3270.75(a) · A first-aid kit shall be in a child care space.

During the inspection on 6/17/24 the preschool classroom was observed outside and did not have a first aid kit present.

Corrected Corrected by Jun 17, 2024

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 #1 -- 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 #1--- may not work in a child care position at the facility.

During the inspection on 6/17/24 staff person #1 was observed providing direct child care and did not have a NSOR. Facility Person #1--- may not work in a child care position at the facility. This citation is a violation of the settlement agreement signed on 5/2/24.

Corrected Corrected by Jun 17, 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 inspection on 6/17/24 staff person #2 was observed with 10 children outside alone and did not know the names of all 10 children. Staff person#2 knew 9 out of the 10 names. This citation is a violation of the settlement agreement signed on 5/2/24.

Corrected Corrected by Jun 17, 2024

Category: supervision. Marked corrected in the state record.

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

During the inspection on 6/17/24 the preschool classroom was observed outside and did not have emergency contact information present in a child care space for 10 children receiving care in the space. This citation is a violation of the settlement agreement signed on 5/2/24.

Corrected Corrected by Jun 17, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During the inspection on 6/17/24 staff person #2 was observed providing direct child care and did not have an initial health assessment. This citation is a violation of the settlement agreement signed on 5/2/24.

Corrected Corrected by Jul 17, 2024

Category: ratio. 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.

Staff person #1--- has unacceptable first aid/CPR training in an unapproved curriculum; the trainer has not provided documentation that they are PQAS-certified in that training topic. This citation is a violation of the settlement agreement signed on 5/2/24.

Corrected Corrected by Jul 2, 2024

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

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

During the inspection on 6/10/2024 the facility had an emergency plan that did not address prevention of shaken baby syndrome, volunteer emergency preparedness training, practice drills, and continuity of operations.

Corrected Corrected by Jun 17, 2024

Category: ratio. Marked corrected in the state record.

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering. Staff person #1 will obtain Better Kid Training: Your #1 Priority: Keeping Children Healthy and Safe.

During the inspection on 6/10/24 staff person #1 was observed conducting a diaper series and did not clean the surfaces after diapering the child..

Corrected Corrected by Jun 17, 2024

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

3270.52 · 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). All staff will obtain Better Kid Training: Supervision: Staff: Child Ratio, Supervision: Where Do I Stand? & Supervision: Moving Children by 6/17/24.

During the inspection on 6/10/24 staff person took child #4 to the bathroom to change their diaper, and left staff person #2 alone with 6 children, 3 of the children were young toddlers. This citation is a violation of the settlement agreement signed on 5/2/24.

Corrected Corrected by Jun 10, 2024

Category: supervision. Marked corrected in the state record.

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

During the inspection on 6/10/24 the first-aid kits in the Preschool classroom was missing gloves and in the Infants Classroom was missing soap.

Corrected Corrected by Jun 10, 2024

Marked corrected in the state record.

3270.111(b) · The written plan of daily activities shall be posted in the group space.

During the inspection on 6/10/24 the Infants classroom did not have a daily schedule.

Corrected Corrected by Jun 10, 2024

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

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

During the inspection on 6/10/24 the file records for child #4 did not include a health assessment that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Jul 10, 2024

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

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

During the inspection on 6/10/24 the file records for child # 4 and 5 did not include a health assessment that included a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected Corrected by Jul 10, 2024

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

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

During the inspection on 6/10/24 the file record for child#2 and 3 did not include a 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.

Corrected Corrected by Jun 17, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During the inspection on 4/22/2024 the sippy cup for child #1 was observed not labeled in the Preschool Area.

Corrected Corrected by Apr 22, 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 person #1--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/CPR).

Corrected Corrected by Mar 12, 2024

Category: ratio. Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

During the inspection on 11/202023 the cribs in the Infant room and the cots in the Toddler Area and Preschool Area did not have at least 2 feet of space on three sides while in use.

Corrected Corrected by Nov 21, 2023

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

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

During the inspection on 11/20/2023 the file record for child # 1 did not include a health assessment that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Dec 20, 2023

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

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

During the inspection on 11/20/2023 the file record1 for child #1 did not include a health assessment that included a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected Corrected by Dec 20, 2023

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

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

Ongoing non-compliance- During the inspection on 11/20/23 the file record for staff person #1 did not include a health assessment conducted within 12 months prior to initial service, the health assessment date observed was 9/27/2022 (date of hire: see code list ).

