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

At the time of the follow up visit on 7/16/25, continued non-compliance was observed. The plan of corrections for the violation citing 3270.66d on SIN- 00267510 had not been fully implemented. On 6/4/2025, a hydrangea plant was observed on the outdoor child care space where toddlers were receiving care. On 7/16/25, the plant was still observed on the outdoor child care space where toddlers were receiving care.

Corrected Corrected by Aug 20, 2025

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

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.

At the time of the follow up visit on 7/16/25, continued non-compliance was observed. The plan of corrections for the violation citing 3270.113a1 on SIN- 00267510 had not been fully implemented. On 6/4/2025, staff persons #1 and #2 were caring for a group of school age children. The staff were unable to identify which specific children they were each responsible for supervising. On 7/16/25, staff persons #2 and #3 were in a room with 21 school age children. Staff person #2 accounted for 9 of the children and staff person #3 accounted for 3 of the children in their care groups. 9 children were not accounted for in the care groups.

Corrected Corrected by Aug 20, 2025

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. Conditions at the facility may not pose a threat to the health or safety of the children.

Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre- service training required prior to caring for children unsupervised: Mandated reporter training. (CORRECTED 6/4/25)

Corrected Corrected by Jun 4, 2025

Category: supervision. Marked corrected in the state record.

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

The pediatric first aid and CPR training on file for staff person #2 expired at the end of December 2024, and was not updated until February of 2025.

Corrected Corrected by Jun 11, 2025

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The mandated reporter training on file for staff person #1 expired 3/29/2025, and was not updated until 6/4/25. The mandated reporter training on file for staff person #2 expired 1/17/2025, and was not updated until 5/4/25. The PA state police clearance on file for staff person #3 expired 3/3/2025 and it was not updated until 4/10/25. Staff person #3 worked during the time the clearance was expired. At the time staff person #5 began work in the facility, the staff record did not contain a PA state police clearance required under the CPSL and did not contain a copy of the request for the clearance required for provisional hiring under the CPSL. The staff person was observed working alone with a group of children. The clearance was obtained on 6/4/25. In addition, staff person #5's mandated reporter training was not completed within 90 days of hire. The training was completed on 6/4/25. The record for staff person #6 did not include a completed disclosure statement.

Corrected Corrected by Jun 13, 2025

Category: background checks. Marked corrected in the state record.

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

A hydrangea plant was observed on the outdoor child care space where toddlers were receiving care.

Corrected Corrected by Jul 11, 2025

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

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.

An infant was observed sleeping in a crib (in a natural corner) that had two feet of space on just 1 side of the rest equipment.

Corrected Corrected by Jul 4, 2025

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

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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 #7 and #8 were caring for a group of school age children. The staff were unable to identify which specific children they were each responsible for supervising. In addition, a child was in the restroom across the hallway from the child care space. The staff persons responsible for th echild were unable to see the entrance to the restroom from where they were standing.

Corrected Corrected by Jun 13, 2025

Category: supervision. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The record for staff person #4 included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jul 4, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The mulch in the fall zones around the embedded equipment measured at approximately 7 to 8 inches.

Corrected Corrected by Feb 28, 2025

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

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).

Ounce or Work Sampling were not completed timely during the previous year for children #1, #2, and #3. Child 1 - March of 2024 and then subsequently more than 6 months later in October of 2024. Child 2 - February of 2024 and then subsequently more than 6 months later in November of 2024. Child 3 - March of 2024 and then subsequently more than 6 months later in November of 2024.

Corrected Corrected by Jan 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Child 1 - Health assessments on file were dated in March of 2024, and subsequently more than 6 months later in December of 2024. The child was a young toddler at the time of the lapse. Child 2 - Health assessments on file were dated in December of 2022, and subsequently more than 6 months later in January of 2024. The child was a young toddler at the time of the lapse. Child 3 - Health assessments on file were dated in October of 2023, and subsequently more than 12 months later in November of 2024. The child was a preschooler at the time of the lapse.

Corrected Corrected by Jan 3, 2025

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

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.

Child 1- The agreement was signed by the parent in June of 2023, and then more than 6 months later in July of 2024. Child 3 - The emergency contact form was signed in March of 2024, and then more than 6 months later in November of 2024.

Corrected Corrected by Jan 2, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The school age restrooms were not equipped with lidded waste receptacles.

