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 used for the indoor play space lacked tape.

Corrected Corrected by Nov 15, 2024

Category: physical safety. 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 letter provided to the parent explaining emergency procedures did not address accommodations for children with disabilities and children with chronic medical conditions.

Corrected Corrected by Oct 7, 2024

Category: physical safety. 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.

The files of Volunteers #2 and #3 lacked a disclosure statement signed at the time of initial service in a child care setting (SEE LIS Code Sheet). The files of Volunteers #2 and #3 contained disclosure statements dated 8/29/24. The file of Volunteer #2 lacked a National Sex Offender Registry Certificate prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Volunteer #2 contained a NSOR dated 9/4/24.

Corrected Corrected by Oct 7, 2024

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.

On 9/23/24 observed Equate Hand Sanitizer and Hello Bello Hand Sanitizer which indicated "keep out of the reach of children" by the telephone on the cubby which were accessible to children. On 9/23/24 observed Handy Solutions Hand Sanitizer which indicated "keep out of the reach of children" in a blue caddy on the cubby which was accessible to children.

Corrected Corrected by Oct 4, 2024

Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

On 9/23/24 a first-aid kit was not present in the indoor play space.

Corrected Corrected by Oct 7, 2024

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.

On 9/23/24 observed 6 wooden blocks with rough edges and splinters. On 9/23/24 observed a red tray in the dress up area with approximately a 2-inch crack creating rough edges and pinch points and a 3-inch piece missing creating rough edges.

Corrected Corrected by Oct 7, 2024

Category: physical safety. 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 9/23/24 observed embedded equipment in the outdoor play space with approximately 3 to 5 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of mulch as protective surface covering.

Corrected Corrected by Oct 7, 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 9/23/24 observed foam shapes with bite marks.

Corrected Corrected by Oct 7, 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 agreements for Children #2, #3, #4, and #5 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Oct 11, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The agreements for Children #3, #4, and #5 did not specify the date of the child's admission.

Corrected Corrected by Oct 11, 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.

Emergency contact information for Child #4 did not include the telephone number of the child's physician or source of medical care.

Corrected Corrected by Oct 11, 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.

Emergency contact information for Child #2 did not include the work telephone number of the enrolling parent. Emergency contact information for Child #3 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #4 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #5 did not include the work address and work telephone number of the enrolling parent.

Corrected Corrected by Oct 11, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Emergency contact information for Child #4 did not include the address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

On 9/23/24 emergency contact information was not present when children were receiving care in the indoor play space.

Corrected Corrected by Oct 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the indoor play space.

Corrected Corrected by Oct 11, 2024

Category: transportation. Marked corrected in the state record.

3270.131(d)(3)/3270.133(8) · A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

The file of Child #2 contained a health report which did not include a list of the child's current medication and the reason for the medication and which did not include if a special diet is prescribed for the child.

Corrected Corrected by Oct 11, 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 child care group settings).

The file of Child #1, a 3-year-old, lacked MMR and Varicella immunizations according to the recommendations of the ACIP. Child #1 had no documentation of MMR and Varicella immunizations.

Corrected Corrected by Oct 11, 2024

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

3270.151(a) · 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.

The file of Staff #1 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #1 contained a health assessment dated 1/6/23.

Corrected Corrected by Oct 7, 2024

Category: ratio. Marked corrected in the state record.

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

The file of Staff #1 lacked an initial health assessment which included tuberculosis screening by the Mantoux method at initial employment (SEE LIS Code Sheet). The file of Staff #1 had a Mantoux test read date of 1/9/23.

Corrected Corrected by Oct 7, 2024

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

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The file of Volunteer #2 contained a health assessment which did not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Oct 11, 2024

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file of Volunteer #2 contained a health assessment which did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Oct 11, 2024

Category: health medication. 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 facility was unable to provide documentation that the fire detection system was inspected by a fire safety professional annually. The facility provided documentation the fire detection system was inspected by a fire safety professional on 3/13/23 and 6/11/24.

Corrected Corrected by Oct 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The facility's emergency plan did not provide for accommodations for evacuation of children to a location away from the facility premises.

