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.

The files for Staff Person #1 and Staff Person #7, who have been working at the facility for more than 90 days, did not include documentation of initial training in the facility's emergency plan (See LIS Code Sheet).

Corrected Corrected by Mar 4, 2025

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). 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, #2, #5 and #6 may not work in a child care position at the facility.

The disclosure statements in the files for Staff Person #1, #3, #4, #5, #6 and #7 were on outdated forms. The file for Staff Person #1, who has been working at the facility for more than 45 days, did not include an FBI Clearance. The file for Staff Person #2, who has been working at the facility for more than 45 days, did not include an NSOR Certificate. The file for Staff Person #5 did not include a State Police Clearance, or an application for the state police clearance prior to the staff person's start date. The file for Staff Person #6 did not include a Child Abuse Clearance. (See LIS Code Sheet).

Corrected Corrected by Feb 28, 2025

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for Staff Person #2 and #3, assistant group supervisors, lacked verification of two years child care experience.

Corrected Corrected by Feb 26, 2025

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed one outlet near the fish tank in the OT Room and two outlets in the kitchen area of the Infant Room, which lacked protective receptacle covers.

Corrected Corrected by Feb 25, 2025

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.

Observed ceiling tiles discolored from water damage in the intersecting corner of the YT and OT Rooms.

Corrected Corrected by Mar 2, 2025

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

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.

Observed Infant Tylenol in the medication boxes in the YT and OT Rooms, that lacked the name of the child for whom the medication was intended.

Corrected Corrected by Feb 25, 2025

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

3270.133(6)/3270.133(7)(i) · A parent shall provide written consent for administration of medication or a special diet. A medication log shall include the name of the medication.

Observed Ibuprofen for Child #1 in the med box of the OT room, and Orajel for Child #2 in the med box of the Infant Room. These meds did not have written parental consent for administration or a med log present.

Corrected Corrected by Feb 25, 2025

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.

The files for Staff Person #2, #3 and #6 included only one letter of reference.

Corrected Corrected by Feb 28, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Previously cited on 8/12/24: At approximately 1:30 PM, observed Child #1, an Infant, sleeping on a boppy pillow in a crib in the Infant Room. A medical reason documented in a statement signed by a physician, physician's assistant or CRNP was not in the child's record at the facility.

Corrected Corrected by Sep 24, 2024

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).

The most recent mandated reporter trainings in the file for Staff Person #3 exceeded 60 months between trainings.

Corrected Corrected by Aug 23, 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.

The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster) to maintain compliance with 45 CFR § 98.41(a)(1)(vii)

Corrected Corrected by Aug 23, 2024

Category: ratio. 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 file for Staff Person #4, who has been working for more than 90 days, did not contain the one-hour health and safety update (See LIS Code Sheet).

Corrected Corrected by Aug 23, 2024

Category: ratio. 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.

All-staff annual emergency plan training exceeded 12 months between trainings. 6/8/23-7/2/24.

Corrected Corrected by Aug 23, 2024

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

The file for Staff Person #2 lacked State Police, Child Abuse and FBI Clearances conducted within the past 60 months. The State Police, Child Abuse and FBI Clearances in the file for Staff Person #2 had expired. The fingerprint receipt/FBI clearance in the file for Staff Person #10 were after staff person's first day in child care (See LIS Code Sheet). The disclosure statements in the files for Staff Person #8, 11, 12 and 13 were on outdated forms and not valid.

Corrected Corrected by Aug 23, 2024

Category: background checks. 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 most recent evaluations in the files for Staff Person #2, 4, 5, 6, 7 and 15 exceeded 12 months between evaluations.

Corrected Corrected by Aug 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff Person #9, an Assistant Group Supervisor, lacked verification of 2 years childcare experience.

Corrected Corrected by Aug 23, 2024

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

On the PreK side of the Upstairs Preschool Room, observed four uncovered outlets by the art desk and three on the surge strip by the teacher's desk.

Corrected Corrected by Aug 23, 2024

Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

The stove in the kitchen adjacent to the Upstairs Preschool Room was accessible to children in care.

Corrected Corrected by Aug 23, 2024

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.

Observed a loose baseboard vent cover, which creates a potential pinch hazard, in the PreK side of the Upstairs Preschool Room.

Corrected Corrected by Aug 23, 2024

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.

Handwashing signs were not posted at the toilets in the SA and PS rooms or at the outside restroom near the pool.

Corrected Corrected by Aug 23, 2024

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

On 8/12/24, at approximately 1:00 PM, Observed bookshelves, couches and chairs between several of the napping toddlers in the Downstairs Younger Toddler and Downstairs Older Toddler Rooms. This created less than 2 feet of space on three sides of three of the cots in the Younger Toddler Room and four of the cots in the Older Toddler Room. Observed less than 2 feet on three sides of three pack n plays in the Infant Room where infants were napping.

