3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Certification rep reviewed staff #1 record and observed record did not include staff #1 receiving training regarding the emergency plan at the time of initial employment or on an annual basis and at the time of each plan update. updated emergency plan training was not in record.

Corrected Corrected by Jun 26, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Certification rep reviewed staff #1 record and observed staff #1 did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification; 12/31/23.

Corrected Corrected by Jun 19, 2025

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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.

Certification rep reviewed staff #1 record and observed staff #1 Mandated Reporter Training in record expired: date of expiration 5/15/17.

Corrected Corrected by Jun 19, 2025

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.

Certification rep observed staff #2 in the rainbow room with one child leaving staff #3 out of ratio with a total of 15 children, outside in the playground area, the youngest child was 3 years in age. Staff #2 was not able to provide the number of children in her assigned group.

Corrected Corrected by Jun 16, 2025

Category: supervision. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Certification rep reviewed staff #1 record and observed record did not include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Corrected Corrected by Jun 25, 2025

Category: health medication. 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 children #1, #2, #3, #4 and #5 record and observed date of children admission is not in record.

Corrected Corrected by Jan 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Certification rep reviewed staff #1 record and observed fire safety training in record expired, date of expiration:11/30/24.

Corrected Corrected by Dec 16, 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.

Certification rep reviewed staff #5 record and observed signed disclosure statement was not in record.

Corrected Corrected by Jan 13, 2025

Category: supervision. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Certification rep reviewed staff #5 record and observed health assessment did not include tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Dec 20, 2024

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

3270.182(1) · A child's record shall contain initial and subsequent health reports.

Certification rep reviewed child #5 record and observed physical exam in record is expired: 11/22/23.

Corrected Corrected by Jan 20, 2025

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

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

Certification rep reviewed child #5 record and observed emergency contact from did not include signed parental consent for administration of medications or special dietary needs.

Corrected Corrected by Jan 7, 2025

Category: ratio. Marked corrected in the state record.

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

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

Corrected Corrected by Dec 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Certification rep reviewed staff #2, and #3 record and observed staff did not obtain an annual minimum of 12 clock hours of childcare training.

Corrected Corrected by Jan 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.162(b) · Meals and snacks may be provided by the parent, upon agreement between the parent and the operator.

Formula was not provided to child #1 as agreed upon by the parent and staff #1.

Corrected Corrected by Dec 11, 2024

Category: nutrition. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

On the day of incident, no incident report was written and given to the parent by staff #2.

Corrected Corrected by Dec 11, 2024

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

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During the renewal inspection provider did not have in record a documented emergency drill log at the facility.

Corrected Corrected by Dec 15, 2023

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.

Certification rep reviewed emergency plan and observed "continuity of operations" section missing in the emergecny plan.

Corrected Corrected by Feb 7, 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.

Addendum from renewal inspection. During follow up visit on 2/15/24 certification rep received new information from staff data sheet. Certification rep reviewed staff #1 record and observed staff #1 did not have an NSOR clearance in record. Staff #5 did not have and NSOR certificate in record. staff #6 did not have an up-to-date FBI clearance on record, date of clearance in record 6/23/18. Staff #7 child abuse clearance in record expired, date of child abuse clearance in record 1/17/19.

Corrected Corrected by Feb 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.

Certification rep reviewed staff #1 file and observed disclosure statement was not in record date of hire: 10/23/. Staff #3 did not obtain a Child Abuse clearance, State Police Clearance, FBI Clearance: date of hire 8/29/2023.

Corrected Corrected by Dec 4, 2023

Category: supervision. Marked corrected in the state record.

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

During the renewal inspection certification rep observed outlet covers missing on the back wall of the classroom and above counter in the back sink area.

Corrected Corrected by Dec 4, 2023

Marked corrected in the state record.

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

During the renewal inspection certification rep read water temperature at 120 F in the girl's bathroom.

Corrected Corrected by Dec 4, 2023

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During the renewal inspection certification rep observed the Supers Stars first aid kit did not contain a tweezer. The Sweet Peas first aid bag did not contain gauze tape and the afterschool room first aid bag did not contain bandages.

Corrected Corrected by Jan 12, 2024

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Durin the renewal inspection certification rep observed the girls and boy's bathroom did not have the proper handwashing sign above sink and toilets. In the care bears room bathroom sign above toilet was missing and, in the after, -school bathroom toilets.

