3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Child # 1 has an epinephrine pen at the facility that does not have the original label attached or at the facility.

Corrected Corrected by Mar 12, 2025

Category: health medication. 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.

Facility staff # 3 has not had fire safety training in over 12 months from 9/6/23 to 11/14/24.

Corrected Corrected by Jan 15, 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). . Facility Person # 2 may not work in a childcare position at the facility. 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 # 2 may not work in a childcare position at the facility.

Facility staff # 1 has mandated reporter training that is over 60 months old. Mandated reporter training was completed 6/11/19. Facility staff # 2 hired and working at facility since 10/27/24 does not have a NSOR on file and was not suspended until over 45 days from date of hire. Facility staff # 2 was suspended 11/25/24.

Corrected Corrected by Jan 15, 2025

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

3270.62(c) · Outdoor or indoor play space shall be safe for large muscle activity.

Older toddler outdoor play space is not organized and cluttered making it unsafe for large muscle activity.

Corrected Corrected by Jan 15, 2025

Category: physical safety. 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.

Cots are not labeled in the Preschool or Pre-K classrooms.

Corrected Corrected by Jan 15, 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).

Child # 2 only has 1 child service report on file since time of enrollment. Child service report is from 11/18/24. Child # 3 did not have a child service report completed in over six months from 10/10/23 to 11/22/24.

Corrected Corrected by Jan 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(f) · 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.

Emergency contact in the emergency binder for child # 1 has not been updated in more than 6 months since 5/4/22.

Corrected Corrected by Jan 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.181(c) · 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 has not had their emergency contact form and fee agreement updated in over 6 months. Emergency contact form updated 8/3/23 to 12/4/24 and fee agreement updated 8/3/23 to 7/31/24.

Corrected Corrected by Jan 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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.

Facility self-reported that 2 facility staff miscounted and left a child outside hiding on the facility toddler playground. Another staff member supervising another group of children, saw what happened and brought the child inside to the child's classroom.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

3270.113(a)/3270.113(a)(1) · 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. The legal entity must submit documentation of a new facility policy and procedure that is approved by DHS proving how the facility staff will be counting children and ensuring it is followed at all times e.g., a checklist. 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. This should be a new policy developed and approved 7/11/24 or later.

During a complaint investigation on 7/2/24, facility staff # 1 admitted to certification rep that child # 1 was left alone and unsupervised on 6/24/24 on the outdoor playground by facility staff # 1.

Corrected Corrected by Aug 30, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. Facility staff persons shall know the names and whereabouts of the children in their assigned group. All staff person shall be physically present with the children and all children must be supervised at all times both on facility premises and on facility excursions off the facility premises.

During a complaint investigation on 7/2/24, facility staff # 1 admitted to certification rep that child # 1 was left alone and unsupervised on 6/24/24 on the outdoor playground by facility staff # 1.

Corrected Corrected by Jul 8, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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 including the facility director to receive a minimum of two hours of PQAS approved training regarding supervision of children. The training will be in person when no children are present at the time of the training. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During a complaint investigation on 7/2/24, facility staff # 1 admitted to certification rep that child # 1 was left alone and unsupervised on 6/24/24 on the outdoor playground by facility staff # 1.

Corrected Corrected by Sep 6, 2024

Category: supervision. 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 does not have a child service report on file that is current in the last 6 months. CSR last on file is dated 11/29/22.

Corrected Corrected by Jul 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.181(c) · 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 # 1 has not had their fee agreement or emergency contact forms reviewed and updated with a parent signature in over 6 months since 4/28/21 for the emergency contact form and 8/29/22 for the fee agreement.

Corrected Corrected by Jul 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1)/3270.95(a) · 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. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Facility did not test the facility alarm system in over 30 days from 4/9/24 to 5/15/24.

Corrected Corrected by Jul 3, 2024

Category: recordkeeping. 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.

Facility did not conduct fire drills in over 60 days from 4/9/24 to 6/11/24.

Corrected Corrected by Jul 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.92(a) · Portable space heaters are not permitted.

At the time of the inspection, portable space heaters were observed in the infant, young toddler and older toddler rooms. The Director admitted that the space heaters have been used in those classrooms because the heat has been broken in the rooms and the temperature would drop below 65 degrees. Staff had also admitted to using the space heaters earlier in the mornings and periodically throughout the day to heat up their classrooms.

Corrected Corrected by Jan 23, 2024

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

3270.70(a) · The indoor temperature shall be at least 65° F.

At the time of the inspection, staff and the Director admitted that the school-age, infant, young toddler and older toddler classrooms have dropped below 65° F on a daily occurrence. They admitted that the heat has been broken in this part of the building for at least a week.

Corrected Corrected by Jan 24, 2024

Category: physical safety. 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 inspection, staff person #21 and staff person #22 took fire safety training on 5/11/23 and 9/27/23, respectively. The previous dates of the fire safety training is 3/8/22 and 4/24/22, respectively. This reflects more than a 12 month time of updating fire safety training.

