Lititz Rec Center Child Care

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.

The staff evaluations on file for staff person #3 were dated in November of 2024 and subsequently more than 12 months later in January of 2026.

Corrected by Feb 19, 2026

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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.

The first aid kit in zone 3 did not contain soap.

Corrected by Feb 19, 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.

The record for facility person #4 did not include documentation that the staff person has been trained on the emergency plan in the past year. The most recent training was from more than 12 months old (dated 1/2025).

Corrected by Feb 20, 2026

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The record for facility person #5 did not include documentation of a completed mandated reporter training. The facility person has been employed for more than 90 days. At the time facility person #6 began work in the facility, the individual's record did not contain a completed DHS FBI clearance required under the CPSL and did not contain a copy of request for the DHS FBI clearance as required for provisional hiring under the CPSL.

Corrected by Feb 19, 2026

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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.

The emergency contact information on file for children #1 and #2 did not include complete information for listed release persons. Child #1 - A release persons address and telephone number were not included. Child #2 - Addresses were not listed for 3 release persons

Corrected by Feb 10, 2026

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The most recent health report on file for child #2 was more than 12 months old (dated in October of 2024).

Corrected by Feb 13, 2026

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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 emergency contact information on file for child #1 was most recently updated by the child's parent in July of 2025. The agreement on file for child #3 was signed/dated by the parent in March of 2025, and subsequently more than 6 months later in February of 2026.

Corrected by Feb 19, 2026

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

Staff person #1 completed 8.5 training hours during their previous training year. Staff person #2 completed 6 training hours during their previous training year.

Corrected by Mar 6, 2026

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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.

According to the log on file at the time of inspection, fire drills were completed on 10/9/25 and then subsequently 62 days later on 12/9/25.

Corrected by Jan 9, 2026

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

According to the log on file at the time of inspection, more than 30 days had passed since the most recent manual test of the fire detection system. The most recently logged test took place on 11/6/25.

Corrected by Jan 7, 2026

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3270.21/3270.133(7) · TIERED LIS 1. Conditions at the facility may not pose a threat to the health or safety of the children. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. This portion of the plan shall have an immediate correction date. 2. Facility leadership must complete TA (with an approved Health and Safety Consultant) to write (or revise) and implement a policy regarding the handling, giving, and storing of medications, including procedures for parents, staff, and leadership. The policy should include actions taken when facility staff do not adhere to the policy. Facility leadership will submit the policy to DHS for approval. After the policy is approved by DHS, all staff will be trained on the center policy. All staff must sign and agree to adhere to the center policy. Documentation that all staff were trained and signed the policy must be kept on file at the facility. The operator shall provide a date for when this correction will be completed.

On 12/29/25, child #1 was inadvertently given a second dose of their medication. The medication had been brought in that morning by the child's parent, but facility staff did not require the parent to complete a medication log. Staff person #1 administered the first dose, and after a staff change a second dose was administered by staff person #2. Neither staff person #1 nor staff person #2 logged the administration of the medication. Facility staff did not notice the child was given an extra dose of the medication until it was brought to their attention by the child's parent at pickup. The child was taken to the emergency room for monitoring.

Corrected by Feb 27, 2026

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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.

Sunscreen was observed in areas accessible to the children (in backpacks). A child had a bottle of perfume in her backpack and was observed sharing it with other children.

Corrected by Jul 3, 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.

Emergency contact forms were not present with the preschool/kindergarten group. (CORRECTED ON SITE)

Corrected by Jul 3, 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 #3 - The child's inhaler was not in the original container and did not contain a prescription label (did not include written instructions from the individual who prescribed the medication).

Corrected by Jul 3, 2025

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3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Child #1 - There was no medication log on file for the child's pain reliever medication. Child #2 - There was no medication log on file for the child's inhaler.

Corrected by Jul 3, 2025

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9.

Staff person #5 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)). (8) Handling and storage of hazardous materials and appropriate disposal of biocontaminants. (9) Precautions when transporting children. The health and safety training was completed 120 days after the date of hire.

Corrected by Jan 7, 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.

The most recent written evaluation on file for staff person #1 was dated more than 12 months ago in January of 2024. The written evaluations on file for staff person #2 were dated in September of 2023, and subsequently more than 12 months later in November of 2024. The written evaluations on file for staff person #3 were dated in July of 2023, and subsequently more than 12 months later in November of 2024. The written evaluations on file for staff person #6 were dated in January of 2024, and subsequently more than 12 months later in February of 2025.

