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 director or designated staff person did not ensure a fire drill was conducted within 60 days of the previous drill; the most recent fire drill was conducted on 03/25/2025 with no subsequent drills documented. Continued noncompliance, previously cited on 04/28/2025, the director or designated staff person did not ensure fire drills were conducted at least once every 60 days; the fire drills conducted on 01/06/2025 - 03/25/2025 exceeded 60 days.

Corrected Corrected by Jun 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The director or designated staff person did not ensure a manual test of the fire detection system was conducted within 30 days of the previous test; the most recent test was conducted on 03/25/2025 with no subsequent tests documented. Continued noncompliance, previously cited on 04/28/2025, the director or designated staff person did not ensure a manual test of the fire detection system was conducted at least once every 30 days; the tests conducted on 11/11/2024 - 01/06/2025 - 02/07/2025 - 03/25/2025 exceeded 30 days.

Corrected Corrected by Jun 17, 2025

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.

Observed a container of Clorox wipes on the counter in the school age classroom which were accessible to children receiving care. Observed a container of Clorox wipes on the top shelf in the kitchen which was stored next to and above food items. *Corrected at the time of the inspection.

Corrected Corrected by May 13, 2025

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.

The operator did not ensure staff person #3 was trained in the emergency plan at the time of rehire (see LIS code sheet). Staff person #3 was trained in the emergency plan on 03/25/2025 and had training from previous employment dated 04/13/2023.

Corrected Corrected by May 13, 2025

Category: recordkeeping. 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.

Observed bolts on the gate of the fence in the outdoor play space with a missing plastic safety cover, exposing the bolt facing into the play space.

Corrected Corrected by May 13, 2025

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

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The emergency contact information for child #2 did not include written consent signed by the parent for emergency medical care prior to admission.

Corrected Corrected by May 13, 2025

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.

The emergency contact information for child #4 did not include the health insurance policy number.

Corrected Corrected by May 13, 2025

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 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 information and financial agreement for child #3, and #5 was not reviewed at least once every 6 months or as soon as there is a change in the information. Reviews are completed annually in lieu of every 6 months. The emergency contact and agreement for child #3 was reviewed by a parent on 01/15/2025 with the previous review of the emergency contact dated 01/29/2024 and the financial agreement dated 01/03/2024. The emergency contact and agreement for child #5 was reviewed by a parent on 01/15/2025 with the previous review of the emergency contact dated 01/14/2025 and the financial agreement dated 12/04/2023.

Corrected Corrected by May 13, 2025

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 file for child #2 did not include signed parental consent for the administration of minor first-aid procedures at the time of initial enrollment (see LIS code sheet).

Corrected Corrected by May 13, 2025

Category: ratio. Marked corrected in the state record.

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

The file for child #1, #2 and #3 did not include a copy of the initial agreement signed at the time of enrollment (see LIS code sheet). The financial agreement on file for child #1 was signed and dated on 01/16/2025. The financial agreement on file for child #2 was signed and dated on 01/15/2025. The financial agreement on file for child #4 was signed and dated on 01/15/2025.

Corrected Corrected by May 13, 2025

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.

The file for staff person #1 included one written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.

Corrected Corrected by May 13, 2025

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.

An annual emergency drill was not conducted within 12 months of the previous drill. The most recent drill was documented on 01/27/2024 with no subsequent drill documented.

Corrected Corrected by May 13, 2025

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 director or designated staff person did not ensure fire drills were conducted at least once every 60 days; the fire drills conducted on 01/06/2025 - 03/25/2025 exceeded 60 days.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The director or designated staff person did not ensure a manual test of the fire detection system was conducted at least once every 30 days; the tests conducted on 11/11/2024 - 01/06/2025 - 02/07/2025 - 03/25/2025 exceeded 30 days.

Corrected Corrected by May 13, 2025

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.

The file for staff person #2 did not include an annual minimum of 12 clock hours of child care training between 12/2023 - 12/2024. The file included 1 hour of training during that time period.

