3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The file for staff person #5 is lacking a current PFA/PCPR certification as evidenced by the training on file expired 1/2025.

Corrected Corrected by May 30, 2025

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The files for staff persons #1 and #10, hire dates (see IS code sheet) contain current PFA/PCPR that was not completed within 90 days of hire. The training is now current.

Corrected Corrected by Apr 18, 2025

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: Facility Person # -- 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.

The file for staff person #2 contains current NSOR certification that was obtained after the expiration of the previous NSOR as evidenced by training on file dated 2/12/2020 and 2/25/2025. The file is now current. The file for staff person #3 contains current NSOR certification that was obtained after the expiration of the previous NSOR as evidenced by training on file dated 2/12/2020 and 2/25/2025. The file is now current. The file for staff person #4 contains current NSOR certification that was obtained after the expiration of the previous NSOR as evidenced by training on file dated 1/24/2020 and 2/25/2025. The file is now current. The file for staff person #6 contains current clearances that were obtained after the expiration of the previous clearance as evidenced by the following clearance dates: Criminal history 7/8/2029 and 7/14/2024, child abuse 7/7/2019 and 7/23/2024, and NSOR 2/12/2020 and 2/25/2025. The file is now current. The file for staff person #9 contains current clearances that were obtained after the previous clearance expired as evidenced by the following clearance dates: criminal history 5/1/2029 and 7/16/2024, and child abuse 5/10/2019 and 8/28/2024. The file is now current.

Corrected Corrected by Apr 18, 2025

Category: supervision. Marked corrected in the state record.

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

The file for staff person #6 contains current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training as evidenced by the trainings on file dated 7/14/2019 and 2/24/2025. The file is now current.

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. 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.

Observed the sink area in the preschool room is lacking a lidded trash receptacle.

Corrected Corrected by May 1, 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.

Observed on the Toddler outdoor play space: the top to the plastic gazebo is cracked and falling in, the wading pool is cracked, the small brown plastic playhouse is cracked and the plastic tunnel that connects the 2 slides is cracked, all posing a hazard to the children using the playspace.

Corrected Corrected by May 1, 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.

Observed in the infant room 3 cribs and 2 mats used as rest equipment that are not labeled for the use of a specific child.

Corrected Corrected by May 1, 2025

Category: physical safety. 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).

The file for child #1 is lacking a child service report or other approved child assessment completed during the previous 6-month period.

Corrected Corrected by May 20, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #2, preschool age, is lacking a current health report conducted during the previous 12-month period.

Corrected Corrected by Mar 27, 2025

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 person #3 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by the health assessments on file dated 8/15/2022 and 10/31/2024. The file is now current. The file for staff person #7 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by the health assessments on file dated 8/12/2022 and 2/19/2025. The file is now current. The file for staff person #8 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by the health assessments on file dated 8/31/2022 and 9/26/2024. The file is now current. The file for staff person #9 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by the health assessments on file dated 12/22/2021 and 4/3/2024. The file is now current.

Corrected Corrected by Apr 18, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for staff person #6 contains a current health assessment that is lacking physician statements regarding results of communicable disease examination and suitability to provide child care.

Corrected Corrected by May 31, 2025

Category: health medication. 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 person #2 contains only 9.5 of the required 12 hours of child care training during the year 12/2023 to 12/2024. Staff #2 has since completed 1 hour of training on in 2025 that will be used toward the correction. Staff #2 needs 1.5 additional hours of training to correct the violation. The file for staff person #6 contains only 4.5 of the required 12 hours of child care training during the year 12/2023 to 12/2024. Staff #6 has since completed 3 hours of training in 2/2025 that will be used toward the correction. Staff #6 needs 4.5 additional hours of training to correct the violation.

Corrected Corrected by May 10, 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.

The facility emergency plan is lacking a plan for Continuity of Operations as required in announcement C-22-04.

Corrected Corrected by Nov 27, 2024

Category: ratio. Marked corrected in the state record.

3270.66(a)/3270.66(d) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

Sitting on low shelves in the Pre-school classroom there is a peace plant and a snake plant; both found on the list of plants that are toxic to humans.

Corrected Corrected by Nov 25, 2024

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

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Observed in the far corner of the Pre-K classroom as well as in the School Age classroom along the front left wall, the wall under the white board and the wall in the blocks area, the heat register cover is detached from the heating unit. This is exposing sharp edges and interior heating elements that measure 115 degrees and higher. This is in areas that are accessible to children.