Corrected Corrected by Dec 20, 2023

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.

During the inspection on 11/20/23 the facility did not have the provisional certificate of compliance posted in a conspicuous location used by parents.

Corrected Corrected by Nov 20, 2023

Marked corrected in the state record.

3270.33(a) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Ongoing noncompliance- During the inspection on 10/11/2023 staff person #6 was observed alone with children and does not qualify to be any position in child care

Corrected Corrected by Oct 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

During the inspection on 10/11/2023 the facility did not have the negative sanction letter posted as directed in the Negative sanction letter.

Corrected Corrected by Oct 12, 2023

Marked corrected in the state record.

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

During the inspection on 10/11/23 the file record for staff persons #3 and 5 did not include emergency plan training.

Corrected Corrected by Oct 11, 2023

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.

Ongoing noncompliance- During the inspection on 10/11/2023 staff person #3 and 6 were observed providing direct child care alone and did not have pediatric first aid /cpr training. The file for staff person #5 did not include pediatric first aid /cpr training.

Corrected Corrected by Oct 11, 2023

Category: ratio. 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.

Ongoing noncompliance- Staff persons #3 and 6-- was observed to be caring for children unsupervised. Staff person #3-- does not have the required health and safety training.

Corrected Corrected by Oct 26, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 and 6 -- 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. Facility Person #-3 and 6-- may not work in a child care position at the facility.

During the inspection on 10/11/2023 the file record for staff person #3 included a file record that included a state police that had a results of a record and did not include a rap sheet. Staff person #6 was observed providing direct child care alone and did not have a file record (any CPSL requirements. Facility Person #-3 and 6-- may not work in a child care position at the facility.

Corrected Corrected by Nov 11, 2023

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.

Ongoing noncompliance- During the inspection on 10/11/2023 staff persons # 6 were observed providing direct child care alone and their file records did not include verification of child care experience prior to service at the facility. The file record for staff person #5 did not include verification of child care experience prior to service at the facility

Corrected Corrected by Oct 25, 2023

Category: supervision. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

During the inspection on 10/11/2023 staff person #6 was observed providing direct child care alone with 7 children the youngest child was an older toddler.

Corrected Corrected by Oct 11, 2023

Category: ratio. Marked corrected in the state record.

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

During the inspection on 10/11/23 the hot water temperature measured 120.7° F.

Corrected Corrected by Oct 11, 2023

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

3270.112 · Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

During the inspection on 10/11/2023 child #1 was observed crying excessively over 5 minutes and child was not held, consoled or talked to by staff.

Corrected Corrected by Oct 11, 2023

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.

Ongoing Noncompliance-During the inspection on 10/11/2023 staff person #6 was observed providing direct child care in the Preschool Area and did not know any of the names of the children. Staff person #6 was observed providing direct child care in the Toddler classroom alone with 7 children and did not know the names and whereabouts of the children in the classroom.

Corrected Corrected by Oct 11, 2023

Category: supervision. 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.

Ongoing noncompliance- During the inspection on 10/11/2023 the older toddler and preschool room did not have all of the emergency contact information present in a child care space for all of the children receiving care in the space.

Corrected Corrected by Oct 11, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Ongoing noncompliance- During the inspection on 10/11/2023 the file record for staff person #3 did not include an initial health assessment.

Corrected Corrected by Oct 16, 2023

Category: ratio. Marked corrected in the state record.

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

During the inspection on 10/11/2023 staff person #6 was observed providing direct child care alone and did not have a file record.

Corrected Corrected by Oct 11, 2023

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.

Ongoing noncompliance- During the inspection on 10/11/2023 the file records for staff person#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 Oct 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Ongoing noncompliance- During the inspection on 7/27/2023 staff person #1 was observed leaving three children alone unsupervised at approximately 12:18 pm. Staff person #1 left the classroom and went to the bathroom.

Corrected Corrected by Jul 27, 2023

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.

