3280.102(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. Replace the straps or remove the diaper changing equipment.

The safety straps on the diaper changing table were missing and presented a hazard to the safety of children when being diaper changed.

Corrected Corrected by Feb 11, 2026

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

3280.24(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. Post the facility's current certificate of compliance in a conspicuous location used by parents.

The facility's current certificate of compliance was not posted in the facility

Corrected Corrected by Mar 11, 2026

Marked corrected in the state record.

3280.52(b)/3280.52(c) · 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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The legal entity must arrange for all staff persons to complete ratio training. The facility must arrange for all facility staff to receive DHS approved training in proper staff/child ratios and in handling transitions including when a staff must leave the group to ensure ongoing compliance. The facility must develop and submit a written staffing plan including provisions for staff shortages including but not limited to call outs, scheduling, terminations, resignations and operational tasks that impact staffing and times of transition to ensure ongoing compliance. Submit a copy of the written staffing plan. Submit written verification of completed training and the staffing plan for all facility staff persons.

On 1/24/25 at approximately 2:30pm, one staff person (#1) was observed caring for a group of 6 infants (birth-12 months) young/older toddlers (1-2 years), and preschoolers (3 years to first day of entering Kindergarten). Staff person #2 was upstairs taking care of an administrative task. Staff persons (#1 and #2) verified the ages of the children in care. On 3/7/25 and 3/18/25, the required corrections were not completed. CONTNUING VIOLATION

Corrected Corrected by Apr 18, 2025

Category: ratio. Marked corrected in the state record.

3280.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding developmentally appropriate programming and activities for children (toddlers/preschool/school-age). The training must be hands on, DHS approved training. Submit written verification of the completed training for all facility staff.

On 6/18/24, at approximately 4;00pm, daily activities did not promote the development of skills, social competence, and self-esteem as staff person #2 were observed in the vicinity of a group of older toddlers, preschoolers, and a school-age child with no interaction with them while they were all trying to play on one toy with children crying and screaming. Staff person #4 was observed talking sternly to the children; telling them to "stop it", "you know better'" and blaming the children for their behaviors. On 9/13/24, 1/24/25, 3/7/25, and 3/18/15 there was no written verification of the completed training. CONTINUING VIOLATION

Corrected Corrected by Apr 18, 2025

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

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #2, #3, #4, and #5) CONTINUING VIOLATION

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(6) · An agreement shall specify the date of the child's admission. Specify the date of admission on the child's agreement and submit a copy of the properly completed agreement for verification of compliance. Ensure that all agreements include the date of the child's admission.

Several children's agreements did not specify the date of the child's admission. (#1, #2, #, #4, and #5) CONTINUING VIOLATION

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified child. Ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

One child's record did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months. (#5) CONTINUING VIOLATION

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

One child's record did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#2) CONTINUING VIOLATION

Corrected Corrected by Apr 14, 2025

Category: ratio. Marked corrected in the state record.

3280.52(b)/3280.52(c) · 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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The legal entity must arrange for all staff persons to complete ratio training. The facility must arrange for all facility staff to receive DHS approved training in proper staff/child ratios and in handling transitions including when a staff must leave the group to ensure ongoing compliance. The facility must develop and submit a written staffing plan including provisions for staff shortages including but not limited to call outs, scheduling, terminations, resignations and operational tasks that impact staffing and times of transition to ensure ongoing compliance. Submit a copy of the written staffing plan. Submit written verification of completed training and the staffing plan for all facility staff persons.

On 1/24/25 at approximately 2:30pm, one staff person (#1) was observed caring for a group of 6 infants (birth-12 months) young/older toddlers (1-2 years), and preschoolers (3 years to first day of entering Kindergarten). Staff person #2 was upstairs taking care of an administrative task. Staff persons (#1 and #2) verified the ages of the children in care. On 3/7/25, the required corrections were not completed.

Corrected Corrected by Mar 14, 2025

Category: ratio. Marked corrected in the state record.

3280.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Ensure that daily activities promote the development of skills, social competence, and self-esteem. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding developmentally appropriate programming and activities for children (toddlers/preschool/school-age). The training must be hands on, DHS approved training. Submit written verification of the completed training for all facility staff.