Corrected Corrected by Dec 4, 2023

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

During the renewal inspection certification rep observed the outside gate that serves as an emergency exit was locked.

Corrected Corrected by Jan 12, 2024

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

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

Certification rep reviewed child #6 record and observed amount of the fee to be charged per day or per week and date on which the fee is to be paid missing on agreement form.

Corrected Corrected by Feb 7, 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 children #5 #7 and #9 record and observed admission date for facility children are not in their child record.

Corrected Corrected by Feb 7, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Certification rep reviewed child #3 record and observed child #3 is missing the name, address and telephone number of the child's physician or source of medical care in the emergency contact form. Certification rep observed Child #3 record and observed health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits missing on the emergency contact form.

Corrected Corrected by Feb 7, 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 #3 record and observed written consent signed by a parent for emergency medical care missing on the emergency contact form.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5)/3270.182(4) · 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. A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Certification rep reviewed children #2 and #3 record 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 is missing on the emergency contact form. Certification rep reviewed children #2 #3 and #4 record and observed child #2 and #3 is missing signed parental consent for administration of medications or special dietary needs. Child #4 signed parental consent for administration of medications on the emergency contact form.

Corrected Corrected by Feb 7, 2024

Category: ratio. Marked corrected in the state record.

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

During the renewal inspection certification rep observed the superstar's room had only 1 emergency contact form. The Rainbow room had 4 emergency contact forms out of 19 children enrolled in the classroom. In the Care Bears room there were 6 emergency contact forms out of 10 children enrolled. In the Sweet Peas room there were only 7 emergency contact forms out of 9 children enrolled.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Certification rep reviewed children #1, #4 and #5 record and observed financial fee agreement form in record was not updated within a - month period; child#1 date of agreement in record 6/23/22, child #2 9/26/22 and child #5 1/4/23. Emergency contacts for children #1, #2 and #3 were not reviewed and updated within a 6- month period, Child#1 date in record 1/23/22, child#2 9/6/22 and child #3 4/10/23. Child #2 did not have a financial agreement in record.

Corrected Corrected by Feb 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Certification rep reviewed children #1, #3 and #4 record and observed children health reports in record was not updated within a 12-month period. Child #1 date of health report in record: 4/25/22, child #3: 5/26/22 and child #4: 9/2022.

Corrected Corrected by Feb 7, 2024

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

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Certification rep reviewed children #1 #2 #3 #4 #5 #6 and #7 record and observed the facility children enrolled more than 60 days at the facility, did not contain current documentation of the flu vaccine based on the child's age as per the ACIP recommended schedule.

Corrected Corrected by Feb 7, 2024

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

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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 #3 and #4 record and observed staff #3 Tb results of initial and subsequent tuberculin skin tests are pending: date of physical exam on record 8/28/2023. Staff #4 Physical Exam is expired date on record 1/18/2021 and results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis are not in record.

Corrected Corrected by Dec 11, 2023

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

3270.182(5)/3270.182(6) · 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. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

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

Corrected Corrected by Feb 7, 2024

Category: ratio. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

Certification rep reviewed staff #3 record and observed staff #3 did not have a complete record date of hire: 8/28/2023.

Corrected Corrected by Jan 12, 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.

Certification rep reviewed Staff #1, #2, #3 and #4 record and observed verification of experience was not in record. Staff #3 did not have education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. level of education in record.

Corrected Corrected by Feb 7, 2024

Category: recordkeeping. 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 record and observed the record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Certification rep reviewed emergecny plan and observed a plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions missing on the emergecny plan.

Corrected Corrected by Feb 7, 2024

Category: physical safety. 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 observed the Director or designated staff person who is responsible for compliance did not maintain 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.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional childcare office.

During the renewal inspection certification rep observed the operator did not 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 childcare office.

Corrected Corrected by Dec 15, 2023

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.

During the renewal inspection emergency plan delivery document form was not in record with receipt that it was delivered to the local municipality and to the county emergency management agency.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

During the renewal inspection provider did not have on record an annual written notification to local traffic authority.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.70(a) · The indoor temperature shall be at least 65° F.

At the time of the complaint investigation, the temperature in Care Bears and Rainbow rooms were 56° F.

Corrected Corrected by Dec 27, 2022

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

At the time of renewal inspection, a policy and procedure to identify the potential signs and symptoms of baby shaken syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment was not observed.

