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.

At the time of the inspection, observed in the preschool room upstairs 3 bottles of aloe vera labeled "keep out of the reach of children" accessible due to the fact they were located on a shelf low enough for children observed in care to access in an unlocked cabinet.

Corrected Corrected by Jun 25, 2024

Marked corrected in the state record.

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.

At the time of the inspection, observed in the preschool room downstairs a container with a blue liquid not in its original container and not labeled accessible to children observed in care due to the fact the container was stored on a shelf low enough for children to reach.

Corrected Corrected by Jun 25, 2024

Category: ratio. Marked corrected in the state record.

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

At the time of the inspection, observed in the preschool rooms upstairs and downstairs first aid kits accessible to children observed in care due to the fact they were on shelves low enough for children to reach.

Corrected Corrected by Jun 25, 2024

Category: health medication. 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.

At the time of the renewal inspection, observed in the downstairs child care space a foam puzzle piece "I" and 11 foam blocks in a container of blocks used by toddlers upstairs with what appeared to be teeth marks.

Corrected Corrected by Jun 25, 2024

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.

At the time of the inspection, the digital copy was unable to be provided and the paper file of child #1 lacked an emergency contact form with the complete address of the child's physician or source of medical care.

Corrected Corrected by Jun 25, 2024

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

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.

At the time of the inspection, the digital copy was unable to be provided and the paper file of child #1 lacked an emergency contact form with the complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of the inspection, observed in the preschool room upstairs, a liquid prescription medication in an unlocked cabinet on a shelf low enough for children observed in care could reach.

Corrected Corrected by Jun 25, 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 #3 did not complete the required 1 hour Health and Safety Update training by 12-30-22 due to the fact documentation of completing said training was completed on 5-19-23. At the time of the inspection, the Shaken Baby, Abusive Head Trauma, and Child Maltreatment lacked the prevention and identification of Child Maltreatment. At the time of the inspection, the Emergency Plan lacked to address the Continuity of Operations.

Corrected Corrected by Jun 8, 2023

Category: ratio. Marked corrected in the state record.

3270.33(a)/3270.36(b)(5) · 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. An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

The file for staff # 1 & 2 AGS lacked the proper documentation to support staff met the qualification for the positions.

Corrected Corrected by Jul 3, 2023

Category: supervision. 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 in the outdoor play space, cracked siding located near the outdoor faucet, immediately to the right upon exiting the door of the building.

Corrected Corrected by Jun 8, 2023

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

3270.80(a) · Inside and outside stairs with three or more steps shall be equipped with a handrail.

Observed 3 steps lacking a handrail at the side door of room #2.

Corrected Corrected by Jun 17, 2023

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 in the outdoor play space, a Step 2 brand brown plastic table with "log" legs; three of the legs were unstable due to the fact they were leaning inward from the structure.

Corrected Corrected by Jun 8, 2023

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

At the time of the inspection, there was not a posting of the daily activities in room #2.

Corrected Corrected by Jun 8, 2023

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.

The file of child #1 lacked an emergency contact form with the written consent signed by a parent for emergency medical care.

Corrected Corrected by Jun 9, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Observed a lunchbox labeled for child #3 with potentially hazardous food, yogurt not refrigerated due to the fact it was hanging on a hook outside room #1.

Corrected Corrected by Jun 8, 2023

Category: nutrition. 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.

The files of children #1 and #2 lacked emergency contact forms with signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jun 9, 2023

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff person shall complete professional development in the topics of 3270.31(f)within 90 days of hire. Staff person #5 will have until 7-15-22 to complete the required training. Until such time as the required training has been completed, staff person #5 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 #5, staff person #5 may not work in a child-care position at the facility.

Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 3270.31(f)(1-9).

Corrected Corrected by Jun 26, 2022

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.

At the time of reviewing the staff files, the files of staff #1, #2, #3, #4, #6, and #7 recently hired (See LIS Code Sheet) lacked the current Disclosure Statement.

Corrected Corrected by Jun 23, 2022

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

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

At the time of the renewal inspection, observed in the preschool room, a non-lidded trash can with dirty tissues located near the "reading area."

