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).

During the renewal inspection on 03/11/25 the file reviewed for child #1 and child #2 did not include a child service report.

3270.123(a)(3) · Corrected Mar 14, 2025

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.

During the renewal inspection on 03/11/25 the file reviewed for staff person #1 and staff person #2 did not include updated health assessment.

3270.151(a)/3270.192(3) · Corrected Mar 14, 2025

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.

During the renewal inspection on 03/11/25 the fee agreement reviewed for child #1 and child #2 were not updated/reviewed within 6-month period.

Outdoor or indoor play space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the childcare being offered.

During the allocated unannounced monitoring on 9/11/24 the indoor play space was observed being used for storage.

3270.62(d) · Corrected Sep 11, 2024

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

During the allocated unannounced monitoring on 9/11/24 there were missing outlet covers observed in the indoor play space.

3270.65 · Corrected Sep 11, 2024

Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

During the allocated unannounced monitoring on 9/11/24 toxins were observed in the bathroom accessible to children.

3270.66(a) · Corrected Sep 11, 2024

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 the renewal inspection on 03/19/24 the thermometer located in the refrigerator was not operable.

3270.107 · Corrected Mar 20, 2024

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.

During the renewal inspection on 03/19/24 the file reviewed for staff person #3 did not include documentation of emergency plan training at time of initial hire.

3270.27(c) · Corrected Mar 26, 2024

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

During the renewal inspection on 03/19/24 missing receptacle covers were observed in the infant/toddler room.

3270.65 · Corrected Mar 19, 2024

Hot water temperature, in areas accessible to children, may not exceed 110° F.

During the renewal inspection on 03/19/24 the hot water temperature in the bathroom #1 and bathroom #2 exceeded 110 degrees. Hot water temperature was 120 degrees via digital and analog thermometer.

3270.69(b) · Corrected Mar 20, 2024

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. Obtain and submit written verification of annual fire safety training for the identified staff persons.

One staff person's record did not contain written verification of annual fire safety training. (#2)

3270.31(e)(4)(ii) · Corrected May 19, 2023

Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Obtain and submit written verification of the required health and safety training for the identified staff persons.

One staff person's record did not contain written verification of required health and safety training completed within 90 days of employment. (#3)

3270.31(f) · Corrected May 19, 2023

The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 #1 cannot work in a childcare position at the facility until the STATE POLICE clearance has been completed. Submit a copy of the completed STATE POLICE clearance for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff/facility persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

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). Submit updated agreements that contain this information for the identified children. Ensure that the agreement includes services to be provided to the family and the child.

The agreement form used by the facility did not have a provision to include services to be provided to the family and child. (#1, #2, #3, #4 and #5)

3270.123(a)(3) · Corrected Aug 20, 2022

An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission. Update the agreements to specify the persons designated by a parent to whom the child may be released. Submit a copy of the updated agreements.

Several children's records contained agreements that did not specify the persons designated by a parent to whom the child may be released. (#1, #2, #3, #4 and #5)

3270.123(a)(5)/3270.123(a)(6) · Corrected Aug 20, 2022

The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Two children's records did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#2 and #5)