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.

At the start of the inspection, the lid for the trashcan was not present. The lid was placed on the trash can within the first 5 minutes of the inspection without CR prompt.

Corrected Corrected by Oct 20, 2025

Category: ratio. 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. Facility Person #1 may not work in a child care position at the facility.

Documentation shows that the disclosure statement for Staff #1 was dated 1/8/25, which is after the staff person's first day working with children. The document is on file and noted as late. See LIS for first day working with children.

Corrected Corrected by Oct 20, 2025

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

3270.36(b)(3)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Continued non-compliance - Verification of 1 year of child care experience was not available for Staff #1. Staff provided documentation of 15 credit hours of human services related coursework, requiring 1 year of experience.

Corrected Corrected by Nov 10, 2025

Category: supervision. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff #1 was observed to be working unsupervised at the start of the inspection for a period of approximately 5 minutes. Staff #1 is currently qualified at the aide level.

Corrected Corrected by Oct 20, 2025

Category: supervision. Marked corrected in the state record.

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

The fee amount and date fee is to be paid was not available on the financial agreement for child #2. Corrected on site by adding the fee amount and date to be paid to the financial agreement.

Corrected Corrected by Nov 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The address and phone number of the medical provider for child #2 was not available on the Emergency Contact Form.

Corrected Corrected by Nov 21, 2025

Category: health medication. 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 work address and phone number for the parent's workplace was not available on the emergency contact form for child #1.

Corrected Corrected by Nov 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · 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 emergency medical care for the child. Written consent is required prior to admission.

Written consent signed by the parent for medical care was not available for child #2.

Corrected Corrected by Nov 21, 2025

Category: recordkeeping. 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.

A health insurance policy number was not available on the emergency contact form for child #1.

Corrected Corrected by Nov 21, 2025

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

3270.182(5) · 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.

Signed parental consent for minor first aid procedures was not available on the emergency contact form for child #2.

Corrected Corrected by Nov 20, 2025

Category: ratio. 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.

Emergency drill was conducted on 11/26/25. Drill date will be documented and stored with emergency plan.

Corrected Corrected by Nov 26, 2025

Category: recordkeeping. 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. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1may not work in a child-care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric CPR and First Aid .

Corrected Corrected by Sep 8, 2025

Category: supervision. 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.

Documentation of required Health and safety (CCDBG) training within 90 days of hire was not available for staff #3.

Corrected Corrected by Oct 17, 2025

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. Staff #3 will not work in a child care role until all clearances are received. Until such time as the required mandated reporter training has been completed, staff #3 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff #3, staff #3 may not work in a child-care position at the facility.

Documentation of an FBI clearance was not available for Staff #3 (See LIS for date of hire). Documentation of an application for FBI clearance was not available for Staff #3. Documentation of completed mandated reporter training within 90 days of hire was not available for Staff #3. Documentation of the witness date the signing of the disclosure statement was not available for Staff #1.

Corrected Corrected by Oct 17, 2025

Category: supervision. 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.

Verification of 2 years of child care experience was not available for Staff #2. Documentation of education was not available for Staff #3.

Corrected Corrected by Sep 19, 2025

Category: supervision. Marked corrected in the state record.

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

During the inspection, Staff #1 was observed to work alone with children from approximately 3:30 - 4:10 PM. The second staff arrived at that time.

Corrected Corrected by Sep 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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.

Documentation of an initial health assessment was not available for Staff #3.

Corrected Corrected by Sep 19, 2025

Category: ratio. 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 date of the TB test for Staff #2 was not available.

Corrected Corrected by Sep 10, 2025

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.

During documentation review, documentation showed Staff #1 had mandated reporter training certificate dated 12-6-24. The staff's previous Mandated Reporter training certificate was dated 8-7-19, which is beyond the 60-month regulatory requirement.

Corrected Corrected by Jan 22, 2025

Category: background checks. 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.

During the inspection it was observed that 3 bottles of disinfectant/cleaning solution, labeled "keep out of reach of children" were located on a cart in the child care space, accessible to children.

Corrected Corrected by Dec 9, 2024

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

3270.124(b)(4)/3270.182(3) · 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 emergency medical care for the child. Written consent is required prior to admission.

During the inspection, documentation of consent for emergency medical care signed by a parent was not available for child #1, #2, and #3.

Corrected Corrected by Jan 10, 2025

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.

During the inspection, documentation of address for the individual designated by the parent to whom the child may be released was not available.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

During the inspection it was observed that Staff #1 took the children to the gym but did not take the go-bag containing the emergency contact forms along.

Corrected Corrected by Dec 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(c)/3270.131(e) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

During the inspection, it was noted the health assessment for Child #3 was not signed by a physician, physician's assistant or a CRNP. Child #3 has been in care for more than 60 days without written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Corrected Corrected by Jan 10, 2025

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

3270.182(5) · 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.

During the inspection, documentation of consent for minor first aid signed by a parent was not available for child #1, #2, and #3.

Corrected Corrected by Jan 10, 2025

Category: ratio. Marked corrected in the state record.