3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

While reviewing the staff's files I observed that staff 1 did not include health & safety Part 1 & 2.

Corrected Corrected by Jun 27, 2025

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

3270.51 · 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.

While conducting my inspection I observed that staff 2 left the infant room leaving the other staff with 5 infants.

Corrected Corrected by May 29, 2025

Category: ratio. Marked corrected in the state record.

3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

During the inspection, it was observed that the facility did not have sufficient play equipment and materials appropriate to the developmental needs, individual interests and ages of the children in rooms 2-8.

Corrected Corrected by Jun 29, 2025

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

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

During the inspection, it was observed that staff 5 did not know what group she was assigned.

Corrected Corrected by May 29, 2025

Category: supervision. Marked corrected in the state record.

3270.192(2)(iv) · 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.

While reviewing the staff's files I observed that staff 5 did not include acceptable verification of experience.

Corrected Corrected by May 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.192(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.

While reviewing the staff's files I observed that staff 3, did not have the correct physical form which meant her physical is incomplete. Staff 1 is also missing their PPD information.

Corrected Corrected by May 30, 2025

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

3270.192(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 reviewing the staff's files I observed that staff 4, 5, did not include two written, nonfamily references.

Corrected Corrected by May 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

During the inspection, it was observed that the Facility had not conducted a fire drill at least once every 60 days.

Corrected Corrected by May 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During my inspection I observed that there was peeling paint on the wall in room 6, and peeling plaster on the corner in room 7.

Corrected Corrected by Nov 14, 2024

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

While reviewing the staff's files I observed that staff 2, 4, and 5, did not include their annual evaluations.

Corrected Corrected by Nov 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

During my inspection I observed that the first two rooms in the main space and room 6, 7, and 8. did not have sufficient amount and variety of play equipment and materials appropriate to the developmental needs to preclude long waits for use.

Corrected Corrected by Dec 1, 2024

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

During my inspection I observed that the rest equipment in the front room in the main space was not labeled.

Corrected Corrected by Nov 13, 2024

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

During my inspection I observed that there was not daily schedule posted in room 8.

Corrected Corrected by Nov 22, 2024

Marked corrected in the state record.

3270.113(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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

During my inspection I observed staff 6 leave her class space two times. The first time leaving 1 staff and 8 YT, and the second time leaving 7 YT and one staff.

Corrected Corrected by Jan 17, 2025

Category: supervision. Marked corrected in the state record.

3270.113(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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

During my inspection I observed staff 6 leave her class space two times. The first time leaving 1 staff and 8 YT, and the second time leaving 7 YT and one staff.

Corrected Corrected by Dec 22, 2024

Category: supervision. Marked corrected in the state record.

3270.113(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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

During my inspection I observed staff 6 leave her class space two times. The first time leaving 1 staff and 8 YT, and the second time leaving 7 YT and one staff.

Corrected Corrected by Nov 22, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

While reviewing the child/children's files I observed that child 3, did not include the amount of the fee to be charged per day or per week on their agreement form.

Corrected Corrected by Nov 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

While reviewing the child/children's files I observed that child 3, 4, and 8, agreement did not include the child's admission date.

Corrected Corrected by Nov 1, 2024

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.

While reviewing the child/children's files I observed that child 1, did not include health insurance coverage and policy number for a child.

Corrected Corrected by Nov 1, 2024

Category: health medication. 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.

While reviewing the child/children's files I observed that child 1, 2, did not include the telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Nov 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(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.

While reviewing the child/children's files I observed that child 5, 8, and 9, did not include an updated emergency contact, and child 5 did not have an updated agreement form.

Corrected Corrected by Nov 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

While reviewing the child/children's files I observed that child 6, di did not have a current physical.

Corrected Corrected by Dec 1, 2024

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During my inspection I observed that the 6, 7, did not wash their hands after diapering a child.

Corrected Corrected by Nov 22, 2024

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

During my inspection I observed soiled diaper not being discarded in a hands-free covered can.

Corrected Corrected by Nov 14, 2024

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

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

During my inspection I observed that the 7, did not wipe the changing table surface with a sanitizing solution.

Corrected Corrected by Nov 22, 2024

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

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

During my inspection I observed 4 of the infants were missing written feeding schedules from their parents.

