3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). TIERED LIS: 1. The required staff: child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity will develop a policy to ensure that the staff: child ratio is maintained at all times. This policy must include a statement that if there are not enough staff to meet the required staff: child ratios, no more children will be accepted into care until there are staff available. This policy must be submitted to the Regional Office for approval. Upon approval, the policy shall be shared with all staff and staff will sign off on the policy. The policy shall also be added to the parent handbook, and all currently enrolled families must receive an updated copy of the handbook. The operator shall provide a date for when this portion of the plan will be completed.

On 9/19/25 at approximately 9am Cert Rep observed staff person #1 supervising 11 children, ages 2 & 3 yr old in the toddler room this group would require an additional staff person. Cert Rep observed staff person #2 supervising 11 children, ages 2-5 yr old in the preschool room, this group would require an additional staff person.

Corrected Corrected by Sep 22, 2025

Category: supervision. Marked corrected in the state record.

3270.175(a) · A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

Staff person #1 admitted that on 8/27/25 she transported child #1, 2, 3 & 4 to school and only had one booster seat in the van. All four children require a booster seat for transportation.

Corrected Corrected by Sep 22, 2025

Category: transportation. Marked corrected in the state record.

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

Fire drills have not been conducted every 60 days, date of last drill was 1/31/25.

Corrected Corrected by Oct 16, 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. TIERED LIS: 1. Fire system is required to be tested every 30 days. This portion of the plan shall have an immediate correction date. 2. The legal entity will develop a tentative schedule for testing the fire system every 30 days, The operator shall provide a date for when this portion of the plan will be completed.

Operator has not tested the fire system every 30 days, date of last system check was 1/31/25.

Corrected Corrected by Sep 22, 2025

Category: recordkeeping. 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.

Operator does not have a policy in place to address shaken baby, abusive head trauma and child maltreatment.

Corrected Corrected by Nov 5, 2024

Category: ratio. 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.

Staff person #3 does not have proof of annual fire safety training.

Corrected Corrected by Nov 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Staff person #1 & 4 do not have annual written evaluations on file.

Corrected Corrected by Nov 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

Child #4 is missing the amount of the fee to be charged.

Corrected Corrected by Nov 5, 2024

Category: recordkeeping. 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).

Child #1, 2 & 3 are missing updated child service reports. Child #4 is missing services to be provided to the family and the child.

Corrected Corrected by Nov 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

Child #4 is missing the child's arrival and departure times.

Corrected Corrected by Nov 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Child #5 is missing a copy of the financial agreement.

Corrected Corrected by Nov 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Child #1 & 5 are missing the address and telephone number of the child's physician.

Corrected Corrected by Nov 6, 2024

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Child #1, 2, 3, 4 & 5 are missing the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Nov 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Child #2 is missing signed parental consent for emergency medical care.

Corrected Corrected by Nov 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Child # 1 is missing the health insurance policy number.

Corrected Corrected by Nov 5, 2024

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

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Child #2, 3, 5 & 6 are missing the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Nov 6, 2024

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.

Child #2 is missing updated emergency contact information and financial agreement.

Corrected Corrected by Nov 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.

Staff person #3 is missing an initial health assessment and TB results.

Corrected Corrected by Nov 7, 2024

Category: ratio. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Child #2 is missing signed parental consent for administration of minor first aid.

Corrected Corrected by Nov 6, 2024

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff person #3 is missing proof of education.

Corrected Corrected by Nov 5, 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.

Staff person #2, 3 & 4 are missing two written nonfamily references.

Corrected Corrected by Nov 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Child #1's initial health assessment is dated 9/26/24 which exceeds the requirement of no later than 60 days of enrollment. Child #2's initial health assessment is dated 4/25/23 which exceeds the requirement of no later than 60 days of enrollment. Child #3 is missing an initial health assessment.

Corrected Corrected by Nov 5, 2024

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

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The boys bathroom sinks were above 110 degrees. The left sink was 111 degrees and the right sink was 114 degrees.

Corrected Corrected by Nov 20, 2023

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

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #2 will have until 11/19/2023 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff 3, who as per facility was employed for more than 90 days, does not have the 10 hour health and safety training on file. Facility did not have the date of hire documented in staff 3's file.

Corrected Corrected by Nov 7, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff 2 will have until 11/19/2023 to complete the one hour update to the health and safety training.

Staff 2 did not have the one hour update to the health and safety completed prior to 12/31/2022.

Corrected Corrected by Nov 8, 2023

Category: health medication. 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 3 may not be on premises at the childcare facility until all clearances are obtained. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not be on premises at the facility until all clearances are obtained.

Staff 3, who as per facility was employed for more than 45 days, did not have the child abuse, fbi, state police or NSOR clearance on file.

Corrected Corrected by Nov 3, 2023

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

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There was an uncovered outlet in the girls bathroom.

Corrected Corrected by Nov 3, 2023

Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The school age room did not have tweezers in the first aid kit.

Corrected Corrected by Oct 31, 2023

Category: health medication. 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.