Corrected Corrected by Feb 28, 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.

Observed in the far corner of the Pre-K classroom as well as in the School Age classroom along the front left wall, the wall under the white board and the wall in the blocks area, the heat register cover is detached from the heating unit. This is exposing sharp edges and interior heating elements that measure 115 degrees. This is in areas that are accessible to children. In the back corner near the back stairway there is an ~2-inch diameter hole with crumbling plaster accessible to children.

Corrected Corrected by Feb 28, 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.

In the Pre-K classroom observed on the table where children were playing with Duplo blocks, a cracked plastic bin that served as storage for the Duplo blocks.

Corrected Corrected by Nov 22, 2024

Category: physical safety. 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.

The file for staff person #1, hire date (see IS code sheet), is lacking 2 written reference letters.

Corrected Corrected by Dec 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The fire drill log identified that the 2 most recent fire drills were conducted 7/16/24 and 10/15/24 which exceeds 60 days between drills.

Corrected Corrected by Dec 4, 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 system test log identified the 2 most recent alarm tests were conducted 10/1/24 and 11/4/24 which exceeds 30 days between tests.

Corrected Corrected by Dec 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Observed the certificate of compliance posted on the parent board in the hallway expired 6/24/24.

Corrected Corrected by Dec 4, 2024

Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2 and #3 will have until 4/10/24 to complete the required training. Until such time as the required training has been completed, staff person #2 and #3 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #2 and #3, staff person #2 and #3 may not work in a child-care position at the facility.

Staff person #2 and #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid and CPR).

Corrected Corrected by Apr 10, 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.

The floor heater that runs along the right side of the School Age Classroom had a metal facing that had become detached from the heater allowing the children to have access to the coils.

Corrected Corrected by May 15, 2024

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #1 will have until 4/10/24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safey Basics).

Corrected Corrected by Apr 10, 2024

Category: supervision. 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 #7 may not work in a childcare position.

The file for Staff #5 contained a Volunteer Disclosure Statement. The file for Staff #7 contained a NSOR Certificate in which the date could not be read and therefore was incorrectly hired.

Corrected Corrected by Apr 9, 2024

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.

In the Preschool Room there was an electrical outlet underneath the television that lacked a protective receptacle cover. The outlet was accessible to children 5 years of age and younger.

Corrected Corrected by Apr 17, 2024

Marked corrected in the state record.

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

Observed two cans of shaving cream, labeled "keep out of the reach of children", in the cabinet in the Preschool Classroom. Staff stated they had used it for arts and crafts.

Corrected Corrected by Apr 17, 2024

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.

Observed the left window on the second floor in the Toddler 1 and 2 Classroom that was accessible to children and was not modified to limit the opening to 6 inches or fewer.

Corrected Corrected by May 15, 2024

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

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

The first aid kit located in the School Age Classroom lacked scissors. The first aid kit located in the Preschool Classroom lacked nonporous gloves.

Corrected Corrected by Apr 18, 2024

Category: health medication. 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.

In the Womens Restroom on the first floor the large stall lacked hand washing signs posted at toilet. In the Men's Restroom on the first floor the middle urinal lacked a hand washing sign.

Corrected Corrected by Mar 26, 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.

In the Toddler Classroom there was a community wooden play cabinet that had the right door coming off the hinges creating a pinching hazard to the children in care. In the Preschool Classroom there was a ripped yellow foam cushion and a fraying strap on the pink doll stroller that did not allow the toys to be in good and clean repair.

Corrected Corrected by May 1, 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.

The files for Children #1, #3, #5, #7, and #8 included agreements which did not specify the amount of the fee to be charged per day or per week.

Corrected Corrected by Mar 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The files for Children #1, #2, #3, #4, #5, #6, #7, and #8 included agreements which did not specify the date on which the fee is to be paid.

Corrected Corrected by Mar 26, 2024

Category: recordkeeping. 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).

The file for Child #5, and #6, enrolled for more than 6 months, lacked a child service form that provides information to the family about the child's growth and development in the context of the services being provided within the previous 6 months. The file for Child #8, enrolled for more than 6 months, contained a child service form that provides information to the family about the child's growth and development in the context of the services being provided that is deemed unacceptable.

