3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Observed the stairway from the gross motor room to the main room was blocked by several cots and a box.

Corrected Corrected by Sep 10, 2024

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.

Observed staff files #2, #3, #4, and #5 did not contain a written evaluation completed within the previous 12 months.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. 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.

Observed derma spray, labeled "keep out of the reach of children", accessible to children in an open diaper bag hanging outside of the children's downstairs bathroom.

Corrected Corrected by Sep 9, 2024

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

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

Observed a can of shaving cream in the arts and craft supply closet.

Corrected Corrected by Sep 10, 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.

Observed the sink in the bathroom by the gross motor room had standing water and did not drain.

Corrected Corrected by Sep 10, 2024

Category: physical safety. 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.

Observed the most recent review of the emergency plan was conducted more than 12 months ago (8/25/23).

Corrected Corrected by Oct 1, 2024

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.

Observed staff files #1, #2, #3, #4, and #5 contained most recent documentation of fire safety training which was completed more than 12 months ago.

Corrected Corrected by Sep 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -6- may not work in a childcare position at the facility.

Observed facility person #6 file, who was already interacting with children, did not contain a criminal background clearance or a child abuse clearance. The file for facility person #6 contained an application for the NSOR verification letter but did not contain the verification letter. Observed the file for facility person #6 did not contain a signed disclosure statement.

Corrected Corrected by Sep 24, 2024

Category: background checks. 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.

Observed a plastic bag accessible to toddlers in the diaper bag hanging area outside of the bathroom used by toddlers.

Corrected Corrected by Sep 10, 2024

Category: health medication. 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.

Observed the facility refrigerator did not have a working thermometer in the refrigerator used to store potentially hazardous food.

Corrected Corrected by Oct 1, 2024

Category: nutrition. 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).

Observed children's files #1, #3, #4, and #5 did not contain a child service report completed within the previous 6 months.

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Observed children;s files #2 and #3 contained incomplete original agreements.

Corrected Corrected by Sep 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(5) · 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Observed the emergency contact form for child file #2 and #3 did not contain written consent signed by a parent for emergency medical care and signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Sep 23, 2024

Category: ratio. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Observed the emergency contact information for child file #2 did not contain the health insurance coverage and policy number for the child.

Corrected Corrected by Sep 24, 2024

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

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Observed the emergency contact information for child file #2 and #3 did not contain the complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. 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.

Observed child file #1, a preschool age child, contained a most recent health assessment which was dated more than 14 months ago.

Corrected Corrected by Sep 24, 2024

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.

Observed child file #2 did not contain an updated written verification of ongoing vaccines administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Sep 24, 2024

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

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

Observed the facility did not have an established medication log for prescription nyastin cream labeled to be placed on the child several times a day.

Corrected Corrected by Sep 24, 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.

Observed staff file #1 and #2 contained most recent health assessments which were dated more than 28 months old.

Corrected Corrected by Oct 1, 2024

Category: ratio. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

Observed 2 bottles in the facility refrigerator which were not labeled with the child's name.

Corrected Corrected by Sep 10, 2024

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.

Observed the emergency drill log revealed the most recent emergency drill was conducted more than 12 months ago.

Corrected Corrected by Sep 11, 2024

Category: recordkeeping. 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.

Observed the documented fire drill log revealed that 2 times (8/4/23-10/6/23 and 12/6/23-3/4/24) the fire drills were conducted more than 60 days apart.

Corrected Corrected by Sep 10, 2024

Category: recordkeeping. 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.

Observed the fire alarm testing log was not completed in a way which documented the fire alarms were tested every 30 days.

Corrected Corrected by Sep 10, 2024

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.

Observed the facility had an expired certificate of compliance posted in the parent information area.

Corrected Corrected by Sep 11, 2024

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.

Observed staff file #1 and #2 did not contain documentation of completing the one hour update of the required health and safety training which was to be completed prior to 12/30/22.

Corrected Corrected by Sep 25, 2023

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Observed the comprehensive general liability insurance declarations page showed that medical expenses were excluded from the up current policy.

Corrected Corrected by Oct 25, 2023

Category: ratio. Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Observed a trash can in the main room which did not have a lid and contained tissues used to wipe children's noses.

Corrected Corrected by Sep 25, 2023

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.

Observed a bag of plastic bags accessible to toddlers, on the floor in the main room bathroom.

