3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

2nd citation. Previously cited on 7/17/24. The agreement for Child #4 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · 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.

2nd citation. Previously cited on 7/17/24. The emergency plan did not address continuity of operations.

Corrected Corrected by Sep 4, 2024

Category: ratio. Marked corrected in the state record.

3280.34(b)(5) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children.

2nd citation. Previously cited on 7/17/24. The file of Staff #1, who was designated as a primary staff, lacked documentation of 2 years of experience with children.

Corrected Corrected by Sep 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(b)/3280.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

2nd citation. Previously cited on 7/17/24. The files of Children #1, #2, #3, #4, and #5 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

2nd citation. Previously cited on 7/17/24. Emergency contact information for Child #3 did not include the telephone number of the child's physician or source of medical care.

Corrected Corrected by Sep 4, 2024

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

2nd citation. Previously cited on 7/17/24. Emergency contact information for Child #3 did not include the work address or work telephone number of the enrolling parent.

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

2nd citation. Previously cited on 7/17/24. Staff did not ensure that a child's hands were washed before meals and snacks and after being diapered.

Corrected Corrected by Sep 4, 2024

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

3280.135(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.

On 9/4/24 observed Staff #1 place a soiled disposable diaper in a plastic bag instead of discarding the diaper immediately by placing it into a plastic-lined, hands-free covered can.

Corrected Corrected by Sep 4, 2024

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

3280.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

2nd citation. Previously cited on 7/17/24. Staff did not wash his/her hands before snacks and after diapering a child.

Corrected Corrected by Sep 4, 2024

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

3280.94(a)(1) · The primary staff person 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.

The primary staff person or designated staff person who is responsible for compliance with this chapter did not ensure fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 6/13/24 and 8/13/24.

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement of Child #1 did not specify the date on which the fee is to be paid.

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The file of Staff #1 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The file of Staff #1 contained no documentation of completing the health and safety update. The emergency plan did not address continuity of operations.

Corrected Corrected by Aug 23, 2024

Category: ratio. Marked corrected in the state record.

3280.20 · Conditions at the facility may not pose a threat to the health or safety of the children.

Observed an extension cord to the swimming pool pump which was not secured creating a potential tripping and/or strangulation hazard in the outdoor play space. Observed an extension cord to the television which was not secured creating a potential strangulation hazard.

Corrected Corrected by Aug 5, 2024

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

3280.26(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The facility did not have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Corrected Corrected by Aug 23, 2024

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

3280.26(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility did not have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safety be reunited with their children.

Corrected Corrected by Aug 23, 2024

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

3280.26(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.

The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Aug 23, 2024

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

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

The file of Staff #1 lacked documentation of obtaining an annual 12 clock hours of child care training.

Corrected Corrected by Aug 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(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 of Household Member #2 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. The file of Household Member #2 contained a State Police Clearance dated 6/15/17, a Child Abuse Clearance dated 5/8/17, and a DHS FBI Clearance dated 6/12/17.

Corrected Corrected by Aug 30, 2024

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

3280.32(a)/3280.192(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 #1 lacked documentation of completing mandated reporter training every 60 months. Staff #1 had documentation of completing mandated reporter training on 8/6/20 with previous training completed on 7/17/15.

Corrected Corrected by Jul 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.34(b)(5) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children.

The file of Staff #1, who was designated as primary staff, lacked documentation of 2 years of experience with children.

Corrected Corrected by Aug 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.52(c) · 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 at §3280.52(b).

At approximately 9:45 AM Certification Staff observed Staff #1 caring for a group of 9 mixed-age children which included 1 infant, 1 young toddler, 1 older toddler, 1 preschooler, 3 young school age children, and 2 older school age children.

Corrected Corrected by Jul 31, 2024

Category: ratio. Marked corrected in the state record.

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Observed Better Homes and Gardens fragrance oil and Mainstays fragrance oil on the 5th shelf of the cabinet by the table which were accessible to children.

Corrected Corrected by Jul 31, 2024

Category: ratio. Marked corrected in the state record.