Corrected Corrected by Dec 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #19 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer no later than 12/28/23. Until such time as the correction is implemented, staff person #19 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 #19, staff person #19 may not work in a child-care position at the facility.

At the time of the inspection, staff person #19 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Dec 14, 2023

Category: supervision. Marked corrected in the state record.

3270.33(a) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

At the time of the inspection, staff person #20 did not have a high school diploma on file and could not qualify as an assistant group supervisor.

Corrected Corrected by Jan 2, 2024

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.

At the time of the inspection, the stall walls located between Pre-K and Kindergarten Prep bathroom contained rust along the bottom edge of the wall. This poses a hazard to children.

Corrected Corrected by Dec 22, 2023

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

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

At the time of the inspection, child #1 through child #10 did not have a date of admission on their agreement.

Corrected Corrected by Dec 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

At the time of the inspection, there was no parental signed consent or medication log for the EPI Pen at the facility for child #1.

Corrected Corrected by Dec 29, 2023

Category: ratio. 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.

At the time of the inspection, the initial health assessment on file for staff person #18 was dated 11/20/24, therefore this is not a valid health assessment.

Corrected Corrected by Jan 2, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

At the time of the inspection, staff person #1's health assessment stated "yes" to if the staff person had communicable diseases but there was no additional required follow up.

Corrected Corrected by Dec 13, 2023

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.

At the time of the inspection, a subsequent health assessment for staff person #8 dated 1/20/23 was observed. The initial health assessment was not in the file for staff person #8.

Corrected Corrected by Dec 14, 2023

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

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

At the time of the inspection, the Director could not locate documentation of the annual emergency drill.

Corrected Corrected by Dec 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -9). Staff person #1 will have until 1/4/23 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.

During the renewal inspection, staff #1 completed an older edition of the health and safety training, "Health & Safety Basics: Requirements for Certification," on 11/21/18, but this training was no longer acceptable after 6/30/2018.

Corrected Corrected by Dec 8, 2022

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). 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.

During the renewal inspection, staff person #4 did not have submission documentation for the FBI clearance on file at the time of hire (see LIS sheet for date of hire).

Corrected Corrected by Dec 8, 2022

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

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

During the renewal, in all classrooms except the infant room, the container used for handwashing did not contain a label or specify the contents.

Corrected Corrected by Dec 7, 2022

Category: ratio. 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 the renewal inspection, on the toddler playground, the floor of the play structure was cracked. In the Pre-K/Kindergarten Prep classrooms, the bathroom stalls were rusted along the bottom posing a hazard to children.

Corrected Corrected by Dec 8, 2022

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.

During the renewal inspection, in the Preschool room by the dramatic play kitchen, there was peeling paint on the wall.

Corrected Corrected by Dec 8, 2022

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

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

During the renewal inspection, the glass on the toddler room door did not contain a visual strip or other visual identification.

Corrected Corrected by Dec 8, 2022

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 the renewal inspection, in the Kindergarten Prep classroom, 15 children were present. Staff #6 and staff #7 were not each assigned to specific children in the classroom. When asked by the certification representative the names of the children they were responsible for, they both stated, "I don't know."

Corrected Corrected by Dec 8, 2022

Category: supervision. 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.

During the renewal inspection, one the emergency contact form for child #6, the health insurance policy number was missing.

Corrected Corrected by Dec 10, 2022

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.

During the renewal inspection, on the emergency contact form for child #6 and child #9, the address of the individual designated by the parent to whom the child may be released was missing.

Corrected Corrected by Dec 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

During the renewal inspection, the albuterol medication on file for child #11 stated to discard after 9/8/22.

Corrected Corrected by Dec 7, 2022

Category: health medication. 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.

During the renewal inspection, staff person #1, staff #3 and staff #5 did not have 12 clock hours of childcare training on file from the previous training year.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

At the time of the inspection, there was no visual strip of identification on the glass doors and windows which was in eye-level with children throughout the entire facility.

Corrected Corrected by Dec 20, 2021

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 inspection, staff #16 did not have annual emergency plan training on file. The last training on file was dated 7-15-2020.

Corrected Corrected by Dec 20, 2021

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 inspection, staff #2 and 16 did not have annual fire safety training on file.

Corrected Corrected by Feb 7, 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). 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. The CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months.

