3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

During the unannounced complaint investigation dated 6/2/2023, certification representative observed that there was a 1:11 staff/child ratio in the preschool room upstairs on second floor.

Corrected Corrected by Jun 2, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #1 will have until 6/17/2023 to complete the Mandated Reporter Training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by has another primary staff person who has completed the required training related to this citation. If there are no staff members available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

During the unannounced monitoring inspection dated 6/2/2023 certification representative viewed staff person #1 personnel file, and staff person #1 has not completed The Mandated Reporter Training within the last 60 months. This is evidenced by the previously documented Mandated Reporter Training on file being dated 7/22/2015.

Corrected Corrected by Jun 17, 2023

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During the unannounced monitoring inspection dated 6/2/2023, certification representative observed that one electrical outlet upstairs in the dining area did not have a protective receptacle cover on it, and it was accessible to children.

Corrected Corrected by Jun 2, 2023

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.

During the unannounced monitoring inspection dated 6/2/2023, certification representative observed that there was chipped paint in the green room, blue room upstairs and the orange room downstairs.

Corrected Corrected by Jun 9, 2023

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

3270.32(a)/3270.192(4) · LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work unsupervised 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. Facility Person #1 may not work unsupervised in a child care position at the facility.

DURING THE RENEWALINSPECTION ON AUGUST 30TH, 2022, STAFF PERSON #1 HAS NOT COMPLETED THE MANDATED REPORTER TRAINING WITHIN 90 DAYS OF THEIR DATE OF HIRE (SEE LIS CODE SHEET).

Corrected Corrected by Sep 2, 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.

DURING THE RENEWAL INSPECTION ON AUGUST 30, 2022, THE RECORD REVIEWED FOR STAFF PERSON #1, #2, AND #4, DID NOT INCLUDE VERIFICATION OF CHILD CARE EXPERIENCE FOR THE POSITION PERFORMANCE OF ASSISTANT GROUP SUPERVISOR.

Corrected Corrected by Sep 2, 2022

Category: supervision. Marked corrected in the state record.

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

DURING THE RENEWAL INSPECTION ON AUGUST 30, 2022, THE HEALTH ASSESSMENT REVIEWED FOR STAFF PERSON #3 DID NOT INCLUDE AN EXAMINATION FOR COMMUNICABLE DISEASES AND THE RESULTS OF THAT EXAMINATION.

Corrected Corrected by Sep 2, 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 # 1 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, national sex offender registry certificate, fbi fingerprint clearance, 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 child care position at the facility.

ON DECEMBER 1, 2021, DOCUMENTS REVIEWED FOR STAFF PERSON # 1 ( HIRE DATE 09/22/2021) DID NOT INCLUDE A COMPLETED NATIONAL SEX OFFENDER CERTIFICATE . ALTHOUGH THE FACILITY HAS A PROVISIONAL HIRE WAIVER EFFECTIVE 03/06/2020, THE REQUIREMENT TO HAVE THE COMPLETED NATIONAL SEX OFFENDER CERITFICATE WITHIN 45 DAYS OF HIRE MUST BE MET.

Corrected Corrected by Dec 2, 2021

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

3270.19(a)/3270.19(b) · An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL.A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department.

ON NOVEMBER 02, 2021, DURING THE COMPLAINT INVESTIGATION, IT WAS FOUND THAT STAFF PERSON # 5 USED A FORM OF PHYSICAL PUNISHMENT TOWARDS TWO CHILDREN ON TWO SEPARATE OCCASIONS AT THE FACILITY. IT WAS FOUND THAT STAFF PERSON # 5 GRIPPED A CHILD UP BY THE BACK OF A SHIRT AND HIT ANOTHER CHILD ON THE HAND. STAFF PERSON # 6 STATED THESE ALLEGATIONS WERE BROUGHT TO THE FACILITIES ATTENTION WHICH PROMPTED AN INTERNAL INVESTIGATION. PER STAFF PERSON # 6 THE ALLEGATIONS WERE NOT REPORTED TO CHILDLINE AS MANDATED BY CPSL.

Corrected Corrected by Nov 30, 2021

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

ON NOVEMBER 02, 2021, DURING THE COMPLAINT INVESTIGATION, AT APPROXIMATELY 09:45 AM, CHILD # 1 WAS OBSERVED ASLEEP IN THE BACK SECTION OF THE INFANT CLASSROOM WITHOUT SUPERVISION BY A STAFF PERSON AT ALL TIMES. STAFF PERSON # 1, # 2, # 3 AND # 4 WERE IN THE FRONT SECTION OF THE INFANT CHILD CARE SPACE WITH TWELVE CHILDREN. THE CERTIFICATION SUPERVISOR ASKED STAFF PERSON #1, 2, 3, AND 4 IF THEY WERE ABLE TO SEE CHILD # 1 FROM WHERE THEY WERE SITTING/STANDING ALL STAFF STATED THEY WERE NOT ABLE TO SEE THE CHILD SLEEPING IN THE CRIB.

