3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

In the upstairs restroom, the three toilet seats are not secure and slide from side to side.

Corrected Corrected by Sep 18, 2024

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In Room 18, there is peeling paint on the wooden chalkboard ledge and there is a hole in the plaster wall next to the shelf with dramatic play items on it.

Corrected Corrected by Sep 18, 2024

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

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

In Room 12, an electrical outlet accessible to children 5 years of age or younger lacked a receptacle cover.

Corrected Corrected by Sep 17, 2024

Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

There was a pothos plant in Room 11, and a Chinese evergreen plant in Room12 which are both considered toxic to children.

Corrected Corrected by Sep 4, 2024

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

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

In Room 16, there were paint daubers labeled "keep out of reach of children" accessible to children on a toy shelf containing art supplies.

Corrected Corrected by Sep 4, 2024

Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

In Room 16, the first aid kit was placed on the floor making it accessible to children.

Corrected Corrected by Sep 4, 2024

Category: health medication. 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.

The first aid kit in Room 18 lacked tape.

Corrected Corrected by Sep 4, 2024

Category: health medication. 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.

The diaper changing stations in Rooms 14 and 15 lacked handwashing signs.

Corrected Corrected by Sep 20, 2024

Category: health medication. 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 for staff person #1 lacked 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.

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Documentation of fire alarm testing exceeded 30 days between (12/18/23 and 1/26/24) and (3/7/24 and 4/8/24).

Corrected Corrected by Sep 17, 2024

Category: physical safety. 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.

The file for staff # 3 contained a current emergency plan training, that was obtained after 90 days of initial employment. Staff start date was 1/3/23, the training certificate is dated 6/12/23. The file for staff # 5 contained a current emergency plan training, that was obtained after 90 days of initial employment. Staff start date was 1/3/23, the training certificate is dated 6/12/23. The file for staff # 6 contained a current emergency plan training, that was obtained after 90 days of initial employment. Staff start date was 2/13/23, the training certificate is dated 6/12/23.

Corrected Corrected by Sep 25, 2023

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.

The files for staff # 1 contained a current Pediatric First Aid and Pediatric CPR certificate that was taken after 90 day of initial employment. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. The certificates for staff # 1 is date 2/28/22.

Corrected Corrected by Sep 25, 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 file for staff # 2 contained a current FBI clearance dated 6/11/21, that was that was obtained after staff # 2 first day caring for children. Staff # 2 start date was 5/17/21. There was no proof of application in file. The file for staff # 2 contained a current NSOR clearance dated 5/21/21, that was that was obtained after staff # 2 first day caring for children. Staff # 2 start date was 5/17/21. There was no proof of application in file. The file for staff # 3 contained a current NSOR clearance dated 1/4/23, that was that was obtained after staff # 3 first day caring for children. Staff # 3 start date was 1/3/23. There was no proof of application in file. The file for staff # 4 contained a current NSOR clearance dated 8/8/23, that was that was obtained after staff # 4 first day caring for children. Staff # 4 start date was 5/2/23. There was an application dated 5/23/23.

Corrected Corrected by Sep 25, 2023

Category: background checks. 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.

The first-aid kit in room # 12 lacked soap.

Corrected Corrected by Sep 25, 2023

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.

The countertop laminate edge in room # 16 was peeling off.

Corrected Corrected by Sep 25, 2023

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 was a white cracked bin and foam blocks with teeth marks in room # 16. There was a red cracked bin in room #17. There was a cracked clear bin in room # 12. There was a net basket with two holes in the gym. There was a highchair with missing straps in room #15.

Corrected Corrected by Sep 25, 2023

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

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

There was a highchair with missing straps in room #15.

Corrected Corrected by Sep 25, 2023

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.

Around 9:00 am in room #12, there were 2 staff with 10 children. CR asked staff #2 and staff #7 to identify the children assigned to them. After three attempts the staff were unable to correctly identify which group each child was assigned.

Corrected Corrected by Sep 25, 2023

Category: supervision. Marked corrected in the state record.

3270.131(d)(5)/3270.131(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 # 1 must be dismissed from care by close of business 9/25/23and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

The file for child # 1 is missing a dose of the varicella vaccine.

Corrected Corrected by Sep 25, 2023

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

3270.151(c)(2)/3270.192(3) · 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. 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.

