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

During unannounced visit on 5/28/25, while doing a walkthrough of the facility Cert Rep heard Staff # 1 using a harsh tone with the preschool children while children were using the bathroom. Staff # 1 then took the children to the preschool classroom and proceeded to tell the children "Y'all getting on my nerves".

Corrected Corrected by May 28, 2025

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 renewal inspection on 4/14/25 Cert Rep observed the following: 1. The facility did not have documentation of shaken baby syndrome policy 2. Staff # 4 was observed on 4/14/25 to be caring for children unsupervised. Staff # 4 has not completed the following pre- service training required prior to caring for children unsupervised - health and safety, mandated reporter training, and Pediatric CPR/First Aid 3. Staff # 5 was observed on 4/24/25 to be caring for children unsupervised. Staff # 5 has not completed the following pre- service training required prior to caring for children unsupervised - health and safety, and mandated reporter training 4. The facility's emergency plan did not include continuity of operations

Corrected Corrected by May 8, 2025

Category: supervision. 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.

During renewal inspection on 4/14/25 Cert Rep observed the following: The facility's emergency plan did not include method of contacting parents at the onset of the emergency , and at the end of the emergency

Corrected Corrected by Apr 14, 2025

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.

During renewal inspection on 4/14/25 Cert Rep observed the following: Staff # 4 and # 5 did not have documentation of emergency plan training in file

Corrected Corrected by Apr 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

During renewal inspection on 4/14/25 Cert Rep observed the following: The facility's emergency plan was not posted in a conspicuous location

Corrected Corrected by Apr 14, 2025

Category: physical safety. 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 # 3 - may not work in a childcare position at the facility. Staff # 5 must be supervised . 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 # 3 may not work in a childcare position at the facility, Staff # 5 must be supervised

During renewal inspection while reviewing files on 4/24/25, Cert Rep observed the following: Staff # 3's Child Abuse was dated 7.10.19 Staff # 5 did not have documentation of mandated reporter training in file

Corrected Corrected by May 8, 2025

Category: supervision. Marked corrected in the state record.

3270.34(a)(3) · A director is responsible for designating a staff person who is responsible for compliance with this chapter in the Director's absence.

During renewal inspection on 4/14/25 Cert Rep observed the following: The designated person in charge did not have access to files

Corrected Corrected by Apr 14, 2025

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 renewal inspection while reviewing files on 4/24/25, Cert Rep observed the following: Staff # 4 and # 5 did not have verification of experience to qualify for the position of assistant group supervisor

Corrected Corrected by May 8, 2025

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). The required staff: child ratios must be maintained at all times.

During renewal inspection on 4/14/25 Cert Rep observed the following: 1. Staff # 4 was observed in the infant room with 5 children- 2 infants and 3 young toddlers 2. On 4/24/25, Cert Rep observed Staff # 6 alone with 6 children, 5 young toddlers and 1 older toddler

Corrected Corrected by Apr 24, 2025

Category: ratio. 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 4/14/25, Cert Rep observed the following: The facility's bathroom located on the 2nd floor, lower cabinet had toxic materials that was accessible to children

Corrected Corrected by Apr 14, 2025

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 4/14/25, Cert Rep observed the following: The facility's hot water tested 112 degrees

Corrected Corrected by May 8, 2025

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

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

During renewal inspection on 4/14/25, Cert Rep observed the following: The facility's window on the 2nd floor back preschool classroom's windows opened to full capacity

Corrected Corrected by Apr 14, 2025

Category: ratio. Marked corrected in the state record.

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

During renewal inspection on 4/14/25, Cert Rep observed the following: The facility's bathroom next to the kitchen did not have the correct handwashing sign posted

Corrected Corrected by May 8, 2025

Category: health medication. 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 4/14/25, Cert Rep observed the following: The trash can next tot eh changing table in the young toddler classroom did not have a lid

Corrected Corrected by May 8, 2025

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

During renewal inspection on 4/14/25, Cert Rep observed the following: Cert rep observed an infant asleep in the bouncy chair in the infant room

Corrected Corrected by Apr 14, 2025

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. Children must be supervised at all times.

