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 Toddler 2 classroom lacked scissors and soap. The first aid kit in the Preschool 3 classroom lacked tape.

Corrected Corrected by Jul 23, 2024

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.

On the lower playground, a wooden kitchen contained a piece of broken/split wood that could cause injury.

Corrected Corrected by Jul 23, 2024

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

On the lower playground, a wooden kitchen contained a loose screw less than 1 inch in diameter and accessible to children who are still placing objects in their mouths.

Corrected Corrected by Jul 23, 2024

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.

The fee agreement form for Child #1 and Child #4 lacked the names of the release persons.

Corrected Corrected by Jul 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The fee agreement form for Child #4 did not contain the date of admission.

Corrected Corrected by Jul 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form for Child #4 lacked an address and phone number for the physician/medical care provider.

Corrected Corrected by Jul 23, 2024

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

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

The emergency contact form for Child #2 and Child #4 lacked the enrolling parent's work address.

Corrected Corrected by Jul 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact form for Child #4 lacked indication if the child has any special medical needs.

Corrected Corrected by Jul 23, 2024

Category: health medication. 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.

The emergency contact form for Child #4 lacked the health insurance coverage name and the health insurance policy number.

Corrected Corrected by Jul 23, 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.

The emergency contact form for Child #3 and Child #4 lacked an address for the release persons.

Corrected Corrected by Jul 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

The file for Child # 2, Child #4, Child #5, and Child #6 contained an emergency contact form that was not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

Corrected Corrected by Jul 23, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file for Child #4, a preschool aged child, lacked an updated health report within the last 12 months. (SEE LIS CODE SHEET)

Corrected Corrected by Aug 30, 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.

The file for Child # 2, Child #4, Child #5, and Child #6 contained a fee agreement form that was not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

Corrected Corrected by Jul 23, 2024

Category: recordkeeping. 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 alarm 30-day test log includes test dates 9/20/23-10/22/23 and 11/20/23-12/23/23, more than 30 days apart.

Corrected Corrected by May 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #3 lacked documentation of 12 completed hours of annual training between 2/21/22-2/21/23.

Corrected Corrected by Sep 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #1 includes verification of First Aid/CPR training dated 4/12/22, after the expiration date of 1/11/22.

Corrected Corrected by Apr 12, 2022

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · 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 persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff #4 did not complete the required CPR/First Aid pre-service training within 90 days from their date of hire. (SEE LIS CODE SHEET) The training was completed on 2/26/23.

Corrected Corrected by Feb 26, 2023

Category: ratio. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(iii) · 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 following the outset of service at the facility.

Staff #3, who is classified as an Assistant Group Supervisor, has 1700 out of 2500 hours of child care experience documented on file.

Corrected Corrected by Sep 21, 2023

Category: supervision. 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.

On the lower playground, the first aid kit in the Infant 2 bookbag did not include a pair of tweezers.

Corrected Corrected by Sep 11, 2023

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 the Upper Playground, standing water was observed on the sandbox cover and in a groove of a red climber that a child was drinking. A gap with a lifted surface was observed on the Upper Playground between a concrete sidewalk and playground pad. On the Lower Playground, standing water was observed on the sandbox cover and a deep divot was observed in the grass that could create a tripping hazard for children in care. In the Preschool 4 Room, a broken door stop plate was observed on the bathroom door on the right that was accessible to children. On the Lower Playground, exposed bolts were observed on the perimeter of the inside of the gate, which is accessible to children.

Corrected Corrected by Sep 28, 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.

Peeling paint and plaster were present in the doorway of the Preschool 4 room, observed to be caused by water damage. Peeling paint and rust was observed on the Upper Playground on a climber's post caps that was in reach of children.

Corrected Corrected by Sep 21, 2023

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

There were no steps for children who are walking to approach an adult sized sink in the Infant 2 and Toddler 1 rooms.

Corrected Corrected by Sep 15, 2023

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.

Cracked and broken magnatiles were observed in the Preschool 3 and Preschool 5 rooms. In the Preschool 3 room, a cracked lego toy bin was observed with pinch points that could cause injury. In Preschool 2 room, foam blocks were observed with teeth marks and missing pieces that were not in good repair. In Preschool 4, a cracked waffle toy was observed with pinch points that could cause injury. On the Upper Playground, a large lizard seesaw was observed to have cracks and pinch points around the neck, which could cause injury. On the Lower Playground, exposed bolts were observed on the perimeter of the inside of the gate, which is accessible to children.

Corrected Corrected by Sep 15, 2023

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.

The agreement on file for Child #5 does not include the amount of the fee to be paid by the parent/guardian.

Corrected Corrected by Sep 12, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The agreement on file for Child #7 does not include the child's departure time.

