3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Certification rep reviewed staff #1 record and observed verification of education and transcripts were not in record.

Corrected Corrected by Mar 18, 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

Certification rep reviewed staff #1 and #2 record and observed signed disclosure statement was not in record. Staff #1 mandated reporter training on record was not an approved DHS mandated reporter training.

Corrected Corrected by Mar 18, 2025

Category: supervision. 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.

Certification rep reviewed children #1 and #2 record and observed emergency contacts in record were missing insurance policy numbers.

Corrected Corrected by Mar 31, 2025

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

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

Certification rep reviewed staff #1 record and observed pediatric first aid in record was not from an approved PQUAS certified trainer.

Corrected Corrected by Apr 1, 2025

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

3270.94(a)(9) · The Director 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.

During the renewal inspection certification rep reviewed fire drill log and observed written record was not maintained on file for previous months.

Corrected Corrected by Mar 31, 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

Continued non- compliance staff #1 State Police criminal record is pending for control: date of request:9/16/24. Cert rep reviewed staff #2 record and observed State Police Criminal Clearances is for volunteer purposes not employment.

Corrected Corrected by Feb 17, 2025

Category: supervision. Marked corrected in the state record.

3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Certification rep reviewed staff #5 record and observed it did not 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.

Corrected Corrected by Feb 17, 2025

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Certification rep reviewed staff #3 and #4 record and observed it did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Feb 17, 2025

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. Until such time as the required pre-service trainings is completed, staff person # 4 must be supervised, when interacting with children, by an (AGS, primary staff person, or family childcare home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person 4, may not work in a child-care position at the facility.

Continued non-compliance cert rep reviewed emergency plan and observed it did not include continuity of operations. Staff #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and CPR training and Health and safety training.

Corrected Corrected by Jan 30, 2025

Category: supervision. 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.

Certification rep reviewed staff #5 record and observed pediatric first aid training in record is expired, date of expiration: 10/14/22.

Corrected Corrected by Jan 30, 2025

Category: ratio. 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.

Certification rep reviewed staff #5 record and observed fire safety training in record is expired, date of expiration: 1/15/23.

Corrected Corrected by Jan 30, 2025

Category: ratio. 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

Certification rep reviewed staff #4 record and observed State Police criminal record is pending for control: date of request:9/16/24.

Corrected Corrected by Dec 27, 2024

Category: supervision. Marked corrected in the state record.

3270.52/3270.113(a)(1) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). IF USING TIERED LIS The required staff: child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff: child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. 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.

Continued non-compliance, during follow up visit on 12/10/24 cert rep observed staff #1, #4 and #5 out of ratio with a total of 44 children, the youngest child was 5 years old and the oldest child 13 years old. Cert rep observed staff #4 leave the cafeteria room with a total of 9 children to the bathroom leaving staff #1 and #5 with a total of 35 children in the cafeteria. Staff #5 did not know the names and where about of the children in his assigned group. Cert rep observed ratio sheets were not used by staff to keep count of the amount number of children present. Staff #5 gave a total # of 46 children present; number of actual children present at the time was 44. Completed weekly documentation of ratio sheets have not been submitted on a weekly basis.

Corrected Corrected by Jan 2, 2025

Category: supervision. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Continued non -compliance certification rep reviewed staff #1and #2 and observed verification of experience was not in record.

Corrected Corrected by Jan 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · 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.

Continued non- compliance certification rep reviewed staff records and observed staff #2 and did not 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 in record. Staff #5 physical examination on record expired, date in record 5/18/22.

Corrected Corrected by Jan 30, 2025

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Continued non-compliance cert rep reviewed staff records and observed #1 records did not include one written nonfamily reference from individuals attesting to the person's suitability to serve as a facility person. Staff #2 and #3 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jan 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Continued non-compliance certification rep reviewed emergency plan delivery document and observed a copy of the emergency plan and subsequent plan updates was not sent to the county emergency management agency.

Corrected Corrected by Jan 15, 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.

