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

There was an uncovered outlet in the schoolage room on a wall below a computer desk.

Corrected Corrected by Feb 19, 2025

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.he operator must have a written policy must include, but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment

The policy regarding shaken baby syndrome did not include strategies for coping with a crying, fussing, or distraught child; and did not address the prevention and identification of child maltreatment.

Corrected Corrected by Apr 3, 2025

Category: ratio. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

There was no documentation of a date the emergency plan had been reviewed by the operator within the previous 12 months.

Corrected Corrected by Feb 19, 2025

Category: recordkeeping. 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 required under subsection(a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The explanation of the facility's emergency plan in the handbook was not in letter format and it did not include all emergency procedures required under subsection (a).

Corrected Corrected by Feb 19, 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 #7 may not work in a child care position at the facility without all completed required clearances on file..

The current child abuse clearance on file for Facility Person #2 was completed more than 60 months after the previous child abuse clearance on file. The current criminal history and child abuse clearances on file for Facility Person #4 were completed more than 60 months after the previous respective clearances on file. The FBI clearance on file for Facility Person #6 was completed after their start date. There was no proof of application for an FBI clearance on file for Facility Person #6. Facility Person #7 resided in another state in the previous 5 years and began employment at the facility prior to 2/1/25. There was no criminal history clearance on file for Facility Person #7 from this state. The child abuse clearance from this state, and the proof of application for this clearance were completed after their start date.

Corrected Corrected by Mar 4, 2025

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

3270.35(b)(1)/3270.192(2)(iii) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The degree on file for Facility Person #8, required for the classification, was an international degree and was not accompanied by an evaluation for U.S. equivalency by an accredited agency.

Corrected Corrected by May 1, 2025

Category: supervision. Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

There were no gloves or tweezers in a first aid kit in the preschool room.

Corrected Corrected by Feb 19, 2025

Category: health medication. 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.

There was a foam barrier on the edge of a window ledge, with pieces missing, in the Toddler room.

Corrected Corrected by Feb 19, 2025

Marked corrected in the state record.

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

The agreement on file for child #2 was not signed by the parent.

Corrected Corrected by Feb 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreement on file for child #2 did not specify the date of the child's admission.

Corrected Corrected by Feb 19, 2025

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 #3 did not include the addresses of all release persons listed.

Corrected Corrected by Feb 28, 2025

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 medical emergency transportation plans were not posted conspicuously as follows: in the Preschool room, where it was posted on a wall obstructed by a stack of cots, or the Toddler room, where it was posted on a wall, but covered by a curtain.

Corrected Corrected by Feb 19, 2025

Category: transportation. Marked corrected in the state record.

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

The most recent health assessments on file for child #2, a preschooler, were dated 12/28/23 and 1/8/25, more than 12 months apart.

Corrected Corrected by Feb 19, 2025

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.

There was triple antibiotic ointment in the first aid kit in the Preschool room, not labeled with a child's name to be used by that child.

Corrected Corrected by Feb 19, 2025

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 most recent completed health assessment on file for Facility Person #1 was completed more than 24 months after the previous completed health assessment. The TB test on file for Facility Person #5 was documented as read after their start date.

Corrected Corrected by Feb 19, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The health assessment on file for Facility Person #3 did not include information regarding an exam for communicable disease and the results of that examination.

Corrected Corrected by Mar 25, 2025

Category: health medication. 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.

There was no signed parental consent for minor first aid administration by staff on file for child #1.

Corrected Corrected by Feb 19, 2025

Category: ratio. Marked corrected in the state record.

3270.31(c)(4) · An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person if a representative of the training institution certifies in writing that the individual has completed the required classroom training and is currently enrolled in the curriculum.

Facility Persons #1, #2, #3, and #4 were high school students ages 16-17 classified as aides. The operator stated that Facility Persons #2, #3, and #4 were enrolled in an approved high school curriculum an have completed the required classroom training, but there was no documentation on file from the training institution to verify this.