During renewal inspection on 4/24/25, Cert Rep observed the following: After knocking on the facility's door with no answer, Cert Rep walked to the infant's room window to get the attention of Staff # 2. Cert Rep observed staff # 2 using a cellphone

Corrected Corrected by Apr 24, 2025

Category: supervision. Marked corrected in the state record.

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

During renewal inspection on 4/14/25, Cert Rep observed the following: Child # 3, # 4 and Child # 5 did not have an agreement in file

Corrected Corrected by May 8, 2025

Category: recordkeeping. 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 on 4/14/25, Cert Rep observed the following: Child # 2, #4 and #6 did not have documentation of child service report in file

Corrected Corrected by May 8, 2025

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.

During renewal inspection on 4/14/25, Cert Rep observed the following: Child # 1, 2, and # 6 's agreement did not have release persons listed

Corrected Corrected by May 8, 2025

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.

During renewal inspection on 4/14/25, Cert Rep observed the following: Child # 3's emergency contact did not include health insurance and policy number listed

Corrected Corrected by May 8, 2025

Category: health medication. 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 renewal inspection on 4/14/25, Cert Rep observed the following: None of the classrooms had emergency contacts present in the childcare space for the children present in care

Corrected Corrected by Apr 14, 2025

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.

During renewal inspection on 4/14/25, Cert Rep observed the following: Child # 3's emergency contact and agreement was last signed 6/3/24 Child # 4's emergency contact was last signed 5/8/24 Child # 5's emergency contact was last signed 10/8/24

Corrected Corrected by May 8, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During renewal inspection on 4/14/25, Cert Rep observed the following: Child # 3, # 4 did not have documentation of health assessment in file Child # 5's health assessment was dated 7/28/23

Corrected Corrected by May 8, 2025

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 renewal inspection while reviewing files on 4/24/25, Cert Rep observed the following: Staff # 5 had a health assessment completed, but did not have a health form in file

Corrected Corrected by May 8, 2025

Category: ratio. 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 4/14/25, Cert Rep observed the following: Child # 1, 3, 5, and # 7 did not have parental signature for consent for emergency medical care and consent for administration of minor first aid

Corrected Corrected by May 8, 2025

Category: ratio. Marked corrected in the state record.

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

During renewal inspection on 4/14/25, Cert Rep observed the following: Child # 3's emergency contact did not have parental signature for walks

Corrected Corrected by Apr 14, 2025

Category: transportation. 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 renewal inspection while reviewing staff files on 4/24/25, Cert Rep observed the following: Staff # 4 did not have a copy of 2 non-family references in file

Corrected Corrected by Apr 24, 2025

Category: recordkeeping. 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.

During renewal inspection while reviewing files on 4/24/25, Cert Rep observed the following: Staff # 3 did not have documentation of Pediatric CPR/First aid in file

Corrected Corrected by May 8, 2025

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

3270.27(a)(1)/3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

During renewal inspection on 4/14/25 Cert Rep observed the following: The facility's emergency plan did not include shelter in place/ lockdown procedures and shelter away from the facility

Corrected Corrected by Apr 14, 2025

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

3270.27(f)/3270.171(a) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

During renewal inspection on 4/14/25 Cert Rep observed the following: The facility did not have documentation that an annual letter was completed to notify local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

Corrected Corrected by Apr 14, 2025

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.

During renewal inspection while reviewing files on 4/14/25, Cert Rep observed the following: Staff # 2 and # 3 did not have documentation of annual 12 clock hours of childcare training

Corrected Corrected by May 8, 2025

Category: recordkeeping. 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. : The required staff: child ratios must be maintained at all times.

During unannounced monitoring on 7/15/24, Cert Rep observed the following: - Staff # 8 was observed in the facility's kitchen and left her co-teacher alone in the young toddler room with 10 children- 1year old - Staff # 6 and Staff # 7 was observed in the kitchen and left co teacher alone in the preschool room with 19 children. -

Corrected Corrected by Jul 15, 2024

Category: ratio. Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

During unannounced monitoring on 7/15/24, Cert Rep observed the following Staff # 10 was in the infant room with 2 infants. Child # was in the wrong bed.

Corrected Corrected by Jul 15, 2024

Category: physical safety. 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.

