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 allocated unannounced monitoring on 1/30/25, Staff # 1 did not have 2 non family references in file.

Corrected Corrected by Feb 13, 2025

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 unannounced monitoring on 9/20/24, Cert Rep observed the following: - Staff # 1 was alone in the facility with 4 children

Corrected Corrected by Sep 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

During renewal inspection on 9/4/24, while doing a walkthrough of the facility, Cert rep observed the following The facility did not have menu posted

Corrected Corrected by Sep 4, 2024

Marked corrected in the state record.

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

During renewal inspection on 9/4/24, while reviewing children's files, Cert rep observed the following Child # 3 did not have an agreement in file

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. Marked corrected in the state record.

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 renewal inspection on 9/4/24, while doing a walkthrough Cert rep observed the following - Staff # 1 and # 2 did not have the mandated 1-hr health and safety training in file - The facility's emergency plan did not include continuity of operation

Corrected Corrected by Sep 11, 2024

Category: ratio. 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 9/4/24, while doing a walkthrough Cert rep observed the following The bathroom did not have the correct handwashing sign at the sink and at the diaper changing table

Corrected Corrected by Sep 4, 2024

Category: health medication. 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).

During renewal inspection on 9/4/24, while reviewing children's files Cert rep observed the following Child # 1, and # 2 did not have a completed child service report.

Corrected Corrected by Sep 11, 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.

During renewal inspection on 9/4/24, while reviewing children's files, Cert rep observed the following Child # 2's emergency contact did not include health insurance and policy number Child # 3's emergency contact did not include policy number

Corrected Corrected by Sep 4, 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.

During renewal inspection on 9/4/24, while reviewing children's files, Cert rep observed the following Child # 3's emergency contact did not include release person's address

Corrected Corrected by Sep 4, 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.

During renewal inspection on 9/4/24, while reviewing children's files, Cert rep observed the following Child # 1's emergency contact and agreement was last signed 9/25/23 Child # 4's emergency contact and agreement was last signed 6/19/23

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. 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 renewal inspection on 9/4/24, while doing a walkthrough of the facility, Cert rep observed the following Staff # 2 was observed doing a diaper change. Staff # 2 did not wash the child's hands after diaper change

Corrected Corrected by Sep 4, 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 renewal inspection on 9/4/24, while doing a walkthrough of the facility, Cert rep observed the following Staff # 2 did not sanitize the changing table after changing a child

Corrected Corrected by Sep 4, 2024

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 9/4/24, while reviewing children's files, Cert rep observed the following Child # 1, and # 3 did not have parental signature of administration of emergency medical care and minor first aid

Corrected Corrected by Sep 4, 2024

Category: ratio. 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 renewal inspection on 9/4/24, while doing a walkthrough Cert rep observed the following The facility did not have documentation of annual emergency drills being done annually

Corrected Corrected by Sep 11, 2024

Category: recordkeeping. 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 renewal inspection on 9/4/24, while doing a walkthrough Cert rep observed the following The facility did not have documentation to show that the fire detection system was tested every 30 days.

Corrected Corrected by Sep 11, 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.

During renewal inspection on 9/4/24, while reviewing staff files, Cert rep observed the following Staff # 1 had documentation of 4 clock hours of childcare training and not the mandated 12 hours Staff # 2 did not have documentation of 12 clock hours of childcare training in file

Corrected Corrected by Sep 11, 2024

Category: recordkeeping. 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 on 9/4/24, while reviewing children's files, Cert rep observed the following Child # 2 and # 5 did not have a current health assessment and immunization in file

Corrected Corrected by Sep 11, 2024

Category: health medication. 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 renewal inspection on 9/4/24, while doing a walkthrough of the facility, Cert rep observed the following The facility did not do the annual letter notify the local traffic authorities

Corrected Corrected by Sep 11, 2024

Marked corrected in the state record.

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.

At the time of renewal inspection, the emergency plan did not contain a statement regarding volunteers participating in emergency plan training and emergency drills. File of staff person #1 did not include Pennsylvania Health and Safety Update 2022 one hour professional development training required by OCDEL within the prescribed timeframe which is by December 30, 2022.