The file for staff #3 contained a TB test dated 6/10/20. The staff stat day was 1/3/23.

Corrected Corrected by Sep 25, 2023

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

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The facility lacked the pick- up and drop-off notification of safe routes posted by the operator at a conspicuous location in the childcare facility.

Corrected Corrected by Sep 25, 2023

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).

Based on staff interviews, the facility self-reported that on 12-22-22 at approximately 1:50 pm, staff person #1 left room 15 and walked into the hallway and then the office for up to 30 seconds while the 2 children that were in their assigned group, a young toddler and an infant, were sleeping in the room alone without staff supervision. During the time that the children were left alone in the room, the staff:child ratio was 0:1.

Corrected Corrected by Dec 22, 2022

Category: supervision. 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.

Based on staff interviews, the facility self-reported that on 12-22-22 at approximately 1:50 pm, staff person #1 left room 15 and walked into the hallway and then the office for up to 30 seconds while the 2 children that were in their assigned group, a young toddler and an infant, were sleeping in the room alone without staff supervision.

Corrected Corrected by Dec 22, 2022

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.

Based on staff interviews, the facility self-reported that on 12-22-22 at approximately 1:50 pm, staff person #1 left room 15 and walked into the hallway and then the office for up to 30 seconds while the 2 children that were in their assigned group, a young toddler and an infant, were sleeping in the room alone without staff supervision.

Corrected Corrected by Dec 22, 2022

Category: supervision. 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.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 10-1-22 to 11-1-22 and lacked documentation of a current test conducted within the last 30 days as of 1-5-23.

Corrected Corrected by Jan 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

There was a metal rusted toilet paper holder in bathroom # 1.

Corrected Corrected by Sep 15, 2022

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.

The file for staff # 1 contained an initial Emergency plan training that was not conducted within a week of the start date. Staff # start date was 6/1/21 her initial Emergency plan was dated 7/1/21.

Corrected Corrected by Sep 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · 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.

The file for staff # 3 has a current pediatric first-aid and pediatric CPR certification dated 2/15/21-2/15/23.The certification was not renewed prior to the expiration of the previous certification dated 11/21/18-11/21/20.

Corrected Corrected by Sep 15, 2022

Category: ratio. Marked corrected in the state record.

3270.32(a) · 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 # 2 contained a current Child Abuse Clearance dated 5/5/20 that was renewed beyond 60 months after the previous clearance dated 5/4/15.

Corrected Corrected by Sep 15, 2022

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

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

There were 3 uncovered outlets accessible to children 5 years of age or younger by the refrigerator in room 18. There was an uncovered outlet in the preschool gym accessible to children 5 years of age or younger.

Corrected Corrected by Sep 15, 2022

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.

The first - aid kit in room 17 lacked soap.

Corrected Corrected by Sep 15, 2022

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 was a damage ceiling tile in bathroom # 2. There were two areas in the preschool gym with a hole between the blue wall and the floor.

Corrected Corrected by Sep 15, 2022

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was chipped paint by the vent in room 15. There was chipped plaster on the door frame in room 12.

Corrected Corrected by Sep 15, 2022

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 was broken green basket with sharp edges in room 17. There a foam block with teeth marks in room 12. There was a shelf with the back board coming off in room 12. There was a green bin, green magnet tile, and blue bin cracked in room 12. There was a net basket with holes in the preschool gym. There was a white board table with a chipped corner in room 18.

Corrected Corrected by Sep 15, 2022

Category: physical safety. 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.

The rest mats in room 12 were not labeled for the use of a specific child and used only by the specified child.

Corrected Corrected by Sep 15, 2022

Category: physical safety. 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 file for child # 1 lacked the home addresses and work telephone numbers of the enrolling parent on the emergency contact form.

Corrected Corrected by Sep 15, 2022

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 file for child # 1 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Sep 15, 2022

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.

The file for child # 2 a preschooler contained a current health report dated 4/21/22 that was not updated within 12 months. The previous report was dated 3/26/21.

Corrected Corrected by Sep 15, 2022

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Staff # 4 did not wash the child's hands after diapering .

Corrected Corrected by Sep 15, 2022

Category: health medication. 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.

Staff #4 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

Corrected Corrected by Sep 15, 2022

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

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

The Infant room lacked feeding schedule obtained from the parent for the infants in care.

