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. Until such time as the required pre- service trainings are completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

The mandated reporter training completed and documented on file for Facility Person #1 was expired. Facility Person #1 was observed caring for children along with a staff person (Facility Person #2) who was classified as an aide.

Corrected Corrected by Apr 30, 2025

Category: supervision. 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). Until such time as the required training has been completed, staff person/facility person/volunteer 1 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 #1, staff person #1- may not work in a child-care position at the facility.

The mandated reporter training documented and on file for Facility Person #1 was expired. as it was completed more than 60 months prior.

Corrected Corrected by Apr 27, 2025

Category: supervision. 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.

There was a small screw protruding from the baseboard on the wall in the gym.

Corrected Corrected by Apr 28, 2025

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

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.

There was an infant observed asleep in a swing in the infant room, not in the position recommended by the AAP.

Corrected Corrected by Apr 25, 2025

Category: health medication. 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.

The documentation of pediatric first aid & CPR training on file for Facility Person #2 was completed more than 90 days after their start date.

Corrected Corrected by Mar 9, 2025

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

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.

The log documenting smoke detector testing at the facility indicated tests were not conducted at least every 30 days. The most recent test document was conducted more than 30 days prior, on 3/25/25. Act 62 requires that smoke detectors be tested by the operator at least every 30 days and tests be documented.

Corrected Corrected by Apr 29, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The certificate of compliance posted at the facility was expired.

Corrected Corrected by Apr 25, 2025

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.

There were no written, nonfamily references on file for Facility Person #5.

Corrected Corrected by Nov 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Documentation of emergency drills on file indicate drills were conducted on 11/16/22 and again on 9/12/24 - more than 12 months apart.

Corrected Corrected by Oct 29, 2024

Category: recordkeeping. 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 current pediatric first & CPR aid training documented and on file for Facility Person #2 was completed after the expiration of the previous pediatric first aid & CPR training.

Corrected Corrected by Oct 29, 2024

Category: ratio. Marked corrected in the state record.

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

The letter to the families explaining the emergency plan did not include information on the plan for accommodations in an emergency.

Corrected Corrected by Nov 25, 2024

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

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

The current mandated reporter training completed and on file for Facility Person #1 was completed more than 60 months after the previous mandated reporter training documented and on file.

Corrected Corrected by Oct 29, 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. Facility Person #5 may not work in a child care position at the facility without all completed clearances.

The current child abuse clearance on file for Facility Person #1 was completed more than 60 months after the prior child abuse clearance on file. The current FBI clearance on file for Facility Person #4 was completed more than 60 months after the prior FBI clearance on file. The child abuse clearance on file for Facility Person #5 was completed after their start date. There was no NSOR clearance on file for Facility Person #5.

Corrected Corrected by Oct 29, 2024

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

3270.34(b)(1) · 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.

The documentation of a bachelors degree on file for Facility Person #3, serving as one of the facility directors, does not indicate the degree is in a human services field.

Corrected Corrected by Oct 29, 2024

Category: recordkeeping. 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.

There were exposed bolts at the gates in the fencing in the Toddler and Preschool outdoor playspaces.

Corrected Corrected by Oct 29, 2024

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.

There were two small areas of damaged plaster on a wall in the gym near the restroom, one near the floor and one about 2 feet up from the floor.

Corrected Corrected by Nov 25, 2024

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

There was a loose handle on a kitchen playset in the older toddler room, creating potential pinch points,

Corrected Corrected by Oct 29, 2024

Category: physical safety. 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.

There is embedded equipment in each outdoor playspace mounted over unitary playground protective surfacing. The documentation of the ASTM approval of the surfacing does not indicate the maximum fall height to which it protects, to indicate it meets the requirements of the Consumer Product Safety Commission to protect to the maximum fall height of the equipment.

Corrected Corrected by Nov 25, 2024

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

3270.108(c) · Styrofoam cups and plates may not be used.

There were styrofoam plates used for serving food at the facility.

Corrected Corrected by Oct 29, 2024

Category: nutrition. Marked corrected in the state record.

