3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

During the renewal inspection on 02/03/26 the fire drill log reviewed did not reflect fire drills being conducted every 60 days.

Corrected Corrected by Feb 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

During the renewal inspection on 02/03/26 child files were not being stored in a locked cabinet.

Corrected Corrected by Feb 16, 2026

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 the renewal inspection on 02/03/26 staff person #2 was observed unsupervised caring for children with an expired PA criminal clearance, expired child abuse clearance, expired NSOR certificate, and expired first aid/cpr certification. Staff person #4 was observed unsupervised caring for children without completion of required preservice training including mandated reporter training and first/cpr training.

Corrected Corrected by Feb 17, 2026

Category: supervision. 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 the renewal inspection on 02/03/26 emergency drills reviewed were not conducted annually. Last emergency drill was conducted 12/24/24.

Corrected Corrected by Feb 16, 2026

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.

During the renewal inspection on 02/03/26 the file reviewed for staff person #1, staff person #2, and staff person #3 and staff person #4 contained an expired first aid/cpr certification.

Corrected Corrected by Feb 16, 2026

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.

During the renewal inspection on 02/03/26 the file reviewed for staff person #1 and staff person #4 did not include annual fire safety training.

Corrected Corrected by Feb 16, 2026

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). 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, staff person #3 and staff person #4 may not work in a childcare position at the facility.

During the renewal inspection on 02/03/26 the file reviewed for staff person #2 hired (see code sheet) contained a PA criminal clearance dated 5/15/18, child abuse clearance dated 3/16/20, and NSOR certificate dated 3/26/20 which is more than 60 months old. The file reviewed for staff person #3 hired (see code sheet) contained a NSOR certificate dated 3/13/20 which is more than 60 months old. The file reviewed for staff person #4 hired (see code sheet) did not contain required Health & Safety training and required mandated reporter training.

Corrected Corrected by Feb 3, 2026

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.

During the renewal inspection on 02/03/26 the file reviewed for staff person #3 and staff person #4 did not include an annual written evaluation.

Corrected Corrected by Feb 16, 2026

Category: recordkeeping. 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.

During the renewal inspection on 02/03/26 the first aid kit in classroom #1 did not contain tweezers.

Corrected Corrected by Feb 16, 2026

Category: health medication. 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 renewal inspection on 02/03/26 the floor tiles in the indoor play space were uneven and spaced causing potential trip hazard.

Corrected Corrected by Feb 16, 2026

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 02/03/26 the file reviewed for child #1, child #2, child #3 and child #4 did not include child service report.

Corrected Corrected by Feb 16, 2026

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 the renewal inspection on 02/03/26 the emergency contact form reviewed for child #1 did not include health insurance coverage for child.

Corrected Corrected by Feb 16, 2026

Category: health medication. 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 the renewal inspection on 02/03/26 the emergency contact form and fee agreement reviewed for child #2, child #3, child #4 and child #5 were not updated/reviewed within 6-month time period.

Corrected Corrected by Feb 16, 2026

Category: recordkeeping. 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.

During the renewal inspection on 02/03/26 the file reviewed for child #1 and child #3 did not contain initial health report. The health report reviewed for child #2 and child #4 was not updated within 12 months.

Corrected Corrected by Feb 16, 2026

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

3270.151(a) · 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.

During the renewal inspection on 02/03/26 the health assessment reviewed for staff person #1, staff person #2, and staff person #3 was over 24 months old.

Corrected Corrected by Feb 16, 2026

Category: ratio. Marked corrected in the state record.

3270.182(2) · A child's record shall contain the dates of application, admission and withdrawal of the child.

During the renewal inspection on 02/03/26 the file reviewed for child #1 did not contain date of admission for child.

Corrected Corrected by Feb 16, 2026

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.

During the renewal inspection on 02/03/26 the file reviewed for staff person #1, staff person #2, and staff person #3 and staff person #4 did not include 12 hours of annual childcare training.