Corrected Corrected by Sep 5, 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 Persons #1, #2, and #3 may not work in a child care position at the facility without all completed clearances on file.

There was no NSOR on file for Facility Person #1. There was no FBI clearance on file for Facility Person #2. The child abuse clearance on file for Facility Person #3 was a volunteer clearance. Facility Persons #1, #2, and #3 were each employed at the facility more than 45 days.

Corrected Corrected by Sep 5, 2024

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

3270.36(b)(3)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Facility Person # 8 was classified as an assistant group supervisor with documentation of 15 credits in human services on file. There was no documentation of the required child care experience on file for the classification.

Corrected Corrected by Sep 5, 2024

Category: supervision. Marked corrected in the state record.

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

There was a backpack in reach of children in the schoolage room containing medication (Epipen, Albuterol inhaler).

Corrected Corrected by Sep 5, 2024

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 was no written parental consent for an Epipen and an Albuterol inhaler in the schoolage room.

Corrected Corrected by Sep 5, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The health assessment on file for Facility Person #4 did not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Sep 5, 2024

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessments on file for Facility Persons #3 and #4 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Sep 5, 2024

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.

There were no written, nonfamily references on file for Facility Persons #5, #6, #7, and #8.

Corrected Corrected by Sep 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Consecutive fire drills documented as occurring on 5/23/24 and 6/22/24 listed the same hypothetical location of the fire (the office).

Corrected Corrected by Sep 5, 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)1-10.

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/Pediatric CPR; the pre-service training on file for staff person #1 was dated 1/4/24. Staff person #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care: Building Blocks for Quality; the pre-service training on file for staff person #5 was dated 11/6/23.

Corrected Corrected by Feb 8, 2024

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 #3 will have until 3/16/24 to complete the required training. Until such time as the required training has been completed, staff person #3 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 #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 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 Apr 29, 2024

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 #2 may not work in a child care position at the facility.

The file for Staff person #2 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid.

Corrected Corrected by Feb 8, 2024

Category: background checks. 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 #1, #3, and #4 does not include the child's date of admission.

Corrected Corrected by Feb 10, 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.

The file for staff person #4 did not to contain documentation of a complete PA Child Abuse clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the clearance is dated 9/2/23). The file for Staff person #4 did not include proof of application for a criminal history, child abuse, and sex offender clearances from Florida, where the staff person lived within the previous 5 years (See IS CODE SHEET) required for provisional hiring under the CPSL; the FL criminal history and FL child abuse clearances are both dated 2/5/24.

Corrected Corrected by Feb 8, 2024

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

3270.66(e) · Arts and crafts materials shall be nontoxic.

There were cans of shaving cream, labeled "Keep out of the reach of children", reportedly used for arts and crafts projects, in the Pre-K classroom.

Corrected Corrected by Feb 8, 2024

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 4 holes in the wall with exposed plaster/drywall in the Preschool Classroom by the outside exit door.

Corrected Corrected by Feb 8, 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 were three Magna Tiles that were cracked in the School-Age Classroom.

Corrected Corrected by Feb 8, 2024

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.

There were loose marker lids in a bin that was on a shelf accessible to children still placing objects in their mouths in the Pre-Toddler Classroom. There were wooden blocks on a shelf accessible to children still placing objects in their mouths in the Toddler Classroom.

Corrected Corrected by Feb 8, 2024

Marked corrected in the state record.

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

The agreement on file for Child #1 and #4 is not signed by the operator.

Corrected Corrected by Feb 10, 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.

The emergency contact form on file for Child #2 does not include the address and telephone number for the enrolling parent's employment.

Corrected Corrected by Feb 10, 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.

A written emergency transportation plan detailing transportation procedures for a medical emergency was not posted in the Preschool Classroom.

Corrected Corrected by Feb 8, 2024

Category: transportation. 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 #1, who is a preschool age child, are dated 8/2/22 and 10/5/23, more than 12 months apart.

