3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

During the renewal inspection cert rep observed the Shaken Baby Syndrome policy did not include the prevention and identification of child maltreatment on file.

Corrected Corrected by Nov 25, 2024

Category: ratio. 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 cert rep observed staff #1 did not have emergency plan training on file.

Corrected Corrected by Nov 25, 2024

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 cert rep observed staff #1 did not have staff evaluation on file.

Corrected Corrected by Nov 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(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.

During the renewal inspection cert rep observed staff #2 and 4 did not have a health assessment on file.

Corrected Corrected by Nov 25, 2024

Category: ratio. 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 cert rep observed child #1 fee agreement was not update at least once in a 6-month period.

Corrected Corrected by Nov 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(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 renewal inspection cert rep observed staff #2-4 did not have verification of child care experience on file.

Corrected Corrected by Nov 25, 2024

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.

Observed bathroom with no handwashing sign.

Corrected Corrected by Oct 27, 2023

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 an unannounced monitoring visit certification rep parked car in front of the child care center. Another vehicle pulled up in front of cert reps car facing forward. Certification rep observed staff #1 come outside the child care center down the steps and through the gate to engage in a conversation with occupants of the vehicle while leaving the door to the center open. Staff #1 went to the back of vehicle to look inside of the vehicle. Cert rep then exited the car and proceeded to go inside of the center. Once staff #1 saw cert rep they immediately started walking towards the center to proceed to go inside. Once staff #1 and cert rep got inside of the center at the same time there were 6 preschool age children napping without supervision.

Corrected Corrected by Jul 28, 2023

Category: supervision. 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 #1-4 may not work in a child care position at the facility. 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. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1-4 may not work in a childcare position at the facility.

During the unannounced monitoring cert rep observed that there were 4 new staff persons hired in the month of June under the 45 day provisional. Staff #1 did not have a disclosure on file. Staff #2 did not have the disclosure, criminal clearance, FBI clearance or NSOR clearance on file. Staff #3 did not have the disclosure, criminal clearance or FBI clearance on file. Staff #4 did not have the disclosure, criminal, FBI clearance or NSOR clearance on file.

Corrected Corrected by Jul 10, 2023

Category: supervision. 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 cert rep observed the preschool classroom mats while children were napping were not at least 2 feet of space on three sides of the rest equipment.

Corrected Corrected by Jul 10, 2023

Category: physical safety. 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. Children must be supervised at all times.

During the unannounced monitoring cert rep observed while driving down the street children playing in the outdoor play space which looked like there was no staff person outside with the children. Cert rep turned the corner and could now observe there was 1 staff person sitting down in a corner on a cell phone. Cert rep observed for about 2 minutes then parked and came back to the gate where staff person was sitting and still observed staff person on the cell phone. One child was ringing the doorbell to get inside while the others were running around on both sides of the play area. Where the staff person was positioned, she was not able to see all children.

Corrected Corrected by Jun 12, 2023

Category: supervision. 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 #1 did not have fee agreement on file.

Corrected Corrected by Nov 21, 2022

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.

During the renewal inspection child #5 fee agreement did not specify the amount of the fee to be charged per day or per week on file.

Corrected Corrected by Nov 21, 2022

Category: recordkeeping. 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.

During the renewal inspection child #3 emergency contact did not include the emergency contact information on file.

Corrected Corrected by Nov 21, 2022

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.

During the renewal inspection child #1-5 emergency contact did not include the work address and telephone numbers for the enrolling parents on file.

Corrected Corrected by Nov 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(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 renewal inspection all the emergency contacts for all the children in care in the Trees classroom was not in the childcare space.

Corrected Corrected by Nov 11, 2022

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.

During the renewal inspection child #2 did not have a complete health assessment with immunizations on file.

Corrected Corrected by Nov 21, 2022

Category: health medication. 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 #1-5 did not contain signed parental consent for emergency medical care, administration of medications or special dietary needs on file.

