Wee The Lil People Clubhouse Llc

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 file for Staff #1 contained documentation of emergency plan training on 10.10.24 and 11.15.25, which exceeded the annual requirement. The file for Staff #3 contained documentation of emergency plan training on 10.1.24 and 11.15.25, which exceeded the annual requirement.

Corrected by Jun 15, 2026

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 #1 did not contain documentation of fire safety training by 9.23.25, which exceeded the annual requirement. The file for Staff #3 did not contain documentation of fire safety training by 11.23.25, which exceeded the annual requirement.

Corrected by Jun 15, 2026

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

The file for Staff #1, a re-hired staff, contained documentation of Mandated Reporter trainings on 1.10.19 and 2.16.26, which exceeded the 60-month requirement. The file for Staff #4 contained documentation of Mandated Reporter trainings on 12.6.20 and 2.24.26, which exceeded the 60-month requirement.

Corrected by Jun 15, 2026

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

In the Infant Room, three (3) electrical outlets did not contain protective receptacle covers, which were accessible to children 5 years of age or younger. In the Gross Motor Room, eight (8) electrical outlets did not contain protective receptacle covers, which were accessible children 5 years of age or younger.

Corrected by Jun 12, 2026

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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.

In the restroom, in the Infant Room, the white changing table cushion contained rips in the plastic covering, which were accessible to children who are still placing objects in their mouths.

Corrected by Jun 15, 2026

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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.

In the Infant Room, the refrigerator thermometer was not operable.

Corrected by Jun 11, 2026

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3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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 emergency contact information and financial agreement, in the file for Child #3, did not contain documentation that they were reviewed/updated at least once in a 6-month period.

Corrected by Jun 11, 2026

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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 file for Child #1, a preschool child, did not contain documentation of a Health Assessment within 12 months of the previous Health Assessment.

Corrected by Jun 15, 2026

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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.

The file for Staff #2 (see IS Code Sheet) contained documentation of a Health Assessment following the first day working with children.

Corrected by Jun 11, 2026

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

The file for Staff #1 did not contain any documentation of the required 12 hours of child care training between 10.20.24 and 10.19.25.

Corrected by Jun 22, 2026

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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 file for Child #2, a young toddler, did not contain documentation of an initial Health Assessment within 60 days following the first day of attendance.

Corrected by Jun 22, 2026

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person/facility person/volunteer #1 must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated (12/6/20).

Corrected by Feb 24, 2026

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3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At approximately 9:30 AM, Staff #2 was asked to name their primary assigned group of children. Staff #2 named 8 children including 1 Infant, 5 young toddlers, and 2 older toddlers. Upon naming the 8 children, Staff #3 came out of the restroom and reentered the classroom. At the time that Staff #3 was in the restroom, ratio for this mixed group of infants, young toddlers, and older toddlers at the time was 1:8.

Corrected by Feb 20, 2026

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3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

On 12.22.25, two (2) staff and nineteen (19) children were in the Preschool Room, which measures for seventeen (17) children, resulting in being over-capacity.

Corrected by Dec 22, 2025

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3270.113(a)(1) · 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. This portion of the plan shall have an immediate correction date. 2. The Legal Entity and newly-hired director will arrange to attend an in-person Existing Provider Training offered by the Western Region. The provider will provide a date for when this training will be completed. 3. The director or owner will conduct random assessments of classrooms at least once daily, at various times of day for the next three (3) months to assess staff's ability to name the children for whom each is responsible. The director or owner will document all assessments in a log including the date/time/staff/number and ages of children. The log must first be submitted to the DHS representative. The completed logs will be kept on file at the facility and be available to Certification Representatives upon request. The correction date for this portion of the plan shall be a minimum of the three (3) months from the date the Regional Office reviews the log and notifies the provider that they may begin.

SECOND CITATION: On 12.22.25, Staff #1 and Staff #2 were to be supervising nineteen (19) children in the Preschool Room, at approximately 10:30 AM. Certification Representative asked staff to identify the children for whom each was responsible. During the first attempt, Staff #1 named nine (9) children, and Staff #2 named eight (8) children, omitting two (2) children. During the second attempt, Staff #1 named nine (9) children, and Staff #2 named nine (9) children, omitting one (1) child. It was not until a 3rd staff entered the room and assisted with group assignments that Staff #1 and Staff #2 were able to identify their respective supervision groups. PREVIOUSLY CITED ON 11.17.25.