Corrected Corrected by May 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.131(a)(4) · 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 initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The file for child #1, #2, and #4 did not include a health assessment within 60 days following the first day of attendance (see LIS code sheet) in accordance with the requirements for school attendance. The files for child #1, #2, and #4 did not include an initial health assessment.

Corrected Corrected by May 13, 2025

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

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

The operator did not ensure staff person #1 received training regarding the emergency play at the time of initial hire (see LIS code sheet). The training was documented on 03/22/2024.

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & CPR. The training was completed on 03/13/2024.

Corrected Corrected by Apr 3, 2024

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

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

The file for staff person #1 did not include the results of an NSOR clearance within 45 days of hire. A request for the NSOR clearance on file was dated 07/18/2023 without the final clearance result.

Corrected Corrected by Apr 3, 2024

Category: background checks. 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.

A handwashing sign was not posted at each toilet in the girls and boys restrooms located in the front & back hallway of the facility.

Corrected Corrected by Apr 17, 2024

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

3270.124(b)(2)/3270.124(b)(6) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact information for child #2 did not include the name, address and telephone number of the child's physician or source of medical care. The emergency contact information for child #3 did not include the complete address and the telephone number of the child's physician or source of medical care. The emergency contact information for child #2 and #3 did not include the health insurance policy number. The emergency contact information for child #4 did not include the health insurance and policy number.

Corrected Corrected by Apr 17, 2024

Category: health medication. 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.

The emergency contact information for child #2 and #3 did not include the enrolling parent's work address. The emergency contact information for child #3 did not include the enrolling parent's work phone number. The emergency contact information for child #4 did not include the enrolling parent's home phone number. The emergency contact information for child #1, #2, #3, #4 and #5 did not include the address of the individuals designated by the parent to whom the child may be released. The emergency contact information for child #3 did not include the phone number of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Apr 17, 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 and financial agreement for child #2, #3, #4 and #5 was not reviewed by a parent at least once every 6 months. The forms for child #2, #4 and #5 were reviewed in 02/2023 and 01/2024. The forms for child #3 were reviewed in 03/2022 and 01/2024.

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. 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.

The health report for child #3 was not updated at least once every 12 months for an older toddler or preschool child (see LIS code sheet). The most recent health report on file was dated 04/13/2022 with no subsequent health reports on file. The health report for child #4 was not updated at least once every 12 months for an older toddler or preschool child (see LIS code sheet). The current health report on file was dated 12/26/2023 with the previous health report dated 11/29/2021.

Corrected Corrected by Apr 19, 2024

Category: health medication. 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 director or designated staff person did not ensure a fire drill was conducted at least once every 60 days. Fire drills exceeded 60 days on the following dates: 11/15/2023 - 01/15/2024 - 03/22/2024.

Corrected Corrected by Apr 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The director or designated staff person did not ensure a manual test of the fire detection system was conducted at least once every 30 days. The manual tests exceeded 30 days on the following dates: 05/16/2023 - 06/26/2023, 07/18/2023 - 08/22/2023, 10/11/2023 - 11/15/2023 - 01/05/2024 - 03/22/2024.

Corrected Corrected by Apr 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.131(a)(4) · 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 initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The initial health report for child #1 and #2 were not completed within 60 days of enrollment (see LIS code sheet). The initial health report for child #1 was completed on 03/19/2024. The initial health report on file for child #2 was completed on 01/29/2024.

Corrected Corrected by Apr 3, 2024

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

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

The pediatric first aid and CPR for staff person #4 was not renewed on or before the expiration of the previous certification; The current certificate on file was dated 01/09/2023 and the previous certificate was valid from 12/05/2020 - 12/2022.

Corrected Corrected by May 19, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #5 may not work in a child care position at the facility.

The file for staff person #1 did not have a Child Abuse Clearance for employment purposes at the time of initial hire (see LIS code sheet); the file contained a volunteer Child Abuse Clearance dated 10/22/2018. The file for staff person #3 did not include a signed disclosure statement at the time of initial hire (see LIS code sheet). The file for staff person #3 did not include the results of the State Police Clearance or FBI clearance prior to their first day caring for children (see LIS code sheet); the State Police Clearance on file was dated 02/16/2023 and the FBI clearance was dated 02/22/2023. The file for staff person #5 included a State Police Clearance which was not updated at least every 60 months; the State Police Clearance of file was dated 09/01/2017. A current Child Abuse Clearance was not on file at the time of initial hire for staff person #5 (see LIS code sheet); the Child Abuse Clearance accepted at the time of initial hire was dated 06/03/2017 and had already exceeded 60 months. Mandated Reporter Training was not completed within 90 days of hire; the training on file was completed on 10/19/2016 and had already exceeded 60 months.