On the outside playground, there was a hole in the wall in one of the concrete blocks. The concrete block is on the right side when coming down the steps.

Corrected Corrected by Nov 3, 2023

Category: physical safety. 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.

The school age room had peeling paint on the left wall (when entering the room).

Corrected Corrected by Nov 20, 2023

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

The school age rom did not have the daily schedule posted.

Corrected Corrected by Oct 31, 2023

Category: physical safety. 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.

Staff 3 did not have a health assessment or TB screening on file prior to starting employment.

Corrected Corrected by Nov 3, 2023

Category: ratio. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

In the infant room, infant bottles were not labeled with the children's names.

Corrected Corrected by Nov 3, 2023

Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff 1 and 2 did not have proof of education on file.

Corrected Corrected by Nov 8, 2023

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.

Staff 2 and 3 did not have two letters of reference on file.

Corrected Corrected by Nov 3, 2023

Category: recordkeeping. 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. Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #3 will have until 11/19/2023 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff 3, as per facility was employed for more than 90 days, did not have pediatric first aid/cpr on file. The facility did not have the date of hire documented in the file.

Corrected Corrected by Nov 3, 2023

Category: supervision. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility had an outdated certificate of compliance posted at the facility. The certificate expired on 1/17/2023.

Corrected Corrected by Nov 7, 2023

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 until the DHS FBI clearance is obtained. 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 until the DHS FBI clearance is obtained.

During an unannounced inspection, it was found that staff 1, who was in provisional hire status, was working without a state police clearance or FBI clearance on file. See LIS for date of hire. An incorrect state police clearance was obtained on 12/2/2022. An employee state police clearance was obtained on 12/5/2022. Both of those dates were after the date of hire.

Corrected Corrected by Dec 8, 2022

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The facility will obtain at least a 2 hour training on staff child ratios. The facility director will obtain 1 hour of one on one technical assistance on ratios. The training will be conducted by a PQAS trainer and will not count towards the 12 hours of annual training.

During an unannounced visit on 11/30/2022, it was found that staff 2 was with six children. The children were a mix of younger and older toddlers, which would call for a 1:5 staff child ratio.

Corrected Corrected by Jan 28, 2023

Category: ratio. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

During an unannounced visit on 11/30/2022, it was found that staff 2 was with six children. The children were a mix of younger and older toddlers, which would call for a 1:5 staff child ratio.

Corrected Corrected by Nov 30, 2022

Category: ratio. 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 an unannounced visit on 11/30/2022, it was found that the facility tested the alarms on 10/6/2022 and not again until 11/9/2022. As a result, there was more than 30 days between alarm testing.

Corrected Corrected by Dec 5, 2022

Category: recordkeeping. 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. Until such time as the required pre-service trainings are completed, staff persons 1,2,3,4,5,6,7 and 8 must be supervised, when interacting with children, by at least an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons 1,2,3,4,5,6,7 and 8, staff 1,2,3,4,5,6,7 and 8 may not work in a child-care position at the facility.

Staff persons #1,2,3,4,5,6,7 and 8 was observed to be caring for children unsupervised by a staff that had all updated clearances, health and safety trainings and mandated reporter training. Staff persons 2,3,4,5,6,7 and 8 did not complete the following pre-service training required prior to caring for children unsupervised: pediatric first aid and cpr. Staff persons 2,3,4,6,7,8 did not have the updated health and safety training. Staff 1 had an expired mandated reporter training. Staff 1's mandated reporter training expired on 5/20/2016. Staff 3 and 7 did not have mandated reporter training on file.

Corrected Corrected by Oct 20, 2022

Category: supervision. Marked corrected in the state record.

3270.18(a) · 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.

During the renewal inspection on 10/20/2022, general liability insurance was not on file at the facility.

Corrected Corrected by Oct 27, 2022

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 # 1,3,6,7 and 8 may not work in a childcare facility until all clearances are obtained. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1,3,6,7 and 8 may not work in a childcare position at the facility. Staff person #1 will have until 11/12/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff 1must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff 1 staff person 1 may not work in a child-care position at the facility.

During the renewal inspection on 10/20/2022, staff person 1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 5/20/2016. Staff 1 also had a state police clearance on file that expired 10/18/2022. Staff 1 also only had proof of applying for her NSOR on file. Staff 3 and 7 only had proof of applying for a child abuse clearance on file. As per ACT 12, when childcare staff are hired provisionally, a child abuse clearance needs to be received prior to employment. Staff 3 did not have proof of applying for the state police clearance on file during the renewal inspection on 10/20/2022. Staff 4 had proof of applying for the NSOR clearance on file. She was observed to be working alone for approximately 2-3 minutes. Staff 5 had proof of applying for the NSOR clearance on file and was working with staff 8, who also did not have all clearances on file. Staff 8 only had proof of applying for the NSOR clearance and did not have the child abuse, state police or DHS FBI clearance on file. Staff 6 had a Department of Education FBI clearance on file. There was no DHS FBI clearance on file. Staff 6 was working alone. As per Act 12, provisionally hired childcare staff still need to have the state police or FBI clearance on file, as well as proof of applying for the other one. As per Act 12, provisionally hired childcare staff also need proof of applying for the NSOR clearance.