Corrected by May 4, 2026

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3270.113(b) · 1. A facility person may not use any form of physical punishment, including spanking a child. The correction date for this portion of the plan shall be immediate. 2. The Legal Entity must create a written discipline policy that references 3270.113(b), 3270.113(c) & 3270.113(d). The policy must also address how staff are to report concerning staff interactions with children to the Director/ Owner. The policy should incorporate positive, appropriate techniques that staff are encouraged to use. The policy shall be submitted to the Regional Office prior to use. Upon review, each staff must review and sign the policy, and a copy of the policy shall be included in the family and staff handbooks. Documentation of staff signatures will be submitted to the Western Regional office. The Legal Entity may seek assistance from the ELRC #5 in the formation of this policy. The correction date for this portion of the plan shall be no more than a month from the date this plan is submitted to the regional office.

On 12.18.25, Staff #1 smacked Child #1 on the mouth, in the preschool room.

Corrected by Jan 19, 2026

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3270.113(c) · 1. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. The correction date for this portion of the plan shall be immediate. 2. The Legal Entity must create a written discipline policy that references 3270.113(b), 3270.113(c) & 3270.113(d). The policy must also address how staff are to report concerning staff interactions with children to the Director/ Owner. The policy should incorporate positive, appropriate techniques that staff are encouraged to use. The policy shall be submitted to the Regional Office prior to use. Upon review, each staff must review and sign the policy, and a copy of the policy shall be included in the family and staff handbooks. Documentation of staff signatures will be submitted to the Western Regional office. The Legal Entity may seek assistance from the ELRC #5 in the formation of this policy. The correction date for this portion of the plan shall be no more than a month from the date this plan is submitted to the regional office.

On 12.18.25, Staff #1 threatened harm to Child #1 by stating, "If you scream in my face again, I am going to smack you in the mouth."

Corrected by Jan 30, 2026

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3270.113(d) · 1. A facility person may not use harsh, demeaning or abusive language in the presence of children. The correction date for this portion of the plan shall be immediate. 2. The Legal Entity must create a written discipline policy that references 3270.113(b), 3270.113(c) & 3270.113(d). The policy must also address how staff are to report concerning staff interactions with children to the Director/ Owner. The policy should incorporate positive, appropriate techniques that staff are encouraged to use. The policy shall be submitted to the Regional Office prior to use. Upon review, each staff must review and sign the policy, and a copy of the policy shall be included in the family and staff handbooks. Documentation of staff signatures will be submitted to the Western Regional office. The Legal Entity may seek assistance from the ELRC #5 in the formation of this policy. The correction date for this portion of the plan shall be no more than a month from the date this plan is submitted to the regional office.

On 12.18.25, Staff #1 used harsh language toward a child when Staff #1 stated, "If you scream in my face again, I am going to smack you in the mouth."

Corrected by Jan 30, 2026

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3270.52 · 1. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). This portion of the plan shall have an immediate correction date of 11.17.25. 2. The legal entity must arrange for all staff to complete Better Kid Care Training: "Supervision: Staff:Child Ratios." Documentation of course completion, for all employees, must be provided to the certification representative and kept on file at the facility, following completion. Training may count toward annual training requirement. The provider will provide a date when the training shall be completed. 3. The legal entity must arrange for all employees to participate in a minimum of three (3) in-person sessions, with the ELRC #5 Quality Coach, to address maintaining supervision and ratio. Attendance Sheets will be provided to the certification representative, and kept on file at the facility, following completion. The correction date for this portion of the plan will be the anticipated date that the three (3) sessions will be completed.

The Certification Representative observed that the Infant/Young Toddler room was out-of-ratio on 11.17.25, when Staff #1 was alone with (1) infant and six (6) young toddlers, making the staff:child ratio 1:7, from approximately 1:00 pm to 1:05 pm. The Provider disclosed that the Infant/Young Toddler room was also out-of-ratio on 11.17.25, when Staff #1 was alone with (1) infant and six (6) young toddlers, making the staff:child ratio 1:7, during the hours of 8:00 am to 9:30 am. The Provider disclosed that on 11.11.25, the Preschool room was out-of-ratio with seventeen (17) older toddlers, preschoolers, and school-agers in the Preschool room, with one (1) to three (3) staff, in and out of the room during the hours of 8:00 am to 12:00 pm, making the staff:child ratio 1:17, when only Staff #2, Staff #3, or Staff #4 was present in the room.