Corrected Corrected by Nov 2, 2021

Category: supervision. Marked corrected in the state record.

3270.113(a) · The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. A referral for training will be placed by Certification on behalf of the Legal Entity to the PA Keys.

ON NOVEMBER 02, 2021, DURING THE COMPLAINT INVESTIGATION, AT APPROXIMATELY 09:45 AM, CHILD # 1 WAS OBSERVED ASLEEP IN THE BACK SECTION OF THE INFANT CLASSROOM WITHOUT SUPERVISION BY A STAFF PERSON AT ALL TIMES. STAFF PERSON # 1, # 2, # 3 AND # 4 WERE IN THE FRONT SECTION OF THE INFANT CHILD CARE SPACE WITH TWELVE CHILDREN. THE CERTIFICATION SUPERVISOR ASKED STAFF PERSON #1, 2, 3, AND 4 IF THEY WERE ABLE TO SEE CHILD # 1 FROM WHERE THEY WERE SITTING/STANDING ALL STAFF STATED THEY WERE NOT ABLE TO SEE THE CHILD SLEEPING IN THE CRIB.

Corrected Corrected by Dec 22, 2021

Category: supervision. Marked corrected in the state record.

3270.113(b)/3270.113(d) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children.

ON NOVEMBER 02, 2021, DURING THE COMPLAINT INVESTIGATION, IT WAS FOUND THAT STAFF PERSON # 5 USED A FORM OF PHYSICAL PUNISHMENT TOWARDS TWO CHILDREN ON TWO SEPARATE OCCASIONS AT THE FACILITY. IT WAS FOUND THAT STAFF PERSON # 5 GRIPPED A CHILD UP BY THE BACK OF A SHIRT AND HIT ANOTHER CHILD ON THE HAND. STAFF PERSON # 6 STATED THESE ALLEGATIONS WERE BROUGHT TO THE FACILITIES ATTENTION WHICH PROMPTED AN INVESTIGATION. PER STAFF PERSON # 6 THE ALLEGATIONS WERE NOT REPORTED TO CHILDLINE AS MANDATED BY CPSL. IT WAS FOUND THAT STAFF PERSON # 5 USED HAS USED DEMEANING LANGUAGE IN THE PRESENCE OF CHILDREN. IT WAS FOUND THAT STAFF PERSON # 5 MADE COMMENTS IN FRONT OF CHILDREN "HE'S SO BAD" AND HAS YELLED AT CHILDREN AT THE FACILITY.

Corrected Corrected by Nov 2, 2021

Category: recordkeeping. 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.

ON OCTOBER 22, 2021, DURING THE RENEWAL INSPECTION, THERE WAS EXPOSED SHARP METAL ON THE FLOOR HEATING UNIT IN THE 2ND FLOOR FRONT BLUE CLASSROOM.

Corrected Corrected by Oct 27, 2021

Category: physical safety. 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 OCTOBER 22, 2021, DURING THE RENEWAL INSPECTION, UPON REQUEST THERE WAS NO EVIDENCE OF EMERGENCY PLAN TRAINING PRODUCED FOR STAFF PERSON # 8, 9 AND 10.

Corrected Corrected by Oct 27, 2021

Category: recordkeeping. 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.

ON OCTOBER 22, 2021, DURING THE RENEWAL INSPECTION, THERE WAS CHIPPED PAINT ON THE WALL IN THE FRONT GREEN CHILD CARE SPACE, ON THE WALL IN THE PRESCHOOL BLUE CLASSROOM AND IN THE BATHRROM ADAJENT TO THE BLUE ROOM ALONG THE WINDOW LEDGE.

Corrected Corrected by Oct 27, 2021

Category: physical safety. 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 OCTOBER 22, 2021, DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON #12 PARTICIPATED IN FIRE-SAFETY TRAINING WITHIN A 12-MONTH PERIOD. ( LAST TRAINING IN THE RECORD DATED 10/16/2018)

Corrected Corrected by Oct 27, 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). Facility person 2, 3, 7 and 10 must be removed from the childcare position by close of business. All required clearances must be obtained before facility person # 2, 3 , 7 and 10 may resume a child care position.

