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.

While reviewing the staff's files I observed that staff 1, did not have a first aid & CPR training.

Corrected Corrected by Mar 21, 2025

Category: ratio. Marked corrected in the state record.

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

During the inspection, it was observed that the facility had not conducted an emergency drill within the last year.

Corrected Corrected by Mar 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 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 # 2 may not work in a child care position at the facility.

While reviewing the staff's files I observed that staff 2, hired March 2025, did not include FBI clearance, State police clearance, nor a NSOR certification.

Corrected Corrected by Mar 21, 2025

Category: supervision. Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

During the inspection, it was observed that the emergency number were not in the Turtle room.

Corrected Corrected by Mar 21, 2025

Category: physical safety. 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 inspection, it was observed that the socket cover was off the outlet in the block area of the preschool room.

Corrected Corrected by Mar 21, 2025

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

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

During the inspection, it was observed that there was peeling paint on the wall by the window.

Corrected Corrected by Mar 21, 2025

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

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

During the inspection, it was observed that the rest equipment in Turtle 2 room was not labeled.

Corrected Corrected by Mar 21, 2025

Category: physical safety. 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.

During the inspection, it was observed that a daily schedule was not posted in the Turtle 2 room.

Corrected Corrected by Mar 21, 2025

Marked corrected in the state record.

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

During the inspection, it was observed that staff 2, 3, did not know how many children were in the room. Staff 3 did not know all the children she was responsible for.

Corrected Corrected by Mar 21, 2025

Category: supervision. 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 child/children's files I observed that children 1, 3, did not include the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Mar 21, 2025

Category: recordkeeping. 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.

During the inspection, it was observed that staff 2 did not wash the child's hands after diapering.

Corrected Corrected by Mar 21, 2025

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.

While reviewing the child/children's files I observed that child 2. did not contain an updated agreement form.

Corrected Corrected by Mar 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.192(1)/3270.192(2)(i) · A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

While reviewing the staff's files I observed that staff 2, did not the name, address and telephone number of the facility person, nor did it include verification of age.

Corrected Corrected by Mar 21, 2025

Category: recordkeeping. 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, 2, did not contain acceptable verification of experience.

Corrected Corrected by Mar 21, 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.

While reviewing the staff's files I observed that staff 2, did not include a current health assessment or a tuberculin skin tests.

Corrected Corrected by Mar 21, 2025

Category: health medication. 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.

During my investigation, it was found that there were several incidents that happened, and no report was done.

Corrected Corrected by Dec 20, 2024

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

3270.14 · 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.

During my inspection I observed that the facility did not have all the update and required policy changes. 1. Shaken baby syndrome sign/symptoms 2. Strategies for crying/fussing/distraught children 3. Prevention/identification of maltreatment

Corrected Corrected by Apr 12, 2024

Category: ratio. Marked corrected in the state record.

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

During my inspection I observed that the Young Toddler room was really cold and there was no way to verify the temperature.

Corrected Corrected by Apr 12, 2024

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

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

While reviewing the children's files I observed that child 5, 8, did not have the fee to be charged per day or per week.

Corrected Corrected by Apr 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

While reviewing the children's files I observed that child 3-6, and 8, 9, did not include their child's arrival and departure times on their agreement form.

Corrected Corrected by Apr 12, 2024

Category: recordkeeping. Marked corrected in the state record.

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

While reviewing the children's files I observed that child 3-6, 9, did not have the date of the child's admission on their agreement form.

Corrected Corrected by Apr 12, 2024

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 1-9, did not include the home and work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Apr 12, 2024

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 4, did not include policy number.

Corrected Corrected by Apr 12, 2024

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

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

While reviewing the children's files I observed that child 5, 8, did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

During my inspection I observed that the facility did not have medication logs for any of the prescribed medications onsite.

Corrected Corrected by Apr 12, 2024

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.

While reviewing the children's files I observed that staff 2, 3, 4, did not include verification of child care experience.

Corrected Corrected by Apr 12, 2024

Category: recordkeeping. 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 # 1, may not work in a child care position at the facility.

While reviewing the staff's files I observed that staff 1 hired on April, 2016, did not have a current State Police clearance, & staff 5 hired on August, 2022, did not contain their out-of-state clearances (GA).

Corrected Corrected by Apr 12, 2024

Category: background checks. 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.

During my inspection I observed that the facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Apr 12, 2024

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

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

During my inspection I observed that the facility had not conducted their annual emergency drill.

Corrected Corrected by Apr 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

During my inspection I observed that the facility had not sent a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Apr 12, 2024

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

3270.32(a)/3270.192(4) · Facility Person #2 must be removed from a child care position by the close of business because she /he does not have all the required clearances or requests for clearances.

During renewal inspection dated 4/10/2023 the file of staff person #2, hired, 9/14/2017 contains a child abuse clearance dated 9/8/2017 which is more than 60 months old. There is no application in the file for an updated child abuse clearance.

Corrected Corrected by Apr 10, 2023

Category: background checks. 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 dated 4/10/2023, certification representative observed that the library, the Pre-K room #2, the gym, and the turtle #1 room have electrical outlets that do not have protective covers on them. Those outlets are accessible to children.

Corrected Corrected by Apr 17, 2023

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 renewal inspection dated 4/10/2023, certification representative observed that there were toxic materials such as Hand Sanitizer, Desetin Rash Ointment, and cleaning materials in multiple rooms throughout the facility that were accessible to children.

Corrected Corrected by Apr 10, 2023

Marked corrected in the state record.

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

During renewal inspection dated 4/10/2023, certification representative observed that in the infant room there was chipped plaster behind the chair, and there was chipped paint on the wall in the pre K #1 room, the bathroom, and on the wall in the gym.

Corrected Corrected by Apr 17, 2023

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.

During the renewal inspection dated 4/10/2023, certification representative observed that the naptime cots for the turtle #2 room were not labeled for the use of a specific child.

Corrected Corrected by Apr 10, 2023

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 dated 4/10/2023, certification representative reviewed staff #1 file and there was an expired health assessment dated 2/21/2021.

Corrected Corrected by Apr 17, 2023

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

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Revise the letter given to parents to ensure that it explains the emergency procedures and updates to the plan as required in 3270.27 subsection a. Submit a copy of the revised letter.

The letter given to parents regarding the emergency plan did not explain the emergency procedure updates to the plan as required in 3270.27 subsection a.

Corrected Corrected by May 9, 2022

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

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. The legal entity must arrange for all staff persons to be trained in proper hand washing procedures. Submit written verification of the completed training for all facility staff.

Staff person #1 was observed changing a child's diaper and did not wash her hands after diapering the child.

Corrected Corrected by May 9, 2022

Category: health medication. 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. Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Submit a written copy of the amended emergency plan.

The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by May 9, 2022

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

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. Amend the facility emergency plan to include lock down procedures. Submit a written copy of the amended emergency plan.

The facility's emergency plan did not provide for shelter of children during an emergency including lock down procedures.

Corrected Corrected by May 2, 2022

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