Corrected Corrected by Aug 23, 2024

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

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.

On 8/12/24 at approximately 10:00 AM, observed Child #1, an Infant, sleeping in a carrier in the Infant Room.

Corrected Corrected by Aug 23, 2024

Category: health medication. 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).

The files for Child #2, 3, 4, 5, 6, 7 and 8, who have been enrolled for more than 6 months, did not have a child service report conducted within the past 6 months.

Corrected Corrected by Aug 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact form in the file for Child #7 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Aug 23, 2024

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

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

The emergency contact binder in the PreK Room did not include an emergency contact form for Child #7, who was receiving care in that space.

Corrected Corrected by Aug 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The most recent health reports in the file for Child #5, a Preschool Child, exceeded 12 months between reports.

Corrected Corrected by Aug 23, 2024

Category: health medication. 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.

The files for Staff Person #1, 2, 4, 5 and 14 did not contain health assessment conducted within the past 24 months. The most recent health assessments in the file for Staff Person #3 exceeded 24 months between reports. The initial health assessments in the files for Staff Person #10 and 13 were conducted after the staff persons' first day in child care (See LIS Code Sheet).

Corrected Corrected by Aug 23, 2024

Category: ratio. Marked corrected in the state record.

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.

The most recent parent updates for the emergency plan and fee agreement in the files for Child #2 and #3 exceeded 6 months between updates. The fee agreement in the file for Child #9 has not been updated in the past 6 months.

Corrected Corrected by Aug 23, 2024

Category: recordkeeping. 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.

The emergency contact form in the file for Child #9 did not include 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 Aug 23, 2024

Category: ratio. Marked corrected in the state record.

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

An emergency drill had not been documented for the past 12 months.

Corrected Corrected by Aug 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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 child's record shall contain initial and subsequent health reports.

The initial health reports in the files for Child #4 and 7 were conducted more than 60 days after the child's first day in care.

Corrected Corrected by Aug 23, 2024

Category: health medication. 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.

Staff #1 file did not have the 1-hour health and safety update that needed to be completed by 12/30/22.

Corrected Corrected by Jul 31, 2023

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire.

The file for staff #2 contained a 6-hour Health and Safety training that was taken on 8/27/2016 which is not an acceptable Health and Safety training.

Corrected Corrected by May 18, 2023

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

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.

The fire alarm 30-day test log includes test dates which are more than 30 days apart. The dates are 1/12/24-2/13/24 (32 days) and 3/5/24-4/12/24 (38 days).

Corrected Corrected by May 7, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Based on staff statements, on November 3, 2023, around lunchtime, while coming in from the outside play space Staff #1 was supervising a group of 9 preschool age children when Child #1 was left outside alone and unsupervised.

Corrected Corrected by Nov 3, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · All staff persons at the facility will be required to attend a minimum of 2-hour supervision training provided by the ELRC within 2 months of the approval of this plan of correction. The training will not count towards the mandatory 12 training hours required by the Department. All childcare spaces will be complaint with regulatory supervision and ratio. At least 2 separate, unannounced visits will occur after training has occurred.

** Based on staff statements, on November 3, 2023, around lunchtime, while coming in from the outside play space Staff #1 was supervising a group of 9 preschool age children when Child #1 was left outside alone and unsupervised.

Corrected Corrected by Feb 17, 2024

Category: supervision. Marked corrected in the state record.

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.

*Based on staff statements, on November 3, 2023, around lunchtime, while coming in from the outside play space Staff #1 was supervising a group of 9 preschool age children when Child #1 was left outside alone and unsupervised.

Corrected Corrected by Nov 3, 2023

Category: supervision. Marked corrected in the state record.

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.

Based on staff statements, on November 3, 2023, around lunchtime, while coming in from the outside play space Staff #1 left Child #1 outside alone and unsupervised.

Corrected Corrected by Feb 5, 2024

Category: supervision. 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 address continuity of operations. The file for Staff #1, 2, 5, 8 and 9 were all lacking the one hour Health and Safety Update.

Corrected Corrected by Jul 31, 2023

Category: ratio. 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.

The files for Staff #4, 7, 8 and 9 were all lacking annual emergency plan training.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The file for Staff #3, and 4 were lacking annual fire safety training.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. 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.

In the Young Toddler room on the area below the sink there was peeling paint observed.

Corrected Corrected by Jul 24, 2023

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

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file for Child #3 contained an emergency contact form that was lacking the address of the child's physician.

Corrected Corrected by Jul 28, 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.

