Wee Care Best

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

Facility's emergency plan does not include continuity of operations planning.

Corrected by Oct 1, 2025

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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.

Written evaluations for staff persons #1 - #9 have not been completed on a regular basis or a minimum of once every 12 months.

Corrected by Oct 3, 2025

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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.

It was observed in the pre-k, preschool, and toddler classrooms a buildup of dust, dirt and debris in the corners of the classrooms and behind toy shelves. It was observed in the pre-k and preschool bathrooms a buildup of dust, dirt and debris around the base molding and toilets.

Corrected by Oct 3, 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.

It was observed in the preschool bathroom near the toilet, damage to the wall exposing plaster that is accessible to children. It was observed that the back toddler classroom, toy shelves having chipping and peeling paint that is accessible to children.

Corrected by Oct 3, 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.

It was observed in the Pre-K classroom the sensory bin was cracked causing sharp edges. (This was corrected on site) It was observed in the preschool classroom two broken toy bins causing sharp edges and potential pinching hazards. (This was corrected on site) It was observed in the preschool classroom multiple books that were broken or torn and not in good condition.

Corrected by Oct 1, 2025

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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 emergency contact forms for children #1 and #2 do not contain the work telephone numbers of the enrolling parent.

Corrected by Oct 1, 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 for child #1 does not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

Corrected by Oct 10, 2025

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The director could not provide proof of an emergency drill having been conducted annually. The last emergency drill on file to have been documented occurred 8/7/24.

Corrected by Sep 29, 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.

It was observed in the back infant classroom, a string of Christmas lights plugged into an outlet with no protective outlet cover on the plug where an additional item could be plugged in. (this was corrected by unplugging the string of lights)

Corrected by Apr 21, 2025

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3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Staff persons #3, #4, and #5 were unable to identify the specific children to which they were assigned.

Corrected by Apr 21, 2025

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3270.191 · An individual record is required for each facility person.

It was observed that staff person #1 and staff person #2 did not have an individual file on site. (this was corrected on site by receiving a copy of the staff files from a different location)

Corrected by Apr 21, 2025

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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.

Staff person #1 removed a child from the bathroom and into the classroom while not having any clothes on.

Corrected by Mar 6, 2025

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

It was witnessed by another staff member that staff person #1 aggressively grabbed the arm of a child pulling him into the bathroom.

Corrected by Mar 6, 2025

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

It was indicated by a staff member that staff person #1 used vulgar language towards a child saying "you better not have fucking shit your pants" and "why are you fucking doing this"

Corrected by Mar 6, 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 file for staff person #2 included a pediatric first aid and CPR training certificate which was not updated before the expiration of the previous certificate. The current first-aid and CPR training certificate is dated 3/6/2025 and the previous first-aid and CPR training certificate was dated 1/11/2023.

Corrected by Mar 6, 2025

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

Staff person #3 did 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. The current first-aid and CPR training certificate is dated 3/6/25.

Corrected by Mar 6, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person #1 did not complete mandated reporter training within 60 months of the previous training. The current training on file was completed on 3/10/25 and the previous training was completed on 02/4/2020. The file for staff person #4 included a NSOR Certificate which was not updated within 60 months of the previous clearance. The current NSOR Certificate is dated 1/16/2025 and the previous was dated 1/9/2020.

Corrected by Mar 10, 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.

It was observed in the pre-k classroom, bathroom cleaner and hand sanitizer placed on the top of children's cubbies accessible to children.

Corrected by Mar 10, 2025

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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.

It was observed in the back toddler classroom an area rug that was worn having curled edges causing a potential tripping hazard. (corrected on site)

Corrected by Mar 10, 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.

It was observed in the pre-k classroom, a non-prescription Nasal Vapor Inhaler was not labeled with the name of the child for whom the medication was intended for.

Corrected by Mar 10, 2025

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3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

It was observed in the pre-k classroom, a non-prescription Nasal Vapor Inhaler stating "keep out of the reach of children" was placed on top of the children's cubbies accessible to children.

Corrected by Mar 10, 2025

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

It was indicated by staff in the pre-k classroom, no written consent for administration of a non-prescription Nasal Vapor Inhaler was provided by a parent.

Corrected by Mar 10, 2025

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

A medication log was not established by the operator for a non-prescription Nasal Vapor Inhaler.

Corrected by Mar 10, 2025

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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.

Fire drills have not been conducted at least once every 60 days. The last fire drill was documented to have occurred 12/18/24.

Corrected by Mar 11, 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.

Operability of the fire detection devices were not tested every 30 days. The last documented testing date was 12/18/24.