Corrected Corrected by May 19, 2023

Category: background checks. 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 director did not complete a written evaluation for staff person #2 and #4 at least once every 12 months. The file for staff #2 did not contain a staff evaluation within 12 months of initial hire (see LIS code sheet). The most recent evaluation on file for staff person #4 was dated 03/28/2022.

Corrected Corrected by May 19, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit located in Room 102/103 did not include tape.

Corrected Corrected by May 19, 2023

Category: health medication. 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.

Observed a large gap at the bottom of the fence located on the left side of the school-age playground. Observed a gap at the top of the fence located between the right and left back portions of the playground.

Corrected Corrected by May 19, 2023

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.

Observed a brown/blue/red slide in the back right playground with a crack at the top of the slide and a blue/yellow/green triangle shaped slide with a crack on the step. Observed a tan and green playhouse with red shutters with bird debris and visible dirt in the back right playground. Observed a yellow frisbee on the school-age playground with a crack and plastic jump ropes tied to the dome climber which formed loops inside the dome. Observed a see-saw gator in the back left playground with broken emblems, creating sharp edge and a Little Tykes playhouse with visible dirt and debris.

Corrected Corrected by May 19, 2023

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

The rest equipment located in Room 115 / 116 / 117 was not labeled for the use by specific children.

Corrected Corrected by May 19, 2023

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

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement for child #1, #3 and #5 did not include the child's arrival and departure times.

Corrected Corrected by May 19, 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.

The original agreement for child #1, #2, #3, #4 and #5 was not provided to the parent. The original document was in the child's file and a copy of the agreement was provided to the parent.

Corrected Corrected by May 19, 2023

Category: recordkeeping. 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.

The health report for child #4 was not updated at least once every 12 months for an older toddler or preschool child (see LIS code sheet); the most recent health report on file was a Well Child Report printed on 03/30/2021.

Corrected Corrected by May 19, 2023

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

3270.131(d)(1) · A health report shall include a review of the child's health history.

The current health report on file for child #5 was a "Continuity of care document" which did not include a review of the child's health history.

Corrected Corrected by May 19, 2023

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

3270.131(d)(7) · 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.

The current health report on file for child #5 dated 03/04/2021 was a "Continuity of care document" which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The current health report on file for child #4 dated 03/30/2021 was a Well Child Report which did not include a statement that the child able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by May 19, 2023

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

3270.131(e)(1) · 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.

The file for child #1 (see LIS code sheet) included a record of the child's immunization status which lacked a 2nd dose of DTap, a 2nd dose of Rotavirus, a 2nd dose of Hib, a 2nd dose of PCV13, and a 2nd dose of Polio immunization. The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza immunization. The file for child #4 (see LIS code sheet) included a record of the child's immunization status which lacked a current influenza immunization.

Corrected Corrected by May 19, 2023

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

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The Pediatric First Aid & CPR for staff person #5 was not completed within 90 days of hire (see LIS Code Sheet); the training was completed on 01/09/2023.

Corrected Corrected by May 19, 2023

Category: health medication. 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 Director or designated staff person did not ensure fire drills were conducted at least once every 60 days; the following dates exceeded 60 days: 06/02/2022 - 08/02/2022 -10/04/2022 - 12/05/2022 -04/06/2023.

Corrected Corrected by May 19, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The Director or designated staff person did not ensure the fire detection system was tested at least once every 30 days; the months which exceeded 30 days include: 06/21/2022 - 07/26/2022, 09/19/2022 - 11/04/2022 - 12/06/2022, and 02/02/2023 - 03/06/2023 - 04/17/2023.