During the renewal inspection certification rep observed staff #2, #3, #4 and #9 record and observed emergency plan training at initial employment was not in record. Cert rep reviewed emergency plan and observed it did not include continuity of operations.

Corrected Corrected by Nov 21, 2024

Category: ratio. Marked corrected in the state record.

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

During the follow up visit on 10/28/24 staff #10 and #11 records were not accessible.

Corrected Corrected by Nov 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

During the renewal inspection certification rep reviewed staff #7 record and did not observe completion of Pediatric first aid and CPR training by a PQUAS certified trainer in record. During follow up visit on 10/28/24 cert rep observed staff #8 working alone unsupervised without a Pediatric First Aid and CPR training on file.

Corrected Corrected by Nov 21, 2024

Category: supervision. 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

During the renewal inspection certification rep reviewed staff #3 record and observed FBI clearance was not in record. Staff #3 and #8 signed disclosure statement was not in record. Staff #9 record did not include an FBI and NSOR clearance.

Corrected Corrected by Nov 21, 2024

Category: supervision. Marked corrected in the state record.

3270.52/3270.113(a)(1) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). IF USING TIERED LIS: The required staff: child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff: child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. 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 follow up visit on 10/28/24 cert rep observed staff #8, #9, #10 and #11 out of ratio with a total of 49 children the youngest child 5 years in age in the cafeteria room. Cert rep observed staff #10 was not physically present with his group, a total of 9 children were observed in the playground area, staff #10 left children unsupervised to watch two other children walk back to the school building cafeteria. Staff #10 was not able to name children in his assigned group.

Corrected Corrected by Nov 21, 2024

Category: supervision. 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.

From previous inspection, cert rep observed staff #3 and #5 working with 40 children the youngest child was 5 years old. During the renewal inspection cert rep observed one child go into the bathroom unsupervised while transitioning from the music room to the cafeteria. Cert rep observed a total of four children leave the cafeteria at a single time unsupervised by staff #3 and #5. Cert rep observed Staff #3 leave staff #5 alone with 40 children while she went ran out to the bathroom due to an injury. During a follow up visit on 9/11/24 certification rep observed Staff #1 and # 5 working alone with a total of 40 children the youngest child was 5 years old. During the follow up visit cert rep observed one child leave the cafeteria unsupervised. During the follow up visit on 9/17/24 cert rep observed Staff #2 leave the cafeteria to take one child to the bathroom leaving the group out of ratio with a total of 40 children to 3 staff, youngest child was 5 years old; staff #1, #2, #3, #4, #5, #6, #7 and #8 were not assigned the responsibility for supervision of specific children.

Corrected Corrected by Nov 29, 2024

Category: supervision. Marked corrected in the state record.

3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Cert rep reviewed staff #9 record and observed Health assessment in record was not signed by a physician, physician's assistant or CRNP.

Corrected Corrected by Nov 21, 2024

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

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Certification rep reviewed staff #1, #3, #5, #6, and #7 and observed verification of experience was not in record. Staff #8 verification of experienced is not signed and verified. Staff #5 #6 level of education was not in record.

Corrected Corrected by Nov 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection certification rep reviewed staff records and observed staff #3, #5 and #7 did not 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 in record.

Corrected Corrected by Nov 21, 2024

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Certification rep reviewed staff records and observed #1 and #4 records did not include one written nonfamily reference from individuals attesting to the person's suitability to serve as a facility person. Staff #5, #6, #7 and #8 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.Staff files are updated.

Corrected Corrected by Nov 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Certification rep reviewed emergency plan delivery document and observed a copy of the emergency plan and subsequent plan updates was not sent to the county emergency management agency.

Corrected Corrected by Nov 21, 2024

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

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Certification rep reviewed staff #1, #3, #5, #6, #7 and #8 and observed verification of experience was not in record. Staff #5, #6 and #8 level of education was not in record.