Corrected by Apr 30, 2026

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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.

The CR observed Staff #3 in the kitchenette, instead of in the preschool room with their supervision group, on 11.17.25, at approximately 1:10 pm.

Corrected by Nov 17, 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.

The CR observed that Staff #3, in the preschool room at approximately 1:15 pm, did not know which children were in their supervision group, the names of the children in their supervision group, or on which cots they were resting, until after the fourth attempt, with the assistance of another staff in the room.

Corrected by Nov 17, 2025

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3270.31(f)(10) · Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The file for Staff #1 (see IS Code Sheet), did not include documentation of Pediatric First-Aid/CPR training, which is now beyond 90 days of hire.

Corrected by Nov 20, 2025

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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 file for Staff #1 (see IS Code Sheet), contained documentation of Emergency Plan training on 11.15.25, which exceeded 90 days of hire.

Corrected by Nov 15, 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.

The file for Staff #1 (see IS Code Sheet) did not contain documentation of Health & Safety Training, Part 1 or Part 2, which exceeded the 90-day requirement.

Corrected by Nov 19, 2025

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3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

As confirmed by the operator and Staff #2, there was no director employed from 2.4.25 through 8.17.25. A director was re-hired on 8.18.25, part-time from 8:30 am to 1:30 pm, Monday through Friday (25 hours per week), through 9/2025, and then worked from 8:30 am to 4:30 pm or 5:30 pm, in October and part of November. Staff #2 is no longer employed, as of 11.17.25, and there is no director employed.

Corrected by Jan 15, 2025

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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 #1 contained a health assessment dated more than 12 months before being rehired at the facility and dated more than 24 months prior to rehire.

Corrected by Nov 24, 2025

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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.

The file for Staff #1 contained a tuberculosis screening t dated more than 12 months before being rehired at the facility and dated more than 24 months prior to rehire.

Corrected by Nov 24, 2025

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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 #1 did not include two (2) written, nonfamily references.

Corrected by Nov 20, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 may not work in a child care position at the facility.

The file for Staff #1 (see IS Code Sheet) did not contain an FBI Clearance, an application for the FBI Clearance, or a Disclosure Statement.

Corrected by Jul 31, 2025

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3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

The facility has not had a director since February 2, 2025.

Corrected by Jul 31, 2025

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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.

During the inspection on July 7, 2025, Staff #2, who is qualified as an aide, was caring for school-aged children, alone, and was not supervised by a staff person qualified as an assistant group supervisor or group supervisor.

Corrected by Jul 8, 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.

Two (2) missing protective receptacle covers were located in a 4-prong outlet, under the fire extinguisher, in the Main Room, accessible to children 5 years of age or younger.

Corrected by Jul 8, 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.

Peeling drywall, where the baseboards had been located prior to the remodeling, was visible and accessible to children in the Main Room and Infant Room.

Corrected by Jul 8, 2025

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3270.117(a) · A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise.

Child #1 was dropped off in the morning and picked up mid-day by the provider, at the Summer School Program across the street in June of 2025, which had been verbally agreed upon by the parent and the provider, but it was not in writing from the enrolling parent.

Corrected by Jul 31, 2025

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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.

One (1) infant was observed to be sleeping in a bouncer, which is not recommended by the American Academy of Pediatrics, and no medical documentation was presented.

Corrected by Jul 8, 2025

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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.

A Medical Transportation posting was not displayed in the Main Room or Infant Room.

Corrected by Jul 8, 2025

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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 #1 did not contain a Health Assessment.

Corrected by Jul 31, 2025

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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.

The file for Staff #1 did not contain documentation of a tuberculosis screening.

Corrected by Jul 31, 2025

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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 Staff #1 did not include verification of child care experience. The file for Staff #2 did not include verification of education.

Corrected by Jul 25, 2025

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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.

Due to being short-staffed on June 16, 2025, Staff #1 and Staff #2 were going in and out between the Main Room and the Muscle Room, which had zero staff who remained in the room, with four (4) to six (6) young school-age children, making the staff:child ratio in the Muscle Room 0:4 or 0:5 or 0:6, at various times.

Corrected by Aug 18, 2025

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3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Due to being short-staffed on June 16, 2025, Staff #1 and Staff #2 were going in and out between the Main Room, which had two (2) staff who remained in the room, with approximately 14 infants, young toddlers, older toddlers, and preschool children, and the Muscle Room, making the staff:child ratio in the Main Room 2:14, at various times.

