North Penn Ymca-Lansdale Branch

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 #1-- does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of (1/25/26).

Corrected by May 26, 2026

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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.

During the inspection on 5/11/26 the file record for staff person #1 did not include emergency plan training.

Corrected by May 12, 2026

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.

During the inspection on 5/11/26 the file record for staff person #1 did not include current fire safety training

Corrected by May 20, 2026

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3270.36(b)(5)/3270.192(2)(ii) · 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 verification of child care experience, education and training prior to service at the facility.

During the inspection on 5/11/2026 the file records for staff person #2 did not include verification of education prior to service at the facility.

Corrected by May 20, 2026

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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).

During the inspection on 5/11/26 staff person #3 was observed with 7 children alone in Room 5-6, the youngest child was a young toddler.

Corrected by May 11, 2026

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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.

During the inspection on 5/11/2026 the file records for staff person#1 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by May 20, 2026

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the inspection 5/11/26 the file record for staff person # 1 did not include annual minimum of 12 clock hours of child care training.

Corrected by May 20, 2026

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3270.35(b)(2)/3270.192(2)(ii) · A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the inspection on 12/1/2025 the file record for staff person #2 did not include a degree in human services field to qualify for the position.

Corrected by Dec 1, 2025

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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.

During the inspection on 12/1/25 Room #6 did not have a handwashing sign near the sink. Room #10 did not have an appropriate (a sign of the requirement of when to wash hands: facility person and an able child shall wash his hands after toileting and before eating) handwashing sign near the sink.

Corrected by Dec 1, 2025

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3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

During the inspection on 12/1/2025 child #3(infant) was observed sleeping in an apparatus (swing).

Corrected by Dec 1, 2025

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3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

During the inspection on 12/1/25 the file record for child # 2 did not include an agreement that specified the amount of the fee to be charged per day or per week.

Corrected by Dec 1, 2025

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3270.131(d)(8) · 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.

During the inspection on 12/1/25 the file records for child # 1 did not include a health assessment that included 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.

Corrected by Jan 1, 2026

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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. Staff person# 1 and 3 will obtain Better Kid Care training: "Your #1 Priority: Keeping Children Healthy and Safe" training is due by 12/15/25.

During the inspection on 12/1/2025 staff person #3 was observed conducting a diaper series of 1 child, child #4 and did not wash the child's hands after being diapered. Staff person #3 did not wash their hands after diapering a child.

Corrected by Dec 1, 2025

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3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

During the inspection on 12/1/25 staff person #3 was observed conducting a diaper change and did not clean the surfaces after each child.

Corrected by Dec 1, 2025

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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.

During the inspection on 12/1/25 staff person #1 was observed providing direct child care and their file included a health assessment that did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Jan 1, 2026

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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 #1--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health & Safety training). Staff person #2--- does not have acceptable pediatric first aid/CPR training in an approved curriculum (Staff person #2 had Basic First Aid and CPR).

Corrected by Aug 8, 2025

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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.

During the inspection on 7/24/25 staff person #3 was observed providing direct child care and their file included a health assessment that did not include an examination for communicable diseases and the results of that examination.

Corrected by Aug 1, 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.

During the inspection on 6/23/25 Room#1 was observed having areas of peeling paint.

Corrected by Jun 25, 2025

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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 persons #3,5,6,7,8,9,10,11,12, 13,18-- was observed to be caring for children unsupervised. Staff person #3,5,6,7,8,9,10,11,12, 13, 18-- has not completed the following pre-service training required prior to caring for children unsupervised: (Health & Safety Training). Staff persons 5,7,13, 18 #-- was observed to be caring for children unsupervised. Staff person #5,7,13, 18-- has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid & CPR). Staff person #10--- does not have acceptable pediatric first aid/CPR training in an approved curriculum. Staff person #7,9,11, 18-- was observed to be caring for children unsupervised. Staff person #7,9,11,18-- has not completed the following pre-service training required prior to caring for children unsupervised: (mandated reporter training). Staff person #1--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health & Safety Training). The file for staff person#1 included health and safety training dated 5/18/2022 and April 19,2023 that appeared to be fraudulent.

Corrected by Jul 8, 2025

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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.

During the inspection on 6/26/25 the file record for staff person #19 did not include emergency plan training.

Corrected by Jun 25, 2025

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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.