Corrected by Mar 11, 2025

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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.

It was observed in the preschool classroom that soiled Pull-Ups are disposed of into a non-hands-free trash can.

Corrected by Sep 23, 2024

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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.

It was observed in the preschool classroom, baby powder, shampoo, and body lotion indicating "keep out of the reach of children" was stored in a backpack on a low hook accessible to children. It was also observed in the preschool classroom, body spray and body lotion were stored in a shoulder bag on a low hook accessible to children. (corrected on site)

Corrected by Sep 20, 2024

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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.

It was observed in the front infant classroom, a radio cord hanging and accessible to children. (corrected on site)

Corrected by Sep 20, 2024

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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.

It was observed in the preschool classroom, a bin used to store toys was broken and cracked causing sharp edges and pinch points was accessible to children. (corrected on site)

Corrected by Sep 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).

The families for children #1 - #10 were not provided child service reports within the last 6 months.

Corrected by Sep 30, 2024

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

A medication log for child #11 has not been established by the operator for nonprescription medication on site.

Corrected by Sep 30, 2024

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3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

It was observed in the front toddler and pre-k classrooms, perishable food items were stored in lunchboxes with ice packs instead of being refrigerated.

Corrected by Sep 23, 2024

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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.

It was observed in the front toddler classroom, disinfecting cleaning wipes and art supplies that state Keep Out of Reach of Children were stored in the unlocked lower storage area of the changing table and accessible to children.

Corrected by Apr 8, 2024

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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.

It was observed in the front toddler classroom, plastic grocery bags were stored in the unlocked lower storage area of the changing table and accessible to children.

Corrected by Apr 8, 2024

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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 # 1 may not work in a child care position at the facility.

The file for staff #1 included a State Police and Child Abuse clearance which was not updated within 60 months of the previous clearance. The current State Police clearance expired 2/1/23. Current Child Abuse clearance expired 2/10/23. The file for staff #2 included a State Police, Child Abuse, and FBI clearance which was not updated within 60 months of the previous clearance. The current State Police clearance is dated 8/7/23 and the previous was dated 3/8/18. The current Child Abuse clearance is dated 8/11/23 and the previous was dated 11/27/17. The current FBI clearance is dated 8/15/23 and the previous was dated 5/17/18.

Corrected by Sep 11, 2023

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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.

It was observed that the first-aid kit in the preschool classroom was missing scissors. (corrected on site)

Corrected by Sep 11, 2023

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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.

It was observed in the Pre-K classroom a child sized table in the dramatic play area used by children had broken corners exposing rough edges and sharp corners. It was observed on the preschool/pre-k outdoor play area, broken plastic casing on the imbedded play system exposing rough edges and sharp corners.

Corrected by Oct 2, 2023

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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.

It was observed in the toddler classroom that posted notices and clipboards were hung on the wall using thumbtacks causing a potential choking hazard to children who are still placing objects in their mouths. (corrected on site)

Corrected by Sep 11, 2023

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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.

Emergency contact forms on file for children #1, #2, and #3 do not include the addresses of individuals designated by the parent to whom the child may be released.

Corrected by Sep 20, 2023

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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 does not include any written verification of ongoing vaccines administered.

Corrected by Sep 11, 2023

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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.

It was observed and verified through facility's video footage that staff person #1 physically restrained a child while child was on nap cot.

Corrected by May 1, 2023

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3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

It was observed in the Preschool classroom that there was an unlabeled spray bottle containing cleaning liquid. It was also observed that there were magic erasers on the shelf unlabeled and out of the original container. Corrected on site.

Corrected by Oct 24, 2022

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

It was observed in the Preschool bathroom that the hot water temperature reached 120° F.

Corrected by Oct 28, 2022

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

It was observed in the PreK classroom that the first-aid kit was hanging on a low hook at the end of the cubbies accessible to children. Corrected on site.

Corrected by Oct 24, 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.

It was observed in the Infant and Older Toddler classrooms that push-pins were used on the bulletin board in the childcare space posing a potential hazard.

Corrected by Oct 25, 2022

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3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

It was observed in the Older Toddler classroom that the toilet area was not equipped with a lidded waste receptacle. The trash can observe included a whole in the top of the lid making the diapering contents accessible to children.

Corrected by Oct 25, 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.

It was observed that the refrigerator in the Young Toddler classroom had a temperature that read 50° F.

Corrected by Oct 24, 2022

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3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

It was observed through video footage that on 4/20/2022, facility person #1, #2, #3, #4 allowed Child #1 to sleep in a swing for 3 hours and 35 minutes. The child was not placed in the 'flat on back' safe sleep position as recommended by the American Academy of Pediatrics and did not have a medical reason documented as to why the infant should not sleep in this position.

