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

An emergency drill was not documented and on file

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

During renewal inspection certification rep reviewed emergency plan. The emergency plan wasn't reviewed and updated.

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

During renewal inspection certification rep reviewed emergency plan. emergency plan did not have continuity of operations.

Corrected Corrected by Dec 5, 2025

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

During renewal inspection certification rep reviewed liability insurance. Liability insurance submitted was dated 6-17-24.

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.

During renewal inspection certification rep reviewed staff files. Staff 3 was missing fire safety training.

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff 3 was missing high school diplomaDuring renewal inspection certification rep reviewed staff files. Staff 1 and 2 were missing verification of child care experience.

Corrected Corrected by Dec 5, 2025

Category: supervision. 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.

During renewal inspection certification rep observed missing outlet cover in Inch worms.

Corrected Corrected by Dec 5, 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 Disney bathroom, certification rep observed an unlabeled cleaning spray bottle with a purple solution inside of it accessible to children.

Corrected Corrected by Dec 5, 2025

Marked corrected in the state record.

3270.72(c)/3270.72(d) · Screens shall be in good repair. 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.

The window screen in the bathroom on the second floor was ripped.The windows in the prek room on the second floor open more than 6 inches.

Corrected Corrected by Dec 5, 2025

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

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

The hallway wall on the first floor had holes.During renewal inspection certification rep observed chipped paint in the following areas: Snuggle room, Crayola, Disney, Hallways.

Corrected Corrected by Dec 5, 2025

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.

The couch in the Disney room was ripped. The mats in Crayola, Disney and Sunshine were ripped exposing the foam.

Corrected Corrected by Dec 5, 2025

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

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

The refrigerator in the prek room on the second floor was missing a thermometer.

Corrected Corrected by Dec 5, 2025

Category: nutrition. 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).

During renewal inspection certification rep reviewed children's files. Child 2 was missing an observation and observation for child 3 was not signed.

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During renewal inspection certification rep reviewed children's files. Fee agreement for child 1 did not shall specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During renewal inspection certification rep reviewed children's files. Fee agreement for child 1 and 2 did not specify the date of the child's admission.

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During renewal inspection certification rep reviewed children's files. Emergency contact for child 4 was missing work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Dec 5, 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.

During renewal inspection certification rep reviewed children's file. Child 4 was missing fee agreement

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

During renewal inspection certification rep reviewed staff files. Staff 1 was missing 1 reference letter

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. 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.

Provider was unable to locate incident report for when the child was hit with a block

Corrected Corrected by Sep 10, 2025

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.

Certification ERepresentative observed an broken "globe" facing the fence on the outdooe embedded play equipment

Corrected Corrected by Dec 25, 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.

File records for Child #1 and Child #3 did not include the address(Child #1&#3) and telephone number (Child#3) of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

File record for Child #2 and Child #4 did not include signed parental consent for emergency medical care for the child.

Corrected Corrected by Dec 25, 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.

File record for Child #2 and Child #4 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Dec 25, 2024

Category: ratio. Marked corrected in the state record.

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

Cerification Representative observed high chairs in the Snuggle Classroom missing T-shaped safety strap.

Corrected Corrected by Dec 7, 2023

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.

Windows on the second level were able to open more than 6 inches

Corrected Corrected by Dec 7, 2023

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

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

Certification Representative observed chipped paint in the Crayola Room and Snuggle Room

Corrected Corrected by Dec 7, 2023

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.

The unannounced inspection on 3/29/2023 revealed that staff persons #1 #2 #3 and #4 did not have verification of Emergency plan training on file at the facility.

Corrected Corrected by Apr 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(b) · A staff person shall be 18 years of age or older.

During the unannounced inspection on 3/29/2023 the staff person #1 was observed working with children. Staff person #1 is 17 years old.

Corrected Corrected by Apr 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During the unannounced inspection on 3/29/2023 the file for staff persons #1 #2 and #3 did not have verification of the required health and safety training. Staff persons #1 #2 and #3 did not have verification of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Corrected Corrected by Apr 21, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Staff Person #1 and #3 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. Staff Persons #1and #3 may not work in a child care position at the facility.