Corrected Corrected by Feb 8, 2024

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

3270.131(d)(5)/3270.131(e)(3) · ·Child #4 must be dismissed from care by close of business on 2/8/24 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 #4, who is 5 months old, includes 1 of 2 Hepatitis B vaccines recommended by the ACIP for a child this age; 1 of 2 Rotavirus vaccines recommended by the ACIP for a child this age; 1 of 2 DTAP vaccines recommended by the ACIP for a child this age; 1 of 2 HIB vaccines recommended by the ACIP for a child this age; and 1 of 2 Pneumococcal vaccines recommended by the ACIP for a child this age.

Corrected Corrected by Feb 10, 2024

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.

There was a bottle of Zyrtek in the medication bin in the School-Age Classroom that was not labeled for the use of a specific child.

Corrected Corrected by Feb 8, 2024

Category: health medication. 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. All Staff have until 4/27/23 to complete a DHS approved on-line fire safety training available on the PD Registry, or participate in an in-person fire safety training conducted by a fire safety professional.

The Fire Safety training that the facility has been utilizing since 2021 through 2023 is in the form of a video recording and is not facilitated by a fire safety professional. Therefore, the previous and current fire safety training on file is not valid for all staff person currently employed.

Corrected Corrected by Apr 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff person #3, #5, #6 will have until 4/25/23 to complete the required training. Until such time as the required training has been completed, staff person #3, #5, #6 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 #3, #5, #6, staff person #3, #5, #6 may not work in a child-care position at the facility.

Staff person #3, #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality. Staff person #5 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 Apr 10, 1923

Category: supervision. 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.

The file for Staff person #4 includes current First Aid/CPR training dated 1/15/23, after the expiration of the previous training, 12/5/22.

Corrected Corrected by Mar 1, 2023

Category: ratio. Marked corrected in the state record.

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The current health assessment on file for Child #4 does not indicate if the child has had all age-appropriate screenings.

Corrected Corrected by Apr 2, 2023

Category: health medication. 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 Child Abuse clearance on file for staff person #1 is dated after the date of hire (See IS CODE SHEET) but is required prior to hire for provisional hiring under the CPSL. The Child Abuse clearance on file for staff person #2 is dated after the date of hire (See IS CODE SHEET) but is required prior to hire for provisional hiring under the CPSL. The signed Disclosure statement on file for Staff person #7 is not dated at hire (See LIS Code Sheet); the disclosure statement is dated 2/23/23.

Corrected Corrected by Mar 1, 2023

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

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

The water temperature in the sink in the Pre-K room measured 113 degrees Fahrenheit.

Corrected Corrected by Feb 22, 2023

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

There was no handwashing sign at the handicap toilet in the Pre-K room.

Corrected Corrected by Feb 22, 2023

Category: health medication. 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.

The emergency contact form on file for Child #2, #3, #6, and #7 does not include the work address and/or telephone number for the enrolling parent.

Corrected Corrected by Apr 3, 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 #7 does not include a complete address for all listed release persons.

Corrected Corrected by Mar 9, 2023

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 two most recent health assessments on file for Child #7, who was a young toddler, are dated 9/27/21 and 9/2/22, more than 6 months apart.

Corrected Corrected by Feb 22, 2023

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

3270.131(d)(5)/3270.131(e)(3) · ·Child #1, #2, #3, #5, #7, and #8 must be dismissed from care by close of business on 4/4/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The most recent influenza vaccination on file for Child #1, who is 4 years old, is dated 11/20/19, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #2, who is 4 years old, is dated 11/16/20, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #3, who is 3 years old, is dated 10/20/21, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #5, who is 2 years old, is dated 11/29/21, more than 1 year ago, as is recommended annually by the ACIP. The immunization record on file for Child #7, who is 2 years old, includes 3 of 4 DATP vaccinations recommended for a child this age; and the most recent influenza vaccination is dated 12/13/21, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #8, who is 4 years old, is dated 10/2/21, more than 1 year ago, as is recommended annually by the ACIP.

Corrected Corrected by Apr 2, 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.

There was medication, Simethicone gas drops, in the Infant room, with the names of 2 children, siblings, to share.

