3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The parent letter did not explain the facility's lockdown procedure and plan to provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jan 20, 2025

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

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Staff #2 renewed their certification in pediatric first aid and CPR on 6/19/2024, following the expiration of their previous certification on 3/31/2022.

Corrected Corrected by Jan 17, 2025

Category: ratio. Marked corrected in the state record.

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

Staff #5 and #6 completed PD in pediatric first aid and CPR on 6/13/2024, more than 90 days following their first day working in child care.

Corrected Corrected by Jan 17, 2025

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #6 may not work in a child care position at the facility.

The record for staff #1 included a current child abuse clearance dated 10/1/2024, which was more than 60 months following their previous clearance dated 9/25/2019. The record for staff #4 included a current state police clearance dated 9/25/2024, which was more than 60 months following their previous clearance dated 8/21/2019 and a current child abuse clearance dated 9/25/2024, which was more than 60 months following their previous clearance dated 5/16/2019. The record for staff #6, included a current child abuse clearance dated 1/18/2024, FBI clearance dated 1/24/2024 and NSOR clearance dated 1/22/2024, which was following their first day working in child care; and lacked out of state clearances from the state they resided in within the past 5 years. The record for staff #7 included a current FBI clearance dated 11/29/2023, which was more than 60 months following their previous clearance dated 10/9/2018.

Corrected Corrected by Jan 17, 2025

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

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

Staff #4 completed mandated reporter training on 9/25/2024, more than 60 months following the date of their previous training on 8/23/2019.

Corrected Corrected by Jan 17, 2025

Category: recordkeeping. 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.

A handwashing sign was not posted at one of the toilets in the boys bathroom on the 1st floor and at one of the sinks in the boys and girls bathrooms on the 2nd floor.

Corrected Corrected by Jan 17, 2025

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

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

The record for child #1, a preschool child, lacked a current health report. The record for child #2, a preschool child, included a current health report dated more than 12 months following the date of their previous health report.

Corrected Corrected by Jan 17, 2025

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The record for staff #3 and #7 included a current health assessment dated more than 24 months following the date of their previous health assessment. The record for staff #6 included a current health assessment dated following their first day working in child care.

Corrected Corrected by Jan 17, 2025

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The record for staff #8 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jan 17, 2025

Category: recordkeeping. Marked corrected in the state record.

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

According to staff statements and documentation including pictures, it was determined that staff person #1 pulled child #1 out from under a table by their legs resulting in brush burns/red marks on the child's back. The incident was self-reported by the operator.

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The file for staff person #2 had current pediatric first-aid/CPR training with a completion date of 6-19-24 that was after the March 2024 expiration of the prior training.

Corrected Corrected by Oct 4, 2024

Category: ratio. Marked corrected in the state record.

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

Staff person #1 completed the following required pre-service training on 6-13-24 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.

Corrected Corrected by Oct 4, 2024

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

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

There was documentation of testing of the interconnected fire detection system by a fire safety professional dated 8-4-23. Documentation of a current test of the interconnected fire detection system within the last year was not on file at the facility.

Corrected Corrected by Oct 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

A soiled pull up was observed in an unlined trash can in the preschool restroom.

Corrected Corrected by Jan 31, 2024

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

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 child care experience, education and training following the outset of service at the facility.

The file for staff #2 contained documentation of mandated reporter training dated more than 60 months apart; 5/25/18 and 6/02/23. Current training is now on file.

Corrected Corrected by Jan 17, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff #5 did not contain documentation of applying for a DHS FBI clearance on or before their hire date. A valid DHS FBI clearance, dated 11/22/2023, is now on file. (SEE LIS CODE SHEET)

Corrected Corrected by Jan 17, 2024

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

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

The file for staff #3, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the experience required for the position.

Corrected Corrected by Jan 31, 2024

Category: supervision. Marked corrected in the state record.

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.

Several containers of Clorox wipes, labeled keep out of reach of children, were observed to be accessible to children in an unlocked gray cabinet at the top of the front set of stairs.

Corrected Corrected by Jan 31, 2024

Marked corrected in the state record.

3270.66(e) · Arts and crafts materials shall be nontoxic.