Corrected Corrected by Nov 14, 2024

Category: nutrition. Marked corrected in the state record.

3270.182(3)/3270.182(4) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of medications or special dietary needs.

While reviewing the child/children's files I observed that child 5, did not have all the required signatures on the bottom of their emergency contact sheet.

Corrected Corrected by Nov 14, 2024

Category: ratio. Marked corrected in the state record.

3270.182(5)/3270.182(6) · 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. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

While reviewing the child/children's files I observed that child 5, did not have all the required signatures on the bottom of their emergency contact sheet.

Corrected Corrected by Nov 14, 2024

Category: ratio. Marked corrected in the state record.

3270.182(8) · A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

While reviewing the child/children's files I observed that child 1, 7, and 9, did not include a copy of the initial agreement and subsequent written agreements between the parent and the operator.

Corrected Corrected by Nov 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(iv) · 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.

While reviewing the staff's files I observed that staff 3, did not have acceptable verification of experience.

Corrected Corrected by Nov 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.61 · Measurement and use of inodoor child care space.

During my inspection I observed that room 8 was not set up as a measured childcare space.

Corrected Corrected by Nov 14, 2024

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

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

While reviewing the staff's files I observed that staff 1, 2, did not obtain their 12 clock hours of childcare training.

Corrected Corrected by Oct 21, 2024

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.

During my investigation, I found that staff 1 has been driving recklessly while transporting the children.

Corrected Corrected by Oct 29, 2024

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

3270.113(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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

During my investigation, I observed that the child under staff 3 care wandered to the front of the build without supervision. Staff 3 was unaware of the fact that the child was missing.

Corrected Corrected by Aug 8, 2024

Category: supervision. Marked corrected in the state record.

3270.113(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 my inspection I observed that staff 2, was in his phone with his head down the whole time I was in the room observing.

Corrected Corrected by Oct 18, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

During my inspection I observed that the staff 1, 2, did not know whom they were responsibly for.

Corrected Corrected by Aug 8, 2024

Category: supervision. Marked corrected in the state record.

3270.101(a)/3270.101(b) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment shall facilitate the child's emotional, cognitive, communicative, perceptual-motor, physical and social development.

In the course of my investigation, I noted that room 8 had not been arranged as a designated child care area.

Corrected Corrected by Jul 19, 2024

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

3270.182(7) · A child's record shall 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.

In the course of my investigation, it was brought to my attention that a child had been left behind on the school bus by staff 1, and it was not reported.

Corrected Corrected by Jul 19, 2024

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

3270.113(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 my investigation, I found that a child was left on the bus unsupervised by staff 1.

Corrected Corrected by Jul 19, 2024

Category: supervision. Marked corrected in the state record.

3270.177(a) · Children may not be left unattended in a vehicle.

In the course of my investigation, I learned that a child had been left unattended on a school bus by staff 1.

Corrected Corrected by Jul 19, 2024

Category: transportation. 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.

While reviewing the children's files I observed that child 1, and 10, did not include the name, address and telephone number of the child's physician.

Corrected Corrected by Dec 28, 2023

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

While reviewing the staff's files I observed that staff 2-4, did not have the annual written evaluation.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

During my inspection I observed that the there were 2 broken toilets in the girl's restroom.

Corrected Corrected by Dec 28, 2023

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

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

While reviewing the children's files I observed that child 5, did not have the emergency contact information.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

During my inspection I observed that the facility has not review the emergency plan at least annually.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

While reviewing the staff's files I observed that staff 1, and 5, did not have the annual fire safety training.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. 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.

While reviewing the staff's files I observed that staff 2, and 3, did not have the health & safety training.

Corrected Corrected by Dec 28, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3, may not work in a child care position at the facility.

While reviewing the staff's files I observed that staff 3, hired November 2022, did not have the mandated reporter training.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.101(c) · Play equipment and materials shall include the items specified at §3270.101(c)(1) - (6).

I observed that there was no play equipment to meet the development needs. There were no toys that supported communication, physical and social development. I did not observe any toys that promoted emotional growth either. In room 6, 7, and 8.

Corrected Corrected by Dec 28, 2023

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

During my inspection I observed that the infant chair was not clean.