Corrected Corrected by Sep 25, 2023

Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Observed 2 pieces of infant rest equipment which were not labeled for the use of a specific child.

Corrected Corrected by Sep 30, 2023

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).

Observed child file #1, 2, 3, and 5 did not contain a child service report completed within the previous 6 months.

Corrected Corrected by Oct 25, 2023

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.

Observed the most recent health assessment for child #2 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Corrected Corrected by Oct 25, 2023

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.

Observed child file #4 contained an immunization record which was not up to date with documentation of ongoing vaccines administered to an infant.

Corrected Corrected by Sep 27, 2023

Category: health medication. 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.

Observed a bottle of children's Tylenol which was accessible to children on a low hook near the bathroom in the main room.

Corrected Corrected by Sep 25, 2023

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.

Observed staff file #4 contained an initial health assessment which was obtained and dated after providing initial service in a childcare setting. Observed staff file #3 contained an initial health assessment which was dated more than 12 months prior to providing initial service in a childcare setting.

Corrected Corrected by Oct 6, 2023

Category: ratio. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

Observed 2 bottles which were not labeled with the child's name.

Corrected Corrected by Sep 25, 2023

Marked corrected in the state record.

3270.181(c)/3270.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Observed child file #1, 2, 3, and 5 contained documentation of parental review of the emergency contact information and the financial agreement which was completed more than 6 months after the previous documentation of parental review.

Corrected Corrected by Oct 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Observed child file #3 contained an initial health assessment which was dated more than 60 days after the first day of attendance at the facility.

Corrected Corrected by Oct 6, 2023

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

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Observed the facility did not have documentation of submitting an annual traffic letter to the local authorities within the previous 12 months.

Corrected Corrected by Oct 6, 2023

Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -3- may not work in a childcare position at the facility until valid clearances are obtained.

Observed staff file #3, contained a volunteer criminal background clearance and a volunteer child abuse clearance which are not acceptable for childcare employment.

Corrected Corrected by Jun 1, 2023

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

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

Observed staff #2 take a crying infant out of the childcare room and go to the eating area to obtain a bottle for the crying infant. When staff #2 left the childcare room, there was no staff present in the room to visually supervise the other 2 sleeping infants and the room not in compliance with the staff:child ratio regulations.

Corrected Corrected by Jun 30, 2023

Category: supervision. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Observed staff #1, who was responsible for supervising 9 sleeping preschool children, offer to hold a crying infant. Staff #2 handed the crying infant to staff #1 in a different room. Once staff #1 began holding the infant in her room, she was then responsible for 9 preschool children and 1 infant, causing staff #1 to not be in compliance with the mixed age level ratios.

Corrected Corrected by Jun 1, 2023

Category: supervision. 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.

Observed preschool size chairs which had harnesses attached as T straps, which were not secure or safe for use by the toddlers during table activity times.

Corrected Corrected by Jun 1, 2023

Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Observed staff #2 take a crying infant out of the childcare room and go to the eating area to obtain a bottle for the crying infant. When staff #2 left the childcare room, there was no staff present in the room to visually supervise the other 2 sleeping infants.

Corrected Corrected by Jun 1, 2023

Category: supervision. 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.

Observed staff #2 take a crying infant out of the childcare room and go to the eating area to obtain a bottle for the crying infant. When staff #2 left the childcare room, there was no staff present in the room to visually supervise the other 2 sleeping infants.

Corrected Corrected by Jun 1, 2023

Category: supervision. 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.

Observed at the time of arrival, child #1 an infant, sleeping in a swing without a medical reason the infant should not sleep in the sleeping position recommended by the American Academy of Pediatrics.

Corrected Corrected by Jun 30, 2023

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.

Observed on the day of the inspection, the most recent documented fire drill, had been conducted on 2/10/23, which was more than 60 days prior to the date of the inspection.

Corrected Corrected by Apr 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Observed staff file #1, 2, 3, and 4 did not contain documentation of training in the emergency plan at the time of initial employment.

Corrected Corrected by Dec 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person #1 shall complete professional development in the topics of 3270.31.(f)(10) within 90 days of hire. Staff person #1 will have until 12/17/22 to complete the required training. Until such time as the required training has been completed, Staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Observed staff file #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff #1 has not completed 3270.31.(f)(10).

Corrected Corrected by Nov 29, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -1 and 4- may not work in a child care position at the facility until all required valid clearances are obtained.