Barbasol shaving cream, labeled keep out of reach of children was observed in room 12. Based on statements made by staff, the shaving cream has been used by the children during sensory activities.

Corrected Corrected by Jan 31, 2024

Marked corrected in the state record.

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

Two first aid kits were accessible to children in the downstairs preschool room; one was observed in the bottom unlocked drawer of the sign in desk, the 2nd was observed in the emergency bag which was sitting in a stack of laundry baskets near the nap room.

Corrected Corrected by Jan 31, 2024

Category: health medication. 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.

A handwashing sign was not posted at the rear toilet in the preschool restroom.

Corrected Corrected by Jan 31, 2024

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

3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Several pairs of Colorations brand, blue blunt tip scissors were observed to be accessible to preschoolers in the Fellowship Hall. Based on the manufacturer's description, the scissors are intended for ages 5+ and grades KG+.

Corrected Corrected by Jan 31, 2024

Category: ratio. 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.

A pinch point was observed on a child size gray chair in the downstairs preschool room. The back rest of the chair was not secured tightly to the frame.

Corrected Corrected by Jan 31, 2024

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form for child #1 did not include the work telephone number of the enrolling parent.

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The files for children #1 and #3 contained health reports dated more than 12 months apart. Current health reports are now on file for both children.

Corrected Corrected by Jan 31, 2024

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.

An Albuterol inhaler, which was not labeled with the child's name, was observed in a belted nylon carrier labeled for child #4.

Corrected Corrected by Jan 31, 2024

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff #1 contained consecutive health assessments conducted more than 24 months apart. The most recent health assessment on file is now current.

Corrected Corrected by Jan 31, 2024

Category: ratio. Marked corrected in the state record.

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Documentation of the fire drills did not include the names of all staff participating in the drill. Only names of staff leading the drill were documented.

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. 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.

The file for staff #4 contained documentation of completing 9 of the 12 required annual training hours on time between December 2021 and December 2022. Three additional hours were completed late. The file is now current.

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. Marked corrected in the state record.

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

On 1/03/23, staff #1 placed her hands on both sides of a school age child's face while yelling at the child.

Corrected Corrected by Feb 10, 2023

Marked corrected in the state record.

3270.113(c) · 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.

On 1/03/23, staff #1 placed her hands on both sides of a school age child's face while yelling at the child.

Corrected Corrected by Feb 10, 2023

Marked corrected in the state record.

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

Approximately 6-8 inches of dirty water was observed in a rolling mop bucket in the gym/cafeteria.

Corrected Corrected by Jan 31, 2023

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

3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. 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 #7 contained documentation of participating in fire safety training at an interval greater than 12 months. The trainings were completed on 7/27/21 and 8/10/22.

Corrected Corrected by Jan 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The file for staff #8 contained documentation of completing pediatric CPR/FA 120 days after their date of hire (See LIS code sheet). The training was completed on 3/15/22.

Corrected Corrected by Jan 31, 2023

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

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.Staff person #10 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff person #10 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Jan 31, 2023

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

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

The file for staff #11 contained an FBI clearance and mandated reporter training which were not updated within 60 months. The FBI clearance was previously obtained on 8/05/15 and was updated on 12/15/21. Mandated reporter training was previously completed 6/03/16 and was updated on 7/07/22.

Corrected Corrected by Jan 31, 2023

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

3270.61(h)(2)(ii) · When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space each time period shall be designated on the facility's schedule of daily activities.

The nap room was observed to be over capacity on 12/16/22 and 1/09/23 during circle time. The nap room has a measured capacity of 11. The time period that the room would be over capacity was not designated on the schedule.

Corrected Corrected by Jan 31, 2023

Category: ratio. Marked corrected in the state record.

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

Two electrical outlets lacking protective caps were observed in room 9 and room 12.

Corrected Corrected by Jan 31, 2023

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.

A broken window was observed in room 12. Although the window is inaccessible to children, the cracks can be felt on the inside of the glass, there is significant spider webbing and the window sill is also used as a shelf. There is the potential for something to bump the cracked glass causing further breakage.