ON OCTOBER 22, 2021, DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 2 (HIRE DATE 06/14/2021) DID NOT INCLUDE A COMPLETED NATIONAL SEX OFFENDER CERTIFICATE. A COPY OF REQUEST FOR THE NATIONAL SEX OFFENDER CERTIFICATE WAS INCLUDED. ALTHOUGH THE FACILITY HAS A PROVISIONAL HIRE WAIVER EFFECTIVE 03/06/2020, THE REQUIREMENT TO HAVE THE COMPLETED NATIONAL SEX OFFENDER CERITFICATE ON FILE WITHIN 45-DAYS OF EMPLOYMENT WAS NOT MET. THE RECORD REVIEWED FOR STAFF PERSON # 3 ( HIRE DATE 09/22/2021) DID NOT NOT INCLUDE A COMPLETED NATIONAL SEX OFFENDER CERTIFICATE OR COPY OF REQUEST FOR THE NATIONAL SEX OFFENDER CERTIFICATE. ALTHOUGH THE FACILITY HAS A PROVISIONAL HIRE WAIVER EFFECTIVE 03/06/2020, THE REQUIREMENT TO HAVE THE COMPLETED NATIONAL SEX OFFENDER CERITFICATE OR COPY OF REQUESTS FOR THE NATIONAL SEX OFFENDER CERTIFICATE WAS NOT MET. THE RECORD REVIEWED FOR STAFF PERSON # 7 ( HIRE DATE 10/22/2021) DID NOT INCLUDE A COMPLETED CHILD ABUSE REGISTRY CLEARANCE OR A COPY OF REQUESTS FOR THE CHILD ABUSE REGISTRY CLEARANCE. ALTHOUGH THE FACILITY HAS A PROVISIONAL HIRE WAIVER EFFECTIVE 03/06/2020, THE REQUIREMENT TO HAVE THE COMPLETED CHILD ABUSE REGISTRY CLEARANCE OR A COPY OF REQUEST FOR THE CHILD ABUSE REGISTRY CLEARANCE WAS NOT MET. THE RECORD REVIEWED FOR STAFF PERSON # 10 ( HIRE DATE 07/2021) DID NOT INCLUDE AN DHS FBI FINGER PRINT CLEARANCE. ( THE RECORD INCLUDED A DEPARTMENT OF EDUCATION FBI FINGERPRINT CLEARANCE). THE RECORD DID NOT INCLUDE A NATIONAL SEX OFFENDER CERTIFICATE. ALTHOUGH THE FACILITY HAS A PROVISIONAL HIRE WAIVER EFFECTIVE 03/06/2020, THE REQUIREMENT TO HAVE THE DEPARTMENT OF HUMAN SERVICE FBI FINGERPRINT CLEARANCE AND A COMPLETED NATIONAL SEX OFFENDER CERTIFICATE WERE NOT MET.

Corrected Corrected by Oct 27, 2021

Category: background checks. 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's facility person's record shall include verification of child care experience, education and training prior to service at the facility.

ON OCTOBER 21, 2021, DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 8 DID NOT INCLUDE VERIFICATION OF CHILD CARE EXPERIENCE OR EDUCATION TO QUALIFY THE STAFF PERSON FOR THE POSITION PERRFORMING. ( ASSISTANT GROUP SUPERVISOR) ON OCTOBER 22, 2021, DURING THE RENEWAL INSPECTION, THE VERIFICATION OF EXPERIENCE REVIEWED FOR STAFF PERSON # 2 WAS NOT ACCEPTABLE. THE VERIFICATION OF EXPERIENCE PRODUCED WAS NOT CHILD CARE EXPERIENCE.

Corrected Corrected by Oct 27, 2021

Category: supervision. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

ON OCTOBER 22, 2021, DURING THE RENEWAL INSPECTION, AT APPROXIMATELY 09:42 AM, THE CERTIFICATION SUPERVISOR OBSERVED STAFF # 7 ALONE IN THE FRONT MAIN CHILD CARE SPACE WITH NINE CHILDREN. THE YOUNGEST CHILD IN THE GROUP WAS A OLDER TODDLER TWO YEAR OLD CHILD. STAFF PERSON # 13 STATED SHE WAS IN THE GROUP WITH STAFF PERSON # 7 BUT STEPPED OUT OF THE ROOM FOR A SECOND.

Corrected Corrected by Oct 27, 2021

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

ON OCTOBER 22, 2021, AN ELECTRICAL OUTLET WAS MISSING A PROTECTIVE RECEPTACLE COVER IN THE FRONT GREEN ROOM CHILD CARE SPACE.

Corrected Corrected by Oct 20, 2021

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

3270.111(a)/3270.111(b) · 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. The written plan of daily activities shall be posted in the group space.

ON OCTOBER 22, 2021, DURING THE RENEWAL INSPECTION, A WRITTEN PLAN OF DAILY ACTIVITIES AND ROUTINES WAS NOT POSTED IN THE FRONT GREEN ROOM CHILD CARE SPACE.

