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 #4 did not complete pediatric first aid/CPR training prior to the previous trainings expiring after 2 years. This is evidenced by the following training dates: 8/26/22 and 10/21/24.

Corrected Corrected by May 19, 2025

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. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Staff person #5 had not completed the following required pre- service training within 90 days of their date of hire (see code sheet for hire date): Pediatric First Aid/CPR

Corrected Corrected by Jun 3, 2025

Category: supervision. 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. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Staff person #5 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum and the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Corrected Corrected by Jun 3, 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.

Ultra Defense hand sanitizer, labeled "keep out of reach of children", was observed in the Main Room on the dry erase board shelf. This was accessible to the children being supervised in that room.

Corrected Corrected by May 19, 2025

Category: supervision. 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.

Soap was observed to be missing from the first aid kit in the Main Room.

Corrected Corrected by May 19, 2025

Category: health medication. 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.

The purple pillar, located on the left side of the entrance to the Main Room, was observed to have cracked plaster near its base. Another purple pillar, located on the right side of the entrance to the Main Room, was observed to have peeling paint near its base.

Corrected Corrected by May 20, 2025

Category: physical safety. 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.

The jungle gym, with the telescope, had a sharp, cracked piece of plastic. The fence in the Outdoor Play Area had two exposed screws. One screw was located about elbow height and the other one was about knee height. The Girls' Restroom had three toilets, each with two exposed screws near their base. The Boys' Restroom had one toilet with two exposed screws near its base.

Corrected Corrected by May 20, 2025

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.

The mulch around the monkey bars was measured to be 6 inches. The mulch around the slide and rock-climbing wall, that was located near the monkey bars, was measured to be 5 inches. Also, the mulch around the blue slide, that was part of the pirate ship jungle gym, was measured to be 5.5 inches. The mulch around the straight yellow slide, that was attached to this same jungle gym, was measured at 6.5 inches and the mulch around the curved yellow slide was measured to be 5.5 inches. At least nine inches of loose fill material is required around embedded equipment at all times.

Corrected Corrected by May 24, 2025

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

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

The agreement on file for Child #2 was observed to be missing the child's departure time.

Corrected Corrected by May 20, 2025

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.

The emergency plan on file did not include accommodations for children with disabilities and chronic medical conditions. Staff #1 acknowledged that one child has a disability, and another child has a chronic medical condition.

Corrected Corrected by May 20, 2025

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.

Staff person #4 had fire safety trainings on file dated 5/8/23 and 7/5/24. These trainings were required to be completed annually.

Corrected Corrected by Sep 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.52 · 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).

On 9/25/2024, Staff person #5 was observed to be supervising a group of 12 children: 7 preschoolers and 5 young school-age children. This number of children requires at least 2 staff persons.

Corrected Corrected by Sep 25, 2024

Category: supervision. Marked corrected in the state record.

3270.52 · 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). The Legal Entity shall create or update policies surrounding staff-to-child ratios for groups of similar and mixed age level children. These policies must also include that children will be counted as preschoolers until they attend the first day of Kindergarten. Additionally, these policies must include the staff: child ratios applicable to the program's operation. These policies must be submitted to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and documentation must be kept on file at the facility.

On 9/25/2024, Staff person #5 was observed to be supervising a group of 12 children: 7 preschoolers and 5 young school-age children. This number of children requires at least 2 staff persons.

Corrected Corrected by Oct 15, 2024

Category: supervision. Marked corrected in the state record.

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

Two purple and two yellow chrysanthemum plants were observed to be accessible to children in the Outdoor Play Space.

Corrected Corrected by Oct 1, 2024

Category: physical safety. 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.

The fence in the Outdoor Play Area was observed to have one exposed bolt that was about hip height and two exposed bolts that were about knee height.

Corrected Corrected by Sep 26, 2024

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

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

The emergency contact information on file for Child #2 and Child #5 did not include a parent's work phone number.

Corrected Corrected by Sep 26, 2024

Category: recordkeeping. 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.

Staff person #1 (see code sheet for date of hire) had a tuberculosis screening test and health assessment on file dated 11/2022, which is more than 12 months prior to initial service at the facility. Staff person #1 also had a current tuberculosis screening test and health assessment on file dated 9/2024, which is after the individual began working with children.

Corrected Corrected by Sep 25, 2024

Category: ratio. 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.

Staff person #4 had documentation on file that they completed 9 hours of annual child care training, and not the required 12 hours.

Corrected Corrected by Sep 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

On 12/11/23, cert rep reviewed the fire drill log and the last fire drill was conducted on 9/11/23.

Corrected Corrected by Dec 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

On 12/11/23, the director from another Illuminations facility acknowledged that a director was only present two to three days a week and not everyday since this program in not a school age only program and operates fewer than 30 hours per week.

Corrected Corrected by Dec 18, 2023

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.

On 10/11/23, a renewal inspection was conducted. In the cafeteria, a container of Clorox wipes was observed on the window ledge and is accessible to children.

Corrected Corrected by Oct 12, 2023

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.