On 6/18/24, at approximately 4;00pm, daily activities did not promote the development of skills, social competence, and self-esteem as staff person #2 were observed in the vicinity of a group of older toddlers, preschoolers, and a school-age child with no interaction with them while they were all trying to play on one toy with children crying and screaming. Staff person #4 was observed talking sternly to the children; telling them to "stop it", "you know better'" and blaming the children for their behaviors. On 9/13/24, 1/24/25, and 3/7/25 there was no written verification of the completed training. CONTINUING VIOLATION

Corrected Corrected by Mar 14, 2025

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

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation.

Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #2, #3, #4, and #5)

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(6) · An agreement shall specify the date of the child's admission. Specify the date of admission on the child's agreement and submit a copy of the properly completed agreement for verification of compliance. Ensure that all agreements include the date of the child's admission.

Several children's agreements did not specify the date of the child's admission. (#1, #2, #, #4, and #5)

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified child. Ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

One child's record did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months. (#5)

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

One child's record did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#2)

Corrected Corrected by Mar 14, 2025

Category: ratio. Marked corrected in the state record.

3280.52(b)/3280.52(c) · 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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The legal entity must arrange for all staff persons to complete ratio training. The facility must arrange for all facility staff to receive DHS approved training in proper staff/child ratios and in handling transitions including when a staff must leave the group to ensure ongoing compliance. The facility must develop and submit a written staffing plan including provisions for staff shortages including but not limited to call outs, scheduling, terminations, resignations and operational tasks that impact staffing and times of transition to ensure ongoing compliance. Submit a copy of the written staffing plan. Submit written verification of completed training and the staffing plan for all facility staff persons.

On 1/24/25 at approximately 2:30pm, one staff person (#1) was observed caring for a group of 6 infants (birth-12 months) young/older toddlers (1-2 years), and preschoolers (3 years to first day of entering Kindergarten). Staff person #2 was upstairs taking care of an administrative task. Staff persons (#1 and #2) verified the ages of the children in care.

Corrected Corrected by Feb 24, 2025

Category: ratio. Marked corrected in the state record.

3280.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Ensure that daily activities promote the development of skills, social competence, and self-esteem. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding developmentally appropriate programming and activities for children (toddlers/preschool/school-age). The training must be hands on, DHS approved training. Submit written verification of the completed training for all facility staff.

On 6/18/24, at approximately 4;00pm, daily activities did not promote the development of skills, social competence, and self-esteem as staff person #2 were observed in the vicinity of a group of older toddlers, preschoolers, and a school-age child with no interaction with them while they were all trying to play on one toy with children crying and screaming. Staff person #4 was observed talking sternly to the children; telling them to "stop it", "you know better'" and blaming the children for their behaviors. On 9/13/24 and 1/24/25, there was no written verification of the completed training. CONTINUING VIOLATION

Corrected Corrected by Feb 24, 2025

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

3280.52(b)/3280.52(c) · 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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The legal entity must arrange for all staff persons to complete ratio training. The facility must arrange for all facility staff to receive DHS approved training in proper staff/child ratios and in handling transitions including when a staff must leave the group to ensure ongoing compliance. Submit written verification of completed training for all facility staff persons.

On 6/18/24 at approximately 4:00pm, two staff persons (#1 and #2) were observed caring for a group of 12 young/older toddlers (1-2 years), preschooler (3 years to first day of entering Kindergarten), and young/older school age children (K to 6th grade). Staff person #3 had left the facility to tend to another task. Staff persons (#1 and #2) verified the ages of the children in care. On 9/13/24, there was no written verification of the completed training. CONTINUING VIOLATION

Corrected Corrected by Oct 13, 2024

Category: ratio. Marked corrected in the state record.

3280.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Ensure that daily activities promote the development of skills, social competence, and self-esteem. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding developmentally appropriate programming and activities for children (toddlers/preschool/school-age). The training must be hands on, DHS approved training. Submit written verification of the completed training for all facility staff.

On 6/18/24, at approximately 4;00pm, daily activities did not promote the development of skills, social competence, and self-esteem as staff person #2 were observed in the vicinity of a group of older toddlers, preschoolers, and a school-age child with no interaction with them while they were all trying to play on one toy with children crying and screaming. Staff person #4 was observed talking sternly to the children; telling them to "stop it", "you know better'" and blaming the children for their behaviors. On 9/13/24, there was no written verification of the completed training. CONTINUING VIOLATION

Corrected Corrected by Oct 13, 2024

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

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 #2 may not work in a child care position at the facility until the proper CHILD ABUSE clearance has been completed. Submit a copy of the completed CHILD ABUSE clearance for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

On 6/18/24, the facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#3-hired 6/17/24- no completed CHILD ABUSE clearance)

Corrected Corrected by Jul 18, 2024

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

3280.51 · No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator. No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator. Ensure that the established capacity is not exceeded in accordance with 3280 regulations related to measurement and use of indoor childcare space. Develop a staffing and child transition plan to ensure that the established capacity is not exceeded during naptime and program time as specified in these regulations.

