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

On 11-7-2024 during a follow-up visit, the water temperature in the Girls bathroom (Building A) was 130° F. Continued noncompliance from Renewal inspection on 8-29-2024 and 9-16-2024.

Corrected Corrected by Nov 13, 2024

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

3270.61/3270.76 · Measurement and use of indoor childcare space. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

On 11-7-2024 during a follow-up visit, the room to the left of the light gray stairwell in Building B had chairs stacked in the middle of the floor. The room to the left of the blue stairwell had a couch, desks pushed against the wall, toys in the corner between the couch and children's chalk board. The small room with cubbies connected to the room to the left of the blue stairwell had a vacuum/carpet cleaner, leaf blower, a printer on the floor, a large bin containing smaller bins inside and large black trash bags in the room. Continued noncompliance from Renewal inspection on 8-29-2024 and 9-16-2024.

Corrected Corrected by Nov 13, 2024

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.

On 9-16-2024 during a Renewal inspection, the first-aid kit in the large Preschool room was missing gauze.

Corrected Corrected by Oct 21, 2024

Marked corrected in the state record.

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

On 8-29-2024 during a Renewal inspection, the facility's emergency plan did not address how parents will be contacted when an emergency arises and when it has ended.

Corrected Corrected by Oct 7, 2024

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

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

On 9-16-2024 during a Renewal inspection, the files of staff persons #1, #2 and #3 did not show proof that they had been trained on the facility's emergency plan.

Corrected Corrected by Oct 7, 2024

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

On 9-16-2024 during a Renewal inspection, the file of staff person #1 did not include a disclosure statement. The file of staff person #3 did not have an NSOR.

Corrected Corrected by Oct 7, 2024

Category: supervision. Marked corrected in the state record.

3270.64 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

On 8-29-2024 during a Renewal inspection, the outdoor play space had overgrown bushes, a tent frame, a broken 3 drawer storage shelf, a broken broom and a large Portacool fan.

Corrected Corrected by Oct 7, 2024

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

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

On 8-29-2024 during a Renewal inspection, there was hand sanitizer on a shelf upon the entrance of the Preschool classroom in Building B.

Corrected Corrected by Oct 7, 2024

Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

On 8-29-2024 during a Renewal inspection, the 1st grade SA room (Building A) had disinfectant air freshener, rodent repellant on the desk. SA room (Room D) had rodent repellant and disinfectant wipes on the desk. There was hand sanitizer on a shelf upon the entrance facing Woodland Ave. into Building B.

Corrected Corrected by Oct 21, 2024

Category: ratio. Marked corrected in the state record.

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

On 8-29-2024 during a Renewal inspection, the water temperature in the Girls bathroom (Building A) was130° F.

Corrected Corrected by Oct 21, 2024

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

On 8-29-2024 during a Renewal inspection, the stairs in Building A leading to the rear classrooms had tiles lifting off of the floor. The outdoor play space contained trash.

Corrected Corrected by Oct 21, 2024

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

On 8-29-2024 during a Renewal inspection, the 1st grade room (Building A) had holes on the floor by the heating vent. The small SA Room (Room C) had damaged plaster at the bottom of the doorframe and the wall plaster underneath the light switch was damaged.

Corrected Corrected by Oct 21, 2024

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

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

On 8-29-2024 during a Renewal inspection, the wall by the soap in the Girls bathroom was dirty. The first toilet in the Preschool bathroom was cracked at the bottom. The light switch and door in bathroom on the 2nd floor were dirty. Spider webs were in the corner by the toilet on the 2nd floor of the Preschool building (Building B). On 9-16-2024 during a continued Renewal inspection, the sink in the Girls bathroom was clogged.

Corrected Corrected by Oct 21, 2024

Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

On 9-16-2024 during a Renewal inspection, the small colorful bike in the outdoor play space was broken and dirty. There was a broken Pacman arcade game in the outdoor play space. There was a blue table standing on 3 legs under the air conditioner leaning against the wall of Building B.

Corrected Corrected by Oct 21, 2024

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

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

On 9-16-2024 during a Renewal inspection, the agreement forms of child #3 and child #5 were not signed by the operator.

Corrected Corrected by Oct 21, 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.

On 9-16-2024 during a Renewal inspection, the agreement forms of children #1, #3 and #7 did not specify the date of admissions.

Corrected Corrected by Oct 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

On 9-16-2024 during a Renewal inspection, the agreement forms of children #1, #2, #3, #4 and #5 did not specify the services which are to be considered as extra.

Corrected Corrected by Oct 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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

On 9-16-2024 during a Renewal inspection, child #2 did not have an emergency contact form.

Corrected Corrected by Oct 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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

On 9-16-2024 during a Renewal inspection, the emergency contact forms of children #1 and #5 did not include the address of the physician or source of medical care. The phone number of the physician or source of medical care for child #3 was not listed. The address and telephone number of the physician or source of medical care was not listed for child #7.

Corrected Corrected by Oct 21, 2024

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

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

On 9-16-2024 during a Renewal inspection, the emergency contact form of children #1, #4 and #7 did not 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.

Corrected Corrected by Oct 7, 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.

On 9-16-2024 during a Renewal inspection, the emergency contact forms of children #3, #5 and #7 did not include the MA policy number. Child #4's emergency contact form did not include the health insurance coverage information or policy number.

Corrected Corrected by Oct 21, 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.

On 9-16-2024 during a Renewal inspection, the emergency contact forms of children #3 and #5 did not include the release persons address.

