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.

Childcare staff reported they remove trash daily from the facility and place it in a dumpster on school grounds, but there was not a written agreement between the school and the childcare program's legal entity documenting the school's process for removing trash at least weekly from the facility grounds. Observed Bic Cover It which indicated "keep out of the reach of children" in a small 3 drawer bin on top of the cart in the cafeteria which was accessible to children.

Corrected Corrected by Nov 7, 2024

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #1 and #4 will have until November 15, 2024, to complete the required training. Until such time as the required training has been completed, staff persons #1 and #4 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 and #4, staff persons #1 and #4 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training.

Corrected Corrected by Nov 20, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4 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. Facility Person #4 may not work in a child care position at the facility.

The file of Staff #2 lacked a National Sex Offender Registry Certificate prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a NSOR request date of 6/1/23 with a NSOR dated 9/4/24. The file of Staff #4 lacked a State Child Abuse from the State(s) in which Staff #4 resided in the last 5 years. The file of Staff #4 did not contain a State Child Abuse from the State(s) in which Staff #4 resided.

Corrected Corrected by Dec 20, 2024

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

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.

The files of Staff #2 and #3, who were designated as assistant group supervisors, lacked documentation of meeting one of the applicable staff qualifications for the position in which the person is performing.

Corrected Corrected by Nov 7, 2024

Category: supervision. 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 #2 did not specify the amount of the fee to be charged per day or per week.

Corrected Corrected by Nov 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The agreement for Child #1 did not specify the date of the child's admission.

Corrected Corrected by Nov 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Observed prescription medication for Child #3 which was not in an original container.

Corrected Corrected by Nov 7, 2024

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

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

The operator did not establish a medication log for prescription medication administered to Child #3.

Corrected Corrected by Nov 7, 2024

Category: health medication. 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 3 pair of adult scissors in a plastic bin on the 2nd shelf of the red and yellow shelving unit which were accessible to children.

Corrected Corrected by Nov 15, 2023

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

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The file of Staff #1 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 had documentation of completing health and safety training on 9/30/22.

Corrected Corrected by Nov 15, 2023

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). 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 of Staff #2 lacked a disclosure statement signed at the time of initial employment (SEE LIS Code Sheet). The file of Staff #2 contained a disclosure statement dated 1/20/22.

Corrected Corrected by Nov 15, 2023

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

3270.33(a) · 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.

The file of Staff #2, who was designated as an assistant group supervisor, lacked documentation of meeting one of the applicable staff qualifications for the position in which the staff is performing.

Corrected Corrected by Dec 1, 2023

Category: supervision. 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 foam ball with approximately a 2 inch by 1 inch piece missing.

Corrected Corrected by Nov 15, 203

Category: physical safety. 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.

Emergency contact information for Child #2 lacked the work address and work telephone number of the enrolling parent. Emergency contact information for Child #5 lacked the work telephone number of the enrolling parent.

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Emergency contact information for Children #3 and #4 lacked the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Nov 22, 2023

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

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

Emergency contact information for Child #4 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Nov 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The health report of Child #2 was not signed by a physician, physician's assistant or a CRNP.

Corrected Corrected by Nov 15, 2023

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

3270.131(d)(2) · A health report shall include a list of the child's allergies.

Child #2's health report did not include a list of the child's allergies.

Corrected Corrected by Nov 15, 2023

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

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

The file of Child #1 lacked a health report which included a review of the child's immunized status according to recommendations of the ACIP. The file of Child #1 did not contain documentation of immunizations.

Corrected Corrected by Nov 15, 2023

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 file of Staff #2 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a health assessment dated 1/31/22.

Corrected Corrected by Dec 1, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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 file of Staff #2 lacked an initial health assessment which included tuberculosis screening by the Mantoux method at initial employment (SEE LIS Code Sheet). Staff #2 had a Mantoux test read date of 1/31/22.

Corrected Corrected by Dec 1, 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 that fire drills were conducted at least once every 60 days. The facility provided documentation that fire drills were conducted on 10/12/22, 12/19/22, 1/9/23, 2/6/23, 3/28/23, 5/3/23, 6/16/23, 7/12/23, 8/17/23, and 9/27/23.

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, and distraught child, and the prevention and identification of child maltreatment. The emergency plan did not address practice drills.

Corrected Corrected by Nov 8, 2022

Category: ratio. 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. Facility Person #1 may not work in a child care position at the facility.

The file of Staff #1 lacked a valid FBI Clearance. The file of Staff #1 contained a FBI Clearance completed by Criminal Justice Information Services.

Corrected Corrected by Nov 8, 2022

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

3270.34(b)(1) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

The file of Staff #1, who was designated as the director, lacked documentation of a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. The file of Staff #1 contained a college diploma indicating Master of Science, but it did not specify the degree.

Corrected Corrected by Nov 8, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file of Staff #3, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Corrected Corrected by Nov 8, 2022

Category: supervision. 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.

On 10/11/22 observed a cracked bin containing wooden blocks. On 10/11/22 observed a torn purple ball with exposed foam. On 10/11/22 observed a mesh bag with approximately a 6 inch tear containing balls.

Corrected Corrected by Nov 8, 2022

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

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The file of Child #2 lacked the date on which the fee is to be paid on the agreement.

Corrected Corrected by Nov 8, 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 file of Child #5 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Nov 8, 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 file of Child #4 lacked the work telephone number of the enrolling parent on the emergency contact form. The file of Child #5 lacked the complete work address and work telephone number of the enrolling parent on the emergency contact form.

Corrected Corrected by Nov 8, 2022

Category: recordkeeping. 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 files of Children #3 and #5 lacked signed parental consent for emergency medical care prior to admission on the emergency contact form. Child #3 had an admission date of 8/25/22 with an emergency contact form signed on 9/27/22. Child #5 had an admission date of 8/29/22 with an emergency contact form signed on 9/28/22.

Corrected Corrected by Nov 8, 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 file of Child #3 lacked the telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #5 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Nov 8, 2022

Category: recordkeeping. 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 files of Children #1 and #4 lacked a health report which included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Dec 22, 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 file of Staff #2 lacked a health assessment conducted every 24 months. The file of Staff #2 contained a current health assessment dated 9/27/22 with a previous one dated 9/1/20.

Corrected Corrected by Nov 8, 2022

Category: ratio. 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 files of Children #3 and #5 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form. Child #3 had an admission date of 8/25/22 with an emergency contact form signed on 9/27/22. Child #5 had an admission date of 8/29/22 with an emergency contact form signed on 9/28/22.

Corrected Corrected by Nov 8, 2022

Category: ratio. Marked corrected in the state record.

3270.31(h) · All staff persons shall complete the professional development under subsection (f).

The file of Staff #2, who was hired prior to the implementation of the new regulations, did not complete health and safety training under subsection (f) within 180 days of the new regulations being implemented (SEE LIS Code Sheet). The file of Staff #2 contained documentation of health and safety training completed on 10/11/21.

Corrected Corrected by Nov 8, 2022

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 who is responsible for compliance with this chapter did not ensure fire drills are conducted at least once every 60 days. Fire drills were conducted on 10/14/21, 12/16/21, 1/27/22, 3/4/22, 4/28/22, 6/22/22, and 8/17/22.

Corrected Corrected by Nov 8, 2022

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 of Staff #2 lacked documentation of completing an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Dec 19, 2022

Category: recordkeeping. Marked corrected in the state record.