During the inspection on 6/23/25 the boy's bathroom did not have a handwashing sign near the sink.

Corrected by Jun 23, 2025

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3270.31(e)(4)(iii) · Competence in lifeguard training is demonstrated by completion of lifeguard training, including first-aid training and cardiopulmonary resuscitation (CPR) for child and infant.

During the inspection on 6/23/25 the file for staff person#4 identified as a facility lifeguard did not include completion of lifeguard training, including first-aid training and cardiopulmonary resuscitation (CPR) for child and infant.

Corrected by May 31, 2025

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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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, 13, 18 -- may not work in a child care position at the facility. 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, 13, 18--- may not work in a child care position at the facility.

During the inspection on 6/23/25 staff person#1 was observed providing direct child care and their file did not include a state police clearance and DHS FBI clearance. Staff person #13 was providing direct child care and their file did not include proof of fingerprinting or DHS FBI clearance and a disclosure statement. Staff person #18 was observed providing direct child care and their file did not include a state police, child abuse, DHS FBI clearance, and NSOR.

Corrected by Jun 23, 2025

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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.

During the inspection on 6/26/25 the file records for staff persons # 19 and 20 did not include a written evaluation.

Corrected by Jul 10, 2025

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3270.35(b)(1)/3270.192(2)(ii) · 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 verification of child care experience, education and training prior to service at the facility.

During the inspection on 6/23/25 the file records for staff person #7 did not include verification of child care experience, education and training prior to service at the facility. The file record for staff person #8 did not include verification of childcare experience.

Corrected by Jul 7, 2025

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3270.36(b)(5)/3270.192(2)(ii) · 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 verification of child care experience, education and training prior to service at the facility.

During the inspection on 6/23/2025 the file records for staff person #2, 3,9,10, 11, 12 did not include verification of child care experience prior to service at the facility. The file records for staff persons #6, and 7 did not include verification of child care experience, and education prior to service at the facility. During the electronic inspection on 6/24/25 the file record for staff person #18 did not include verification of child care experience, and education prior to service at the facility.

Corrected by Jul 7, 2025

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

During the inspection on 6/23/25 an unopened box with a toy/equipment was observed stored in a hallway near Room#3.

Corrected by Jun 23, 2025

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3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the inspection on 6/23/25 the file record for staff person #5 did not include verification of child care experience, and education prior to service at the facility.

Corrected by Jun 25, 2025

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3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

During the inspection on 6/23/25 staff person#5 was observed in Room #4 with 6 toddlers alone unsupervised. During the inspection on 6/26/25 staff person #3 was observed taking 6 children to the Girls bathroom at 10:33 am.

Corrected by Jun 23, 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.

During the inspection on 6/23/2025 toxics (3 cans Clorox Disinfectant spray, pine sol cleaner, Resolve Urine destroyer spray, sun tan lotion) were observed in Room #3 in an open cabinet and hand sanitizer was on the table accessible to children. All toxics observed had a label that states "keep out of reach of children."

Corrected by Jun 23, 2025

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3270.75(a) · A first-aid kit shall be in a child care space.

During the inspection on 6/23/25 Rooms# 1, 2 8 and 10 did not have a first aid kit.

Corrected by Jun 25, 2025

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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.

During the inspection on 6/23/25 the first-aid kit in Room#4 was missing gloves and in Room#5 the first aid kit was missing tweezers. During the inspection on 6/26/125 the first aid kit Room#2 was missing soap, in Room #4 the first aid kit was missing gloves, in Room #5 was missing tweezers, in Room #6 the first aid kit was missing soap and tape, in Room #8 the first aid kit was missing tweezers and gloves and in Room #10 the first aid kit was tweezers.

Corrected by Jun 25, 2025

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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.

During the inspection on 6/23/25 Room #1 was observed having 2 cracked tiles, and soiled ceiling tiles. Room #2 was observed having a wall that had a dried substance/liquid was visible on the wall.

Corrected by Jun 25, 2025

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3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

During the inspection on 6/23/25 Rooms # 1,2, 8, and 10 did not have any play equipment and materials appropriate to the developmental needs, individual interests and ages of the children. Rooms # 1,2,8 and 10 were observed having only tables and chairs and other furniture (shelves/ cubbies).

Corrected by Jul 10, 2025

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3270.101(c)(1) · Play equipment and materials shall include materials for dramatic role playing.