During unannounced monitoring on 6/27/24, while reviewing staff files, Staff # 9 did not have documentation of health and safety training in file

Corrected Corrected by Jul 5, 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 unannounced monitoring on 6/27/24, while reviewing staff files, Staff # 9 did not have documentation of the mandated 1-hr health and safety training in file.

Corrected Corrected by Jul 5, 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: Facility Person # -13- 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 #---13 may not work in a child care position at the facility.

During unannounced monitoring on 6/27/24, while reviewing staff files, Cert rep observed the following: Staff # 13 did not have documentation of out of state clearances in file

Corrected Corrected by Jul 5, 2024

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

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

During unannounced monitoring on 6/27/24, while reviewing staff files, Cert rep observed the following: Staff # 3,4,5,6,9,10,11,12 did not have documentation of staff evaluation in file

Corrected Corrected by Jul 5, 2024

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 unannounced monitoring on 6/27/24, while reviewing staff files, Cert rep observed the following: Staff # 13 and 14 did not have documentation of high school diploma in file to meet the requirements of AGS Staff # 3, 7, 8, 9, 11, 12, 13 did not have verification of 2500 childcare hours in file to meet the requirements of AGS

Corrected Corrected by Jul 5, 2024

Category: supervision. Marked corrected in the state record.

3270.76/3270.77(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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During unannounced monitoring on 6/27/24, while doing a walkthrough of the facility, Cert rep observed the following: - The infant room, toddler room located on the 1st floor, and the preschool room located on the 2nd floor had ripped carpets -The blinds in preschool room # 4 were broken -Peeling paint was observed in the preschool room on the 1st floor

Corrected Corrected by Jul 5, 2024

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

3270.123(a)/3270.181(d) · An agreement shall be signed by the operator and the parent. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

During unannounced monitoring on 6/27/24, while reviewing children's files, Cert rep observed the following: Child # 1 and # 3's agreement was not signed by the director

Corrected Corrected by Jul 5, 2024

Category: recordkeeping. 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 unannounced monitoring on 6/27/24, while reviewing children's files, Cert rep observed the following: Child # 1-10's agreement did not include services provided by facility

Corrected Corrected by Jul 5, 2024

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.

During unannounced monitoring on 6/27/24, while reviewing children's files, Cert rep observed the following: Child # 3, # 5 and # 9's emergency contact did not include health insurance policy number

Corrected Corrected by Jul 5, 2024

Category: health medication. 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 unannounced monitoring on 6/27/24, while doing a walkthrough of the facility, Cert rep observed the following: The classrooms at the facility did not have emergency contacts present in the classrooms for the children receiving care in the space.

Corrected Corrected by Jul 5, 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 unannounced monitoring on 6/27/24, while reviewing staff files, Cert rep observed the following: Staff # 1 's health assessment was not on the state's health form and did not have the 3 questions answered. Staff # 2's health assessment was dated 3.13.21 Staff # 9's health assessment was dated 11.18.20 Staff # 10's health assessment was dated 5.10.22 Staff # 11's health assessment was dated 7.11.21 Staff # 12's health assessment was dated 6.13.22 Staff # 8, # 13 and # 14 did not have documentation of health assessment and Tb in file

Corrected Corrected by Jul 5, 2024

Category: ratio. 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 unannounced monitoring on 6/27/24, while reviewing children's files, Cert rep observed the following: Child # 3, 4, 9's emergency contact did not include parental signature for emergency medical care and administration of minor first aid.

Corrected Corrected by Jul 5, 2024

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.

During unannounced monitoring on 6/27/24, while reviewing children's files, Cert rep observed the following: Staff # 4, 7, 8, 9, 13, and # 14 did not have documentation of 2 nonfamily references in file.

Corrected Corrected by Jul 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During unannounced monitoring on 6/27/24, while doing a walkthrough of the facility, Cert rep observed the following: The facility did not have documentation of emergency plan drill log

Corrected Corrected by Jul 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

During unannounced monitoring on 6/27/24, while reviewing children's files, Cert rep observed the following: Child # 3, 4, 6, 7, 8, did not have documentation of a health assessment in file

Corrected Corrected by Jul 5, 2024

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

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

During renewal inspection on 5/16/24, while reviewing staff files, Cert Rep observed the following: Staff # 13 and # 14 did not have a file at the time of renewal

Corrected Corrected by May 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During renewal inspection on 5/16/24, while doing a walkthrough of the facility, Cert Rep observed the following: The facility did not have documentation of emergency plan drill log

Corrected Corrected by May 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

During renewal inspection on 5/16/24, while reviewing children's files, Cert Rep observed the following: Child # 3, 4,6,7, 8 did not have documentation of a health assessment in file.