Corrected Corrected by Oct 21, 2024

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 certification rep observed staff #2, #3, #4 and #8 record and observed emergency plan training at initial employment was not in record. Cert rep reviewed emergency plan and observed it did not include continuity of operations.

Corrected Corrected by Oct 21, 2024

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f) (1 -- 10) within 90 days of hire. Staff person #7 will have until 10/8/24 to complete the required training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an (AGS, primary staff person, or family childcare home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

During the renewal inspection certification rep reviewed staff #7 record and did not observe completion of Pediatric first aid and CPR training by a PQUAS certified trainer in record.

Corrected Corrected by Oct 21, 2024

Category: supervision. 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

During the renewal inspection certification rep reviewed staff #3 record and observed FBI clearance was not in record. Staff #3 and #8 signed disclosure statement was not in record.

Corrected Corrected by Oct 21, 2024

Category: supervision. 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 renewal inspection cert rep observed staff #3 and #5 working with 40 children the youngest child was 5 years old. During the renewal inspection cert rep observed one child go into the bathroom unsupervised while transitioning from the music room to the cafeteria. Cert rep observed a total of four children leave the cafeteria at a single time unsupervised by staff #3 and #5. Cert rep observed Staff #3 leave staff #5 alone with 40 children while she went ran out to the bathroom due to an injury. During a follow up visit on 9/11/24 certification rep observed Staff #1 and # 5 working alone with a total of 40 children the youngest child was 5 years old. During the follow up visit cert rep observed one child leave the cafeteria unsupervised. During the follow up visit on 9/17/24 cert rep observed Staff #2 leave the cafeteria to take one child to the bathroom leaving the group out of ratio with a total of 40 children to 3 staff, youngest child was 5 years old; staff #1, #2, #3, #4, #5, #6, #7 and #8 were not assigned the responsibility for supervision of specific children.

Corrected Corrected by Oct 21, 2024

Category: supervision. 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.

From previous inspection, cert rep observed staff #3 and #5 working with 40 children the youngest child was 5 years old. During the renewal inspection cert rep observed one child go into the bathroom unsupervised while transitioning from the music room to the cafeteria. Cert rep observed a total of four children leave the cafeteria at a single time unsupervised by staff #3 and #5. Cert rep observed Staff #3 leave staff #5 alone with 40 children while she went ran out to the bathroom due to an injury. During a follow up visit on 9/11/24 certification rep observed Staff #1 and # 5 working alone with a total of 40 children the youngest child was 5 years old. During the follow up visit cert rep observed one child leave the cafeteria unsupervised. During the follow up visit on 9/17/24 cert rep observed Staff #2 leave the cafeteria to take one child to the bathroom leaving the group out of ratio with a total of 40 children to 3 staff, youngest child was 5 years old; staff #1, #2, #3, #4, #5, #6, #7 and #8 were not assigned the responsibility for supervision of specific children.

Corrected Corrected by Nov 29, 2024

Category: supervision. Marked corrected in the state record.

3270.182(8) · A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Certification reviewed child #1 record and observed an initial agreement and subsequent written agreements between the parent and the operator was not in record.

Corrected Corrected by Oct 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection certification rep reviewed staff records and observed staff #3, #5 and #7 did not 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 in record.

Corrected Corrected by Oct 21, 2024

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Certification rep reviewed staff records and observed #1 and #4 records did not include one written nonfamily reference from individuals attesting to the person's suitability to serve as a facility person. Staff #5, #6, #7 and #8 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Oct 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Certification rep reviewed emergency plan delivery document and observed a copy of the emergency plan and subsequent plan updates was not sent to the county emergency management agency.

Corrected Corrected by Oct 21, 2024

Category: physical safety. 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.

Certification rep reviewed child #2 record and observed signed parental consent for administration of minor first-aid procedures by facility staff missing on emergency contact form.

Corrected Corrected by May 23, 2024

Category: ratio. 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.

Child #2 record was observed to be missing address and physician /medical care missing on emergency contact form.

Corrected Corrected by May 23, 2024

Category: health medication. 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.

