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Home › PA › Huntingdon › Nursery Rhymes Child Care Center
1700 Moore St, Huntingdon PA 16652 · License #CER-00243106 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.131(d)(7) · 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 health report for Child #1 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.
Corrected Corrected by Aug 13, 2025
Category: health medication. Marked corrected in the state record.
3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.
2nd citation. Previously cited on 7/9/25. Observed that a written statement giving the formula and feeding schedule for an infant was not obtained from the parents of some infants in the Infant/Young Toddler Room.
Corrected Corrected by Aug 12, 2025
Category: nutrition. Marked corrected in the state record.
3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.
Staff did not wash his hands after diapering a child in the Infant/Young Toddler Room. After diapering the child, staff used hand sanitizer.
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
Corrected Corrected by Jul 10, 2025
Category: health medication. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The file of Staff #1 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #1 contained a written evaluation dated 7/30/24 but did not contain one for 2023.
Corrected Corrected by Jul 21, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The file of Staff #2, who was designated as an assistant group supervisor, lacked documentation of 2 years' experience with children.
Corrected Corrected by Jul 21, 2025
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.
Observed Top Care Advanced Hand Sanitizer which indicated "keep out of the reach of children" on the sink by the changing tables in the Infant/Young Toddler Room which was accessible to children.
Corrected Corrected by Jul 9, 2025
Marked corrected in the state record.
3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.
The telephone number of the nearest hospital was not posted by each telephone in the facility.
Corrected Corrected by Jul 22, 2025
Category: physical safety. Marked corrected in the state record.
3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
Child #2 lacked child service reports completed at least every 6 months. Child #2 had service reports completed on 2/26/24, 9/1/24, and 2/12/25.
Corrected Corrected by Jul 21, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.
Observed that a written statement giving the formula and feeding schedule for an infant was not obtained from the parents of some infants in the Infant/Young Toddler Room.
Corrected Corrected by Jul 10, 2025
Category: nutrition. 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 emergency contact for Child #3 was not reviewed and updated at least once in a 6-month period. Child #3's emergency contact was signed on 8/13/24 and reviewed on 12/3/24.
Corrected Corrected by Jul 21, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.
The file of Child #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained health reports dated 7/19/24 and 10/24/24.
Corrected Corrected by Jul 15, 2025
Category: health medication. Marked corrected in the state record.
3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
The file of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained health reports dated 9/22/23 and 10/4/24.
Corrected Corrected by Jul 21, 2025
Category: health medication. Marked corrected in the state record.
3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.
The file of Child #3 contained a health report dated 10/24/24 which was not signed by a physician, physician's assistant or CRNP.
Corrected Corrected by Jul 21, 2025
Category: health medication. Marked corrected in the state record.
3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).
The file of Child #3, a 13-month-old, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #3 had documentation of 2 DTAP/DTP/TD immunizations and 2 Pneumococcal immunizations.
Corrected Corrected by Jul 15, 2025
Category: health medication. Marked corrected in the state record.
3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.
Staff did not ensure that a child's hands were washed after being diapered in the Infant/Young Toddler Room. After diapering the child, staff applied hand sanitizer to the child's hands.
Corrected Corrected by Jul 10, 2025
Category: health medication. 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.
The Director or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire were rotated around the facility for each drill such that the hypothetical location was never the same for consecutive drills.
Corrected Corrected by Jul 21, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.
The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. The operator provided documentation that local traffic safety authorities were notified on 5/1/24 and 6/2/25.
Corrected Corrected by Jul 10, 2025
Marked corrected in the state record.
3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.
2nd citation. Previously cited on 7/24/24. On 8/28/24 observed embedded equipment in the preschool/school-age outdoor play space with approximately 6 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.
Corrected Corrected by Sep 6, 2024
Category: physical safety. Marked corrected in the state record.
3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.
On 7/24/24 the hot water temperature at the first sink in the girls' bathroom was 111 degrees. On 7/24/24 the hot water temperature at the 2nd sink in the girls' bathroom was 113 degrees.
Corrected Corrected by Jul 30, 2024
Category: physical safety. Marked corrected in the state record.
3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.
The files of Staff #4, #6, and #7 lacked documentation of training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The files of Staff #4, #6, #7 contained no documentation of emergency plan training.
Corrected Corrected by Aug 16, 2024
Category: recordkeeping. Marked corrected in the state record.
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 letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Aug 16, 2024
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 #3 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The most current certification on file was dated 9/15/21.
Corrected Corrected by Aug 1, 2024
Category: ratio. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.
