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.

Certification rep reviewed staff #1 file and observed staff #1 did obtain one hour health and safety update.

Corrected Corrected by Oct 13, 2023

Category: ratio. Marked corrected in the state record.

3270.24(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

During the renewal inspection certification rep did not have access to staff files; files are not located on site.

Corrected Corrected by Oct 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- 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.

During the renewal period certification rep observed additional noncompliance. Staff #6 was missing the NSOR clearance on record. Staff #6 was observed to be working alone unsupervised with a total of 12 children during the renewal follow up visit.

Corrected Corrected by Oct 31, 2023

Category: supervision. Marked corrected in the state record.

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Certification rep reviewed staff #3 file and observed staff #3 has only 1.1 years of reexperience on file and was observed working alone unsupervised at the time of the renewal inspection.

Corrected Corrected by Oct 19, 2023

Category: supervision. Marked corrected in the state record.

3270.75(a)/3270.75(c) · A first-aid kit shall be in a child care space. 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 the renewal inspection certification rep observed Staff #1 in room #130 did not have a first aid kit and staff #2 in room #129 did not have a first aid kit.

Corrected Corrected by Oct 13, 2023

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

3270.101(a)/3270.101(c) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include the items specified at §3270.101(c)(1) - (6).

During the renewal inspection certification rep did not observe in room 130, 129 and 131 play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Corrected Corrected by Oct 13, 2023

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

During the renewal inspection certification rep did not observe 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.

Corrected Corrected by Oct 19, 2023

Marked corrected in the state record.

3270.113(a)(1)/3270.113(a)(2) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

During the renewal inspection certification rep observed staff #1 and staff #2 did not identify name and age of children in their group who they were responsible for.During the renewal inspection certification rep observed staff #1 supervising children alone with a total of 18 children in room #130 the child youngest of age was 7 at the time. Certification rep observed Staff #3 supervising children alone with a total of 21 children in room #131, the child youngest of age was 6. Certification rep observed staff move children into the cafeteria and observed staff #2 and #3 supervising children alone with children 42 children, Staff #4 walked in and out the cafeteria room to take the children to the office for pick up and staff #5 walked out the cafeteria to gather snacks for the children.

Corrected Corrected by Oct 19, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)(2) · The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

During the renewal period certification rep observed Staff #6 working alone unsupervised with a total of 13 children the youngest was 6 years of age at the time of the follow up visit.

Corrected Corrected by Nov 15, 2023

Category: supervision. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every childcare space and shall accompany a staff person who leaves on an excursion with children.

At the time of renewal, certification rep observed rooms 130, 129 and 131 missing 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 childcare space and shall accompany a staff person who leaves on an excursion with children.

Corrected Corrected by Oct 19, 2023

Category: transportation. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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. 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.

Certification rep reviewed staff #6 record and observed date of tb results on the physical examination form is incomplete, Staff #6 start date: 10/24/23.

Corrected Corrected by Nov 16, 2023

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.

During the renewal inspection certification rep did not observe a posted menu for the week.

Corrected Corrected by Oct 13, 2023

Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

During the renewal period certification rep observed additional noncompliance during a follow-up visit, Staff #6 was observed working alone with children with an incomplete record, staff # 6 was missing on record: 10-hour health and safety training, Pediatric first aid and CPR training, verification of employment, emergency plan training, date of tb results on the physical examination form. Staff #6 start date: 10/24/23.

Corrected Corrected by Nov 16, 2023

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

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

During the renewal inspection certification rep did not observe certificate of compliance posted in a conspicuous location used by parents.

Corrected Corrected by Oct 13, 2023

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. Until such time as the required pre-service trainings are completed, staff person #1, #4, and #6 must be supervised, when interacting with children by an assistant group supervisor, who has completed the required training related to this citation. If there are no staff person's available to supervise, staff person #1 #4, and #6 may not work in a child-care position at the facility.

At the time of renewal inspection, a policy and procedure to identify the potential signs and symptoms of abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment was not observed. In addition, the emergency plan did not contain a statement regarding continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. In addition, staff person #1, #4, and #6, who did not have completed pre-service training were observed working unsupervised in Gym.

Corrected Corrected by Dec 7, 2022

Category: supervision. 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.

At the time of renewal inspection, document that staff person #4 and #6 received training regarding the emergency plan at the time of initial employment was not observed. Record of staff person #2 and #3 did not include verification that staff participates in emergency plan training at least annually. Last emergency plan training on file for staff person #2 and #3 was from 9/8/21.

Corrected Corrected by Dec 7, 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.

At the time of inspection, the file for staff person #3 did not include verification of receiving annual fire-safety training. Fire Safety training on file was from 4/17/21.

Corrected Corrected by Dec 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At the time of renewal inspection, staff person #1, #2, #3, #4, and #5 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR,. Staff person #1 , #2, #3, and #4 First Aid and CPR training was not from a PQAS approved curriculum and the instructor was not PQAS-certified. Staff person #5 did not have pediatric first and CPR. Staff person #1, #4, and #5 have not completed pre-service training within 90 days of hire (see LIS code sheet): Health and Safety Topics.

