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.

The file for staff #1, staff #3, staff #6, staff #7, staff #9, staff #10, staff #12, staff #13, staff #14, staff #15, staff #17 did not complete pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Corrected Corrected by Mar 7, 2025

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #14 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 #14 may not work in a child care position at the facility.

The State Police clearance and Child Abuse clearance on file for staff #14 was over 60 months.

Corrected Corrected by Apr 23, 2025

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 for staff #1, staff # 3, staff #6, staff #7, staff #9, staff #10, staff #12, staff # 13, staff #14, staff #15, staff #16 and staff #17 showed e documentation of a written evaluation being done more than a 12-month period.

Corrected Corrected by May 9, 2025

Category: recordkeeping. 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.

It was observed in the preschool room and the Kids Zone that a protective receptacle covers were not placed in the electrical outlets on the day of inspection.

Corrected Corrected by Mar 6, 2025

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.

In the Kid Zone room, it was observed cleaners marked "Keep out of Reach of Children" in an unlocked cupboard accessible to children.

Corrected Corrected by Mar 7, 2025

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.

In the preschool room, it was observed cracked magnetic blocks.

Corrected Corrected by Mar 6, 2025

Category: physical safety. 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.

The file for Child #2 was observed not to contain the emergency contacts home telephone number of enrolling parent.

Corrected Corrected by Mar 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(2)(i)/3270.131(e)(2)(ii) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. Exemption from immunization for reasons of medical need must be documented by a written, signed and dated statement from the child's physician, physician's assistant or CRNP. The statement shall be kept in the child's record.

A written, signed, and dated exemption from immunization for religious belief or strong personal objection equated to a religious belief was observed not to be in the file of Child #1

Corrected Corrected by Mar 7, 2025

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

It was observed in the infant room a diaper cream that did not identify the name of the child for whom it was intended.

Corrected Corrected by Mar 6, 2025

Category: health medication. 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.

It was observed in the young toddler room an expired bottle of Tylenol in the locked medicine cupboard.

Corrected Corrected by Mar 6, 2025

Category: health medication. 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.

The file for Staff #8 did not have documentation of education.

Corrected Corrected by Apr 4, 2025

Category: recordkeeping. 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.

The file for Staff #1 and Staff #3 did not have documentation of updated health assessments.

Corrected Corrected by Apr 22, 2025

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

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

The file for Child #1, (Older Toddler) lacked an Updated Health Report within the last year. (SEE LIS CODE SHEET)

Corrected Corrected by Mar 18, 2024

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerator, in the Young School Age Room, used for childcare was lacking an operating thermometer.

Corrected Corrected by Mar 1, 2024

Category: nutrition. 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 persons #1, #4 and #6--- have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

Corrected Corrected by Apr 1, 2024

Category: health medication. 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 childcare experience, education and training following the outset of service at the facility.

The two most recent Mandated Reporter Trainings for staff #2 were dated more than 60 months apart.

Corrected Corrected by Mar 15, 2024

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 NSOR certifications for Staff #1, Staff #3 and Staff #6 were dated after each staff person's Date of Hire. The NSOR certification for Staff Person #8 lacked from the staff file. (SEE LIS CODE SHEET). The file for Staff Person #8, who resided in Texas within the past 60 months lacked Out of State Clearances. (SEE LIS CODE SHEET). The PA State Police, Child Abuse and NSOR clearances for Staff Person #10 were dated more than 60 months apart. (SEE LIS CODE SHEET).

Corrected Corrected by Mar 15, 2024

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 two most recent staff evaluations for Staff Persons #2, #5, #9, #11, #12 and #13 were completed more than one year apart. (SEE LIS CODE SHEET). Staff person #10 lacked an annual written evaluation that was conducted within the past 12 months. (SEE LIS CODE SHEET)

Corrected Corrected by Mar 5, 2024

Category: recordkeeping. 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.

