3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric CPR/First Aid and Part One of the Heatlh and Safety training.

Corrected Corrected by May 29, 2025

Category: supervision. 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.

The 30-day fire detection log on file contains dates of testing of 1/21/25 and 2/21/25, which are more than 30 days between testings.

Corrected Corrected by May 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility.

The file for Staff Person #1 contains an application for a NSOR certificate dated 11/14/24, but does not contain a NSOR certificate received 45 days after hire (see LIS code sheet). The signed disclosure statement on file for Staff Person #1 is lacking a date when it was signed making it invalid.

Corrected Corrected by Mar 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.37(b) · An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3).

The file for Staff Person #1 who qualified as an aide was lacking a high school diploma, or documentation of an 8th grade education with 2 years experience.

Corrected Corrected by Mar 3, 2025

Category: recordkeeping. 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.

It was observed in the blue preschool room that there were electrical outlets that were lacking protective coverings.

Corrected Corrected by Mar 3, 2025

Marked corrected in the state record.

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

There was a child's medicine in the preschool room that expired on 8/2024, and was therefore not in accordance with the manufacturer's original label.

Corrected Corrected by Mar 3, 2025

Category: health medication. 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 file for Staff Person #1 was lacking one of the two required nonfamily references attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Mar 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The health assessment for Staff Person #4 does not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Sep 22, 2024

Category: health medication. 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.

There was a bag of goldfish in the closet of the blue preschool room that was observed to be on the same shelf as sunscreens.

Corrected Corrected by Sep 5, 2024

Category: ratio. 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 two most recent emergency plan trainings for Staff Person #1 are dated 10/31/22 and 6/29/24 which are more than 12 months apart.

Corrected Corrected by Sep 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The two most current fire training certificates on file for Staff Person #6 are dated 1/26/23 and 2/5/24 which are more than 12 months apart.

Corrected Corrected by Sep 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 may not work in a child care position at the facility.

The two most recent State Police Clearances for Staff Person #2 are dated 4/18/18 and 7/24/23 which are more than 60 months apart. The file for Staff Person #3 does not contain a NSOR certificate received within their provisional hire window. (See LIS code sheet for hire date.)

Corrected Corrected by Sep 5, 2024

Category: background checks. 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.

There was a cracked blue bin on the shelf in the young toddler room with sharp edges that could cause injury.

Corrected Corrected by Sep 5, 2024

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

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

The emergency contact form on file for Child #1, Child #2, Child #3, Child #4 and Child #6 were lacking the address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Sep 22, 2024

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

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

The emergency contact for on file for Child #2 was lacking the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Sep 22, 2024

Category: recordkeeping. 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 #4 was lacking the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Sep 22, 2024

Category: recordkeeping. 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 form and fee agreement form on file for Child #3 lacked a 6-month update.

Corrected Corrected by Sep 22, 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 most recent health assessment on file for Child #1 is dated 7/7/22, Child #3 is dated 7/11/23 and Child #4 is dated 8/29/23 all dated over 12 months ago.

Corrected Corrected by Sep 23, 2024

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

3270.192(3) · 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 two most recent health assessments on file for Staff Person #2 are dated 12/7/21 and 3/12/24 more than 24 months apart.

Corrected Corrected by Sep 22, 2024

Category: health medication. 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 Person #5 completed the following required pre-service training after 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid/CPR training. The certificate on file is dated 3/14/24

Corrected Corrected by Sep 22, 2024

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

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The health assessment on file for Child #5 is dated 8/21/24. which is more than 60 days after enrollment (see LIS code sheet).

Corrected Corrected by Sep 22, 2024

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

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

The toddler diapering areas intermittently lacked a fully functional source of running water for hand washing between 11/27/23 and 12/08/23. Based on statements made by staff, hand sanitizing wipes were occasionally used by both staff and children in lieu of running water during this time.

Corrected Corrected by Feb 6, 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.

Based on statements made by staff, children intermittently used hand sanitizing wipes in lieu of running water to wash hands after toileting or being diapered between 11/27/23 and 12/08/23.

Corrected Corrected by Feb 6, 2024

Category: health medication. 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.

Based on statements made by staff, staff intermittently used hand sanitizing wipes in lieu of running water to wash hands after assisting children with toileting and/or diapering children between 11/27/23 and 12/08/23.

