3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Observed staff file #1, who was listed as an assistant group supervisor, did not contain documentation of a high school diploma or GED.

Corrected Corrected by Sep 10, 2024

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.

Observed Clorox disinfecting wipes accessible to children, on a table in the school age room.

Corrected Corrected by Sep 10, 2024

Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Observed in the Pre-K4 room, Pre-3 room, and the older toddler room, the windows where the air conditioner is vented were not restricted to 6 or fewer inches.

Corrected Corrected by Sep 10, 2024

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.

Observed the first-aid kit in the apples room did not contain tape.

Corrected Corrected by Sep 10, 2024

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.

Observed a damaged wall with rough edges in the second-floor boys' bathroom. Observed a broken urinal in the downstairs bathroom. Observed several fence slats which had damaged or missing covers. Observed a detached blue wall covering in the school-age room.

Corrected Corrected by Sep 10, 2024

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Observed the emergency exit steps from the school-age room, were partially blocked by a rewards cart.

Corrected Corrected by Sep 10, 2024

Category: physical safety. 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.

Observed a narrow cubby which was not securely anchored in the Pre-K4 room. Observed a toy cart in the school-age area which was missing a support screw nut. Observed a detached anchoring strap on a cubby in the school-age room.

Corrected Corrected by Sep 10, 2024

Category: physical safety. 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.

Observed the emergency contact information for child file #1, did not contain the complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Sep 10, 2024

Category: recordkeeping. 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.

Observed the emergency contact form for child file #2 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Sep 10, 2024

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.

Observed the fire alarm testing log revealed one time in the previous 12 month (9/15/23-10/16/23) the fire alarms were tested more than 30 days apart.

Corrected Corrected by Sep 10, 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.

Observed child file #1, contained an initial health assessment which was dated (7/23/24) more than 60 days following the first day of attendance at the facility (4/22/24).

Corrected Corrected by Sep 10, 2024

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

3270.136(b) · The operator shall inform parents of enrolled children when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency in the opinion of the Department of Health.

Based on the information obtained in the course of the inspection, it was determined that the facility did not inform the parents of enrolled children of a suspected outbreak of a communicable disease (RSV).

Corrected Corrected by Sep 18, 2023

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

3270.31(e)(4)(i) · 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.

On 8/3/23, observed staff file #1 contained updated certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) which was dated after the expiration date of the previous valid certification.

Corrected Corrected by Sep 22, 2023

Category: ratio. Marked corrected in the state record.

3270.55(a) · The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

On 8/1/23, observed one staff member present with a group of 14 preschool children in the process of starting nap. Thirteen children were on their rest equipment, while the fourteenth child was sitting at a nearby table eating lunch. Because the child was eating lunch and not going to or coming from the bathroom, nap ratios were not in compliance and there would need to be 2 staff with the group of 14 preschool children until the child finished eating.

Corrected Corrected by Sep 22, 2023

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.

On 8/1/23, observed a broken electrical cover plate in the older toddler room.

Corrected Corrected by Sep 22, 2023

Category: physical safety. 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.

Observed on 8/1/23, a boppy pillow with a hole and exposed lining in the young infant room. Observed in the pre k room, loose tops to the wooden chairs and loose legs on the lego table. Observed in the young preschool room on the second floor, green and yellow mat with a peeling cover and exposed foam. Observed in the outdoor play area, metal anchor stakes with exposed heads. Observed a bounce house with anchoring tethers which were not being used to anchor the bounce house.

Corrected Corrected by Sep 22, 2023

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.

On 8/1/23, observed plastic bags accessible to toddlers in the older toddler room. Observed a small piece of plastic, less than 1 inch in diameter, accessible to older toddlers in the upstairs young preschool room.

Corrected Corrected by Sep 22, 2023

Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Observed on 8/1/23, toddlers sleeping on their rest equipment, which did not have 2 feet of space on three sides. Observed infants sleeping in pack n plays which did not have 2 feet of space on three sides in the older infant room.

Corrected Corrected by Sep 22, 2023

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).

On 8/1/23, observed the file for child #1, 3, and 4 contained most recent child service reports which were completed in 2022. Most recent child service report for child #1 and #3 were completed in 9/2022 and child #4 child service report was completed in 11/2022.

Corrected Corrected by Sep 22, 2023

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.

On 8/1/23, observed the emergency contact form for child #5 did not contain the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

On 8/1/23, observed child file #5 contained an updated health assessment which was dated more than 12 months after the previous valid health assessment.

Corrected Corrected by Sep 22, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child#6 must be dismissed from care by close of business (8/01/23) and may only return to care when the immunization record has been updated or a parent submits a written, signed, and dated letter of exemption.