Observed staff file #4, did not contain a new signed disclosure statement when they restarted employment. Observed staff file #4 did not contain a state police criminal background clearance. Observed staff file #2, contained an NSOR verification letter and an FBI fingerprint clearance which were applied for and obtained after their first day working in a child care position. Observed staff file #1, contained an NSOR verification letter which was dated more than 45 days after their first day working in a child care position. Observed staff file #1 contained a volunteer child abuse clearance which is not acceptable for child care employment. Observed staff file #1 did not contain a state police criminal background clearance.

Corrected Corrected by Nov 10, 2022

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

3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Observed stain remover stored with the utensils which are used by the children or staff.

Corrected Corrected by Nov 9, 2022

Category: ratio. 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.

Observed a loose cord in the quiet area which was a visible hazard for young children. Observed the diaper changing straps needed to be cleaned.

Corrected Corrected by Nov 9, 2022

Category: health medication. 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).

Observed the agreement for child file #1, 2, 3, 4, and 5 did not contain the child's date of admission.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Observed child file #1, 3, and 5 contained original agreements.

Corrected Corrected by Nov 14, 2022

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.

Observed the health report for child file #2 did not contain a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Nov 21, 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.

Observed child file #1 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Nov 16, 2022

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

3270.133(3)/3270.133(4) · 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. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Observed a bottle of mucus and cold relief accessible to children in an unlocked low cabinet in the eating area. Observed the bottle of mucus and cold relief which was not labeled with the name of the child for whom the medication is intended.

Corrected Corrected by Nov 14, 2022

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

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

Observed the facility did not have an established medication log for Nystatin cream stored on a high shelf in the facility bathroom.

Corrected Corrected by Nov 14, 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.

Observed staff file #1 and #3 contained initial health assessments which were dated after these staff began providing initial service in a child care setting.

Corrected Corrected by Nov 9, 2022

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.

Observed the health assessment for staff file #2, did not contain documentation of an examination for communicable diseases and the results of that examination.

Corrected Corrected by Dec 5, 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.

Observed Lunchables, yogurt, and milk, which are labeled keep refrigerated, which were stored in lunch boxes with ice packs and were not in the refrigerator.

Corrected Corrected by Nov 9, 2022

Category: nutrition. 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.

Observed the fire alarm testing documentation revealed that the fire alarms had not been tested within the previous 30 days.

Corrected Corrected by Nov 9, 2022

Category: recordkeeping. 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.

Observed the first aid kits for each of the groups of children did not contain soap and contained items which are considered medication which requires labeling.

Corrected Corrected by Aug 5, 2022

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

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Observed 3 windows on the second floor of the building which were not restricted to 6 or fewer inches.

Corrected Corrected by Aug 5, 2022

Category: physical safety. 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.

Observed the facility did not provide to the parent of each enrolled child a letter explaining the emergency procedures.

Corrected Corrected by Aug 5, 2022

Category: physical safety. 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.

Observed the file for staff person #1, the director, did not contain documentation of a bachelor's degree in teaching or human services degree and 1 year of experience with children.

Corrected Corrected by Aug 5, 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.

Observed staff file #2 and #3, both listed as assistant group supervisors, did not contain documentation of a high school diploma or a general educational development certificate and 2 years experience with children.

Corrected Corrected by Aug 5, 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.

Observed an aerosol fragrance spray, labeled keep out of the reach of children, accessible on a low window shelf in the upstairs bathroom.

Corrected Corrected by Aug 5, 2022

Marked corrected in the state record.

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

Observed the bathrooms used by children did not have a lidded waste receptacle and the toilets did not have posted hand washing signs.

Corrected Corrected by Aug 5, 2022

Category: health medication. 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.

Observed a rope climber in the play area which had unsafe knots which could give way causing a child to fall. Observed pack n play rest mats which were not attached to the base and a diaper changing table which was not securely anchored to the wall. Observed a loose cord on an infant swing which are a hazard to crawling children. Observed pool noodles and items which have a diameter of less than one inch accessible to children who are still placing objects in their mouths.

Corrected Corrected by Aug 5, 2022

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

3270.102(g) · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Observed a Bumbo infant seat which did not have the CPSC required safety recall fix which is required for the seat to be allowed to be used in the facility.

Corrected Corrected by Aug 5, 2022

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