Corrected Corrected by Feb 6, 2024

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The PA Health and Safety professional development training update on file for Staff #1 is dated 8/1/23, Staff #2 is dated 7/18/23, Staff #6 is dated 8/3/23, Staff #7 is dated 8/2/23, Staff #8 is dated 3/31/23, Staff #9 is dated 8/1/23, Staff #13 is dated 7/17/23, Staff #14 is dated 7/30/23, and Staff #15 is dated 3/26/23 all after the deadline of 12/30/22. Staff #3 and Staff #10's file did not contain the PA Health and safety professional development training update.

Corrected Corrected by Sep 14, 2023

Category: ratio. 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 #14 included verification of First aid/CPR certificate dated 8/5/23 which was obtained after the expiration date of the previous training which was dated 7/5/22.

Corrected Corrected by Aug 30, 2023

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 #5, #11 and #12 will have 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person #5, #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 person #5, #11, and #12, staff person #5, #11, and #12 may not work in a child-care position at the facility.

The file for staff person #4 contains a pediatric First Aid/CPR certificate dated 8/5/23 which is more than 90 days after hire date (see LIS code sheet). Staff person #5 has not completed the following required pre-service training within 90 days of hire (see LIS code sheet): Get started with Center-Based Care: Building Blocks for Quality Revised. Staff person #11 and #12 has not completed the following required pre-service training within 90 days of hire (see LIS code sheet): Pediatric First Aid/CPR.

Corrected Corrected by Sep 14, 2023

Category: supervision. Marked corrected in the state record.

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

The file for staff person #5 did not contain documentation of application or a current NSOR certificate prior to date of hire (see LIS code sheet). The file for staff person #11 included a NSOR certificate dated 8/16/23, more than 45 days after hire (see LIS code sheet). The file for Staff person #3 includes State Police Clearances dated 4/3/18 and 7/24/23; Child Abuse Clearances dated 2/6/18 and 7/25/23; and FBI Clearances dated 4/5/18 and 8/1/23, all more than 60 months apart. The file for Staff person #6 includes State Police Clearances dated 4/6/18 and 7/24/23; Child Abuse Clearances dates 4/6/18 and 6/5/23 and FBI Clearances dated 4/9/18 and 6/9/23, all more than 60 months apart. The file for staff person #12 contains a FBI clearance dated 4/26/23 which was after hire date (see LIS code sheet).

Corrected Corrected by Sep 14, 2023

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).

The two most recent mandated reporter training certificates on file for staff person #2 are dated 7/10/18 and 7/19/23, for staff person #3 are dated 6/12/18 and 7/24/23, for staff person #6 are dated 4/27/18 and 8/1/23, and for staff person #7 are dated 11/22/17 and 7/25/23, all more than 60 months apart.

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. 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.

In the corner of the green toddler room behind the bookshelf there were two electrical outlets without protective receptacle covers accessible to children 5 years of age or younger.

Corrected Corrected by Aug 30, 2023

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.

There were toxic cleaning materials on top of the refrigerator in the kitchen, that were not being stored in a closed bin. If knocked over the cleaning material could have contaminated the food in the refrigerator.

Corrected Corrected by Aug 30, 2023

Category: ratio. 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.

In the bathroom in the blue room there was not a handwashing sign above the toilet.

Corrected Corrected by Aug 30, 2023

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

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

The emergency contact form on file for child #2 does not contain the enrolling parents work address or work phone number.

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact form on file for child #2 does not include information on the child's special needs which is needed in an emergency situation.

Corrected Corrected by Aug 30, 2023

Category: health medication. 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 file for Child #3, Child #5, and Child #7 does not include a 6-month parental review signature for the emergency contact or the fee agreement.

Corrected Corrected by Aug 31, 2023

Category: recordkeeping. 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 immunization record on file for Child #3, Child #4, and Child #5 does not include an annual influenza vaccination. The immunization record on file for Child #4 include 2 of 3 Rotavirus vaccines recommended by the ACIP for a child of this age, 3 of 4 DTAP vaccines recommended by the ACIP for a child of this age, 3 of 4 HIB vaccines recommended by the ACIP for a child of this age, and 0 of 2 of the Hepatitis A vaccines recommended by the ACIP for a child of this age.