3280.75(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.

The first-aid kit lacked sterile gauze pads and tape.

Corrected Corrected by Aug 23, 2024

Marked corrected in the state record.

3280.102(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 3 torn rest cots.

Corrected Corrected by Aug 23, 2024

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

3280.103 · 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 plastic bags by the foosball table which were accessible to children who are still placing objects in their mouths.

Corrected Corrected by Jul 29, 2024

Marked corrected in the state record.

3280.113(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 9:45 AM Certification Staff observed a school-age child alone coming down the stairs to the basement where care was being provided after using the bathroom.

Corrected Corrected by Jul 17, 2024

Category: supervision. Marked corrected in the state record.

3280.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement for Child #1 did not specify the fee to be charged per day or per week.

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

Children #2, #3, and #4 lacked child service reports completed at least every 6 months. The file of Child #2 who had an admission date of 12/19/22 did not contain child service reports. The file of Child #3 who had an admission date of 10/19/23 did not contain a child service report. The file of Child #4 who had an admission date of 10/24/22 did not contain child service reports.

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement for Child #1 did not specify the child's arrival and departure times.

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement for Children #1 and #4 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(b)/3280.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files of Children #1, #2, #3, #4, and #5 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Emergency contact information for Child #3 did not include the telephone number of the child's physician or source of medical care.

Corrected Corrected by Jul 29, 2024

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Emergency contact information for Child #3 did not include the work address or work telephone number of the enrolling parent.

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(4)/3280.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file of Child #3 lacked signed parental consent for emergency medical care prior to admission on the emergency contact form. Child #3 had an admission date of 10/19/23 with an emergency contact form signed on 10/31/23.

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

Emergency contact information for Children #1 and #4 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(a)(4) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The file of Child #5 contained a health report dated 6/30/21 which was conducted at the time of child's 4th birthday but lacked a health report dated in accordance with the requirements for medical examinations for school attendance.

Corrected Corrected by Jul 29, 2024

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

3280.131(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 file of Child #2 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained health reports dated 2/2/23 and 2/20/24.

Corrected Corrected by Aug 21, 2024

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

3280.131(d)(5)/3280.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Child #4, a 30-month-old, lacked Hepatitis A immunizations according to the recommendations of the ACIP. Child #4 had documentation of 1 Hepatitis A immunization.

Corrected Corrected by Jul 30, 2024

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

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Staff did not ensure that a child's hands are washed before meals and snacks.

Corrected Corrected by Jul 18, 2024

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

3280.151(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 of Staff #1 lacked a health assessment conducted every 24 months. The file of Staff #1 contained a current health assessment dated 6/6/24 with a previous one dated 2/18/22.

Corrected Corrected by Jul 30, 2024

Category: ratio. Marked corrected in the state record.

3280.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Staff did not wash his/her hands before meals and snacks.

Corrected Corrected by Jul 18, 2024

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

3280.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The agreement for Child #1 was not reviewed and updated at least once in a 6-month period. Child #1's agreement was reviewed on 6/5/23 and 5/8/24. The emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact and agreement were reviewed on 6/7/23 and 5/11/24. The emergency contact and agreement for Child #5 were not reviewed and updated at least once in a 6-month period. Child #5's emergency contact was reviewed on 4/19/23 and 5/11/24. Child #5's agreement was reviewed on 4/20/23 and 5/11/24.

Corrected Corrected by Jul 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file of Child #3 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form. Child #3 had an admission date of 10/19/23 with an emergency contact form signed on 10/31/23.

Corrected Corrected by Aug 1, 2024

Category: ratio. Marked corrected in the state record.

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Emergency drills were not conducted annually. The facility did not have documentation that emergency drills were being conducted.

Corrected Corrected by Jul 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(4) · The primary staff person 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.

The primary staff person or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire were rotated around the facility for each drill such that the hypothetical location was never the same for consecutive drills.

