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

At the time of inspection, hot water in the boys and girls bathrooms was observed to be 112 degrees F.

Corrected Corrected by Aug 12, 2025

Category: physical safety. 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.

At the time of inspection, documentation that the emergency plan had been sent to the county EMA was not available.

Corrected Corrected by Mar 3, 2025

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

3270.21/3270.71 · Conditions at the facility may not pose a threat to the health or safety of the children. Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

During the inspection, a classroom stove was being used to bake bread for snack. The stove is in an area accessible to children.

Corrected Corrected by Apr 11, 2025

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

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

At the time of inspection, the parent letter describing emergency procedures was not available.

Corrected Corrected by Mar 6, 2025

Category: physical safety. 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. Facility Person #2 may not work in a child care position at the facility.

At the time of inspection, documentation of out-of-state (VA) criminal record and sex offender clearances for staff #2 was not available. Staff #2 is beyond the 45-day provisional hiring period.

Corrected Corrected by Apr 11, 2025

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.

At the time of inspection, disinfecting wipes were observed to be stored in a bathroom space on a counter that was accessible to children. CORRECTED ON SITE.

Corrected Corrected by Jan 31, 2025

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

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

During the inspection, English Ivy and Ornamental Boxwood plants were observed to be on the playground, accessible to children.

Corrected Corrected by Apr 11, 2025

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

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.

At the time of inspection, the rug in the stairwell in from of the exit door to the playground was observed to be lifting up, causing a tripping hazard.

Corrected Corrected by Feb 3, 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).

At the time of inspection, documentation of child service reports conducted every 6 months was not available for child #4 and child #5. The most recent CSR was completed in November 2024 for both children with no documentation of a previous report being created, which was required based on their enrollment dates.

Corrected Corrected by Feb 19, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of inspection, documentation of work address and phone number for the enrolling parent of child #5 was not available.

Corrected Corrected by Feb 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

At the time of inspection, signed parental consent for emergency medical care was not available for child #3 and child #5. Initials were used to signify consent for child #4, which is not acceptable.

Corrected Corrected by Mar 6, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of inspection, proprietary emergency information cards were available in the classrooms, however, these forms did not include fields for parent workplace, workplace address/phone number, persons to whom the child may be released, and addresses for those individuals.

Corrected Corrected by Feb 3, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of inspection, documentation showed that Staff #1 had a health assessment on file dated 7/23/24, which was beyond the 24-month requirement for health assessment updates. The previous health assessment is dated 6/24/21. Staff #3 had a health assessment dated 11/21/24 with a previous health assessment dated 10/20/22, exceeding the 24-month requirement.

Corrected Corrected by Nov 21, 2024

Category: ratio. 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.

At the time of inspection, documentation of parental review of the agreement every 6 months was not available for Child #4 and Child #5.

Corrected Corrected by Mar 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(5)/3270.182(6) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

At the time of inspection, signed parental consent for minor first aid was not available for child #3 and child #5. Initials were used to indicate consent for first aid, transportation, walking excursions, wading, and swimming, which is not acceptable.

Corrected Corrected by Mar 6, 2025

Category: ratio. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

At the time of inspection, accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions were not available in the emergency plan.

Corrected Corrected by Mar 3, 2025

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

3270.27(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Emergency Plan on file did not provide for a method for facility persons to contact parents when an emergency situation arises.

Corrected Corrected by Feb 26, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Emergency Plan on file did not list the method to inform parents that an emergency has ended.

Corrected Corrected by Feb 26, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Emergency contact form on file did not list a section to provide a parent work, and work address. Parent work address was missing for child #1, #2, #3, #4, and #5

Corrected Corrected by Mar 23, 2024

Category: recordkeeping. 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.

Emergency contact form for child #5 did not list a complete address for persons to whom the child may be released.

Corrected Corrected by Feb 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Health report for child #1 indicated that the child was not free from contagious or communicable disease and not cleared to participate in child care.

Corrected Corrected by Mar 15, 2024

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

3270.131(e)(2)(i) · 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.

Immunization exemption on file for child #5 was observed to be a form letter, which was not written by the parent.

Corrected Corrected by Mar 1, 2024

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

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

On the facility's emergency contact form, there was no section for parents to give the facility consent to administer medication or special dietary restrictions. Child #1, #2, #3, #4, and #5 did not have consent for administration of medication or special dietary needs on file.

Corrected Corrected by Feb 1, 2024

Category: ratio. Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Emergency Plan on file did not provide accommodations for evacuation of children from the facility to a new location away from the facility premises.

Corrected Corrected by Feb 26, 2024

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.

Staff number 1 required out of state clearances and clearances were not on file at the time of inspection. Out of state clearances for staff #1 obtained on 2/3/23. Staff #1 did not have an approved FBI clearance on file at the time of inspection. FBI clearance obtained on 1/23/23, which was after initial employment. Staff #1 did not have an NSOR clearance on file at the time of inspection. NSOR clearance was obtained on 1/22/23, which was completed after initial employment. Staff number 1 had Mandated Reporter training dated 1/29/23, which was done greater than 90 from employment.

Corrected Corrected by Feb 3, 2023

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

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

Emergency Contact form for child number 1, 2, 3, 4, and 5 did not have the parent work address or parent work phone number listed.

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. 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.

For child number 3, release persons were listed on agreement form, however release persons, addresses and phone numbers for release persons were not listed on emergency contact form. Emergency contact form for child number 5 did not contain complete addresses for release persons. Addresses on file for release persons were missing the state and zip code.

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to recommendations of 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.

Child #4 was missing an immunization that is recommended by the ACIP. There was no exemption of immunization letter on file for child #4.

Corrected Corrected by Mar 7, 2023

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

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.

Health assessment for staff number 1 was dated 1/30/23, which was not completed before initial employment. TB screening for staff 1 was dated 1/30/23, which was not completed before initial employment. There was no health assessment or TB screening on file for staff #2.

Corrected Corrected by Mar 13, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Staff #1 had a TB screening dated 1/30/23, which was not done at initial employment. Staff #2 did not have a TB screening on file.

Corrected Corrected by Mar 15, 2023

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

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Staff number 2 did not have verification of education or experience on file.

Corrected Corrected by Mar 9, 2023

Category: recordkeeping. 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.

Staff #2 did not have two written, nonfamily references on file.

Corrected Corrected by Mar 9, 2023

Category: recordkeeping. Marked corrected in the state record.