On 8/1/23, observed child file #6 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Sep 22, 2023

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.

Observed on 8/3/23, staff file #1 contained an updated health assessment which was dated more than 24 months after the previous valid health assessment.

Corrected Corrected by Sep 22, 202

Category: ratio. Marked corrected in the state record.

3270.181(c)/3270.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

On 8/1/23, observed child file #1 contained documentation of parental review of the emergency contact information and the financial agreement which was completed more than 6 months after the previous parental review. Observed child file #2 contained did not contain documentation of parental review of the emergency contact information and the financial agreement within the previous 6 months.

Corrected Corrected by Sep 22, 2023

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.

Observed on 8/1/23, child file #6 contained an initial health assessment which was dated more than 60 days following the first day of attendance at the facility.

Corrected Corrected by Sep 22, 2023

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

3270.31(f) · Staff persons 2, 3, 4, 5, 6, and 7 shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #2, 3, 4, 5, 6, and 7 will have until 9/27/22 to complete the required training. Until such time as the required training has been completed, staff person #2, 3, 4, 5, 6, and 7 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 #2, 3, 4, 5, 6, and 7, staff person #2, 3, 4, 5, 6, and 7 may not work in a child-care position at the facility.

Staff person # 2, 3, 4, 5, 6, and 7 has not completed the following required pre-service training within 90 days of their date of hire(see LIS code sheet): 3270.31(f)(10).

Corrected Corrected by Sep 22, 2022

Category: supervision. 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 until the required out of state clearances are obtained.

Observed staff file #1, who had resided outside of Pennsylvania within the previous 5 years, did not contain the CPSL required North Carolina Child Abuse clearance and did not contain verification the staff was not on the North Carolina sex offender registry.

Corrected Corrected by Sep 21, 2022

Category: background checks. 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.

Observed a church first aid kit on a low shelf in the pre k room, which contained aspirin, triple antibiotic cream, and sting relief, which are all labeled keep out of the reach of children. Observed in the older toddler room, sunscreen which was labeled keep out of the reach of children, accessible to children in their low cubbies.

Corrected Corrected by Sep 21, 2022

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

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

Observed a poke weed plant in the outdoor play area.

Corrected Corrected by Sep 21, 2022

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

3270.66(e) · Arts and crafts materials shall be nontoxic.

Observed shaving cream and dabo inc bingo markers which were both labeled keep out of the reach of children and did not contain the non toxic symbol.

Corrected Corrected by Sep 21, 2022

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.

Observed in the outdoor play area a missing fence panel with exposed nail heads. Observed 2 exposed screw heads sticking out of the wall by the entrance door.

Corrected Corrected by Oct 10, 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.

Observed paint flakes on the floor by the rocker in the young three's room.

Corrected Corrected by Oct 10, 2022

Category: physical safety. 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.

Observed a staff in the young toddler room did not wash an able child's hands after completing a diaper change. Observed the upstairs girl's restroom was missing a handwashing sign by one of the toilets.

Corrected Corrected by Sep 22, 2022

Category: health medication. 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.

Observed in the upstairs preschool room, wooden chairs with loose backs creating pinch points and a sand table which was missing support screws, nuts, and had exposed bolts. Observed a torn diaper changing pad in the older toddler room.

Corrected Corrected by Sep 22, 2022

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.

Observed the emergency contact information for child file #1 did not contain the enrolling parents home address.

Corrected Corrected by Sep 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(5) · 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Observed the emergency contact information for child file #1 did not contain written consent signed by a parent for emergency medical care and did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Sep 21, 2022

Category: ratio. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Observed in the pre k room, a cheese sandwich in a lunch bag, which was not refrigerated.

Corrected Corrected by Sep 21, 2022

Category: nutrition. Marked corrected in the state record.

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

Observed a bottle in the older toddler room which was not labeled with the child's name.

Corrected Corrected by Sep 21, 2022

Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Observed original incident reports in the facilities incident report file.

Corrected Corrected by Sep 21, 2022

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

3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

At approximately 9:45 AM Certification Staff observed Staff #1 feeding a bottle to an infant 6 months of age or younger while strapped in a baby swing.

Corrected Corrected by Nov 2, 2021

Marked corrected in the state record.

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

The hot water temperature in the bathroom located in the Infant Room was 114 degrees.

Corrected Corrected by Oct 25, 2021

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

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

On 8/23/21 observed a cord to a floor model air conditioner which was not secured creating a potential tripping hazard in the Older Toddler Classroom. On 8/23/21 observed cords to 2 floor model air conditioners which were not secured creating a potential tripping hazard in the 3 and 4 year old Classroom. On 8/23/21 observed a cord to a floor model air conditioner which was not secured creating a potential tripping hazard in the 5 year old Classroom. On 8/23/21 observed a cord to a floor model air conditioner which was not secured creating a potential tripping hazard in the Young 3 year old Classroom.