Corrected Corrected by Dec 28, 2023

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

While reviewing the children's files I observed that child 3, 4, agreement did not have the operator signature.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

While reviewing the children's files I observed that child 2-5, and 8, did not have the amount of the fee to be charged per day or per week.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. 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).

While reviewing the children's files I observed that child 1-5, did not have a Child Service Report (CSR).

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

While reviewing the children's files I observed that child 1-5, and 10, did not the arrival and departure times on the agreement form.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

While reviewing the children's files I observed that child 2-5, 8, and 9, did not have the specify the date of admission on their agreement form.

Corrected Corrected by Dec 28, 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.

While reviewing the children's files I observed that child 1, 2, 5, 10, did not include the home and work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Dec 28, 2023

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.

While reviewing the children's files I observed that child 1, and 3-5, did not include health insurance coverage and policy number.

Corrected Corrected by Dec 28, 2023

Category: health medication. 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.

While reviewing the children's files I observed that child 1, 2, and 5, did not have the address of their emergency contact person.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(d)/3270.172(a) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. Transportation by the facility requires written parental consent, except for transportation of school-age children who are transported to or from a child care facility in vehicles owned or operated by the school district.

During my inspection I observed that the childcare vehicle did not have emergency contact information, or written parental consent, except for transportation of school-age children.

Corrected Corrected by Dec 28, 2023

Category: transportation. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

During my inspection I observed that the infant bottles were not labeled with the child's name.

Corrected Corrected by Dec 28, 2023

Marked corrected in the state record.

3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

During my inspection I observed that the child care vehicle (Ford) did not have a first aid kit.

Corrected Corrected by Dec 28, 2023

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

3270.181(c) · 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.

While reviewing the children's files I observed that child 1, 2, 6-10, did not have an update emergency contact sheet, or agreement form.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.182(3)/3270.182(4) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of medications or special dietary needs.

While reviewing the children's files I observed that child 1, 2, 4, 5, 7, 10, did not have all the required signature on their emergency.

Corrected Corrected by Dec 28, 2023

Category: ratio. Marked corrected in the state record.

3270.182(5)/3270.182(6) · 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. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

While reviewing the children's files I observed that child 2, 4, 5, 7, 10, did not contain signed parental consent for administration of minor first-aid procedures, or signed parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Dec 28, 2023

Category: ratio. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

During my inspection I observed that staff 6, 7, did not have a file.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(iv) · 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.

While reviewing the staff's files I observed that staff 2, 3, and 5, did not have acceptable verification of experience.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(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.

While reviewing the staff's files I observed that staff 2, did not have current health assessment, and both staff 2, 4, did not have a TB test.

Corrected Corrected by Dec 28, 2023

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 my inspection I observed that the facility had not conducted or documented any emergency drills.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

During my inspection I observed that the facility had not conducted or documented a fire drill in the last 60 days.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. 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 my inspection I observed that the facility has not send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Dec 28, 2023

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

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

While reviewing the staff's files I observed that staff 1, 2, did not have the annual minimum of 12 clock hours of child care training.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · 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.

While reviewing the children's files I observed that child 1, 2, 8, 9, did not have a current physical.

Corrected Corrected by Dec 28, 2023

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

3270.166(7) · Neither bottled formula nor human milk may be heated in a microwave.

During my inspection I observed that the bottles was being heated in the microwave.

Corrected Corrected by Dec 28, 2023

Category: nutrition. 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 unannounced monitoring inspection dated 5/31/2023, certification representative observed that 13 electrical outlets throughout the facility did not have receptacle covers on them and were accessible to children.

Corrected Corrected by May 31, 2023

Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

During the unannounced monitoring inspection dated 5/31/2023, certification representative observed in room #6 that there was a hole in the plaster directly above the electrical outlet, and the outlet cover was also broken.

Corrected Corrected by Jun 14, 2023

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

During the unannounced monitoring inspection dated 5/31/2023, certification representative observed child #1, #2, and child #3 sleeping in cribs that did not have 2 feet of space on three sides of the crib.

Corrected Corrected by May 31, 2023

Category: physical safety. 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.

During an unannounced complaint inspection dated 2/21/2023, it was found that on 2/13/2023 staff person #1 took child #1 and child #2 to his home.

Corrected Corrected by Mar 3, 2023

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

3270.54(b) · At least two facility persons shall be present when children are on an excursion away from the facility. At a minimum, one of the facility persons shall be a staff person.

