3270.33(a)/3270.34(b)(2) · 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 director shall have attained a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

During an unannounced inspection on 10/1/2025, Staff #1 identified themself as the director. The review of the file showed that Staff #1 has Bachelor of Humanities degree in English. A review of the transcript showed that Staff #1 only has 27 credits in the Human Services field Staff #1 also only had 1122 hours of verified experience with children on file. This equates to less than 1 year of experience.

Corrected Corrected by Oct 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

On 10/1/2025, Staff #1 did not have a health assessment on file conducted within the previous 12 months. The tuberculosis screening on file for Staff #1 was dated 8/28/2025. This was after the first date of initial employment. See LIS code sheet.

Corrected Corrected by Oct 7, 2025

Category: ratio. Marked corrected in the state record.

3270.192(4) · 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. Staff #1 may not work in a childcare position at the facility until the completed disclosure statement is on file.

On 10/1/2025, Staff #1 did not have a completed disclosure statement on file. See LIS code sheet.

Corrected Corrected by Oct 2, 2025

Category: background checks. 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.

During an unannounced inspection on 10/1/2025, the facility did not have any documentation on file to show that an emergency drill has been conducted within the previous 12 months.

Corrected Corrected by Oct 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

During an unannounced inspection on 10/1/2025, the updated fire drill log was not on file at the facility to show that fire drills are being conducted at least once every 60 days.

Corrected Corrected by Oct 15, 2025

Category: recordkeeping. Marked corrected in the state record.

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

On 1/15/2025, the agreements on file for Child #1 and Child #3 were not signed by the operator. See LIS code sheet.

Corrected Corrected by Jan 21, 2025

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.

On 1/15/2025, Staff #2 and Staff #3 did not have documentation on file that they have completed fire safety training within the previous 12 months. See LIS code sheet.

Corrected Corrected by Jan 21, 2025

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)1-9. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation.

During the Renewal Inspection on 1/15/2025, Staff #3 did not have verification on file of completion of the required pre-service health and safety training. See LIS code sheet.

Corrected Corrected by Jan 23, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation.

Staff #2 does not have verification on file that they have completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). On 1/15/2025, the mandated reporter training that was on file for Staff #2 did not show the date that the training was completed. In addition, the name on the training certificate for Staff #2 was handwritten.

Corrected Corrected by Jan 22, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #2 may not work in a childcare position at the facility until all of the required clearances are on file.

During the Renewal Inspection on 1/15/2025, Staff #2 did not have the completed National Sex Offender Registry (NSOR) clearance on file. See LIS code sheet.

Corrected Corrected by Jan 22, 2025

Category: background checks. 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.

During the Renewal Inspection on 1/15/2025, Child #1, Child #2, Child #3, Child #4 and Child #5 did not have an initial health report on file. See LIS code sheet.

Corrected Corrected by Jan 28, 2025

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

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

A renewal inspection occurred at the facility. A review of child files was conducted. Child files #1, #2, #3, #4 and #5 did not contain an agreement form that was signed by the operator.

Corrected Corrected by Apr 5, 2024

Category: recordkeeping. Marked corrected in the state record.

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

A renewal inspection occurred at the facility. A review of children's files was conducted. Child files #2 and #4 did not contain the name, address and phone number of the child's physician or a source of medical care. Child file # 5 was missing the phone number of the child's physician or a source of medical care.

Corrected Corrected by Apr 5, 2024

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.

A renewal inspection occurred at the facility. A review of children's files was conducted. Child files #1, #2 and #3 did not contain the enrolling parents work address or phone number. Child file #4 did not contain the enrolling parents work phone number.

Corrected Corrected by Apr 5, 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.

A renewal inspection occurred at the facility. A review of child files was conducted. See the code sheet for the dates of enrollment of the children. Child files #2, #4 and #5 did not contain a health report or immunization record.

Corrected Corrected by Apr 5, 2024

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

3270.14/3270.21 · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person # 3 will have until 11/29/23 to complete the required training. Until such time as the required training has been completed, staff person # 3 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 person # 3, staff person # 3 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility on 9/29/23. A review of staff files was conducted. See the code sheet for the date of hire. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet) and was working unsupervised: pediatric first aid/CPR and health safety topics. This documentation was request but not provided for review at the renewal inspection. An acceptable plan of correction was received on 11/7/23. A verification inspection occurred at the facility on 11/13/23 and at that time the following was not corrected: Staff person # 3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet) and was working unsupervised: pediatric first aid/CPR and health safety topics.