Corrected Corrected by Aug 31, 2023

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

3270.131(e) · 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 files for Child #1, Child #3, Child #4, and Child #6 all lacked written verification of immunizations within 60 days of enrollment.

Corrected Corrected by Aug 30, 2023

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

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

There was a child's inhaler in the yellow school age room that had an expiration date of 10/2022, which was not in accordance with the manufacturer's instructions.

Corrected Corrected by Aug 30, 2023

Category: ratio. Marked corrected in the state record.

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

There was a prescription medication in the orange room for a specific child which did not have written parental permission to administer.

Corrected Corrected by Aug 30, 2023

Category: ratio. Marked corrected in the state record.

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 2 most recent health assessments for Staff person #9 are dated 2/26/21 and 7/31/23 which are more than 24 months apart.

Corrected Corrected by Aug 30, 2023

Category: ratio. 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.

The fire detection system 30-day test log includes test dates of 8-11-22 to 9-13-22 and 9-13-22 to 10-31-22 which are more than 30 days apart.

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The intial health assessement for Child #1 is dated 6/23/23, for Child #3 is dated 7/27/23, Child #4 is dated 3/16/23 and Child #6 is dated 6/23/23 all more than 60 dates after their enrolled date (see LIS code sheet).

Corrected Corrected by Aug 30, 2023

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.Conditions at the facility may not pose a threat to the health or safety of the children.

A review of the emergency plan revealed that it lacks plans for volunteer training, practice drills, and for continuity of operations which were required by 07/01/22.

Corrected Corrected by Oct 28, 2022

Category: ratio. 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 person #4 (see IS code sheet) contains an NSOR dated more than 45 days after staff person #4 began in a child care taking position. The state police clearance on file for staff person #7 is missing a disposition, making it incomplete.

Corrected Corrected by Oct 28, 2022

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 file for staff persons #1 and #2 contain evaluations which are dated in an interval greater than 12 months.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Observed two exposed bolts in the outdoor grassy gross motor space: on on the upper gate and one in the back left corner.

Corrected Corrected by Oct 28, 2022

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 file for child #5 contains emergency contact information which lacks the complete word address of the enrolling parent.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. 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 file for child #6 contains emergency contact information which lacks the parent-designated release person(s) address.

Corrected Corrected by Oct 28, 2022

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 most recent health report on file for child #2 and child #3 is dated more than 6 months ago.

Corrected Corrected by Oct 28, 2022

Category: health medication. 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 #1 lacks verification of a current DTAP and HIB immunization in accordance with the schedule recommended by the ACIP. The file for child #2 lacks verification of a current Rotavirus, HIB, Pneumococcal, and influenza vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #3 lacks verification of a current HIB, Pneumococcal, MMR, Varicella, and Hepatitis A vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #4 lacks verification of a current influenza vaccine administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Nov 3, 2022

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

Observed saline drops which were labeled for a child's use and lacked written parental consent for administration.

Corrected Corrected by Nov 18, 2022

Category: ratio. Marked corrected in the state record.

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 two most recent health assessments on file for staff person #1 are dated in an interval greater than 24 months.

Corrected Corrected by Oct 28, 2022

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 person #7 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and pediatric CPR.

Corrected Corrected by Oct 28, 2022

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

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

The file for staff persons #1, #2, #3, #5, and #6 lack verification of 12 hours of child care training completed within the most recent service year.

Corrected Corrected by Nov 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the Health and Safety topics 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.

Th file for staff #8 (See IS Code Sheet) contained a Health and Safety Training date of 3-14-2022 which exceeded the mandatory 90 days to receive the training. The file for staff #4 (See IS Code Sheet) contained a Health and Safety Training date of 2-22-2022 which exceeded the mandatory 90 days to receive the training.

Corrected Corrected by May 2, 2022

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 a Mandated Reporter Training date of 12-6-2016 and 2-17-2022 which exceeded the mandatory 60 months to renew the training. The file for staff #3 contained a Mandated reporter Training date of 11-22-2016 and 2-26-2022 which exceeded the mandatory 60 months to renew the training.

