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.

The foam magnetic blocks in Room #10 had bite marks in them which can be a choking hazard.

Corrected Corrected by Sep 11, 2024

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

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 Room #9 was lacking an operating thermometer to ensure the refrigerator is holding temperature at 45 degrees F.

Corrected Corrected by Sep 11, 2024

Category: nutrition. 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.

Room #9 was lacking a posted emergency transportation plan.

Corrected Corrected by Sep 12, 2024

Category: transportation. Marked corrected in the state record.

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

The letter to the parents explaining the emergency plan did not include the accommodations or reference the annual emergency drill.

Corrected Corrected by Oct 13, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work at the facility without all completed clearances on file.

The criminal history clearance on file for Facility Person #1 was incomplete and therefore invalid. The current child abuse clearance on file for Facility Person #2 was completed more than 60 months after the previous child abuse clearance.

Corrected Corrected by Aug 18, 2023

Category: background checks. 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.

There was an area of damaged plaster on the wall in the Pre-K nap room behind the dramatic play area. There was peeling paint / damaged plaster on the wall behind a handwashing sink in Room 2. There were two small areas of peeling paint in Room 1 - one on the wall between the door and the chalkboard, and one on the wall by the door to the storage closet near a sink.

Corrected Corrected by Sep 19, 2023

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The health assessment on file for child #1 did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected Corrected by Oct 11, 2023

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Staff in the young toddler room were observed manually lifting a lid on a trash can to dispose of a soiled diaper after a diaper change rather than use the receptacle's hands-free mechanism.

Corrected Corrected by Aug 18, 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 current health assessment on file for Facility Person #3 was completed more than 24 months after the previous health assessment on file.

Corrected Corrected by Jul 30, 2023

Category: ratio. 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.

There were no written nonfamily references on file for Facility Person #2.

Corrected Corrected by Sep 13, 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's emergency plan does not include a plan for continuity of operations in an emergency.

Corrected Corrected by Aug 30, 2022

Category: ratio. Marked corrected in the state record.

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.

The letter provided to the parents explaining the emergency plan does not include the program's plan for a lockdown.

Corrected Corrected by Sep 9, 2022

Category: physical safety. 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.Staff persons 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 #2, #, #4, and #6 will have until 9/14/22 to complete the required training. Until such time as the required training has been completed, staff persons #2, #3, #4, and #6 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 #2, #3, #4, and #6, they may not work in a child-care position at the facility.

Facility Persons #2, #3, #4, and #6 have not completed the following required pre-service training within 90 days of their date of hire (see IS code sheet): Acceptable Health and Safety training. Facility Person #1 completed the training more than 90 days after starting.

Corrected Corrected by Aug 18, 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.

The current staff evaluations on file for Facility Persons #3, #5, and #6 were completed more than 12 moths after the previous evaluations.

Corrected Corrected by Aug 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.72(b) · Windows or doors used for ventilation shall be screened when open.

There was an exit door propped open, near the library. There was no screen door at this exit.

Corrected Corrected by Aug 12, 2022

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

The current health assessment on file for child #4, an infant, was completed more than 6 months after the prior health assessment on file.

Corrected Corrected by Aug 12, 2022

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

There was no documentation of a current flu vaccine (recommended annually by the ACIP) on file for children #1, #2, and #3.

Corrected Corrected by Sep 22, 2022

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

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 staff statements and documentation in the classroom, there was a child in Room 10 whose diaper was changed at 8:15 am, and then next checked and changed again at 10:50 AM.

Corrected Corrected by Aug 12, 2022

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

3270.131(a)/3270.131(d)(7) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A 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 initial health assessment on file for child #2 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Aug 19, 2022

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.

In the 2nd-4th grade room, in an area accessible to children in care, several A/V cables that were secured at both ends were observed. Said cables present a strangulation hazard.

Corrected Corrected by Nov 9, 2021

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

3270.76/3270.82(g) · 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.Toilet areas and fixtures shall be cleaned daily and be in good repair.

A toilet in the women's restroom located in the hallway of the school age side of the building was observed to have one exposed, upwardly facing bolt at the base of the toilet. A toilet in the K-1st grade room was observed to have two exposed, upwardly facing bolts on each side of the base of the toilet. Each noted area of concern are accessible to children in care and pose a puncture and/or laceration hazard.

Corrected Corrected by Nov 9, 2021

Category: ratio. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

In the 2nd-4th grade room, several metal brackets securing the heating/cooling system that runs the length of the room were observed to have sharp edges. Additionally, metal brackets that will eventually serve to secure an LCD panel were observed to have sharp edges. Noted areas of concern are accessible to children in care and pose a laceration and/or puncture injury hazard.

Corrected Corrected by Nov 9, 2021

Category: ratio. 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.

In the 2nd-4th grade room, an approximately 4'x2' metal shelf was observed to have a sharply pointed protrusion along the edge of the bottom of the shelf. In the school age hallway women's restroom, an approximately 3'x2' freestanding wooden table was observed to have an exposed nail on the underside of the tabletop. In the K-1st grade room, an approximately 3' round wooden table was observed to have exposed bolts on the underside of the table where each of the four table legs attached to the tabletop. On the door to the girl's restroom on the toddler side of the building, the wooden trim around the vent towards the bottom of the door was broken on one of the four trim pieces leaving a jagged, splintering edge. In the PreK room, an approximately 4'x2' bulleting board framed in aluminum was observed to have a sharp edge at the lower left joint of the framing. All of the above noted areas of concern were observed in areas accessible to children in care, and each presented the risk of causing puncture and/or laceration injuries.

Corrected Corrected by Nov 9, 2021

Category: ratio. Marked corrected in the state record.

3270.70(a) · The indoor temperature shall be at least 65° F.

Facility was operating with children in care while the indoor temperature at the facility was below 65 degrees Fahrenheit.

Corrected Corrected by Nov 12, 2021

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Construction debris including metal poles, carpet remnants, and boxes of plank flooring were present in a hallway used by children in care. The materials were stored on each side of the hallway limiting the space to move freely and causing the potential for tripping or material falling and potentially which could have resulted in blunt force injuries.

Corrected Corrected by Nov 12, 2021

Category: physical safety. 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.

An approximately 12" in diameter hole was observed in the outside grassy play space in an area accessible to children in care that, if stepped in, could cause an bone or muscle injury.

Corrected Corrected by Sep 30, 2021

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

3270.76/3270.82(g) · 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.Toilet areas and fixtures shall be cleaned daily and be in good repair.

Two restrooms that will be used by children in care located in the hallway each contained toilets that had exposed, protruding bolts near the toilet base that could cause puncture and/or laceration injury.

Corrected Corrected by Sep 30, 2021

Category: ratio. Marked corrected in the state record.

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

The full length glass panels of the egress of the library lacked visual identifiers to assist in preventing a child from inadvertently walking/running into the glass, which could result in a blunt force injury.

Corrected Corrected by Sep 30, 2021

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

An approximately 2'x1' metal wire mesh shelf in the School Age 2nd-4th grade room was observed to have a broken wire with an exposed sharp edge that could result in puncture and/or laceration injury. Two exposed, protruding screws (head side out) were observed on the inside of an approximately 3' high wooden refrigerator used by children in care. Contact with said screws could cause laceration injury.

Corrected Corrected by Sep 30, 2021

Category: ratio. Marked corrected in the state record.