During the unannounced inspection on 3/29/23 the file for staff person #1 did not have a PA Child abuse clearance or NSOR clearance. Staff person # 3 did not have an FBI clearance, NSOR clearance or mandated reporter's training.

Corrected Corrected by Apr 10, 2023

Category: supervision. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the SE Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

During the unannounced inspection on 3/29/2023 21 preschool aged children were observed with two staff in the Shining Stars room. Staff person #5 was observed working alone with 11 preschool aged children.

Corrected Corrected by Apr 10, 2023

Category: ratio. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Sout East Region Office on a weekly basis for a period of two months after DHS approves the documentation format.

During the unannounced inspection on 3/29/2023 21 preschool aged children were observed with two staff in the Shining Stars room. Staff person #5 was observed working alone with 11 preschool aged children.

Corrected Corrected by Jul 10, 2023

Category: ratio. Marked corrected in the state record.

3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the unannounced inspection on 3/29/2023 the file for staff person #1 did not have a health assessment.

Corrected Corrected by Apr 10, 2023

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

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

Individual #4 confirmed that child #1 #2 and #3 were alone on the side of the building near the classroom door and no staff persons were in view. Individual #1 looked inside the classroom but the classroom was empty. Individual #4 took child #1 by the hand and the other two children and located a staff member to inform them the children were alone. Individual #4 stated the children were alone for several minutes.

Corrected Corrected by Apr 24, 2023

Category: supervision. Marked corrected in the state record.

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

Individual #4 confirmed that child #1 #2 and #3 were alone on the side of the building near the classroom door and no staff persons were in view. Individual #1 looked inside the classroom but the classroom was empty. Individual #4 took child #1 by the hand and the other two children and located a staff member to inform them the children were alone. Individual #4 stated the children were alone for several minutes.

Corrected Corrected by Apr 24, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During the renewal inspection on 11/17/2022 staff person #2 did not have verification of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Corrected Corrected by Dec 5, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a child care position at the facility.

During the renewal inspection on 11/17/2022 staff person #3 had an expired Child Abuse Clearance and expired Mandated Reporter's training on file at the facility. Staff person #5 did not have a disclosure on file at the facility.

Corrected Corrected by Dec 9, 2022

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

During the renewal inspection on 11/17/2022 the following areas were observed in the Disney classroom: 1. A light cover was missing over a set of tube lights. 2, An exposed bolt holding the toilet down to the floor was missing a protective cap in the bathroom area.

Corrected Corrected by Dec 1, 2022

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

3270.102(a)/3270.104(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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

During the renewal inspection on 11/17/2022 two white bookshelves in the Shining Stars rooms and a brown bookshelf in the upstairs back classroom have a narrow base and tipping hazard. These shelves were not mounted to prevent tipping. A play equipment (Police Car) was on an uneven surface and had a tipping hazard on the preschool playground.

Corrected Corrected by Dec 9, 2022

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspeciton on 11/17/2022 staff persons #3 #4 and #5 did not have a current health assessment on file at the facility. Staff person #4 did not have a current health assessment for initial hire or current TB testing dates and results.

Corrected Corrected by Dec 9, 2022

Category: ratio. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection on 11/17/2022 the file for staff person #1 did not have verification of education on file at the faciltiy.

Corrected Corrected by Dec 9, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

During the renewal inspection on 11/17/2022 the file for staff person #1 had a written reference that did not include the full name of the person providing the reference. (No last name was provided).

Corrected Corrected by Dec 9, 2022

Category: recordkeeping. 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.

During the renewal inspection on 11/17/2022 the health assessment for child #1 was expired.

Corrected Corrected by Dec 9, 2022

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

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

During the investigation on 8/23/2022 it was confirmed that management at the facility were made aware that child #1 was treated at the Emergency Room. The Operator did not notify the South East Regional office that a child received emergency room treatment.

Corrected Corrected by Aug 24, 2022

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

3270.76/3270.102(a) · 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.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.