Corrected Corrected by May 19, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The initial health report for child #2 and #3 was not obtained within 60 days of the first day of attendance (see LIS code sheet). The initial health report on file for child #2 was dated 10/31/2022 and the initial health report on file for child #3 was dated 01/17/2023.

Corrected Corrected by May 19, 2023

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.

On 06/14/2022, staff person #1 left child #1 unattended in the preschool classroom while taking the class outside. The child was left alone for approximately 1 - 3 minutes until a parent found the child crying in the classroom and brought the child outside to the playground.

Corrected Corrected by Jun 22, 2022

Category: supervision. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Observed Pack N Plays in the infant classroom with crib sheets on the mattresses in lieu of sheets intended for a Pack N Play mattress. The sheets were too big for the mattress and created access material which creates a potential suffocation hazard.

Corrected Corrected by Apr 26, 2022

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

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

A copy of the emergency plan was not posted in a conspicuous location in the facility.

Corrected Corrected by Apr 26, 2022

Category: physical safety. 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.

Observed Clorox wipes on the sink counter which were accessible to children in the preschool classroom. Observed Clorox wipes on the counter in the girl's bathroom which were accessible to children. Observed baby lotion labeled keep out of reach of children on top of the paper towel dispenser located in the bathroom which was accessible to older toddlers in care.

Corrected Corrected by Apr 26, 2022

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.

Observed on the school age playground: gaps along the bottom of the left side of the fencing, rust on the top rail of the fencing, exposed bolts on the gate leading into the toddler playground, loose wires on the top right side and bottom right fence, and bolts exposed on the gate leading to the Gaga pit. Observed on the preschool playground: gap in bottom right side of the fencing, loose wire at top right near the corner, bolts in corner facing into the toddler playground and a rusty bottom rail. Observed on the toddler playground: a rusty rail on the left side of the fence and a bolt exposed at the gate on the left side of the playground.

Corrected Corrected by Jul 25, 2022

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

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

At approximately 11:55 am, observed child #1 asleep in an infant swing. According to staff person #2, the infant fell asleep in the swing at approximately 11:30 am.

Corrected Corrected by Apr 26, 2022

Category: health medication. 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.

The agreement for child #3 did not specify the fee to be charged per day or week.

Corrected Corrected by Apr 27, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The agreement for child #2, #3, #4 and #5 did not specify the date of the child's admission.

Corrected Corrected by Apr 27, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact information for child #3 did not include the telephone number of the child's physician or source of medical care.

Corrected Corrected by Jun 10, 2022

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

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

The emergency contact information for child #1 did not include the work address and telephone number of the enrolling parent.

Corrected Corrected by Jun 10, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact information for child #3 did not include the addresses of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Jun 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(1) · 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.

The file for child #3, a 2-year-old, included a record of the child's immunization status which lacked an influenza immunization. The file for child #4, a 4-year-old, included a record of the child's immunization status which lacked an influenza immunization.

Corrected Corrected by Jun 10, 2022

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The heath assessment for staff person #1 was not updated within 24 months of the previous health assessment; the current health report was dated 10/01/2021 with the previous one dated 05/29/2019.

Corrected Corrected by Jun 10, 2022

Category: ratio. Marked corrected in the state record.

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

The file for child #1 did not include an initial agreement between the parent and the operator at the time of enrollment.

Corrected Corrected by Jun 10, 2022

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.

An annual emergency drill was not documented and on file at the facility

Corrected Corrected by Jun 10, 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 Director or designated staff person did not ensure fire drills were conducted at least once every days. Fire drills exceeded 60 days on the following dates: 08/02/2021 - 10/05/2021, 10/05/2021 - 12/07/2021, 12/07/2021 - 04/25/2022.

Corrected Corrected by Jun 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The Director or designated staff person did not ensure a test of the fire detection system was documented every 30 days. In lieu of a test of the system, the status of the fire detection system on the alarm system display was checked monthly.

Corrected Corrected by Jun 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · 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 health report on file for child #5 was not submitted within 90 days following the first day of attendance at the facility as required by the COVID suspended regulations. The health report on file was dated 12/07/2021

Corrected Corrected by Jun 10, 2022

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