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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

During in person inspection a infant was observed sleeping in crib in nursery alone. Staff stated he was unaware child was the their sleeping as another staff placed child in the room and did not inform him.

Corrected Corrected by Sep 22, 2025

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.

During in person inspection a infant was observed sleeping in crib in nursery alone. Staff stated he was unaware child was the their sleeping as another staff placed child in the room and did not inform him.

Corrected Corrected by Sep 22, 2025

Category: supervision. 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 bathroom in young toddler classroom with no handwashing sign.

Corrected Corrected by Apr 21, 2025

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

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

Observed napper unlabeled in 3/4 classroom.

Corrected Corrected by Apr 21, 2025

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

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

Observed unlabeled cups in 3/4 classroom.

Corrected Corrected by Apr 21, 2025

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 first aid kit in 2/3 classroom missing tweezers.

Corrected Corrected by Apr 21, 2025

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.

Observed broken floor tile in young toddler bathroom. Also observed classroom 3/4 bathroom sink clogged. Infant room first aid kit covered in dust.

Corrected Corrected by Apr 21, 2025

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

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

Observed chipped paint on Kindergarten enrichment classroom banister and on shelves in childcare space.

Corrected Corrected by Apr 21, 2025

Category: physical safety. 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 toxins low in the 3/4 yr old classroom.

Corrected Corrected by Jan 22, 2025

Marked corrected in the state record.

3270.119 · 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.

Observed infant sleeping in swing and bouncer.

Corrected Corrected by Jan 22, 2025

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

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

Observed bottles unlabeled.

Corrected Corrected by Jan 22, 2025

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.

Continued non compliance, observed 4 infants sleeping in pack and plays that did not have 2 feet of space on three sides.

Corrected Corrected by Oct 31, 2024

Category: physical safety. 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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Continued non compliance, observed 4 infants sleeping alone in napping room.

Corrected Corrected by Nov 25, 2024

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.

Continued non compliance, observed 4 infants sleeping alone in napping room. The room was also too dark to see infants faces.

Corrected Corrected by Oct 29, 2024

Category: supervision. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Staff #1-10 did not have updated emergency plan training on file.

Corrected Corrected by Oct 11, 2024

Category: recordkeeping. 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 #3 did not have Ped CPR/FA verification in file. Staff #1, 4-10 had expired Ped CPR/FA in file.

Corrected Corrected by Oct 31, 2024

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). 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: Facility Person # 1-- may not work in a child care position at the facility.

Staff #1 state police clearance dated 7/11/19. Staff #2, hired 8/30/23, did not have state police or NSOR in file.

Corrected Corrected by Oct 1, 2024

Category: supervision. Marked corrected in the state record.

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

Observed black rubber mats under white climber on front playground that poses tripping hazards.

Corrected Corrected by Oct 11, 2024

Category: physical safety. 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 4 infants sleeping in pack and plays that did not have 2 feet of space on three sides. Continued non compliance 10/22/24 reflected in SIN-00254228.

Corrected Corrected by Oct 1, 2024

Category: physical safety. 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.

Observed 4 infants sleeping alone in napping room.2- 3 year old classroom head teacher left aide alone with napping children while she took a child to the bathroom. Continued non compliance 10/22/24 reflected in SIN-00254228.

Corrected Corrected by Oct 1, 2024

Category: supervision. 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.

Child #2 did not have a health updated health assessment on file.

Corrected Corrected by Oct 31, 2024

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Children in the 2-3 year old room did not wash hands before eating lunch.

Corrected Corrected by Oct 1, 2024

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

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Child #1 and #2 did not have agreement and emergency contact form reviewed by parent in last 6 months.

Corrected Corrected by Oct 11, 2024

Category: recordkeeping. 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 my inspection I observed that the light in the 2yr-3yr old room flashed on and off.

Corrected Corrected by Jul 28, 2023

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.

While reviewing the children's files I observed that child 1, 2, did not have their parents work address & telephone number on their emergency contact sheet.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

During my inspection I observed that the 2yr-3yr old room had a broken hands-free trash can.

Corrected Corrected by Jul 28, 2023

Category: health medication. 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.

While reviewing the staff's files I observed that staff 1-3, & 5, 6, did not have acceptable verification of experience.

Corrected Corrected by Jul 28, 2023

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.

While reviewing the staff's files I observed that staff 5, did not have a current physical, or PPD.

