. 05/24/2026: 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. Implemented 05/20/2026. 3. 07/10/2026: 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.

During complaint investigation on 03/30/2026, it was determined on 03/27/2026, child #1 eloped from Kid Zone play space as staff person #1 was leaving room. Child #1 went through lobby area, upstairs to 2nd floor where child #1 was able to access elevator, taking elevator to lower basement level, exiting through exterior door on lower basement level, running up the ramp, through the parking lot and down the sidewalk into traffic on busy main road, where a passerby and child care staff were able to retrieve child #1.

Corrected Corrected by Jul 10, 2026

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

During the complaint investigation conducted on 03/30/2026, when asked to identify their supervisory groups, Staff Person #2 and Staff Person #3 did not have clear supervisory groups. Staff Person #2 identified 3 children in their supervisory group, but one child they named was not present at the time of the investigation. Staff Person #3 stated they could not name their group because they were in the bathroom when Staff Person #2 identified their group and they did not know which children Staff Person #2 already identified.

Corrected Corrected by Mar 30, 2026

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At the time of the Unannounced Visit on 03/30/2026, the file for Staff Person #1, hired 09/16/2025, did not contain verification of the completion of Pediatric First Aid and Cardiopulmonary Resuscitation Training.

Corrected Corrected by Apr 16, 2026

Category: ratio. Marked corrected in the state record.

3270.31(f)/3270.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility persons file in an electronic system as designated by the Department. Documentation of the completion of the professional development under § 3270.31(f) taken from September 30, 2016 forward satisfies this requirement.

At the time of the Unannounced Visit on 03/30/2026, the file for Staff Person #1, hired09/16/2025, did not contain verification of the completion of the required Health and Safety Trainings.

Corrected Corrected by Apr 1, 2026

Category: health medication. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility.

At the time of the Unannounced Visit, Staff Person #1, hired 09/16/2025, did not contain verification of the completion of Mandated Reporter Training.

Corrected Corrected by Mar 31, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 2 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 #2 may not work in a child care position at the facility.

At the time of the Unannounced Visit on 03/30/2026, the file for Staff Person #2 did not contain a completed PA Criminal Background Clearance or a completed National Sex Offender Registry Clearance.

Corrected Corrected by Apr 9, 2026

Category: background checks. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

At the time of the Unannounced Visit conducted on 03/30/2026, the files for Staff Person #1 hired, 09/16/2025, and Staff Person #2, hired 02/12/2026, did not have an initial health assessment including the results of a tuberculin skin test.

Corrected Corrected by Apr 30, 2026

Category: health medication. Marked corrected in the state record.

3270.192(5) · 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.

At the time of the Unannounced Visit on 03/30/2026, the file for Staff Person #2 did not contain two written references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Apr 1, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

At the time of the Unannounced Visit conducted on 12/04/2025, there was peeling paint on the wall in the Toddler Classroom near the door for the Infant Classroom.

Corrected Corrected by Jan 5, 2026

Category: physical safety. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1 may not work in a child care position at the facility.

At the time of the Unannounced Visit conducted on 12/04/2025, the most recent National Sex Offender Registry Clearance on file for Staff Person #1 was dated 09/17/2020.

Corrected Corrected by Jan 5, 2026

Category: background checks. Marked corrected in the state record.

3270.76 · 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.

At the time of the Unannounced Visit conducted on 12/04/2025, there were stained ceiling tiles in the Pre-Kindergarten Classroom above the lunch tables and in the Indoor Play space.

Corrected Corrected by Jan 5, 2026

Category: physical safety. Marked corrected in the state record.

3270.27(c) · 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.

At the time of the Renewal Inspection conducted on 06/11/2025, the most recent verification of Emergency Plan training on file for Staff Person #4 was dated 09/15/2023.

Corrected Corrected by Jun 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · 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.

At the time of the Renewal Inspection conducted on 06/11/2025, Staff Person #3, hired 05/20/2024 did not contain verification of the completion of Annual Fire Safety Training.

Corrected Corrected by Jun 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

At the time of the Renewal Inspection conducted on 06/11/2025, there was peeling paint on the doorframe of the bathroom located in the Pre-Kindergarten Classroom.

Corrected Corrected by Jun 19, 2025

Category: physical safety. Marked corrected in the state record.