Ongoing noncompliance- Staff person #3-- was observed to be caring for children unsupervised. Staff person #3-- has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training.

Corrected Corrected by Aug 11, 2023

Category: supervision. 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.

Ongoing noncompliance- Staff persons #3-- was observed to be caring for children unsupervised. Staff person #3-- does not have the required health and safety training.

Corrected Corrected by Aug 11, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #2 -- 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--- may not work in a child care position at the facility.

Ongoing noncompliance- During the inspection on 7/27/2023 the file record for staff person #2 included a state police clearance that was pending/ the results for record were not completed. Staff Person #2--- may not work in a child care position at the facility.

Corrected Corrected by Jul 27, 2023

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

3270.33(a) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Ongoing noncompliance- During the inspection on 7/27/2023 staff person #4 was observed alone with child #2 in the office and was a facility person identified as administrative staff who did not qualify as a child care staff.

Corrected Corrected by Jul 27, 2023

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.

Ongoing noncompliance- During the inspection on 7/27/2023 staff persons # 3 and 4 were observed providing direct child care alone and their file records did not include verification of child care experience prior to service at the facility. The file record for staff person #5 did not include verification of education or child care experience prior to service at the facility

Corrected Corrected by Jul 29, 2023

Category: supervision. Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

During the inspection on 7/27/2023 the cribs in the Infant room, cots in the Preschool room did not have at least 2 feet of space on three sides while in use.

Corrected Corrected by Jul 27, 2023

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

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

During the inspection on 7/27/2023 staff person#2 did not know the names and whereabouts of the children in their assigned group, staff person was observed with 9 children alone and gave the responsibility for 3 children.

Corrected Corrected by Jul 27, 2023

Category: supervision. 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.

Ongoing noncompliance- During the inspection on 7/27/2023 the toddler room did not have emergency contact information present in a child care space for child #2.

Corrected Corrected by Jul 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f) · 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.

During the inspection on 7/27/2023 the file records for child #1,2,3,4 and 5 did not include an update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Corrected Corrected by Jul 27, 2023

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.

During the inspection on 7/27/2023 the file records for child #5 did not include an updated health assessment.

Corrected Corrected by Jul 27, 2023

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

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

Ongoing noncompliance- During the inspection on 7/27/2023 the file records for staff person #4 and 5 did not include an initial health assessment. The file record for staff person #3 included a staff health assessment (dated: 2/10/2023) with TB screening results (dated: 2/10/2023). By letter dated 8/1/2023 the date of the health assessment and TB screening result for staff person # 3 were confirmed by the doctor's office to be fraudulent.

Corrected Corrected by Jul 27, 2023

Category: ratio. Marked corrected in the state record.

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

Ongoing noncompliance- During the inspection on 7/27/2023 the file records for staff person#4 and 5 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jul 27, 2023

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.

According to the self-reported noncompliance on 6/9/2023 staff person #1 was observed cursing and threatening child#1 at the facility.

Corrected Corrected by Jun 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.33(a) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

During the inspection on 4/14/2023 it was determined that staff person #5 was observed alone with children and does not qualify to be any position in child care.

Corrected Corrected by May 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.52 · 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). Provider is required to complete ratio sheets daily and submit them weekly to DHS for a period of three months.

During the inspection on 4/14/2023 staff person #2 was observed having 5 children alone, the youngest child was an infant. from approximately 8:14 am-8:17 am. Staff person #1 was observed with 8 children at 8:46 am and by 9:00 am had 11 children alone, the youngest child was an older toddler.

Corrected Corrected by Jul 14, 2023

Category: ratio. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must obtain referred training for all staff.

During the inspection on 4/6/2023 three children were observed being sent upstairs alone unsupervised by a parent. The investigation also determined that child #1 was kicked out of their classroom and sent down to their parent staff person#4 alone unsupervised.

Corrected Corrected by May 19, 2023

Category: supervision. 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. The legal entity must obtain referred training for all staff.

During the investigation 4/6/2023 and 4/14/2023 it was determined that staff person #3, 4 and 6 were seen and heard cursing around and at children.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the inspection on 4/6/2023 staff persons #6, 7 were observed providing direct child care alone and did not have pediatric first aid /cpr training. During the investigation it was determined that staff person #5 was alone providing direct child care and did not have pediatric first aid/cpr training.