During the inspection on 6/26/25 Rooms # 1,2, 8 and 10 did not include play equipment and materials for dramatic role playing.

Corrected by Jul 10, 2025

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3270.101(c)(4) · Play equipment and materials shall include toys and materials for auditory development.

During the inspection on 6/26/25 Rooms # 1,2, 8 and 10 did not include play equipment and materials for auditory development.

Corrected by Jul 10, 2025

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3270.101(c)(6) · Play equipment and materials shall include toys and equipment for large muscle development.

During the inspection on 6/26/25 Rooms # 1,2 and 10 did not include play equipment and materials for large muscle development.

Corrected by Jul 10, 2025

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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.

During the inspection on 6/23/25 the refrigerator in the Room#6 did not have a thermometer. The refrigerator in Room#3 was observed having dark red/brown stains and other stains.

Corrected by Jun 23, 2025

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

During the inspection on 6/23/25 Rooms # 1,2,8 and 10 did not have a daily schedule posted.

Corrected by Jun 25, 2025

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3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

During the inspection on 6/23/2025 four bottles for child #4 in the Room#6 were observed not labeled.

Corrected by Jun 23, 2025

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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. TIERED LIS: Children must be supervised at all times.--- Due by 6/26/25 The legal entity must arrange for all facility staff to receive a minimum of two hours of referred training regarding supervision of children. --Due by 9/26/25 The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. --Due by 6/26/25

Ongoing non-compliance- On 2/26/25 the legal entity was required to arrange for all facility staff to receive a minimum of two hours of Better Kid training regarding supervision of children: Supervision: What is Required? & Supervision: Moving Children. Staff persons #1, 14,15,16 and 17 did not complete the required training. During the inspection on 6/23/25 at 9:49am staff persons# 6 and 10 were observed with 10 children outside of the bathroom. child #1 and 2 were observed in the bathroom alone unsupervised. Where staff persons #6 and 10 were positioned they could not direct, assist or see the children. At 1:30pm staff person#7 was observed in the stall with the door closed, while 4 children were in the bathroom alone unsupervised. During the inspection on 6/26/25 at approximately 9:40 am Staff person #19 was observed in the hallway with 6 children lined on the wall and 1 student in the bathroom unsupervised. Additionally at 10:33 am staff person #3 was observed taking children to the bathroom alone, 3 children were in the hallway and 3 students were in the bathroom alone unsupervised. Where staff persons # 3 and 19 were standing, they could only properly supervise the children in the hallway, they could not see, direct or assess the children that were in the bathroom.

Corrected by Sep 26, 2025

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3270.113(a)(1) · 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.

During the inspection on 6/23/25 staff persons# 7 and 8 were observed in Room# 8 with 13 children, staff person #7 knew the names of 10 children, staff person #8 knew the names of 8 children. In Room #2 staff persons# 6 and 10 were observed with 12 children, staff persons #6 and 10 did not know any of the names of the children in their care. In Room #4 staff persons #5 and 16 were observed with 12 children. Staff person #16 knew the names of the 12 children., staff person# 5 did not know name of child #3. In Room #10 staff persons #12, and 18 were observed with 16 children, Staff person#12 knew the names of 9 children, staff person# 18 knew the names of 3 children. Additionally; Rooms # 2,4,8 and 10 staff did not have assignments of specific children. During the inspection on 6/26/25 in Rooms #2,4, and 10 the staff did not have specific assignment of supervision of children. In Room #10 staff persons #11 & 12 were observed with 19 children, staff person#11 knew the names of all 19 children, staff person#10 knew the knows of 5 of the 19 children,

Corrected by Jun 26, 2025

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

During the electronic inspection on 6/24/25 the file records for child #4,5, 8 and 9 did not include a financial agreement form signed by the operator and parent.

Corrected by Jun 23, 2025

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3270.123(a)(3) · 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).

During the electronic inspection on 6/24/25 the files for child #4,5,7,8 and 9 did not include the services to be provided to the family and the child

Corrected by Jun 25, 2025

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

During the electronic inspection on 6/24/25 the file record for child # 4 did not include an agreement that specified the child's arrival and departure times.

Corrected by Jun 25, 2025

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3270.123(a)(5)/3270.123(a)(6) · An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission.

