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.

At time of inspection, staff person #1 had not received documented training regarding the facility emergency plan.

Corrected Corrected by Feb 21, 2025

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.

At time of inspection, staff person #1-3 did not have annual written evaluations completed by the director of facility.

Corrected Corrected by Feb 14, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The parents of child # 1 did not have an agreement documented in their record at time of inspection.

Corrected Corrected by Feb 21, 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.

At time of inspection, child #2 did not have an updated health assessment documented in their record dated within the last 12 months. (last date 12/7/23)

Corrected Corrected by Feb 21, 2025

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 #4 did not have two non-family references documented in her record as required.

Corrected Corrected by Feb 21, 2025

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.

At time of inspection, staff person # 1did not have required 12 hours of childcare training completed. (4 hours documented)

Corrected Corrected by Feb 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

At time of inspection, the facility had expired insurance on file and could not produce a valid/current copy of general liability insurance during inspection.

Corrected Corrected by Feb 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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

At time of inspection, child #1 did not have a signed completed agreement documented in their record.

Corrected Corrected by Feb 21, 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.

At time of inspection, it was observed that designated staff had not conducted fire drills at least once every 60 days. The last two fire drills were conducted on 1/2/23 and 1/5 /24.

Corrected Corrected by Feb 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.131(e) · 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. 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.

At time of inspection, children # 2 and #3 did not have initial health assessments with immunization records documented in their records.

Corrected Corrected by Feb 21, 2024

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

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

While conducting the renewal inspection on 2/6/23 it was observed child #1 cup was in the refrigerator with no name label.

Corrected Corrected by Feb 16, 2023

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 the renewal inspection on 2/6/23 it was observed staff persons # 2 through 7 file did not include emergency plan training.

Corrected Corrected by Feb 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · 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.

While conducting renewal inspection on 2/6/23 it was observed staff persons # 2 through 6 file did not include fire safety training.

Corrected Corrected by Feb 16, 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. Staff person #4 and 5 shall complete pediatric first aid/CPR training within 90 days of hire. Staff persons #4 and 5 will have until 2/21/23 to complete the required training. Until such time as the required training has been completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff persons # 4 and 5 may not work in a child care position at the facility.

While conducting the renewal inspection on 2/6/23 it was observed staff persons #4 and 5 has not completed the required pediatric first aid /CPR training .

Corrected Corrected by Feb 21, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Staff persons # 2 through 7 must obtain NSOR clearance. Staff persons # 3 must obtain state police clearances, and staff person #4 must obtain state police, NSOR clearances, and mandated reporter training. Staff person #4 must also obtain out of state criminal background clearance, and child abuse registry. Staff person#7 must obtain mandated reporting training, and FBI clearance. Staff persons # 1 through 7 may not work in a child care position at the facility. Facility Person #--- may not work in a child care position at the facility.

While conducting the renewal inspection on 2/6/23 it was observed staff person# 2,5, and 6 file did not include verification of NSOR clearances. Staff person#3 file included expired state police clearance. Staff person# 4 file did not include state police clearance, NSOR clearance, mandated reporter training. Staff person#4 also out of state Atlanta Georgia clearances are required. Staff person#7 file did not include FBI clearance, NSOR clearance, mandated reporter training.

Corrected Corrected by Feb 16, 2023

Category: background checks. 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.

While conducting the renewal inspection on 2/6/23 it was observed in classroom 1 and 2 the glass exit doors did not have visual identifications.

Corrected Corrected by Feb 16, 2023

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

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

While conducting the renewal inspection on 2/6/23 it was observed child # 1 through 4 agreement form did not include the admissions date.

Corrected Corrected by Feb 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

While conducting the renewal inspection on 2/6/23 it was observed child #5 entered the classroom from outside and did not wash his hands before sitting down to eat lunch.

Corrected Corrected by Feb 16, 2023

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

3270.151(c)(2)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

While conducting the renewal inspection on 2/6/23 it was observed staff person# 5 did not include verification of TB test being completed. Staff persons# 4 and 6 file did not include verification of health assessment.

Corrected Corrected by Feb 16, 2023

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

3270.191 · An individual record is required for each facility person.

While conducting the renewal inspection on 2/6/23 it was observed a facility person #1 was hire on 2/6/23 from a staffing agency and was caring for children. The facility did not obtain a complete file from the staffing agency.

Corrected Corrected by Feb 16, 2023

Category: recordkeeping. Marked corrected in the state record.

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

While conducting the renewal inspection on 2/6/23 it was observed staff persons# 4 and 5 file did not include verification of child care experience or transcript.

Corrected Corrected by Feb 16, 2023

Category: recordkeeping. 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.

While conducting the renewal inspection on 2/6/23 it was observed staff person #4 file did not include two written nonfamily references.

Corrected Corrected by Feb 16, 2023

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.

While conducting the renewal inspection on 2/6/23 it was observed staff persons # 4 and 5 file did not include 12 clock hours of annual training completed

Corrected Corrected by Feb 16, 2023

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.

During time of inspection, the director did not completed annual written evaluations for staff person # 1-3.

Corrected Corrected by Mar 31, 2022

Category: recordkeeping. 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.

During time of inspection, the parents of child #1 and #2 did not have the health insurance policy name and/or policy number documented on their child's emergency contact form. The parents of child # 2 and #3 did not have the address of release person in an emergency documented on emergency contact form.

Corrected Corrected by Mar 31, 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.

After review of the immunization record it was observed that child #1 did not have an updated immunization for influenza documented in their record or a letter of exemption explaining the reason for not being updated documented in file.

Corrected Corrected by Mar 31, 2022

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

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

During time of inspection, it was observed that the parents of child # 3 did not sign to give permission for emergency medical care and administration of minor first aid documented on their child's emergency contact form.

Corrected Corrected by Mar 31, 2022

Category: ratio. Marked corrected in the state record.