In the gym, on all walls, seven protective receptacle covers were missing which was accessible to children 5 years of age or younger.

Corrected Corrected by Feb 2, 2024

Marked corrected in the state record.

3270.131(e)/3270.131(e)(1) · 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. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Immunization record in the file for Children #4 (INF), #5 (PS) and #6 (INF) were dated more than 60 days after initial enrollment. (SEE LIS CODE SHEET).

Corrected Corrected by Mar 8, 2024

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.

The two most recent Health Assessments for Staff #7 were dated more than 24-months apart. (See IS CODE SHEET)

Corrected Corrected by Mar 8, 2024

Category: ratio. Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The Initial Child Health Report for Child #2 (PS), enrolled for more than 60 days, lacked from the child file. (SEE LIS CODE SHEET)

Corrected Corrected by Mar 1, 2024

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

3270.131(a)/3270.131(e) · 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 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.

The Initial Child Health Report and Immunizations for Child #6 (INF), enrolled for more than 60 days, was lacking from the child file. (SEE LIS CODE SHEET)

Corrected Corrected by Mar 15, 2024

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

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

The fire extinguishers next to the restroom, near the main entrance and kitchen were expired as of January 2023.

Corrected Corrected by Apr 5, 2023

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.

The files for Staff #1 lacked completion of the UPDATED 1 Hour Health and Safety Training on or before 12/30/2022.

Corrected Corrected by Apr 5, 2023

Category: ratio. 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 #3 and #6 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training (dated 0610/01/2021 and 11/28/2021, respectively). Staff person #2--- had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR (dated 06/2019).

Corrected Corrected by Apr 5, 2023

Category: health medication. 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 childcare experience, education and training following the outset of service at the facility.

Staff person #7 had not completed mandated reporter training (07/12/2022) within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Apr 3, 2023

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 #4 lacked an annual written evaluation that was conducted within the past 12 months.

Corrected Corrected by Apr 5, 2023

Category: recordkeeping. 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.

On the right, back and left walls of the gym, six protective receptacle covers were missing which were accessible to children 5 years of age or younger.

Corrected Corrected by Apr 5, 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 First Aid Kit in the Pre-School Room was lacking soap.

Corrected Corrected by Apr 5, 2023

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.

In the shelf in the Young Toddler Room, a clear, plastic bin with toys was cracked which posed a pinch point or cutting hazard.

Corrected Corrected by Apr 5, 2023

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The immunization record for Child #1 (YT), Child #2 (OT), Child #3 (OT), Child #4 (OT), Child #5, (Pre-S) and Child #6 (Pre-S) lacked a yearly Influenza shot with no Letter of Exemption in File.

Corrected Corrected by Apr 17, 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.

The two most recent Health Assessments for Staff #5 were dated more than 24-months apart.

Corrected Corrected by Apr 5, 2023

Category: ratio. Marked corrected in the state record.

3270.131(a)/3270.131(e) · 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 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.

The Initial Child Health Report and Immunizations for Children #6, enrolled for more than 60 days, was lacking from the child file.

Corrected Corrected by Apr 17, 2023

Category: health medication. 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 trainings are completed, staff person #1-- must be supervised, when interacting with children, by a (AGS) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1--, staff person #1-- may not work in a child care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1-- does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 03/16/2020.

Corrected Corrected by Aug 24, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2-- will have until 09/01/2022 to complete the required training. Until such time as the required training has been completed, staff person #2--- 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--, staff person #2-- may not work in a child-care position at the facility.

Staff person #2--- has not completed the following required pre-service training within 90 days of their date of hire : Health and Safety.

Corrected Corrected by Aug 24, 2022

Category: supervision. Marked corrected in the state record.

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

When she was asked to name her supervision group, Staff #1 could only name eight of the nine children for whom she was responsible.

Corrected Corrected by Jul 29, 2022

Category: supervision. 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 2/22/22 observed peeling rest mat covers in the two year old room and the pre k counts room. Observed a loose back of a toy housekeeping appliance in the two year old room.