Corrected Corrected by Nov 29, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 Legal Entity/Director will call the Northeast Daycare Regional Office (800-222-2108) to schedule the legal entity, director and any one responsible for maintaining staff files to participate in the next Existing Provider Orientation. The Legal Entity, Director or any other appropriate staff will submit documentation to the Northeast Daycare Regional Office that they have attended the orientation. Facility Person # 3 may not work in a child care position at the facility until all clearance paperwork is completed and on file at the facility.

A renewal inspection occurred at the facility on 9/29/23. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 1 was hired incorrectly per the CPSL. Staff # 1 did not apply for clearances at the time of hire. Staff # 1 did not obtain a state police clearance until 12/5/22, a child abuse clearance until 12/6/22, the FBI clearance until 12/12/22 and the NSOR clearance until 1/5/23. Staff # 2 was hired incorrectly as a provisional hire. Staff # 2 did not apply for a state police clearance, child abuse clearance or an NSOR clearance at the time of hire and these clearances were not in the file at the time of this inspection. Staff # 2 also did not apply for the FBI clearance until 1/9/23. Staff # 2 was working at the facility after the 45-day provisional hire period and was also observed working unsupervised with children. An acceptable plan of correction was received 11/7/23. An unannounced inspection occurred at the facility on 11/13/23 and the following items were not corrected: Staff # 3 was not hired correctly as a provisional hire as per the Child Protective Service Law (CPSL). The file of Staff # 3 did not contain a signed and dated disclosure statement or the out of state clearances for the state that the file indicated this staff has lived in within the last 60 months. Staff # 3 has worked and unsupervised with children without the file containing all appropriate clearances.

Corrected Corrected by Nov 29, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 Legal Entity/Director will submit complete files for any new hires for a period of 3-months to the Northeast Regional Office for review. During that time, new hires may not begin to work in child care until their file has been approved by the Northeast Regional Office. The Northeast Regional Office will review the file within 1-week of submission. Facility Person # 3 may not work in a child care position at the facility until all clearance paperwork is completed and on file at the facility.

A renewal inspection occurred at the facility on 9/29/23. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 1 was hired incorrectly per the CPSL. Staff # 1 did not apply for clearances at the time of hire. Staff # 1 did not obtain a state police clearance until 12/5/22, a child abuse clearance until 12/6/22, the FBI clearance until 12/12/22 and the NSOR clearance until 1/5/23. Staff # 2 was hired incorrectly as a provisional hire. Staff # 2 did not apply for a state police clearance, child abuse clearance or an NSOR clearance at the time of hire and these clearances were not in the file at the time of this inspection. Staff # 2 also did not apply for the FBI clearance until 1/9/23. Staff # 2 was working at the facility after the 45-day provisional hire period and was also observed working unsupervised with children. An acceptable plan of correction was received 11/7/23. An unannounced inspection occurred at the facility on 11/13/23 and the following items were not corrected: Staff # 3 was not hired correctly as a provisional hire as per the Child Protective Service Law (CPSL). The file of Staff # 3 did not contain a signed and dated disclosure statement or the out of state clearances for the state that the file indicated this staff has lived in within the last 60 months. Staff # 3 has worked and unsupervised with children without the file containing all appropriate clearances.

Corrected Corrected by Feb 29, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 # 3 may not work in a child care position at the facility until all clearance paperwork is completed and on file at the facility.

A renewal inspection occurred at the facility on 9/29/23. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 1 was hired incorrectly per the CPSL. Staff # 1 did not apply for clearances at the time of hire. Staff # 1 did not obtain a state police clearance until 12/5/22, a child abuse clearance until 12/6/22, the FBI clearance until 12/12/22 and the NSOR clearance until 1/5/23. Staff # 2 was hired incorrectly as a provisional hire. Staff # 2 did not apply for a state police clearance, child abuse clearance or an NSOR clearance at the time of hire and these clearances were not in the file at the time of this inspection. Staff # 2 also did not apply for the FBI clearance until 1/9/23. Staff # 2 was working at the facility after the 45-day provisional hire period and was also observed working unsupervised with children. An acceptable plan of correction was received 11/7/23. An unannounced inspection occurred at the facility on 11/13/23 and the following items were not corrected: Staff # 3 was not hired correctly as a provisional hire as per the Child Protective Service Law (CPSL). The file of Staff # 3 did not contain a signed and dated disclosure statement or the out of state clearances for the state that the file indicated this staff has lived in within the last 60 months. Staff # 3 has worked and unsupervised with children without the file containing all appropriate clearances.

Corrected Corrected by Nov 21, 2023

Category: supervision. 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.

A verification visit occurred at the facility on 11/13/23. The file of Child # 1 was reviewed. See the code sheet for the enrollment date. The file of Child # 1 did not contain a health report and has been enrolled at the facility for more than 60 days.

