3270.181(e) · If emergency information is updated in ea master file, it shall be updated accordingly in other facility records.

At the time of inspection on 6/25/2024, Certification Representative observed that emergency contact forms in the classrooms were not updated at least once every six months as required.

Corrected Corrected by Jul 10, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 5/17/2023 observed the facility did not have a Shaken Baby Syndrome policy and the emergency plan did not address continuity of operations.

Corrected Corrected by Jun 15, 2023

Category: ratio. Marked corrected in the state record.

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

During the renewal inspection conducted on 5/17/2023 observed peeled paint in the young toddler room, the bathroom in the kindergarten room and peach bathroom in the hallway.

Corrected Corrected by Jun 15, 2023

Category: physical safety. 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.

During the renewal inspection conducted on 5/17/2023 observed the sink in the Young Toddlers room did not have a handwashing sign above the sink. Corrected on site 5/17/2023.

Corrected Corrected by Jun 15, 2023

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

During the renewal inspection conducted on 5/17/2023 observed child #6's file did not include an agreement signed by the operator and the parent.

Corrected Corrected by Jun 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 5/17/2023 observed child #3's agreement did not include the services to be provided to the family and the child.

Corrected Corrected by Jun 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 5/17/2023 observed child #3 and #7's agreement did not specify the child's arrival and departure times.

Corrected Corrected by Jun 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During the renewal inspection conducted on 5/17/2023 observed child #3 and #7's agreement did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jun 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 5/17/2023 observed child #1, #2, #3 and #7's agreement did not specify the date of the child's admission.

Corrected Corrected by Jun 15, 2023

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.

During the renewal inspection conducted on 5/17/2023 observed child #3's emergency contact information did not include the address of the child's physician or source of medical care.

Corrected Corrected by Jun 15, 2023

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.

During the renewal inspection conducted on 5/17/2023 observed child #6's emergency contact information did not include the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Jun 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.

During the renewal inspection conducted on 5/17/2023 observed child #3 and #5's emergency contact information did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Jun 15, 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.

During the renewal inspection conducted on 5/17/2023 observed child #3 and #6's emergency contact information did not include the address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jun 15, 2023

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.

During the renewal inspection conducted on 5/17/2023 observed child #1, #2, #4, #5, #6 and #8's emergency contact information and financial agreements were not updated within the 6-month period.

Corrected Corrected by Jun 15, 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.

During the renewal inspection conducted on 5/17/2023 observed child #4's health report was not within the 12-month time period. It was dated 3/22/2022.

Corrected Corrected by Jun 15, 2023

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

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

During the renewal inspection conducted on 5/17/2023 observed child #3, #6, #7, and #8's health reports did not include verification of the influenza vaccine. Observed child #5's health report stated the child is under vaccinated.

Corrected Corrected by Jun 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.

During the renewal inspection conducted on 5/17/2023 observed staff person #1's health assessment on file was not within the 24-month time frame. It was dated 4/22/2021.

Corrected Corrected by Jun 15, 2023

Category: ratio. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

During the renewal inspection conducted on 5/17/2023 observed child #1, #3 and #7's records did not contain signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jun 15, 2023

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

During the renewal inspection conducted on 5/17/2023 observed child #1, #3 and #7's records did not contain signed parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Jun 15, 2023

Category: transportation. 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.

During the renewal inspection conducted on 5/17/2023 observed staff person #2's file did not include verification of professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Corrected Corrected by Jun 15, 2023

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.

During the allocated unannounced monitoring inspection conducted on 9/23/2022 observed staff person #1's file did not include training regarding the emergency plan at the time of initial employment.

Corrected Corrected by Oct 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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.

During the allocated unannounced monitoring inspection conducted on 9/23/2022 observed staff person #1's file did not include National Sex Offender Registry and mandated reporter training.

Corrected Corrected by Oct 6, 2022

Category: supervision. Marked corrected in the state record.

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

During the allocated unannounced monitoring inspection conducted on 9/23/2022 observed staff person #1's file did not include an initial health assessment including the results of initial tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Corrected Corrected by Oct 6, 2022

Category: ratio. Marked corrected in the state record.