On 10/11/23, a renewal inspection was conducted. Staff person #1 and #2 have not completed annual fire safety training. Previous fire safety training was not on file. (Please see code sheet for DOH).

Corrected Corrected by Dec 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10): 1 hour health and safety update and center based health and safety training, respectively. Staff person #2, will have until 12/12/23 to complete the required training.

On 10/11/23, a renewal inspection was conducted. Staff person #2 has not completed the health and safety 1 hour update.

Corrected Corrected by Dec 1, 2023

Category: health medication. 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.

On 10/11/23, a renewal inspection was conducted. An uncovered and accessible outlet was observed in the cafeteria.

Corrected Corrected by Oct 12, 2023

Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

On 10/11/23, a renewal inspection was conducted. Cert Rep observed garbage in the outside play space along the building and is accessible to children.

Corrected Corrected by Oct 12, 2023

Category: physical safety. 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 10/11/23, a renewal inspection was conducted. The outside fence in the playground area have exposed, sharp bolts on the corners and gates and are accessible to children.

Corrected Corrected by Nov 15, 2023

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

3270.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

On 10/11/23, a renewal inspection was conducted. The parent handbook did not contain a supervision policy and the director acknowledged it was not given to the parents in writing.

Corrected Corrected by Dec 1, 2023

Category: supervision. Marked corrected in the state record.

3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

On 10/11/23, a renewal inspection was conducted. Child #2's emergency contact form did not list the parents work address, work phone number or the release persons address.

Corrected Corrected by Oct 12, 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). Child #1 will be removed from care by close of business on 10/11/23 until either the vaccination record is updated according to the ACIP recommended schedule or the parent provides an exemption letter.

On 10/11/23, a renewal inspection was conducted. Child #1's immunization record indicates the child does not have the flu vaccine for 2022 and no exemption letter is in the child's file. The child is over six months of age. (Please see code sheet.)

Corrected Corrected by Dec 1, 2023

Category: health medication. 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.

On 10/11/23, a renewal inspection was conducted. Child(ren) #2, 3,&4 's emergency contact form was not signed by the parents.

Corrected Corrected by Dec 1, 2023

Category: recordkeeping. 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.

On 10/11/23, a renewal inspection was conducted. The fire detection system could not be tested due the facility being in a school. The facility provided an annual inspection report from Cintas which identified 2 items that did not pass inspection. At the time of the inspection, the facility did not provide documentation stating if the deficiencies have been corrected. A subsequent fire alarm test report dated 11/17/23 was received, which indicates the same two items failed. Additionally, proof of purchase for the fire detection system is not available.

Corrected Corrected by Dec 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person # 1 and # 3 will have until 10/12/22 to complete the required training. Until such time as the required training has been completed, staff person # 1 and # 3 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 # 1 and # 3, staff person # 1 and # 3 may not work in a child-care position at the facility. 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. Until such time as the required pre-service trainings are completed, staff person # 1 and # 3 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 # 1 and # 3, staff person # 1 and # 3 may not work in a child-care position at the facility.

Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire and was observed unsupervised (see LIS code sheet): Health and Safety Topics and pediatric first aid/CPR. Staff person # 3 has not completed the mandated reporter training within 90 days of their date of hire and was observed working unsupervised (see LIS code sheet).

Corrected Corrected by Oct 7, 2022

Category: supervision. 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.

At the time of the inspection, the facility was unable to provide a copy for review of their comprehensive general liability insurance.

Corrected Corrected by Oct 7, 2022

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.

A renewal inspection occurred at the facility. A review of staff files was conducted. The files of Staff # 3 and # 4 did not contain documentation that these staff have reviewed the facility's emergency plan within 90 days of hire.

Corrected Corrected by Oct 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10)within 90 days of hire. Staff person # 1 and # 3 will have until 10/12/22 to complete the required training. Until such time as the required training has been completed, staff person # 1 and # 2 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 # 1 and # 3, staff person # 1 and # 3 may not work in a child-care position at the facility.

Staff person # 1 and # 3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics and pediatric first aid/CPR.

Corrected Corrected by Oct 7, 2022

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 provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 # 1, #2, # 3 and # 4 may not work in a child care position at the facility until all clearances are received.

A renewal inspection occurred at the facility. A review of staff files was conducted. The file for Staff #1 did not contain a signed/dated disclosure statement, State Police Clearance, FBI Clearance, or NSOR Clearance. The file for Staff #2 did not contain a date of signature on the disclosure statement, Child Abuse Clearance, or NSOR Certificate. The file for Staff #3 did not contain a date of signature on the disclosure statement, an FBI Clearance or NSOR Clearance, or proof that either clearance was requested. The file for Staff #4 did not contain a signed/dated disclosure statement, a completed State Police clearance, or proof that the clearance was requested. Staff # 4 did not complete mandated reporter training within 90 days of their hire date. Staff # 3 and # 4 were observed to be working unsupervised during the inspection. Staff # 3 and # 4 have worked in childcare without following the proper provisional hiring procedures. See Code Sheet for all dates of hire.

