Kindercare Learning Center 073029

3270.62(b)(2) · The minimum outdoor or indoor play space required per young or older toddler is 50 square feet.

It was observed that the number of Toddlers in the outdoor play space (16) exceeded the measured capacity for that space (9). (Corrected during inspection).

Corrected by Oct 15, 2025

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

The time between fire drills exceeded the permitted at least once every 60 days' timeframe (9/10/24, 11/27/24).

Corrected by Oct 15, 2025

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

It was observed that Staff person #1's medication was accessible to children in the classroom's emergency bag (corrected during inspection).

Corrected by Oct 15, 2025

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3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

It was observed that the water temperature of the classroom sinks in the Preschool and Young Toddler rooms exceeded the permitted 110 degrees F temperature (118 and 114 degrees F respectively)..

Corrected by Oct 22, 2025

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

It was observed that there was peeling paint in the Preschool, Discovery Preschool, and Young Toddler classrooms. (All corrected during inspection.)

Corrected by Oct 22, 2025

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3270.78/3270.113(a) · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. 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.

It was observed, in the Young Toddler room, that there was not sufficient lighting during naptime, interfering with proper supervision.

Corrected by Oct 20, 2025

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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.

Child #4's record did not contain updated health reports which were required at least every 6 months, as an infant and young toddler (11/20/23, 4/4/25, 9/20/25) See Code Sheet

Corrected by Oct 15, 2025

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3270.131(d)(7)/3270.131(d)(8) · 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. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The health reports of child #2 and #3 did not include statements that the child is able to participate in child care and appears to be free from contagious or communicable disease and a statement that age-appropriate screenings recommended by the American Academy of Pediatrics had been completed.

Corrected by Nov 15, 2025

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3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

It was observed that staff person #2 did not wash their own hands and a child's hands after diapering. (corrected during inspection)

Corrected by Oct 15, 2025

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3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

It was observed that staff persons #2 and #3 opened the hands-free covered can with their hands when discarding a disposable diaper. (corrected during inspection).

Corrected by Oct 15, 2025

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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.

Staff person #6's initial health assessment and TB results are dated greater than the permitted 12 months prior to providing initial service in the child care setting. (11/28/23 HA, 6/30/23) TB results. See Code Sheet

Corrected by Oct 23, 2025

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3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

There was no written feeding schedule for infant/child #1.

Corrected by Nov 15, 2025

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3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff persons #5, and #7's records did not contain the required child care experience required to be an Assistant Group Supervisor. Staff person #7's was corrected during the inspection. Staff person #4's record did not include verification of education.

Corrected by Nov 15, 2025

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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.

Staff person #5's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Nov 15, 2025

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3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

It was observed, in the Preschool classroom, that the rest equipment was not labeled for the use of a specific child and used only by the specified child.

Corrected by Nov 25, 2024

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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 time between pediatric first-aid and CPR trainings for staff persons #6 and #7 could not be assessed because the previous proof of this training is not on file.

Corrected by Nov 22, 2024

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3270.113(a) · 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.

It was observed, in the Preschool classroom, that, during naptime, a few children who were napping could not be supervised due to classroom furniture blocking their view from the staff person (corrected during inspection).

Corrected by Oct 30, 2024

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #-1 will have until 12/6/24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 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 (see code sheet): Pediatric First-Aid and CPR.

Corrected by Dec 5, 2024

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person # 5 may not work in a child care position at the facility.

Staff person #5's record did not contain NSOR results. (See Code Sheet). The time between staff person #6 and 7's mandated reporter training could not be assessed since the previous training documentation is not on file.

Corrected by Nov 22, 2024

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

It was observed, in the Discover Preschool classroom, that the air vent located on the wall on the right, was filled with dust (corrected during inspection). In the Young Toddler classroom, it was observed that, under the diaper changing area, the cabinet door (on left) had broken hinges

Corrected by Nov 22, 2024

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Peeling paint was observed in a few locations at the facility. In the Preschool bathroom, the wall between the toilets had dispersed peeling paint on both sides, along the bottom. In the Discovery Preschool room, there was peeling paint on the wall to the right of the sink (edge of wall above floor molding and approximately 6" up the wall). In the Young Toddler classroom, peeling paint was observed on the wall to the left of the washer/dryer (about 5" up from bottom, three 1-2" spots).