Corrected by Feb 17, 2025

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3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The bathroom off the Rec Zone was not equipped with a lidded waste receptacle. The trash can did not have a lid. (CORRECTED ON SITE)

Corrected by Feb 13, 2025

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3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

The depth of the rubber mulch surrounding the embedded equipment did not meet the recommendations of the United States Consumer Product Safety Commission The mulch measured at 3-4 inches in depth near the tall slide. (CORRECTED ON SITE)

Corrected by Feb 13, 2025

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3270.123(a)/3270.123(a)(6) · An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

The agreements on file for children #2, #3, and #4 did not specify the date of the child's admission, and were not signed by the operator. (CORRECTED ON SITE)

Corrected by Feb 13, 2025

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3270.124(f) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

The emergency contact forms on file for child #4 and child #5 were signed by the parents in February of 2024, and subsequently more than 6 months later in January of 2025.

Corrected by Feb 26, 2025

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The most recent health report on file for child #3 was more than 12 months old.

Corrected by Feb 27, 2025

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3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

An epi-pen was on site for child #1. The facility did not have a med log, nor written parental consent for administration of the medication.

Corrected by Feb 17, 2025

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

The health assessment on file for staff person #1 stated "yes" to the question that asked in the individual has a communicable disease.

Corrected by Feb 26, 2025

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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.

The most recent health assessment on file for facility person #3 was dated more than 24 months ago (May of 2022) and is past due to be updated. The record for facility person #4 did not include a health assessment (complete with results of a TB test). The individual has been working as a facility person that comes into contact with children since October of 2024. The health assessments on file for facility person #5 were dated in August of 2022 and subsequently more than 24 months later in January of 2025.

Corrected by Mar 5, 2025

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3270.181(e) · If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

The emergency contact forms had been updated in the master files, but were not updated in the emergency contact folder in the school-age space.

Corrected by Feb 26, 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.

The record for facility person #4 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Feb 20, 2025

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3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)10. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Staff person #5 has not completed pediatric first aid and CPR within 90 days of their date of hire (see LIS code sheet).

Corrected by Feb 25, 2025

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs. O

According to the written log on file at the time of inspection, more than 30 days had lapsed since the most recent manual test of the fire detection system (1/6/25). (CORRECTED ON SITE)

Corrected by Feb 13, 2024

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The record for staff person 3 did not include a completed disclosure statement. (CORRECTED ON SITE)

Corrected by Aug 9, 1924

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3270.14 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.

The record for staff person 2 did not include the 1 hour Pennsylvania health and safety updated training.

Corrected by Jul 16, 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 first aid training on file for staff person 2 expired at the end of June 2024.

Corrected by Jul 17, 2024

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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.

The most recent fire safety training on file for staff person 2 was more than 12 months old (dated 5/2023).

Corrected by Jul 17, 2024

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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.

The most recent written evaluation on file for staff person 2 was more than 12 months old (dated in June of 2022).

Corrected by Jul 17, 2024

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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.

A health report was in staff person 3's file, but the form did not include the name of the person who the health report was completed for.

Corrected by Jul 12, 2002

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3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

The children's lunchboxes in the Bonfield room were not stored in a refrigerator.

Corrected by Jul 10, 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.

The record for staff person 1 did not include documentation of education.

Corrected by Jul 16, 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.

The record for staff person 2 included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Jul 15, 2024

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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.

A container of hand sanitizer was observed hanging from a child's backpack in an area accessible to preschoolers.

Corrected by Mar 19, 2024

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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 3's written evaluation was due in March of 2023, but was not completed until January of 2024. Staff person 4 did not have a written evaluation on file from the previous 12 months.

Corrected by Feb 16, 2024

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3270.123(a)/3270.123(a)(6) · An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

The agreement on file for child 1 did not specify the date of the child's admission. The agreement was not signed by the operator.

Corrected by Feb 20, 2024

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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.

The emergency contact information on file for child 1 did not include the work addresses and telephone number for the enrolling parent.

Corrected by Feb 20, 2024

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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.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the preschool room, nor in the "fun zone".

Corrected by Feb 20, 2024

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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.

The record for staff persons 1 did not include the Pennsylvania Health and Safety update training which was to be completed by 12/30/2022.

Corrected by Feb 21, 2024

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3270.61(f)/3270.113(a)(1) · Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered. 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 person 7 sent a preschooler unsupervised into a space that was being used for another purpose unrelated to the childcare being offered to use the other group's restroom (the space is used for "drop in care"). Staff person 6 was assigned the responsibility of the child at the time, and the staff person was unaware of the child's whereabouts.

Corrected by Feb 16, 2024

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3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The telephone number of the nearest hospital, fire department, ambulance and poison control center were not posted by the telephones in the preschool room, nor the "fun zone".

