Angela Hollomans Childrens Nest

3280.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

During the renewal inspection on 3/17/26, it was observed that the records of child #1, child #2, child #4, and child #5 contained the original agreement.

Corrected by Mar 17, 2026

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3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a childcare position at the facility.

During the renewal inspection on 3/17/26, it was observed that the records of staff person #1 did not include an updated Mandated reporter training. Training dated 9/16/2020.

Corrected by Mar 24, 2026

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

During the renewal inspection on 3/17/26, it was observed that the records of child #4 did not specify the child's arrival and departure times.

Corrected by Mar 17, 2026

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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.

During the renewal inspection on 3/17/26, staff person #1 and Staff person #2 were observed to be caring for children unsupervised. Staff person # 1 and #2 do not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of (3/2/2026). it was obser

Corrected by Mar 21, 2026

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

During the renewal inspection on 3/17/26, it was observed that the records of child #4 did not include the work addresses and telephone numbers of the enrolling parent.

Corrected by Mar 17, 2026

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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.

During the renewal inspection on 3/17/26, it was observed that the records of child #5 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected by Mar 17, 2026

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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.

During the renewal inspection on 3/17/26, it was observed that the children's hands were not washed before serving the meal.

Corrected by Mar 17, 2026

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3280.181(d) · Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

During the renewal inspection on 3/17/26, it was observed on the records of child #3 that there was no date on the emergency contact information.

Corrected by Mar 17, 2026

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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.

During the renewal inspection on 3/26/25, it was observed that the records of child #1 and child #4 did not include address of the individual designated by the parent to whom the child may be released.

Corrected by Mar 28, 2025

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3280.181(d) · Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

During the renewal inspection on 3/26/25, it was observed that the records of child #3 and child #4 did not include a dated signature on the emergency contact information

Corrected by Mar 27, 2025

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3280.131(a)/3280.131(d)(5) · 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 health report shall include a review of the child's immunized status according to recommendations of the ACIP.

During the renewal inspection on 3/26/25, it was observed that the records of child #2did not include a health report and record of immunizations.

Corrected by Mar 28, 2025

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3280.182(7) · A child's record must 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.

During the unannounced inspection on 10/7/24, it was verified that an incident report was not completed, since the provider stated the injury did not occur at the program.

Corrected by Oct 8, 2024

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3280.192(3) · 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.

Continued non-compliance was found on 5/7/24. Child Care Staff Health Assessment dated 04/19/24 submitted was verified to be not a valid health assessment record for staff person #1.

Corrected by May 2, 2024

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3280.192(3) · 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 on 3/27/24, it was observed that the record of staff person #1 did not include an updated health assessment. Health record dated 4/29/21.

Corrected by Apr 19, 2024

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3280.32(c)/3280.192(4) · The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness. 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 #--- may not work in a child care position at the facility.

At the time of inspection facility person #2 had an expired FBI clearance on file.

Corrected by Apr 24, 2023

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3280.151(c)(2)/3280.192(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.

At the time of inspection facility person #2 had an expired health assessment on file.

Corrected by Apr 24, 2023

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3280.113(a)(2) · The requirement for supervision on and off the facility premises includes compliance with the staff: child ratio requirements in §§ 3280.51--3280.53.

During renewal inspection certification rep observed teacher #1and 2 were in the main classroom out of ratio with 11 children, the youngest child was 11 months and the oldest child was 10 years of age.

Corrected by Jun 27, 2022

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

During the renewal inspection, it was observed that the annual emergency drills was not documented and on file at the facility.

Corrected by Jun 27, 2022

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3280.26(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.

During the annual inspection facility persons 1 & 2 did not have annual Emergency Plan training on file.

Corrected by Sep 16, 2021

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3280.33(c) · One or more facility persons competent in pediatric first aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

During the annual inspection no facility person 1 or 2 did not have Pediatric First Aid / CPR training on file.

Corrected by Sep 16, 2021

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3280.192(2)(ii)/3280.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During annual inspection facility person #2 did not have years of experience verification on file.

Corrected by Sep 16, 2021

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