3270.14 · 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.

The facility did not have a Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment policy

Corrected Corrected by Nov 22, 2022

Category: ratio. Marked corrected in the state record.

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

The facility's emergency plan did not contain a Continuity Of Operations plan

Corrected Corrected by Dec 2, 2022

Category: ratio. Marked corrected in the state record.

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 did not contain a method to contact parents when the emergency starts and when it ends so that they can be reunited with their children.

Corrected Corrected by Dec 2, 2022

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

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #1, , #3, #4, #6 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff person #1,3, 4 , and #6 do have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Dec 12, 2022

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Staff person #10 had a health assessment completed on 11.6.2020 and did not have an updated health assessment completed within 24 months of their prior assessment.

Corrected Corrected by Dec 22, 2022

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Staff 1-3 were the three staff present at the facility at the time of inspection. None of the staff had a current "pediatric first-aid and pediatric cardiopulmonary resuscitation" training. The current first aid cards on file for staff 1-4 stated, "This program is not designed to meet pediatric first aid training regulatory requirements and should not be used for that purpose"

Corrected Corrected by Dec 3, 2021

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).

Staff #1 started working in childcare on 1-15-21 and did not complete their Mandated Reporter Training until 11-6-21, beyond the 90 requirement of the CPSL.

Corrected Corrected by Dec 3, 2021

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 #1's first day working in child care was on 1-15-21 and their initial health assessment, including a tuberculosis test was completed on 6-28-21.

Corrected Corrected by Dec 3, 2021

Category: ratio. Marked corrected in the state record.