Corrected by Jan 5, 2024

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3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

It was observed in the Discovery Preschool (2 yrs) that there were googly eyes (smaller than 1" diameter) accessible to children in a bottom drawer near classroom sink (corrected during inspection).

Corrected by Oct 30, 2024

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3270.123(a)(3)/3270.123(a)(4) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). An agreement shall specify the child's arrival and departure times.

The files of child #1 through #6 did not include their child growth and development documents (child service reports) within the last 6 months (see code sheet). Child #1's agreement did not include the child's arrival and departure times.

Corrected by Jan 5, 2025

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

The agreements of child #3, 4, and 7 do not specify the date of the child's admission.

Corrected by Jan 5, 2025

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

The parents of children #1 through #7 did not receive the original agreements. Original agreements were in children's files.

Corrected by Jan 5, 2025

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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.

Child #5's emergency contact information did not include the address of a release person.

Corrected by Jan 5, 2025

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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.

Child #8's medication was not in its original container with written instruction from the prescribing health practitioner for the administration of the medication.

Corrected by Jan 5, 2025

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3270.133(7)/3270.133(7)(v) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. A medication log shall include the date of administration.

Child #10 had medication at the facility, with no medication log on file. Children #8 and #9's medication logs did not include the dates of administration.

Corrected by Jan 5, 2025

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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 time between staff person #6 and #8's health assessments exceeded the permitted at least every 24 months' timeframe (6/13/22, 8/16/24).and (5/11/22, 6/18/24) respectively.

Corrected by Nov 25, 2024

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3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Staff person #4's health assessment did not include an examination for communicable diseases and the results of that examination. It also did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Corrected by Jan 5, 2025

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3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The financial agreements of child #1, 3, 4, and 6 were not updated at least once in a 6-month period.

Corrected by Jan 5, 2025

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3270.192(2)(iv) · 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.

Staff person #2's record did not contain the verification of experience required to be utilized as an AGS (unsupervised), yet was being used as an AGS instead of an aide. Staff person #3's record did not contain acceptable verification of education.

Corrected by Nov 25, 2024

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3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility did not have proof of purchase of the interconnected fire detection system on file (corrected during inspection).

Corrected by Oct 30, 2024

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3270.21/3270.76 · Conditions at the facility may not pose a threat to the health or safety of the children. 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.

The foam/soft climbing equipment in the Toddler classroom had been located between a wall and a bookshelf, and did not have padding under it, creating a situation where child #1 fell sideways into the bookshelf, injuring his head/face.

Corrected by Feb 26, 2024

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3270.76/3270.102(f) · 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. Indoor play equipment for climbing shall be installed or used over a protective surface covering which does not interfere with the stability of the equipment.

It was observed that the current placement of the soft/foam climbing equipment in the Toddler classroom is not on a safe and shock absorbing protective surface.

Corrected by Feb 26, 2024

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3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff person #2's record does not include verification of education.

Corrected by Feb 26, 2024

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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.

Staff person #1's record does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Feb 26, 2024

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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 11/3/23, in the DPS homeroom classroom, the facility was not in compliance with the staff to child ratio requirement of 1:5. A 1 year old child was in the classroom between 6:32 and 6:58 am, causing the ratio requirement to be 1:5, however it was actually 1:9.

Corrected by Nov 16, 2023

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

It was observed in the Infant and Toddler Room (1yr) that there was no mouthed bin toy to place mouthed toys in, to be washed.

Corrected by Dec 30, 2023

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3270.14/3270.21 · Staff person #5 will have until 12/6/23 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Staff person #5's Pediatric First-Aid and CPR expired on 7/22/23, based upon records on file.

Corrected by Dec 6, 2023

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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.