Corrected Corrected by Oct 11, 2024

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

3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. 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 #1 did not contain documentation of annual training in 2023. This was evidenced by the only documentation of emergency plan training was dated 08/08/2022.

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. 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 #1 , who has been employed for more than one year, did not contain documentation that staff person #1 has completed fire safety training.

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. 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 facility was observed to have a first aid kit in the Main room that did not contain soap.

Corrected Corrected by Nov 30, 2023

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.

The facility was observed to have a play kitchen with a facet that was loose creating a pinch point.

Corrected Corrected by Jan 5, 2024

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

The facility's Gym and outdoor play space failed to have a written plan of daily activities and routines posted.

Corrected Corrected by Nov 30, 2023

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

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

The file for child #5 contained an agreement that was not signed by the operator. The file for child #2 contained an agreement that the parent signed as the operator and the operator did not sign the agreement.

Corrected Corrected by Nov 30, 2023

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 files for children #1, #2, #4 and #5 contained agreements that did not specify the date of the child's admission.

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for children #1, #2, #3, #4, and #5 all contained original agreements.

Corrected Corrected by Nov 24, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The files for children #2, #4, and #5 contained emergency contact forms that did not include the address of the individual designated to whom the child may be released.

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. 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 files for children #2, #3, and #5 were observed to contain immunization records that were not in accordance to the ACIP recommendations. This was evidenced by no documentation of a flu immunization in 2022. The file for child #4 did not contain an immunization reccord.

Corrected Corrected by Nov 30, 2023

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

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file for child #3 (see LIS Code sheet) contained an initial immunization record dated 08/02/23 which is beyond 60 days following the first day of attendance at the facility. The file for child #4 did not contain an immunization record.

Corrected Corrected by Nov 30, 2023

Category: health medication. 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 facility did not possess proof of purchase of the interconnected fire detection system.

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #4 did not contain an initial health report. The file for child #2 was observed to contain a health report that was not signed by a physician, physician's assistant or a CRNP, therefore child #2 did not have a valid health report on file.

Corrected Corrected by Nov 30, 2023

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

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

During the inspection, an emergency plan posted in a conspicuous location was not observed.

Corrected Corrected by Sep 30, 2022

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

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

During the inspection 2 containers of Shaving Cream with a warning label to keep out of reach of children were observed to be present in the arts and crafts cabinet.

Corrected Corrected by Oct 3, 2022

Marked corrected in the state record.

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

During the inspection, the glass exit door to the outdoor play area was observed to be without any visual identification or strip on the glass.

Corrected Corrected by Oct 7, 2022

Category: physical safety. 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.

During the inspection, there were 5 wooden chairs present that were loose and unstable. 3 of the loose chairs were placed around tables in the imaginative play area and did not have arms or backs on them. The other 2 chairs, that were loose and unstable were at the front of the room, to the left of circle space, and had a rounded back pieces on the chairs.

Corrected Corrected by Oct 7, 2022

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

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

During the inspection, the child file for Child #1, #2, #3, #4, & #5 was observed to lack an agreement form that was signed by the operator and the parent.

Corrected Corrected by Oct 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During the inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not observed to be displayed conspicuously in the indoor gross motor room.

Corrected Corrected by Oct 7, 2022

Category: transportation. Marked corrected in the state record.

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

During the inspection, a menu at least 1 week in advance posted in a conspicuous location was not observed, nor was there documentation confirming that each family had been provided a menu at least 1 week in advance.

Corrected Corrected by Oct 7, 2022

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.

On 9/21/21 observed an electrical outlet missing a protective receptacle cover by the shelf with the telephone on top in the classroom.

Corrected Corrected by Oct 5, 2021

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.

On 9/21/21 observed an apple slicer in the drawer to the right of the kitchen sink which was accessible to children.

Corrected Corrected by Oct 5, 2021

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

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

The file of Staff #1 and #2 lacked documentation of training regarding the emergency plan on an annual basis. The file of Staff #1 contained documentation of emergency plan training on 8/20/21 with previous training on 6/1/20 The file of Staff #2 contained documentation of emergency plan training on 7/8/21 with previous training on 6/1/20.

Corrected Corrected by Oct 5, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The file of Staff #2 lacked documentation of pediatric first-aid.