During unannounced complaint investigation on 2/21/2023, It was found that on 2/13/2023 staff person # 1 escorted child # 1, and child #2 to his home on an excursion away from facility without a second staff person present.

Corrected Corrected by Mar 3, 2023

Category: recordkeeping. 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 unannounced monitoring inspection dated 2/21/2023, certification representative observed that in room #3 of the main floor with half walls, there was a power cord on the floor that had 7 electrical outlets that were uncovered and accessible to children and in room #5 the indoor play space there was 1 electrical outlet that was uncovered as well.

Corrected Corrected by Feb 21, 2023

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 dated 12/5/2022, certification representative observed that 2 electrical outlets on a power cord in the computer room did not have protective receptacle covers on them.

Corrected Corrected by Dec 20, 2022

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 renewal inspection dated 12/5/2022, certification representative observed that there was a mechanical room in the afterschool room that had toxic cleaning materials in it. The door to this room was unlocked and accessible to children. Also, there was toxic Lysol disinfectant spray on the bus. This violation is continued from unannounced monitoring inspection dated 11/9/2022.

Corrected Corrected by Dec 5, 2022

Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

During renewal inspection dated 12//5/2022 certification representative observed that in the after school room and in the flamingo room the first aid kit was accessible to children.

Corrected Corrected by Dec 20, 2022

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

During renewal inspection dated 12/5/2022, certification representative observed that the floor in the flamingo room was soiled.

Corrected Corrected by Dec 20, 2022

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Certification representative completed a renewal inspection on 12/5/2022 and observed that hand washing signs posted at each toilet, training chair, diapering area and sink in the facility did not have the written requirement.

Corrected Corrected by Dec 20, 2022

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

3270.101(a)/3270.101(c) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include the items specified at §3270.101(c)(1) - (6).

During the renewal inspection dated 12/5/2022 certification representative observed that in the after school room, there was not any play equipment and materials appropriate to the developmental needs, individual interests and ages of the children.

Corrected Corrected by Dec 20, 2022

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

During the renewal inspection dated 12/5/2022, certification representative observed that the cubby in the computer room was soiled. Also in the 2nd room, back right, the cubby is soiled.

Corrected Corrected by Dec 20, 2022

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

During renewal inspection dated 12/5/2022, certification representative observed that the cubby in the 2nd room, (back right), was not secure to the wall and is a safety risk to children

Corrected Corrected by Dec 20, 2022

Marked corrected in the state record.

3270.113(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 renewal inspection dated 12/5/2022, certification representative observed child #1, unsupervised, going into the bathroom.

Corrected Corrected by Dec 20, 2022

Category: supervision. Marked corrected in the state record.

3270.134(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 dated 12/5/2022, certification representative observed that staff #1 in the infant room did not wash child #4 hands after diapering.

Corrected Corrected by Dec 5, 2022

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

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

During the renewal inspection dated 12/5/2022, certification representative observed that facility did not have the electronic access to the 3270 regulations for parents posted in a conspicuous location for parents.

Corrected Corrected by Dec 20, 2022

Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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 child's record shall contain initial and subsequent health reports.

During renewal inspection dated 12/5/2022 certification representative reviewed the files for child #2 and child #3. There was no health report complete with immunization records in the files.

Corrected Corrected by Dec 22, 2022

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

3270.14 · 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 unannounced inspection dated 11/9/2022, certification representative observed staff person #1 caring for children unsupervised. Staff person #1 has not completed the following preservice training required prior to caring for children unsupervised: Health and Safety Training, Pediatric CPR/First Aid Training, and Mandated Reporter Training.

Corrected Corrected by Nov 9, 2022

Category: supervision. Marked corrected in the state record.

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 the 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 unannounced inspection dated 11/9/2022, certification representative observed staff person #1 caring for children unsupervised. Staff person #1 has not completed the following pre-service training prior to caring for children unsupervised: Health and Safety Training, Pediatric CPR/First Aid Training, and Mandated Reporter Training.

Corrected Corrected by Nov 9, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · Facility Person #1 must be removed from a child care position by the close of business.

During unannounced inspection dated 11/9/2022, certification representative reviewed documentation in the file of facility person #1. See code Sheet for hire date of staff #1. Facility person #1 has not completed the Mandated Reporter Training. Furthermore on 11/9/2022, the facility person was observed in a toddler room working alone with children and was not in the vicinity of a permanent employee.

