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 School Age Room Restroom had one toilet with two exposed bolts near its base and a rusted piece of metal attached to its waterline.

Corrected Corrected by Mar 31, 2025

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

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

Staff persons #2 through #5 had not completed mandated reporter training prior to the previous training expiring. This is evidenced by the documented mandated reporter trainings on file for staff persons #2 and #4 being dated 1/15/20 and 3/3/25 and for staff persons #3 and #5 being dated 3/8/20 and 3/11/25.

Corrected Corrected by Mar 13, 2025

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.

The Preschool Room had a surge protector that was plugged into the wall by the fish tank. This surge protector was observed to be missing a protective receptacle cover for one electrical outlet. In the same room, one electrical outlet on the wall near the fish tank and two electrical outlets on the wall near the tree were observed to be missing a protective receptacle cover.

Corrected Corrected by Mar 13, 2025

Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

The albuterol sulfate inhalation aerosol prescribed for Child #1 was observed in a locked box in the Pre-K Room. This medication had a December 2024 expiration date and should have been appropriately discarded.

Corrected Corrected by Mar 13, 2025

Category: ratio. 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 OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

The emergency plan on file did not include a continuity of operations.

Corrected Corrected by Nov 4, 2024

Category: ratio. 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.

There was no documentation on file indicating that Staff #11 had completed any emergency plan training.

Corrected Corrected by Nov 4, 2024

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). A staff 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. Staff #11 may not work in a child care position until the completed clearances/documents are on file at the facility.

The DHS FBI Clearance and NSOR Certificate were previously requested but a copy of the completed clearances was not on file for Staff #11. Also, there was no disclosure statement on file for Staff #11. Staff #11 had State Police Clearances on file dated 10/30/18 and 12/7/23 and Child Abuse Clearances on file dated 11/5/18 and 12/7/23. More than 60 months had lapsed between each clearance. The State Police Clearance should have been updated by 10/30/23 and the Child Abuse Clearance should have been updated by 11/5/23.

Corrected Corrected by Sep 12, 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.

A peace lily plant was observed, about knee height, on a wooden table in the lobby area of the facility. This toxic plant was accessible to children.

Corrected Corrected by Sep 13, 2024

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.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not observed by the telephone in the School Age Room.

Corrected Corrected by Sep 13, 2024

Category: physical safety. 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.

Two small and three large HVAC vents in the Pre-Kindergarten Room; two large HVAC vents in the Young and Older Toddler Rooms; one large HVAC vent, in the hallway leading to the Young Toddler Room; and one small and two large HVAC vents in the Preschool Room were observed to be covered with brown colored dust. The carpet, next to the cots in the Pre-Kindergarten Room, was stained. One carpet in the Young Toddler Room, two carpets in the Older Toddler Room, and one Alphabet rug in the School Age Room were observed to have stains on them. Three white floor tiles in the School Age Room were observed to be cracked. The hallway, where the restrooms are located, had two cracked ceiling tiles, one loose ceiling light fixture which posed a potential hazard, and one large HVAC vent with brown colored dust. Two ceiling tiles in the Pre-Kindergarten Room were observed to have a brown colored stain. The wall, next to the cots in the Pre-Kindergarten Room, was observed to have peeling and chipped paint. Chipped paint was also observed, about elbow height, on a pink wall in the Young Toddler Room.

Corrected Corrected by Nov 5, 2024

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

3270.102(a)/3270.104(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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

The Outdoor Play Area had a play grill with a torn green canopy. A caterpillar climb-on toy in the Older Toddler Room was observed to have dirty feet. One blue rocking chair in the Older Toddler Room was observed to have torn fabric. One black chair in the School Age Room was observed to have stains, a hole in the fabric, a broken arm rest, and an exposed bolt.

Corrected Corrected by Nov 5, 2024

Category: physical safety. 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 information on file for Child #4 did not include a telephone number for the child's physician or source of medical care.

Corrected Corrected by Nov 5, 2024

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

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

Child #6 (see code sheet for date of birth) had health assessments on file dated 2/16/23 and 7/6/24. More than 12 months had lapsed between health assessments.

Corrected Corrected by Sep 12, 2024

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

3270.192(3) · 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 #11 only had an initial health assessment dated 11/17/15 and did not include subsequent health assessments.

Corrected Corrected by Nov 4, 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.

