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 a renewal inspection conducted on 9/17/2024, 2 staff files were reviewed. Staff member # 1 file did not contain verification of training on the facility's emergency plan at the time of initial employment.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. 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 a renewal inspection conducted on 10/17/2023, 4 child files were reviewed. Child # 1 and 4 files contained fee agreements where the services provided to the family and child were not included.

Corrected Corrected by Oct 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

During a renewal inspection conducted on 10/17/2023, 4 child files were reviewed. Child # 1,2,3 and 4 files contained fee agreements where the extra services provided to the family and child were not addressed.

Corrected Corrected by Oct 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 a renewal inspection conducted on 10/17/2023, 2 staff files. Staff member # 1 file did not contain a valid health assessment.

Corrected Corrected by Oct 20, 2023

Category: health medication. 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.

During a renewal inspection conducted on 10/17/2023,2 staff files were reviewed. Staff member # 2 file did not contain a disclosure statement.

Corrected Corrected by Oct 17, 2023

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

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

During renewal inspection on 12/12/22, Cert Rep tested the facility's water, and it measured 112 degrees

Corrected Corrected by Dec 12, 2022

Category: physical safety. 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 12/12/22, while reviewing staff files, Staff # 4 did not have documentation of verification of experience in file to qualify as an Assistant group supervisor

Corrected Corrected by Dec 12, 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). The required staff: child ratios must be maintained at all times.

During renewal inspection on 12/12/22, Cert Rep observed Staff # 1 and # 3 working together with 6 children the youngest 1 year old. Cert Rep observed Staff # 1 leave Staff # 3 alone to use the rest room leaving Staff # 3 out of ratio

Corrected Corrected by Dec 12, 2022

Category: ratio. 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 12/12/22, while doing a walk- through of the facility, Cert Rep observed peeling paint on the right side of the wall in the lower-level classroom located at the entrance of the facility

Corrected Corrected by Dec 12, 2022

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

During renewal inspection on 12/12/22, while doing a walk-through of the facility, Cert Rep observed that the facility's outdoor play space needed cleaning, and the outdoor toys needed cleaning as well

Corrected Corrected by Dec 12, 2022

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

3270.106(a)/3270.106(f) · 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. 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 12/12/22, Cert Rep observed that Child # 5 and # 7 asleep in a bassinet and pack and play that was not labelled and was not 2 feet apart from each other

Corrected Corrected by Dec 12, 2022

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

3270.123(a)/3270.124(a) · An agreement shall be signed by the operator and the parent. Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

During renewal inspection on 12/12/22, while reviewing children's files, Child # 4 did not have an emergency contact and agreement in file

Corrected Corrected by Dec 12, 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.

During renewal inspection on 12/12/22, while reviewing children's files, - Child # 1's emergency contact did not include policy number - Child # 5 and # 6's emergency contact did not include insurance and policy number information

Corrected Corrected by Dec 12, 2022

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

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

During renewal inspection on 12/12/22, while reviewing children's files, Child # 1 and # 6 did not have release persons address and phone number listed on their emergency contact

Corrected Corrected by Dec 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

During renewal inspection on 12/12/22, Cert Rep observed that both the lower and upper-level classroom that had children in both spaces, did not have emergency contact present in the childcare space

Corrected Corrected by Dec 12, 2022

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 12/12/22, while reviewing children's files, - Child # 2,3, and #6's emergency contact and agreement has not been updated

Corrected Corrected by Dec 12, 2022

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 12/12/22, while reviewing children's files, Child # 1's emergency contact did not have parent's consent for emergency medical care and administering of minor first aid

Corrected Corrected by Dec 12, 2022

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 renewal inspection on 12/12/22, while reviewing staff files, Staff # 4's file did not have documentation of 2 written non-family references in file

Corrected Corrected by Dec 12, 2022

Category: recordkeeping. 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 12/12/22, while reviewing the facility's emergency plan, did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions

Corrected Corrected by Dec 12, 2022

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