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 on 10/29/24, while reviewing staff files, Cert Rep did not observe fire safety training in the files of staff persons #1 and #2.

Corrected Corrected by Nov 5, 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 on 10/29/24, while reviewing staff files, Cert Rep did not observe staff evaluations in the file of staff person #2.

Corrected Corrected by Nov 5, 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.

During the renewal inspection on 10/29/24, while reviewing children's files, Cert Rep observed Child # 1-8's Date of Admission missing from the files.

Corrected Corrected by Nov 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

During the renewal inspection on 10/29/24, while reviewing the children files, Cert Rep did not observe an immunization record or written verification from a physician, physician's assistant, CRNP, in the file of child #1.

Corrected Corrected by Nov 5, 2024

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 the renewal inspection on 10/29/24, Cert Rep did not observe the facility's annual emergency drills documented and on file at the facility.

Corrected Corrected by Nov 5, 2024

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 on 10/29/24, while reviewing staff files, Cert Rep did not observe an annual minimum of 12 clock hours of child care training in the files of staff persons #1 and #2.

Corrected Corrected by Nov 5, 2024

Category: recordkeeping. 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 renewal inspection on 11/1/23, while doing a walkthrough of the facility, Cert Rep observed the following: - The cots in the Koala room during nap, were not spaced at least 2 feet on 3 sides.

Corrected Corrected by Nov 1, 2023

Category: physical safety. 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 # -2- may not work in a childcare 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 #--2- may not work in a child care position at the facility.

During renewal inspection on 11/1/23, while reviewing staff files, Cert Rep observed the following: - Staff # 2 did not have documentation of a completed NSOR clearance in file

Corrected Corrected by Nov 1, 2023

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During renewal inspection on 11/1/23, while reviewing staff files, Cert Rep observed the following: - Staff # 2, # 4 did not have documentation of 25oo childcare hours in file to qualify ad an AGS.

Corrected Corrected by Nov 8, 2023

Category: supervision. Marked corrected in the state record.

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During renewal inspection on 11/1/23, while doing a walkthrough of the facility, Cert Rep observed the following: - Peeling paint in the following classrooms- Infant rooms - Lilypad and Sweet Peas located on the 1st floor

Corrected Corrected by Nov 8, 2023

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 renewal inspection on 11/1/23, while doing a walkthrough of the facility, Cert Rep observed the following: The entire facility had the incorrect handwashing sign posted at sinks, diapering area, toilet.

Corrected Corrected by Nov 1, 2023

Category: health medication. 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 renewal inspection on 11/1/23, while doing a walkthrough of the facility Cert Rep observed the following: Child # 6 was in a crib not labelled for use of the specific child using the crib.

Corrected Corrected by Nov 1, 2023

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

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

During renewal inspection on 11/1/23, while doing a walkthrough of the facility, Cert Rep observed the following: Staff # 3 was observed changing an infant, and did not wash the child's hands and their hand after diaper change.

Corrected Corrected by Nov 1, 2023

Category: health medication. 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 11/1/23, while reviewing staff files, Cert Rep observed the following: - Staff # 1 health's assessment was dated 10.5.21 -Staff # 7 had a health assessment completed but did not have a health form

Corrected Corrected by Nov 15, 2023

Category: ratio. Marked corrected in the state record.

3270.166(6) · Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

During renewal inspection on 11/1/23, while doing a walkthrough of the facility, Cert Rep observed the following: An infant in the Sweet peas room asleep with a bottle in the crib.

Corrected Corrected by Nov 1, 2023

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

3270.61 · Measurement and use of inodoor child care space.

During renewal inspection on 11/1/23, while doing a walkthrough of the facility, Cert Rep observed the following: The infant room -Lilypad located on the 1st floor was not set up and ready to receive children.

Corrected Corrected by Nov 8, 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.

During renewal inspection on 11/1/23, while reviewing staff files, Cert Rep observed the following: - Staff # 13 did not have the required 12 clock hours of childcare training but had 5 hours in file.

Corrected Corrected by Nov 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(4) · 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 may not work in a childcare position at the facility.

While out during my investigation I observed staff 1 working in the office at the facility. I was also informed that staff 1 in in the classrooms sometimes.

Corrected Corrected by Jan 6, 2023

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

3270.192(4) · 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 may not work in a childcare position at the facility.

During my investigation I observed that staff 1 who was hired in August 2022, was still working without their out-of-state clearances.

Corrected Corrected by Jan 5, 2023

Category: background checks. 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.

While reviewing the staff's files I observed that staff 1-12, did not have a current emergency plan training in their files.

Corrected Corrected by Nov 28, 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.

While reviewing the staff's files I observed that staff 1-12 did not have their annual fire safety training.

Corrected Corrected by Nov 28, 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.

While reviewing the staff's files I observed that staff 4 did not have their professional development completed in 90 days.

Corrected Corrected by Nov 28, 2022

Category: health medication. 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 # 2,7,10,11, 12, may not work in a childcare 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 # 2, 7, 10, 11, 12, may not work in a childcare position at the facility.