Childs #1 record was observed to be missing policy number for a child under a family policy or Medical Assistance benefits, missing on emergency contact form.

Corrected Corrected by May 23, 2024

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.

Certification rep reviewed child #1 record and observed release person address missing on emergency contact form.

Corrected Corrected by May 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection certification rep reviewed Staff #1 record and observed staff #1 did not have in record verification of experience.

Corrected Corrected by May 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection certification rep reviewed staff #1 record and observed date of results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis not on physical examination form.

Corrected Corrected by May 23, 2024

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

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

During the renewal inspection certification rep observed liability insurance in records expired; date of expiration 1/1/2024.

Corrected Corrected by Apr 19, 2024

Category: ratio. 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

Continued noncompliance from renewal inspection: During the follow up visit on 4/5/24 certification rep reviewed staff #1, #2 and #3 record and observed staff do not have DHS clearances in record. Staff #1 does not have an NSOR clearance date of hire: 12/21/23, start date:1/3/24. Staff #3 does not have an NSOR clearance in record, date of hire: 9/13/23, start date:10/17/23. Staff #2 does not have an NSOR clearance date of hire: 12/15/23, start date: 1/3/24. Cer rep observed staff #2 record and it did not contain out of state New Jersey clearances; Child abuse, State Police and NSOR clearance. Staff #1, #2, and #3 were all observed to be working with children.

Corrected Corrected by Apr 26, 2024

Category: supervision. 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.

Child #5 record was observed to be missing address and physician /medical care missing on emergency contact from.

Corrected Corrected by Apr 26, 2024

Category: health medication. 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.

Certification rep reviewed child #2,#3,#4 and #5 record and observed signed parental consent for emergency medical care for the child missing on emergency contact form.

Corrected Corrected by Apr 26, 2024

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.

Childs #1 record was observed to be missing policy number for a child under a family policy or Medical Assistance benefits, missing on emergency contact form.

Corrected Corrected by Apr 26, 2024

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.

Certification rep reviewed child #1 record and observed release person address missing on emergency contact form.

Corrected Corrected by Apr 26, 2024

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.

Certification rep reviewed child #2, #3 and #5 record and observed signed parental consent for administration of minor first-aid procedures by facility staff missing on emergency contact form.

Corrected Corrected by Apr 26, 2024

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Certification rep reviewed child, #2 and #3 record and observed signed parental consent for transportation, walking excursions, swimming and wading missing on the emergency contact form.

Corrected Corrected by Apr 26, 2024

Category: transportation. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection certification rep reviewed staff #2 transcripts did not include name of staff #2 to verify level of education. Staff #1, #2 and #3 did not have in record verification of experience.

Corrected Corrected by Apr 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection certification rep reviewed staff #3 record and observed date of results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis not on physical examination form.

Corrected Corrected by Apr 26, 2024

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

3270.14 · 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.

During the renewal inspection certification rep observed Staff #1, #2, #3, #4 and #5 record and observed Emergency plan training at time of hire not in records.

Corrected Corrected by Mar 18, 2024

Category: ratio. Marked corrected in the state record.

3270.14 · 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.

During the renewal inspection certification rep reviewed staff #5 record and observed staff #5 had no record of completing 10-hour health and safety training and one hour health and safety update within the 90-day period, date of hire:9/13/23 start date: 10/17/23.

Corrected Corrected by Mar 8, 2024

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

During the renewal inspection certification rep observed liability insurance in records expired; date of expiration 1/1/2024.

Corrected Corrected by Mar 8, 2024

Category: ratio. 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

During the renewal inspection certification reviewed staff #1, #2, #3, #4 and #5 record and observed staff do not have DHS clearances in record. Staff #1 does not have an FBI clearance or receipt of fingerprint in record, date of hire:1/29/24, start date: 1/30/24. Staff#2 does not have an NSOR clearance or Child Abuse Clearance in record date, date if hire: 11/3/23, start date:11/27/23. Staff #3 does not have an NSOR clearance and Child Abuse in record, date of hire: 12/21/23, start date:1/3/24. Staff #4 does not have an NSOR clearance and Child Abuse in record, date of hire: 12/15/23, start date: 1/3/24. Staff #5 does not have an NSOR clearance in record, date of hire: 9/13/23, start date:10/17/23.