Corrected by Aug 18, 2025

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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.

Due to being short-staffed on June 16, 2025, Staff #1 and Staff #2 were going in and out between the Main Room and the Muscle Room, which had zero staff who remained in the room, with four (4) to six (6) young school-age children, at various times, and the children were not supervised at all times.

Corrected by Aug 18, 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.

Due to being short-staffed on June 16, 2025, Staff #1 and Staff #2 were going in and out between the Main Room and the Muscle Room, which had zero staff who remained in the room, with four (4) to six (6) young school-age children, at various times, and the children were unsupervised without a staff person being physically present at all times.

Corrected by Aug 18, 2025

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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.

As confirmed by the operator, the Emergency Plan did not address Continuity of Operations.

Corrected by Feb 4, 2025

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

In the Infant Room, two (2) cribs contained loose crib sheets, which posed a hazard for children in care.

Corrected by Jan 28, 2025

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3270.31(e)(4)(i)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #1 contained documentation of Pediatric First-Aid/CPR training which expired on 1.23.25, and no additional training was documented. The file for Staff #3 contained documentation of Pediatric First-Aid/CPR training which expired on 12.20.24, and no additional training was documented. The file for Staff #4 contained documentation of Pediatric First-Aid/CPR training which expired on 10.20.24, and no additional training was documented. The file for Staff #7 contained documentation of Pediatric First-Aid/CPR training which expired on 12.20.24, and no additional training was documented.

Corrected by Feb 22, 2025

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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 files for Staff #1 and Staff #3 contained documentation of Fire Safety Training on 9/2023 and 11.23.24, which exceeded the annual requirement.

Corrected by Feb 4, 2025

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

The file for Staff #2 (see IS Code Sheet) contained a State Police Clearance dated 10.21.24, an FBI Clearance dated 1.7.25, and an NSOR Certificate dated 10.31.24, with no applications present, which exceeded the first date caring for children. The file for Staff #3 (see IS Code Sheet) contained an FBI Clearance dated 11.29.22, with no application present, which exceeded the first date caring for children. The file for Staff #4 (see IS Code Sheet) contained an NSOR Certificate dated 10.31.24, with no application present, which exceeded the first date caring for children. The file for Staff #5 contained an NSOR Certificate which expired on 1.14.25, with no application present.

Corrected by Feb 17, 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.

The file for Staff #6 did not contain documentation of a written evaluation, which was due by 8.11.24.

Corrected by Feb 4, 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.

In the rear preschool room, two (2) protective outlet covers were missing from the outlets on the front, yellow wall, and four (4) protective outlet covers were missing from the outlet strip on the left, yellow wall, which were accessible to children five (5) years of age or younger.

Corrected by Jan 28, 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.

In the main room, a broken door was located on the brown kitchen toy set, which was not in good repair.

Corrected by Jan 28, 2025

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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.

The refrigerator in the Main Room, did not contain a thermometer. The refrigerator in the Infant Room, contained a thermometer which was not operable.

Corrected by Feb 7, 2025

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3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The Agreement, in the file for Child #2, did not specify the date on which the fee is to be paid.

Corrected by Feb 4, 2025

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

The Agreement, in the file for Child #2, did not specify the child's arrival and departure times.

Corrected by Feb 4, 2025

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3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The Agreement, in the files for Child #2 and Child #5, did not specify the date of the child's admission.

Corrected by Feb 4, 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 form, in the file for Child #2, did not contain the enrolling parent's work address.

Corrected by Feb 4, 2025

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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.

As confirmed by the operator, an Emergency Transportation Plan was not displayed in the facility.

Corrected by Feb 4, 2025

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3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The file for Child #1, a young toddler whose Health Assessment was dated 10.6.23, did not contain an updated Health Assessment.

Corrected by Feb 20, 2025

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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 file for Child #2, a preschool child who has been enrolled since 6.21.22, did not contain any Health Assessments.

Corrected by Feb 26, 2025

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3270.131(d)(1)/3270.131(d)(4) · A health report shall include a review of the child's health history. A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

The files for Child #2 and Child #3 did not contain a Health History or an assessment of health problems, special needs and/or recommendations, or results of screening tests.