Corrected Corrected by May 15, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The files for Child #2 and #7 contained Agreements which did not specify the child's arrival and departure times.

Corrected Corrected by Apr 18, 2024

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.

The Agreement for Child #6 lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by Apr 18, 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 Agreements for Child #1, #2, #3, #4, #5, #6, and #7 lacked the date of the child's admission.

Corrected Corrected by Mar 27, 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 #2 lacked the name of the child's physician, physician's address, and physician's telephone number.

Corrected Corrected by Apr 18, 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 #7 lacked the enrolling parents' home address, work address, and work telephone number.

Corrected Corrected by Apr 18, 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.

The Emergency Contact Form for Child #7 lacked the health insurance coverage and policy number for the child.

Corrected Corrected by Apr 18, 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 #7 lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 18, 2024

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 file for Child #8, an Infant, lacked an updated health report within the last 6 months.

Corrected Corrected by Apr 18, 2024

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 childcare group settings). Child #5 must be dismissed from care by close of business 3/26/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for Child #5, enrolled for more that 60 days at the facility, did not contain documentation of a 2nd dose of the Hep A as required based on the child's age as per the ACIP recommended schedule.

Corrected Corrected by Mar 27, 2024

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

Observed Diazepam Rectal Gel at the facility for Child #9 that lacked written parental consent for administration of the medication.

Corrected Corrected by Apr 30, 2024

Category: ratio. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Upon review of the facility's Fire Drill log, the following tests were observed to have been conducted more than 60 days apart: 5/2/23-9/1/23 (122 days), 9/1/23-11/15/23 (75 days), and 11/15/23-2/19/24 (96 days).

Corrected Corrected by Apr 18, 2024

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.

The files for Staff #1, #4, #5, and #6 lacked documentation of the annual 12 clock hours of childcare training.

Corrected Corrected by May 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

In the Older Toddler room, a spray bottle containing sanitizer was observed being stored adjacent to food items intended for the consumption of children in care.

Corrected Corrected by Mar 30, 2023

Category: ratio. 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 person #6, who has been employed in a childcare position for more than 90 days, has not completed the following required pre-service training within 90 days of their date of hire: Pediatric First-Aid/CPR. Staff #6 must be supervised at all times by a staff member who has completed Pediatric First-Aid/CPR training.

Corrected Corrected by Jun 2, 2023

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Though the files for Staff #1 through #6 contained written evaluations completed in the past 12 months, the previous evaluation for each staff member was completed mpre than 12 months prior to the current evaluation.

Corrected Corrected by Mar 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

An exposed hot water pipe in an area accessible to children in care in the School Age room was measured to exceed 110 degrees Fahrenheit. A toaster in an area accessible to children in care was observed in the Toddler room. Present staff members stated that the toaster is used while children are in care at the facility.

Corrected Corrected by May 19, 2023

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

3270.75(b) · A first-aid kit must be inaccessible to children.

The first-aid kit located in the Pre- K room was observed to be accessible to children in care.

Corrected Corrected by Mar 31, 2023

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 School Age, Younger Toddler and Older Toddler rooms, sharp edges were observed on the tray of blackboards in areas accessible to children in each room. Similar sharp edges were observed on the tray of a dry erase board in Preschool room. Contact with sharp edges could result in laceration injuries.

Corrected Corrected by May 19, 2023

Category: ratio. Marked corrected in the state record.

3270.76/3270.82(g) · 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. Toilet areas and fixtures shall be cleaned daily and be in good repair.

A toilet used by children in care in the School Age room was observed to have two upwardly facing bolts on either side of the base. Contact with said bolts could cause puncture and/or laceration injuries.

Corrected Corrected by May 19, 2023

Category: ratio. 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.

An approximately 4' wooden shelf located in an area accessible to children in care in the School Age Room was observed to have three protruding screws, which could cause laceration injuries.

Corrected Corrected by May 19, 2023

Category: ratio. Marked corrected in the state record.

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

A child-sized, wooden chair used by children in care in the Older Toddler room was observed to have loose legs that created pinch points where the legs attached to the seat and backrest of the chair.

Corrected Corrected by Mar 31, 2023

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.

A Rest cot in use by a child in care in the Older Toddler Room was placed in a location lacking two feet of space on the three sides of the cot.

Corrected Corrected by May 19, 2023

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.