Corrected Corrected by May 27, 2024

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

3270.27(a)/3270.27(d) · The facility shall have an emergency plan. The operator shall post the emergency plan in the facility at a conspicuous location.

During renewal inspection on 5/16/24, while doing a walkthrough of the facility, Cert Rep observed the following: The facility did not have a completed emergency plan, and did not have it posted in a conspicuous location.

Corrected Corrected by May 16, 2024

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

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

During renewal inspection on 5/16/24, while reviewing staff files, Cert Rep observed the following: - Staff # 2, 9, did not have the mandated 1-hr health and safety training in file - The facility did not have documentation of a shaken baby syndrome policy

Corrected Corrected by May 30, 2024

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

During renewal inspection on 5/16/24, while reviewing paperwork Cert Rep observed the following: The facility did not have documentation of liability insurance

Corrected Corrected by May 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(1)(ii) · Training conducted by an entity that is licensed or certified professionally competent in the training topic is acceptable and may count toward the annual requirement for 12 clock hours of child care training.

During renewal inspection on 5/16/24, while reviewing staff files, Cert Rep observed the following: Staff # 2 did not have documentation of 12 clock hours of childcare training in file.

Corrected Corrected by May 27, 2024

Category: recordkeeping. 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.

During renewal inspection on 5/16/24, while reviewing staff files, Cert Rep observed the following: Staff # 9 did not have documentation of health and safety training in file

Corrected Corrected by May 27, 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 # --8, 13, 14 may not work in a childcare 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 #-8,13, 14 -- may not work in a childcare position at the facility.

During renewal inspection on 5/16/24, while reviewing staff files, Cert Rep observed the following: - Staff # 7 did not have documentation of NSOR in file - Staff # 8 did not have state police and child abuse in file ( state police submitted is incomplete) -Staff # 10 did not have documentation of NSOR in file at the time of inspection (corrected) -Staff # 11 did not have documentation of NSOR in file at the time of inspection (corrected) -Staff # 13 did not have documentation of NSOR in file - Staff # 14 did not have documentation of child abuse, NSOR, and state police clearance is incomplete, and staff does not qualify under the 45-day provisional waiver hire -Staff # 3,6,7,8,11,13, and 14 did not have a signed disclosure in file

Corrected Corrected by May 16, 2024

Category: supervision. Marked corrected in the state record.

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

During renewal inspection on 5/16/24, while reviewing staff files, Cert Rep observed the following: Staff # 2,3,4,5,6,7,9,10,11,12 did not have documentation of staff evaluation in file.

Corrected Corrected by May 27, 2024

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 renewal inspection on 5/16/24, while reviewing staff files, Cert Rep observed the following: Staff # 2, 6, 11, 13, 14, did not have documentation of high school diploma in file Staff # 3 , 6 ,7, 8 9, 11, 13, 14 did not have documentation of 2500 childcare hours in file to qualify as an AGS

Corrected Corrected by May 16, 2024

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 5/16/24, while doing a walkthrough of the facility, Cert Rep observed the following: Missing outlet cover in the infant room (1st floor), preschool room # 7c and 7 a (2nd floor)

Corrected Corrected by May 16, 2024

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 5/16/24, while doing a walkthrough of the facility, Cert Rep observed the following: - The sink in the preschool classroom at the top of the stars 2nd floor had toxics under the sink that was accessible to children -The cabinet sink in the preschool classroom # 7 had toxic materials that were accessible to children

Corrected Corrected by May 16, 2024

Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

During renewal inspection on 5/16/24, while doing a walkthrough of the facility , Cert Rep observed the following: The preschool classrooms located on the 2nd floor rooms 7 A and 7 c opened to full capacity

Corrected Corrected by May 16, 2024

Category: ratio. 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 renewal inspection on 5/16/24, while doing a walkthrough of the facility, Cert Rep observed the following: While checking first aid kits in the facility, most of the facility's first aid kits were missing scissors and soap