The file for Staff #11 was missing two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Corrected Corrected by Nov 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 detection system was not tested at least once every 30 days as evidenced by the following fire detection system logs that were on file: 3/28/24 to 5/24/24.

Corrected Corrected by Sep 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.31(e)(4)(ii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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.

Staff #10 only had six hours of annual child care training on file, and not the required 12 hours. Staff #5 had fire safety trainings on file dated 6/12/23 and 8/28/24. More than a year had lapsed between the fire safety trainings.

Corrected Corrected by Nov 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics 3270.31 (f)1-10. Staff will have until 10/10/23 to complete the required training. Until such time as the required training has been completed, if there is no staff available to supervise staff #1, they may not work in a child care position at the facility.

Staff person's #1 and #3 have cards that indicate certification in Heartsaver first aid/CPR for infants and children. The operator reports that she paid for and received pediatric first aid/CPR training.

Corrected Corrected by Oct 10, 2023

Category: supervision. 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. 1 hour health and safety update and center-based health and safety training, respectively. Staff person #3 will have until 10/10/23 to complete the required training.

A renewal inspection was conducted on 9/13/23. Staff person #3 has not completed the health and safety 1 hour update. Staff person's #1 & #2 (see code for date of hire) has a Health and Safety update date of 9/7/23 and 8/30/23. These were required to completed by 12/30/22.

Corrected Corrected by Oct 3, 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.

A renewal inspection was conducted on 9/13/23. Staff #1 did not have an annual staff evaluation.

Corrected Corrected by Oct 13, 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.

A renewal inspection was conducted on 9/13/23. An uncovered accessible outlet was observed in the lobby power strip and in the infant room near the mini fridge.

Corrected Corrected by Sep 13, 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.

A renewal inspection was conducted on 9/13/23. In the girl's bathroom and the hallway outside of the bathrooms have water damaged ceiling tiles.

Corrected Corrected by Oct 23, 2023

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

3270.102(a)/3270.102(f) · 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. Indoor play equipment for climbing shall be installed or used over a protective surface covering which does not interfere with the stability of the equipment.

A renewal inspection was conducted on 9/13/23. The outside gates in the playground area have exposed, sharp bolts and are accessible to children. The indoor climber in the preschool area does not have a protective surface covering on the floor. The indoor climber is accessible to children.

Corrected Corrected by Oct 13, 2023

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

3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

A renewal inspection was conducted on 9/13/23. Children #3 and #4 did not list the parent's work address or work number on the emergency contact form. Children #5 and #6 did not list the release person's address on the emergency contact form.

Corrected Corrected by Oct 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

A renewal inspection was conducted on 9/13/23. Child #5 did not have health insurance or policy number listed on the emergency contact form.

Corrected Corrected by Oct 13, 2023

Category: health medication. 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.

A renewal inspection was conducted on 9/13/23. Child #3 does not have an updated health report in the last six months. The last health report is dated 2.16.23. Please see code sheet for child 3's DOB.

Corrected Corrected by Oct 13, 2023

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

3270.131(c)/3270.131(d)(7) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

A renewal inspection was conducted on 9/13/23. Child #2 files did not contain an updated health assessment to indicate that the children are able to participate in childcare and appear to be free from contagious or communicable disease. Only a visit summary was on file.

Corrected Corrected by Oct 13, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child(ren) #2. #3 & #4 will be removed from care by close of business the day the operator is notified until either the vaccination record is updated according to the ACIP recommended schedule or the parent provides an exemption letter.

A renewal inspection was completed on 9/13/23. Child #2's immunization record indicates the child does not have the flu vaccine for 2022, and needs Hep A vaccine and no exemption letter is in child's file. The child is over six months of age. Child #3 and #5's immunization record indicates the children do not have the 2022 flu vaccine and no exemption letters is in the children's file. The children are over six months of age. This is not in accordance with the ACIP recommended schedule.

Corrected Corrected by Oct 13, 2023

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

3270.133(3)/3270.133(6) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. A parent shall provide written consent for administration of medication or a special diet.

A renewal inspection was conducted on 9/13/23. In the Preschool room child #1 had prescription medication with no label or parent signature on the medication consent form.

Corrected Corrected by Oct 13, 2023

Category: ratio. 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.

A renewal inspection was conducted on 9/13/23. The facility does not have a fire detection test log and the operator reports the alarm is tested when fire drills are conducted every 60 days. The fire detector was tested during the inspection.

Corrected Corrected by Sep 13, 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.

