Kindercare Learning Center 1279

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

The admission date specified on the agreement on file for child #8 was incorrect, according to other documentation and staff statements.

Corrected by Aug 4, 2025

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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 required out-of-state clearances on file Facility Person #2 were completed after their start date.

Corrected by Aug 11, 2025

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3270.35(e) · In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

The maximum number of children in care at one time, as per staff statements, is 87. There is one group supervisor employed at the facility and working at least 30 hours per week.

Corrected by Oct 16, 2025

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

There were three uncovered outlets on the wall in reach of children in the Pre-K room.

Corrected by Aug 4, 2025

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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 were cleaning supplies and diaper creams labeled "keep out of reach of children" in an unlocked cabinet under the changing table, in reach of children, in the Infant A room.

Corrected by Aug 11, 2025

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3270.75(b) · A first-aid kit must be inaccessible to children.

There was a first aid kit in the Pre-K room in a backpack on a low piece of equipment, in reach of children.

Corrected by Aug 4, 2025

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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.

A first aid kit in the Preschool room did not include soap and included one bandaid.

Corrected by Aug 4, 2025

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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.

There was a plastic toy storage bin the in Pre-K room with cracks, creating potential pinch points/sharp edges.

Corrected by Aug 11, 2025

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3270.108(c) · Styrofoam cups and plates may not be used.

There were styrofoam bowls in the Toddler 2 A room and Preschool room which staff state are used for serving food.

Corrected by Aug 11, 2025

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

The daily activity schedule was not posted in the Infant B room.

Corrected by Aug 11, 2025

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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).

There were no child service report forms completed and on file for children # 1, #4, #5, #8 and #9. The current child service report forms completed and on file for children #2, #3, and #6 were completed more than 6 months after the child's last CSR was completed or 6 months after their start date.

Corrected by Aug 11, 2025

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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 form on file for child # 7 did not include the health insurance policy number.

Corrected by Aug 4, 2025

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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 current health assessment on file for child #1, a preschooler, was completed more than 12 months after the previous health assessment on file for the child.

Corrected by Aug 4, 2025

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3270.133(3) · 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.

There were sample packets of burn cream in the first aid kit in the Infant A room - not labeled with the name of a specific child to be used for that child.

Corrected by Aug 4, 2025

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3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

There was an infant, age 5 months, observed being bottle fed in the Infant A room. The staff person feeding the child was not holding them.

Corrected by Aug 4, 2025

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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 most recent agreements on file for children #3, #4, #5 and #9 were not reviewed and updated by a parent in writing in the previous 6 months.

Corrected by Aug 4, 2025

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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 TB test documentation previously reviewed and on file for Facility Person #1 was not on file.

Corrected by Aug 4, 2025

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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.

While assessing supervision, at 12:12 PM, the CR observed 4 children in Room 4 sleeping on their rest mats with blankets covering their faces so that the staff person could not adequately supervise the children.

Corrected by Jan 22, 2025

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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 without all completed required clearances on file.

There was no child abuse clearance for Facility Person #1 from a state in which they lived in the previous 5 years.

Corrected by Jan 8, 2025

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3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

There was not sufficient verification of the education and/or child care experience on file for Facility Person #1, #2, and #3 to qualify for their respective assigned classification levels.

Corrected by Jan 7, 2025

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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 were diaper creams and disinfectant spray accessible to children in the Toddler A room in the cabinet under the changing table due to a faulty lock.

Corrected by Jan 7, 2025

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

There was peeling paint on the wall in the following locations: In the Pre-K room on the wall on the left side from the entrance in two areas near bulletin boards in on the back wall; in Toddler A on the wall opposite the main entrance and the left of the door to Toddler B.

Corrected by Jan 27, 2025

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3270.133(3) · 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.

There was a child's hydrocortisone cream in the Toddler B room not labeled with the child's name.

Corrected by Jan 7, 2025

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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.

