3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

At the time of inspection on 12/21/2023, Certification Representative observed several children on rest equipment without having 2 feet of space on three sides of the equipment.

Corrected Corrected by Jan 15, 2024

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

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

At the time of inspection on 12/21/2023, facility persons #1 and #2 did not have individual records onsite.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include a method to contact parents or a method for staff to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Feb 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

During the renewal inspection, certification representative reviewed the facility files and the emergency plan was not updated per announcement c-22-04,issued 4/19/22.

Corrected Corrected by Feb 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · 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 persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During the renewal inspection, certification representative reviewed 4 staff files and the file for staff #2 did not contain a pqas certified pediatric cpr/first aid certification..

Corrected Corrected by Feb 28, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law.

During the renewal inspection, certification representative reviewed 4 staff files and staff #3 lived in deleaware within the last 5 yrs and there were no delaware clearances in their file.

Corrected Corrected by Feb 28, 2023

Category: supervision. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection, certification representative reviewed 4 staff files and the file for staff #1 did not contain a health assessment

Corrected Corrected by Feb 28, 2023

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

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection, certification representative reviewed 4 staff files and the file for staff #2 did not include a verification of child care experience.

Corrected Corrected by Feb 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include information on how staff are to respond in the event of a lock down, shelter in place, evacuation and did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Feb 28, 2023

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.

During the renewal inspection, certification representative reviewed facility files and there was no annual written notification to the local traffic safety authorities.

Corrected Corrected by Feb 28, 2023

Category: recordkeeping. 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.

During a renewal inspection on 12/21/2021, the files for staff person #1 and #2 contained a certificate for emergency plan training more than one-year-old.

Corrected Corrected by Jan 26, 2022

Category: recordkeeping. 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.

During a renewal inspection on 12/21/2021, the file for staff person #2 contained a staff evaluation more than one-year-old.

Corrected Corrected by Jan 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)/3270.131(e)(2)(i) · 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.Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During a renewal inspection on 12/21/2021, the file for children #1, 2, and 3 did not contain a current record of influenza.

Corrected Corrected by Jan 26, 2022

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