Corrected Corrected by Aug 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The facility lacked an interconnected smoke alarm system on each level of the residence. The facility had an interconnected smoke alarm system on the first floor but not in the basement where care was being provided. The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 7/12/23, 8/12/23, 9/12/23, 10/12/23, 11/12/23, 12/12/23, 1/12/24, 2/12/24, 3/12/24, 4/12/24, 5/13/24, 6/13/24, and 7/13/24.

Corrected Corrected by Aug 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

2nd CITATION. PREVIOUSLY CITED ON 7/12/23. The file for Staff #1 lacked 7 annual clock hours out of 12 hours of annual child care training.

Corrected Corrected by Sep 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The file for Staff Person #1, and staff person #2 were observed not to have completed Pennsylvania Health and Safety Update 2022 by December 30, 2022.

Corrected Corrected by Aug 20, 2023

Category: ratio. Marked corrected in the state record.

3280.26(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

It was observed that the facility did not have documentation of an emergency plan and subsequent plan updates being sent to the local municipality and the county emergency management agency.

Corrected Corrected by Jul 18, 2023

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

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

The file for Staff #1 and staff #2 were observed not to contain 12 annual clock hours of child care training.

Corrected Corrected by Sep 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.68(a) · Cigarettes, pipes or cigars may not be smoked in a child care space, a play space or a food preparation area when children are in care or when food is being prepared.

It was observed on the day of inspection staff person #1 smoking in the outdoor play space area.

Corrected Corrected by Jul 13, 2023

Category: ratio. Marked corrected in the state record.

3280.113(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.

It was observed on the day of inspection, that Child #1 was sleeping on the upper level while staff #2 came down to the lower level leaving the child unattended for a period of approximately 20 minutes.

Corrected Corrected by Jul 13, 2023

Category: supervision. Marked corrected in the state record.

3280.124(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.

The emergency contact form on file for Child #2 and Child #3 were observed not to contain a health insurance policy number for a child under a family policy or Medical Assistance benefits.

Corrected Corrected by Jul 13, 2023

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

It was observed the facility did not have on file documentation of an emergency drill being conducted annually,

Corrected Corrected by Aug 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The facility fire drill log showed that the facility has not been regularly testing the facility's fire detection system every 30 days since 8/19/22. This is evidenced by testing not being documented until 1/10/23.

Corrected Corrected by Jul 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

It was observed the facility did not have current documentation of an updated notification to traffic safety authorities since 6/2020.

Corrected Corrected by Jul 13, 2023

Marked corrected in the state record.

3280.124(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 #1 did not contain the work addresses of the enrolling parent.

Corrected Corrected by Jul 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

The emergency contact form on file for child #1 was observed not to contain health insurance coverage or a policy number.

Corrected Corrected by Jul 26, 2022

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

3280.133(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.

First aid ointment medication was observed in the first aid kit that was not labeled for individual use.

Corrected Corrected by Jul 22, 2022

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

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The facility fire drill log showed that the facility has not been regularly testing the facility's fire detection system every 30 days. This is evidenced by testing not being documented since last inspection on 7/21/2021.

Corrected Corrected by Jul 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.68(b) · Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.

It was observed that two cigarette butts where located on the steps and walkway of where the children enter the child care space.

Corrected Corrected by Aug 3, 2021

Category: ratio. Marked corrected in the state record.

3280.108(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

The large television on the coffee table against the wall under the hanging television was observed to not be secured and could fall over causing an injury.

Corrected Corrected by Aug 4, 2021

Marked corrected in the state record.

3280.131(e)(2)(i) · 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 health report on file for children #1, #2, and #3 did not contain documentation of an influenza shot being administered within the last year in accordance with the recommendations of the ACIP.

Corrected Corrected by Aug 9, 2021

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

3280.24(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.

It was observed that the facility did not provide the parent of each child in the facility with information on how to access the regulations electronically.

Corrected Corrected by Aug 3, 2021

Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility's emergency plan was observed not to include a lock-down procedure at the facility nor did it list accommodations of infant and toddlers, children with disabilities and children with chronic medical conditions

Corrected Corrected by Aug 11, 2021

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