There was only one written nonfamily reference on file for Facility Person #2.

Corrected by Jan 7, 2025

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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 most recent documented test of the facility's smoke alarms was dated 12/6/24, more than 30 days prior.

Corrected by Jan 7, 2025

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility without the required completed clearance.

There was no child abuse clearance on file for Facility Person #1 from a state in which the facility person resided within the five year prior to hire.

Corrected by Jan 20, 2025

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3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

There was no documentation of the child care experience required for the staff classifications on file for Facility Persons #1 (group supervisor), #2 and #3 (assistant group supervisors).

Corrected by Jan 20, 2025

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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 Toddler A room, there was disinfectant spray and diaper creams accessible to children in a cabinet under the changing table due to a faulty lock.

Corrected by Jan 20, 2025

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

The following areas of peeling paint were observed: in the Pre-K room on the wall on the left side (from entry) in two areas near bulletin boards, and on the upper half of the back wall; in the Toddler A room, on the upper half of the walls opposite the entrance, and to the left of the door to the Toddler B room.

Corrected by Feb 7, 2025

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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.

There was only one nonfamily written reference on file for Facility Person #2.

Corrected by Jan 20, 2025

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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.

There was no documentation that the smoke detectors had been tested in the previous 30 days (last documented testing date was 12/6/24).

Corrected by Jan 20, 2025

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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 current pediatric first aid/CPR training documented and on file for Facility Person #1was completed more than 2 years after (after the expiration date) of the previous first aid training documented and on file.

Corrected by Aug 1, 2024

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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 disclosure statement on file for Facility Person #3 was signed after their start date. The current criminal history and child abuse clearances on file for Facility Person #5 were completed more than 60 months after the previous clearances on file.

Corrected by Aug 1, 2024

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3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Facility Person #3 was classified as an assistant group supervisor without documentation of the education required for the classification on file.

Corrected by Sep 1, 2023

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

There was a small area of peeling paint on a wall in the Pre-K room near tjhe bulletin board by the television.

Corrected by Aug 30, 2024

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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).

There were no child service reports completed and on file for children #2-#7 completed, and a copy given to the parents, in the last 6 months. The most recent/ only completed child service report on file for child #8 was completed more than 6 months after their start date.

Corrected by Aug 30, 2024

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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 current emergency contact forms and agreements on file for children # 4. #5 and #7 were reviewed and updated by a parent in writing more than 6 months after the previous review/ update.

Corrected by Aug 1, 2024

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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 current health assessment on file for child #3 was completed more than 12 months after the previous health assessment on file.

Corrected by Aug 1, 2024

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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 #1 must be dismissed from care by close of business 7/9/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

There was no immunization record on file for child #1, enrolled at the facility for more than 60 days.

Corrected by Jul 29, 2024

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3270.151(a)/3270.151(c)(2) · 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. 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.

The initial health assessment/ TB test on file for Facility Person #6 was completed more than 12 months prior to their start date.

Corrected by Jul 19, 2024

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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.

There was only one written nonfamily reference on file each for Facility Persons #2 and #4.

Corrected by Jul 19, 2024

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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.

More than 30 days passed between fire alarm testing occurring on 2/2/24 and then next again on 3/22/24, according to the testing dates documented.

Corrected by Jul 19, 2024

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3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

According to staff statements, Facility Person #1 was observed saying to infants in their care, "Shut up before I punch you," and "shut up before I choke you."

Corrected by Jun 10, 2024

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3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

According to staff statements, Facility Person #1, on multiple occasions, would play inappropriate music with vulgar language, including curse words, audible to children in their care.

Corrected by Apr 1, 2024

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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.

According to staff statements, there were often times when children were not properly supervised when supervised by Facility Persons #1 when Facility Person #1 was on their phone rather than paying attention to the children.