During the electronic inspection on 6/24/25 the file record for child # 7,8, and 9 did not include an agreement that specified the persons designated by a parent to whom the child may be released. The file records for child # 4,5,7,8 and 9 did not include an agreement that specified the date of the child's admission.

Corrected by Jun 25, 2025

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3270.124(b)(3)/3270.124(b)(6) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During the electronic inspection on 6/24/25 the file records for child #4 did not include work address and work telephone number of the enrolling parent on the emergency contact form. The file records for child # 4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.

Corrected by Jun 26, 2025

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

During the inspection on 6/23/2025 Rooms #2, 4 and 8 did not have emergency contact information present in a child care space for children receiving care in the spaces. During the inspection on 6/26/25 Rooms 1,2,3 and 8 did not have emergency contact information present in a child care space for children receiving care in the spaces.

Corrected by Jun 26, 2025

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3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

During the inspection on 6/23/25 the medication for child # 6 was observed on top of a cubby unit accessible to children.

Corrected by Jun 25, 2025

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

During the inspection on 6/23/25 an expired EPIpen (dated: EXP:8/24) was observed accessible to children in room #3 for child #6.

Corrected by Jun 25, 2025

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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.

During the inspection on 6/23/25 the file for staff person#4 did not include an initial health assessment and Tb test results. Staff persons# 2 and 18 were observed providing direct child care and their file did not include an initial health assessment and Tb test results. During the inspection on 6/26/25 staff person#19 was observed providing direct child care and their file did not include an updated health assessment (the health assessment observed dated: 5/6/22).

Corrected by Jul 26, 2025

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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.

During the inspection on 6/27/25 staff person #20 was observed providing direct child care and their file included a health assessment that did not include an examination for communicable diseases and the results of that examination.

Corrected by Jun 27, 2025

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3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

During the inspection on 6/23/2025 the files for child #4,5,7,8 and 9 were not available.

Corrected by Jun 23, 2025

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3270.192(1)/3270.192(2)(i) · A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

During the electronic inspection on 6/24/2025 the file record for staff person #18 did not include the name, address and telephone number of the facility person. The file record for staff person #18 did not include verification of age.

Corrected by Jun 25, 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.

During the inspection on 6/23/2025 the file records for staff persons #2 and 4 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person. During the electronic inspection on 6/24/2025 the file records for staff person#18 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Jul 26, 2025

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20.71(a)(7) · The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.

During the inspection on 6/23/25 the file for staff person#1 included health and safety training dated 5/18/2022 and April 19,2023 that confirmed to be fraudulent. Review of PD registry report of staff person# 1 did not include a record of health and safety trainings on 5/18/22 or 4/19/23. Review of Better Kid Care Trainings completed courses did not include a record health and safety trainings on 5/18/22 or 4/19/23.

Corrected by Jun 30, 2025

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the inspection 6/26/25 the file record for staff person # 19 did not include annual minimum of 12 clock hours of child care training.

Corrected by Jul 10, 2025

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3270.52/3270.113(a)(2) · 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).

As a result of the complaint investigation on 2/26/25 staff person # 1 admitted that the facility was out of ratio on 2/18/25.

Corrected by Feb 26, 2025

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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.

Continued Non-Compliance: On (2/10/25) a complaint investigation was conducted at the facility. Staff person #1-- was observed to be caring for children unsupervised. Staff person #1-- had not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid &CPR). The facility's acceptable plan of correction indicated the correction would be implemented by 2/25/25. On 2/18/25 it was reported that Staff person #1-- still has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid & CPR). The complaint investigation was conducted on 2/26/25.

Corrected by Feb 26, 2025

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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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of Better Kid training regarding supervision of children: Supervision: What is Required? & Supervision: Moving Children

During the inspection on 2/26/25 staff person #2 was observed leaving four children alone unsupervised in Room #5 at 8:22 am to open the front door.

Corrected by Mar 19, 2025

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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) LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 -- may not work in a child care position at the facility. 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 #--- may not work in a child care position at the facility.

Ongoing noncompliance- During the inspection on 2/10/25 the file record for staff person #1 did not include a NSOR. Per staff statements staff person #1 continued to provide direct child care after 1/23/25 inspection and POC indicated staff person #1 would not provide direct child care until all required clearances was obtained.

Corrected by Feb 10, 2025

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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.