Corrected Corrected by Oct 7, 2022

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. Facility Person # 1, # 2, # 3 and # 4 may not work in a child care position at the facility until all clearances are received. The legal entity, director or any facility persons responsible for hiring and paperwork at the facility must register for and attend the Existing Provider Orientation presented by the NE Regional Office on 11/30/2022.

A renewal inspection occurred at the facility. A review of staff files was conducted. The file for Staff #1 did not contain a signed/dated disclosure statement, State Police Clearance, FBI Clearance, or NSOR Clearance. The file for Staff #2 did not contain a date of signature on the disclosure statement, Child Abuse Clearance, or NSOR Certificate. The file for Staff #3 did not contain a date of signature on the disclosure statement, an FBI Clearance or NSOR Clearance, or proof that either clearance was requested. The file for Staff #4 did not contain a signed/dated disclosure statement, a completed State Police clearance, or proof that the clearance was requested. Staff # 4 did not complete mandated reporter training within 90 days of their hire date. Staff # 3 and # 4 were observed to be working unsupervised during the inspection. Staff # 3 and # 4 have worked in childcare without following the proper provisional hiring procedures. See Code Sheet for all dates of hire.

Corrected Corrected by Nov 30, 2022

Category: supervision. Marked corrected in the state record.

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

A renewal inspection occurred at the facility. A review of staff files was conducted. The file of Staff # 3 and # 4 were missing proof of education. Staff # 3 and # 4 could not be appropriately qualified for a child care role at the facility. Staff # 3 and # 4 were working at the facility at the time of this inspection.

Corrected Corrected by Oct 7, 2022

Category: recordkeeping. 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.

At the time of the inspection, a list of emergency telephone numbers was not viewed posted at the facility.

Corrected Corrected by Oct 7, 2022

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

3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

At the time of the inspection, the facility was unable to provide for review a written daily activity schedule. This activity schedule was not posted at the facility.

Corrected Corrected by Oct 7, 2022

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

3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

A renewal inspection occurred at the facility. A physical site review was conducted. During the renewal inspection, there was no plan for developmentally appropriate activities being offered to children. As a result, children were observed throwing toys at fans, running through the classroom, and walking out of the classroom unsupervised by an adult, all while other children attempted to eat and complete homework.

Corrected Corrected by Oct 7, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. Children must be supervised at all times. 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.

A renewal inspection occurred at the facility. A physical site review was conducted. Staff # 3 and # 4 were unable to identify the exact number of children present, and the names of children they were caring for in their supervision group during the inspection. Children were also viewed walking in and out of the child care space and going in and out of the snack room unsupervised.

Corrected Corrected by Oct 7, 2022

Category: supervision. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

A renewal inspection occurred at the facility. A review of children's files was conducted. The agreement forms for children # 1, # 2, # 3, # 4 , # 5 and # 6 were not signed by either the parent or operator.

Corrected Corrected by Oct 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

A renewal inspection occurred at the facility. A review of children's files was conducted. The files of children # 1, # 2, # 3, # 4, # 5 and # 6 did not contain the children's dates of admission.

Corrected Corrected by Oct 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

A renewal inspection occurred at the facility. A review of children's files was conducted. The file of child # 2 was missing documentation of the health insurance policy number.

Corrected Corrected by Oct 7, 2022

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

At the time of the inspection, a plan for transporting a child to emergency care and staffing provisions in the event of an emergency were not provided for review or posted conspicuously.

Corrected Corrected by Oct 7, 2022

Category: transportation. 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.

At the renewal inspection, children were viewed during snack time and the children did not wash their hands before eating.

Corrected Corrected by Oct 7, 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.

A renewal inspection occurred at the facility and a review of staff files was conducted. Staff # 3 and # 4 were observed caring for children and their files did not contain a health assessment or tuberculosis screening.

Corrected Corrected by Oct 7, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(1)/3270.151(c)(2) · An adult health assessment must include a physical examination. 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.

A renewal inspection occurred at the facility and a review of staff files was conducted. Staff # 3 and # 4 were observed caring for children and their files did not contain a health assessment or tuberculosis screening.

Corrected Corrected by Oct 7, 2022

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

3270.171(b)/3270.171(c) · Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

At the time of the inspection, the facility was unable to provide documentation for review of the facility's safe routes for pick-up and drop-off procedures of the facility.

Corrected Corrected by Oct 7, 2022

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

A renewal inspection occurred at the facility. A review of staff files was conducted. The files of Staff # 3 and # 4 were missing two letters of written reference. Staff # 3 and # 4 were working at the facility at the time of this inspection. The file of Staff # 2 was missing 1 letter of written reference. Staff # 2 has worked in child care without two letters of reference in the file.

Corrected Corrected by Oct 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

At the time of the inspection, the facility was unable to provide a copy of the facility's fire drill log for review.

Corrected Corrected by Oct 7, 2022

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.

At the time of the inspection, the facility was unable to provide documentation for review that the operator notified the local traffic safety authorities of the facility's safe routes for pick-up and drop-off procedures of the facility.

Corrected Corrected by Oct 7, 2022

Marked corrected in the state record.