Staff person #8's time between emergency plan training exceeded the permitted annual timeframe (3/31/22, 9/21/23).

Corrected by Sep 21, 2023

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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 persons #5's time between fire safety training exceeded the permitted at least annually timeframe (9/29/22, 10/11/23).

Corrected by Oct 11, 2023

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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.. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 may not work in a child care position at the facility.

Staff person #3's record does not contain the results of the required out-of-state clearances. Staff person #4's time between Mandated Reporter trainings exceeded the permitted at least every 60 months timeframe (2/25/26, 3/7/22).

Corrected by Nov 17, 2023

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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.

Staff person #5's, #6's, and #8's time between staff evaluations exceeded the permitted every 12 months timeframe (4/4/22, 10/11/23, (3/31/22, 10/10/23), (3/31/22, 10/12/23) respectively.

Corrected by Oct 12, 2023

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3270.35(b)(1)/3270.192(2)(iv) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. 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.

Staff person #11 is listed as an Assistant Group Supervisor, however, there is no proof of 2 years of experience working with children on file.

Corrected by Nov 22, 2023

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3270.36(b)(5)/3270.192(2)(iv) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include 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.

Staff persons #1, #3, and #12 are considered Assistant Group Supervisors, yet their records do not include the required proof of 2 years of experience working with children, based upon their education. Staff person #12's high school completion document on record does not include a graduation date.

Corrected by Dec 30, 2023

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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.

It was observed in the Toddler Room (1 yr) that there were 3 spray bottles of cleaners that were in containers that did not specify their contents. It was observed in the Infant room that the sanitizing solution bottle did not specify the contents.

Corrected by Dec 30, 2023

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3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

It was observed in the PreK classroom that the water temperature at both classroom sinks exceeded 110 degrees F (114.2 degrees F).

Corrected by Oct 17, 2023

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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.

It was observed that the first-aid kit in the PreK room did not contain gloves (corrected during inspection).

Corrected by Dec 30, 2023

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

It was observed in the DPS and Infant rooms that the air vent (on walls) had a thick layer of dust. It was observed that there were water-stained ceiling tiles in the Infant, Toddler room (1 yr) and the Preschool room (Infant room center of room), (Toddler in front and to the side of washer/dryer).

Corrected by Dec 30, 2023

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

It was observed that there was peeling paint: DPS room Left wall to right of outlet (one spot) , left wall to right of sink (2 spots), left wall to left of blackboard (1 spot); Preschool room on right wall, under the blackboard (3 spots).

Corrected by Dec 30, 2023

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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.

It was observed in the DPS room that there was no handwashing sign posted at the diapering area and the toilets. It was observed in the Toddler room (1yr) that there was no handwashing sign posted at the diapering area. It was observed in the preschool room and PreK room that there were no handwashing signs posted at the sinks and toilets.

Corrected by Dec 30, 2023

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3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

It was observed that the closet next to the office contained paperclips and thumb tacks (less than 1 inch diameter) which were accessible to children Corrected during inspection

Corrected by Oct 17, 2023

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3270.121(b) · At the time of enrollment, a parent shall receive in writing 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.

At the time of enrollment, the parents did not receive in writing, the facility's supervision policy.

Corrected by Dec 30, 2023

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

Child #1's emergency contact information does not include the enrolling parent's home telephone number.

Corrected by Dec 30, 2023

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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.

Child #2's record contains only 1 of the 3 required Hepatitis B immunizations required for this child's age. SEE CODE SHEET

Corrected by Dec 30, 2023

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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.

Staff person #7's initial health assessment on record is dated after the initial service in this child care facility (1/14/23). SEE CODE SHEET

Corrected by Dec 30, 2023

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3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Staff person #3's health assessment did not include an examination for communicable diseases and the results of that examination and information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Corrected by Dec 30, 2023

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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.

Staff persons #3, #9, #10, #11, and #12's records do not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Dec 30, 2023

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

There is no record at the facility of annual emergency drills being conducted.