Corrected Corrected by Feb 16, 2026

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.

Ongoing noncompliance, staff persons #1, #2 and #3 had not completed the required annual minimum of 12 clock hours of childcare training.

Corrected Corrected by Apr 10, 2025

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.

Ongoing noncompliance, staff persons #1, #2 and #3 did not have documentation of the required annual fire safety training.

Corrected Corrected by Apr 10, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Ongoing noncompliance, child #6 Financial Agreement form was missing the owner/operator's signature.

Corrected Corrected by Apr 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Ongoing noncompliance, child #6 Financial Agreement Form did not include fee amount nor when the fee is expected to be paid.

Corrected Corrected by Apr 10, 2025

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).

Ongoing noncompliance, children #4 and #5 did not have the documented 6-month Child Service Reports on file.

Corrected Corrected by Apr 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4)/3270.123(a)(7) · An agreement shall specify the child's arrival and departure times. An agreement shall specify the services which are to be considered as extra.

Ongoing noncompliance, child #6 did not have arrival time and children #2 and #6 did not have departure times on the Financial Agreement Form. Children #2, #4 and #6 Financial Agreement Forms did not specify the services which are to be considered as extra.

Corrected Corrected by Apr 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2)/3270.124(b)(6) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Ongoing noncompliance, child #2 Emergency Contact Form did not include insurance policy information/number and telephone number for the child's physician or source of medical care.

Corrected Corrected by Apr 10, 2025

Category: health medication. 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.

Ongoing noncompliance, child #2 Emergency Contact Forms did not include the parents work address. Child #2 Emergency Contact Forms did not include the parents work telephone numbers.

Corrected Corrected by Apr 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Ongoing noncompliance, child #2 Emergency Contact Form did not address the question if the child has special needs.

Corrected Corrected by Apr 10, 2025

Category: health medication. 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.

Ongoing noncompliance, child #4 file did not contain documentation of the required 6-month review of the Emergency Contact Form.

Corrected Corrected by Apr 10, 2025

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.

Ongoing noncompliance, staff persons #2 and #3 did not have current health assessments on file. Both health assessments expired 9.30.2024.

Corrected Corrected by Apr 10, 2025

Category: ratio. Marked corrected in the state record.

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Ongoing noncompliance, child #2 Emergency Contact Form did not include consent for administration of medications or special dietary needs.

Corrected Corrected by Apr 10, 2025

Category: ratio. 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.

Ongoing noncompliance, the facility did not have verification that the local traffic authorities were notified of the facility's use of pedestrian and vehicular routes around the daycare.

Corrected Corrected by Apr 10, 2025

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. Facility Person #1 may not work in a childcare position at the facility.

Ongoing noncompliance, staff person #1 did not have current documentation of DHS FBI Clearance on file and was observed caring for children. DHS FBI Clearance on file expired 6.18.23.

Corrected Corrected by Mar 20, 2025

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

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

At the time of inspection, the facility's Emergency Plan was not posted in a conspicuous location.

Corrected Corrected by Mar 20, 2025

Category: physical safety. 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 inspection, facility's Emergency Plan did not address continuity of operations. The facility's Shaken Baby, Abusive Head Trauma and Child Maltreatment policy did not address recognition of potential signs and symptoms, strategies for staff to cope with a crying, fussing or distraught child and the prevention/identification of child maltreatment. Staff persons #1, #2 and #3 Pediatric CPR/First Aid certificate on file all expired 9.30.2024.

Corrected Corrected by Mar 20, 2025

Category: ratio. Marked corrected in the state record.

3270.27(b)/3270.27(c) · 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. 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 inspection, provider did not have documentation that the facility's Emergency Plan was reviewed annually nor was there current verification that the current staff reviewed and acknowledged the Emergency Plan. Emergency Plan was last reviewed with staff on 10.6.2022 and 11.1.2022.

Corrected Corrected by Mar 20, 2025

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, staff persons #1, #2 and #3 did not have documentation of the required annual fire safety training.