The file of Staff #9 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional (SEE LIS Code Sheet). The file of Staff #9 contained documentation of fire safety training being conducted on 6/12/24 with previous training conducted on 8/17/22.
Corrected Corrected by Aug 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
On 7/24/24 observed 2 foam blocks with bite marks in the Preschool Room.
Corrected Corrected by Jul 30, 2024
Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff persons #2, #5, #7, #9, #10, #11, and #12 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff persons #2, #5, #7, #9, #10, #11, and #12 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 #2, #5, #7, #9, #10, #11, and #12, staff persons #2, #5, #7, #9, #10, #11, and #12 may not work in a child-care position at the facility.
Staff persons #2, #5, #7, #9, #10, #11, and #12 have 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 Aug 1, 2024
Category: supervision. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 8 and #11 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #8 and #11 may not work in a child care position at the facility.
The file of Staff #3 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #3 was not the one updated in 2020. The file of Staff #4 lacked a State Police Clearance and lacked application for the DHS FBI Clearance and National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #4 contained a State Police Clearance dated 11/16/24. The file of Staff #4 contained a fingerprint receipt for the FBI Clearance dated 11/16/23 with an FBI Clearance dated 11/20/23. The file of Staff #4 contained a NSOR request date of 11/16/24 with a NSOR dated 11/20/23. The file of Staff #4 lacked a dated disclosure statement. The file of Staff #6 lacked a dated disclosure statement. The file of Staff #7 lacked a dated disclosure statement. The file of Staff #8 lacked a valid State Police Clearance because it did not have a "disseminated on" date. The file of Staff #10 lacked a dated disclosure statement. The file of Staff #11 lacked a valid Child Abuse Clearance. The file of Staff #11 contained a volunteer Child Abuse Clearance dated 11/12/23. The file of Staff #11 lacked a witnessed and dated disclosure statement. The file of Staff #12 lacked a witnessed and dated disclosure statement.
Corrected Corrected by Aug 23, 2024
Category: background checks. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The files of Staff #8 and #9 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The files of Staff #8 and #9 did not contain evaluations.
Corrected Corrected by Aug 26, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.35(b)(1) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.
The file of Staff #1 contained a Bachelor of Arts degree, but the file did not contain documentation if the degree was in early childhood education, child development, special education, elementary education or the human services field.
Corrected Corrected by Jul 30, 2024
Category: supervision. Marked corrected in the state record.
3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.
The files of Staff #4 and #11, who were designated as an assistant group supervisors, lacked documentation of 2 years experience with children.
Corrected Corrected by Jul 30, 2024
Category: supervision. Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
On 7/24/24 observed a splintering/cracked board on the 2nd step of the climber in the preschool/school-age outdoor play space. On 7/24/24 observed rust on the handle of the boat on the climber in the preschool/school-age outdoor play space. On 7/24/24 observed approximately a 4 inch tear on the divider wall in the Toddler 2 Room.
Corrected Corrected by Jul 30, 2024
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.
On 7/24/24 observed peeling paint on the handle of the boat on the climber in the preschool/school-age outdoor play space.
Corrected Corrected by Jul 30, 2024
Category: physical safety. Marked corrected in the state record.
3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.
On 7/24/24 the sink in the Toddler 1 Room did not have platforms or steps to be easily approached.
Corrected Corrected by Jul 30, 2024
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.
The 2nd sink in the bathroom located by the kitchen area lacked a handwashing sign. The 2nd sink in the girls' bathroom lacked a handwashing sign. The sink in the boys' bathroom lacked a handwashing sign.
Corrected Corrected by Jul 30, 2024
Category: health medication. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
On 7/24/24 observed 3 torn rest mats with exposed foam in the Preschool Room.
Corrected Corrected by Jul 30, 2024
Category: physical safety. Marked corrected in the state record.
3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.
On 7/24/24 observed embedded equipment in the preschool/school-age outdoor play space with approximately 1 inch of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.
Corrected Corrected by Jul 31, 2024
Category: physical safety. Marked corrected in the state record.
3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.
On 7/24/24 observed a dramatic play cabinet which was not anchored creating a potential tipping hazard in the Preschool Room.
Corrected Corrected by Jul 30, 2024
Category: physical safety. Marked corrected in the state record.
3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.
The files of Children #1, #2, #3, and #4 contained the original agreement. The facility did not make a copy for the file and give the original to the parent.
Corrected Corrected by Aug 2, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(4) · Emergency contact information must include the written consent signed by a parent for emergency medical care.
