3270.27(c)/3270.27(d) · 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 and kept on file at the facility. The operator shall post the emergency plan in the facility at a conspicuous location.

During the renewal inspection staff #1-3 did not have emergency plan training on file. The emergency plan was not posted in the facility in a conspicuous location.

Corrected Corrected by Nov 2, 2022

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.

During the renewal inspection staff #1 did not have fire safety training on file.

Corrected Corrected by Nov 2, 2022

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.

During the renewal inspection staff #1 did not have professional development training on file.

Corrected Corrected by Nov 2, 2022

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.

During the renewal inspection staff #1-3 did not have a written evaluations on file.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

During the renewal inspection there was only one staff person with 8 children in care.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

During the renewal inspection there was no first-aid kit in the child care space while children were in care.

Corrected Corrected by Nov 2, 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.

During the renewal inspection there was no hand washing sign posted in the bathrooms.

Corrected Corrected by Nov 2, 2022

Category: health medication. 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 renewal inspection there were no play equipment and materials appropriate to the developmental needs, individual interest and ages of the children at the child care center.

Corrected Corrected by Nov 2, 2022

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 the renewal inspection there was no written plan of daily activities and routines posted at the child care center.

Corrected Corrected by Nov 2, 2022

Marked corrected in the state record.

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

During the renewal inspection child #4 financial agreement was not signed by the parent.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. 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.

During the renewal inspection child #1, 3 and 4 did not have physician phone number on file. Child #2 did not have the physician address on file.

Corrected Corrected by Nov 2, 2022

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During the renewal inspection the emergency contact for child #3 did not have the work address of the enrolling parent on file. Child #2-4 did not have the work phone number of the enrolling parent on file.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection the emergency contact for child #2 and 3 did not include the information on the child's special needs on file.

Corrected Corrected by Nov 2, 2022

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During the renewal inspection the emergency contact for child #2-4 did not have the name of the health insurance on file. Child #3 and 4 did not have the health insurance policy number on file.

Corrected Corrected by Nov 2, 2022

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

3270.124(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 renewal inspection there was not a written plan identifying the means of transporting a child to emergency care posted in the facility.

Corrected Corrected by Nov 2, 2022

Category: transportation. Marked corrected in the state record.

3270.124(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 renewal inspection the emergency contact for child #4 did not have a date at once in a 6-month period.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

During the renewal inspection there was not an individual record for each child enrolled in the facility on file.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. 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.

During the renewal inspection the financial agreement for child #1 did not have a date within a 6-month period on file.

Corrected Corrected by Nov 2, 2022

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.

During the renewal inspection the emergency contact for child #3 did not contain signed parental consent for emergency medical care, for administration or special dietary needs on file.

Corrected Corrected by Nov 2, 2022

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.

During the renewal inspection the emergency contact for child #3 did not contain signed parental consent for administration of minor first-aid procedures, transportation, walking excursions, swimming and wading on file.

Corrected Corrected by Nov 2, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During the renewal inspection staff #3 did not have pediatric first aid and pediatric CPR on file.

Corrected Corrected by Nov 2, 2022

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

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

During the renewal inspection there were no evacuation routes posted in the child care facility.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. 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 the current certification of compliance was not posted in a conspicuous location in the child care center.

Corrected Corrected by Nov 2, 2022

Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

During the renewal inspection a copy of the emergency plan was not sent to the local municipality and to the county emergency management agency and was not on file.

Corrected Corrected by Nov 2, 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 the renewal inspection staff #3 did not have 12 clock hours of child care training on file.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. Marked corrected in the state record.

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 a letter notifying the local traffic safety authorities of the location of the facility and the use of pedestrian and vehicular routes was not on file.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

During the renewal inspection on 10/19/2022, there was no first-aid kit in the child care space while children were in care.

Corrected Corrected by Nov 2, 2022

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

3270.27(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 and kept on file at the facility.

During the renewal inspection on 10/19/2022, staff #1-3 did not have emergency plan training on file. The emergency plan was not posted in the facility in a conspicuous location.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. 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.

During the renewal inspection on 10/19/2022, staff #1-3 did not have a written evaluations on file.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

During the renewal inspection on 10/19/2022, there was only one staff person with 8 children in care.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. 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.

During the renewal inspection on 10/19/2022, there was no hand washing sign posted in the bathrooms.

Corrected Corrected by Nov 2, 2022

Category: health medication. 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 renewal inspection on 10/19/2022, there were no play equipment and materials appropriate to the developmental needs, individual interest and ages of the children at the child care center.

Corrected Corrected by Nov 2, 2022

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 the renewal inspection on 10/19/2022, there was no written plan of daily activities and routines posted at the child care center.

Corrected Corrected by Nov 2, 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. 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 the follow-up inspection on 11/16/2022 from the renewal on 10/19/2022, there were 15 children unsupervised by someone who was not a staff person. There was no one at the center who was a staff person.

Corrected Corrected by Nov 30, 2022

Category: supervision. Marked corrected in the state record.

3270.124(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 renewal inspection on 10/19/2022, there was not a written plan identifying the means of transporting a child to emergency care posted in the facility.

Corrected Corrected by Nov 2, 2022

Category: transportation. Marked corrected in the state record.

3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

During the renewal inspection on 10/19/2022, there was not an individual record for each child enrolled in the facility on file.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

During the renewal inspection on 10/19/2022, there were no evacuation routes posted in the child care facility.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. 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 on 10/19/2022, the current certification of compliance was not posted in a conspicuous location in the child care center.

Corrected Corrected by Nov 2, 2022

Marked corrected in the state record.

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 on 10/19/2022, a letter notifying the local traffic safety authorities of the location of the facility and the use of pedestrian and vehicular routes was not on file.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. Marked corrected in the state record.