Corrected Corrected by Sep 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form on file for Child #4 & Child #5 does not include the complete address for the child's pediatrician/source for medical care.

Corrected Corrected by Sep 12, 2023

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

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

The emergency contact form for Child #5 does not include a complete work and home address for the enrolling parent. The emergency contact form for Child #7 does not include a complete work phone number for the enrolling parent.

Corrected Corrected by Sep 13, 2023

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.

The emergency contact form for Child #2 does not include the child's health insurance coverage name. The emergency contact for Child #4 does not include the child's health insurance policy number.

Corrected Corrected by Sep 12, 2023

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.

The emergency contact forms for Child #4 and Child #5 do not include a complete address for all release persons. The emergency contact form for Child #7 does not include a complete phone number for all release persons.

Corrected Corrected by Sep 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

The most recent 6 month review signature for the emergency contact form and financial agreement on file for Child #2 is dated more than 6 months after the previous 6 month review signature. The most recent 6 month review signature for the emergency contact form and financial agreement on file for Child #5 is dated 1/28/23 and Child #8 is dated 1/21/23, which is more than 6 months prior. The file for Child #4 and Child #7 does not include a 6 month review signature from the date of enrollment for the emergency contact form and financial agreement. (SEE LIS CODE SHEET)

Corrected Corrected by Sep 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for Child #2, who is a Young Toddler, are dated 1/18/22 and 9/11/23, more than 6 months apart. The most recent health assessment on file for Child #8, who is a Young Toddler, is dated 12/6/22, more than 6 months prior.

Corrected Corrected by Sep 21, 2023

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 most recent health assessment on file for Child #7, who is a preschool age child, is dated 10/27/21, more than 1 year prior.

Corrected Corrected by Sep 21, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The most recent influenza vaccination on file for Child #4, who is 4 years old, is dated 12/16/21, is dated more than 1 year ago, and is recommended annually by the ACIP. Child #4 must be dismissed from care by close of business on 9/11/2023, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Corrected Corrected by Sep 12, 2023

Category: health medication. 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.

Observed teeth marks in the foam pegboards in the Preschool #1 Room. This creates a potential choking hazard for children who are still placing objects in their mouths.

Corrected Corrected by Apr 20, 2023

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.

Observed baseboards peeling in various areas of in the Preschool 1 and Preschool 5 Rooms.

Corrected Corrected by Mar 31, 2023

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 two cans of paint in the hallway, which serves as a fire exit from the facility.

Corrected Corrected by Jan 24, 2023

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

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

Observed adult scissors, which were accessible to children, on a desk in the Preschool 3 Room.

Corrected Corrected by Jan 24, 2023

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.

In the hall that serves as a fire exit from the facility, observed a ladder propped against the wall, which creates a potential toppling hazard,

Corrected Corrected by Jan 24, 2023

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

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

Observed a wheeled trash cart blocking the doorway of the fire exit on the left hallway.

Corrected Corrected by Jan 24, 2023

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Small rubber bands with a diameter of less than 1 inch were observed in the bathroom of the Toddler 4 Room in an unlocked cabinet, accessible to children who may still be placing objects in their mouths.

Corrected Corrected by Dec 2, 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.

SECOND VIOLATION. An electrical outlet was observed to have a broken front cover, causing a sharp edge. Previously cited on SIN-00214332 on 11/2/22.

Corrected Corrected by Dec 2, 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.

Peeling paint was observed on the wall above the book area in the PS 2 Room and on the wall above the chair rail in the Infant 2 Room.

Corrected Corrected by Dec 2, 2022

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 playhouse in the lower PG was observed to have a shutter broken off, causing a rough edge around the window.

Corrected Corrected by Dec 2, 2022

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

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

Staff Person #1 has been named as a perpetrator in an indicated case of child abuse. Staff Person #1 cannot work at the childcare facility.

Corrected Corrected by Sep 12, 2022

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

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Toxic Clorox was observed to be accessible to children in an unlocked cabinet in the Toddler 4 Room.

Corrected Corrected by Nov 2, 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.

Two holes large enough for a child's foot were observed around the shed in the lower outdoor play space.

Corrected Corrected by Nov 2, 2022

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

3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Open Inspection Summaries, SIN-00211310 and SIN-00211324, were not posted in a conspicuous location used by parents at the facility.

Corrected Corrected by Oct 18, 2022

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).

Upon arrival to the facility at 10:15 AM on 10 18.22, Staff # 1 was observed on the lower playground with 7 children - 6 OT and 1 PS.

Corrected Corrected by Oct 18, 2022

Category: ratio. Marked corrected in the state record.

3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Upon assessment of supervision and ratio in the Toddler 3 Room at 10:25 AM on 10/18/22, 11 children were observed in care. The Toddler 3 Room has a measured capacity of 10 children.