3270.123(a)(3) · 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).

At the time of the Renewal Inspection conducted on 06/11/2025, the file for Child #1, Child #2, Child #3, Child #4 and Child #5 did not contain a Child Service Report.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

At the time of the Renewal Inspection conducted on 06/11/2025, the dates on the Emergency Contact and Agreement forms on file for Child #1, Child #2, Child #3, Child #4 and Child #5 indicated that the forms had not been reviewed, updated or signed within a 6-month time frame.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

At the time of the Renewal Inspection conducted on 06/11/2025, the most recent health assessment on file for Child #2 was dated 11/30/23 and the most recent health assessment on file for Child #5 was dated 02/08/2024.

Corrected Corrected by Jun 30, 2025

Category: health medication. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

At the time of the Renewal Inspection conducted on 06/11/2025, Staff Person #1 did not wash Child #3's hands after being diapered.

Corrected Corrected by Jun 12, 2025

Category: health medication. Marked corrected in the state record.

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

At the time of the Renewal Inspection conducted on 06/11/2025, Staff Person #1 did not wash their hands after diapering a child.

Corrected Corrected by Jun 12, 2025

Category: health medication. Marked corrected in the state record.

3270.192(5) · 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.

At the time of the Renewal Inspection conducted on 06/11/2025, the file for Staff Person #2 contained one written nonfamily reference letter.

Corrected Corrected by Jun 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

At the time of the Renewal Inspection conducted on 06/11/2025, the file for Staff Person #3 did not contain verification of the completion of 12 clock hours of childcare training.

Corrected Corrected by Jun 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · 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.

At the time of the Inspection conducted on 05/21/2025, the file for Staff Person #1 did not contain the verification of education and childcare experience required to qualify as an Assistant Group Supervisor.

Corrected Corrected by Jun 23, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At the time of the Inspection conducted on 05/21/2025, Child #1 was left in the Pre-School Classroom with two therapists unsupervised by facility staff.

Corrected Corrected by May 21, 2025

Category: supervision. Marked corrected in the state record.

3270.192(5) · 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.

At the time of the Inspection conducted on 05/21/2025, the file for Staff Person #1 did not contain two written references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

At the time of the Inspection conducted on 05/21/2025, the fire drill log indicated fire drills were not being conducted at least every 60 days. The two most recent fire drill on file were dated 01/23/2025 and 04/14/2025.

Corrected Corrected by Jun 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

At the time of the Inspection conducted on 05/21/2025, the fire drill log indicated that the fire detection system was not being tested every 30 days. The two most recent dates the fire detection system was tested were 01/23/2025 and 04/14/2025. The facility also could not provide the Fire Inspection Report.

Corrected Corrected by Jun 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: STAFF PERSON #1 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. STAFF PERSON #1 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY.

During unannounced inspection 02/24/2025, staff person #1 did not have verification that NSOR had been applied for nor was the completed clearance on file.

Corrected Corrected by Feb 25, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

During unannounced inspection 02/24/2025, staff person #2 was unable to name children staff person was supervising. Staff person was only staff in the room at the time.

Corrected Corrected by Feb 25, 2025

Category: supervision. Marked corrected in the state record.

3270.76 · 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.

During unannounced inspection 02/05/2025, baseboard trim in Kid Zone play space was loose and coming off the walls through out the entire play space.

Corrected Corrected by Feb 10, 2025

Category: physical safety. Marked corrected in the state record.

3270.101(a)/3270.101(b) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment shall facilitate the child's emotional, cognitive, communicative, perceptual-motor, physical and social development.

During unannounced inspection 02/05/2025, there were insufficient amount and variety of toys and manipulatives in classrooms for students to facilitate emotional, cognitive, communicative and motor development. THIS IS CONTINUED NON COMPLIANCE.

Corrected Corrected by Feb 7, 2025

Category: physical safety. Marked corrected in the state record.

3270.101(a)/3270.101(b) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment shall facilitate the child's emotional, cognitive, communicative, perceptual-motor, physical and social development.

During unannounced inspection 01/10/2025, there were insufficient amount and variety of toys and manipulatives in classrooms for students to facilitate emotional, cognitive, communicative and motor development.