Corrected Corrected by Mar 20, 2025

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). 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.

At the time of inspection, staff person #1 did not have current documentation of DHS FBI Clearances on file. DHS FBI Clearance on file expired 6.18.23.

Corrected Corrected by Mar 6, 2025

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, staff person #1 did not have a written evaluation on file.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. 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.

At the time of inspection, the outlet by the childcare space outside entrance door did not have a receptacle cover.

Corrected Corrected by Mar 4, 2025

Category: physical safety. 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.

At the time of inspection, the wooden door leading from the indoor play space was damaged with expose wood pieces causing a potential hazard to children.

Corrected Corrected by Mar 20, 2025

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.

At the time of inspection, the wall that connects to the indoor playroom in the childcare room had peeling paint and the same wall in the indoor playroom has exposed plaster from peeled paint.

Corrected Corrected by Mar 20, 2025

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

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

At the time of inspection, child #6 Financial Agreement form was missing the owner/operator's signature.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

At the time of inspection, child #3 and #6 Financial Agreement Form did not include fee amount nor when the fee is expected to be paid.

Corrected Corrected by Mar 20, 2025

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).

At the time of inspection, children #4 and #5 did not have the documented 6-month Child Service Reports on file.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4)/3270.123(a)(7) · An agreement shall specify the child's arrival and departure times. An agreement shall specify the services which are to be considered as extra.

At the time of inspection, children #3 and #6 did not have arrival times and children #2, #3 and #6 did not have departure times on the Financial Agreement Form. Children #1 through #6 Financial Agreement Forms did not specify the services which are to be considered as extra.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2)/3270.124(b)(6) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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 inspection, child #2 Emergency Contact Form did not include insurance policy information/number and telephone number for the child's physician or source of medical care.

Corrected Corrected by Mar 20, 2025

Category: health medication. 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 inspection, children #1, #2 and #3 Emergency Contact Forms did not include the parents work address. Children #1, #2, #3 and #5 Emergency Contact Forms did not include the parents work telephone numbers.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

At the time of inspection, child #1 Emergency Contact Form did not have parents written consent for emergency medical care.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

At the time of inspection, child #2 Emergency Contact Form did not address the question if the child has special needs.

Corrected Corrected by Mar 20, 2025

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.

At the time of inspection, child #5 Emergency Contact Form did not include the addresses of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Mar 20, 2025

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.

At the time of inspection, the facility's Emergency Transportation Plan was not posted in each childcare space.

Corrected Corrected by Mar 20, 2025

Category: transportation. 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.

At the time of inspection, child #4 and #5 files did not contain documentation of the required 6-month review of the Emergency Contact Form.

Corrected Corrected by Mar 20, 2025

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.

At the time of inspection, staff persons #2 and #3 did not have current health assessments on file. Both health assessments expired 9.30.2024.

Corrected Corrected by Mar 20, 2025

Category: ratio. 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.

At the time of inspection, there was not a menu posted in a conspicuous location.

Corrected Corrected by Mar 4, 2025

Marked corrected in the state record.

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Child #2 Emergency Contact Form did not include consent for administration of medications or special dietary needs.

Corrected Corrected by Mar 20, 2025

Category: ratio. 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.

At the time of inspection, child #1 and #3 Emergency Contact Form did not include written consent for the administration of minor first-aid.

Corrected Corrected by Mar 20, 2025

Category: ratio. 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)).

At the time of inspection, the facility did not have verification of the fire detection system being tested every 30 days.

Corrected Corrected by Mar 20, 2025

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 inspection, staff persons #1, #2 and #3 had not completed the required annual minimum of 12 clock hours of childcare training.

Corrected Corrected by Mar 20, 2025

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 inspection, the facility did not have verification that the local traffic authorities were notified of the facility's use of pedestrian and vehicular routes around the daycare.