Corrected by Apr 1, 2024

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

Video of an incident that was self-reported by the operator shows Facility Person #1 handling child #1 in an aggressive manner. On 3/27/24 at approximately 2:50, Facility Person #1 picked up child #1 and roughly put them on their cot, then Facility Person #1 repositioned the child by lifting and dropping their legs onto the cot. Facility Person #1 then pushed the child's head down roughly on the cot.

Corrected by Jun 10, 2024

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3270.113(d) · **The facility director shall conduct an observation of staff-child interactions in each classroom weekly and document each observation for a period of 6 weeks. The documentation format shall be submitted to the certification representative for prior approval. Documentation of observations shall be retained on file at the facility and made available upon request to certification representative.

According to staff statements, Facility Person #1 was observed saying to infants and toddlers in the care harsh statements including "I hate you," "I can't stand you," and "Shut up."

Corrected by Aug 31, 2024

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3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

According to staff statements, Facility Person #1 was observed saying to infants and toddlers in the care harsh statements including "I hate you," "I can't stand you," and "Shut up."

Corrected by Jun 12, 2024

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3270.113(d) · *The legal entity shall ensure that all facility staff complete a training, pre-approved by the certification representative, regarding appropriate behavior guidance of children. Documentation of completion of the training shall be retained on file at the facility as well as submitted to certification representative upon completion.

According to staff statements, Facility Person #1 was observed saying to infants and toddlers in the care harsh statements including "I hate you," "I can't stand you," and "Shut up."

Corrected by Aug 31, 2024

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3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

According to staff interviews, Staff #1 has been observed yelling and swearing at children while redirecting them in the toddler room.

Corrected by Feb 20, 2024

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3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

According to staff interviews, Staff #1 was observed being "physical" with toddler age children on more than one occasion while redirecting and asking a child "what is wrong?" Staff person #1 was said to hold a child down if Staff #1 wants them to sit and they don't want to sit. On 1/8/24 Child #1 reported to a staff person that Staff #1 grabbed their arm and pointed to their wrist that was red and blotchy. Previous incidents included Staff person #1 holding Child #1 by the foot while the child was crying and asked to be let go.

Corrected by Feb 20, 2024

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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).

There were no child service reports on file for children #2-#7, all enrolled the facility more than 6 months.

Corrected by Sep 1, 2023

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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.

The current health assessments on file for children #2, #3, #5 and #7, all young toddlers, were completed more than 6 months after the previous health assessments on file.

Corrected by Sep 1, 2023

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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).

There was no documentation of current influenza vaccines on file for children #1 and #5. The immunization record on file for child #8 indicated the child had insufficient does of the Hepatitis A vaccine, as recommended by the ACIP for a child of their age. Children #1, #5 and #8 must be dismissed from care by close of business 7/20/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Corrected by Jul 20, 2023

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3270.133(3) · 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.

There were sample packets of medications (triple antibiotic ointment and burn cream) not labeled for the use of a specific child, in the first aid kit in the Preschool room.

Corrected by Jul 20, 2023

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3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

There was a child's albuterol at the facility without signed consent from the parent to administer the medication.

Corrected by Jul 20, 2023

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

There was a small area of damage plaster on the wall by the door, near the cubbies, in the Pre-K room.

Corrected by Sep 1, 2023

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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. Until such time as the required pre-service trainings are completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #-2, staff person #2 may not work in a child-care position at the facility.

There was no documentation of completion of first aid training on file for Facility Person #2. Facility Person #2 was observed caring for children unsupervised.

Corrected by Jul 26, 2023

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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 most recent documented review of the emergency plan was dated 7/7/21.

Corrected by Jul 20, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 Persons #1 and #3 may not work at the facility without all required completed clearances on file.

According to documentation in the Facility Person #1 resided in another state within the 5 years prior to beginning employment at the facility. There was no child abuse clearance from this state on file for a Facility Person #1. The application for this clearance that was on file for Facility Person #1 was dated after their start date. (See IS code sheet.) Facility Person #2, a provisional hire with no NSOR clearance on file, was observed caring for children unsupervised. The FBI clearance on file for Facility Person #3 was incomplete and therefore invalid.