Continued Non-Compliance: On 1/23/25 an unannounced monitoring was conducted at the facility. Staff person #2-- was observed to be caring for children unsupervised. Staff persons #1 and 2-- had not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid & CPR training) The facility's acceptable plan of correction indicated the correction would be implemented by 2/7/25. On 2/10/25 an unannounced inspection was conducted. Staff persons #1 and 2-- still has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid & CPR).

Corrected by Feb 25, 2025

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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.

Ongoing non-compliance- During the inspection on 2/10/25 the file for staff person #2 did not include an acceptable initial health assessment.

Corrected by Mar 10, 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.

Ongoing noncompliance - During the inspection on 2/10/25 the file records for staff persons # 1 did not include acceptable verification of education, the education observed needs to be evaluated for US. equivalency. Per staff statements staff #1 continued to work with children after 1/23/25.

Corrected by Feb 10, 2025

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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 # 2-- was observed to be caring for children unsupervised. Staff person #1 and 2-- has not completed the following pre-service training required prior to caring for children unsupervised: (mandated reporter training, pediatric first aid/CPR and Health and safety).

Corrected by Feb 7, 2025

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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.

During the inspection on 1/23/25 the file record for staff persons #1 and 2 did not include emergency plan training.

Corrected by Jan 30, 2025

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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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and 2 -- may not work in a child care position at the facility. 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 and 2--- may not work in a child care position at the facility.

During the inspection on 1/23/25 the file for staff person #1 did not include a child abuse clearance, and NSOR clearance, mandated reporter training. Staff person #2 was observed direct child care and their file did not include out of state clearances for Connecticut, and mandated reporter training.

Corrected by Jan 23, 2025

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3270.34(b)(1)/3270.192(2)(ii) · A director shall have attained 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 and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the inspection on 1/23/2025 the file records for staff person #1 did not include verification of child care experience prior to service at the facility.

Corrected by Feb 6, 2025

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3270.36(b)(5)/3270.192(2)(ii) · 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 verification of child care experience, education and training prior to service at the facility.

During the inspection on 1/23/2025 the file records for staff person #2 did not include verification of child care experience, education and training prior to service at the facility.

Corrected by Feb 6, 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.

During the inspection on 1/23/2025 toxics (Lysol wipes) were observed accessible to children in Kid's Corner.

Corrected by Jan 23, 2025

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3270.75(a) · A first-aid kit shall be in a child care space.

During the inspection on 1/23/25 Room #5 & 6 did not have first-aid kit.

Corrected by Jan 23, 2025

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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.

During the inspection on 1/23/25 Room #6 and the bathroom in Room #5 did not have a handwashing sign near the sink.

Corrected by Jan 23, 2025

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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.

During the inspection on 1/23/2025 the file for staff persons #1 and 2 did not include an acceptable initial health assessment.

Corrected by Feb 23, 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.

During the inspection on 1/23/25 the file records for staff persons # 1 did not include acceptable verification of education, the education observed needs to be evaluated for US. equivalency.

Corrected by Feb 6, 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.

During the inspection on 1/23/2025 the file records for staff person# 1 and 2 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Feb 6, 2025

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3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

As a result of the complaint investigation on 11/25/24 it was determined that the facility has evidence of infestation.

Corrected by Dec 9, 2024

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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.

During the inspection on 11/25/24 the file record for staff person #1 did not include emergency plan training.

Corrected by Dec 2, 2024

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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.

During the inspection on 11/25/24 a playpen in Room#2 was observed not having 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.

Corrected by Nov 25, 2024

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3270.192(1)/3270.192(2)(i) · A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

During the inspection on 11/25/24 the file record for staff person #1 did not include the name, address and telephone number of the facility person and verification of age.

Corrected by Nov 25, 2024

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3270.192(4) · 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 #--- may not work in a child care position at the facility.

During the inspection on 11/25/24 the file record for staff person #1 did not include a signed disclosure statement.

Corrected by Nov 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.

During the inspection on 11/25/24 the file record for staff person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Dec 9, 2024

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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.

During the inspection on 11/4/24 the file record for staff person #3 did not include emergency plan training.

Corrected by Nov 11, 2024

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3270.36(b)(5)/3270.192(2)(ii) · 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 verification of child care experience, education and training prior to service at the facility.

