3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

During the renewal inspection on 08/01/24, Cert rep observed a can of air freshener in the bathroom used by children, sitting on a shelf, accessible to children.

Corrected Corrected by Aug 1, 2024

Marked corrected in the state record.

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

During the renewal inspection on 08/01/24, Cert Rep observed that the rest equipment was not labeled for the use of a specific child.

Corrected Corrected by Aug 1, 2024

Category: physical safety. 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 the renewal inspection on 08/01/24, Cert Rep did not observe child service reports providing information about the child's growth and development in the context of the services being provided in the file of child #1, #2, #3, #4, and #5.

Corrected Corrected by Aug 15, 2024

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.

During the renewal inspection on 08/01/24, Cert Rep did not observe two written references from individuals attesting to the person's suitability to serve as a facility person in the file of staff person #1.

Corrected Corrected by Aug 15, 2024

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.

During unannounced monitoring on 11/6/23, while reviewing staff files. Cert Rep observed the following: Staff # 1 did not have documentation of emergency plan training in file.

Corrected Corrected by Nov 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # --1 may not work in a child care position at the facility. 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- may not work in a childcare position at the facility.

During unannounced monitoring on 11/6/23, while reviewing staff files. Cert Rep observed the following: - Staff # 1had a volunteer state police clearance dated 5/18/23, did not have disclosure statement, FBI dated 8/10/23 did not have a complete rap sheet attached and did not have documentation of Child abuse clearance in file to qualify under the 45-day provisional waiver hire.

Corrected Corrected by Nov 6, 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 unannounced monitoring on 11/6/23, while reviewing staff files. Cert Rep observed the following: Staff # 1 did not have documentation of education and 2500 childcare hours to qualify as an AGS

Corrected Corrected by Nov 6, 2023

Category: supervision. 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 11/6/23, while doing a walkthrough of the facility, Cert Rep observed Staff # 2 alone in the facility with 5 children. The youngest 2 years old, the oldest 4 years old.

Corrected Corrected by Nov 6, 2023

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 unannounced monitoring on 11/6/23, while reviewing staff files. Cert Rep observed the following: Staff # 1 did not have documentation of health assessment and TB in file.

Corrected Corrected by Nov 13, 2023

Category: ratio. 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 unannounced monitoring on 11/6/23, while reviewing staff files. Cert Rep observed the following: Staff # 1 did not have documentation of 2 nonfamily references in file.

Corrected Corrected by Nov 13, 2023

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.

During renewal inspection on 8/23/23, while reviewing staff files, Cert Rep observed the following: - Staff # 1 and Staff # 3's emergency plan training was dated 3/2/22

Corrected Corrected by Aug 23, 2023

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 renewal inspection on 8/23/23, while reviewing staff files, Cert Rep observed the following: = Staff # 3 did not have documentation of staff evaluation in file.

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. 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 8/23/23, while doing a walk-though of the facility, Cert Rep observed the following: toxic material in the bathroom cabinet that was unlocked and accessible to children.

Corrected Corrected by Aug 23, 2023

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 8/23/23, while doing a walkthrough of the facility, Cert Rep observed the following: -None of the sinks and toilet area had the correct handwashing sign posted.

Corrected Corrected by Aug 23, 2023

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 8/23/23, while reviewing children's files, Cert Rep observed the following: Child # 1 and # 2 did not have documentation of a child service report in file.

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During renewal inspection on 8/23/23, while reviewing children's files, Cert Rep observed the following: Child # 1 and # 3 did not have documentation of health insurance information and policy number listed on the emergency contact form.

Corrected Corrected by Aug 23, 2023

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

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

During renewal inspection on 8/23/23, while reviewing staff files, Cert Rep observed the following: Child 3 2's emergency contact did not list release persons address

Corrected Corrected by Aug 23, 2023

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 8/23/23, while reviewing children's files, Cert Rep observed the following: Child # 1 and # 2 emergency contact and agreement was last signed 9/27/22 and 10/2/22.

Corrected Corrected by Aug 23, 2023

Category: recordkeeping. 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 8/23/23, while reviewing children's files, Cert Rep observed the following: Child # 2's emergency contact did not have parental signature for administering minor first aid and consent for emergency medical care.

Corrected Corrected by Aug 23, 2023

Category: ratio. 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.

During renewal inspection on 8/23/23, while reviewing the facility's emergency plan, it did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Aug 23, 2023

Category: physical safety. 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 renewal inspection on 8/23/23, while doing a walk-through of the facility , Cert Rep observed the following: - The facility did not have the current COC posted.

Corrected Corrected by Aug 23, 2023

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 8/23/23, while reviewing staff files, Cert Rep observed the following: - Staff # 3 had documentation of only 7 clock hours of childcare training in file.

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

While reviewing the staff's files I observed that staff 1, 2, did not have their annual fire safety training.

Corrected Corrected by Oct 18, 2022

Category: recordkeeping. 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 was toxic material out and accessible to children (hand sanitizer on the desk).

Corrected Corrected by Oct 18, 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 facility's water was temping higher than 110 degree.

Corrected Corrected by Oct 18, 2022

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

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

During my inspection I observed that the play space did not have a first aid kit.

Corrected Corrected by Oct 18, 2022

Category: health medication. 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 facility did not have a posted daily schedule the play space.

Corrected Corrected by Oct 18, 2022

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

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

While reviewing the children's files I observed that child 4 did not have their agreement signed by the operator.

Corrected Corrected by Oct 18, 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 4-6 did not have their date of admission on their agreement form.

Corrected Corrected by Oct 18, 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 1-3, & 5, did not have their parent's home and or work information on their emergency contact sheet.

Corrected Corrected by Oct 18, 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 5 did not have their health insurance coverage and policy number on their emergency contact sheet.

Corrected Corrected by Oct 18, 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 5 did not have name of whom they could be released to on their emergency contact sheet.

Corrected Corrected by Oct 18, 2022

Category: recordkeeping. 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 my inspection I observed that the facility did not have their transportation plan posted in both their main room, and the play space.

Corrected Corrected by Oct 18, 2022

Category: transportation. Marked corrected in the state record.

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

During my inspection I observed that staff 1 did not wash their hands after changing a baby's diaper.

Corrected Corrected by Oct 18, 2022

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

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

While reviewing the children's files I observed that child 1, 2, 4, &, 6 did not have signed parental consent for emergency medical care for the child.

Corrected Corrected by Oct 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.182(5) · 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 1, 2, 4-6, did not have signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Oct 18, 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, 2, &, 5, did not have signed parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Oct 18, 2022

Category: transportation. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During my inspection I observed that the facility had not conducted a emergency drill which is required annually.

Corrected Corrected by Oct 18, 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.

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

Corrected Corrected by Oct 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a) · The facility shall have an emergency plan.

While conducting my inspection I observed that the facility did not have emergency plan.

Corrected Corrected by Apr 22, 2022

Category: physical safety. 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 in the facility was temping higher than 110 degrees.

Corrected Corrected by Apr 22, 2022

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

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

While conducting my inspection I observed that there was peeling painting the corner of the wall in the play space.

Corrected Corrected by Apr 22, 2022

Category: physical safety. 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 did not have verification of their child care experience.

Corrected Corrected by Apr 22, 2022

Category: recordkeeping. Marked corrected in the state record.