Corrected by Sep 1, 2023

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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.

There were divots and crevices in the solid poured surfacing under the play equipment in the outdoor Preschool and Pre-K play space, which created tripping hazards.

Corrected by Sep 1, 2023

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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.

There was no thermometer in the refrigerator located between the Preschool and Pre-K room.

Corrected by Jul 20, 2023

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

The daily activity schedule was not posted in the Infant B room.

Corrected by Jul 20, 2023

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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 emergency contact forms and agreements on file for children#2, #3, #6, and #7, and the agreement on file for child #4, were reviewed and updated by a parent in writing more than 6 months after the previous review dates.

Corrected by Jul 20, 2023

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3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

The cabinet in which the child files were stored was not kept locked.

Corrected by Jul 21, 2023

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3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

The cabinet in which the staff files were stored was not kept locked.

Corrected by Jul 21, 2023

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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 fire drill log on file indicates that fire drills were conducted on 12/1/22 then again on 2/7/23, as well as on 5/2/23 and then again on 7/3/23, more than 60 days apart in both instances.

Corrected by Sep 1, 2023

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3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

There was no letter that is provided to the parents of enrolled children explaining the emergency plan.

Corrected by Sep 16, 2022

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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 current pediatric first aid and CPR training documented and on file for Facility Person #5 was completed after the expiration of the previous first aid/CPR training documented and on file.

Corrected by Aug 12, 2022

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f)(1-10), or 3290.31(g)(1-10) within 90 days of hire. Staff persons #1, #2, #3, #6, #7, and #9 will have until 8/26/22 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, #3, #6, #7, and #9 must 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 #1, #2, #3, #6, #7, and #9 staff person ##1, #2, #3, #6, #7, and #9 may not work in a child-care position at the facility.

Facility Persons #1, #6 and #9 have not completed the following required pre-service training within 90 days of their date of hire (see IS code sheet).: Health and Safety training. Facility Persons #2, #3, #7 did not complete the following required preservice training within 90 days of their hire (see IS code sheet): Pediatric First Aid/CPR, from an PQAS -approved trainer and a PQAS- approved curriculum.

Corrected by Aug 12, 2022

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). : Facility Person # #3, #4, #5, #7, #10, #12 and #14 may not work in a child care position at the facility without signed and dated disclosure statements.

The disclosure statements signed on file for Facility Persons #3, #4, #5, #7, #10, #12 and #14 were not dated. The current FBI clearance on file for Facility Person #7 was completed more than 60 months after the previous FBI clearance on file. Mandated reporter training documented and on file for Facility Person #6 was completed more than 90 days after their start date. The current mandated reporter training on file for Facility Person #7 was completed more than 60 months after the previous mandated reporter training.

Corrected by Aug 12, 2022

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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 current staff evaluation on file for Facility Person #6, #8 and #11 were completed more than 12 months after the prior completed evaluations on file.

Corrected by Aug 12, 2022

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

There was an uncovered outlet on the wall in the Preschool room.

Corrected by Aug 12, 2022

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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 was a bottle of glass cleaner and a bottle of disinfectant spray in an unlocked cabinet in the Pre-K room in reach of children.

Corrected by Aug 12, 2022

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3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The hot water temperature at a low sink in the Toddler B room was measured to be 120° F.

Corrected by Jul 25, 2022

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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.

There was trim around two doors - the door from the preschool room exiting the building and the door in the Pre-K room leading to the staff room - that was detached and splintered.

Corrected by Aug 12, 2022

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

There was peeling paint on the window frames in the Toddler B room.

Corrected by Sep 30, 2022

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3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

In the Toddler A room, the sink at the changing station that children use to wash hands after diapering is not at the child's height, not was it equipped with steps to allow the children to reach the sink. Staff state they hold the children at the sink in order for them to wash their hands.