A renewal inspection was conducted on 9/13/23. Child #2 has no health assessment on file. Child #2 only has a health summary on file. (See code sheet for DOA). Child #4 has a health assessment that was received after 60 days of admission.

Corrected Corrected by Oct 13, 2023

Category: health medication. 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 10/18/22 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 or above 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.

As of 9/27/22 during the renewal inspection, staff person #1 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 Pediatric CPR.

Corrected Corrected by Oct 18, 2022

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.Conditions at the facility may not pose a threat to the health or safety of the children.

As of the renewal inspection on 9/27/22, the facility did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required by 45 CFR 98.41(a)(1)(vi).

Corrected Corrected by Nov 15, 2022

Category: ratio. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

As of 9/27/22 during the renewal inspection, the emergency plan had not been reviewed in the past year.

Corrected Corrected by Nov 15, 2022

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). 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.

As of 9/27/22 during the renewal inspection, staff #4 (see LIS code sheet for hire date) did not have NSOR on file and must be removed from care.

Corrected Corrected by Oct 14, 2022

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

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

As of 9/27/22 during the renewal inspection, staff #4 did not have 2 years of experience with children documented to qualify for the stated assistant group supervisor position.

Corrected Corrected by Nov 15, 2022

Category: supervision. 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.

On 9/27/22 during the renewal inspection, there was no handwashing sign at the sink in the preschool room.

Corrected Corrected by Nov 15, 2022

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

3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

On 9/27/22 during the renewal inspection, there was no written plan of daily activities and routines posted in the preschool or school age rooms.

Corrected Corrected by Nov 15, 2022

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.

On 9/27/22 during the renewal inspection, the agreement of child #1 did not specify the amount of the fee to be charged.

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.

On 9/27/22 during the renewal inspection, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed in any of the child care spaces.

Corrected Corrected by Nov 15, 2022

Category: transportation. Marked corrected in the state record.

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

On 9/27/22 during the renewal inspection, there was no influenza vaccine for child #1, and the most recent influenza vaccine for child #2 was 1/11/21.

Corrected Corrected by Nov 15, 2022

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

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

On 9/27/22 during the renewal inspection, staff #1 did not clean and sanitize the diaper changing surface after changing a child's diaper.

Corrected Corrected by Nov 15, 2022

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

On 9/27/22 during the renewal inspection, there were no written, non-family references from individuals attesting to the person's suitability to serve as a facility person for staff #1, #3, #4. There was only one reference on file for staff #5.

Corrected Corrected by Nov 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(g) · 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.

As of 9/27/22 during the renewal inspection, the health and safety training taken by staff #6 was dated 9/24/16.

Corrected Corrected by Nov 15, 2022

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

3270.27(a)(1)/3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

As of 9/27/22 during the renewal inspection, the facility's emergency plan did not include lock-down procedures, and did not include accommodations for infants, toddlers, and children with special needs which are enrolled at the facility.

Corrected Corrected by Nov 15, 2022

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

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

As of 9/27/22 during the renewal inspection, the emergency plan had not been submitted to the county and the local municipality.

Corrected Corrected by Nov 30, 2022

Category: physical safety. 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.

As of the renewal inspection on 9/27/22, Staff #5 and #2 each had 11 hours of annual training.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

As of 9/27/22 during the renewal inspection, the operator had not notified the local traffic safety authorities in writing in the previous year of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Nov 30, 2022

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.

There is a container of Turtle Water Cleaner and on the container it states "keep out of reach of children" located on the corner shelf in the Preschool Room. Also on the shelf is a container of Turtle Vitamins, Turtle Multi-vitamins and a container of Calcium with Vitamin D that also state "keep out of reach of children" on the containers. There is a bottle of Clorox Bleach and a bottle of Lysol accessible to children in the unlocked cabinet located under the sink in the School-Age Room on the lower level of the facility.

Corrected Corrected by Nov 15, 2021

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

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

There are areas of peeling paint located on the pink wall located in the infant room and on a black round table located in the school-age on the lower level

Corrected Corrected by Dec 1, 2021

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

The outdoor play equipment and play houses have surface dirt on them and there is a broken toy truck located in the outdoor play space.

Corrected Corrected by Nov 30, 2021

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.

Facility person #1 has a health assessment on file dated 8/9/19 and is over 24 months old

Corrected Corrected by Dec 2, 2021

Category: ratio. Marked corrected in the state record.