Corrected Corrected by Mar 20, 2025

Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

During the renewal inspection conducted on 2/9/24 Provider did not have a written policy addressing potential signs /symptoms of shaken baby syndrome and abusive head trauma; Strategies for coping with a crying, fussing children; and prevention and identification of child maltreatment. Staff person # 2 and 3 file did not include health and safety update training.

Corrected Corrected by Feb 16, 2024

Category: health medication. 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.

During the renewal inspection conducted on 2/9/24 program did not have verification documented of emergency plan being reviewed annually.

Corrected Corrected by Feb 23, 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 the renewal inspection conducted on 2/9/24 staff persons# 1 through 3 file did not include documentation of emergency plan training being completed.

Corrected Corrected by Feb 23, 2024

Category: recordkeeping. 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 renewal inspection conducted on 2/9/24 it was observed the electrical outlet in classroom#1 electrical outlet did not have receptable cover in the child care space.

Corrected Corrected by Feb 9, 2024

Category: physical safety. 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 the renewal inspection conducted on 2/9/24 it was observed the diapering area did not post the required signage indicating changing procedures.

Corrected Corrected by Feb 23, 2024

Category: health medication. 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 it was observed the rest equipment for child #1 was not labeled.

Corrected Corrected by Feb 23, 2024

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

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

During the renewal inspection conducted on 2/9/24 it was observed the emergency contact forms in classroom#1 were expired.

Corrected Corrected by Feb 16, 2024

Category: recordkeeping. 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 the renewal inspection conducted on 2/9/24 child#1 emergency contact did not include the address of the designated individual that the child should be released to.

Corrected Corrected by Feb 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

During the renewal inspection conducted on 2/9/24 child #2 health assessment vaccinations was expired.

Corrected Corrected by Feb 23, 2024

Category: health medication. 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 inspection on 3/20/2023 electrical outlets were observed not having protective receptacle covers inside of them in the facility.

Corrected Corrected by Mar 20, 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.

Ongoing noncompliance- During the inspection the playroom was observed having loose/unsecured tiles. This poses a threat to the health and safety of the children.

Corrected Corrected by Mar 24, 2023

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

During the inspection on 3/20/2023 the bathroom in the childcare space was observed missing a tile and having three holes in the wall.

Corrected Corrected by Mar 24, 2023

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

3270.106(f) · 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 the inspection on 3/20/2023 the cots in the facility did not have at least 2 feet of space (some cots had 10 inches and 1 foot) on three sides while in use.

Corrected Corrected by Mar 21, 2023

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.

During the inspection on 3/20/2023 staff person #3 was observed with 6 children alone in the indoor PlaySpace, staff person identified the responsibility of 3 children.

Corrected Corrected by Mar 20, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

During the inspection on 3/20/2023 the file record for child # 4 did not include an agreement that specified the date of the child's admission.

Corrected Corrected by Mar 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During the inspection on 3/20/2023 the file record for child # 4 did not include the name, address and telephone number of the child's physician or source of medical care on emergency contact form.

Corrected Corrected by Mar 24, 2023

Category: health medication. 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.

During the inspection on 3/20/2023 the file record for child #4 did not include the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Corrected Corrected by Mar 24, 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 the inspection on 3/20/2023 the file records for child #1,and 2 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, on the emergency contact form.

Corrected Corrected by Mar 24, 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 the inspection on 3/20/2023 the file records for child # 1,2,3 and 4 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released on emergency contact form.

Corrected Corrected by Mar 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

During the inspection on 3/20/2023 the file record for child #2 did not include a health assessment that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Mar 24, 2023

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

During the inspection on 3/20/2023 the file record for child #2 did not include a health assessment that included a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected Corrected by Mar 24, 2023

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

3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

During the inspection on 3/20/2023 uncovered macaroni and cheese was observed in the refrigerator.

Corrected Corrected by Mar 24, 2023

Category: ratio. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

During the inspection on 3/20/2023 two sippy cups in the facility were observed not labeled.

Corrected Corrected by Mar 24, 2023

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.