Corrected Corrected by Oct 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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

On 9-16-2024 during a Renewal inspection, the emergency contact for child #6 was missing from the childcare space.

Corrected Corrected by Oct 21, 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.

On 9-16-2024 during a Renewal inspection, the emergency contact form of child #4 had not been updated within a 6-month period. The emergency contact forms and agreement forms of children #5 and #6 had not been updated within a 6-month period.

Corrected Corrected by Oct 21, 2024

Category: recordkeeping. 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.

On 9-16-2024 during a Renewal inspection, the health assessment of staff person #1 and #2 did not include Mantoux test results.

Corrected Corrected by Oct 21, 2024

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

3270.61 · Measurement and use of indoor child care space.

On 8-29-2024 during a Renewal inspection, the room to the left of the light gray stairwell in Building B was not set up as a childcare space.

Corrected Corrected by Oct 7, 2024

Category: physical safety. 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.

On 8-29-2024 during a Renewal inspection, the facility's emergency plan did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Oct 7, 2024

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

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

On 8-29-2024 during a Renewal inspection, the facility's certificate of compliance was not posted in a conspicuous location used by parents.

Corrected Corrected by Oct 7, 2024

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. Staff persons must complete the CCDBG training that is required prior to working with children unsupervised. Submit written verification of the completed training.

Several staff persons were observed caring for children and their record did not contain verification of completed CCDBG training (10 hour) and/ or PA Update (1 hour) required prior to working with children unsupervised. (#1-both) (#2-both) ($6-both) (#7-10hr) (#8-PA Update 1 hr) (#8-PA Update 1 hr)

Corrected Corrected by Apr 6, 2024

Category: supervision. 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. Revise and submit the facilities policies to include the identification and prevention of child maltreatment.

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

Corrected Corrected by Apr 6, 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). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1, #2, #3, #4, #5 and #7 cannot work in a childcare position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff person/s. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several facility person's record did not contain the required CPSL hiring documents. (#1-hired 11/27/23- no record of completed NSOR) (#2- no record of completed NSOR; no record of completed mandated reporter training) (#3- FBI not DHS clearance; no record of completed NSOR) (#4- hired 8/12/22- no record of completed NSOR) (#5-(#2- no record of completed NSOR) (#6-hired 2/2922- no record of completed STATE POLICE, FBI, NSOR and DISCLOSURE STATEMENT) (#7- hired 9/9/22-no record of completed NSOR)

Corrected Corrected by Apr 6, 2024

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

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

Two staff person's record did not contain written verification of education and experience for their assistant group supervisor position. (#2 and #6)

Corrected Corrected by Apr 6, 2024

Category: supervision. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. Obtain and submit a current up-to-date health assessment for the identified staff person. Ensure that health assessments are completed within the required timeframes.

One staff person's record did not contain a health assessment completed within the past 24 months.(#2)

Corrected Corrected by Apr 6, 2024

Category: ratio. Marked corrected in the state record.

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

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 child care office.

Corrected Corrected by Apr 6, 2024

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. Obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff person.

Several staff person's record did not contain written verification of annual minimum 12 hours of child care training. (#1, #2, #3, #4, #5, #6, #7 and #8)

Corrected Corrected by Apr 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE OPERATOR DID NT HAVE DOCUMENTATION OF THE ANNUAL REVIEW OF THE EMERGENCY PLAN.

Corrected Corrected by Oct 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE AGREEMENT FOR CHILD #1, 2, 3, 4, AND 5 DID NOT SPECIFY THE PERSONS TO WHOM THE CHILD MAY BE RELEASED.

Corrected Corrected by Oct 5, 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 THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT INFORMATION FOR CHILD #2 AND #3 DID NOT INCLUDE THE HEALTH INSURANCE/MA COVERAGE NAME.

Corrected Corrected by Oct 5, 2022

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

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

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT INFORMATION FOR CHILD #2, 3, & 4, DID NOT INCLUDE THE ADDRESS OF THE SPECIFIED RELEASE PERSONS.

Corrected Corrected by Oct 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #2 AND #3 DID NOT HAVE SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE.

Corrected Corrected by Oct 5, 2022

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.

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #2 AND #3 DID NOT HAVE SIGNED PARENTAL CONSENT FOR THE ADMINISTRATION OF MINOR FIRST-AID PROCEDURES.

Corrected Corrected by Oct 5, 2022

Category: ratio. Marked corrected in the state record.

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

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #1 DID NOT HAVE AT LEAST 12 CLOCK HOURS OF CHILD CARE TRAINING IN THE LAST 12 MONTHS.

Corrected Corrected by Oct 5, 2022

Category: recordkeeping. Marked corrected in the state record.

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

DURING THE COMPLAINT INVESTIGATION THE CERTIFICATION REPRESENTATIVE WAS INFORMED THAT STAFF #1 HAD EDIBLE MARIJUANA CANDY IN HER POSSESSION AT THE FACILITY AND CHILD #1 MAY HAVE GAINED ACCESS TO THE MARIJUANA CANDY AND MAY HAVE EATEN A PIECE WHILE IN CARE AT THE FACILITY.

Corrected Corrected by Aug 16, 2022

Category: health medication. 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.

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #2 DID NOT HAVE A CHILD ABUSE CLEARANCE PROVIDED.

Corrected Corrected by Oct 15, 2021

Category: supervision. Marked corrected in the state record.