Corrected Corrected by Jan 4, 2024

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. Conditions at the facility may not pose a threat to the health or safety of the children.

The record for staff person 5 did not include the Pennsylvania Health and Safety update training which was to be completed within 90 days of hire. Staff person 5 has been employed for 6 months.

Corrected Corrected by Jan 6, 2024

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

3270.31(e)(4)(i) · 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 person 2's pediatric first aid and CPR training expired in March of 2023. The subsequent training was not obtained timely, as it was completed in December of 2023.

Corrected Corrected by Dec 30, 2023

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Annual fire safety training for staff person 1 is past due to be updated. The previous training was completed in November of 2022. More than 12 months lapsed between fire safety training updates for staff persons 3 and 4.

Corrected Corrected by Dec 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #3 will have until 1-11-24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS (or higher) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility. Staff person 5 may not work in a childcare position until complete clearances are on file. Once the staff person returns, staff person #5 will have until 1-11-24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS (or higher) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Staff person #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/23/18. Staff person #5 began employment with a PDE FBI clearance and does not have the appropriate DHS FBI clearances on file. The staff person has been employed for 6 months. The record for staff person #5 included an incomplete mandated reporter training (part 1 of 2).

Corrected Corrected by Jan 11, 2024

Category: supervision. Marked corrected in the state record.

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 1 did not have a completed staff evaluation from the previous 12 months.

Corrected Corrected by Jan 13, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

One child was not accounted for when reviewing primary care groups with staff person 6.

Corrected Corrected by Jan 5, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a)(4)/3270.123(a)(5) · An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement on file for child 3 did not specify the child's arrival and departure times, nor the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jan 11, 2024

Category: recordkeeping. Marked corrected in the state record.

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

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 conspicuously in the school age room.

Corrected Corrected by Jan 4, 2024

Category: transportation. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

An updated health assessment was not obtained every 6 months while child 6 was a young toddler. An updated health assessment was due in June of 2023, but was not obtained until December of 2023.

Corrected Corrected by Dec 30, 2023

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

3270.131(e)(1)/3270.131(e)(3) · 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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The immunization records on file for children 2 and 3 were not in accordance with the schedule recommended by the ACIP. The record for child 2 did not include documentation of an annual flu vaccine. The record for child 3 did not include 15 month HIB, nor Pneumococcal.

Corrected Corrected by Jan 4, 2024

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

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 agreements and emergency contact forms for children 1, 2, and 6 were not updated at least every 6 months. Child 1 - Emergency contact form updated 11/16/22 and subsequently 6/13/23; Agreement updated 8/29/22 and subsqeuently 6/27/23. Child 2 - Emergency contact form updated 12/22 and subsequently 10/23; Agreement updated 1/23 and subsqeuently 10/23. Child 6 - Emergency contact form updated 11/22 and subsequently 8/23; Agreement updated 6/22 and subsqeuently 6/23.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Some of the emergency contact forms in the school age room, the older toddler room, and the preschool room were past due to be updated.

Corrected Corrected by Jan 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(8) · A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Originals of the agreements were on file for children 3 - 6.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

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 5 did not include documentation of education.

Corrected Corrected by Dec 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff person #5 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid and CPR. The training was completed 5 1/2 months after date of hire.

Corrected Corrected by Dec 30, 2023

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

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The facility did not have documentation on file that the emergency plan had been sent to the local municipality.

Corrected Corrected by Jan 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Staff person 6 completed the 10 hour health and safety training (covers topics 1-9) 235 days after start date. Staff person 7 completed the 10 hour health and safety training 262 days after start date.

Corrected Corrected by Dec 21, 2022

Category: ratio. Marked corrected in the state record.

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

Staff person 1 had a volunteer child abuse clearance on file in-lieu of the required employment child abuse clearance. (CORRECTED ON SITE) Staff person 2 began employment without documentation that the NSOR had been requested. The NSOR was requested 2 days after start date, and the NSOR was dated 9 days after start date. Staff person 3 did not complete her mandated reporter training within the initial 90 days of employment. The training was dated 147 days after start date. The NSOR for staff person 4 was not on file within her first 45 days of employment. The NSOR was dated 62 days after start date. Staff person 7 did not complete her mandated reporter training within the initial 90 days of employment. The training was dated 266 days after start date.