Corrected Corrected by Oct 5, 2021

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file of Staff #2 lacked a Child Abuse Clearance and a FBI Clearance updated every 60 months. The file of Staff #2 contained a Child Abuse Clearance dated 10/20/20 with a previous one dated 10/15/15. The file of Staff #2 contained a FBI Clearance dated 6/4/20 with a previous one dated 9/11/13.

Corrected Corrected by Oct 5, 2021

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 of Staff #2 lacked documentation of mandated reporter completed every 60 months. The file of Staff #2 contained documentation of mandated reporter training completed on 5/13/20 with previous training completed on 3/24/15.

Corrected Corrected by Oct 5, 2021

Category: recordkeeping. 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.

The file of Staff #2 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #2 contained a written evaluation, but it was not dated.

Corrected Corrected by Oct 5, 2021

Category: recordkeeping. 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 9/21/21 observed a red bean bag in the reading nook with approximately a 2 inch tear and 1 inch tear as well approximately a 3 inch piece of loose velcro. On 9/21/21 observed a blue bean bag in the reading nook with approximately a 3 inch tear. On 9/21/21 observed a red bean bag in the storage closet with approximately a 2 inch tear and 1 inch tear.

Corrected Corrected by Oct 5, 2021

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.

On 9/21/21 observed rest equipment not labeled for the use of a specific child.

Corrected Corrected by Oct 5, 2021

Category: physical safety. 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 of Children #1, #2, #3, #4, and #5 lacked the date on which the fee is to be paid on the agreement.

Corrected Corrected by Oct 5, 2021

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 file of Child #3 lacked the complete address of the child's physician or source of medical care on the emergency contact form. The file of Child #4 lacked the address and telephone number of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Oct 5, 2021

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 files of Children #2 and #3 lacked the work address and work telephone number of the enrolling parent on the emergency contact form. The file of Child #5 lacked the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Corrected Corrected by Oct 5, 2021

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 file of Child #1 lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, on the emergency contact form.

Corrected Corrected by Oct 5, 2021

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 file of Child #4 lacked the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable, on the emergency contact form.

Corrected Corrected by Oct 5, 2021

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 file of Child #2 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #5 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Oct 5, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The file of Child #3 lacked a health report which included a review of the child's immunized status according to recommendations of the ACIP. The file of Child #3 did not contain documentation of immunizations.

Corrected Corrected by Oct 5, 2021

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

3270.151(a) · 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.

The file of Staff #2 lacked a health assessment conducted every 24 months. The file of Staff #2 contained a health assessment dated 6/4/19 with a previous one dated 5/23/16.

Corrected Corrected by Oct 5, 2021

Category: ratio. 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.

The facility does not have an emergency plan that provides for accommodations for infants, toddlers, and children with chronic medical conditions.

Corrected Corrected by Oct 5, 2021

Category: physical safety. 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 facility did not conduct fire drills at least every 60 days. The facility had documentation of fire drills conducted on 9/22/20, 11/24/20, 12/15/20, 2/16/21, 4/5/21, 6/3/21, 7/8/21, 8/2/21.

Corrected Corrected by Oct 5, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The facility provided documentation that the hypothetical location was the same for 2 consecutive fire drills conducted on 7/8/21 and 8/2/21.

Corrected Corrected by Oct 5, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The file of Staff #1 lacked documentation of any emergency plan training.

Corrected Corrected by Aug 23, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility.A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

The file of Staff #1 lacked documentation of the National Sex Offender Registry Verification Certificate and a valid FBI Clearance. The file of Staff #1 contained a Department of Education FBI Clearance dated 8/21/20.

Corrected Corrected by Aug 23, 2021

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

3270.115(a)(6) · When children are swimming, supervision shall include one person certified in lifeguard training, as described in § 3270.31(e)(4)(iii) (relating to age and training).

A lifeguard was not present under facility employment when children were swimming on 8/6/21.

Corrected Corrected by Aug 23, 2021

Category: supervision. Marked corrected in the state record.

3270.151(a) · 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.

The file of Staff #1 lacked a health assessment.

Corrected Corrected by Aug 23, 2021

Category: ratio. 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 of Staff #1 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Aug 23, 2021

Category: recordkeeping. Marked corrected in the state record.