Corrected Corrected by Mar 15, 2022

Category: physical safety. 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 3/2/22 observed staff file #1, 2, 5, and 6 contained first aid and cpr certifications which were expired. Observed staff file #3, who is required to have pediatric first aid and pediatric cpr, did not contain documentation of completion of the training.

Corrected Corrected by Apr 1, 2022

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

On 3/2/22 observed staff file #2 contained updated criminal background clearance, child abuse clearance, FBI fingerprint clearance and Mandated reporter training which were all completed more than 60 months after the previous valid clearance and training. Observed staff file #3 contained the NSOR verification letter which was dated more than 45 days after starting in a child care position.

Corrected Corrected by Apr 1, 2022

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.

On 3/2/22 observed staff file #2 contained a most recent evaluation which was dated more than 12 months after the previous valid evaluation.

Corrected Corrected by Apr 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

On 2/22/22 observed shaving cream and bingo daubers, both labeled keep out of the reach of children, in the arts and craft storage area of the preschool room.

Corrected Corrected by Mar 11, 2022

Marked corrected in the state record.

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

On 2/22/22 observed the first aid kits were accessible to children in the school age room, pre k counts room, and in the preschool room. In the school age room the first aid kit was lacking tweezers. In the preschool room the first aid kit was lacking gauze. In the two year old room the first aid kit was lacking soap.

Corrected Corrected by Mar 11, 2022

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 2/22/22 observed a leak stained ceiling tile over the are where the infants play. Observed a damaged cabinet door in the preschool room. Observed a spot of damaged drywall by the bathroom door in the hallway and another small hole in the drywall of the two year old room.

Corrected Corrected by Mar 11, 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.

On 2/22/22 observed damaged paint in several spots in the kid zone area.

Corrected Corrected by Mar 11, 2022

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

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

On 2/22/22 observed an epi pen in the 1 year old room which did not have the written instructions are provided from the individual who prescribed the medicine.

Corrected Corrected by Mar 11, 2022

Category: ratio. 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 2/22/22 observed a less than 1 inch piece of rest mat covering accessible to children on the floor of the two year old room.

Corrected Corrected by Mar 15, 2022

Category: physical safety. 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.

On 2/22/22 observed child file #1, 2, 4, 5, and 6 contained original agreements.

Corrected Corrected by Apr 1, 2022

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.

On 2/22/22 observed the emergency contact information for child file #1, 3, and 4 did not contain the health insurance coverage and policy number. The emergency contact information for child file #6 did not contain the health insurance policy number.

Corrected Corrected by Apr 1, 2022

Category: health medication. 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.

On 2/22/22 observed the emergency/excursion bag in the one year old room did not contain the emergency transportation plan.

Corrected Corrected by Mar 11, 2022

Category: transportation. 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 2/22/22 observed child file #7, a preschool child, contained a most recent health assessment which was dated more than 14 months ago.

Corrected Corrected by Apr 29, 2022

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

On 2/22/22 observed child file # 3, 4, 6, and 7 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP. Observed child file #1 and #2 did not contain written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered.

Corrected Corrected by Apr 1, 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.

On 3/2/22 observed staff file #1 and 5 contained updated health assessments which were dated more than 24 months after the previous valid health assessment. Observed the initial health assessment for staff file #4 did not contain the results of the TB test.

Corrected Corrected by Mar 11, 2022

Category: ratio. 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.

On 2/22/22 observed the facility did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Mar 11, 2022

Marked corrected in the state record.

3270.131(a)/3270.131(b)(1) · 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 operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

On 2/22/22 observed the initial health assessment for child #3 was dated more than 90 days after the first day of attendance at the facility. Observed the updated health report for child #2, a young toddler was dated more than 6 months after the previous valid health assessment.

Corrected Corrected by Apr 1, 2022

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