Corrected Corrected by Mar 22, 2024

Category: supervision. Marked corrected in the state record.

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

Certification rep reviewed child #1, #2, #3, #4 and #5 and observed Child agreement forms were not signed by the operator at the time of inspection.

Corrected Corrected by Mar 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4)/3270.123(a)(5) · An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

Certification rep reviewed child #1,#2, #3, #4 and #5 record and observed child's arrival and departure times missing on fee agreement from. Certification rep reviewed child #1, #2, #3, #4 and #5 record and observed persons designated by a parent to whom the child may be released missing on the agreement form.

Corrected Corrected by Mar 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Certification rep reviewed child #1,#2,#3,#4 and #5 record and observed the date of the child's admission missing on the agreement form.

Corrected Corrected by Mar 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(1)/3270.124(b)(2) · Emergency contact information must include the name and birth date of the child. Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Certification rep reviewed child #1 record and observed birth date of the child missing on emergency contact form.Certification rep reviewed child #2and #3 record and observed the name, address and telephone number of the child's physician or source of medical care missing on emergency contact form. Child #5 record was observed to be missing address and physician /medical care missing on emergency contact from.

Corrected Corrected by Mar 20, 2024

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.

Certification rep reviewed child #4 record and observed home and work addresses and telephone work number missing on emergency contact form. Child #5 record work address and work phone number missing on emergency contact form.

Corrected Corrected by Mar 20, 2024

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.

Certification rep reviewed child #1,#2,#3 and #5 record and observed signed parental consent for emergency medical care for the child missing on emergency contact form.

Corrected Corrected by Mar 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5)/3270.124(b)(6) · 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. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Certification rep reviewed child #1, #2, #3, #4 and #5 and observed 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 missing on the emergency contact form.Certification rep reviewed children #2, #3 and #5 record and observed health insurance coverage information missing. Childs #1, #2, #3, #4 and #5 record were observed to be missing policy number for a child under a family policy or Medical Assistance benefits, missing on emergency contact form.

Corrected Corrected by Mar 20, 2024

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.

Certification rep reviewed child #1, #4 and #5 record and observed release person address missing on emergency contact form. Child #5 record was observed to be missing release person phone number on emergency contact form.

Corrected Corrected by Mar 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(4)/3270.182(5) · A child's record shall contain signed parental consent for administration of medications or special dietary needs. 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.

Certification rep reviewed staff #1,#2,#3 and #5 record and observed signed parental consent for administration of medications or special dietary needs missing on emergency contact form.Certification rep reviewed child #1,#2,#3 and #5 record and observed signed parental consent for administration of minor first-aid procedures by facility staff missing on emergency contact form.

Corrected Corrected by Mar 20, 2024

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Certification rep reviewed child #1, #2, #3 and #5 record and observed signed parental consent for transportation, walking excursions, swimming and wading missing on the emergency contact form.

Corrected Corrected by Mar 20, 2024

Category: transportation. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection certification rep reviewed staff #2 record and observed level of education not in record, staff #4 transcripts did not include name of staff #4 to verify level of education. Staff #2, #3, #4 and #5 did not have in record verification of experience.

Corrected Corrected by Mar 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection certification rep reviewed staff #5 record and observed date of results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis not on physical examination form.

Corrected Corrected by Mar 18, 2024

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

During the renewal inspection Staff #2, #3, #4 and #5 records were reviewed, and certification rep observed records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Mar 18, 2024

Category: recordkeeping. 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.

Certification rep reviewed the fire drill log and observed it was not conducted within 60-day period; date of documented fire drill in record.2/12/2024

Corrected Corrected by Mar 18, 2024

Category: recordkeeping. Marked corrected in the state record.