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's fire drill log contained dates 6/4/24-8/23/24 and 10/9/24-12/11/24, more than 60 days apart.

Corrected Corrected by Feb 27, 2025

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.

The file for Staff #2 contained a child abuse clearance that was dated 9/26/24, after the date of hire. The file for Staff #2 contained an NSOR clearance dated 1/13/25, after the 45-day provisional hire period. (SEE LIS CODE SHEET)

Corrected Corrected by Feb 27, 2025

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.

The file for Staff #2, classified as an assistant group supervisor, does not contain a high school diploma or general education development certificate.

Corrected Corrected by Mar 4, 2025

Category: supervision. 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.

In the upstairs School Age Room, a bin containing Purell, a bottle of bleach water, a bottle of 409, and a bottle of all-purpose cleaner, labeled "keep out of the reach of children," were observed to be accessible to children.

Corrected Corrected by Feb 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.

The file for Staff #1, Staff #2, and Staff #3 did not contain documentation of a health assessment being completed within 12 months prior to date of hire. The file for Staff #3 did not contain documentation of a Tuberculosis screening being completed within 12 months prior to date of hire. (SEE LIS CODE SHEET)

Corrected Corrected by Feb 28, 2025

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.

The facility's fire detection log contained dates 7/9/24-8/23/24 and 10/9/24-11/15/24, more than 30 days apart.

Corrected Corrected by Feb 27, 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.

The two most recent staff evaluations for Staff Person #4 and Staff Person #6 were completed more than one year apart (See LIS Code Sheet).

Corrected Corrected by Jun 25, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The facility's emergency plan lacked Continuity of Operations, required as of 7/1/22, as per Announcement C-22-04.

Corrected Corrected by Jun 14, 2024

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The file for Staff Person #7, who has worked at the facility for more than 90 days, lacked a Pediatric First Aid/CPR training.

Corrected Corrected by Jun 24, 2024

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.

The last two fire safety trainings on file for Staff Person #4, #5, #9, and #10 are dated more than one year apart. The file for Staff Person #1 lacked a fire safety training (See LIS Code Sheet).

Corrected Corrected by Jun 4, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The most recent Mandated Reporter training on file for Staff #5 dated 2/3/22, is not an approved training, making it invalid.

Corrected Corrected by Jun 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) LACKING REQUIRED HIRING DOCUMENTS: Staff Person #3 -- 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.

The file for Staff Person #3 lacked a PA Child Abuse clearance.

Corrected Corrected by Jun 21, 2024

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The After School art room refrigerator lacked a thermometer.

Corrected Corrected by Jun 11, 2024

Category: nutrition. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file for Child #1 does not contain a Child Service Report after 1/19/23, exceeding the 6-month update period.

Corrected Corrected by Mar 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The Emergency Contact form for Child #3 only lists the first name of emergency contacts.

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The Emergency Contact form for Child #5 lacked enrolling parent's work address and work phone number.

Corrected Corrected by Jul 2, 2024

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 Emergency Contact form for Child #5 and Child #7 does not include information on disability.

Corrected Corrected by Jul 2, 2024

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

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

The Emergency Contact form on file for Child #3 did not include the full name of the release persons. The Emergency Contact form on file for Child #3, #4, #5, #6, and #8 did not include the address for listed release persons.

Corrected Corrected by Jul 2, 2024

Category: recordkeeping. 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 information. A 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.

The Emergency Contact form for Child #1-8 exceeded the 6-month update period.

Corrected Corrected by Feb 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for Child #1 (10/6/23-5/14/24), Child #5 (1/19/23-3/5/24), and Child #8 (1/12/23-10/12/23), all younger toddlers at time of the health assessment updates, are dated more than 6 months apart.

Corrected Corrected by Feb 2, 2024

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

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

The most recent health assessment on file for Child #6 (preschool age) is dated 2/1/23, exceeding the 12-month update period. The two most recent health assessments on file for Child #7 (preschool age) are dated 5/6/22-9/14/23 exceeding the 12-month update period.

Corrected Corrected by Feb 2, 2024

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 health assessments for Staff Person #2 and Staff Person #8 were dated after the date of hire. The health assessments for Staff Person #5, #6, #9, #10, #11, and #12 were dated more than 24 months apart (See LIS Code Sheet).

Corrected Corrected by Jun 14, 2024

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.

The Tuberculosis screening for Staff Person #2 and Staff Person #8 was dated after the hire dates (See LIS Code Sheet).

Corrected Corrected by May 30, 2024

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

3270.181(c) · A 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.

The files for Child #1, #2, #4, #5, and #7 contained Financial Agreement forms that had updates dated more than 6 months apart.

Corrected Corrected by Jun 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(5) · 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.

The Emergency Contact form for Child #6 lacked a parent signature for "Consent for Minor First Aid."

Corrected Corrected by Jun 14, 2024

Category: ratio. 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.

The most recent emergency drill was dated 6/7/23, more than 12 months prior.

Corrected Corrected by Jul 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a) · 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 fire alarm 30-day test log includes test dates 4/23/24 and 6/11/24 which are more than 30 days apart. Per Chapter 3270 Act 62 regulation updates on May 24, 2021, all fire detection devices or systems must be tested at least every thirty days.

Corrected Corrected by Jul 5, 2024

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.

The facility does not have documentation verifying that the current emergency plan was submitted to the county emergency management agency.

Corrected Corrected by Jun 13, 2024

Category: physical safety. 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 initial health assessment for Child #3 was dated 5/27/20, more than 60 days from the first day of attendance. The initial health assessment for Child #7 was dated 5/6/22, more than 60 days from the first day of attendance (See LIS Code Sheet).