Corrected by Feb 16, 2024

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3270.75(b) · A first-aid kit must be inaccessible to children.

The backpack containing the first aid kit was placed on the floor in an area accessible to the children upon returning to the room.

Corrected by Feb 16, 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.

An area of peeling paint was observed next to the soap dispenser in the bathroom across from zone 2.

Corrected by Feb 19, 2024

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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.

Hand washing signs were not posted near multiple sinks throughout the facility.

Corrected by Mar 6, 2024

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3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The toilet areas were not equipped with lidded trash cans.

Corrected by Feb 16, 2024

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

A written plan of daily activities was not posted in the "fun zone".

Corrected by Feb 16, 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 5's record did not include verification of child care experience, and education prior to service at the facility.

Corrected by Feb 21, 2024

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

According to the log on file at the time of inspection, more than 30 days lapsed between the following manual tests of the fire detection system: 10/13/23 to 12/14/23 to 1/16/24.

Corrected by Feb 20, 2024

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3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

The rubber mulch surfacing around the embedded equipment did not meet the depth recommendations of the United States Consumer Product Safety Commission (6 inches). The mulch measured at approximately 3 inches in multiple spots.

Corrected by Jul 11, 2023

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3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for facility person 1 did not include an examination for communicable diseases and the results of that examination, nor the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Jul 11, 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.

Uncovered outlets were observed in the hallway that is used by preschoolers.

Corrected by Feb 22, 2023

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

The agreement on file for child 2 did not specify the child's arrival and departure times.

Corrected by Feb 22, 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.

The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall was not displayed conspicuously in the school age room.

Corrected by Feb 22, 2023

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3270.131(e)(1)/3270.131(e)(2)(i) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The immunization record on file for child 1 (preschooler) was not in accordance with the schedule recommended by the ACIP. The record did not include documentation of an annual flu vaccine, nor an appropriate exemption note.

Corrected by Feb 22, 2023

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3270.181(c)/3270.181(e) · 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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Multiple emergency contact forms present in the preschool room had not been updated in the past 6 months (most recent parent signatures were more than 6 months old).

Corrected by Feb 22, 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.

The record for facility person 1 included just 1 written, nonfamily references from an individual attesting to the person's suitability to serve as a facility person.

Corrected by Feb 22, 2023

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

According to the log on file at the time of inspection, more than 60 days lapsed between the following fire drills: 4/4/22 - 7/1/22 and 7/1/22-9/27/22

Corrected by Feb 22, 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. Facility Person # 1 may not work in a child care position at the facility until complete clearances are on file.

Facility person 1 has been employed by the facility since 1/18/2019. Her record did not include an NSOR certificate and the DHS FBI clearance on file had expired on 9/13/2019, and an updated FBI clearance was not obtained until 2/1/22.

Corrected by Feb 9, 2022

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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.

Hand sanitizer was observed in an area accessible to preschoolers (CORRECTED ON SITE). Hand sanitizer was observed mounted on the wall in the school-age room.

Corrected by Feb 17, 2022

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3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

The depth of the rubber mulch on the playground did not meet the recommendations of the United States Consumer Product Safety Commission. The depth measured at less than six inches in multiple spots near the embedded playground equipment.

Corrected by Feb 17, 2022

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3270.131(e)(1)/3270.131(e)(2)(i) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The record for child 1 (preschooler) did not include documentation of an annual flu vaccine (as recommended by the ACIP guidelines). The record did not include any written exemptions.

Corrected by Feb 17, 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). 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 #2 may not work in a child care position at the facility.

Staff person 1 began employment on 7/1/21. Her record did not include documentation of submitting the application for the NSOR clearance prior to working with children. Her clearance request was submitted 7/21/21. The NSOR on file was dated 7/26/21. The facility did not meet the terms of the provisional hire waiver. Staff person 2 began employment on 7/7/21. Her record did not include an FBI clearance, nor documentation of submitting the application for the clearance prior to serving in a child care position.

Corrected by Aug 13, 2021

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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.

Staff person 1 and 2 were serving as an assistant group supervisors at the facility. Their records did not include documentation of 2 years (2,500 hours) of child care experience.

Corrected by Aug 13, 2021

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3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Staff person 2 began employment on 7/9/21. Her tb test results were more than 12 months old at hire, dated 6/24/20.

Corrected by Aug 13, 2021

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3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for staff 2 did not include an examination for communicable diseases and the results of that examination. The health assessment also did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Aug 13, 2021

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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

The record for staff person 2 included just one written, nonfamily reference.

Corrected by Aug 13, 2021

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