Corrected by Apr 25, 2022

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3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. The legal entity must arrange for all facility staff, director, regional manager and legal entity corporate members to receive a minimum of one hour of training regarding safe sleep practices. The legal entity must receive DHS approval of the training content prior to scheduling the training. Training hours will not count towards annual clock hours.

It was observed through video footage that on 4/20/2022, facility person #1, #2, #3, #4 allowed Child #1 to sleep in a swing for 3 hours and 35 minutes. The child was not placed in the 'flat on back' safe sleep position as recommended by the American Academy of Pediatrics and did not have a medical reason documented as to why the infant should not sleep in this position.

Corrected by Jun 21, 2022

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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. Children must be supervised at all times.

It was observed through video footage that on 4/20/2022, facility persons #1, #2, #3, #3 allowed Child #1 to be placed in a bounce that was placed in a crib to sleep. The child was covered completely, from head to toe with a blanket and was not checked on by facility person #1, #2, #3, #4 for 3 hours. During the 3 hours the child was not properly supervised as they could not be seen, directed or assessed while completely covered.

Corrected by Apr 25, 2022

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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. Children must be supervised at all times.

It was observed through video footage that on 4/20/2022, facility persons #1, #2, #3, #4 allowed Child #1 to sleep in a swing. It was observed that a blanket was placed over the swing covering the child completely, from head to toe. Child #1 was not checked on by facility person #1, #2, #3, #4 for 3 hours. During the 3 hours the child was not properly supervised as they could not be seen, directed or assessed while completely covered

Corrected by Apr 25, 2022

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

It was observed through video footage that on 4/20/2022, facility persons #1, #2, #3, #4 allowed Child #1 to sleep in a swing. The child was not placed in the 'flat on back' safe sleep position recommended by the Academy of Pediatrics. The child was covered completely, from head to toe with a blanket posing a serious threat to the health and safety of the child. The child was not checked on by facility person #1, #2, #3, #4 for 3 hours.

Corrected by Apr 25, 2022

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3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. The legal entity must arrange for all facility staff, director, regional manager and legal entity corporate members to receive a minimum of one hour of training regarding safe sleep practices. The legal entity must receive DHS approval of the training content prior to scheduling the training. Training hours will not count towards annual clock hours.

It was observed through video footage that on 4/20/2022, facility person #1, #2, #3, #4 allowed Child #1 to sleep in a swing for 3 hours. The child was not placed in the 'flat on back' safe sleep position recommended by the Academy of Pediatrics. The child did not have a medical reason as to why the child should not sleep in this position.

Corrected by Jun 21, 2022

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3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

It was observed through video footage that on 4/20/2022, facility person #1, #2, #3, #4 allowed Child #1 to sleep in a swing for 3 hours. The child was not placed in the 'flat on back' safe sleep position recommended by the Academy of Pediatrics. The child did not have a medical reason as to why the child should not sleep in this position.

Corrected by Apr 25, 2022

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

It was observed through video footage that on 4/20/2022, facility persons #1, #2, #3, #4, allowed Child #1 to be placed in a bouncer seat that was placed in a crib to sleep. The child was not placed in the 'flat on back' safe sleep position recommended by the Academy of Pediatrics. The child was covered completely, from head to toe with a blanket posing a serious threat to the health and safety of the child. The child was not checked on by facility person #1, #2, #3, #4 for 3 hours.

Corrected by Apr 25, 2022

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3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

It was observed through video footage that on 4/20/2022, facility person #1, #2, #3, #4 allowed Child #1 to be placed in a bounce that was placed in a crib to sleep. The child was covered with a blanket from head to toe. The child was not placed in the 'flat on back' safe sleep position recommended by the Academy of Pediatrics. The child did not have a medical reason as to why the child should not sleep in this position.

Corrected by Apr 25, 2022

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3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. The legal entity must arrange for all facility staff, director, regional manager and legal entity corporate members to receive a minimum of one hour of training regarding safe sleep practices. The legal entity must receive DHS approval of the training content prior to scheduling the training. Training hours will not count towards annual clock hours.

It was observed through video footage that on 4/20/2022, facility person #1, #2, #3, #4 allowed Child #1 to be placed in a bounce that was placed in a crib to sleep. The child was covered with a blanket from head to toe. The child was not placed in the 'flat on back' safe sleep position recommended by the Academy of Pediatrics. The child did not have a medical reason as to why the child should not sleep in this position.