Corrected Corrected by Feb 22, 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.

There was an expired EpiPen in the School-age room, which had an expiration date of 12/2022. There was an expired AuviQ pen in the Transition room.

Corrected Corrected by Apr 17, 2023

Category: ratio. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

The bathroom between the toddler and pre-toddler rooms had soiled diapers thrown away in a trash can that had a flip lid and not in a hands-free diapering can.

Corrected Corrected by Feb 17, 2022

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

3270.31(e)(4)(i)/3270.31(h) · 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. All staff persons shall complete the professional development under subsection (f): Pediatric First Aid and Pediatric CPR.

The files for staff person #9 had pediatric first-aid and CPR training that expired in October 2021 and lacked current training. The file for staff person #1 had current pediatric first-aid and CPR training with a completion date of 5-24-21 that was after the January 2021 expiration of the prior training.

Corrected Corrected by Mar 31, 2022

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 file for staff person #4, with a start date of 8-16-21, had a disclosure statement that lacked the date. The file for staff person #2 had child abuse clearances dated 3-19-14 and 3-21-19 that were over 60 months between clearances.

Corrected Corrected by Mar 4, 2022

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person #8, with a start date of 8-13-21, had mandated reporter training dated 2-19-22 that was over 90 days after their start date. Staff person #5 had trainings dated 12-7-15 and 12-22-20 that were over 5 years between trainings.

Corrected Corrected by Feb 28, 2022

Category: recordkeeping. 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 person #8, functioning as an assistant group supervisor, lacked verification of education to qualify as an assistant group supervisor.

Corrected Corrected by Mar 31, 2022

Category: supervision. 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.

In the school-age room, there were 2 cans of shaving foam labeled "Keep out of reach of children" that a staff person stated had been used for an art activity with the children and were accessible to children.

Corrected Corrected by Feb 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

In the pre-k room, the toilet in the large stall lacked a handwashing sign.

Corrected Corrected by Feb 17, 2022

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

In the school-age room, there was an unanchored cabinet on the back wall that was unstable and a potential hazard.

Corrected Corrected by Feb 17, 2022

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

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

The file for child #1, a 2 year old, child #2, a 5 year old, and child #3, a 4 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 Feb 28, 2022

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 file for staff person #3 had a health assessment that was dated after their start date.

Corrected Corrected by Feb 28, 2022

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.

The files for staff person #3 and #6 had a tuberculosis screening by the Mantoux method that was dated after initial employment.

Corrected Corrected by Feb 28, 2022

Category: health medication. 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 file for staff person #7 had a health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by May 6, 2022

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

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

In the facility, there were multiple lunch boxes in each child care room that had potentially hazardous food brought from the child's home that were not refrigerated.

Corrected Corrected by Feb 21, 2022

Category: nutrition. 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 #4, with a start date of 8-16-21, and staff person #7, with a start date of 10-20-21, lacked pediatric first-aid and CPR training within 90 days of their start date and require current training.

Corrected Corrected by Mar 31, 2022

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

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

According to the fire drill log, a fire drill was not conducted every 60 days between 7-22-21 to 9-23-21.

Corrected Corrected by Feb 17, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff person #1, with a start date prior to 12-20-20, lacked 12 annual hours of child care training between 12-19-20 and 12-18-21 as required by regulations for staff persons with a start date prior to 12-20-20. The files for staff person #2, with 4 hours of training, and staff person #5, with 3 hours of training, had a start date prior to 12-20-20, and lacked 12 annual hours of child care training between 12-19-20 and 12-18-21 as required by regulations for staff persons with a start date prior to 12-20-20.

Corrected Corrected by May 1, 2022

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.

At approximately 12:48 p.m. in the school-age room with a total of 20 children, staff person #1 named 10 preschoolers in their group and staff person #2 named 8 young school-age children in their group, resulting in 2 children not being named in a group.

Corrected Corrected by Dec 7, 2021

Category: supervision. Marked corrected in the state record.