Corrected Corrected by Nov 29, 2023

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

3270.171(a)/3270.171(c) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

A renewal inspection occurred at the facility on 9/29/23. A review of the facility's paperwork was conducted. At the time of this inspection, a copy of the facility's written notification of safe routes was requested for review including documentation that this document was sent to the local traffic safety authorities and the facility was unable to provide the requested information. This document was also not posted in a conspicuous location at the facility. An acceptable plan of correction was received on 11/7/23. An unannounced inspection occurred at the facility on 11/13/23 and the following was not corrected: The facility was unable to provide documentation that written notification of safe routes was sent to the local traffic safety authorities.

Corrected Corrected by Nov 29, 2023

Marked corrected in the state record.

3270.14/3270.21 · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person # 2 will have until 10/19/23 to complete the required training. Until such time as the required training has been completed, staff person # 2 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 person # 2, staff person # 2 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet) and was working unsupervised: pediatric first aid/CPR and health safety topics. This documentation was request but not provided for review at the renewal inspection.

Corrected Corrected by Oct 12, 2023

Category: supervision. 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. At the time of this inspection, documentation was requested but was not provided indicating that Staff # 1 and Staff # 2 reviewed the facility's emergency plan.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the date of enrollment. The file of Child # 3 did not contain emergency contact information.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. 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) within 90 days of hire. Staff person # 2 will have until 10/19/23 to complete the required training. Until such time as the required training has been completed, staff person # 2 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 person # 2, staff person # 2 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR and health safety topics. This documentation was request but not provided for review at the renewal inspection.

Corrected Corrected by Oct 12, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 1 was hired incorrectly per the CPSL. Staff # 1 did not apply for clearances at the time of hire. Staff # 1 did not obtain a state police clearance until 12/5/22, a child abuse clearance until 12/6/22, the FBI clearance until 12/12/22 and the NSOR clearance until 1/5/23. Staff # 2 was hired incorrectly as a provisional hire. Staff # 2 did not apply for a state police clearance, child abuse clearance or an NSOR clearance at the time of hire and these clearances were not in the file at the time of this inspection. Staff # 2 also did not apply for the FBI clearance until 1/9/23. Staff # 2 was working at the facility after the 45-day provisional hire period and was also observed working unsupervised with children.

Corrected Corrected by Oct 12, 2023

Category: supervision. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 2 only qualified as an aide and Staff # 2 was observed working unsupervised with children.

Corrected Corrected by Oct 12, 2023

Category: supervision. 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.

A renewal inspection occurred at the facility. A physical site review was conducted. The refrigerator did not contain a thermometer.

Corrected Corrected by Oct 12, 2023

Category: nutrition. Marked corrected in the state record.

3270.123(a)/3270.182(8) · An agreement shall be signed by the operator and the parent. 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.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the date of enrollment. The file of Child # 3 did not contain an agreement shall be signed by the operator and the parent.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

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

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the date of enrollment. The agreement forms of Child # 1, # 2, # 3, # 4, # 5 and # 6 did not contain the specify the child's arrival and departure times.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the date of enrollment. Child file # 5 and # 6 did not contain written consent signed by a parent for emergency medical care.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the date of enrollment. Child file # 1, # 5 or # 6 did not contain health insurance coverage or the policy number.

Corrected Corrected by Oct 12, 2023

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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 1 did not receive a health assessment until 12/28/22. Staff # 2 did not receive a health assessment until 1/30/23.

Corrected Corrected by Oct 12, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 1 did not obtain a tuberculosis screening until 12/7/22. Staff # 2 did not obtain a tuberculosis screening until 1/30/23.

Corrected Corrected by Oct 12, 2023

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

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.

A renewal inspection occurred at the facility. A review of children's files was conducted. Child file # 5 and # 6 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Oct 12, 2023

Category: ratio. Marked corrected in the state record.

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

A renewal inspection occurred at the facility. A review of children's files was conducted. The director indicated that children go on walks including Child # 5 and # 6. Child file # 5 and # 6 did not contain written consent for these children to go on walks.

Corrected Corrected by Oct 12, 2023

Category: transportation. Marked corrected in the state record.

3270.171(a)/3270.171(c) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

A renewal inspection occurred at the facility. A review of the facility's paperwork was conducted. At the time of this inspection, a copy of the facility's written notification of safe routes was requested for review including documentation that this document was sent to the local traffic safety authorities and the facility was unable to provide the requested information. This document was also not posted in a conspicuous location at the facility.

Corrected Corrected by Oct 12, 2023

Marked corrected in the state record.