Corrected by Apr 25, 2022

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

Facility Person #1 left the classroom for approximately 1-13 minutes on two separate occasions leaving the other teacher in the classroom alone with 8 infants. It was also observed that Facility Person #1 left the room and came back with an additional child creating an infant classroom ratio of 2:9.

Corrected by Apr 20, 2022

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The legal entity must arrange for all facility staff, director, regional manager and legal entity corporate members to receive a minimum of two hours of training regarding the supervision and ratio requirements for child care centers. The legal entity must receive DHS approval of the training prior to scheduling the training. The training hours may not be counted as part of the required annual clock hours of training.

It was observed through video footage that on 4/20/2021 that Facility Person #1 left the Infant classroom out of ratio on three separate occasions between 12:30 and 3:30pm. It was observed that Facility Person #1 left the classroom for approximately 1-13 minutes on two separate occasions leaving the other teacher in the classroom alone with 8 infants. It was also observed that Facility Person #1 left the room and came back with an additional child creating an infant classroom ratio of 2:9.

Corrected by Apr 20, 2022

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by emailing copies of the documentation to the Certification Representative on a weekly basis for a period of three months after DHS approves the documentation format. Approved format must include, ratio counts, classroom names and ages, staff names, dates, times, and staff signatures attesting to the accuracy of the documents.

It was observed through video footage that on 4/20/2021 that Facility Person #1 left the Infant classroom out of ratio on three separate occasions between 12:30 and 3:30pm. It was observed that Facility Person #1 left the classroom for approximately 1-13 minutes on two separate occasions leaving the other teacher in the classroom alone with 8 infants. It was also observed that Facility Person #1 left the room and came back with an additional child creating an infant classroom ratio of 2:9.

Corrected by Sep 5, 2022

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3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

It was observed in the back toddler classroom that the waste receptacle did not have a lid.

Corrected by Feb 9, 2022

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3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

It was observed on the toddler playground that the mounted swing set had a fall height that exceeded 4 feet from the pivot point. The protective surfacing in place was sand which does not meet the United States Consumer Product Safety guidelines for a fall height of over 4 feet.

Corrected by Apr 11, 2022

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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 for Child #1 did not include health insurance or medical assistance coverage information and policy number. The emergency contact form for Child #2 did not include a policy number.

Corrected by Feb 10, 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.

The health assessment on file for Child #3 did not have written verification of the influenza vaccine. The last influenza vaccine on file was on 9/28/2021.

Corrected by Feb 10, 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.

Facility Person #2, hired 10/14/2019 did not have a health assessment conducted every 24 months. The health assessment on file was dated 10/24/2019 and the staff member has developed a medical problem since.

Corrected by Mar 7, 2022

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

The record for Child #4 did not contain signed parental consent for emergency medical care for the child.

Corrected by Mar 5, 2022

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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 record for Child #4 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Feb 10, 2022

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3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Facility Person #1 hired on 11/8/2021, did not include verification of education on file.

Corrected by Mar 9, 2022

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

It was observed in the Infant classroom that the ratio was exceeded. The ratio observed was 1:6 infants. It was admitted by 9 staff members that the facility classrooms are out of ratio during the day, at naptime and in the afternoons

Corrected by Aug 20, 2021

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

It was observed in the Infant classroom that the ratio was exceeded. The ratio observed was 1:6 infants. It was admitted by 9 staff members that the facility classrooms are out of ratio during the day, at naptime and in the afternoons

Corrected by Aug 20, 2021

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3270.55(a)/3270.55(b) · The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. Staff persons who are on duty but are not providing child care during naptime shall remain in the child care portion of the facility premises. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format. The same count sheet format can be used to track both naptime and non-napping time ratios throughout the day.

It was observed in the Toddler classrooms that the child care center was out of ratio during naptime. The ratio observed was 1:14 napping children, ages one and two. It was admitted by 9 staff members that the facility classrooms are out of ratio during the day, at naptime and in the afternoons. It was also observed that there were not enough staff persons remaining on the premises and on duty during naptime.

Corrected by Aug 20, 2021

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3270.55(a)/3270.55(b) · The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. Staff persons who are on duty but are not providing child care during naptime shall remain in the child care portion of the facility premises. The required staff:child ratios must be maintained at all times including naptime. Enough staff must remain on duty and on the premises during naptime.

It was observed in the Toddler classrooms that the child care center was out of ratio during naptime. The ratio observed was 1:14 napping children, ages one and two. It was admitted by 9 staff members that the facility classrooms are out of ratio during the day, at naptime and in the afternoons. It was also observed that there were not enough staff persons remaining on the premises and on duty during naptime.

Corrected by Aug 20, 2021

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