Corrected Corrected by Dec 19, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f)/3270.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #3 will have until 12/28/2022 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

At the time of renewal inspection, record of staff person #3 did not include verification that staff completed required pre-service Health and Safety training.

Corrected Corrected by Dec 28, 2022

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). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #2 may not work in a child care position at the facility.

At the time of renewal inspection, file of staff person #1 and #2 included FBI clearance required by DHS that was more than 60 month old and are not acceptable.

Corrected Corrected by Dec 6, 2022

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

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

At the time of renewal inspection, hot water temperature accessible to children in Sweet Peas room was 118° F, in Superstars and The Magic School Bus rooms were 112° F.

Corrected Corrected by Dec 6, 2022

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

At the time of renewal inspection, a handwashing sign that requires an able child and adult to wash hands after toileting and before eating was not posted at the sink in Superstars, Supersonics, girls and boys bathroom.

Corrected Corrected by Dec 6, 2022

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

At the time of renewal inspection, a written plan of daily activities and routines was not posted in Care Bares room.

Corrected Corrected by Dec 6, 2022

Marked corrected in the state record.

3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

At the time of renewal inspection, emergency contact form of child #3 did not include enrolling parent work address and phone number. Emergency contact from of child #1, #2, #3, #4, and #5 did not include release person's address.

Corrected Corrected by Dec 20, 2022

Category: recordkeeping. Marked corrected in the state record.

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

At the time of renewal inspection, emergency contact form of child #2 and #5 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Dec 20, 2022

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

At the time of renewal inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in Sweet Peas room.

Corrected Corrected by Dec 6, 2022

Category: transportation. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

At the time of renewal inspection, emergency contact information of child #5 were not updated once in a 6-month period or as soon as there is a change in the information. Emergency contact form was reviewed by a parent on 1/19/22.

Corrected Corrected by Dec 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

At the time of renewal inspection, a health report of child #6 was not updated at least every 12 months. A health report on file was from 7/6/21.

Corrected Corrected by Dec 20, 2022

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

3270.131(d)(5)/3270.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

At the time of renewal inspection, immunization record of child #1 did not include MMR, Varicella and Hepatitis A immunization recommended by ACIP. Immunization record of child #3 did not include influenza immunization. Immunization record of child #5 did not include Hepatitis B, Hepatitis A, DTAP, HIB, Pneumococcal, Polio, Influenza, MMR, and Varicella immunization. A letter of exemption was not observed in the file of child #1, #3, and #5.

Corrected Corrected by Dec 20, 2022

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

At the time of renewal inspection, file of facility person #2 did not include an updated health assessment. A health assessment on file was from 8/12/20.

Corrected Corrected by Dec 27, 2022

Category: ratio. Marked corrected in the state record.

3270.181(e) · If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

At the time of renewal inspection observed that some emergency contact forms were not updated in Sweet Peas, Superstars, Super Sonic, and The Magic School Bus rooms.

Corrected Corrected by Dec 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

At the time of the complaint investigation it was verified that staff person #1 was using harsh language in the presence of children while being overheard by two other staff members saying "They are getting on my nerves", "I have enough of these kids", "I am done with them".

Corrected Corrected by Oct 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the following topics within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

At the time of renewal inspection, file of staff person #3 hired on 8/23/21 and staff person #5 hired on 8/30/21 did not include verification of health and safety training completed within 90 days of hire.

Corrected Corrected by Jan 10, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 5 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2 and #5 must be removed from child care position by close of business.

At the time of renewal inspection, file of staff person #2 included FBI Clearance from 12/16/2016 which was more than 60 months old. File of staff person #5 hired on 8/30/21 did not include DHS required FBI clearance and NSOR Verification Certificate. Provisional hire period for staff person #5 ended on 10/14/21. In addition, file of staff person #5 did not contain verification of the required Mandated and Permissive Reporting in Pennsylvania training conducted within the 90 days of hire.

Corrected Corrected by Jan 10, 2022

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

At the time of renewal inspection, file of staff person #2 and #6 didn't contain proof of current written evaluation.

Corrected Corrected by Jan 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

At the time of renewal inspection, file of staff person #1 and #5 did not include verification of 2 years experience with children required for the position of an assistant group supervisor.

Corrected Corrected by Jan 10, 2022

Category: supervision. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

At the time of renewal inspection, a health assessment of staff person #4 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Jan 10, 2022

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

At the time of renewal inspection, file of staff person #1 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 10, 2022

Category: recordkeeping. Marked corrected in the state record.