Corrected Corrected by Oct 25, 2021

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

3270.31(e)(4)(i) · 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 #2 and Staff #4 lacked documentation of valid pediatric first-aid and pediatric cardiopulmonary resuscitation on file. The file of Staff #2 contained documentation of pediatric first-aid and pediatric cardiopulmonary resuscitation completed online only on 4/25/20. The file of Staff #4 contained documentation of pediatric first-aid completed online on 5/26/21 and pediatric cardiopulmonary resuscitation completed online on 4/15/21.

Corrected Corrected by Oct 25, 2021

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #1, Staff #5, and Staff #7 lacked documentation of mandated reporter training completed within 90 days of start. Staff #1 had a start date of 5/14/19 with documentation of mandated reporter training completed on 11/6/19. Staff #5 had a start date of 3/29/21 with mandated reporter training completed on 7/27/21. Staff #7 had a start date of 7/27/20 with mandated reporter training completed on 10/31/20.

Corrected Corrected by Oct 25, 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). 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 file of Staff #1 lacked a copy of a completed State Police Clearance prior to providing initial service in a child care setting. Staff #1 had a start date of 5/14/19 with a State Police Clearance dated 11/14/19. The file of Staff #1 lacked a Child Abuse Clearance updated every 60 months. The file of Staff #1 contained a Child Abuse Clearance dated 10/21/20 with a previous one dated 10/17/15. The file of Staff #3 lacked a copy of a completed FBI Clearance prior to providing initial service in a child care setting. Staff #3 had a start date of 2/23/21 with a FBI Clearance dated 2/24/21.

Corrected Corrected by Oct 25, 2021

Category: background checks. 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.

The file of Staff #2 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #2 with a start date of 7/9/20 contained no written evaluation.

Corrected Corrected by Oct 25, 2021

Category: recordkeeping. 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.

On 8/23/21 observed Thinkbaby Suncreen which indicated "keep out of reach of children" in a back pack in a cubbie in the Young Toddler Classroom which was accessible to children. On 8/23/21 observed Neutrogena Sunscreen which indicated "keep out of reach of children" in a back pack in a cubbie in the Older Toddler Classroom which was accessible to children.

Corrected Corrected by Oct 25, 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.

On 8/23/21 observed 3 torn rest mats with exposed foam in the Older Toddler Classroom and 2 torn rest mats with exposed foam in the 3 and 4 year old Classroom. On 8/23/21 observed a pop up blue, red, and yellow house with torn mesh and a pop up fire truck with approximately a 4 inch tear with an exposed metal wire in the Young Toddler Classroom. On 8/23/21 observed a Little Tykes riding toy with the back broken off the base and cracked in the Toddler Outdoor Play Space. On 8/23/21 observed 2 foam numbers torn in half and 1 foam board and 1 number torn in the 5 year old Classroom.

Corrected Corrected by Oct 25, 2021

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.

On 8/23/21 observed rest equipment in the Infant and Older Toddler Classrooms which were not labeled for the use of a specific child.

Corrected Corrected by Oct 25, 2021

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

3270.131(d)(4) · A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

The file of Child #2 lacked a health report which included an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing, or lead poisoning.

Corrected Corrected by Oct 25, 2021

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 #1 lacked a health assessment conducted every 24 months. The file of Staff #1 contained a current health assessment dated 2/22/21 with a previous one dated 2/11/19. Staff #3 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting. Staff #3 had a start date of 2/23/21 with a health assessment dated 2/24/21.

Corrected Corrected by Oct 25, 2021

Category: ratio. 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.

The file of Staff #6 lacked an adult health assessment which includes tuberculosis screening by the Mantoux method at initial employment. Staff #6 had a start date of 10/19/20 with a Mantoux read date of 10/22/20.

Corrected Corrected by Oct 25, 2021

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

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

On 8/23/21 observed bottles which were not labeled with the child's name in the Infant Classroom.

Corrected Corrected by Oct 25, 2021

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 did not have an emergency plan that provides for accommodations for children with disabilities and children with chronic medical conditions.

Corrected Corrected by Oct 25, 2021

Category: physical safety. 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.

The facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days by 12/11/20. The facility provided a written record that the fire detection system was manually tested on 1/8/21.

Corrected Corrected by Oct 25, 2021

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.

The file of Child #1 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #1 had an admission date of 12/14/20 with a health report dated 7/22/21.

Corrected Corrected by Oct 25, 2021

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