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 emergency plan trainings on file for Staff Person #1 exceeded 12 months between 5.18.23 and 8.13.24.

Corrected Corrected by Aug 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

A plant identified as Honeysuckle was observed to be hanging along the far right side of the outdoor play space fencing. Honeysuckle is considered a toxic plant.

Corrected Corrected by Nov 24, 2024

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

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 current health assessment on file for Child #1 lacked information related to the physician's assessment that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Nov 24, 2024

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

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

Lunch boxes containing potentially hazardous foods brought from home, to include Lunchables with meat and cheese, left over fish sticks, chicken nuggets, shredded chicken and spaghetti, were observed on a small bookshelf in the Upstairs School Age/Preschool classroom. The items observed are required to be refrigerated.

Corrected Corrected by Oct 25, 2024

Category: nutrition. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility exceeded 12 months between annual emergency drills on 2.10.23 and 5.31.24.

Corrected Corrected by May 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The current certificate of compliance was not posted in a conspicuous location in the facility. The posted certificate of compliance expired on 1.30.24.

Corrected Corrected by Oct 25, 2024

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 Person #4 lacked a written evaluation and they have exceeded 12 months as a Staff Person at the facility.

Corrected Corrected by Oct 23, 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 downstairs Preschool Room one electrical outlet was observed to be missing a protective receptacle cover.

Corrected Corrected by Oct 19, 2023

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 file for Staff Person #3 lacked completion of the required 1-hour health and safety training update by 12.30.2022. The updated health and safety training was completed on 1.3.2023.

Corrected Corrected by Jan 3, 2023

Category: ratio. 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.

In the Downstairs Classroom 3 a pair of adult scissors and a staple remover tool were observed in an unlocked desk drawer.

Corrected Corrected by Oct 19, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility. Staff person #4 will have until November 4, 2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #4 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 person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

The file for Staff Person #1 lacked a PA State Police and a PA Child Abuse Clearance for employment purposes . The clearances on file were completed for Volunteer purposes and not acceptable for employment in a Child Care Facility. The file for Staff Person #4 was observed to contain an FBI Clearance for DOE purposes at their time of initial start at the facility. DOE FBI Clearances are not acceptable for employment in a Child Care Facility. An FBI Clearance for DHS purposes was not on file until 154 days after starting at the facility. The disclosure statement on file at the time of hire was also an older version and did not meet the requirements of the CPSL. A current disclosure statement signed by Staff Person #4 was on file, however it lacked a witness signature and a date. Staff person #4 has not completed an acceptable mandated reporter training within 90 days of their date of hire (see LIS code sheet). The mandated reporter training on file was intended for Department of Education (Act 126) and not Department of Human Services (Act 31).

Corrected Corrected by Oct 23, 2023

Category: supervision. 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.

In the upstairs School Age/Preschool Room a toy box was observed without a safety hinge that would allow the lid to close slowly. Without the safety hinge the lid could potentially slam down and cause injury to a child.

Corrected Corrected by Oct 19, 2023

Marked corrected in the state record.

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

The agreement for Child #1 lacked the arrival and departure times.

Corrected Corrected by Oct 19, 2023

Category: recordkeeping. 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 for Child #2 lacked the telephone number of the physician.

Corrected Corrected by Oct 20, 2023

Category: health medication. 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 updates to the health assessments on file for Staff Person #5 exceeded 24 months between examinations on 5.17.2021 and 8.22.2023.

Corrected Corrected by Aug 22, 2023

Category: ratio. Marked corrected in the state record.

3270.27(f) · 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.

Verification that the facility had submitted the recent emergency plan to the County Emergency Management Agency was not on file at the time of the inspection.

Corrected Corrected by Oct 19, 2023

Category: recordkeeping. 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 Person #2 lacked 1 of their 12 hours of child care training in their respective hire year.

Corrected Corrected by Oct 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The files for Children #1, #2, #4 and #5 were observed to contain the original agreements.

Corrected Corrected by Oct 4, 2022

Category: recordkeeping. 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 for Child #6 lacked the telephone number for the child's physician.

Corrected Corrected by Nov 4, 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 #3 lacked the complete addresses and the telephone numbers for the release persons listed. The emergency contact form for Child #8 lacked the address for one of the release persons listed.

Corrected Corrected by Nov 4, 2022

Category: recordkeeping. Marked corrected in the state record.

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

In the first floor school age/preschool classroom 11 lunchboxes were observed to contain items that required refrigeration. The items included yogurt, lunchables, cheese and lunch meats and leftovers brought from home.

Corrected Corrected by Oct 4, 2022

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

A copy of the current insurance policy was not on file at the time of the inspection.

Corrected Corrected by Nov 4, 2022

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).

The files for Facility Person's #1, #2, #3, #4, #5 and #6 lacked a current disclosure statement.