During the inspection on 11/4/2024 the file records for staff person #1 did not include verification of child care experience prior to service at the facility.

Corrected by Nov 7, 2024

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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.

During the inspection on 11/4/2024 the file records for child # 1 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.

Corrected by Nov 11, 2024

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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.

During the inspection on 11/4/24 the file records for staff person #1 did not include a health assessment.

Corrected by Dec 4, 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.

During the inspection on 11/4/2024 the file records for staff person# 1 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Nov 18, 2024

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the inspection 11/4/24 the file record for staff persons # 2 and 3 did not include annual minimum of 12 clock hours of child care training.

Corrected by Nov 18, 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.

During renewal inspection on January 10, 2024, certification representative observed stained ceiling tiles in the hallway.

Corrected by Feb 7, 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.

During unannounced inspection on October 30, 2023, Certification representative observed stained ceiling tiles in the hallways outside of rooms 6 and 8.

Corrected by Nov 8, 2023

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3270.61/3270.101(a) · Measurement and use of inodoor child care space. Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

During unannounced inspection on October 30, 2023, Certification representative observed room 10 empty and not set up for child care, without sufficient materials.

Corrected by Dec 27, 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.

During unannounced follow-up inspection on August 24, 2023, certification representative observed staff #1 and #2 in the gym with 24 young school age children. The record of staff #1 did not contain an acceptable mandated reporter training, and the record of staff #2 did not contain the completed Health and Safety training. Continued non-compliance.

Corrected by Sep 13, 2023

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3270.51/3270.113(a)(2) · 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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

During unannounced follow-up inspection on August 24, 2023, certification representative observed staff #3 in room 4 with a total of 13 young school age children at approximately 1:38 pm, and observed staff #4 in room 2 with a total of 14 young school age children at approximately 1:55 pm.

Corrected by Aug 25, 2023

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3270.51/3270.113(a)(2) · 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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

During unannounced follow-up inspection on August 24, 2023, certification representative observed staff #3 in room 4 with a total of 13 young school age children at approximately 1:38 pm, and observed staff #4 in room 2 with a total of 14 young school age children at approximately 1:55 pm.

Corrected by Dec 11, 2023

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3270.51/3270.113(a)(2) · 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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

During unannounced follow-up inspection on August 24, 2023, certification representative observed staff #3 in room 4 with a total of 13 young school age children at approximately 1:38 pm, and observed staff #4 in room 2 with a total of 14 young school age children at approximately 1:55 pm.

Corrected by Dec 11, 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.

During unannounced follow-up inspection on August 24, 2023, certification representative observed areas of peeled/missing molding in the gym. Continued non-compliance.

Corrected by Sep 13, 2023

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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.

During unannounced follow-up inspection on August 24, 2023, the record of facility person #1 contained a health assessment dated 10-25-21 and the health assessment of staff #5 was dated 5-9-22. At the time of inspections on 7-31-23, and 8-7-23, the provider indicated and confirmed their start dates as 6-19-23 which allowed them provisional periods for other trainings and CPSL requirements. Based on the start date of 6-19-23, the health assessments provided were not completed within 12 months of initial care. Continued non-compliance.

Corrected by Sep 13, 2023

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During unannounced inspection on August 7, 2023, certification representative observed 2 outlets without protective receptacle covers in room 1.

Corrected by Aug 24, 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.

During unannounced inspection on August 7, 2023, cert rep observed staff #1 and 2 working together in room 10, observed staff #3, 4, 5 and 6 combined with their groups outside at 12:30 pm and then later observed #3, 4, and 5 separated and therefore alone in their classrooms with their groups. Staff #1, 2, 3, 4, 5 and 6 did not have documentation of completed pre-service trainings prior to working alone with children.

Corrected by Aug 23, 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). 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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 #--- may not work in a child care position at the facility.

During unannounced inspection on August 7, 2023, the record of staff #10 did not contain the NSOR verification, or receipt for submission. The records of staff #6 did not contain documentation of mandated reporter training and was observed working with children unsupervised.

Corrected by Aug 23, 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.

During unannounced inspection on July 31, 2023, the first-aid kit in room 8 did not contain tweezers or tape.

Corrected by Aug 24, 2023

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

During unannounced inspection on August 7, 2023, the emergency contact information in room 6 did not contain emergency contact information for child #1, the emergency contact information in room 4 did not include information for child #2, and the emergency contact information for room 2 did not include information for children #3, 4, 5 or 6.

