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.

At time of inspection, staff persons # 1 and #2 did not have training regarding the facility emergency plan documented in their records.

Corrected Corrected by Mar 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 - 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 #-3- may not work in a childcare position at the facility.

At time of inspection, staff person # 3 did not have required child abuse clearance and mandated child abuse training documented in her record.

Corrected Corrected by Mar 7, 2025

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(iii) · 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 following the outset of service at the facility.

At time of inspection, staff person #3 did not have a copy of high school diploma documented in her record to help qualify her for her position as assistant group supervisor.

Corrected Corrected by Mar 7, 2025

Category: supervision. Marked corrected in the state record.

3270.123(a)(5)/3270.124(b)(3) · An agreement shall specify the persons designated by a parent to whom the child may be released. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

At time of inspection, the parents of child # 3 did not have the names of release persons documented on their child's agreement from. In addition, children # 2 and #3 did not have work address documented on their children's emergency contact forms.

Corrected Corrected by Mar 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 time of inspection, staff person #3 did not have a health assessment with negative TB reading documented in their record.

Corrected Corrected by Mar 7, 2025

Category: health medication. 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.

Staff person #3 did not have a negative TB screening documented in her record at time of inspection.

Corrected Corrected by Mar 7, 2025

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

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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 time of inspection, the parents of children # 1,3 and 4 did not have written consent from emergency medical care and admin of minor first aid documented on their emergency contact forms.

Corrected Corrected by Mar 7, 2025

Category: ratio. Marked corrected in the state record.

3270.27(c)/3270.31(e)(4)(ii) · 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. 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.

At time of inspection, staff #1-5 did not have a review of the facility emergency plan and they did not have annual fire safety training documented in their records.

Corrected Corrected by Mar 22, 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).

At time of inspection, the identified as a volunteer (#6) was missing the required FBI clearance and NSOR certificate documented in her record.

Corrected Corrected by Mar 22, 2024

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

3270.76/3270.104(a) · 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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

At time of inspection, the cubbies in the second classroom area in main room was not mounted to prevent hazard from falling over and/or causing injury.

Corrected Corrected by Mar 22, 2024

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

3270.111(a)/3270.114 · 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. Weather permitting, children shall be taken out doors daily.

At time of inspection, it was observed that the outdoor play yard has a capacity that is smaller than the facility capacity. However, the facility did not have a daily schedule to show when children are accommodated to use the outdoor play yard for large muscle play activity.

Corrected Corrected by Mar 22, 2024

Category: ratio. 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 time of inspection, the parents of children #1 and #2 did not have the addresses of release person documented on their child's emergency contact form.

Corrected Corrected by Mar 22, 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.

At time of inspection, staff person #5 and volunteer (#6) did not have two non-family references documented in their records to attest to their ability to work with children.

Corrected Corrected by Mar 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation 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 time of inspection, staff person #4 who has worked at facility over 1 year did not have pediatric first-aid /CPR documented in their record.

Corrected Corrected by Mar 22, 2024

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

3270.31(a)/3270.192(2)(i) · A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person. A facility person's record shall include verification of age.

Individual #6 (volunteer) did not have proof of age documented in their file at facility.

Corrected Corrected by Mar 22, 2024

Category: supervision. 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). TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of thirty days on a DHS approved documentation format.

During unannounced inspection on Wednesday, 03/29/23, cert rep observed facility out of ratio. Group 1 consist of 1 staff with 1 infant, 1 young toddler, and 3 older toddlers. Group 2 consist of 1 staff with 12 preschoolers.

Corrected Corrected by Apr 28, 2023

Category: ratio. 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). TIERED LIS: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding staff:child ratio/supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During unannounced inspection on Wednesday, 03/29/23, cert rep observed facility out of ratio. Group 1 consist of 1 staff with 1 infant, 1 young toddler, and 3 older toddlers. Group 2 consist of 1 staff with 12 preschoolers.