Corrected Corrected by Nov 21, 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 #2, 3 and 5 did not contain signed parental consent for administration of minor first-aid, transportation, walking excursions, swimming and wading on file.

Corrected Corrected by Nov 21, 2022

Category: ratio. 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 renewal inspection on 03/28/2022, file of staff person #5 did not contain verification that 12 hours of annual child care training had been completed.

Corrected Corrected by Mar 31, 2022

Category: recordkeeping. 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 renewal inspection on 03/28/2022, Food Prep License issued by local municipality expired 04/2020. Current Food Prep license was not available for review and/or displayed.

Corrected Corrected by Mar 31, 2022

Category: ratio. 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). STAFF PERSON #1 and #4 MAY NOT WORK INA 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. STAFF PERSON #1 and #4 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY.

During renewal inspection on 03/28/2022, file of staff person #1 contained Child Abuse clearance more than 60 months old. Child Abuse clearance on file was dated 05/06/2015; file of staff person #4 did not contain completed and/or request for Child Abuse clearance; disclosure statement on file for staff person #4 was not dated.

Corrected Corrected by Mar 31, 2022

Category: background checks. 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 renewal inspection on 03/28/2022, protective receptacle cover was missing from the top outlet located under the window closest to the emergency exit door in the front lower level child care space.

Corrected Corrected by Mar 28, 2022

Category: physical safety. 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 renewal inspection on 03/28/2022, Clorox wipes were observed on the floor next to the bathroom in the lower level child care space. This area was accessible to the children being cared for in the front classroom.

Corrected Corrected by Mar 28, 2022

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

3270.72(c) · Screens shall be in good repair.

During renewal inspection on 03/28/2022, screen located in window above circle time area in front lower level child care space was torn and in disrepair.

Corrected Corrected by Mar 31, 2022

Category: physical safety. 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 renewal inspection on 03/28/2022, emergency contact form on file for child #3 did not contain information on child's disability and/or special needs.

Corrected Corrected by Mar 29, 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 renewal inspection on 03/28/2022, emergency contact form on file for child #3 did not contain health insurance coverage and policy information.

Corrected Corrected by Mar 28, 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 renewal inspection on 03/28/2022, emergency contact forms on file for child #1 and child #3 did not contain release persons addresses

Corrected Corrected by Mar 29, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During renewal inspection 03/28/2022, file for child #2 did not contain an exemption from immunization letter signed and dated by parent.

Corrected Corrected by Mar 28, 2022

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

During renewal inspection on 03/28/2022, files of staff persons #2 and #4 did not contain two written, non family references attesting to staff person's suitability. File of staff person #2 contained one reference; file of staff person #4 did not contain any references.

Corrected Corrected by Mar 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.151(b) · 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 health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

During renewal inspection on 03/28/2022, health assessments on file for staff persons #1 and #2 appeared to be altered. Health Assessment for staff person #1 was dated 04/28/2021, year appeared to be altered from health assessment on file from 04/28/2017; Health Assessment on file for staff person #2 from 08/04/2021, month appeared to be whited out and changed and year appeared to be altered from health assessment on file dated 09/04/2020.

Corrected Corrected by Apr 1, 2022

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.192(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.

During renewal inspection on 03/28/2022, file of staff #4 did not contain a health assessment completed within 12 months of initial service at facility including results confirming staff person is free from communicable disease.

Corrected Corrected by Mar 28, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

During renewal inspection on 03/28/2022, health assessment on file for staff person #3 did not include answer to Question #2 that staff person was free from communicable disease.

Corrected Corrected by Mar 31, 2022

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

3270.182(3)/3270.182(5) · 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 minor first-aid procedures by facility staff. Written consent is required prior to admission.

During renewal inspection on 03/28/2022, emergency contact form for child #4 did not contain required parental consent for emergency medical care and minor first aid.

Corrected Corrected by Mar 28, 2022

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During renewal inspection on 03/28/2022, file of staff person #4 did not contain verification of education and previous child care experience.

Corrected Corrected by Mar 31, 2022

Category: recordkeeping. Marked corrected in the state record.