Corrected by Dec 30, 2023

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3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Fire detection devices were not tested at least every 30 days; (1/5/23, 3/30/23), (3/30/23, 5/10/23), (5/10/23, 6/29/23), (7/28/23, 10/12/23)

Corrected by Dec 30, 2023

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children. All administrators, staff and facility persons must complete the Better Kid Care online 1 hour training: 911: Responding to Medical Emergencies. The training may not be counted towards the 12 hours of required annual training.

Staff person #1 did not call for help after falling on Child #1 (DOB: See LIS code sheet) for at least 15 minutes. Child #1 was later diagnosed with broken bones from the incident. The facility failed to recognize the gravity of an adult falling full force onto Child #1. Facility did not make any calls for emergency care/services to examine the general health of the child.

Corrected by Oct 12, 2023

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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.

Staff person #1 was not promoting the self-esteem of child #1 after the staff person fell on this child, causing a femur fracture. Staff person #1 was blaming the child for this incident occurring, stating that child #1 should not be in the room and that this child caused her to fall. Staff person #1 put child #1 down on the ground twice, after injuring the child, even though the child was crying.

Corrected by Oct 12, 2023

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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 #4's Mandated Reporter training has expired (taken 8/29/16). Staff person #5's Health and Safety training was not completed in the acceptable timeframe of 9/30/16 and 6/30/18 (taken 9/10/16).

Corrected by Nov 6, 2022

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3270.27(a)(3)/3270.27(a)(4) · 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. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility's emergency plan did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and when the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected by Nov 18, 2022

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3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The parent letter explaining the emergency procedures does not contain: lock-down emergency procedures; accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions; method to contact parents when the emergency arises and when it ends to be reunited with children; a statement indicating that annual emergency drills will be conducted.

Corrected by Nov 18, 2022

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #3 did not complete the required pediatric first-aid and CPR training within 90 days from the date of hire.

Corrected by Nov 6, 2022

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

Staff person #1's file did not contain the required Child Abuse clearance and NSOR.

Corrected by Nov 6, 2022

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

It was observed that there was peeling paint in multiple child care spaces: in the 2 year old room, about 5-6 areas of peeling paint on the wall to the right, under the bulletin board. Also, under the window, 5 spots of peeling paint. To the right of the window, under the bulletin board, 4 spots of peeling paint, and the window sill edge has multiple areas of peeling paint. In the 1 yr old room, about 5, 1-2 inch areas of peeling paint observed on the right wall (under the bulletin board, near the diaper changing area). On the right wall, under the bulletin board closer to back of room, there are 4 areas of approximately 2 inch spots of peeling paint. On the far wall, under the coat rack, 3 areas of 4 inch spots of peeling paint were observed. Also on the far wall, to the right of the mirror, observed 5, 2-3 inch spots of peeling paint. In the Preschool room, on the wall with the door, it was observed that there was 10, 1-2 inch areas of peeling paint. On the right wall, toward back of room, about 1 foot up from the floor, 5 , 1-2 inch areas of peeling paint observed. On the back wall, in the right corner, about 1 foot up from the floor, there was a 3-4 inch area of peeling paint. On the back wall, in the calm down area, there were 3, 1-2 inch areas of peeling paint. On the wall to the left of the back door, from 6 inches to 2 feet up from the floor, there were approximately 20, 1/2 inch-3 inch areas of peeling paint. The natural wooden shelf with a black wood surface (left wall) had peeling paint on all edges and multiple areas of peeling paint on the top. The right wall, under big calendar bulletin board, about 6 inches up from floor, had two 4 inch areas of peeling paint.

Corrected by Dec 23, 2022

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3270.121(b) · At the time of enrollment, a parent shall receive in writing 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.

At the time of enrollment, parents do not receive, in writing, the facility's hours, fees, and the facility's supervision policy.

Corrected by Nov 18, 2022

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3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

In the 1 year old child care room, a hands-free covered can was available to discard the disposable diaper, however, the teachers in this room used their hands to open it to dispose of diapers.

Corrected by Nov 18, 2022

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

Staff person #1's health assessment did not include information about an examination for communicable diseases and the results of that examination.

