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.

On 8/28/2024 during the investigation staff #1 admitted that staff #1 and 2 Staff observed staff #3 was working under the influence while supervising children in the classroom.

Corrected Corrected by Aug 28, 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 # 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.

Observed 9/27/2023 staff #1 file did not contain out of state Delaware clearances for CSPL requirements of a completed DHS file.

Corrected Corrected by Oct 20, 2023

Category: background checks. 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.

Observed 9/27/2023 Child # 1 file was missing a review and update on their agreement form that requires an update at least once in a 6-month period or as soon as there is a change in the information.

Corrected Corrected by Sep 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(1)/3270.131(e)(2)(i) · 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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Observed On 9/27/2023 observed children #1,2, and 3 files did not contain an exemption letter for the vaccination (influenza) not completed in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Sep 28, 2023

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Observed 9/27/2023 Staff #2 was completing a diaper change and after completing the diaper change staff #1 did not handwash child #4 hands after being diapered.

Corrected Corrected by Sep 28, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. 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.

The file of facility person #2 and 4 does not contain a completed child abuse, DHS required FBI clearance, NSOR verification, out of state clearances or a signed disclosure statement. The file does not contain copies of request(s) for the clearances/verification, and the disclosure statement required for provisional hiring under the CPSL.

Corrected Corrected by Nov 1, 2022

Category: supervision. Marked corrected in the state record.

3270.75(c)/3270.75(d) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Observed 9/27/2022 in care bears classroom the first aid kit was missing water from their first aid kit. One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Corrected Corrected by Sep 27, 2022

Category: health medication. 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.

Observed 9/27/2022 child #4 file was missing health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on emergency contact information.

Corrected Corrected by Oct 10, 2022

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

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

Observed 9/27/2022 Child # 3 file was missing an updated health report for child. Child's last health assessment was 12-30-2021. The parent to provide an updated health report at least every 6 months for an infant or young toddler

Corrected Corrected by Oct 4, 2022

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

3270.133(1)/3270.133(5) · 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. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Observed 9/27/2022 in Fozzie Bears classroom Child# 2 had their EPI Pen not in its original container. The medication shall remain in the container in which it was received. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Corrected Corrected by Oct 4, 2022

Category: health medication. 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.

Observed 9/27/2022 staff #1 was missing their tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Sep 28, 2022

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

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

Observed 9/27/2022 in Care bears classroom child # 1 cup was not label to identify the cup belong to this specific child.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Observed 9/27/2022 child # 5 emergency contact information was missing their 6 month periodic review.

Corrected Corrected by Sep 27, 2022

Category: recordkeeping. Marked corrected in the state record.