Corrected Corrected by Jul 28, 2023

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

3270.192(4) · 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 # 4-6 may not work in a child care position at the facility.

While reviewing the staff's files I observed that staff 4 hired on May 2018, & staff 6 hired on July 2023 did not have their child abuse clearance. Staff 5 hired on September 2023 did not have their FBI clearance, and staff 6 hired on July 2023 did not have their NOSR, or their mandated reporter training.

Corrected Corrected by Jul 28, 2023

Category: background checks. 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.

While reviewing the staff's files I observed that staff 1, did not have emergency plan training.

Corrected Corrected by Oct 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

While reviewing the staff's files I observed that staff 1, did not have fire safety training.

Corrected Corrected by Oct 11, 2022

Category: recordkeeping. 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.

While reviewing the staff's files I observed that staff 2, 3, &, 6 had not completed their health & safety training.

Corrected Corrected by Oct 11, 2022

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

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

While reviewing the children's files I observed that child 3 did not have a operator signature on it.

Corrected Corrected by Oct 11, 2022

Category: recordkeeping. Marked corrected in the state record.

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

While reviewing the children's files I observed that child 1-4 did not have their parent's home and/or work information on their emergency contact sheet.

Corrected Corrected by Oct 11, 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.

While reviewing the children's files I observed that child 3 had their health insurance coverage, and policy number missing form their emergency contact sheet.

Corrected Corrected by Oct 11, 2022

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

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

While reviewing the staff's files I observed that staff 6 did not have a PPD screening.

Corrected Corrected by Oct 11, 2022

Category: health medication. 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.

While reviewing the staff's files I observed that staff 1-3, did not have verification of their child care experience.

Corrected Corrected by Oct 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

While reviewing the staff's files I observed that staff 2, 3, &, 5, did not have their 12 clock hours of child care training.

Corrected Corrected by Oct 11, 2022

Category: recordkeeping. Marked corrected in the state record.

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

While conducting my inspection I observed that the high chair in the infant room did not have T-shape safety strap.

Corrected Corrected by Oct 27, 2021

Marked corrected in the state record.

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

While conducting my inspection I observed that the water in the kindergarten enrichment room was 130 degrees.

Corrected Corrected by Oct 27, 2021

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

While reviewing the staff's files I observed that staff 1, 6, did not have emergency plan training.

Corrected Corrected by Oct 27, 2021

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.

While reviewing the staff's files I observed that staff 3, 4, 6, did not have fire safety training.

Corrected Corrected by Oct 27, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1, 2, 3, 4, 5, 6, may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

While reviewing the staff's files I observed that staff 1, hired on February 2009 , & staff 4 hired on September 2006, & staff 5 hired on September 2003, does not contain a current state police clearance. Staff 2 hired on March 2003, & staff 3 hired on September 2008, & staff 4 hired on September 2006, does not contain a current child abuse clearance. Staff 2 hired on March 2003, & staff 3 hired on September 2008, & staff 5 hired on September 2003 does not contain a current FBI clearance.

Corrected Corrected by Oct 27, 2021

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.

While conducting my inspection I observed that that there was a missing outlet cover in the transition room.

Corrected Corrected by Oct 27, 2021

Marked corrected in the state record.

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

While conducting my inspection I observed hat the rest equipment in the transition room was not labeled.

Corrected Corrected by Oct 27, 2021

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.

While conducting my inspection I observed that the refrigerator in the young toddler room was above 45 degrees.

Corrected Corrected by Oct 27, 2021

Category: nutrition. Marked corrected in the state record.

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

While conducting my inspection I observed that the kindergarten enrichment room did not have a daily schedule posted.

Corrected Corrected by Oct 27, 2021

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.

While reviewing the children's files I observed that child 1, 5, did not have their parent's work and/or home information on their emergency contact sheet.

Corrected Corrected by Oct 27, 2021

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.

While reviewing the children's files I observed that child 1, 4, did not have the information for who they could be released to on their emergency contact sheet.

Corrected Corrected by Oct 27, 2021

Category: recordkeeping. 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.

While reviewing the staff's files I observed that staff 3 did not have a current physical.

Corrected Corrected by Oct 27, 2021

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

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

While conducting my inspection I observed that "Owen " did not have a fed schedule from his parent's.

Corrected Corrected by Oct 27, 2021

Category: nutrition. Marked corrected in the state record.