Corrected Corrected by Oct 18, 2022

Category: supervision. Marked corrected in the state record.

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

The water at the sinks used for handwashing, in both the Infant 1 and Toddler 4 Rooms, was measured at 116 degrees F.

Corrected Corrected by Oct 18, 2022

Category: health medication. 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.

The door between the PS 5 and SA Room was observed to be obstructed, with bins in front of the door.

Corrected Corrected by Oct 18, 2022

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.

Based on an interview with Staff Person #2 and review of written statements from Staff Persons #1 and #2, it was verified that on 9/12/22 at approximately 5:15 PM, Child #2 was found outside the facility lacking staff supervision, thereby resulting in the staff to child ratio being 0 to 1. It is unknown how long Child #2 was unsupervised outside, and it was later confirmed that Child #2 had endured serious bodily injuries.

Corrected Corrected by Sep 23, 2022

Category: supervision. 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.

Based on an interview with Staff Person #2 and a written statement from Staff Person #1, it was confirmed that on the afternoon of 9/12/22, the far right window of the Toddler 4 Room was open more than six inches while children were receiving care in the room. The Toddler 4 Room is located on the second floor of the building and the window opened directly to the outdoors. Based on an interview with Staff Person #2, Staff Person #1 had opened the window because she was hot.

Corrected Corrected by Sep 13, 2022

Category: recordkeeping. 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.

Based on interviews with Staff Persons #2 and #3, a written statement from Staff Person #3, and a review of documents, on 9/12/22 at approximately 5:00 PM, Staff Person #1 was assigned responsibility for supervising a mixed age group of 5 young toddlers and older toddlers in the Toddler 4 Room. At approximately 5:10 PM, after two of those children had been picked up, Staff Person #1 called the office to inform Staff Person #2 that she did not know the whereabouts of Child #1 and Child #2 who were in her care. It is unknown how long Child #1 and Child #2 were unsupervised. Child #1 was found hiding behind a toy shelf near an open window in the Toddler 4 Room. At approximately 5:15 PM, Child #2 was found outside of the two-story building near the entrance to the first-floor level of the building by an employee of another business located on that level. (The childcare facility is located on the second floor of the building.) As a result of Child #2 not being supervised, he sustained serious bodily injuries.

Corrected Corrected by Sep 23, 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.

Based on interviews with Staff Persons #2 and #3, a written statement from Staff Person #3, and a review of documents, on 9/12/22 at approximately 5:00 PM, Staff Person #1 was assigned responsibility for supervising a mixed age group of 5 young toddlers and older toddlers in the Toddler 4 Room. At approximately 5:10 PM, after two of those children had been picked up, Staff Person #1 called the office to inform Staff Person #2 that she did not know the whereabouts of Child #1 and Child #2 who were in her care. It is unknown how long Child #1 and Child #2 were unsupervised. Child #1 was found hiding behind a toy shelf near an open window in the Toddler 4 Room. At approximately 5:15 PM, Child #2 was found outside of the two-story building near the entrance to the first-floor level of the building by an employee of another business located on that level. (The childcare facility is located on the second floor of the building.) As a result of Child #2 not being supervised, he sustained serious bodily injuries.

Corrected Corrected by Sep 23, 2022

Category: supervision. 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 pre-service trainings are completed, staff person #5 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR in an approved curriculum from a PQAS Instructor, Mandated Reporter Training, and Health and Safety Training.

Corrected Corrected by Sep 13, 2022

Category: supervision. Marked corrected in the state record.

3270.21/3270.132(a) · Conditions at the facility may not pose a threat to the health or safety of the children.If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent.

On 9/12/22, Child #2 received serious bodily injuries due to lack of supervision. Based on an interview with Staff Person #2, she believed Child #2 sustained his injuries by climbing out an open window located in the Toddler 4 Room on the second floor and falling off the second floor roof onto the ground outside. Staff Person #2 did not call 911 for emergency care nor was Child #2's parent notified of the incident until she arrived approximately ten minutes later at the regular pick-up time.

Corrected Corrected by Sep 13, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10), 3280.31(f) (10), or 3290.31(g)(10) within 90 days of hire. Staff person #1 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff person #4 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Sep 13, 2022

Category: health medication. 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.

The file for staff #1 lacks a current health assessment.

Corrected Corrected by Mar 9, 2022

Category: ratio. 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.

Staff files #2, #3, #4, and #6 contain health assessments that were updated late.

Corrected Corrected by Mar 9, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(5)/3270.192(3) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.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 health assessment on file for staff #5 lacks the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Mar 9, 2022

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

3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #5 contains first aid and CPR training that was conducted late. The training was due on 12/7/21 and was completed on 1/26/22.

Corrected Corrected by Mar 9, 2022

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