Corrected by Aug 24, 2023

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

During unannounced inspection on August 7, 2023, the provider did not have files on site for staff #4 and #7.

Corrected by Aug 24, 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.

During unannounced inspection on July 31, 2023, staff #1, 2, 4, 6 and 8 were observed working with in child care spaces without documentation of completion of the required Pre-service trainings (Health and Safety, Pediatric First-aid and CPR, and Mandated reporter). Staff #1, 2, and 8 were observed working alone with children, and staff #4 and 8 were working together in room 8. Continued non-compliance.

Corrected by Aug 23, 2023

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3270.31(e)(4)(iv)/3270.115(a)(8) · Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

During unannounced inspection on July 31, 2023, the water safety instruction completed by all staff was not from a certified lifeguard (online training from Redwoods institute).

Corrected by Aug 24, 2023

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3270.113(a)(1)/3270.115(b)(1) · 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. Staff persons shall supervise children in care using wading pools. Staff: child ratios in subsection (a) apply when children are wading.

During unannounced inspection on July 31, 2023, cert rep observed staff #7, 9, 11, and 12 in the pool area with a total of 24 school age children. When asked to identify their supervision groups, the staff named a total of 22 children, leaving 2 children unaccounted for.

Corrected by Aug 24, 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 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 #--- may not work in a child care position at the facility.

During unannounced inspection on July 31, 2023, the record of staff #3 did not contain a DHS FBI clearance (contained a DOE FBI clearance) or an NSOR verification, and the record of staff #10 did not contain a Child Abuse clearance within 60 months (dated 1-14-18). Receipts of submission were not on file for staff #3 or #10. The records of staff #2 and #8 did not contain documentation of mandated reporter training and were observed working with children unsupervised. Continued non-compliance.

Corrected by Aug 24, 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.

During unannounced inspection on July 31, 2023, cert rep observed the Big Kids group in the pool area, and the first-aid kit was missing scissors and tape. The first-aid kit in room 2 was missing scissors, tape and gauze. The first aid kit in room 3 was missing tweezers, the first aid kit in room 4 was missing scissors, tape, gloves and band aids, and the first-aid kit in room 6 was missing scissors and tape.

Corrected by Aug 24, 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.

During unannounced inspection on July 31, 2023, certification representative observed missing ceiling tiles in the hallway outside of room 8, with building materials on the floor accessible to children.

Corrected by Aug 23, 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.

During unannounced inspection on July 31, 2023, certification representative observed an area of damaged plaster on the bottom of the wall in room 10.

Corrected by Aug 24, 2023

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3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

During unannounced inspection on July 31, 2023, there was not a sufficient amount and variety of materials in room 9 to preclude long waits for use for up to 20 children, the expected measured capacity of room 9. Continued non-compliance.

Corrected by Aug 24, 2023

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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.

During unannounced inspection on July 31, 2023, the rest equipment in room 3 was labeled with numbers but the child sleeping on the cot did not match the name that corresponds with the number on the list.

Corrected by Aug 24, 2023

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

During unannounced inspection on July 31, 2023, the emergency contact information in room 4 did not include information for child #1, and the emergency contact information in room 8 did not include information for child #2.

Corrected by Aug 24, 2023

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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.

During unannounced inspection on July 31, 2023, the record of staff #4 and #7 did not contain health assessments. Continued non-compliance.

Corrected by Aug 24, 2023

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

During unannounced inspection on July 31, 2023, provider did not have an individual record on site for staff #1, 2, 3, 5, 6, 8 and 9.

Corrected by Aug 23, 2023

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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.

During unannounced inspection on July 31, 2023, the record of staff #7 and #10 did not include verification of experience. Continued non-compliance.

Corrected by Aug 24, 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.

During unannounced inspection on July 31, 2023, the record of staff #4, 7 and 10 did not contain two written nonfamily references. Continued non-compliance.

Corrected by Aug 23, 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.

During inspection on June 2, 2023, the records of staff #1, 2, 3, 4, 6 and 7 did not include documentation of completion of the Health and Safety update within the time frame prescribed by DHS. At the time of inspection, staff #2, 3, and 5 were observed working unsupervised in room 10 without having completed Pediatric First-aid and CPR, or the Health and Safety training/updates.