During the unannounced inspection on 8/23/2022 the following areas were observed on the playground : 1.Damaged fence on the front of the preschool playground, 2.Damaged stroller on the playground (torn seats/dirty/debri). 3.Standing dirty water on toys in the toddler playground area. The following areas were observed inside the childcare facility: 1.A damaged red child's couch in the Disney room. (torn cushions) 2.Damaged rug at the seam (padding exposed) in the Disney room,3. Damaged baseboard heater in the Disney room bathroom (Broken guard and rust. 4. Unsecured air conditioner cord in the infant room.

Corrected Corrected by Sep 8, 2022

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

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

The operator reported that on 7/14/2022 staff person #1 was witnessed "playing a Cowboy game" with a group of preschool aged children. Staff person #1 used painter's tape to bond the wrists together of child #1 and Child #2 as part of the game.

Corrected Corrected by Jul 25, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the unannounced inspection on 7/19/2022 the toilet in the Disney classroom was not working properly.

Corrected Corrected by Jul 20, 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.

During the unannounced inspection on 7/19/2022 the following areas of non-compliance were observed: 1. The play stair climber in the young toddler room had areas were the rug was damaged on the steps 2. The front gate was broken 3. The closet door in the Disney classroom was broken.

Corrected Corrected by Jul 26, 2022

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.

During an unannounced inspection on 7/19/2022 the lobby area at the bottom of the stairs that go to the upstairs preschool classroom (Front of Building) a plastic shelf, and cardboard decorations were observed stored in this area, partially blocking the exit path and front door area.

Corrected Corrected by Jul 20, 2022

Category: ratio. Marked corrected in the state record.

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

During the unannounced inspection on 7/19/2022 the cover to the smoke detector located outside of the kitchen was not full connected to the device.

Corrected Corrected by Jul 20, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the unannounced inspection 3/25/2022 10 older toddlers and 2 young toddlers were observed in a classroom with staff persons #1 and #2,

Corrected Corrected by Mar 28, 2022

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). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2 and #3 may not work in a child care position at the facility.

During the renewal inspection on 12/14/2021 a review of the staff files revealed the following: Staff person #1, hired on 10/22/21 did not have an FBI clearance on file at the facility. Staff person #3 did not have a DHS FBI clearance on file at the facility.

Corrected Corrected by Dec 28, 2021

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

During the renewal on 12/14/2021 the electric heater was missing a section of the cover/guard in the Crayola classroom. The heater is in an area accessible to the children.

Corrected Corrected by Dec 28, 2021

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

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

During the renewal inspection on 12/14/2021 the toilet bolts ( holding the toilet to the floor) were missing the protective covers. The bolts were sticking up and had areas of rust. This was observed in the bathrooms used by the preschool and toddler aged children.

Corrected Corrected by Dec 28, 2021

Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection on 12/14/2021 a review of the staff files revealed staff person #2 does not have a current health assessment on file as required.

Corrected Corrected by Dec 28, 2021

Category: ratio. 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.

During the unannounced inspection on 11/3/2021 cleaning products were observed in an unlocked cabinet under the sink in the infant room.

Corrected Corrected by Nov 16, 2021

Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

During the unannounced inspection on 11/3/2021 the an unlidded waste receptacle was observed in the three year old bathroom.

Corrected Corrected by Nov 16, 2021

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

3270.106(a)/3270.119 · 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.Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

During the unannounced inspection on 11/3/2021 child #9 and #10 were observed sleeping in bouncy seats in an elevated position.

Corrected Corrected by Nov 16, 2021

Category: health medication. 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.

During the unannounced inspection on 11/3/3021 the child #1 #2 #3 #4 #5 were observed in the preschool classroom on nap mats that were no spaced with a least 2 feel of space on three sides. Child #8 was observed sleeping in a crib that did not have two feet of space on three sides. This is continued non-compliance from SIN-00185028.

Corrected Corrected by Nov 16, 2021

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

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

During the unannounced inspection on 11/3/2021 the bottles for child #6 and #7 were not labeled with the infants name.

Corrected Corrected by Nov 16, 2021

Marked corrected in the state record.