Corrected by Nov 25, 2022

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3270.151(c)(4) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Staff person #1's health assessment did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Corrected by Nov 25, 2022

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3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Staff person #1's health assessment did not address the person's suitability to provide child care.

Corrected by Nov 25, 2022

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3270.192(2)(iii) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person #2 and #3's files do not contain verification of child care experience. Staff person #4's file did not contain proof of current pediatric first aid and CPR training.

Corrected by Nov 25, 2022

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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 facility's emergency plan does not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Nov 18, 2022

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3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility had no documentation of proof of purchase of the interconnected fire detection system (COS with attestation form).

Corrected by Oct 17, 2022

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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.

The facility's updated emergency plan was not sent to the local municipality.

Corrected by Nov 6, 2022

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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. The required staff:child ratios must be maintained at all times.

On 4-29-22 staff #1 left the discovery pre-school classroom to make copies leaving the remaining staff alone with 12 older toddlers. On 4-29-22 staff #1 left the discovery pre-school classroom with one child leaving one staff along with 10 older toddlers.

Corrected by Aug 12, 2022

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3270.111(c)/3270.113(e) · 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 facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

On 6-7-2022 Staff #1 tucked child #1's blanket under the four posts of his cot while he was napping. The child's arms and legs were under the blanket. The child was restrained by the blanket and was not able to get out without help from staff.

Corrected by Aug 12, 2022

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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.

Staff #1 left a child in the bathroom, locked the door and walked away. The child was then banging on the door and crying. Staff #1 was in the back of the line of children walking outside to the outdoor play area. She left one child in the hallway, walked outside closing the door. The child was unsupervised for less than a minute.

Corrected by Aug 13, 2022

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3270.113(a)/3270.113(a)(1) · Children must be supervised at all times. The legal entity must arrange for the facility director to complete "Coaching and Mentoring Staff for Center Directors" on the Better Kid Care training website. Documentation of completed training must be submitted to the Regional Office of Child Development and Early Learning and kept on file at the facility.

Staff #1 left a child in the bathroom, locked the door and walked away. The child was then banging on the door and crying. Staff #1 was in the back of the line of children walking outside to the outdoor play area. She left one child in the hallway, walked outside closing the door. The child was unsupervised for less than a minute.

Corrected by Aug 22, 2022

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3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

On multiple occasions staff #1 had left soiled diapers on the bathroom sink, bathroom floor and on the diaper changing table in the Discovery Pre-school bathroom.

Corrected by Aug 13, 2022

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3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

It was observed at the time of inspection a child in the Discovery Pre-school classroom was sleeping on the floor and some pillows.

Corrected by Aug 12, 2022

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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.

It was observed at the time of inspection two infants were sleeping in cribs that did not have 2 feet of space on three sides of their cribs

Corrected by Aug 12, 2022

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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 infant classroom that there was not an acceptable protective outlet cover in a low outlet accessible to children. The outlet had a blue piece of tape on it which could potentially be removed by children.

Corrected by Mar 23, 2022

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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.

It was observed in the preschool classroom that the first aid kit did not contain gloves.

Corrected by Mar 23, 2022

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

It was observed in the kitchen that the refrigerator used to store potentially hazardous foods did not contain a thermometer to regulate temperature.

Corrected by Mar 23, 2022

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3270.133(2) · 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.

It was observed that the facility did not have written instructions provided from the individual who prescribed the medicine or instructions for administration of medication for child #1's EpiPen.

Corrected by Mar 25, 2022

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

It was observed that the medication log containing instructions for administration of Child #2's EpiPen did not have signed consent by the parent.

Corrected by Mar 29, 2022

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3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

It was observed in the facility kitchen that there was not a class B fire extinguisher in the space. The fire extinguisher observed in he kitchen was rated for wet chemical only.

Corrected by May 20, 2022

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3270.27(a)(1) · 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.

It was observed that the facility emergency plan did not provide for accommodations for shelter of children during an emergency lock-down.

Corrected by Mar 23, 2022

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