Beyond Babysitting

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.

At the time of the inspection, the shaken baby syndrome, abusive head trauma and child maltreatment policy did not include the prevention and identification of child maltreatment.

Corrected by Jan 17, 2025

3280.75(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.

At the time of the inspection, the first aid kit in the front room did not include gloves, scissors and medical tape and the first aid kit in the back room did not include gloves. Non-compliance was corrected onsite.

Corrected by Jan 9, 2025

3280.124(f)/3280.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

At the time of the inspection, the emergency contact of child #1 was dated 4/8/24 and the agreement of child #1 was dated 4/6/24.

Corrected by Jan 17, 2025

3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

At the time of the inspection, the file of child #1 health assessment was dated April 14, 2023.

Corrected by Jan 17, 2025

3280.151(a)/3280.192(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.

At the time of the inspection, the file of staff person #1 had a health assessment dated 1/2/22.

Corrected by Jan 24, 2025

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.

While conducting the renewal inspection on 2/1/24 it was observed the program did not have a written policy addressing the signs and symptoms of shaken baby syndrome, strategies for coping with fussy/crying children, or prevention of child maltreatment.

Corrected by Feb 15, 2024

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.

While conducting the renewal inspection on 2/1/24 staff person#1 file did not include documentation of emergency plan training completed.

Corrected by Feb 15, 2024

3280.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

While conducting the renewal inspection on 2/1/24 it was observed in classroom#1 the ceiling light was not working, and classroom #2 Ceiling light was not working, and the case was hanging off in danger of falling. Class

Corrected by Feb 15, 2024

3280.124(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.

While conducting the renewal inspection on 2/1/24 child#1 emergency contact form did not include health insurance coverage information.

Corrected by Feb 15, 2024

3280.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

While conducting the renewal inspection on 2/1/24 staff person#1 file did not include 2 reference letters.

Corrected by Feb 15, 2024

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.Staff person# 1 shall complete professional development in the topics of health and safety training within 90 days of hire. Staff person# 1 will have until 1/15/24 to complete the required training. Until such time as the required trainings have been completed, staff persons# 1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person# 1, staff persons may not work in a child care position at the facility. Staff person# 1 shall complete professional development in the topic of Pediatric First-aid/CPR training within 90 days of hire. Staff persons# 1 will have until 1/15/24 to complete the required training. Until such time as the required trainings have been completed, staff persons# 1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation.

While conducting the renewal inspection on 2/1/24 Staff person# 1 has not completed the following required updated health and safety training. Also, staff person # 1 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected by Feb 15, 2024

3280.106 · 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 inspection on 1/26/2023 the refrigerator in the facility did not have a thermometer.

Corrected by Dec 27, 2022

3280.14 · 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.

During the inspection on 1/26/2023 the facility had an emergency plan that did not address volunteer emergency preparedness training, practice drills, and continuity of operations.

Corrected by Feb 2, 2023

3280.17 · The legal entity shall have comprehensive general liability insurance to cover all persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

During the inspection on 1/26/2023 the facility did not have liability valid insurance on file.

Corrected by Jan 27, 2023

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 inspection on 1/26/2023 the file record for staff person #3 did not include emergency plan training.

Corrected by Jan 27, 2023

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

During the inspection 1/26/2023 the file record for staff person # 1 did not include annual minimum of 12 clock hours of childcare training.

Corrected by Feb 9, 2023

3280.62(c) · Outdoor or indoor play space shall be safe for large muscle activity.

During the inspection the on 1/26/2023 the outside play space was observed having trash in the area.

Corrected by Jan 29, 2023

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

During the inspection on 1/26/2023 the outside play space was observed having a container of cement in the area, accessible to children.

Corrected by Jan 26, 2023

3280.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

During the inspection on 1/26/2023 the file record for child # 1 did not include an agreement that specified the amount of the fee to be charged per day or per week.

Corrected by Feb 2, 2023

3280.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

During the inspection on 1/26/2023 the file record for child #1 did not include an agreement that specified the date on which the fee is to be paid.