On 5/1/24 at approximately 2:45pm, a group of 16 young/older toddler, and preschool age children were observed being cared for in the facility that has a capacity for 11 children.

Corrected Corrected by Jun 18, 2024

Category: ratio. Marked corrected in the state record.

3280.52(b)/3280.52(c) · 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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The required staff:child ratios must be maintained at all times. Ensure that the staff/child ratios are in compliance at all times.

On 6/18/24 at approximately 4:00pm, two staff persons (#1 and #2) were observed caring for a group of 12 young/older toddlers (1-2 years), preschooler (3 years to first day of entering Kindergarten), and young/older school age children (K to 6th grade). Staff person #3 had left the facility to tend to another task. Staff persons (#1 and #2) verified the ages of the children in care.

Corrected Corrected by Jun 18, 2024

Category: ratio. Marked corrected in the state record.

3280.52(b)/3280.52(c) · 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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The legal entity must arrange for all staff persons to complete ratio training. The facility must arrange for all facility staff to receive DHS approved training in proper staff/child ratios and in handling transitions including when a staff must leave the group to ensure ongoing compliance. Submit written verification of completed training for all facility staff persons.

On 6/18/24 at approximately 4:00pm, two staff persons (#1 and #2) were observed caring for a group of 12 young/older toddlers (1-2 years), preschooler (3 years to first day of entering Kindergarten), and young/older school age children (K to 6th grade). Staff person #3 had left the facility to tend to another task. Staff persons (#1 and #2) verified the ages of the children in care.

Corrected Corrected by Jul 18, 2024

Category: ratio. Marked corrected in the state record.

3280.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Ensure that daily activities promote the development of skills, social competence, and self-esteem. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding developmentally appropriate programming and activities for children (toddlers/preschool/school-age). The training must be hands on, DHS approved training. Submit written verification of the completed training for all facility staff.

On 6/18/24, at approximately 4;00pm, daily activities did not promote the development of skills, social competence, and self-esteem as staff person #2 were observed in the vicinity of a group of older toddlers, preschoolers, and a school-age child with no interaction with them while they were all trying to play on one toy with children crying and screaming. Staff person #4 was observed talking sternly to the children; telling them to "stop it", "you know better'" and blaming the children for their behaviors.

Corrected Corrected by Jul 18, 2024

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

3280.61(h)/3280.61(h)(1)(ii) · The capacity established for an indoor space may not be exceeded. At naptime, when toddler or preschool children are resting on rest equipment, the capacity may be exceeded for a period not longer than 2 1/2 consecutive hours, no more than twice in a program day. Ensure that the established capacity is not exceeded in accordance with 3280 regulations related to measurement and use of indoor childcare space. Develop a staffing and child transition plan to ensure that facility is compliant during naptime and program activity time as specified in these regulations. Submit a copy of the written staffing and transition plan.

On 5/1/24 at approximately 2:45pm, a group of 16 young/older toddler, and preschool age children were observed being cared for in the facility that has a capacity for 11 children. On 6/18/24, at approximately 4:00pm., a group of 12 young/older toddler, preschool, and school-age children were observed being cared for in the facility that has a capacity for 11 children. The children were not napping or in a program activity as specified in these regulations.

Corrected Corrected by Jun 18, 2024

Category: ratio. Marked corrected in the state record.

3280.14/3280.20 · 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. Revise and submit the facilities policies to include the identification and prevention of child maltreatment.

The facilities written policies on shaken baby abusive head trauma and child maltreatment did not include the identification and prevention of child maltreatment.

Corrected Corrected by Apr 22, 2024

Category: ratio. Marked corrected in the state record.

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 cannot work in a childcare position at the facility until the proper CHILD ABUSE clearance has been completed. Submit a copy of the completed CHILD ABUSE clearance for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#2-hired 5/8/23- CHILD ABUSE is for a volunteer and not a staff person)

Corrected Corrected by May 1, 2024

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

3280.51 · No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator. Ensure that the established capacity is not exceeded in accordance with 3280 regulations related to measurement and use of indoor childcare space. Develop a staffing and child transition plan to ensure that the established capacity is not exceeded during naptime and program time as specified in these regulations.