Corrected Corrected by Dec 21, 2022

Category: background checks. Marked corrected in the state record.

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 5 and 7 are serving as assistant group supervisors at the facility. Their records included documentation of high school diplomas, but did not include documentation of 2 years (2,500 hours) of child care experience.

Corrected Corrected by Jan 3, 2023

Category: supervision. Marked corrected in the state record.

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

Areas of peeling paint were observed on the windowsills in the school age room.

Corrected Corrected by Jan 30, 2023

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

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

The trash cans located in the school-age bathrooms were not lidded.

Corrected Corrected by Dec 21, 2022

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

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 forms on file for children 1 and 2 did not include addresses for listed release persons.

Corrected Corrected by Dec 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The most recent health assessment on file for child 2 (young toddler) was more than 6 months old (dated 4/19/2022).

Corrected Corrected by Dec 21, 2022

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

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

The TB test results on file for staff person 1 were more than 12 months old at initial service in the childcare setting.

Corrected Corrected by Dec 21, 2022

Category: ratio. Marked corrected in the state record.

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 person 5 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 Corrected by Jan 23, 2023

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

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.

Emergency contact information for some of the enrolled children had been updated in the master file, but not in the files in the childcare spaces.

Corrected Corrected by Dec 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #6 will have until 12/29/22 to complete the required pediatric first aid and CPR training. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children, by an AGS, GS or director who has completed the required training related to this citation. If there are no staff available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Staff person 6 has not yet completed a pediatric first aid and CPR training. A basic first aid & a BLS training were on file in-lieu of the required pediatric first aid and CPR training.

Corrected Corrected by Dec 22, 2022

Category: supervision. Marked corrected in the state record.

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). 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.

During the previous year, more than 30 days lapsed between the following manual tests of the fire detection system. 1/3/22 to 2/5/22 4/2/22 to 5/7/22 7/2/22 to 8/6/22 10/1/22 to 11/5/22

Corrected Corrected by Dec 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The record for staff person 2 did not include documentation of having completed annual fire safety trainings. She has been employed for more than a year.

Corrected Corrected by Dec 20, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

According to documentation on file at the time of inspection, staff person #3 was hired 11/22/21. Upon beginning work in the facility, her record did not contain a completed PA state police clearance information required under the CPSL, nor documentation the request for the clearance has been submitted as required for provisional hiring under the CPSL. The clearance was obtained 12/3/21. According to documentation on file at the time of inspection, staff person #4 was hired 8/23/21. Upon beginning work in the facility, her record did not contain a completed DHS FBI clearance information required under the CPSL, nor documentation the facility person had been fingerprinted for the FBI clearance required for provisional hiring under the CPSL. The clearance DHS FBI clearance was obtained on 11/9/2021. The record for staff person 4 also did not include a complete PA state police clearance. (CORRECTED ON SITE). At the time of hire, staff person 4's record did not include either a completed DHS FBI clearance, or a complete PA State police clearance which is required for provisional hiring under the CPSL (as a part of the waiver agreement).

Corrected Corrected by Dec 15, 2021

Category: background checks. Marked corrected in the state record.

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

Three bottles of hand sanitizer were observed in areas accessible to children in the school-age space, school-age hall, and school-age girls bathroom. (CORRECTED ON SITE)

Corrected Corrected by Dec 15, 2021

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

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

Peeling paint was observed in multiple areas along the window frame in the toddler room. A small area of peeling paint was observed in the bathroom located between the preschool and pre-k rooms. (CORRECTED ON SITE)

Corrected Corrected by Feb 25, 2022

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

3270.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Mulch (diameter of less than 1 inch) was observed along the edge of the toddler playground and under the picnic tables on the toddler playground. The mulch appears to have washed onto the playground from the neighboring preschool playground.

Corrected Corrected by Dec 15, 2021

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

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

A plastic bag was observed hanging from cubbies within reach of toddlers (CORRECTED ON SITE).

Corrected Corrected by Dec 15, 2021

Marked corrected in the state record.

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

Child 1 had Tylenol on site and the medication had been administered according to the log on file. The facility did not have written parental consent for the administration the medication.

Corrected Corrected by Dec 15, 2021

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

The records for staff persons 3 and 4 did not include two written, non-family references.

Corrected Corrected by Jan 14, 2022

Category: recordkeeping. Marked corrected in the state record.