Corrected Corrected by Oct 4, 2022

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 downstairs Preschool classroom was missing tweezers.

Corrected Corrected by Oct 4, 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 Classroom #1 one cracked lid with a potential pinch point was observed.

Corrected Corrected by Oct 4, 2022

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

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement form for Child #8 lacked the designated release persons to whom the child may be released.

Corrected Corrected by Oct 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreement forms for Children #1, #5 and #7 lacked the admission date.

Corrected Corrected by Nov 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.181(d) · Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

The emergency contact form for Child #1 lacked a date to verify that the information had been reviewed in the last 6 months.

Corrected Corrected by Nov 4, 2022

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 emergency contact form for Child #8 lacked signed parental consent for administration of minor first aid by facility staff.

Corrected Corrected by Oct 4, 2022

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

The emergency contact form for Child #5, a Kindergarten child, lacked signed parental consent for transportation. The child is transported from Kindergarten to the child care by the facility.

Corrected Corrected by Oct 4, 2022

Category: transportation. Marked corrected in the state record.

3270.136(b) · The operator shall inform parents of enrolled children when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency in the opinion of the Department of Health.

The operator failed to notify parents of enrolled children when positive Covid cases and Covid exposures were reported to the director.

Corrected Corrected by Feb 21, 2022

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

3270.136(d) · A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health.

The operator and director failed to report known cases of Covid, which is known to be a communicable disease, to the Department of Health.

Corrected Corrected by Feb 21, 2022

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

3270.52/3270.113(a)(1) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). 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 3:15 p.m., observed staff persons #1, #2 and #3 supervising a group of 28 children. The group was comprised of 20 school-age children and 8 preschool-aged children. Staff person #1 identified 12 younger school age children, staff person #2 identified 4 younger school aged children and 3 preschool-aged children and staff person #3 identified 4 younger school-aged children and 5 preschool-aged children. The children in care in the room were observed exiting the room to use the bathroom or to retrieve items or put items in their backpacks. When the children exited the room, a staff person was not present in the unlicensed space with them, thereby leaving the children unsupervised and creating a 0:1 staff:child ratio.

Corrected Corrected by Dec 13, 2021

Category: supervision. 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 file for staff person #1, #2, #3, #4. #5, #6, #7, #8, #9, #10, and #12 lacks verification of emergency plan training conducted at the time of initial hire. The file for staff persons #10 and #11 lacks verification of current emergency plan training.

Corrected Corrected by Dec 7, 2021

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). Facility Person # 4 may not work in a child care position at the facility.

Staff person #4 was removed from a child care taking position on 11/16/21 because staff person #4 was hired provisionally incorrectly. On 11/17/21, staff person #4 was observed assisting with school age transportation alone with children.

Corrected Corrected by Nov 17, 2021

Category: transportation. 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 Persons #2, #4, #6, #7, 8, #9, and #12 may not work at the facility until valid clearances are on file.

The file for staff person #2 lacks a valid state police clearance. Staff person #2 has been working in a child care taking position beginning 08/26/21. The disclosure statement on file for staff person #3 is undated. The file for staff person #4 lacks a current state police, a current child abuse, a current FBI clearance, and a current NSOR. Staff person #4 began employment on 11/11/21. The file for staff person #5 lacks a signed and dated disclosure statement. Staff person #5 began employment on 11/15/21. The file for staff person #6 lacks a signed and dated disclosure statement, proof of application for or a current state police, child abuse, and FBI clearance and an NSOR. Staff person #6 began employment in a child care taking position 11/04/21. The file for staff person #7 lacks an application for an NSOR. Staff person #7 has been employed in a child care taking position beginning 09/22/21.The file for staff person #8 contains an FBI clearance obtained for Department of Education purposes, making it invalid and lacks an NSOR and a signed and dated disclosure statement. Staff person #8 has been employed in a child care taking position since 08/26/21. The file for staff person #9 lacks a current FBI clearance and NSOR and the state police clearance on file expired 10/26/21. Staff person #9 has been employed in a child care taking position since 11/26/21. The file for staff person #12 lacks an application for or a valid NSOR. Staff person #12 has been working in a child care taking position since 11/04/21. The file for staff persons #8 and #9 lack verification of current mandated reporter training. Staff persons #8 and #9 have been employed more than 90 days.

Corrected Corrected by Jan 21, 2022

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

3270.34(b) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4).

A review of the file for staff person #1 revealed that staff person #1 lacks a qualifying degree to fulfill the educational requirement for the position of director.

Corrected Corrected by Nov 19, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(1)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #2 lacks a transcript or proof of college major to qualify for an assistant group supervisor, the role assigned to and being performed by staff person #2. Staff person #7 lacks valid verification of education to qualify for an assistant group supervisor, the role assigned and being performed by staff person #7.

Corrected Corrected by Dec 22, 2021

Category: supervision. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Based on conversations with staff, staff person # transports up to 16 children, creating a 1:16 staff:child ratio.