3270.123(a)(5)/3270.124(b)(7) · An agreement shall specify the persons designated by a parent to whom the child may be released. 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.

Not all release persons listed on the emergency contact forms for children #1, #2, and #3 were also listed on their agreements.

Corrected Corrected by Nov 25, 2024

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 #1, a young toddler, was completed more than 6 months prior.

Corrected Corrected by Nov 25, 2024

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of 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).Child #1 must be dismissed from care by close of business on 10/29/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter

The immunization record on file for child #1 did not indicate the child had a sufficient number of doses of the Hepatitis B, HIB and pneumococcal vaccines according the ACIP recommendations for a child of their age.

Corrected Corrected by Nov 25, 2024

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

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

The health assessment on file for Facility Person #5 was completed after their start date.

Corrected Corrected by Oct 29, 2024

Category: ratio. Marked corrected in the state record.

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.

There was no documentation that the operator has tested the fire alarm system. Testing is required to be conducted, and documented, at least every 30 days.

Corrected Corrected by Oct 29, 2024

Category: recordkeeping. 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.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 Health and Safety professional development training update on file for Staff person #2 is dated 1/9/23, after the deadline of 9/25/23, as per Announcement C-22-06

Corrected Corrected by Oct 18, 2023

Category: ratio. 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)1-10.

Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the training was completed on 9/23/23.

Corrected Corrected by Oct 18, 2023

Category: health medication. 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 did not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet); the training was completed on 9/27/23.

Corrected Corrected by Oct 18, 2023

Category: recordkeeping. 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).

The 2 most recent child service reports on file for Child #1 are dated 7/20/22 and 2/13/23, more than 6 months apart and more than 6 months ago. The file for Child #3, with an enrollment date of 2/23/23, more than 6 months ago, does not include a child service report. The most recent child service report on file for Child #4 is dated 2/23/23, more than 6 months ago; and the most recent child service report on file for Child #5 is dated 2/15/23, more than 6 months ago.

Corrected Corrected by Oct 24, 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.

The emergency contact form on file for Child #1 and #3 does not include a complete address for all listed release persons.

Corrected Corrected by Oct 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The most recent health assessments on file for Child #3, who is a Young Toddler, is dated 2/16/23, more than 6 months ago.

Corrected Corrected by Oct 25, 2023

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

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for Child #4, who is a preschool age child, are dated 5/11/22 and 8/23/23, more than 12 months apart. The two most recent health assessments on file for Child #5, who is a preschool age child, are dated 10/5/20 and 2/16/23, more than 12 months apart.

Corrected Corrected by Oct 18, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of 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 most recent influenza vaccination on file for Child #1, who is 4 years old, is dated 12/21/20, more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #4, who is 4 years old, is dated 11/22/21, more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #2, who is 2 years old, includes 1 of 3 Hepatitis B vaccines recommended by the ACIP for a child this age; 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age; and 0 influenza vaccinations recommended annually by the ACIP for a child this age. The immunization record on file for Child #3, who is 12 months old, includes 2 of 3 DTAP vaccines recommended by the ACIP for a child this age; 2 of 3 HIB vaccines recommended by the ACIP for a child this age; and 2 of 3 Pneumococcal vaccines recommended by the ACIP for a child this age.

Corrected Corrected by Nov 21, 2023

Category: health medication. 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.

The current health assessment on file for Child #3 does not indicate if the child is free from contagious disease and may participate in child care.

Corrected Corrected by Nov 21, 2023

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

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

Infant Tylenol, in the Young Toddler room had expired on12/31/21 and was therefore not in accordance with the manufacturer's original label.

Corrected Corrected by Oct 18, 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.

The 2 most recent health assessments on file for Staff person #2 were dated 8/17/21 and 9/27/23, more than 24 months apart. The file for staff person #3 did not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET); the health assessment on file for staff person #3 is dated 10/5/23. The 2 most recent health assessments on file for Staff person #4 were dated 8/22/21 and 9/29/23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #5 were dated 3/3/21 and 8/29/23, more than 24 months apart.

Corrected Corrected by Oct 18, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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. 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.