Corrected Corrected by Jun 22, 2022

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.

At the time of the renewal inspection, it was observed in the outdoor play space that the gate was damaged and broken near the top of the right side. Also, damaged siding was observed along the bottom of the windows located to the far left and far right of the building. These conditions expose the children in the facility to rough edges, sharp corners, pinch and crush points.

Corrected Corrected by Jul 2, 2022

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.

At the time of the renewal inspection, there was not a handwashing sign posted at the diapering area or toilet in the restroom located between the 2 classrooms upstairs.

Corrected Corrected by Jun 22, 2022

Category: health medication. 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.

At the time of the renewal inspection, observed in the downstairs child care space a total of 31 wooden blocks not to be in good repair due to the fact they had rough edges along the sides and/or ends. The description of the wooden blocks is as follows: 8 small square, 12 small rectangle, 4 small long rectangle, 4 large long rectangle, 2 small triangle, and 1 large triangle. Observed in the older toddler/preschool room upstairs 5 square magnets damaged with rough edges.

Corrected Corrected by Jul 1, 2022

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.

At the time of the renewal inspection, observed in the downstairs child care space foam puzzle pieces with what appeared to be teeth marks.

Corrected Corrected by Jun 22, 2022

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.

At the time of the renewal inspection, observed in the preschool room a white table with 2 loose legs located in the kitchen play area.

Corrected Corrected by Jun 22, 2022

Marked corrected in the state record.

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

At the time of reviewing children's files, the file of child #1 lacked a written, signed and dated statement from the child's parent or guardian regarding exemption from the Influenza vaccination. In place of this the health report for child #1 contained a vaccination schedule with a notation of, "parent declined" made by the health professional.

Corrected Corrected by Jun 30, 2022

Category: health medication. 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.

At the time of the renewal inspection, observed in the first aid kit located in the older toddler/pre-school room Neosporin not labeled for the use of a specific child.

Corrected Corrected by Jun 22, 2022

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

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

At the time of the renewal inspection, observed expired prescription medication for child #2 due to the fact the medication had a expiration date of 2/2022.

Corrected Corrected by Jun 22, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(1) · An adult health assessment must include a physical examination.

At the time of reviewing staff files, The health assessment on file for staff person #6 was observed not to contain documentation that a physical examination was conducted.

Corrected Corrected by Jul 1, 2022

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

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

Observed in the downstairs child care space, multiple lunch boxes with potentially hazardous foods such as yogurt not refrigerated.

Corrected Corrected by Jun 24, 2022

Category: nutrition. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

At the time of reviewing staff files, the file of staff #2 was observed to lack documentation of completing the annual minimum 12 clock hours of child care training due to the fact there were 5 hours documented in the file completed between 12-19-20 and 12-19-21.

Corrected Corrected by Apr 25, 2022

Category: recordkeeping. 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.

On 9/24/2021 at approximately 10:50 am, staff persons #1, #2 and #3 were observed caring for a group of 14 children consisting of 7 older toddler aged children and 7 preschool aged children, in classroom 2 (located to the right as you walk into the facility.) When asked to identify the children whom they were assigned the specific responsibility to supervise, staff person #1 stated they all watched the children together and proceeded to name all the children being cared for in the classroom. When staff person #1 was asked who was assigned the specific responsibility to supervise the older toddler aged children and who was assigned the specific responsibility to supervise the preschool aged children, staff person #1 stated that he/she and staff person #2 were assigned the specific responsibility to supervise the 7 older toddler aged children and staff person #3 was assigned the specific responsibility to supervise the preschool aged children. When staff person #2 was asked to name and identify the older toddler aged children whom he/she was assigned the specific responsibility to supervise, staff person #2 was unable to name any of the older aged toddler children and stated that he/she does not normally work in that classroom. When staff person #3 was asked to identify and name the preschool aged children who he/she was assigned the specific responsibility to supervise, he/she was unable to do so and stated that it was his/her third day working at the facility.

Corrected Corrected by Sep 24, 2021

Category: supervision. Marked corrected in the state record.