Corrected Corrected by Oct 27, 2021

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

3270.113(a)(1) · 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.

ON OCTOBER 22, 2021, DURING THE RENEWAL INSPECTION, THERE WERE NINE CHILDREN ( YOUNGEST CHILD WAS A YOUNG TODDLER,ONE YEAR OLD CHILD) IN THE ORANGE ROOM LEFT, MAIN CHILD CARE SPACE WITH STAFF PERSON # 4 AND # 9. UPON REQUEST TO NAME THE CHILDREN IN THEIR ASSIGNED GROUPS STAFF PERSON # 4 STATED THERE WERE NO GROUPS AND NAMED ALL CHILDREN, STAFF PERSON # 9 STATED SHE WAS NOT ASSIGNED A GROUP BUT KNEW SOME OF THE CHILDRENS NAMES.

Corrected Corrected by Oct 27, 2021

Category: supervision. 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.

ON OCTOBER 22, 2021, DURING THE RENEWAL INSPECTION, EMERGENCY CONTACT INFORMATION WAS NOT PRESENT IN THE INFANT CHILD CARE SPACE FOR CHILD # 1 WHO WAS PRESENT AND RECEIVING CARE IN THE SPACE.

Corrected Corrected by Oct 27, 2021

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.

ON OCTOBER 22, 2021, DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 2 DID NOT INCLUDE A HEALTH ASSESSMENT.

Corrected Corrected by Oct 27, 2021

Category: ratio. 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.

ON OCTOBER 22, 2021, DURING THE RENEWAL INSPECTION, THE HEALTH ASSESSMENT REVIEWED FOR STAFF PERSON # 10 DID NOT INCLUDE THE PHYSICIAN'S OR CRNP'S ASSESSMENT OF THE PERSON'S SUITABILITY TO PROVIDE CHILD CARE.

Corrected Corrected by Oct 27, 2021

Category: health medication. 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

ON OCTOBER 22, 2021, DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 10 DID NOT INLCUDE TWO WRITTEN REFERENCES. THERE WAS ONE REFERENCE IN THE RECORD.

Corrected Corrected by Oct 27, 2021

Category: recordkeeping. 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 JULY 8, 2021, DURING THE UNANNOUNCED INSPECTION, PROOF OF PURCHASE FOR THE INTERCONNECTED FIRE DETECTION SYSTEM INSTALLED AT THE FACIILITY WAS NOT PRODUCED UPON REQUEST. CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 04/06/2021

Corrected Corrected by Jul 8, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

ON JULY 8, 2021, DURING THE UNANNOUNCED INSPECTION, AT APPROXIMATELY 11:30AM, THE CERTIFICATION SUPERVISOR OBSERVED STAFF PERSON # 1 AND # 2 IN THE FRONT FIRST FLOOR CHILD CARE SPACE WITH ELEVEN CHILDREN. THE YOUNGEST CHILD IN THE GROUP WAS CHILD # 1 WHO IS A YOUNG TODDLER ONE YEAR OLD CHILD. CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 04/06/2021

Corrected Corrected by Jul 29, 2021

Category: supervision. Marked corrected in the state record.

3270.51 · The required staff: child ratios must be maintained at all times.

ON JULY 8, 2021, DURING THE UNANNOUNCED INSPECTION, AT APPROXIMATELY 11:30AM, THE CERTIFICATION SUPERVISOR OBSERVED STAFF PERSON # 1 AND # 2 IN THE FRONT FIRST FLOOR CHILD CARE SPACE WITH ELEVEN CHILDREN. THE YOUNGEST CHILD IN THE GROUP WAS CHILD # 1 WHO IS A YOUNG TODDLER ONE YEAR OLD CHILD. CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 04/06/2021

Corrected Corrected by Jul 8, 2021

Category: supervision. Marked corrected in the state record.

3270.106(a)/3270.119 · 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.Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

ON JULY 8, 2021, DURING THE UNANNOUNCED INSPECTION, CHILD # 2 WHO IS AN INFANT AGE CHILD WAS OBSERVED IN THE INFANT CLASSROOM SLEEPING IN A BOUNCY CHAIR. CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 04/06/2021

Corrected Corrected by Jul 8, 2021

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

3270.94(a)(1) · Fire drills are conducted at least once every 60 days.

ON JULY 8, 2021, DURING THE UNANNOUNCED INSPECTION, A FIRE DRILL WAS NOT CONDUCTED WITHIN A 60 DAY PERIOD PER THE FIRE DRILL LOG OBSERVED. THE LAST FIRE DRILL DATED ON THE LOG READ 04/21/2021.

Corrected Corrected by Jul 8, 2021

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