Corrected by Sep 30, 2022

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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.

There was a rest mat in the Pre-K room not labeled with the name of the child whom it was used by.

Corrected by Aug 8, 2022

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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.

There was no thermometer in the refrigerator in the Toddler A room.

Corrected by Aug 8, 2022

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

Original agreements were on file for children #1, #2, #3, and #4.

Corrected by Aug 8, 2022

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

The enrolling parent's work address and phone were not listed on the emergency contact form on file for child #1.

Corrected by Aug 8, 2022

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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 release persons addresses were not listed on the emergency contact forms on file for children #1 and #6.

Corrected by Aug 8, 2022

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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

The current health assessment on file for child #7, an infant, was completed more than 6 months after the previous health assessment on file.

Corrected by Aug 8, 2022

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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 current health assessment on file for child #1, a preschooler, was completed more than 12 months after the previous health assessment. The most recent health assessment on file for child # 4, a preschooler, was completed on 6/8/21 (more than 12 months prior).

Corrected by Aug 8, 2022

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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.

There was no documentation of a current flu vaccine (recommended annually by the ACIP) on file for children #1 and #6.

Corrected by Oct 13, 2022

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3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

There was no written parental consent to administer an inhaler located in the Preschool room, and labeled with the child's name.

Corrected by Aug 8, 2022

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3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

According to the documentation of diaper changes recorded in the Infant room, and as confirmed by staff statements, one of the infants' diapers was changed at 9:19 AM and then next checked and changed again at 11:50 AM.

Corrected by Aug 8, 2022

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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 current health assessments on file for Facility Persons #6 and #11 were completed more than 24 months after the prior health assessments on file.

Corrected by Aug 8, 2022

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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 emergency contact forms and agreements on file for children # 1, #3, #4, #5, #6, and #7 were not reviewed and updated by a parent i writing at least every 6 months.

Corrected by Aug 8, 2022

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Aug 8, 2022

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3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The hypothetical locations of the fire and the names of the facility persons participating in each fire drill were not recorded on the fire drill log.

Corrected by Aug 8, 2022

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3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #1, and #2 both contain 2 mandated reporter trainings that are more than 60 months apart.

Corrected by Aug 18, 2021

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

At the time of renewal inspection, standing water was observed in the sand box cover on the playground. Children were using the play space at the time that the standing water was observed.

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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 files for Staff #3, 4, 5, 6, 7, 8, 9, 10, 11, 12, and 15 are all lacking initial emergency plan training.

Corrected by Sep 23, 2021

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #5,6,7,8,9,11,14 and 17 -- may not work in a child care position at the facility.

The file for Staff #2 contained two state police clearances that were more than 60 months apart. The file for Staff #5 was lacking the NSOR certificate and cannot work in a child care position until it is obtained. The file for Staff #6 contained an FBI clearance that indicated there was a record but was lacking the rap sheet. This staff cannot work in a childcare position until it is submitted. The file for Staff #7 contained an application for the NSOR certificate that was submitted after the staff's start date making it an insufficient provisional hire. This staff cannot work in a child care position until the NSOR is back. The file for Staff #8 was lacking an FBI clearance and NSOR certificate, their hire date was 11/25/20 making it past the 45 day provisional hire period, therefore they cannot work in a childcare position until they are both submitted. The file for Staff #9 contained documentation of obtaining clearances after start date and there was no signed disclosure statement, making it an insufficient provisional hire, therefor they cannot work in a child care position until the child abuse, FBI and NSOR are obtained. The file for Staff#11 was lacking a signed disclosure, and proof of fingerprinting, therefor making in an insufficient provisional hire and cannot work in a childcare position until they have submitted the FBI clearance and the NSOR certificate. The file for Staff #13 contained an NSOR certificate that was obtained after the 7/1/20 deadline for current staff. The file for Staff #14 contained a disclosure statement that was not signed, a volunteer child abuse clearance and the NSOR certificate was obtained after start date and did not have proof of when it was sent. They cannot work in a childcare position until the correct child abuse clearance is obtained. The file for Staff #17 was lacking proof of fingerprinting being done, contains a volunteer child abuse clearance and proof of requesting the NSOR certificate after start date, all making it an insufficient provisional hire. They cannot work in a child care position until the correct child abuse clearance, FBI clearance and NSOR are submitted.

