3270.14 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.

During my inspection I observed that the facility did not have all the update and required policy changes. 1. Prevention/identification of maltreatment

Corrected Corrected by Oct 3, 2024

Category: ratio. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

During my inspection I observed that the lunch that was provided by the facility was not being kept in the refrigerator.

Corrected Corrected by Oct 4, 2024

Category: nutrition. Marked corrected in the state record.

3270.192(4) · 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.

While reviewing the staff files I observed staff 1 hired on June 2019, does not contain a completed FBI clearance.

Corrected Corrected by Oct 4, 2024

Category: background checks. 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.

During my inspection I observed that the facility's emergency plan did not include accommodations for infants, toddlers.

Corrected Corrected by Oct 4, 2024

Category: physical safety. 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.

While reviewing the staff's files I observed that staff 1, did not include their 12 hours of childcare training.

Corrected Corrected by Oct 4, 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.

While conducting my inspection I observed that the facility did not have their annual written letter to the local authorities about their pedestrian and vehicular routes around the childcare facility.

Corrected Corrected by Oct 4, 2024

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 my inspection I observed that the facility had peeling paint behind the trash can in the older toddler room.

Corrected Corrected by Oct 23, 2023

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.

During my inspection I observed that the toilet near the older toddler room would not flush.

Corrected Corrected by Oct 30, 2023

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.

While reviewing the children's files I observed that child 1-3, and 5, 6, did not have an updated emergency contact sheet.

Corrected Corrected by Oct 23, 2023

Category: recordkeeping. 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.

While reviewing the children's files I observed that child 4, did not have an updated agreement form.

Corrected Corrected by Oct 23, 2023

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.

While reviewing the staff's files I observed that staff 3, did not have the proper health assessment.

Corrected Corrected by Oct 23, 2023

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

3270.14 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.

During my inspection I observed that the facility did not have the new required policies.

Corrected Corrected by Oct 23, 2023

Category: ratio. Marked corrected in the state record.

3270.75(a)/3270.75(c) · A first-aid kit shall be in a child care space. 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 my inspection I observed that the facility did not have a first aid kit in the play space. and was missing tweezers in the young toddler room.

Corrected Corrected by Oct 23, 2023

Category: health medication. 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.

While reviewing the staff's files I observed that staff 1-3, did not obtain their annual minimum of 12 clock hours of child care training.

Corrected Corrected by Oct 30, 2023

Category: recordkeeping. 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 a renewal inspection dated 9/20/2022, certification representative observed that the cabinet below the diaper changing table was unlocked and there was A &D ointment, Aquaphor, and Color Plast diaper rash ointment.

Corrected Corrected by Sep 20, 2022

Category: health medication. 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 an onsite complaint inspection dated 9/20/2022 for a complaint, certification representative observed that the cabinet below the diaper changing table was unlocked and there was A &D ointment, Aquaphor, and Color Plast diaper rash ointment that were accessible to children.

Corrected Corrected by Sep 20, 2022

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

3270.31(e)(4)(i)/3270.31(f)(10) · 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.Pediatric first aid and pediatric cardiopulmonary resuscitation.

During renewal inspection on 12/07/21, file of staff person #1 did not contain verification that Pediatric Frist Aid and CPR had been completed within 90 days of hire.

Corrected Corrected by Jan 4, 2022

Category: ratio. Marked corrected in the state record.

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

During renewal inspection on 12/07/21, file of staff persons #2 and #3 did not contain verification that fire safety training had been completed annually.

Corrected Corrected by Jan 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(h) · Staff persons shall complete professional development in the following topics within 90 days of hire: Get Started with Center Based Care: Building Blocks for Quality. All staff persons shall complete the professional development under subsection (f).

During renewal inspection on 12/07/21, files of staff person #2 and #3 did not contain verification that Health and Safety training had been completed.

Corrected Corrected by Jan 4, 2022

Category: health medication. 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 renewal inspection on 12/07/21, file of staff person #4 did not contain verification of completed degree obtained that qualifies staff person for position performing (DIRECTOR)

Corrected Corrected by Jan 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

During renewal inspection on 12/07/21, first floor bathroom used by children did not contain a step stool or other means to approach full size sink and toilet contained therein.

Corrected Corrected by Jan 4, 2022

Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

During renewal inspection on 12/07/21, lidded, hands free trash cans located in toddler room by sink (front room), and first floor bathroom were not operable by step and had to be lifted by hand to dispose of used towels.

Corrected Corrected by Jan 4, 2022

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

3270.108(c) · Styrofoam cups and plates may not be used.

During renewal inspection on 12/07/21, Styrofoam plates were observed in upper kitchen cabinet and Styrofoam bowls were observed in lower kitchen cabinet.

Corrected Corrected by Dec 7, 2021

Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

During renewal inspection on 12/07/21, child #5 was observed sleeping on his stomach which is not the proper sleep position according to the American Academy of Pediatrics.

Corrected Corrected by Jan 4, 2022

Category: health medication. 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).

During renewal inspection 12/07/21, file of child #4did not have a completed Child Service Report, detailing child's growth and development in the context of services being provided at the facility.

Corrected Corrected by Jan 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

During renewal inspection on 12/07/21, 4 out of 5 children's agreement forms on file did not contain the child's admission date.

Corrected Corrected by Jan 4, 2022

Category: recordkeeping. 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.

During renewal inspection on 12/07/21, emergency contact form on file for child #3 did not contain required parental consent for emergency medical care and minor first aid procedures.

Corrected Corrected by Jan 4, 2022

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 11/22/2021 the cribs in the infant room did not have at least 2 feet of space on three sides while in use. The cribs were observed touching one another while two children were sleeping.

Corrected Corrected by Nov 22, 2021

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

3270.118(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

During the inspection on 11/22/2021 a cat was observed at the facility, the cat's veterinarian's certificate of current rabies immunization was not present at the facility.

Corrected Corrected by Dec 2, 2021

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