Corrected by Feb 26, 2025

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3270.131(d)(2)/3270.131(d)(7) · A health report shall include a list of the child's allergies. A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The files for Child #2 and Child #3 did not address allergies, the ability to participate in child care, or contagious/communicable diseases.

Corrected by Feb 26, 2025

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3270.131(d)(3)/3270.133(8) · A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

The files for Child #2 and Child #3 did not address medications or special diets.

Corrected by Feb 26, 2025

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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 Health Assessment and Mantoux test in the file for Staff #2 were dated two (2) months after the first date caring for children. The two (2) most recent Health Assessments in the file for Staff #3 exceeded the 24-month renewal requirement. The Health Assessment and Mantoux test in the file for Staff #4 were dated more than four (4) months after the first date caring for children. The Health Assessment in the file for Staff #7 was dated more than 24 months ago.

Corrected by Feb 4, 2025

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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 #4 did not contain two (2) written, non-family references, as only one (1) was in the file.

Corrected by Feb 4, 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.

As confirmed by the operator, an Emergency Drill had not been conducted.

Corrected by Feb 4, 2025

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3270.31(f)(7)/3270.192(2)(iii) · Staff persons shall complete professional development in emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)) 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 file for Staff #4 (see IS Code Sheet) contained documentation of Emergency Plan training on 10.10.24, which was not within 90 days of hire.

Corrected by Feb 4, 2025

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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 file for Child #2, a preschool child who has been enrolled since 6.21.22, did not contain a Health Assessment. The file for Child #3, a young toddler who has been enrolled since 6.19.24, did not contain a Health Assessment.

Corrected by Feb 26, 2025

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

During staff interviews on 8/2/24 it was verified that a child picked up and ate a gummy that reportedly was Melatonin.

Corrected by Aug 10, 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.

During staff interviews on 8/2/24 it was verified that there was a marijuana joint on the floor at the childcare, a child picked it up, and put the marijuana joint in their mouth.

Corrected by Aug 10, 2024

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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 #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Oct 21, 2024

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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 file for staff person #3 lacked initial emergency plan training.

Corrected by Oct 3, 2024

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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 persons #1 and #2 will have until 8/16/24 to complete the required training. Until such time as the required training has been completed, staff persons #1 and #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 persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Staff persons #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (See LIS code sheet): Getting Started with Center-Based Care Revised 2022.

Corrected by Oct 21, 2024

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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 #1 who was hired as an assistant group supervisor on (See LIS Code Sheet) lacked an FBI Clearance that was completed within 45 days of being hired and was not removed from the scheduled. The FBI Clearance in the file is dated 5/14/24. The file for staff person #3 who was hired as an assistant group supervisor oon (See LIS Code Sheet) lacked a disclosure statement.

Corrected by Oct 21, 2024

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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 #3 lacked a high school diploma or a general educational development certificate and 2 years experience with children.

Corrected by Oct 21, 2024

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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.

The file for staff person #1 lacked a health assessment that was conducted within 12 months prior to providing initial service in a childcare setting (See LIS Code Sheet). The health assessment in the file is dated 4/8/24 and the TB results were dated 4/10/24. The file for staff person #2 lacked a health assessment that was conducted within 12 months prior to providing initial service in a childcare setting (See LIS Code Sheet). The health assessment in the file is dated 11/21/22 and the TB results were dated 11/16/22. The file for staff person #3 lacked a health assessment that was conducted within 12 months prior to providing initial service in a childcare setting (See LIS Code Sheet). The health assessment in the file is dated 2/27/24 and the TB results were dated 2/29/24.

Corrected by Oct 21, 2024

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3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

A school-age child was kicked in the neck by another child and an incident report was not written for the injury to the child.

Corrected by Oct 21, 2024

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3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Staff #1 and #2 were observed supervising a group of 11 children, including 3 infants, 6 younger toddlers and 2 older toddlers at approximately 10:37 a.m. in the front room.

Corrected by Feb 5, 2024

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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.

In the rear room, on the Olive painted wall, across from the window is peeling paint.

Corrected by Feb 17, 2024

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

In the infant room, above the cribs are approximately 1-inch strips of clear tape which is accessible to children in the cribs posing a choking hazard.