The file of Child #1 lacked written consent signed by a parent for emergency medical care prior to admission. Child #1 had an admission date of 9/5/23 with an emergency contact form signed on 9/8/23.
Corrected Corrected by Aug 2, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
The file of Child #5 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #5 contained a health report dated 9/22/23 with a previous one dated 8/18/22.
Corrected Corrected by Aug 16, 2024
Category: health medication. Marked corrected in the state record.
3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.
Staff indicated they are not washing mobile children's hands until the age of 2 with running water before meals and snacks, after toileting, and after being diapered.
Corrected Corrected by Jul 30, 2024
Category: health medication. Marked corrected in the state record.
3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The agreement for Child #2 was not reviewed and updated at least once in a 6-month period. Child #2's agreement was signed on 5/24/23 and reviewed on 12/7/23 and 6/17/24. The emergency contact and agreement for Child #4 were not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was reviewed on 5/24/23, 12/7/23, and 6/6/24. Child #4's agreement was reviewed on 5/24/23, 12/7/23, and 6/3/24. The emergency contact and agreement for Child #5 were not reviewed and updated at least once in a 6-month period. Child #5's emergency contact t was reviewed on 5/23/23, 12/7/23, and 6/4/24. Child #5's agreement was reviewed on 5/23/23 and 12/7/23.
Corrected Corrected by Aug 2, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
The file of Child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission. Child #1 had an admission date of 9/5/23 with an emergency contact form signed on 9/8/23.
Corrected Corrected by Aug 2, 2024
Category: ratio. Marked corrected in the state record.
3270.182(8) · 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.
It was observed that an agreement was not on file at the date of enrollment. Child #3's date of admission was 1/8/24 with an agreement dated 1/10/24.
Corrected Corrected by Aug 2, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.27(a)(6)/3270.27(f) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.
The facility created an emergency drill log, but it did not address the names of facility persons, special accommodations the facility used for any category of children, and the total number of adults and children participating in the drill
Corrected Corrected by Jul 30, 2024
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.
The Director or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire were rotated around the facility for each drill such that the hypothetical location was never the same for consecutive drills.
Corrected Corrected by Jul 30, 2024
Category: recordkeeping. 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.
The red shed in the outdoor play area was observed to be infested with bees on the left side door.
Corrected Corrected by Jul 25, 2023
Category: health medication. 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.
Tape was observed to be missing from the facility First Aid Kit in Nursery 1.
Corrected Corrected by Jul 24, 2023
Category: health medication. Marked corrected in the state record.
3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.
It was observed in the bathrooms located by the kitchen the left stall and right stall toilets had exposed bolts.
Corrected Corrected by Sep 5, 2023
Marked corrected in the state record.
3270.123(a)(6) · An agreement shall specify the date of the child's admission.
The agreement on file for Child #1 was observed not to specify the date of the child's admission.
Corrected Corrected by Sep 5, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.
It was observed on the day of inspection that the office door was not locked containing the child's files.
Corrected Corrected by Sep 5, 2023
Category: recordkeeping. 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.
It was observed that the outdoor shed had exposed nails on the left corner of the double doors.
Corrected Corrected by Sep 1, 2022
Category: physical safety. Marked corrected in the state record.
3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.
The toilet in the back bathrooms near the kitchen area lacked a hand washing sign. It was also observed that the boys bathroom in the hallway lacked a hand washing sign.
Corrected Corrected by Sep 1, 2022
Category: health medication. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
It was observed a cracked compost bin located in the outdoor play area, exposing children in care to rough edges, sharp corners and pinch and crush points.
Corrected Corrected by Sep 1, 2022
Category: physical safety. 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 on file for Child #1 was observed not to contain release person's street address number.
Corrected Corrected by Sep 1, 2022
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 health report on file for children #2, #3, #4 did not contain documentation of an influenza shot being administered within the last year in accordance with the recommendations of the ACIP.
Corrected Corrected by Sep 1, 2022
Category: health medication. 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.
The facility fire drill log showed that the facility did not conduct fire drills every 60 days. This is evidenced by there being a gap of more than 60 days from 9/14/21 to 12/21/21.
Corrected Corrected by Sep 1, 2022
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).
Staff person #1 had a documented start date of child care of 6/21/21. NSOR clearance is dated 7/1/21. There was no proof of applying for NSOR before date of employment.
Corrected Corrected by Oct 7, 2021
Category: background checks. 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.
An outlet cover on the radiator located under the air conditioner in the preschool classroom was observed to be missing.
Corrected Corrected by Oct 7, 2021
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.
