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

At time of inspection, staff person #2 did not have a current NSOR certificate (expired 2/27/25) documented in their record.

Corrected Corrected by Mar 27, 2025

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

3270.36(b)(5)/3270.192(2)(ii) · 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 prior to service at the facility.

At time of inspection, staff person # 3 did not have proof of experience to qualify her for the position of assistant group supervisor at facility.

Corrected Corrected by Mar 27, 2025

Category: supervision. Marked corrected in the state record.

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

At time of inspection, there were missing electrical outlet covers in the hallway used by children.

Corrected Corrected by Mar 27, 2025

Marked corrected in the state record.

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

At time of inspection, observed chipped paint on the window ceils in room# 4, 8 and 10. In addition, one of the coat cubbies in the upstairs hallway used by children was not mounted to prevent it from being a falling hazard.

Corrected Corrected by Mar 27, 2025

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.

At time of inspection, several rooms did not have the appropriate 2 feet of space required for cots that were in use by the children.

Corrected Corrected by Mar 27, 2025

Category: physical safety. 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.

At time of inspection, staff person #4 did not have a current health assessment with negative TB screening documented in their record.

Corrected Corrected by Mar 27, 2025

Category: ratio. 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.

At time of inspection, staff person #1only had 7 out of 12 required childcare training hours documented in their record.

Corrected Corrected by Mar 28, 2025

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.

At time of inspection, staff persons #4 and #5 did not have documented training regarding the facility emergency plan documented in their records.

Corrected Corrected by Apr 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · 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 prior to service at the facility.

At time of inspection, staff person #2 ,4 and 5 did not have proof of education and/or experience documented in their records to help qualify them for their positions as Assistant Group Supervisors at facility.

Corrected Corrected by Apr 17, 2024

Category: supervision. Marked corrected in the state record.

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

At time of inspection, the diaper changing areas in room #5 and #7 was not close to a source of running water.

Corrected Corrected by Apr 17, 2024

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

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

At time of inspection, the parents of children #1 and #2 did not have updated reviews of their children's emergency contact and agreement forms signed/ updated in the last 6 months. In addition, the parents of child # 4 did not provide the physician's name, address and phone number listed on their child's emergency contact form.

Corrected Corrected by Apr 17, 2024

Category: health medication. 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.

At time of inspection, staff person #5 did not have two non-family references documented in the record.

Corrected Corrected by Apr 17, 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.

During time of inspections, staff person #1 (4 hours documented) and #3 (2 hours documented) did not have 12 hours of required childcare training documented in their records.

Corrected Corrected by Apr 17, 2024

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.

While conducting a renewal inspection on 2/22/23 it was observed staff persons # 1 through 17 file did not include verification of completed emergency plan training.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

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

While conducting a renewal inspection on 2/22/23 it was observed staff persons # 5 and 18 file did not include verification of completed health and safety training.

Corrected Corrected by Mar 10, 2023

Category: health medication. 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.

While conducting a renewal inspection on 2/22/23 it was observed staff persons# 1,2, and 3 file did not include an annual staff evaluation.

Corrected Corrected by Mar 10, 2023

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.

While conducted a renewal inspection on 2/22/23 it was observed classroom # 8 back wall near the children's play space was missing an electrical outlet cover.

Corrected Corrected by Mar 10, 2023

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

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

While conducting a renewal inspection on 2/22/23 it was observed classrooms# 1 through 10 did not have emergency telephone numbers posted in an accessible location.

Corrected Corrected by Mar 10, 2023

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.

While conducting a renewal inspection on 2/22/23 it was observed classroom # 3 did not have a hand washing sign posted near the changing table. Also, classroom #7 did not have handwashing signs posted.

Corrected Corrected by Mar 10, 2023

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

3270.123(a)(2) · An agreement shall

While conducting a renewal inspection on 2/22/23 it was observed child# 4,5, and 6 agreement form did not include a specify the date on which the fee is to be paid.

Corrected Corrected by Mar 10, 2023

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).

While conducting a renewal inspection on 2/22/23 it was observed child# 1,2, and 7 agreement form did not include services to be provided to the family and the child.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

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

While conducting a renewal inspection on 2/22/23 it was observed child #1,2, and 3 agreement form did not include a date of admissions.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

While conducting a renewal inspection on 2/22/23 it was observed child# 4,5, and 6 agreement form did not include verification of parents receiving the original agreement.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(1)/3270.151(c)(2) · An adult health assessment must include a physical examination. 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.

During a renewal inspection conducted on 2/22/23 it was observed staff persons # 14,16, and 18 file did not include a health assessment. Also, staff persons# 4,15,19, and 20 file did not include verification of tuberculosis screening.

Corrected Corrected by Mar 10, 2023

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

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During a renewal inspection conducted on 2/22/23 it was observed staff persons# 9, 17,18,20 through 23 file did not include verification of employment.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

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

While conducting a renewal inspection on 2/22/23 it was observed there was no documentation of an annual emergency drill being conducted

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons #5 and 24 shall complete professional development in pediatric first aid/CPR training within 90 days of hire. Staff persons# 5 and 24 will have until 3/10/23 to complete the required training. Until such time as they required training has been completed, staff persons# 5 and 24 must be supervised, when interacting with children by, AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons# 5 and 24, they may not work in a child-care position at the facility.

While conducting a renewal inspection on 2/22/23 it was observed that staff persons# 5 and 24 has not completed the following required pre-service pediatric first aid/CPR training within 90 days of their date of hire.

Corrected Corrected by Mar 10, 2023

Category: supervision. Marked corrected in the state record.

3270.124(b)(6)/3270.124(b)(7) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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 parents of child # 5 did not provide the insurance provider name and policy number on their child's emergency contact form. The parents of child # 3-5 did not provide the names and/or address of emergency release person on their child's emergency contact forms.

Corrected Corrected by Apr 15, 2022

Category: health medication. 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 informationA 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.

At time of inspection, Child # 1,3 and 4 did not have updated/reviewed emergency contact form in the last 6 months. In addition, the financial agreements for child # 1-4 were not updated/reviewed within the last 6 months as required.

Corrected Corrected by Mar 31, 2022

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.

During time of inspection, it was observed that child #4 did not have an updated health assessment documented in their record. (last health assessment documented in file dated 9/17/20)

Corrected Corrected by Apr 15, 2022

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

3270.131(e)(1)/3270.131(e)(2)(i) · 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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

At time of inspection, child # 2 and 4 did not have updated immunization for influenza or a letter of exemption completed by the parent documented in the child's record.

Corrected Corrected by Apr 15, 2022

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.

Staff person # 1 (hired 3/12/20) did not have 12 hours of annual child care training documented in their record.

Corrected Corrected by Apr 15, 2022

Category: recordkeeping. Marked corrected in the state record.