Corrected by Jan 24, 2024

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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 #2 and Staff #3 lacked Emergency Plan Training in 2023 with the last training being dated: 11/2022. (SEE LIS CODE SHEET)

Corrected by Jan 29, 2024

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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 files for Staff #2 and Staff #4 lacked Fire Safety Training in 2023 with the last training dated: 12/2022. (SEE LIS CODE SHEET)

Corrected by Feb 26, 2024

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

In the Hallway, across from the Director's office, an electrical outlet was missing two (2) receptacle covers which was accessible to children 5 years of age or younger. In the rear room, on the Olive painted wall, in the rear of the room, across from the window an electrical outlet was missing two (2) receptacle covers which was accessible to children 5 years of age or younger.

Corrected by Jan 24, 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.

In the infant room, in an unlocked cabinet under the sink a Bottle of Windex "Multi-Surface" Disinfectant spray labeled "Keep Out of the Reach of Children" was accessible to children. In the infant room, under the diaper changing table was a tube of A & D Ointment labeled "Keep Out of Reach of Children" was accessible to children. In the rear room, in a box on top of the black three (3) drawer filing cabinet was a bottle of "Febreze Fabric Spray, labeled, "Keep Out of the Reach of Children" was accessible to children. In the rear room, in a black, unlocked, three (3) drawer filing cabinet in the rear of the room was a bottle of "Liquid Mucinex and Tylenol" labeled, "Keep Out of the Reach of Children" was accessible to children. In the rear room, in the second drawer of a black, unlocked, three (3) drawer filing cabinet the following "Keep Out of the Reach of Children" items were accessible to children: Purell Hand Sanitizer, two (2) packs of Unscented Baby Wipes, Clorox Disinfecting Spray and A & D Ointment.

Corrected by Jan 24, 2024

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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.

The first aid kit in the Infant Room lacked tweezers.

Corrected by Jan 25, 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.

In the infant room, the carpet under the wall mounted TV was observed to be fraying and its ends rolling upward posing a tripping hazard.

Corrected by Jan 24, 2024

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3270.82(d) · A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

In the rear room, along the Olive painted wall in the rear of the room was a "Potty Chair" which had a yellow substance, which appeared to be urine, was not emptied and sanitized.

Corrected by Jan 24, 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.

In the main room, on a wooden shelf, next to the "Circle Time" area is a Red, Plastic Art Tray which was missing a piece on the side and poses a cutting hazard.

Corrected by Jan 24, 2024

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3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

In the Infant Room, rest equipment lacked labels with the names of the specific children.

Corrected by Feb 26, 2024

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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 lacked the Health Insurance/MA Coverage and Health Insurance/MA Policy Number. (SEE LIS CODE SHEET)

Corrected by Feb 6, 2024

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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.

In the Infant room, the required Emergency Contact information lacked for a child receiving care in the space.

Corrected by Jan 24, 2024

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3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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 file for child #2 and child #4 contained an emergency contact form that was not updated within 6 months of the previous update. SEE LIS CODE SHEET)

Corrected by Jan 24, 2024

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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 file for Child #2 (YT) had an Updated Health Assessment, dated 01/2024, which is more than 12 months past the initial health assessment. (SEE LIS CODE SHEET)

Corrected by Feb 26, 2024

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3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 initial health assessment for Staff Person #6 dated 09/2023 is past the Staff Person #6's Date of Hire. (SEE LIS CODE SHEET)

Corrected by Feb 26, 2024

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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.

The initial health assessments on file for Staff #5 and Staff #8 does not include the results of a tuberculosis screening, due at hire. (See IS CODE SHEET)

Corrected by Mar 6, 2024

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3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The facility lacked an updated menu. The menu posted on the board is dated 01/05/2024.

Corrected by Feb 26, 2024

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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 Emergency Contact Form for Child #1 lacked a signature for "Consent for Minor First Aid." (SEE LIS CODE SHEET)

Corrected by Feb 29, 2024

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3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

Child Records are not kept in a locked cabinet behind a locked door which leaves confidential information vulnerable.

Corrected by Feb 27, 2024

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

Staff Person #1 (6 hours) #2 (3 hours) #3 (3 hours), #4 (3 hours) and #7 (0 hours) lacked a minimum of 12 hours of childcare training. (SEE LIS CODE SHEET)

Corrected by Jan 19, 2024

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3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Child #1 was injured at the facility on 07/21/2023. The facility and child files lacked a copy of the incident report and the parents of Child #1 were not given an incident report on the day of the incident.

Corrected by Aug 8, 2023

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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 two most recent Emergency Plan Trainings for Staff #3 were dated more than 12-months apart.