It was observed that laundry detergent was located on the sink basin beside the stackable washer and dryer. The laundry detergent was labeled "Keep out of Reach of Children" and was accessible to the children.
Corrected Corrected by Oct 7, 2021
Marked corrected in the state record.
3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.
On the day of inspection it was observed that cleaners were located on top of the refrigerator in the kitchen.
Corrected Corrected by Oct 7, 2021
Category: ratio. Marked corrected in the state record.
3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.
It was observed that a waste receptacle located in the Toddler 2 classroom and the Preschool classroom was not lidded. The waste observed to be in the receptacle included used tissues that contained human secretions.
Corrected Corrected by Oct 7, 2021
Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
The first aid kit in the outdoor toddler play space was observed to be hanging on the fence post and was accessible to the children.
Corrected Corrected by Oct 7, 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.
It was observed that the outdoor shed had exposed nails and splintering wood on the left corner of the double doors. It was also observed that the double doors on the shed are rotting and splintering. A piece of the baseboard on a column in the young toddler space was detached from the column in one area.
Corrected Corrected by Oct 7, 2021
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.
It was observed in the outdoor play space; the green adult bench by the back fence had peeling paint. It was observed that the top step of the climbing playset had peeling paint.
Corrected Corrected by Oct 7, 2021
Category: physical safety. Marked corrected in the state record.
3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.
The sink near the washing machine and dryer in the kitchenette room lacked a hand washing sign.
Corrected Corrected by Oct 7, 2021
Category: health medication. Marked corrected in the state record.
3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.
It was observed that a crib in the infant room was blocking the door for means of egress.
Corrected Corrected by Oct 7, 2021
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.
It was observed that the gas tank on the blue Little Tikes car in the outside toddler play space was broken. The container holding the starburst blocks in the young toddler room was cracked exposing rough edges and sharp corners. In the preschool classroom it was also observed that wooden puzzle pieces were broken causing splintering and magnetic blocks were cracked exposing sharp edges. The wooden kitchen set in the middle of the preschool classroom had a broken handle on the refrigerator door. It was observed in the preschool class the stethoscope ear piece was missing causing sharp exposed edges. The blue bean bag chair in the preschool classroom was torn.
Corrected Corrected by Oct 7, 2021
Category: physical safety. Marked corrected in the state record.
3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
It was observed that plastic bags were located in the recycle bin on the floor in the kitchen accessible to children. Plastic bags should not be accessible to children who are still placing objects in their mouths. It was observed that large foam blocks were in the Toddler 2 classroom. The bitten off foam pieces posed a choking hazard.
Corrected Corrected by Oct 7, 2021
Category: physical safety. Marked corrected in the state record.
3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.
It was observed that a blue bean bag seat under the wooden crawl tunnel. The bean bag posed a suffocation hazard to the infant and young toddlers who were occupying the young toddler space.
Corrected Corrected by Oct 7, 2021
Category: physical safety. Marked corrected in the state record.
3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
There were sample packets of non-aspirin medication and first aid ointment medication in the first aid kit in the kitchenette room that were not labeled for individual use.
Corrected Corrected by Oct 7, 2021
Category: health medication. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
Staff person #2 had a documented start date of 7/12/21 and a Health Assessment dated for 7/16/21.
Corrected Corrected by Oct 7, 2021
Category: ratio. Marked corrected in the state record.
3270.151(c)(2) · 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.
Staff person #1, with a start date of 6-21-22, lacked a TB Test. Staff person #2, with a start date of 7-12-21, had a TB test dated 7-18-21.
Corrected Corrected by Oct 7, 2021
Category: health medication. Marked corrected in the state record.
3270.61(e) · Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms.
The space identified as the Kitchen / SA Activity room includes a kitchen with a stove. There is a barrier around the kitchen area however it is not a full wall and so cannot be considered a separate room from the child care space. Child care space cannot include a kitchen with stove.
Corrected Corrected by Jun 7, 2021
Category: physical safety. Marked corrected in the state record.
3270.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.
On the outdoor play space in the area designated for the toddlers, there are areas where wood chips less than one inch in size are accessible to the children.
Corrected Corrected by Jun 7, 2021
Category: physical safety. Marked corrected in the state record.
3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
A first aid kit containing individual packets of antibiotic ointments, first aid/burn cream, sting relief, antiseptic pads, and eye wash was present in the facility. The medications were not labeled with the name of the child for whom the medication is intended.
Corrected Corrected by Jun 4, 2021
Category: health medication. Marked corrected in the state record.