The file for Child #1 and #3 both contained an emergency contact form that was lacking the address and phone number of the parents workplace.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The files for Child #1 and 2 both contain immunization records that were lacking the annual influenza vaccine.

Corrected Corrected by Jul 28, 2023

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

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

The school age have an inhaler in their go back that was lacking written instructions given by the individual who prescribed the inhaler.

Corrected Corrected by Jul 24, 2023

Category: ratio. Marked corrected in the state record.

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.

The medication in the school age go back was not labled with the child's name.

Corrected Corrected by Jul 17, 2023

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.

Facility has evidence of infestation of mice indicated by mouse feces in different places throughout the facility.

Corrected Corrected by Jul 10, 2023

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

3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

Facility has evidence of infestation of mice indicated by mouse feces in different places throughout the facility.

Corrected Corrected by Jul 10, 2023

Marked corrected in the state record.

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

Provider did not hold an annual emergency drill and document it in 2021.

Corrected Corrected by Aug 22, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff #1 contained a Health and Safety training that was obtained more than 90 days after their date of hire. (See LIS code sheet)

Corrected Corrected by Jul 26, 2022

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The Transition Room was lacking posted emergency telephone numbers.

Corrected Corrected by Aug 26, 2022

Category: physical safety. 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.

The Transition Room was lacking a posted Emergency Transportation Plan.

Corrected Corrected by Jul 26, 2022

Category: transportation. 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.

The file for Child #2 contained an immunization schedule that was lacking one dose of DTAP, one dose of Pneumococcal, one dose of MMR, one dose of Varicella, and two doses of Hep A. The file for Child #3 contained an immunization record that was lacking one dose of DTAP and one dose of Hep A.

Corrected Corrected by Jul 28, 2022

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

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.

Provider failed to test interconnected system every 30 days, however provider did get annual inspection done by vector who monitors the system.

Corrected Corrected by Aug 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for Staff #2 contained 3 annual clock hours of child care training that were obtained between 12/20/20-12/20/21.

Corrected Corrected by Jul 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · 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.

The file for Child #1 whose enrollment date was 2/22/21 contained an initial health assessment dated 6/3/22 which is more than 60 days after the first day of attendance.

Corrected Corrected by Jul 28, 2022

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

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the following topics within 90 days of hire:A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for staff persons #2 and #6 do not include training in the health and safety topics and have been employed for greater than 90 days.

Corrected Corrected by Aug 18, 2021

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for staff person #3 contains current child abuse, criminal history and FBI clearances that were completed greater than 60 months after the previous clearance. The file is complete. The file for staff person #4 contains a current child abuse clearance that was completed greater than 60 months after the previous clearance. The file is complete.

Corrected Corrected by Jul 20, 2021

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #1 serving as an AGS is lacking verification of 2 years of child care experience.

Corrected Corrected by Aug 14, 2020

Category: recordkeeping. Marked corrected in the state record.

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

Observed on the Older Toddler playground a cracked sand toy bin,1 cracked sand bucket, 2 cracked dump trucks Observed on the Young Toddler playground a pink mini trampoline with torn foam padding.

Corrected Corrected by Jul 20, 2021

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

3270.102(g) · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Observed in the infant room a recalled Bumbo seat without the required safety straps

Corrected Corrected by Jul 20, 2021

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

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.

Observed on the Young Toddler playground a pink mini trampoline with torn foam padding accessible to children still placing objects in their mouth causing a choking hazard.

Corrected Corrected by Aug 14, 2020

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Observed in the outdoor bathroom a tall corner cabinet not anchored to the wall for stability.

Corrected Corrected by Aug 9, 2021

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

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for child #1, #2 and #3 contain the original financial agreement. The file for child #4 does not contain a financial agreement.

Corrected Corrected by Jul 21, 2021

Category: recordkeeping. Marked corrected in the state record.

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.

The first aid kit in the older toddler room contained packets of aspirin, non-aspirin, ibuprofen and antiseptic wipes not labeled with the name of the child for whom they were intended.

Corrected Corrected by Jul 20, 2021

Category: health medication. 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.

The file for staff person #3 contains a current health assessment that was completed greater than 24 months after the previous health assessment. The file is now current. The files for staff persons #4 and #5 are lacking health assessments completed during the previous 24 month period.

Corrected Corrected by Jul 20, 2021

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for staff person #1 contains a current health assessment that is lacking physician statements regarding communicable disease and suitability to provide child care.

Corrected Corrected by Aug 16, 2021

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

The file for staff person #2 is lacking 2 written non-family references.

Corrected Corrected by Jul 21, 2021

Category: recordkeeping. Marked corrected in the state record.