Corrected Corrected by Oct 20, 2022

Category: supervision. 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.

Staff 2 and 4 did not have qualifications on file to be an assistant group supervisor.

Corrected Corrected by Oct 20, 2022

Category: supervision. 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.

Staff 4 was observed to be working alone in the young toddler room for approximately 2-3 minutes. She was with 5 young toddlers.

Corrected Corrected by Oct 20, 2022

Category: ratio. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There was an uncovered outlet in the girls bathroom.

Corrected Corrected by Oct 20, 2022

Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The school age room and older toddler room was missing the telephone number by the classroom telephones.

Corrected Corrected by Oct 20, 2022

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The school age room was missing scissors in the first aid kit. The older toddler room was missing tweezers, gloves and scissors in the first aid kit. The young toddler room was missing scissors and tweezers in the first aid kit. The infant room was missing rubber gloves and medical tape from the first aid kit.

Corrected Corrected by Oct 20, 2022

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

3270.151(a) · 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.

Staff 7 did not have a health assessment on file.

Corrected Corrected by Oct 31, 2022

Category: ratio. Marked corrected in the state record.

3270.82(j) · 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.

The older toddler room did not have a source of running water by the diapering area.

Corrected Corrected by Oct 20, 2022

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

In the older toddler room, there was not a cot list available, or cots labeled with all of the children's names. In the young toddler and infant rooms, cribs were not labeled with the children's names.

Corrected Corrected by Oct 20, 2022

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

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

Children 1 and 2 did not have a fee amount documented on the fee agreement.

Corrected Corrected by Oct 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Children 4,5 and 6 did not have the parent work information on file.

Corrected Corrected by Oct 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Child 5 did not have the release person documented on the emergency contact form.

Corrected Corrected by Oct 21, 2022

Category: recordkeeping. 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 the renewal inspection on 10/20/2022, it was observed that staff was not able to was their hands or the child's hands after diapering due to a lack of accessible water.

Corrected Corrected by Oct 20, 2022

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

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Children 1 and 2 did not have consent for emergency medical care and minor first aid on file. Child 3 did not have consent for minor first aid on file.

Corrected Corrected by Oct 21, 2022

Category: ratio. 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.

Staff 6 only had on letter of reference on file.

Corrected Corrected by Nov 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

During an unannounced inspection, it was found that child 1 did not have a fee agreement on file.

Corrected Corrected by May 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10), within 90 days of hire. Staff person #1 will have until 7/13/2022 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR.

Corrected Corrected by Jun 29, 2022

Category: supervision. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

Child 2 did not have a date of admission on file.

Corrected Corrected by Oct 18, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Child 1 did not have an emergency contact form on file.

Corrected Corrected by Oct 18, 2021

Category: recordkeeping. 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.

Staff 1-3 last had emergency plan training on 9/23/2020. Staff 6 did not have emergency plan training on file.

Corrected Corrected by Oct 18, 2021

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). The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. Facility Person # 3 and 4 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 and 4 may not work in a child care position at the facility.

Staff 3 did not have a child abuse or DHS FBI clearance on file. Staff 4 had a Department of Education FBI clearance on file, instead of a DHS FBI clearance.

Corrected Corrected by Oct 18, 2021

Category: supervision. 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). The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. Facility Person # 3 and 4 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 and 4 may not work in a child care position at the facility.

Staff 3 did not have a child abuse or DHS FBI clearance on file. Staff 4 had a Department of Education FBI clearance on file, instead of a DHS FBI clearance.

Corrected Corrected by Nov 18, 2021

Category: supervision. Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The preschool 2 room was missing medical tape in the first aid kit.

Corrected Corrected by Oct 18, 2021

Category: health medication. 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.

In the preschool 2 room, there is peeling paint on the right wall towards back.

Corrected Corrected by Dec 5, 2021

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

In the preschool 1 room, there was an unstable mirror in the classroom.

Corrected Corrected by Oct 18, 2021

Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

In the infant/toddler room, cots were not labeled.

Corrected Corrected by Oct 18, 2021

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

In the preschool 1 room, there was no daily schedule.

Corrected Corrected by Oct 18, 2021

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

3270.131(c)/3270.131(e) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Child 1 did not have a signed health assessment on file or immunizations.

Corrected Corrected by Oct 18, 2021

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

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Child 2 did not have permission for emergency medical care on file. Child 3 did not have permission for emergency medical care or minor first aid on file.

Corrected Corrected by Oct 18, 2021

Category: ratio. 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

Staff 5 did not have two letters of reference on file.

Corrected Corrected by Oct 22, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan did not have a section that stated accommodations for infants, toddlers and children with disabilities or medical conditions.

Corrected Corrected by Oct 19, 2021

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