The file for staff person #3 did not include documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET); the Tuberculosis test result on file for staff person #3 is dated 10/5/23.

Corrected Corrected by Oct 18, 2023

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 most recent 6-month review signature for the emergency contact form on file for Child #1 is dated 1/2/23, more than 6 months after the previous 6-month review signature, dated 4/29/22; and more than 6 months ago.

Corrected Corrected by Nov 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The emergency drill on file is dated 11/16/22, more than 1 year after the issuance date of the initial certificate of compliance, dated 9/17/21.

Corrected Corrected by Oct 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The Certificate of Compliance posted at the facility expired on 3/7/23; the current COC was not posted.

Corrected Corrected by Oct 18, 2023

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 does not have documentation verifying that the most recent emergency plan was submitted to the local municipality and to the county emergency management agency.

Corrected Corrected by Nov 21, 2023

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

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

The file for Staff person #2 does not include verification of fire safety training within 12 months of hire (See LIS Code Sheet).

Corrected Corrected by Mar 6, 2023

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)1-10.

Staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & Pediatric CPR. The training was completed on 2/19/22. Staff person #8 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & Pediatric CPR. The training was completed on 2/19/22.

Corrected Corrected by Feb 12, 2023

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #10 will have until 2/15/23 to complete the required training. Until such time as the required training has been completed, staff person #10 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #10, staff person #10 may not work in a child-care position at the facility.

Staff person #10 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & Pediatric CPR.

Corrected Corrected by Feb 12, 2023

Category: supervision. 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 #9 may not work in a child care position at the facility.

The file for Staff person #9 has an invalid FBI clearance obtained through the Department of Education and does not include an NSOR certificate within 45 days of hire (See IS CODE SHEET).

Corrected Corrected by Feb 12, 2023

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff person #10 who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

Corrected Corrected by Feb 12, 2023

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.

The two most recent staff evaluations on file for Staff person #1 are dated 2/25/21 and 9/22/22, more than 1 year apart. The two most recent staff evaluations on file for Staff person #6 are dated 2/26/21 and 9/19/22, more than 1 year apart. The file for Staff person #2, #3, #4, #7, #8 does not include a staff evaluation dated within 1 year of hire (See LIS Code Sheet).

Corrected Corrected by Feb 12, 2023

Category: recordkeeping. 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.

The toilet paper roll in the preschool bathroom was loose, falling off the wall.

Corrected Corrected by Jan 9, 2023

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.

There was a hole in the wall in the Cozy Corner in the Preschool room.

Corrected Corrected by Jan 9, 2023

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

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The agreement on file for Child #4, #5 does not include the child's date of admission.

Corrected Corrected by Feb 12, 2023

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.

The file for Child #2 does not include written parental permission to obtain emergency medical care.

Corrected Corrected by Feb 12, 2023

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.

There was a child observed receiving care in the Young Toddler room without his emergency contact form being in the space where he was receiving care.

Corrected Corrected by Feb 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · 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. 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 file for Child #1, who has been enrolled for more than 6 months, includes an emergency contact form and agreement 6 month review signature dated 12/5/22, which was required, effective 1/6/22, as per Announcement C-21-09, which was updated on 12/6/21. The file for Child #2 and #3, who have been enrolled for more than 6 months, does not include an emergency contact form and agreement 6 month review signature. The file for Child #6, who has been enrolled for more than 6 months, includes an emergency contact form 6 month review signature dated 4/4/22, more than 6 months ago; and an agreement 6 month review signature dated 1/3/22, more than 6 months ago.

Corrected Corrected by Feb 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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 most recent influenza vaccination on file for Child #3, who is 4 years old, is dated 8/25/20, more than 1 year ago, as is recommended annually by the ACIP. The immunization record on file for Child #4, who is 8 months old, includes 2 of 3 DTAP vaccinations, 2 of 3 HIB vaccinations, and 2 of 3 Pneumococcal vaccinations recommended by the ACIP for a child this age. The immunization record on file for Child #6, who is 17 months old, includes 3 of 4 Pneumococcal vaccinations recommended by the ACIP for a child this age.