On 5/1/24 at approximately 2:45pm, a group of 16 young/older toddler, and preschool age children were observed being cared for in the facility that has a capacity for 11 children.

Corrected Corrected by May 1, 2024

Category: ratio. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released. Update the agreement to specify the persons designated by a parent to whom the child may be released. Submit a copy of the updated agreement.

One child's agreements that did not specify the persons designated by a parent to whom the child may be released. (#3)

Corrected Corrected by Apr 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Emergency contact information in several children's records were not being updated every 6 months. (#2, #3, #4 and #5)

Corrected Corrected by Apr 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission for the indicated children. Ensure that this information is in all children's records.

One child's record did not contain written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission. (#2)

Corrected Corrected by Apr 22, 2024

Category: ratio. Marked corrected in the state record.

3280.61(h)/3280.61(h)(1)(ii) · The capacity established for an indoor space may not be exceeded. At naptime, when toddler or preschool children are resting on rest equipment, the capacity may be exceeded for a period not longer than 2 1/2 consecutive hours, no more than twice in a program day. Ensure that the established capacity is not exceeded in accordance with 3280 regulations related to measurement and use of indoor childcare space. Develop a staffing and child transition plan to ensure that the established capacity is not exceeded during naptime and program time as specified in these regulations.

On 5/1/24 at approximately 2:45pm, a group of 16 young/older toddler, and preschool age children were observed being cared for in the facility that has a capacity for 11 children. The children were not napping or in a program activity as specified in these regulations

Corrected Corrected by May 1, 2024

Category: ratio. Marked corrected in the state record.

3280.26(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. Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Submit a written copy of the amended emergency plan.

The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Apr 22, 2024

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

3280.94(a)(9) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. Ensure that all fire drill records to include this information. Submit a copy of completed fire drills that contains the names of the participating facility persons.

The fire drill record for 4/17/23 did not contain the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Corrected Corrected by Apr 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.Ensure that the director or designee knows how to activate the fire detection system for testing. Ensure that the fire detection system is tested every 30 days, documented in writing and retained with the fire drill log.

On 5/1/24, the facility fire detection system was accessible and not able to be tested.

Corrected Corrected by May 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides 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. Amend the facility emergency plan to include lock down procedures. Submit a written copy of the amended emergency plan.

The facility's emergency plan did not provide for shelter of children during an emergency including lock down procedures.

Corrected Corrected by Apr 22, 2024

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

3280.52(b)/3280.52(c) · 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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group. 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 at §3280.52(b). The required staff:child ratios must be maintained at all times. Ensure that the staff/child ratios are in compliance at all times.

On 12/1/23, at approximately 3:00pm, two staff persons were observed caring for a group of 18 young/older toddlers (1-2 years), preschooler (3 years to first day of entering Kindergarten), and young/older school age children (K to 6th grade). Both staff persons verified the ages of the children in care. (staff # 1 and #2)

Corrected Corrected by Dec 1, 2023

Category: ratio. Marked corrected in the state record.

3280.52(b)/3280.52(c) · 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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group. 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 at §3280.52(b). The required staff:child ratios must be maintained at all times. Develop a staffing and child transition plan that includes nap arrangements to ensure that staff/child ratios are maintained at all times.

On 12/1/23, at approximately 3:00pm, two staff persons were observed caring for a group of 18 young/older toddlers (1-2 years), preschooler (3 years to first day of entering Kindergarten), and young/older school age children (K to 6th grade). Both staff persons verified the ages of the children in care. (staff # 1 and #2)

Corrected Corrected by Dec 1, 2023

Category: ratio. Marked corrected in the state record.

3280.61(h) · The capacity established for an indoor space may not be exceeded. Ensure that the established capacity is not exceeded in accordance with 3280 regulations related to measurement and use of indoor childcare space. Develop a staffing and child transition plan to ensure that facility is compliant during naptime and program activity time as specified in these regulations.

On 12/1/23, at approximately 3:00pm, a group of 18 young/older toddler, preschool and school-age children were observed being cared for in the facility that has a capacity for 11 children. The children were not napping or in a program activity as specified in these regulations

Corrected Corrected by Jan 1, 2024

Category: ratio. Marked corrected in the state record.

3280.94(a)(5) · The primary staff person 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 renewal inspection, cert rep observed missing evacuation route posting at the facility.

Corrected Corrected by May 12, 2022

Category: recordkeeping. Marked corrected in the state record.