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.

During the renewal inspection the certification representative requested to view the emergency plan, The plan did not include the centers plan for continuity of care.

Corrected Corrected by Sep 18, 2023

Category: ratio. 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.

During the renewal inspection the certification representative conducted a facility walk through and observed the emergency contact numbers were missing in each room childcare space room.

Corrected Corrected by Sep 13, 2023

Category: recordkeeping. 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.

During the renewal inspection the certification representative conducted a facility walkthrough and observed the first aid kit in the infant room was missing soap.

Corrected Corrected by Sep 13, 2023

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

3270.123(a)(3) · 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 the certification representative requested to view the children files, children's #1, #2, #3, #4 and #5 were all missing CSR's in the file.

Corrected Corrected by Sep 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4)/3270.123(a)(5) · An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

During the renewal inspection the certification representative reviewed the children's files, child # 4 was missing the arrival and departure times on the emergency contact form. child #4 was also missing the release person on the financial agreement.

Corrected Corrected by Sep 18, 2023

Category: recordkeeping. 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.

During the renewal inspection the certification representative requested to view the children's file child #1 was missing the enrolling parent work address.

Corrected Corrected by Sep 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

During the renewal inspection the certification representative reviewed child #2 file, child # 2 is missing information on disability.

Corrected Corrected by Sep 18, 2023

Category: health medication. 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 renewal inspection the certification representative conducted a facility walkthrough, when arriving to the 3-year-old room the certification representative viewed the emergency contacts for the children in the room and noticed that one of the children did not have an emergency contact form in the folder.

Corrected Corrected by Sep 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(8)/3270.131(e)(2)(i) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section. 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.

During the renewal inspection the certification representative reviewed the children's files child #1 file, child #1 is missing the varicella and rotavirus vaccines. There was no exemption/refusal letter in the file. Child #3 was missing the rotavirus and the flu shot, Child # 4 is missing MMR, flu shot, and hep A Child #5 was missing flu shot and Hep A

Corrected Corrected by Sep 18, 2023

Category: health medication. 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. Staff person #1 will have until 5/23/23 to complete the required training. Until such time as the required training has been completed, staff person # 1 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person # 1 may not work in a child-care position at the facility.

Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum within 90 days of hire.

Corrected Corrected by May 23, 2023

Category: supervision. Marked corrected in the state record.

3270.27(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.

During the renewal inspection conducted on 9/22/22, there was no evidence that the facility's emergency plan was sent to local municipality and county emergency management agency.

Corrected Corrected by Sep 29, 2022

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.

During the renewal inspection conducted on 9/22/22, Certification Representative observed an outlet with out a protective outlet cover accessible to children in the bathroom next to the older Pre-K room.

Corrected Corrected by Sep 22, 2022

Marked corrected in the state record.

3270.107 · 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 conducted on 9/22/22, the refrigerator in the kitchen area next to the older Pre-k room had a temperature of 60 degrees.

Corrected Corrected by Sep 22, 2022

Category: nutrition. 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.

During the renewal inspection conducted on 9/22/22, child #1 did not have an insurance provider on their emergency contact information form.

Corrected Corrected by Sep 22, 2022

Category: health medication. 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.

During the renewal inspection conducted on 9/22/22, provider did not have documentation of annual emergency drill conducted at the facility.

Corrected Corrected by Sep 22, 2022

Category: recordkeeping. 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.

At the time of the inspection staff person #1 was caring for child in the facility and not wearing a face covering as per CDC guidance.

Corrected Corrected by Nov 10, 2021

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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. Facility Person # 2 may not work in a child care position at the facility. 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 #2 may not work in a child care position at the facility.

At the time of the inspection the record of staff person #2 was lacking a National Sex Offender Clearance.

Corrected Corrected by Nov 15, 2021

Category: supervision. Marked corrected in the state record.

3270.51/3270.52 · 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. 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).

At the time of the inspection staff member #4 was outside of the building, and entering at the same time as certification representative. Staff member #3 was in the facility with a group of 6 children including a one year old.

Corrected Corrected by Nov 10, 2021

Category: ratio. Marked corrected in the state record.