Corrected Corrected by Apr 28, 2023

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. Until such time as the required pre-service trainings are completed, staff person 2 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person 2, staff person 2 may not work in a child-care position at the facility. Conditions at the facility may not pose a threat to the health or safety of the children.

During renal inspection on Monday, 02/13/23, staff person 2 observed to be caring for children unsupervised. Staff person 2 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR.

Corrected Corrected by Feb 13, 2023

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. Staff persons 1 and 3 will have until 03/15/23 to complete the required training. Until such time as the required training has been completed, staff persons 1 and 3 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff persons 1 and 3, staff persons 1 and 3 may not work in a child-care position at the facility. Conditions at the facility may not pose a threat to the health or safety of the children.

In review of health and safety documents, staff persons 1 and 3 had not completed health and safety professional development training updates required by OCDEL within the prescribed timeframe, 12/30/22.

Corrected Corrected by Mar 15, 2023

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.

In review of emergency plan documents, facility's emergency plan failed to include statement regarding continuity of operations.

Corrected Corrected by Mar 27, 2023

Category: ratio. 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.

In review of health and safety documentation, facility's policy addressing shaken baby syndrome, abusive head trauma and child maltreatment, failed to address child maltreatment.

Corrected Corrected by Mar 27, 2023

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: Facility 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.

In review of staff files, staff person 2, employed more than 45 days, file failed to include NSOR certifiarte.

Corrected Corrected by Feb 13, 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.

In review of staff files, staff person 2 file failed to include verification of 2 years (2500 hours) of experience working with children.

Corrected Corrected by Mar 27, 2023

Category: supervision. Marked corrected in the state record.

3270.52/3270.113(a)(2) · 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). The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

During renewal inspection on Monday 02/13/23, cert rep observed facility out of ratio. A facility staff was observed with 2 older toddlers and 5 preschoolers.

Corrected Corrected by Feb 13, 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 renewal inspection on Monday, 02/13/23, cert rep observed electrical outlets in main childcare space did not contain protective receptacle covers.

Corrected Corrected by Feb 13, 2023

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.

During renewal inspection on Monday, 02/13/23, cert rep observed cleaning materials in main childcare space accessible to children.

Corrected Corrected by Feb 13, 2023

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.

During renewal inspection on Monday, 02/13/23, cert rep observed peeled paint on walls in bathroom.

Corrected Corrected by Mar 27, 2023

Category: physical safety. 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.

During renewal inspection on Monday, 02/13/23, cert rep observed a child in the bathroom unsupervised.

Corrected Corrected by Feb 13, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

In review of children's files, children enrolled 6 months or more failed to have a service report proving information about the child's growth and development.

Corrected Corrected by Mar 27, 2023

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.

In review of children's files, child 1 emergency contact failed to be updated within a 6-month period. In review of children's files, the financial agreement failed to be updated within a 6-month period.

Corrected Corrected by Mar 27, 2023

Category: recordkeeping. 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.

In review of emergency plan documents, facility failed to have conducted an annual drill. Facility last conducted ad emergency drill on 02/10/22.

Corrected Corrected by Mar 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.52/3270.113(a)(2) · 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). The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

During renewal inspection on Monday, 04/04/22, cert rep observed facility out of ratio. There was 16 children (4 older toddlers and 12 preschool age children) with 2 staff members.

Corrected Corrected by Apr 4, 2022

Category: supervision. Marked corrected in the state record.

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

During renewal inspection on Monday, 04/04/22, cert rep observed hot water in children's bathroom exceeded 110° F. Water temperature read at 120 degrees.

Corrected Corrected by May 2, 2022

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 renewal inspection on Monday, 04/04/22, cert rep observed older toddlers sitting in highchairs for an excessive period of time.

Corrected Corrected by May 2, 2022

Marked corrected in the state record.

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

During renewal inspection on Monday, 04/04/21, cert rep observed facility failed to have bottles and sippy cups labeled with child's name.

Corrected Corrected by Apr 4, 2022

Marked corrected in the state record.