A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Ensure that parents are provided the original report on the day of the incident. Revise and submit written policies and procedures to ensure that parents are provided the original incident report on the date of the incident.

On 7/14/25, a child sustained an injury while in care and the facility failed to provide the parent an original report of the incidents on the day of the incident (#1)

3270.182(7) · Corrected Aug 18, 2025

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. Staff persons must complete the CCDBG training that is required prior to working with children unsupervised. Submit written verification of the completed training. Ensure that the required CCDBG is completed within 90 days of hire.

One staff person was observed caring for a child and their record did not contain verification of completed CCDBG training (10 hour) required prior to working with children unsupervised (#1).

3270.14/3270.21 · Corrected Jan 11, 2025

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.

The facility lacked written verification of comprehensive general liability insurance to cover the persons who are on the premises. The document submitted indicated that it was not general liability insurance.

3270.18(a) · Corrected Jan 11, 2025

Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons must complete the CCDBG training that is required within 90 days of hire and prior to working with children unsupervised. Submit written verification of the completed training. Ensure that the required CCDBG is completed within 90 days of hire.

One staff person was observed caring for a child and their record did not contain verification of completed CCDBG training (10 hour) required within 90 days of hire and prior to working with children unsupervised (#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. The legal entity must arrange for all facility staff to receive training in proper supervision of children, including the requirement that staff know the whereabouts of the children in their assigned group and that staff be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. The training must be DHS approved. Submit written verification of the training content as well as written verification of the completed training for all facility staff persons.

On 8/20/24, Staff person did not know the whereabouts of a child in her care who had fallen asleep behind a cubby shelf with a blind spot.

3270.113(a)(1) · Corrected Oct 12, 2024

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. TIERED LIS: Children must be supervised at all times by 8/20/24. The legal entity must arrange for all facility staff to receive a minimum of two hours of DHS training regarding supervision of children including the requirement that staff must be physically present and be able to see, hear and assess and direct the activity of the children by 10/12/24. Submit written verification of the completed training for all facility staff persons. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format by 12/12/24.

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. Ensure that children are supervised at all times. TIERED LIS: Children must be supervised at all times by 6/21/24. The legal entity must arrange for all facility staff to receive a minimum of two hours of DHS approved training regarding supervision of children including the requirement that staff must be physically present and be able to see, hear and assess and direct the activity of the children by 7/21/24. Submit written verification of the completed training for all facility staff persons.

On 5/30/24, a child was left alone and unattended in the gym for approximately an hour. The staff person responsible for the supervision of the child was unaware of the child was missing until the parent came to pick up her child. (child #1) (staff #1)

3270.113(a) · Corrected Jul 21, 2024

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. Repair or replace the door. Ensure that all surfaces in the facility are in good repair. Submit adequate written documentation verifying the door repair and/or replacement.

The door in the preschool classroom was in disrepair and presented a visible hazard.

3270.76 · Corrected May 15, 2024

A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. Toddler feeding chairs cannot be used to restrict or confine a child's movement. Cease using the toddler feeding chairs to restrict children's movement. Develop and submit written policies regarding the prohibition of restraining children. Notify all facility staff persons of this policy. All facility staff must be trained in DHS approved supervision training to include the prohibition of restraining children and in handling challenging behaviors in young children. Submit verification of the notification and completed training.

On 4/5/24, a preschool age child was placed and strapped in a young toddler feeding chair restraining the child's movement because child was misbehaving by climbing on shelves and throwing items.

3270.113(e) · Corrected Jun 1, 2024

A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. The legal entity must arrange for all staff persons to receive hands-on DHS approved training in supervision of children that includes that facility persons may single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. Submit written verification of the completed training.

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. 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 childcare office.

The operator did not 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.

3270.25(a) · Corrected Feb 10, 2024

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.

On 1/10/24 at approximately 3:15pm, staff person #1 was observed caring for a group of 13 preschool age children in the preschool classroom. Staff person #2 left the space to take a child to the bathroom before returning. Staff person #1 verified the ages of the children.

3270.51 · Corrected Jan 10, 2024

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. Ensure that staff/child ratios are maintained at all times. Revise and submit a written staffing and child transition plan including when toileting children to ensure that staff/child ratios are maintained at all times.

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.

During renewal inspection, cert rep observed missing thermometer in the refrigerator located in the infant classroom.

3270.107 · Corrected Dec 22, 2021