Corrected by Jan 18, 2023

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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 last two fire safety trainings in the file for Staff #1 and #3 are dated more than one year apart.

Corrected by Jan 18, 2023

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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 March 8, 2023 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.

Staff person #2--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training.

Corrected by Feb 13, 2023

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

The two most recent Child Abuse Clearances for Staff #1 and #3 were dated more than 60 months apart. The two most recent State Police Clearances for Staff #2 and #3 were dated more than 60 months apart. The two most recent FBI Clearances for Staff #2 were dated more than 60 months apart.

Corrected by Feb 24, 2023

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3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of childcare experience, education and training following the outset of service at the facility.

Mandated Reporter Training for staff #1 was dated more than 60 months ago.

Corrected by Feb 21, 2023

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

In the rear room, a surge protector under the teacher's desk, two protective receptacle covers were missing which was accessible to children five years of age or younger. In the rear room, a surge protector, on the floor in the back corner of the room, next to the bookcase and cubby, three protective receptacle covers were missing which was accessible to children five years of age or younger. In the infant room, a surge protector next to the crib, in the back right corner, five protective receptacle covers were missing which was accessible to children five years of age or younger.

Corrected by Feb 21, 2023

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3270.92(a) · Portable space heaters are not permitted.

In the infant room, a portable space heater was being used.

Corrected by Jan 13, 2023

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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.

The refrigerator, in the infant room, used for childcare was lacking an operating thermometer.

Corrected by Jan 14, 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.

Child file #1 (YT), #2 (OT) and #4 (OT) lacked a yearly Influenza shot for 2022 with no Letter of Exemption in the File.

Corrected by Feb 28, 2023

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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 initial health assessments for Child Files #1, #2 and #3 were more than 60 days from the first day of attendance at the facility.

Corrected by Feb 28, 2023

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

An exit from the infant room was blocked by a shelf.

Corrected by Jan 26, 2022

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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.

The file for child #1 lacks an agreement.

Corrected by Mar 17, 2022

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3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The file for child #3 lacks a fee amount.

Corrected by Mar 17, 2022

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

The file for children #3, #4, and #5 lack arrival and departure times.

Corrected by Mar 17, 2022

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

The file for child #1 lacks emergency contact information.

Corrected by Mar 17, 2022

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3270.27(c)/3270.192(2)(iii) · 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 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 #1 and #2 lack updated emergency plan training.

Corrected by Mar 4, 2022

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3270.31(e)(4)(i)/3270.192(2)(iii) · 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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #2 renewed staff's first aid and CPR late (after the date of expiration).

Corrected by Feb 17, 2022

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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.

The files for staff #1 and #2 lack evaluations.

Corrected by Mar 4, 2022

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3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Observed 4 infants, 2 young toddlers, 1 older toddler and 1 preschooler in the care of staff #1 on 1/25/22 at 10:45am.

Corrected by Jan 26, 2022

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3270.62(c) · Outdoor or indoor play space shall be safe for large muscle activity.

The indoor gym space couldn't be used for activity because it was being used for storage of day care equipment.

Corrected by Mar 4, 2022

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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.

Observed a cleaning product accessible to children under the bathroom sink in the preschool area.

Corrected by Jan 25, 2022

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3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

One window in the gym was not constructed, modified or adapted to limit the opening to 6 or fewer inches.

Corrected by Jan 26, 2022

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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 #5 lacks the name, address and telephone number of the child's physician or source of medical care.

Corrected by Mar 17, 2022

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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 files for children #4 an #5 lack the home and work addresses and telephone numbers of the enrolling parent.

Corrected by Mar 17, 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 files for children #3, #4, #5 lack health insurance information.

Corrected by Mar 17, 2022

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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 infant room did not have the appropriate emergency contact forms for the children in care in that room.

Corrected by Feb 18, 2022

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3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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 files for children #2, #4, and #5 lack signed parental permission for minor first aid and emergency medical care.

Corrected by Mar 17, 2022

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3270.131(e)(3)/3270.182(1) · 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).A child's record shall contain initial and subsequent health reports.

The files for children #1 and #5 lack immunizations.

Corrected by Feb 17, 2022

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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.

Observed diaper cream in a low area in the bathroom in the infant bathroom that were accessible to children.

Corrected by Jan 25, 2022

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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 files for children #1, #2, #4, #5 lack a health assessment. Child #1 has been in care more than 90 days.

Corrected by Mar 17, 2022

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