During the inspection on 3/20/2023 the file record for child # 4 did not include signed parental consent for emergency medical care for the child.

Corrected Corrected by Mar 20, 2023

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.

During the inspection 3/20/2023 the file record child#4 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Mar 21, 2023

Category: ratio. Marked corrected in the state record.

3270.61(h) · The capacity established for an indoor space may not be exceeded.

During the inspection on 3/20/2023 six children were observed with staff person # 1 and 3 in the indoor PlaySpace that is licensed for 5 children at any one time from approximately 11:06 am until 12:00 pm.

Corrected Corrected by Mar 20, 2023

Category: ratio. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

During the inspection on 2/9/2023 the last fire drill observed on file was 11/8/2022

Corrected Corrected by Feb 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(h) · All staff persons shall complete the professional development under subsection (f).

During the inspection on 2/9/2023 the file records for staff person #1, 2 and 3 did not include the required updated one-hour health and safety training.

Corrected Corrected by Feb 28, 2023

Category: health medication. 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 the inspection on 2/9/2023 the facility had an emergency plan that did not address volunteer emergency preparedness training, practice drills, and continuity of operations.

Corrected Corrected by Feb 16, 2023

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.

During the inspection on 2/9/2023 the first-aid kits in the classroom was missing scissors.

Corrected Corrected by Feb 28, 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 inspection the playroom was observed having loose/unsecured tiles. This poses a threat to the health and safety of the children.

Corrected Corrected by Feb 28, 2023

Category: health medication. 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 the inspection on 2/9/2023 the play space did not have emergency contact information present in a childcare space for 6 children receiving care in the space.

Corrected Corrected by Feb 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(a) · 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.

During the inspection on 2/9/2023 the file records for staff person #2 did not include an initial health assessment and TB test.

Corrected Corrected by Feb 28, 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 the inspection on 2/9/2023 the file records for staff person#2 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Feb 28, 2023

Category: recordkeeping. 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.

During the inspection on 10/5/2022 the file records for staff person #1 and 2 did not include verification of child care experience prior to service at the facility.

Corrected Corrected by Oct 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

During the inspection on 10/5/2022 the facility had an emergency plan that did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and it did not provide for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Oct 10, 2022

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

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

During the inspection on 10/5/2022 the facility had broken protective guards covering the hot water pipes. This poses a threat to the health and safety of children.

Corrected Corrected by Oct 12, 2022

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

During the inspection on 10/5/2022 the facility did not have the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center posted by each telephone in the facility.

Corrected Corrected by Oct 10, 2022

Category: physical safety. 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 the inspection on 10/5/2022 the facility did not have an appropriate handwashing sign near every sink and bathroom.

Corrected Corrected by Oct 10, 2022

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

During the inspection on 10/5/2022 the furniture was not mounted posing a potential safety hazards. A cubby was observed having sharp/splintered surface.

Corrected Corrected by Oct 12, 2022

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 inspection on 10/5/2022 the facility did not have a daily schedule posted.

Corrected Corrected by Oct 10, 2022

Marked corrected in the state record.

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

During the inspection on 10/5/2022 the facility did not have a safe routes plan posted.

Corrected Corrected by Oct 12, 2022

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 inspection on 10/5/2022 the file records for staff persons #1 and 2 did not include two written, non family references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Oct 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 the inspection on 10/5/2022 the facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Oct 10, 2022

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

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

During the inspection on 10/5/2022 the facility did not have evacuation routes posted.

Corrected Corrected by Oct 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During the inspection on 10/5/2022 the facility did not have proof of installation for the smoke detection system.

Corrected Corrected by Oct 12, 2022

Category: recordkeeping. 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 inspection on 10/5/2022 the facility did not have information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Corrected Corrected by Oct 10, 2022

Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(2) · 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. The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

During the inspection on 10/5/2022 the facility had an emergency plan that did not 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 and did not include provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Corrected Corrected by Oct 10, 2022

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