Corrected by Jul 1, 2023

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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 inspection on June 2, 2023, the records of staff #3 and #4 did not include documentation of pediatric first-aid and pediatric CPR within 90 days of hire.

Corrected by Jun 16, 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). 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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 #--- may not work in a child care position at the facility.

During inspection on June 2, 2023, the record of staff #5 did not contain documentation of submission for the NSOR verification, and did not include the receipts for submission or results of out of state clearances for the state of Georgia as required under the CPSL.

Corrected by Jul 11, 2023

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

During inspection on June 2, 2023, the hot water in room 10 measured at 120°F.

Corrected by Jun 2, 2023

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3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

During inspection on June 2, 2023, there was not a sufficient amount and variety of materials in room 9 to preclude long waits for use for up to 20 children, the expected measured capacity of room 9.

Corrected by Jul 11, 2023

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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.

During inspection on June 2, 2023, the rest equipment in room 10 was labeled with numbers but did not have a list or description of the names of children that the numbers coincided with.

Corrected by Jul 6, 2023

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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.

During inspection on June 2, 2023, the refrigerator in room 10 did not contain a thermometer, and the thermometer in the refrigerator in room 3 indicated a temperature of approximately 50°F.

Corrected by Jun 16, 2023

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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.

During inspection on June 2, 2023, the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in rooms 3, 9 or 10.

Corrected by Jun 2, 2023

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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.

During inspection on June 2, 2023, the records of staff #2 and #5 did not contain a health assessment at initial employment, and the health assessment of staff #3 did not include the medical documentation necessary to confirm freedom of communicable tuberculosis.

Corrected by Jun 19, 2023

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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.

During inspection on June 2, 2023, the record of staff #2 did not include documentation of education and the record of staff #3 did not contain documentation of education or experience.

Corrected by Jun 19, 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.

During inspection on June 2, 2023, the record of staff #5 did not include two written, nonfamily references.

Corrected by Jun 19, 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.

DURING RENEWAL INSPECTION ON NOVEMBER 2, 2022, THE FACILITY EMERGENCY PLAN DID NOT INCLUDE A CONTINUITY OF OPERATIONS PLAN AS REQUIRED UNDER 45 CFR 98.41(a)(1)(vii).

Corrected by Nov 16, 2022

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3270.31(e)(4)(i)/3270.31(f) · 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 within 90 days of hire as listed in subsections (f)1-10.

DURING RENEWAL INSPECTION ON NOVEMBER 2, 2022, THE RECORDS OF STAFF #1, 2 AND 4 CONTAINED FIRST-AID AND CPR TRAINING THAT WAS NOT FROM AN ACCEPTED CURRICULUM.

Corrected by Dec 2, 2022

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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). 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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 #--- may not work in a child care position at the facility.

DURING RENEWAL INSPECTION ON NOVEMBER 2, 2022, THE RECORD OF STAFF #3 DID NOT INCLUDE A DHS DBI CLEARANCE CONDUCTED WITHIN 60 MONTHS OF PREVIOUS FBI CLEARANCE (DATED 6-14-17).

Corrected by Nov 18, 2022

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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.

DURING RENEWAL INSPECTION ON NOVEMBER 2, 2022, CERTIFICATION REPRESENTATIVE OBSERVED STAINED AND MISSING CEILING TILES IN THE HALLWAY OUTSIDE OF ROOMS 4 AND 6 WITH A TUBE LEADING INTO A TRASH CAN OF STANDING WATER FROM LEAK IN ROOF, PER LEGAL ENTITY. CERTIFICATION ALSO OBSERVED SMALL HOLES IN THE WALL AND A BIN OF STANDING WATER IN THE GYM, AND MISSING/BROKEN FLOOR TILES NEAR THE WINDOW IN ROOM 6.

Corrected by Dec 2, 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.

DURING RENEWAL INSPECTION ON NOVEMBER 2, 2022, CERTIFICATION REPRESENTATIVE OBSERVED AREAS OF CHIPPPED PAINT IN ROOM 4 NEAR THE CUBBIES, DAMAGED PLASTER ON THE CORNER OF THE WALL NEAR RUG AREA IN ROOM 4, AND CHIPPED PAINT IN THE GYM.

Corrected by Dec 2, 2022

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