Corrected Corrected by Aug 17, 2023

Category: ratio. Marked corrected in the state record.

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

At the time of renewal inspection, hot water in the bathroom was 120F.

Corrected Corrected by Aug 3, 2023

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

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

At the time of renewal inspection, file of child #1 did not include an updated health report required at least every 12 months. Child health report on file was dated 4/25/22.

Corrected Corrected by Sep 2, 2023

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

3270.131(d)(5)/3270.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

At the time of renewal inspection, immunization record of child #1, #3, and #3 did not include influenza immunization recommended by ACIP. A letter of exemption was not observed in the file of child #1, #2, and #3.

Corrected Corrected by Aug 18, 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.

At the time of renewal inspection observed that emergency drill was not conducted annually, written documentation was not available.

Corrected Corrected by Aug 4, 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.

At the time of renewal inspection observed that the operator did not send a copy of the emergency plan to the local municipality and to the county emergency management agency.

Corrected Corrected by Aug 3, 2023

Category: physical safety. 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.

At the time of renewal inspection, verification that local traffic safety authorities are notified annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was not observed. Last letter to the local traffic authorities was from 2019.

Corrected Corrected by Aug 3, 2023

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.

ON JULY 6, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE FACILITY DID NOT HAVE AN EMERGENCY DRILL LOG COMPLETED ON FILE.

Corrected Corrected by Aug 5, 2022

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.

ON JULY 6, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE EMERGENCY PLAN PROVIDED HAS NOT BEEN UPDATED IN THE PAST YEAR.

Corrected Corrected by Aug 5, 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.

ON JULY 6, 2022, DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM FOR CHILD #3 DID NOT INCLUDE THE ENROLLING PARENT TELEPHONE NUMBER.

Corrected Corrected by Jul 15, 2022

Category: recordkeeping. 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.

ON JULY 6, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR STAFF PERSON #1 AND #2 DID NOT INCLUDE AN UPDATED EMEGENCY PLAN TRAINING.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: Health & Safety Training.

ON JULY 6, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2 DID NOT INCLUDE THE HEALTH & SAFETY TRAINING.

Corrected Corrected by Aug 5, 2022

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

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

ON JULY 6, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE STRAY BOTTLE USED TO CLEAN THE CHANGING TABLE DID NOT HAVE A LABEL TO SPECIFY THE CONTENT.

Corrected Corrected by Jul 6, 2022

Category: ratio. 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.

ON JULY 6, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE FIRST AID KIT LOCATED IN THE CLASSROOM DID NOT CONTAIN SCISSORS. (CORRECTED ON SITE).

Corrected Corrected by Jul 6, 2022

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

3270.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

ON JULY 6, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE FIRST AID KIT USED ON EXCURSIONS DID NOT CONTAIN A BOTTLE OF WATER. (CORRECTED ON SITE).

Corrected Corrected by Jul 6, 2022

Category: health medication. 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).

ON JULY 6, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR CHILD #1 AND #3 DID NOT INCLUDE UPDATED CHILD SERVICE REPORTS (CSR).

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. 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.

ON JULY 6, 2022, DURING THE RENEWAL INSPECTION, THE FINANCIAL AGREEMENT FOR CHILD #1 DID NOT INCLUDE THE DESIGNED PERSONS WHOM THE CHILD CAN BE RELEASED.

Corrected Corrected by Jul 15, 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.

ON JULY 6, 2022, DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM FOR CHILD #4 AND #5 DID NOT INCLUDE HEALTH INSURANCE POLICY NUMBER.

Corrected Corrected by Jul 15, 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.

ON JULY 6, 2022, DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM FOR CHILD #3 DID NOT INCLUDE THE RELEASE PERSONS ADDRESS. THE EMERGENCY CONTACT FOR CHILD #1 DID NOT INCLUDE THE RELEASE PERSONS NAME, ADDRESS OR PHONE NUMBER.

Corrected Corrected by Jul 15, 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.

ON JULY 6, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR CHILD #1, #3 AND #4 DID NOT INCLUDE AN UPDATED HEALTH REPORT.