Corrected by Aug 18, 2021

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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 file for Staff #2, 13 and 16 all were lacking a current staff evaluation within the last 12 months.

Corrected by Sep 23, 2021

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3270.75(b) · A first-aid kit must be inaccessible to children.

The first aid kit that is kept in the Preschool Room was located on a bottom shelf, making it accessible to the children in care.

Corrected by Aug 18, 2021

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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 in the Pre-K Room was lacking gloves.

Corrected by Aug 18, 2021

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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.

The shed in the outdoor play space had peeling paint on it.

Corrected by Aug 25, 2021

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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.

In the Pre-K Room there were no handwashing signs in either of the bathroom stalls. In the Preschool Room there was no handwashing sign in the stall closest to the that side of the room.

Corrected by Aug 18, 2021

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3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

In the Toddler B Room the following medications were missing signed written consent from the parent for administration of the medication: hydrocortisone, benedryl and Triamaiclon

Corrected by Aug 18, 2021

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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.

In the Discovery Preschool Room there was a foam climber that had a rip on the outside covering.

Corrected by Aug 18, 2021

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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.

In the Pre-K room there were foam blocks that had bite marks in them. In the Preschool Room there were big foam tacks with chuncks missing out of them that can be a chocking hazard.

Corrected by Aug 18, 2021

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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 refrigerator in the Preschool room was lacking a thermometer to ensure the correct temperature was being kept.

Corrected by Aug 18, 2021

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

The school-age room was lacking a posted daily schedule.

Corrected by Aug 18, 2021

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

During the inspection of the Preschool Room, it was asked where the emergency contact forms were for the group and they had left them outside on the playground, therefore they were not in the child care space.

Corrected by Aug 18, 2021

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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 contained an immunization record that was lacking 1-2 doses of Hepatitis B, 1-2 doses of Rotovirus, 2 doses of DTAP, 1 dose of HIB, 2 doses of Pneumoccoccal, 1-2 doses of Polio and the annual influenza immunization. The file for Child #2 contained an immunization record that was lacking the annual influenza immunization.

Corrected by Aug 18, 2021

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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 files for Staff #3, 7,12 and 14 all contained Health Assessments and TB tests that were obtained after their start date. The file for Staff #4 contained a TB test that was done after their start date. The file for Staff #5 contained a health assessment that was obtained more than 12 months prior to the staff's start date. The file for Staff #8 contained a health assessment that was obtained after the staff's start date. The file for Staff #9 and 17 both were lacking an initial health assessment and TB. The file for Staff #16 contained a health assessment that was more than 24 months old.

Corrected by Aug 18, 2021

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

In the Toddler B class there were bottles in the refrigerator that were not labeled with the child's name on them.

Corrected by Aug 18, 2021

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3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for Staff #3, 4, 5, 6, 7, 8, 10, 11, 12, 14, 15, 17 all were lacking verification of qualifications in their files.

Corrected by Sep 1, 2021

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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 files for Staff #3, 4, 7, 9, 10, 12, 14, and 17 all were lacking 2 nonfamily reference letters from individuals attesting to the person's suitability to serve as a facility person. The file for Staff #8 contained one reference letter therefor is lacking one as well.

Corrected by Aug 18, 2021

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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.

At the time of renewal inspection the yearly written notification to local traffic safety authorities had not been sent out. The last ones were sent out 6/18/20.

Corrected by Aug 18, 2021

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