Corrected Corrected by Sep 15, 2022

Category: nutrition. 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 #1 had had a state police clearance date of 12-14-2015 and 12-22-2020 which exceeded the mandatory 60 months to renew the clearance.

Corrected Corrected by Dec 30, 2021

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

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

In the Early Head Start Room, there were two packages of accessible, sharp tacks on a low wooden bookshelf.

Corrected Corrected by Sep 17, 2021

Category: health medication. 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.

The file for staff #1 contained an emergency plan training with a date of 6-15-2020 and therefore has exceeded the allowable training which should be initiated on an annual basis.The file for staff #2 contained an emergency plan training with a date of 7-21-2020 and therefore has exceeded the allowable training which should be initiated on an annual basis.

Corrected Corrected by Jul 1, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(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.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff #1 contained a fire safety training with a date of 6-15-2020 and therefore has exceeded the allowable training which should be initiated on an annual basis. The file for staff #2 contained a fire safety training with a date of 7-21-2020 and therefore has exceeded the allowable training which should be initiated on an annual basis.

Corrected Corrected by Sep 14, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children .A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file of staff #3, identified as an assistant group supervisor, contained a high school diploma but no experience with children which is needed to meet the qualifications of the assigned title.

Corrected Corrected by Oct 4, 2021

Category: supervision. Marked corrected in the state record.

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

In the Pre-K Counts Room, 5 outlets were missing a protective receptacle cover and were accessible to children under the age of 5.

Corrected Corrected by Oct 4, 2021

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 Early Head Start Room, one spray bottle of disinfectant was observed on a shelf and was accessible to children.

Corrected Corrected by Oct 4, 2021

Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

In the Pre-K Counts Room, the emergency telephone numbers were not posted by the telephone. In the AM/PM Childcare Area, the emergency telephone numbers were not posted by the telephone.

Corrected Corrected by Oct 4, 2021

Category: physical safety. 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.

In the Head Start Room, the first aid kit was missing tweezers and soap.

Corrected Corrected by Oct 4, 2021

Category: health medication. 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.

In the AM/PM Childcare Area located on the lower left side of the wall, a brown baseboard had come off the wall and was lying on the carpet.

Corrected Corrected by Oct 13, 2021

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

In the downstairs restroom, the toilets located in the first stall and the middle stall were missing a cover on the bolt.

Corrected Corrected by Oct 4, 2021

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

In the Pre-K Counts Room and in the Head Start Room, the daily activities schedule was not posted.

Corrected Corrected by Sep 16, 2021

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

3270.123(b)/3270.182(2) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.A child's record shall contain the dates of application, admission and withdrawal of the child.

The file of child #1 did not contain an initial fee agreement.

Corrected Corrected by Sep 17, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(a)/3270.182(7) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.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.

The file for child #1 with an admission date of 9-1-2020 did not contain an initial emergency contact form.

Corrected Corrected by Sep 17, 2021

Category: health medication. 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 of child #2 had an exemption letter for the Influenza vaccine that did not state a religious reason or a strong personal objection to the vaccine. Therefore, child #2 with an admission date of 2-16-21 did not receive the required Influenza Vaccine.

Corrected Corrected by Oct 19, 2021

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.

In the Head Start Room, the first aid kit contained 22 packets of antiseptic towelettes. In the indoor play space, a first aid kit contained 18 packets of alcohol wipes. In the AM/PM Childcare Area, a first aid kit contained 1 box of antiseptic towelettes, 10 alcohol wipes, and 2 boxes of "3 in one antibiotic ointment." None of which were labeled with a specific child's name.

Corrected Corrected by Oct 4, 2021

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

3270.94(a)(1)/3270.94(a)(9) · 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.The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The log for the fire drill had a date of 12-31-19 and 2-26-21 which exceeded the allowable 60 days.

Corrected Corrected by Sep 16, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · 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.

The operator did not provide the parent of each child enrolled in the facility with information on how to access the regulations in 55 PA CODE Chapter 3270 electronically.

Corrected Corrected by Oct 4, 2021

Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

Child #1 with an admission date of 9-1-2020 did not have an initial health assessment within 90 days of enrollment.

Corrected Corrected by Sep 17, 2021

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