Corrected Corrected by Jul 15, 2022

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

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

ON JUNE 6, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #1 AND #2 DID NOT INCLUDE TUBERCULOSIS SCREENING BY THE MANTOUX METHOD.

Corrected Corrected by Jul 15, 2022

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.

ON JULY 6, 2022, DURING THE RENEWAL INSPECTION, THE FINANCIAL AGREEMENT FOR CHILD #3 AND THE EMERGENCY CONTACT FORM FOR CHILD #1 AND #3 WAS OLDER THAN 6 MONTHS.

Corrected Corrected by Jul 15, 2022

Category: recordkeeping. 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.

ON JULY 6, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR CHILD #1 AND #3 DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR TRANSPORTATION, WALKS OR EXCURSIONS.

Corrected Corrected by Jul 15, 2022

Category: transportation. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

ON JULY 6, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE EMERGENCY PLAN POSTED DID NOT PROVIDE ACCOMMODATIONS FOR TODDLERS, CHILDREN WITH DISABILITIES OR CHILDREN WITH CHRONIC MEDICAL CONDITIONS.

Corrected Corrected by Aug 5, 2022

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

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

ON JUNE 6, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE FIRE SYSTEM IS NOT BEING CHECKED EVERY 30 DAYS.

Corrected Corrected by Aug 5, 2022

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.

ON JULY 6, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE FACILITY EMERGENCY PLAN HAD NOT BEEN SENT TO THE LOCAL MUNICIPALITY.

Corrected Corrected by Aug 5, 2022

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.

ON JULY 6, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #1 ONLY HAD 8 CLOCK HOURS OF CHILD CARE TRAINING. IN ADDITION, THE RECORD FOR STAFF #2 ONLY HAD 2 CLOCK HOURS OF CHILD CARE TRAINING.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

ON JULY 13TH 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #1 AND STAFF PERSON #2 DID NOT INCLUDE AN UPDATED CRP/FIRST AID TRAINING.

Corrected Corrected by Aug 16, 2021

Category: ratio. 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.

ON JULY 13TH 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #1 AND STAFF PERSON #2 DID NOT INCLUDE AN UPDATED FIRE SAFETY TRAINING.

Corrected Corrected by Aug 16, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

ON JULY 13TH 2021, CERTIFICATION REPRESENTATIVE CHECKED ALL FIRST AID KITS. THE FIRST AID KIT THAT IS USED FOR EXCURSIONS DID NOT CONTAIN A BOTTLE OF WATER, TAPE OR SOAP. SOAP WAS ADDED DURING THE INSPECTION.

Corrected Corrected by Aug 16, 2021

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.

ON JULY 13TH 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; THERE WERE NO HANDWASHING SIGNS STATING WHEN HANDS SHOULD BE WASHED (BEFORE MEALS AND SNACKS, AFTER TOILETING AND AFTER BEING DIAPERED). (CORRECTED ON SITE).

Corrected Corrected by Jul 13, 2021

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

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

ON JULY 13TH 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; THE FOOD MENU WAS NOT POSTED FOR PARENTS OR STAFF. (CORRECTED ON SITE).

Corrected Corrected by Jul 13, 2021

Category: nutrition. Marked corrected in the state record.

3270.171(b) · Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing.

ON JULY 13TH 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; PICKUP AND DROP OFF PROCEDURES WERE NOT POSTED IN A CONSPICUOUS LOCATION FOR CHILDREN AND PARENTS.

Corrected Corrected by Aug 16, 2021

Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

ON JULY 13TH 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; THE EMERGENCY PLAN POSTED DID NOT PROVIDE ACCOMMODATIONS FOR INFANTS, TODDLERS, CHILDREN WITH DISABILITIES OR CHILDREN WITH CHRONIC MEDICAL CONDITIONS.

Corrected Corrected by Aug 16, 2021

Category: physical safety. 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.

ON JULY 13TH 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR CHILD #1 AND CHILD #2 DID NOT INCLUDE AN UPDATED HEALTH ASSESSMENT.

Corrected Corrected by Aug 16, 2021

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