4 Bears Day Care Inc

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 conducted 6/8/26, the emergency contact reviewed for child #2 did not include the work telephone numbers of the enrolling parent.

Corrected by Jun 30, 2026

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3270.131(d)(7) · A health report shall include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

During the renewal inspection conducted 6/8/26, the health assessment reviewed for child #1 and #2 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Corrected by Jun 30, 2026

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

During the renewal inspection conducted 6/8/26, upon request there was no written statement about giving formula or feeding schedule available for review for child #1 obtained from the parent.

Corrected by Jun 30, 2026

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3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

During the renewal inspection conducted 6/8/26, upon request there was no verification available for review to verify the facility notified local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

Corrected by Jun 30, 2026

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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).

At the time of inspection on 3/23/2026, Certification Representative observed there was 1 staff with 5 children including an infant in the back child care space.

Corrected by Mar 23, 2026

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

At the time of inspection on 3/23/2026, Certification Representatives observed facility child #1 who is an infant was served chicken bites and raw broccoli for lunch. There was not a written feeding statement for the child provided by the parent when requested.

Corrected by Mar 23, 2026

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

At the time of inspection, facility staff #1 had a National Sex Offenders Registry clearance that was over 60 months old. Facility staff #2 did not have a completed State Police Clearance on file.

Corrected by Jun 5, 2025

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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 records of facility staff #1 and #2 did not include verification that staff took an approved Pediatric First Aid and Pediatric CPR training. The trainings in the record were an online only training that did not include an in-person portion as required.

Corrected by Jun 28, 2024

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3270.62(c) · Outdoor or indoor play space shall be safe for large muscle activity.

At the time of inspection on 6/10/2024, Certification Representative observed various wires hanging along the wall in the outdoor play space.

Corrected by Jun 14, 2024

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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 conducted on 5/11/2023 observed staff person #2's file did not include verification of the Health & Safety training update.

Corrected by May 21, 2023

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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.

During the renewal inspection conducted on 5/11/2023 observed staff person #2's education verification is from Dominican Republic and verification of the evaluation of the degree is not in the file.

Corrected by May 21, 2023

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3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

During the renewal inspection conducted on 5/11/2023 observed child #1 and #2's health reports did not include up to date verification of the influenza vaccine.

Corrected by May 21, 2023

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3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 conducted on 5/11/2023 observed staff person #2's adult health assessment was not filled out including the verification of physical examination.

Corrected by May 21, 2023

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the renewal inspection conducted on 5/11/2023 observed staff person #1's file did not include verification of 12 clock hours of child care training.

Corrected by May 21, 2023

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3270.151(c)(1)/3270.151(c)(4) · An adult health assessment must include a physical examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

During the renewal inspection conducted on 4/13/2022 observed staff person #1's health assessment did not include a physical examination and question number three which states whether the staff person can work in child care was not answered.

Corrected by Apr 22, 2022

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