Corrected Corrected by Dec 7, 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 # 4 may not work in a 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 #4 must be removed from child care position by close of business. Clearances must be obtained before staff person #4 may resume a child care position.

At the time of renewal inspection, file of staff person #4 did not include NSOR Certificate. File of staff person #6, who is a provisional hire, did not include signed Disclosure statement and verification that staff person #6 applied for NSOR certificate and FBI required by DHS.

Corrected Corrected by Dec 7, 2022

Category: background checks. 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.

At the time of renewal inspection file of staff person #3 did not include verification that staff obtained an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Dec 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.35(e) · In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

At the time of renewal inspection observed 53 children with no group supervisors for every 45 enrolled children. Two group supervisors are required for the group of 48 children. Non-compliance continues from 4/4/2022.

Corrected Corrected by Dec 7, 2022

Category: supervision. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Five staff persons have to be present with the mixed age group of 16 older school age and 37 young school age children.

At the time of renewal inspection observed 16 older school age and 37 young school age children with three staff in gym.

Corrected Corrected by Nov 23, 2022

Category: ratio. 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.

At the time of renewal inspection, emergency contact form of child #1 did not include the work address and phone number of the enrolling parent.

Corrected Corrected by Dec 7, 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.

At the time of renewal inspection, emergency contact form of child #2 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Nov 23, 2022

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

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

At the time of renewal inspection, health report of child #2 and #3 did not include a review of the child's immunized status according to recommendations of the ACIP.

Corrected Corrected by Dec 7, 2022

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

3270.151(c)(1)/3270.151(c)(3) · An adult health assessment must include a physical examination. An adult health assessment must include an examination for communicable diseases and the results of that examination.

At the time of renewal inspection, a health assessment of staff person #4 did not include a physical examination, an examination for communicable diseases and the results of that examination.

Corrected Corrected by Dec 7, 2022

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

At the time of renewal inspection, a health assessment of staff person #4 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Dec 7, 2022

Category: health medication. 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.

At the time of renewal inspection, file of staff person #6 and #4 did not include verification of education and/or child care experience required prior to service at the facility. File of staff person #4 did not include verification of child care experience.

Corrected Corrected by Dec 7, 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.

At the time of renewal inspection, file of staff person #4 included just one written, nonfamily reference from individual attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Dec 7, 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.

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

Corrected Corrected by Dec 7, 2022

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

3270.35(e) · In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

At the time of renewal inspection on 4/4/22 observed 48 children with no group supervisors for every 45 enrolled children. On 5/23/22 provider had 51 children in attendance, on 5/24/22 provider had 50 children in attendance with one group supervisor. Two group supervisors are required for the group of 48, 50 or 51 children. Non-compliance continues on 5/24/22.

Corrected Corrected by Sep 1, 2022

Category: supervision. 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.

At the time of inspection, the file for staff member #4 did not include verification of receiving annual fire-safety training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

At the time of renewal inspection, written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

Corrected Corrected by Apr 4, 2022

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). 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 # 2, #3, and #4 must be removed from child care position by close of business. Clearances must be obtained before staff person 2, #3,and #41 may resume a child care position.

At the time of renewal inspection, file of staff person #2, #3, and #4 did not include NSOR Certificates. Staff person #2, #3, and #4 are not provisional hire. File of staff person #4 did not include DHS required FBI clearance. File of staff person #4 had FBI PDE clearance that cannot be accepted.

Corrected Corrected by May 6, 2022

Category: background checks. 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.

At the time of inspection, the files for staff member #2 and #4 did not include an annual staff evaluation.

Corrected Corrected by Apr 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.35(e) · In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

At the time of renewal inspection observed 48 children with no group supervisors for every 45 enrolled children. Two group supervisors are required for the group of 48 children.

Corrected Corrected by Apr 22, 2022

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.

At the time of renewal inspection, file of staff person #3 and #5 did not include verification of experience required for the position of an assistant group supervisor. File of staff person #4 did not include verification of education required for the position of group supervisor. A staff person's record shall include verification of child care experience and education prior to service at the facility.

Corrected Corrected by Apr 25, 2022

Category: supervision. Marked corrected in the state record.

3270.92(a) · Portable space heaters are not permitted.

At the time of renewal inspection observed working portable space heater in the director's office.

Corrected Corrected by Apr 4, 2022

Category: physical safety. 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.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in Room 132, 130, 129, 128, and 127 where children were observed.

Corrected Corrected by Apr 4, 2022

Category: transportation. 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

At the time of renewal inspection, file of staff person #2 and #5 included only one reference, file of staff person #3 and #6 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Apr 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

At the time of renewal inspection, emergency plan did not include information about accommodations for shelter of children during lock-down.

Corrected Corrected by Apr 4, 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.

At the time of renewal inspection file of staff person #1 did not include verification that staff obtained an annual minimum of 12 clock hours of child care training. File of staff person #1 included only 3 hours of training.

Corrected Corrected by Apr 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

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.

Corrected Corrected by Apr 18, 2022

Marked corrected in the state record.