Corrected Corrected by Feb 2, 2024

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Based on information received from an incident report and an incident of the same day: 08/03/2023 and during staff interviews on 08/10/2023 the children were transitioning from lunch to naptime. Child #1 wandered away from her assigned group. Staff person #1 who was assigned responsibility for Child #1 was unaware Child #1 had wandered away; nor, did Staff Person #2. Staff Person #1 and #2 were unaware Child #1 had wandered away until Staff #1 and #2 heard a loud bang, a child crying and noticed a gray, movable, metal shelf laying on top of Child #1. (See LIS Code Sheet)

Corrected Corrected by Oct 24, 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.

The files for staff #1 and #2 contain health and safety trainings that were obtained late. Staff #1 obtained health and safety training on 12/30/22 and it was due 12/13/22. Staff #1 obtained first aid and cpr training on 3/3/23 and it was due 12/13/22.

Corrected Corrected by Jun 21, 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.

Observed sharp pieces on the fence in the outdoor play space (playground).

Corrected Corrected by Jun 21, 2023

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.

Observed stones on the playground with a diameter of less than 1 inch that are accessible to children who are still placing objects in their mouths.

Corrected Corrected by Jul 3, 2023

Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff #3 lacks a current health assessment. The assessment on file exceeded 12 months at hire.

Corrected Corrected by Jun 29, 2023

Category: ratio. 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.

The file for staff #3 lacks a current TB test. The test on file exceeded 12 months at hire.

Corrected Corrected by Jun 29, 2023

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

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #1 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff person #1 has acceptable pediatric first aid/CPR training in an approved curriculum that was taken prior to 4/9/22; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Mar 3, 2023

Category: health medication. 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 persons #5 - #11 will have until 9/16//22 to complete the required training. Until such time as the required training has been completed, staff persons #5 - #11must be supervised when interacting with children by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #5 - #11 may not work in a child care position at the facility.

Continued non-compliance: On 7/13/22, a renewal inspection was conducted at the facility. Staff persons #5, #6, #7, #8, #9, #10, #11 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and cpr. The facility's acceptable plan of correction indicated the correction would be implemented by 7/28/22. On 7/28/22, an unannounced inspection was conducted. Staff persons #5, #6, #7, #8, #9, #10, #11 still have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and cpr.

Corrected Corrected by Sep 16, 2022

Category: supervision. 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.

The emergency plan update was not documented in writing.

Corrected Corrected by Jul 31, 2022

Category: recordkeeping. 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.

Staff #1 and #4 obtained emergency plan training that was conducted late.

Corrected Corrected by Jul 13, 2022

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 files for staff #1, #2, #4, and #15 contain fire safety training that was conducted late (exceeded 12 months) and was not conducted by a fire safety professional.

Corrected Corrected by Sep 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.

Staff #6 and #9 were provisionally hired. Staff #6 and #9 were not fingerprinted prior to being in the childcare setting.

Corrected Corrected by Jul 13, 2022

Category: background checks. 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 persons #5 - #11 will have until 7/28/22 to complete the required training. Until such time as the required training has been completed, staff persons #5 - #11must be supervised when interacting with children by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #5 - #11 may not work in a child care position at the facility.

Staff persons #5, #6, #7, #8, #9, #10, #11 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and cpr.

Corrected Corrected by Jul 28, 2022

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.

Staff persons #5, #6, #7, #8 and #10 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): basic health and safety. Current health and safety trainings are now on file.

Corrected Corrected by Jul 13, 2022

Category: health medication. 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 # 11will have until 7/28/22 to complete the required training. Until such time as the required training has been completed, staff person #11 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #11, staff person #11 may not work in a child-care position at the facility.

Staff person #11 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): basic health and safety.

Corrected Corrected by Jul 28, 2022

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). Facility Person #7, #12, #13, #14 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.

The files for staff #7 (FBI), volunteer #12 (child abuse, FBI), volunteer #13 (FBI), volunteer #14 (child abuse, FBI, NSOR) lack valid clearances as indicated in parenthesis after each staff/volunteer #.

Corrected Corrected by Jul 13, 2022

Category: background checks. 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 #3, and #10, and volunteers #12, #13, and #14 had not completed the mandated reporter training within 90 days of their hire date (see LIS code sheet).

Corrected Corrected by Jul 13, 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.

The following clearances were obtained late: staff #8 - NSOR; staff #9 - FBI; staff #10 - child abuse; staff #11 - child abuse; volunteer #12 - state police, NSOR; volunteer #14 - state police.

Corrected Corrected by Jul 13, 2022

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

3270.33(c) · A volunteer shall be supervised by a staff person who is qualified at minimum as an assistant group supervisor.

Observed volunteer #12 escorting/supervising children to the bathroom without the supervision of a staff person who is qualified at minimum as an assistant group supervisor.

Corrected Corrected by Jul 13, 2022

Category: supervision. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

The diaper pail in the main bathroom was not hands-free.

Corrected Corrected by Jul 13, 2022

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The files for staff #5, #6, #7, #10, and volunteer #13 contain health assessments that were late. All health assessments on file now are current.

Corrected Corrected by Jul 13, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(5)/3270.192(3) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.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 health assessment for staff #5 lacks the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Sep 15, 2022

Category: health medication. 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.

The facility did not conduct an annual emergency drill.

Corrected Corrected by Jul 31, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The facility did not conduct a fire drill between 6/2021 and 9/2021.

Corrected Corrected by Jul 13, 2022

Category: recordkeeping. Marked corrected in the state record.