Corrected Corrected by Jan 31, 2023

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Peeling paint was observed on the fence surrounding the outdoor play space in the following areas; to the right of the storage shed, the section along the road, and the section along the neighboring residence.

Corrected Corrected by Jan 31, 2023

Category: physical safety. 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.

At approximately 9:15am on 12/16/22, 15 preschoolers and 4 staff were observed in the nap room. When asked to name their primary care groups , staff #3 named 2 children, staff #6 named 5 children, staff #12 named 4 children, and Staff #13 named 3 children. Staff in the room named 14 children leaving 1 child, child #5, unnamed. Staff #5 was assigned to child #5, but staff #5 was out of the room assisting another child in a restroom.

Corrected Corrected by Jan 31, 2023

Category: supervision. Marked corrected in the state record.

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 and #3 contained emergency contact information and agreements which were not updated within 6 months. Both files now contain current documents.

Corrected Corrected by Jan 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #4 contained an immunization record which lacked documentation of receiving the influenza vaccine after 11/19/19. A written exemption was not on file.

Corrected Corrected by Jan 31, 2023

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

3270.131(e)(2)(ii) · Exemption from immunization for reasons of medical need must be documented by a written, signed and dated statement from the child's physician, physician's assistant or CRNP. The statement shall be kept in the child's record.

The file for child #1 contained a medical exemption for the influenza vaccine written by the parent instead of the child's physician.

Corrected Corrected by Jan 31, 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.

The files for staff #1, #2, #3, #4, #7, #9, and #11 contained health assessments which were not updated within 24 months. The file for staff #6 contained an initial health assessment conducted after their first day in a child care position. The most recent health assessments on file are now current. The file for staff #6 contained a TB screening which was conducted more than 12 months prior to their first day in a child care position and is therefore not valid.

Corrected Corrected by Jan 31, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)(ii) · A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

The file for staff #5 contained a positive TB screening, but did not include the results of a chest x-ray and evaluation for chemoprophylaxis.

Corrected Corrected by Jan 31, 2023

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 shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Consecutive drills conducted on 12/09/21 and 2/02/22 were 63 days apart.

Corrected Corrected by Jan 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Four consecutive drills indicated the same hypothetical location. The location was listed as "School" for drills on 12/09/21 and 2/02/22, then again for drills on 8/12/22 and 10/14/22.

Corrected Corrected by Jan 31, 2023

Category: recordkeeping. 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.

The file for staff #4 contained 8 of the 12 required hours of annual training. The file for staff #11 did not contain any annual training hours.

Corrected Corrected by Jan 31, 2023

Category: recordkeeping. Marked corrected in the state record.

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 front activity room lacked scissors.

Corrected Corrected by Dec 22, 2021

Category: health medication. 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.

There was a brown plastic shed against the fence with a hole on the left wall. The hole was approximately 6-8" and created a sharp edge. The poured in place rubber ground surface in the play yard has holes & is deteriorating away from other sections of ground surface material, creating a tripping hazard .

Corrected Corrected by Jan 31, 2022

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was peeling paint on the purple wall of the Nap room by the shelf.

Corrected Corrected by Jan 31, 2022

Category: physical safety. 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.

There were 18 children in the main classroom and 5 staff. Staff #1 claimed 4 children, Staff #2 claimed 6 children age 3 and 4. Staff #3 claimed 2 children ages 3 and 4. Staff #4 & 5 did not claim responsibility for any children. 6 children ages 3 and 4 were not claimed by a staff and had not been assigned to a specific staff member.

Corrected Corrected by Jan 5, 2022

Category: supervision. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form for child #2 and 5 lacked home and work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Jan 31, 2022

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.

The emergency contact form for child # 6 and 8 lacked the child's health insurance policy number.

Corrected Corrected by Jan 31, 2022

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.

The emergency contact form for child # 2, 4, 5, and 6 lacks the address and phone number for the listed release persons.

Corrected Corrected by Jan 31, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for child #1 was not present in the nap room where the child was receiving care.

Corrected Corrected by Jan 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)/3270.131(e)(1) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for Child #2,5,6 and 9 lacks documentation of a current influenza immunization as recommended by the ACIP.

Corrected Corrected by Jan 31, 2022

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