Corrected Corrected by Jan 17, 2025

Category: physical safety. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

During unannounced inspection 11/14/2024, plastic bags were observed in the cubbies in the Older Toddlers Room.

Corrected Corrected by Nov 18, 2024

Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

During unannounced inspection 11/14/2024, a ficus elastica was observed in the 2nd floor Pre School classroom on the floor at the end of the cubbies closest to the entry door.

Corrected Corrected by Nov 18, 2024

Category: physical safety. Marked corrected in the state record.

3270.76 · 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.

During unannounced inspection 11/14/2024, the following was observed: stained ceiling tiles in the Kids Zone indoor play area; the rubber threshold cover at the bottom of the door leading to the outdoor play space was unattached.

Corrected Corrected by Dec 29, 2024

Category: physical safety. Marked corrected in the state record.

3270.133(1)/3270.133(3) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. 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.

During unannounced inspection 11/14/2024, inhaler for child #1 was observed in the Older Toddlers room. The medication was not labeled in its original container.

Corrected Corrected by Nov 19, 2024

Category: health medication. Marked corrected in the state record.

3270.192(3) · 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.

During unannounced inspection 11/14/2024, file of staff person #2 did not contain an initial health assessment stating staff person was suitable to provide child care and free from communicable disease.

Corrected Corrected by Dec 6, 2024

Category: health medication. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During unannounced inspection 11/14/2024, staff #1 and #2 did not have verification that Pediatric Frist Aid and CPR had been completed within 90 days of hire.

Corrected Corrected by Dec 6, 2024

Category: health medication. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During unannounced inspection 11/14/2024, fire inspection report completed 11/08/2024 indicated a deficiency.

Corrected Corrected by Dec 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

During unannounced inspection 11/14/2024, emergency plan did not indicate locations away from the facility that would be used in the event of an emergency.

Corrected Corrected by Nov 25, 2024

Category: physical safety. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · 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.

During unannounced inspection 10/10/2024, file of staff person #1 did not contain verification of education and previous child care experience to qualify staff person for position performing (Assistant Group Supervisor). THIS IS CONTINUED NON COMPLIANCE.

Corrected Corrected by Oct 31, 2024

Category: supervision. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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.

During unannounced inspection 10/10/2024, files of staff person #1 and #2 did not contain a health assessment screening confirming staff persons are free from communicable disease and suitable for child care. THIS IS CONTINUED NON COMPLIANCE.

Corrected Corrected by Oct 28, 2024

Category: ratio. Marked corrected in the state record.

3270.27(c) · 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.

During unannounced inspection 09/09/2024. file of staff person #1 and #2 did not contain verification that emergency plan training had been received at time of initial employment.

Corrected Corrected by Sep 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · 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.

During renewal inspection 09/09/2024, file for staff person #2 and #3 did not contain verification of education and previous child care experience to qualify staff person for position performing (ASSISTANT GROUP SUPERVISOR).

Corrected Corrected by Sep 11, 2024

Category: supervision. Marked corrected in the state record.

3270.76/3270.82(g) · 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. Toilet areas and fixtures shall be cleaned daily and be in good repair.

During unannounced visit 09/09/2024, toilet tank in Pre School bathroom on the 2nd floor was missing its lid.

Corrected Corrected by Oct 2, 2024

Category: physical safety. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

During unannounced inspection 09/09/2024, staff person #2 and #3 did not identify supervision of specific children after stating they had specific children in their primary care groups.

Corrected Corrected by Sep 13, 2024

Category: supervision. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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.

During unannounced inspection 09/09/2024, file of staff person #3 did not contain completed health assessment verifying staff person was free from communicable disease and suitable to work in child care.

Corrected Corrected by Sep 11, 2024

Category: ratio. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

During unannounced inspection 09/09/2024, there was no file available for staff person #1 to review.

Corrected Corrected by Sep 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(1)/3270.192(2)(i) · A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

During unannounced inspection 09/09/2024, file of staff person #2 did not contain verification of state issued identification.

Corrected Corrected by Sep 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · 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.

During unannounced visit 09/09/2024, files of staff persons #2 and #3 did not contain two written non family references attesting to staff persons suitability to serve as facility persons

Corrected Corrected by Sep 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.76 · 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.