Corrected Corrected by Feb 24, 2023

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

The Infant room included Poly-vi-sol drops for Child #7 and Zyrtek for Child #8 were not labeled for use by an individual child.

Corrected Corrected by Feb 12, 2023

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

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

There were Sulfate Drops in the Infant Room for Child #9 that did not include parental permission to administer.

Corrected Corrected by Dec 8, 2022

Category: ratio. Marked corrected in the state record.

3270.182(5) · 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.

The file for Child #2 does not include written parental permission to administer minor first aid procedures.

Corrected Corrected by Feb 12, 2023

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 file for Staff person #8 includes only 1 written non-family references attesting to the staff person's suitability to work in child care.

Corrected Corrected by Feb 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #2 includes 10 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #4 includes 10 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #5 includes 8 of 12 required annual training hours completed between 12/19/20-12/19/21, with an additional 4 hours completed in 2022, as per Announcement C-21-09. The file for Staff person #8, was observed not to have completed 12 hours of annual training within 12 months from date of hire (See LIS CODE SHEET).

Corrected Corrected by Feb 12, 2023

Category: recordkeeping. 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.

The files for staff person #1 and #4 lacked current fire safety training completed within the last year.

Corrected Corrected by Jan 18, 2022

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 Person #5 and Staff Person #6 may not work at the facility.

The files for staff person #5, with a start date of 9-9-21, and staff person #6, with a start date of 9-17-21, lacked the out of state Sex Offender and Child Abuse & Neglect registry checks at their start date and require current out of state Sex Offender and Child Abuse & Neglect registry checks. The files for staff person #5, with a start date of 9-9-21, and staff person #6, with a start date of 9-17-21, had NSOR verification certificates dated 12-21-21 that were after their start date.

Corrected Corrected by Jan 31, 2022

Category: background checks. 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.

The files for staff person #1 and #4 had staff evaluations that exceeded 12 months between evaluations.

Corrected Corrected by Jan 31, 2022

Category: recordkeeping. 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.

In the older toddler room, there was peeling paint in one area on the right wall near the door.

Corrected Corrected by Jan 31, 2022

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

In the older toddler and young toddler rooms with 1 and 2 year olds that are walking and able to wash their hands, the sink in each room next to the changing table lacked a platform or steps and was unable to be reached by the child after diapering to wash their hands.

Corrected Corrected by Jan 31, 2022

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

3270.131(e)(1) · 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 file for child #1, a 4 year old, and child #2, a 3 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Jan 31, 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 file for staff person #6, with a start date of 9-17-21, had a tuberculosis screening by the Mantoux method dated 1-30-19 that was over 12 months prior to initial employment and requires a current tuberculosis screening by the Mantoux method.

Corrected Corrected by Jan 31, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(1) · An adult health assessment must include a physical examination.

The file for staff person #2 had a health assessment that lacked a physical examination.

Corrected Corrected by Jan 31, 2022

Category: health medication. 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 file for staff person #3 had one written, nonfamily reference and lacked a second written, nonfamily reference.

Corrected Corrected by Jan 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10)/3270.31(h) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. All staff persons shall complete the professional development under subsection (f).

The files for staff person #3, with a start date of 9-17-21, and staff person #5, with a start date of 9-9-21, lacked pediatric first-aid and CPR training within 90 days of their start date and require current training.

Corrected Corrected by Feb 19, 2022

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

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

The file for Staff #1 contained documentation of certification in pediatric first-aid and CPR which lapsed between 3/3/21 and 4/21/21.

Corrected Corrected by Sep 17, 2021

Category: ratio. Marked corrected in the state record.

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

The file for Staff #2, designated as an AGS, contained documentation of a high school diploma yet lacked documentation of at least 2 years of experience with children.

Corrected Corrected by Sep 17, 2021

Category: supervision. Marked corrected in the state record.

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.

The refrigerator in the Infant Room was observed to lack a thermometer.

Corrected Corrected by Sep 17, 2021

Category: nutrition. Marked corrected in the state record.