Corrected Corrected by Dec 10, 2021

Category: ratio. Marked corrected in the state record.

3270.52/3270.113(a) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At approximately 10 a.m., staff person #1 exited the upstairs classroom to answer the facility door, creating a 0:8 staff:child ratio in the classroom.

Corrected Corrected by Nov 16, 2021

Category: supervision. Marked corrected in the state record.

3270.66(a)/3270.66(b) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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.

Observed an unlabeled spray bottle of disinfecting cleanser on an accessible shelf in the school-age room and another unlabeled, accessible spray bottle of disinfecting cleanser in the third classroom on the left on the lower level.

Corrected Corrected by Nov 22, 2021

Category: ratio. 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.

Observed inaccessible unlabeled bottles of purple cleaner above the kitchen sink on the lower level and in the hallway closet on the first floor.

Corrected Corrected by Nov 16, 2021

Category: ratio. Marked corrected in the state record.

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

Observed an accessible first-aid kit in the 3rd classroom on the left on the lower level.

Corrected Corrected by Nov 22, 2021

Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The file for child #1 and child #7 contains an agreement which lacks the name(s) of the parent-designated release person(s).

Corrected Corrected by Dec 21, 2021

Category: recordkeeping. 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 file for child #4 and child #7 contains emergency contact information which lacks the address of the child's physician. The file for child #6 lacks the name, address and phone number of the child's physician.

Corrected Corrected by Dec 10, 2021

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 file for child #1, child #3, and child #4 contains emergency contact information which lacks the enrolling parent's work address and work phone number. The file for child #5 and child #7 contains emergency contact information which lacks the enrolling parent's work address.

Corrected Corrected by Dec 10, 2021

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 file for child #3 and child #6 contains emergency contact information which lacks the child's health insurance coverage and policy number.

Corrected Corrected by Dec 10, 2021

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 file for child #2 and child #4 contains emergency contact information which lacks the address of the parent-designated release person. The file for child #3 and child #5 contains emergency contact information which lacks the address and phone number of the parent-designated release person(s).

Corrected Corrected by Dec 10, 2021

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.

Observed children receiving child care in the 2nd classroom on the left on the lower level without their emergency contact information being present. Observed children receiving care in the preschool room on the lower level without their emergency contact information being present.

Corrected Corrected by Nov 22, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(d) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Based on an inspection of the bus used to transport children and a conversation with the director, emergency contact information specific to the children being transported is not present during transportation.

Corrected Corrected by Dec 10, 2021

Category: transportation. 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 #5, child #6, and child #7 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Dec 22, 2021

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

3270.133(1)/3270.133(2) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Observed an Epi-Pen and an albuterol inhaler in the downstairs medication box which were not in their original packaging and lack written instructions for administration from the individual who prescribed the medicine.

Corrected Corrected by Nov 16, 2021

Category: ratio. 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.

Observed a tube of Diazepam which did not identify the name of the child for whom the medication is intended.

Corrected Corrected by Nov 16, 2021

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.

Observed an Epi-Pen in the downstairs medication box which expired 06/2021. Observed an albuterol inhaler which expired 08/2020 in the downstairs medication box.

Corrected Corrected by Nov 16, 2021

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 a bottle of Children's Motrin and an Epi-pen in the downstairs medication box which lack written consent for administration.

Corrected Corrected by Nov 16, 2021

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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.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.

The file for staff persons #4, #6, #8, #9 lack an initial health assessment which includes the results of tuberculosis screening.

Corrected Corrected by Dec 22, 2021

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 #11 are dated in an interval greater than 24 months. The file for staff person #4, staff person #6, staff person #8, staff person #9, and staff person #12 lacks a health assessment.

Corrected Corrected by Dec 22, 2021

Category: ratio. Marked corrected in the state record.

3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Based on an inspection of the school bus used to transport children and a conversation with the director, a first aid kit is not present on the bus, nor do staff take a first aid kit with them during transportation.

Corrected Corrected by Nov 22, 2021

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

3270.191 · An individual record is required for each facility person.

At the time of the inspection, staff person #6 lacks an individual record.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. 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 and staff person #4 lacks one written, non-family reference. The file for staff person #3, #6, #7, #8, and #9 lack two written, non-family references.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.61(h) · The capacity established for an indoor space may not be exceeded.

Observed 16 children receiving care in the lower middle classroom with a capacity of 5 children.

Corrected Corrected by Nov 22, 2021

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 #8 and #9 have been employed in a child care-taking position more than 90 days and have not completed pediatric first and pediatric CPR training.

Corrected Corrected by Jan 11, 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.

At the time of the inspection, the director was unable to produce a fire drill log.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan was not updated as required by 12/19/20 with accommodations for shelter of children during an emergency including lock-down and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 7, 2021

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