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.

During the allocated unannounced monitoring inspection conducted on 9/23/2022 observed staff person #1's file did not include verification of child care experience, education and training prior to service at the facility.

Corrected Corrected by Oct 6, 2022

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

During the allocated unannounced monitoring inspection conducted on 9/23/2022 observed staff person #1's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Oct 6, 2022

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.

During the renewal inspection conducted on 4/08/2022 observed child #9's last health assessment was completed on 9/18/2020.

Corrected Corrected by Jun 30, 2022

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

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

During the renewal inspection conducted on 4/08/2022 observed child #1, #2, #3, #5, #7, #8, #9 and #10's agreements did not specify the amount of the fee to be charged per day or per week and the date on which the fee is to be paid.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. 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.

During the renewal inspection conducted on 4/08/2022 observed staff person #3, #4 and #6's file did not contain emergency plan training verification at the time of initial employment.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: 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.

During the renewal inspection conducted on 4/08/2022 observed staff person #2's file did not include mandated reporter training. Observed staff person #5's file did not contain the FBI clearance and the National Sex Offender Registry.

Corrected Corrected by Jun 30, 2022

Category: supervision. 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.

During the renewal inspection conducted on 4/08/2022 observed staff person #3 and #4's files did not include a written evaluation within the 12 month time frame.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

During the renewal inspection conducted on 4/08/2022 observed the exit in the Young Toddlers room was obstructed.

Corrected Corrected by Apr 8, 2022

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.

During the renewal inspection conducted on 4/08/2022 observed the rest equipment in the Older Toddlers 1 room was not labeled for the use of a specific child.

Corrected Corrected by Apr 8, 2022

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

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

During the renewal inspection conducted on 4/08/2022 observed the Pre K 1 room did not have a daily schedule posted.

Corrected Corrected by Apr 8, 2022

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

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

During the renewal inspection conducted on 4/08/2022 observed child #1, #2, #3, #4, #5, and #10's agreements did not include the services to be provided to the family and the child.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 4/08/2022 observed child #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10's agreements did not specify the date of the child's admission.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 4/08/2022 observed child #1, #4, #5, #7, #8 and #9's emergency contact information did not include the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Jun 30, 2022

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.

During the renewal inspection conducted on 4/08/2022 observed #1, #2, #7 and #9's emergency contact information did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

Corrected Corrected by Jun 30, 2022

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.

During the renewal inspection conducted on 4/08/2022 observed child #5, #6, #7 and #8's emergency contact information did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During the renewal inspection conducted on 4/08/2022 observed the emergency transport of a child to emergency care plan was not posted in the Young Toddlers room.

Corrected Corrected by Apr 8, 2022

Category: transportation. Marked corrected in the state record.

3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

During the renewal inspection conducted on 4/08/2022 observed staff person #6's health assessment was not signed by a physician, physician's assistant or CNRP.

Corrected Corrected by Jun 30, 2022

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

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

During the renewal inspection conducted on 4/08/2022 observed the menu was not posted in a conspicuous location.

Corrected Corrected by Apr 8, 2022

Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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.

During the renewal inspection conducted on 4/08/2022 observed child #5 and #10's record did not contain signed parental consent for emergency medical care of the child and consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jun 30, 2022

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

During the renewal inspection conducted on 4/08/2022 observed child #5 and #10's record did not contain signed parent consent for transportation and walking excursions.

Corrected Corrected by Jun 30, 2022

Category: transportation. Marked corrected in the state record.

3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection conducted on 4/08/2022 observed staff person #1's record did not include a written report initial health assessment.

Corrected Corrected by Jun 30, 2022

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

During the renewal inspection conducted on 4/08/2022 observed staff person #5's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. 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.

During the renewal inspection conducted on 4/08/2022 observed staff person #2's file did not contain professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Corrected Corrected by Jun 30, 2022

Category: health medication. 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.

During the renewal inspection conducted on 4/08/2022 observed staff person #3 and #4's files did not contain an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. Marked corrected in the state record.