At the time of the inspection, staff #6 does not have completed Mandated Child Abuse Reporting training on file. Staff # 8 did not have a completed FBI clearance through Identogo on file. Staff #8, who resides in New jersey, also did not have a completed NJ criminal history clearance on file. Staff # 13 had a completed Mandated Abuse reporting training on file that was not from a DHS approved training organization . Staff #15 (date of hire 6-19-21) had a PA State Police clearance that stated "Under Review" and therefore is not a completed clearance. Staff #15 also did not obtain a Child Abuse clearance until 10-13-21, approximately 4 months after being employed and working with children. Staff #15 did not have a complete Rap Sheet to accompany the FBI clearance on file. Staff #16 did not obtain an updated PA State Police clearance until 10-28-20, the one prior to this was dated 6-30-15 and expired on 6-30-20. An updated Child Abuse clearance was not obtained until 10-11-21 with the previous one on file being dated 2-9-16 and expiring 2-9-21. An updated FBI clearance was not obtained until 10-11-21 with the previous one on file being dated 2-11-16 and expiring 2-11-21. Staff #16 showed a significant period of time where the PA State Police, Child Abuse and FBI clearance were not current.

Corrected Corrected by Feb 7, 2022

Category: background checks. 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). 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. The CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months. FACILITY PERSON #8 AND 15 CAN NOT WORK IN A CHILD CARE POSITION UNTIL ALL CLEARANCES ARE OBTAINED AND SENT TO DHS FOR REVIEW.

At the time of the inspection, staff #6 does not have completed Mandated Child Abuse Reporting training on file. Staff # 8 did not have a completed FBI clearance through Identogo on file. Staff #8, who resides in New jersey, also did not have a completed NJ criminal history clearance on file. Staff # 13 had a completed Mandated Abuse reporting training on file that was not from a DHS approved training organization . Staff #15 (date of hire 6-19-21) had a PA State Police clearance that stated "Under Review" and therefore is not a completed clearance. Staff #15 also did not obtain a Child Abuse clearance until 10-13-21, approximately 4 months after being employed and working with children. Staff #15 did not have a complete Rap Sheet to accompany the FBI clearance on file. Staff #16 did not obtain an updated PA State Police clearance until 10-28-20, the one prior to this was dated 6-30-15 and expired on 6-30-20. An updated Child Abuse clearance was not obtained until 10-11-21 with the previous one on file being dated 2-9-16 and expiring 2-9-21. An updated FBI clearance was not obtained until 10-11-21 with the previous one on file being dated 2-11-16 and expiring 2-11-21. Staff #16 showed a significant period of time where the PA State Police, Child Abuse and FBI clearance were not current.

Corrected Corrected by Dec 15, 2021

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

3270.35(b)/3270.35(b)(1) · A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

At the time of the inspection, staff #4 had a Bachelor of Art degree on file and was classified as a Group Supervisor. The Bachelor of Art degree did not state what the degree major is in and therefore, it is not able to be determined this person is a Group Supervisor without transcripts stating the degree.

Corrected Corrected by Dec 20, 2021

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.

At the time of the inspection, staff #15 who was listed as an Assistant Group Supervisor did not have a high school diploma with 2 years (2,500 hours) of child care experience on file.

Corrected Corrected by Dec 22, 2021

Category: supervision. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

At the time of the inspection, there was a bottle dish soap under the sink which was unlocked in the Toddler room.

Corrected Corrected by Dec 15, 2021

Marked corrected in the state record.

3270.102(a) · 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.

At the time of the inspection, the outdoor blue and yellow water table was broken and had sharp plastic pieces exposed.

Corrected Corrected by Dec 17, 2021

Category: physical safety. 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.

At the time of the inspection, on the emergency contact form for child #1 and 3, the physician's name, address and phone number was missing.

Corrected Corrected by Dec 22, 2021

Category: health medication. 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.

At the time of the inspection, on the emergency contact form for child #1 and 3, the health insurance coverage and/or policy number was missing.

Corrected Corrected by Jan 3, 2022

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.

At the time of the inspection, the emergency contact form for child #5 and 9 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 16, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

At the time of the inspection, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted anywhere in the facility.

Corrected Corrected by Dec 17, 2021

Category: transportation. Marked corrected in the state record.

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

At the time of the inspection, on the immunization record for child #6 and 10, there was no influenza immunization and no exemption from the influenza vaccine from the parent on file.

Corrected Corrected by Jan 3, 2022

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

3270.151(c)(2) · 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.

At the time of the inspection, staff #15 did not have a completed tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Dec 17, 2021

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

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

At the time of the inspection, the health assessment on file for staff # 11 stated "yes" to the person having communicable diseases, but there was no explanation to that statement.

Corrected Corrected by Dec 16, 2021

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

3270.171(b)/3270.171(c) · Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

At the time of the inspection, there was no verification of written notification of safe routes and pick up and drop off points posted anywhere in the facility.

Corrected Corrected by Jan 3, 2022

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, staff #15 had only one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Dec 16, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

At the time of the inspection, there was no verification that the provider was conducting emergency drills annually.

Corrected Corrected by Dec 20, 2021

Category: recordkeeping. 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.

At the time of the inspection, there was no verification of the operator providing 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.

Corrected Corrected by Dec 20, 2021

Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

At the time of the inspection, there was no verification that the operator notifies local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Jan 10, 2022

Marked corrected in the state record.