A thermometer was not present in the refrigerator used by children in care in the Older Toddler room.

Corrected Corrected by Mar 31, 2023

Category: nutrition. Marked corrected in the state record.

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

The file for Child #1, a young toddler, did not contain a health assessment completed over the past six months,

Corrected Corrected by Jun 1, 2023

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

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

A bottle lacking a label with the name of the child-user was observed on the hook used by the Older Toddler Room parents.

Corrected Corrected by Mar 30, 2023

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.

The provider self-reported that parents are not provided with a letter explaining the emergency procedures.

Corrected Corrected by May 9, 2022

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

3270.31(f)/3270.31(g) · Staff persons shall complete professional development in the following topics within 90 days of hire:Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

The files for staff persons #2, #3, #4, #8, and #9, all employed greater than 90 days, are lacking verification of the approved health and safety training in topics 1-9.

Corrected Corrected by May 1, 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 #7 may not work in a child care position at the facility.

The file for staff person #7,provisional hire date (see IS facility person list), contains verification of request for an NSOR verification at time of hire however does not contain a completed NSOR verification and has exceeded the 45 day provisional hire period.

Corrected Corrected by Mar 22, 2022

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #1 is lacking verification of education and the file for staff person #3 is lacking verification of experience to serve in the position in which they are serving.

Corrected Corrected by May 9, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Protective covers were missing from electrical outlets accessible to children age 5 and under at the following locations: In the upstairs girl's bathroom above the sink and in the PreK Room near the classroom sink, 2 outlets in an extension cord behind the play sink, and 4 outlets in power stirp under loft.

Corrected Corrected by Apr 12, 2022

Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

In the gym play space observed the foam covering on pipes is torn exposing a heating system water pipe that exceeds 110 degree.

Corrected Corrected by May 9, 2022

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 in the back infant room the window frame is cracked posing a sharp edge . Observed in the Gym play space the metal heating vent cover near the door to Academy is bent and damaged causing a sharp metal edge. Observed in the Older Toddler Rom the bathroom floor in classroom is visibly dirty. Observed on the preschool outdoor play space the chain link fencing posts and railings are broken in several places and near the back gate the post holder is cracked causing a sharp edge.

Corrected Corrected by May 13, 2022

Category: physical safety. 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.

One of the stalls in the upstairs girl's bathroom is missing a handwashing sign.

Corrected Corrected by Mar 22, 2022

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.

Observed in the young toddler room a torn diaper changing mat exposing foam. Observed in the older toddler room the top of the safety gate in the doorway is cracked causing it to not function correctly. Observed on the outdoor preschool play space a crack on the yellow schoolbus section of large climbing structure posing a pinch point. Observed in the PreK room the faucet on the play sink is loose causing a pinch point.

Corrected Corrected by May 9, 2022

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

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

On the preschool outdoor play space measured only 1 to 3 inches depth of rubber mulch around the embedded play structure. Six inches of rubber mulch is required.

Corrected Corrected by May 16, 2022

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.

In the Gym play space observed the foam hot pipe coverings to be torn and missing small pieces which could be a choking hazard to children placing objects in their mouths. Toddlers were observed using the space.

Corrected Corrected by May 9, 2022

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 refrigerators in the preschool and young toddler rooms are dirty with what appears to be spilled juice or jelly on the bottom of the refrigerator.

Corrected Corrected by Mar 23, 2022

Category: nutrition. Marked corrected in the state record.

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

The file for child #1, preschool aged, contains an immunization report that is lacking verification of a flu vaccine during the 2021 year and missing 1 dose of varicella and 2 doses of HepA according to the ACIP immunization schedule. The file for child #2 , preschool aged, is lacking verification of a flu vaccine during the 2021 year.

Corrected Corrected by Apr 30, 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 person #4 contains a current health assessment that was conducted greater than 24 months after the previous health assessment.. The file for staff person #5 is lacking a health assessment conducted during the previous 24 month period.

Corrected Corrected by Mar 22, 2022

Category: ratio. Marked corrected in the state record.

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

The files for staff persons #2 and #6, who have been employed for greater than 90 days, are lacking pediatric first aid and pediatric CPR training.

Corrected Corrected by May 30, 2022

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

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for child #1 is lacking any health reports and has been enrolled for greater than 60 days.

Corrected Corrected by May 9, 2022

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