During unannounced inspection 08/08/2024, stained ceiling tiles were observed in the following areas: on the first floor next to the air conditioning vent, near the fire alarm sensor and near the rest room; on the second floor in the child care space near the air conditioning vent, by the window on the left side of the classroom and in the corner near the bank of windows facing Old York Rd.

Corrected Corrected by Aug 12, 2024

Category: physical safety. Marked corrected in the state record.

3270.107 · 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.

During unannounced inspection 08/08/2024, spillage was observed in the bottom of the refrigerator located in the Pre School classroom on the 2nd floor.

Corrected Corrected by Aug 8, 2024

Category: nutrition. Marked corrected in the state record.

3270.51 · 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. THE REQUIRED STAFF:CHILD RATIO MUST BE MAINTAINED AT ALL TIMES.

During complaint investigation on 05/22/2024, it was determined that on 05/17/2024, staff #1 was left alone with 11 children, 9 who were napping and 2 who were active in the classroom leaving staff person out of ratio.

Corrected Corrected by May 20, 2024

Category: ratio. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must 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.

During complaint investigation on 05/22/2024, it was determined that on 05/17/2024 during nap time in classroom where 9 children were napping and two children were not, child #1 was able to open a child safety gate, take elevator down from the 2nd floor, leave main door of facility and go 0.7 miles away to Valley Rd where he was found by a passer by.

Corrected Corrected by Aug 30, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. CHILDREN MUST BE SUPERVISED AT ALL TIMES.

During complaint investigation on 05/22/2024, it was determined that on 05/17/2024 during nap time in classroom where 9 children were napping and two children were not, child #1 was able to open a child safety gate, take elevator down from the 2nd floor, leave main door of facility and go 0.7 miles away to Valley Rd where he was found by a passer by. On 05/22/2024, child in first floor classroom was observed eloping from classroom and cert rep alerted staff so staff could retrieve child from hallway outside of classroom.

Corrected Corrected by May 17, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During complaint investigation on 05/22/2024, it was determined that on 05/17/2024 during nap time in classroom where 9 children were napping and two children were not, child #1 was able to open a child safety gate, take elevator down from the 2nd floor, leave main door of facility and go 0.7 miles away to Valley Rd where he was found by a passer by.

Corrected Corrected by Jul 8, 2024

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · 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.

During unannounced inspection 05/06/2024, Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. There was no evidence of previously completed Pediatric First Aid and CPR on file.

Corrected Corrected by May 11, 2024

Category: supervision. Marked corrected in the state record.

3270.82(g)/3270.82(j) · Toilet areas and fixtures shall be cleaned daily and be in good repair. 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.

During unannounced inspection 05/06/2024, the infant room had no source of running water present for handwashing in the diapering area. The two sinks located in the diapering area were marked with signs that said "DO NOT USE".

Corrected Corrected by May 7, 2024

Category: health medication. Marked corrected in the state record.

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

During unannounced inspection 05/06/2024, staff person #2 was observed completing a diaper change and unable to wash hands of infant and own hands due to no water source present in the infant classroom; staff person #3 was observed completing a diaper change series in the toddler classroom and did not wash child's hands or change gloves and wash own hands before changing a second child.

Corrected Corrected by May 7, 2024

Category: health medication. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

During unannounced inspection 05/06/2024, fire drill logs presented indicated that last fire drill was held 02/08/2024.

Corrected Corrected by May 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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.

During a renewal inspection on 12/19/2023, the file for staff persons #1did not contain a health assessment.

Corrected Corrected by Jan 2, 2024

Category: ratio. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During a renewal inspection on 12/19/2023, the provider did not have a record of fire detection system inspection completed in the last 12-months on file.

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.72(b) · Windows or doors used for ventilation shall be screened when open.

On 8-7-23 during Initial inspection Certification Representative noticed that two windows on the upper floor of the facility were missing screens.

Corrected Corrected by Aug 7, 2023

Marked corrected in the state record.

3270.82(h) · 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.

On 8-7-23 during Initial inspection Certification Representative noticed that a few handwashing signs were missing over sinks in the facility.

Corrected Corrected by Aug 7, 2023

Category: health medication. Marked corrected in the state record.

3270.107 · 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.

On 8-7-23 during Initial inspection Certification Representative noticed that a few refrigerators were missing thermometers.

Corrected Corrected by Aug 7, 2023

Category: nutrition. Marked corrected in the state record.