Corrected Corrected by May 2, 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).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#2 contained a State Police Clearance date of 7-5-2016 and 7-13-2021, a Child Abuse Clearance date of 7-5-2016 and 7-13-2021, an FBI Clearance date of 7-8-2016 and 7-23-2021, all of which exceeded the mandatory 60 months to renew the clearances. The file for staff#8 who was provisionally hired (See IS Code Sheet) contained an NSOR Clearance application date of 8-27-2021, but did not receive the NSOR Clearance until 3-8-2022 which exceeded the mandatory date of 10-28-2021 to receive the clearance.

Corrected Corrected by May 6, 2022

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 file for staff #3 contained a staff evaluation date of 1-10-2021 and 1-15-2022 which exceeded the mandatory date of 1-10-2022 to receive the evaluation. The file for staff #9 contained a staff evaluation date of 1-1-2021 and 1-15-2022 which exceeded the mandatory date of 1-1-2022 to receive the evaluation..

Corrected Corrected by May 2, 2022

Category: recordkeeping. 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.

In the Orange Room, School-Age Room , and Green Room a Swiffer Wet Jet with Swiffer Wet Jet Cleaner attached stated: "Keep out of reach of children" and was observed in a corner and was accessible to children in care.

Corrected Corrected by May 2, 2022

Category: ratio. 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.

In the infant room, there was no handwashing sign at the sink which was located in the diapering area.

Corrected Corrected by May 2, 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.

In the outdoor play space, a Little Tykes Red Rider had a gasoline cap that was broken off and sharp and could cause a laceration.

Corrected Corrected by May 2, 2022

Category: ratio. Marked corrected in the state record.

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 toddlerA child's record shall contain initial and subsequent health reports.

The file for child #1 who is an infant contained a health assessment date of 9-29-2021 and the file did not contain an updated health assessment which was due by 3-29-2022. The file for child #2 who is an infant contained a health assessment date of 7-7-2021 and the file did not contain an updated health assessment which was due by 1-7-2022.

Corrected Corrected by May 6, 2022

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 file for child #4 who is a preschooler contained a health assessment date of 1-11-2021 and 3-16-2022 which exceeded the allowable 12 months for the health assessment.

Corrected Corrected by May 3, 2022

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

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

. The file for child #4 with an admission date of 1-11-2021 did not contain an Influenza Vaccine.

Corrected Corrected by May 6, 2022

Category: health medication. 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 #2, staff# 3, staff #9, and staff #12 all hired prior to 12-19-2020 did not contain any training hours by the mandatory training date of 12-19-2021.

Corrected Corrected by May 5, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #1 who is an infant contained verification of vaccines administered on 9-29-2021 and did not contain verification of updated vaccines which were due by 3-29-2022. The file for child #2 who is an infant contained verification of vaccines administered on 7-7-2021 and did not contain verification of updated vaccines which were due by 1-7-2022.

Corrected Corrected by May 6, 2022

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

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

The file for child #4 contained verification of vaccines dated 1-11-2021 and 3-16-2022 which exceeded the annual date of 1-11-2022 to verify the vaccinations.

Corrected Corrected by May 6, 2022

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 a health assessment date of 11-4-2019 and 12-7-2021 which exceeded the mandatory 24 months to receive a health assessment. The file for staff #5 contained a health assessment date of 3-16-2020 and the file does not contain an updated health assessment. .

Corrected Corrected by May 4, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation 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) did not contain any Pediatric First Aid/CPR Training and was to be completed within 90 days of the date of hire. The file for staff #8 (See IS Code Sheet) did not contain any Pediatric First Aid/CPR Training and was to be completed within 90 days of the date of hire. The file for staff #10 (See IS Code Sheet) did not contain any Pediatric First Aid/CPR Training and was to be completed within 90 days of the date of hire.

Corrected Corrected by May 13, 2022

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

3270.131(a)/3270.131(e) · 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 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 file for child #1 with an admission date of 6-21-2021 contained a review of the child's immunized status on 9-29-2021 which exceeded the allowable 60 days for the verification. The file for child #3 with an admission date of 7-2-2020 contained a review of the child's immunized status on 10-19-2021 which exceeded the allowable 60 days for the verification.

Corrected Corrected by May 6, 2022

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

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for child #1 with an admission date of 6-21-2021 contained a health assessment date of 9-29-2021 which exceeded the 90 days to receive the initial health assessment. The file for child #3 who had an admission date of 7-20-2020 contained a health assessment date of 10-19-2021 which exceeded the 90 days to receive an initial health assessment.

Corrected Corrected by May 6, 2022

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