Corrected by Feb 2, 2023

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

During the inspection on 1/26/2023 the file record for child #2 did not include the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Corrected by Feb 2, 2023

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 inspection on 1/26/2023 the file records for child # 2 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released on emergency contact form.

Corrected by Feb 2, 2023

3280.124(f) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

During the inspection on 01/26/2023 the file record for child #2 did not include an update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Corrected by Feb 2, 2023

3280.31(h) · All staff persons shall complete the professional development under subsection(f).

During the inspection on 1/26/2023 the file records of staff persons #1 did not include the update of the health and safety training.

Corrected by Feb 9, 2023

3280.95(b) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

During the inspection on 1/26/2023 the facility did not have a complete annual fire inspection or record of monthly tested on site and the facility did not have proof of fire attestation on site.

Corrected by Jan 27, 2023

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

During the inspection on 1/26/2023 the file record for Staff person #2--- has not completed the following required pre-service training within 90 days of their date of hire and was observed working alone providing direct childcare to 4 children. (see LIS code sheet):

Corrected by Feb 10, 2023

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

During the inspection 2/17/2022 the file record for staff person # 3 did not include annual minimum of 12 clock hours of child care training.

Corrected by Mar 4, 2022

3280.32(a)/3280.192(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 the electronic inspection 02/11/2022 the file record for staff person #2 included mandated reporter training that expired (date observed as 12/7/2016).

Corrected by Mar 17, 2022

3280.69(a) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

During the inspection on 2/18/2022 the hot water temperature measured 111.6° F.

Corrected by Feb 22, 2022

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 electronic inspection on 2/11/2022 the file record for child # 1 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released on emergency contact form.

Corrected by Feb 22, 2022

3280.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the electronic inspection on 2/11/2022 the file record for staff persons # 2 did not include verification of child care experience prior to service at the facility.

Corrected by Mar 2, 2022

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 electronic inspection on 2/11/2022 the file record for staff person #2 did not include results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Corrected by Mar 11, 2022

3280.26(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

During the inspection on 2/18/2022 the facility had an emergency plan that includes accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected by Feb 25, 2022

3280.26(a)(1) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

During the inspection on 2/18/2022 the emergency plan training did not include procedures for lock-down.

Corrected by Feb 25, 2022

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

During the investigation inspection on 7/29/21 staff person #2 admitted that individual#1 has been in the facility with the children for periods of time in the front area of the facility and that individual #1 knows the children. Individual #1 did not have a state police clearance, FBI clearance, mandated reporter training and disclosure statement. Facility Person #1 -- may not work in a child care position at the facility.

Corrected by Aug 29, 2021

3280.123(a) · An agreement shall be signed by the operator and the parent.

During the inspection on 7/29/21 the facility did not have a financial agreement form signed by the operator and parent for child #1 .

Corrected by Aug 29, 2021

3280.113(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.

During the inspection on 7/29/2021 the children were observed unsupervised from 12:07-12:08pm. Staff person#1 was observed in the kitchen where the children cannot be seen and staff person#2 was observed outside pf the facility cutting the weeds.

Corrected by Jul 29, 2021

3280.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

During the inspection on 7/29/21 child #1 was in the highchair restrained from 12:09-12:40 pm. Child#1 did not have any food, or activity in front of them during this time.

Corrected by Jul 29, 2021

3280.124(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 on 7/29/21 the facility did not have emergency contact information present in a child care space for child#2 receiving care in the space.

Corrected by Jul 29, 2021

3280.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During the inspection on 7/29/21 the facility did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected by Jul 30, 2021

3280.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

During the inspection on 7/29/21 the refrigerator was observed having fruit in the refrigerator not covered or in a container and cake that was not covered or in a container. The food observed was not free from spoilage, free from adulteration and safe for human consumption.

Corrected by Jul 29, 2021

3280.185 · A copy of the child's record shall be retained at the facility for at least 1 year after termination of service, unless the entire record is transferred by the operator to the parent or guardian or to another agency at the request of the parent or guardian.

During the inspection the facility did not have the file record for child#3.

Corrected by Sep 12, 2021