While reviewing the staff's files I observed that staff 2, hired in November 2011, & staff 11 & staff 12 both hired in October 2022, does not contain a copy or a current mandated reporter training. Staff 7 hired on August 2022, & staff 10 hired on September 2022, does not contain a completed NSOR certification. Staff 7 is also missing their out of state clearances.

Corrected Corrected by Nov 28, 2022

Category: supervision. 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 my inspection I observed that there were toxic materials in an unlocked cabinet in the bathroom in the(Koala & Sweet Pea) room.

Corrected Corrected by Nov 28, 2022

Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

During my inspection I observed that the water in the facility was temping at 122 degrees

Corrected Corrected by Nov 28, 2022

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During my inspection I observed that the Sweet Pea room was missing soap from their first aid kit.

Corrected Corrected by Nov 28, 2022

Category: health medication. 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 in the Koala room under the window, by the circle time wall, & on the side wall by the window.

Corrected Corrected by Nov 28, 2022

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

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

During my inspection I observed that there were lights out in the Lady bugs, Koala Bears, and Sweet Pea rooms.

Corrected Corrected by Nov 28, 2022

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 a hole in the wall in the koala bathroom.

Corrected Corrected by Nov 28, 2022

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 the playroom did not have a daily schedule posted.

Corrected Corrected by Nov 28, 2022

Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

While reviewing the children's files I observed that child 1-4, & 7-9, did not have a specify the persons designated to whom the child may be released on their agreement form.

Corrected Corrected by Nov 28, 2022

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 1-9, did not have their date of the child's admission.

Corrected Corrected by Nov 28, 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.

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

Corrected Corrected by Nov 28, 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.

While reviewing the children's files I observed that child 3, 5, 7, 9, did not have their parent's work and/or home address/telephone number on their emergency contact sheet.

Corrected Corrected by Nov 28, 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.

While reviewing the children's files I observed that child 2 did not have their MA coverage, or policy number on their emergency contact sheet.

Corrected Corrected by Nov 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.

While reviewing the children's files I observed that child 3, 5, 7, 9, did not have the contact information for whom they could be released to.

Corrected Corrected by Nov 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

During my inspection I observed that the staff 10 did not wash her hands after diapering a child.

Corrected Corrected by Nov 28, 2022

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 that the 2 infants in the infant room did not have a written feeding schedule from their parent.

Corrected Corrected by Nov 28, 2022

Category: nutrition. 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.

While reviewing the children's files I observed that child 3 did not have consent for emergency medical care, or to administer of minor first-aid on their emergency contact sheet.

Corrected Corrected by Nov 28, 2022

Category: ratio. Marked corrected in the state record.

3270.182(6) · 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 1, 4, 8, did not have signed parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Nov 28, 2022

Category: transportation. 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 1-12 did not have acceptable verification of their childcare experience.

Corrected Corrected by Nov 28, 2022

Category: recordkeeping. 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 9, 10, did not have two written, nonfamily references.

Corrected Corrected by Nov 28, 2022

Category: recordkeeping. 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 they had not been practicing their emergency drills.

Corrected Corrected by Nov 28, 2022

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 done a fire drill in over 60 days.

Corrected Corrected by Nov 28, 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 my inspection I observed that the facility did not have their evacuation routes posted on each floor.

Corrected Corrected by Nov 28, 2022

Category: recordkeeping. Marked corrected in the state record.

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

As reported staff 1 was caught on camera shaking a child and hitting two other children.

Corrected Corrected by May 31, 2022

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.

While reviewing the staff's files I observed that staff 2, &, 4, did not have emergency training.

Corrected Corrected by Dec 22, 2021

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 # 1,2, 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, 2, may not work in a child care position at the facility.

While reviewing the staff's files I observed that staff 1 hired on August 2020, does not contain a FBI clearance, & staff 2 hired on September 2021, does not contain a completed NSOR certification.

Corrected Corrected by Dec 22, 2021

Category: supervision. 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 files I observed that staff 1, 3, did not have a written evaluation.

Corrected Corrected by Dec 22, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

While conducting my inspection I observed that the water temperature exceed 110 degrees.

Corrected Corrected by Dec 22, 2021

Category: physical safety. 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.

While conducting my inspection I observed that the base board was coming off the wall in the near the closet in the older toddler room. I also observed that the light was out in the young toddle room.

Corrected Corrected by Dec 22, 2021

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.

While conducting my inspection I observed that the young toddler room had peeling paint under the window. There was also peeling paint in the older toddler room by the sink on green wall, and by the kids sink on the yellow wall.

Corrected Corrected by Dec 22, 2021

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

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

While conducting my inspection I observed that staff 1 did not wash her or the baby's hands after being diapered.

Corrected Corrected by Dec 22, 2021

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.

While conducting my inspection I observed that the infants did not have a written feeding schedule from their parent.

Corrected Corrected by Dec 22, 2021

Category: nutrition. 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 2, did not have a current physical.

Corrected Corrected by Dec 22, 2021

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