Corrected Corrected by Jun 3, 2023

Category: ratio. 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.

Staff persons #2,5,6, 9-- was observed to be caring for children unsupervised. Staff person #2,5,6 9-- does not have the required health and safety training. The file record for staff person #10 did not include the required updated one-hour health and safety training.

Corrected Corrected by May 30, 2023

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.

During the inspection on 4/6/2023 the file records for staff person #6 did not include a health assessment.

Corrected Corrected by Apr 17, 2023

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 inspection on 4/6/2023 the toddler room and the school age room did not have emergency contact information present in a child care space for all of the children receiving care in the space. During the inspection on 4/14/2023 the infant room did not have emergency contact information present in a child care space for all of the children receiving care in the space.

Corrected Corrected by Apr 17, 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.

During the inspection on 4/6/2023 child #1 was observed receiving direct child care on the 2nd floor, the child was less than 2 1/2 years old. This does not comply with the restrictions of the certificate of occupancy. Staff persons #2,5,6, 9-- was observed to be caring for children unsupervised. Staff person #2,5,6 and 9-- does not have the required health and safety training.

Corrected Corrected by Apr 20, 2023

Category: supervision. Marked corrected in the state record.

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

During the inspection on 4/6/2023 the file record for staff person #7 did not include emergency plan training.

Corrected Corrected by Apr 24, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #6 and 9 -- 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. Staff Person #6-and 9--- may not work in a child care position at the facility.

During the inspection on 4/6/2023 the file record for staff person# 6 did not include a FBI clearance, and NSOR clearance. The file record for staff person#9 did not include a state police clearance and NSOR clearance. Staff persons #6 and 9 were observed providing direct child care alone. Staff Person #6-and 9--- may not work in a child care position at the facility.

Corrected Corrected by May 6, 2023

Category: supervision. Marked corrected in the state record.

3270.34(b)(1)/3270.192(2)(iv) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. 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 electronic inspection the file record for staff person # 8 did not include acceptable verification of education, the degree observed did not identify the study/major of the degree conferred.

Corrected Corrected by Apr 17, 2023

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.

During the inspection on 4/6/2023 staff persons # 2, 7,9 were observed providing direct child care alone and their file records did not include verification of child care experience prior to service at the facility. During the investigation it was determined that staff person was alone with children providing direct child care and the file record for staff person #5 did not include verification of education or child care experience prior to service at the facility.

Corrected Corrected by Apr 17, 2023

Category: supervision. Marked corrected in the state record.

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

During the inspection on 4/6/2023 the file records for staff person#5 and 6 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by May 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.34(b)(3)/3270.192(2)(ii) · A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the inspection on 2/24/2023 the file record for staff person #1 did not include enough years of verified experience to qualify for the director position.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

3270.35(b)(1)/3270.192(2)(iv) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. 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 inspection on 2/24/2023 the file record for staff person # 2 did not include acceptable verification of education, the degree observed did not identify the study/major of the degree conferred.

Corrected Corrected by Feb 24, 2023

Category: supervision. Marked corrected in the state record.

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

During the inspection on 2/24/2023 the toddler room did not have emergency contact information present in a child care space for 3 children receiving care in the space.

Corrected Corrected by Feb 24, 2023

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.

During the inspection on 2/24/2023 the file records for child #1 did not include an updated health assessment.

Corrected Corrected by Mar 24, 2023

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

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

During the inspection on 2/24/2023 the file for staff person #2 did not include an initial health assessment and TB screening results.

Corrected Corrected by Mar 24, 2023

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the inspection on 3/24/2022 the file record for staff persons # 1 did not include verification of education. The file record for Staff person #3 did not include verification of child care experience prior to service at the facility.

Corrected Corrected by Apr 7, 2022

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 inspection on 3/24/2022 the file records for staff person #1 did not include an initial TB test and the file record for staff person#3 did not include an initial health assessment.

Corrected Corrected by Apr 24, 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

During the inspection on 3/24/2022 the file record for staff person #3 did not include two written, non family references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Apr 7, 2022

Category: recordkeeping. Marked corrected in the state record.