Corrected Corrected by Nov 9, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

During unnannounced inspection dated 11/9/2022, the Director was not onsite. Staff verified the director is only working 18 hours per week.

Corrected Corrected by Dec 3, 2022

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 unannounced inspection dated 11/9/2022, certification representative observed cleaning wipes and hand sanitizer boxes opened and accessible to the children in the farthest back room on the right side.

Corrected Corrected by Nov 19, 2022

Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

During unannounced inspection dated 11/9/2022, certification representative observed that there were two cribs in the infant classroom that were in use by child #1, and child #2, and the cribs did not provide at least 2 feet of space on three sides.

Corrected Corrected by Nov 19, 2022

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

3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

During the unannounced inspection dated 11/9/2022, certification representative observed that there was a doll in the crib with child #2 while they were sleeping.

Corrected Corrected by Nov 19, 2022

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

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

During unannounced inspection on 11/9/2022, certification representative observed that a 4 month old child was sleeping on their stomach and was not placed in the sleeping position recommended by the American Academy of Pediatrics.

Corrected Corrected by Nov 9, 2022

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

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

During the complaint investigation dated 10/11/2022, certification representative reviewed child file #1. The fee agreement reviewed for child # 1 did not include the child's arrival and departure time.

Corrected Corrected by Oct 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.174 · The operator of the vehicle shall be 18 years of age or older and shall have a valid operator's license. Effective immediately driver may not drive any facility transportation vehicle until a valid driver's license is verified.

During the unannounced complaint investigation dated 10/11/2022, upon request from the Certification Representative of a valid driver's license for staff person # 1 (bus driver), staff person #1 produced a PA identification card. A PA driver's license was not produced.

Corrected Corrected by Oct 11, 2022

Category: transportation. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

During the complaint investigation conducted on 2/10/2022 certification representative was advised that staff person #1 was terminated due to a staff person witnessing her hit a child. The director advised that in a meeting with staff person #1 she admitted to smacking the child's hand off a toy.

Corrected Corrected by Mar 31, 2022

Category: recordkeeping. 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 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.

During the unannounced monitoring inspection conducted on 2/10/2022 observed staff person #1's file did not include the criminal history record and the National Sex Offender Registry results.

Corrected Corrected by Feb 10, 2022

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

3270.51 · 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.

During the unannounced monitoring inspection conducted on 2/10/2022 observed the staff person in Ducklings World room with five children with the youngest being five months old.

Corrected Corrected by Feb 24, 2022

Category: ratio. 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 unannounced monitoring inspection conducted on 2/10/2022 observed a fire extinguisher on the floor child accessible in the After School room.

Corrected Corrected by Feb 24, 2022

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During the unannounced monitoring inspection conducted on 2/10/2022 observed damaged paint on the divider walls in the child care spaces.

Corrected Corrected by Feb 24, 2022

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

During the unannounced monitoring inspection conducted on 2/10/2022 observed a child asleep in a car seat in the Ducklings room.

Corrected Corrected by Feb 24, 2022

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

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

During the unannounced monitoring inspection conducted on 2/10/2022 observed the annual certification for fire alarm systems stated there were three smoke detectors that were not operable.

Corrected Corrected by Feb 11, 2022

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

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission.A child's record shall contain the dates of application, admission and withdrawal of the child.

During renewal inspection conducted on 1/25/2022, 13 child files were reviewed. Child # 4 file contained a fee agreement that did not specify the date of the child's admission.

Corrected Corrected by Feb 21, 2022

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.

During a renewal inspection conducted on 1/25/2022, 13 child files were reviewed. Child # 3 and 7 files contained emergency contact forms that did not list the policy number for the child's health insurance coverage.

Corrected Corrected by Feb 21, 2022

Category: health medication. 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 a renewal inspection conducted on 1/25/2022, 13 child files were reviewed. Child # 1, 2,3,4,5,6 and 7 files contained emergency contact forms that did not list the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During a renewal inspection conducted on 1/25/2022, 3 staff files were reviewed. Staff member # 1, 2 and 3 files did not contain 12 clock hours of child care training .

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. Marked corrected in the state record.