Corrected Corrected by May 16, 2024

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

3270.76/3270.77(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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During renewal inspection on 5/16/24, while reviewing staff files, Cert Rep observed the following: - The infant room and toddler room located on the 1 st floor, and the preschool rooms located on the 2nd floors had ripped carpets - The blinds in the preschool room # 4 were broken - Peeling paint in the preschool room 1st floor -The facility's outdoor play space had broken toys near back steps that is collecting water, and other materials that needed removing form the play space

Corrected Corrected by May 27, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During renewal inspection on 5/16/24, while doing a walkthrough the facility, Cert Rep observed the following: Improper handwashing sign in the facility's kitchen, preschool room on 1st floor, and older toddler room located on 2nd floor

Corrected Corrected by May 16, 2024

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

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

During renewal inspection on 5/16/24, while doing a walkthrough of the facility Cert Rep observed the following: The facility's outdoor place that had embedded equipment needed mulch

Corrected Corrected by May 27, 2024

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

During renewal inspection on 5/16/24, while doing a walkthrough of the facility, Cert Rep observed the following: - Pack n plays in the infant room were not labeled for specific child -Infant was asleep in a swing -Cots were not labelled in preschool rooms located on 2nd floor

Corrected Corrected by May 16, 2024

Category: physical safety. 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 renewal inspection on 5/16/24, while doing a walkthrough of the facility, Cert Rep observed the following: -The cots located on the 1st floor and 2nd floor preschool rooms were not 2 feet apart on 3 sides

Corrected Corrected by May 16, 2024

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During renewal inspection on 5/16/24, while doing a walkthrough of the facility, Cert Rep observed the following: The refrigerator located on the 2nd floor older toddler room did not have a thermometer.

Corrected Corrected by May 16, 2024

Category: nutrition. Marked corrected in the state record.

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

During renewal inspection on 5/16/24, while doing a walkthrough of the facility, Cert Rep observed the following: Daily activities were not posted in the following rooms - infant/young toddler room and preschool room located on the 1st floor, preschool room located on 2nd floor

Corrected Corrected by May 16, 2024

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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During renewal inspection on 5/16/24, while doing a walkthrough of the facility, Cert Rep observed the following: Staff # 12 was observed on their cellphone while children were getting ready for naptime

Corrected Corrected by May 16, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a)/3270.181(d) · An agreement shall be signed by the operator and the parent. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

During renewal inspection on 5/16/24, while reviewing children's files, Cert Rep observed the following: Child # 1, 3's agreement was not signed by the director.

Corrected Corrected by May 27, 2024

Category: recordkeeping. 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 on 5/16/24, while reviewing children's files, Cert Rep observed the following: Child # 1-10's agreement did not include services provided by facility.

Corrected Corrected by May 27, 2024

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.

During renewal inspection on 5/16/24, while reviewing children's files, Cert Rep observed the following: Child # 3,5, and # 9 did not include health insurance policy number

Corrected Corrected by May 27, 2024

Category: health medication. 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 renewal inspection on 5/16/24, while doing a walkthrough of the facility Cert Rep observed the following: - The classrooms at the facility did not have emergency contacts present in the classrooms for children that are receiving care in the space.

Corrected Corrected by May 16, 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 renewal inspection on 5/16/24, while reviewing staff files, Cert Rep observed the following: Staff # 1.s health assessment was dated 10/12/21 Staff # 2's health assessment was dated 3/13/21 Staff # 3's health assessment was dated 6/17/20 Staff # 5's health assessment was dated 1/25/21 Staff # 8 , #13, and # 14did not have documentation of a health assessment in file Staff # 9's health assessment was dated 11/18/20 Staff # 10's health assessment was dated 5/10/22 Staff # 11's health assessment was dated 7/11/21

Corrected Corrected by May 27, 2024

Category: ratio. Marked corrected in the state record.

3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

During renewal inspection on 5/16/24, while reviewing children's files, Cert Rep observed the following: The facility did not have a file for Child # 10

Corrected Corrected by May 16, 2024

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 5/16/24, while reviewing children's files, Cert Rep observed the following: Child # 3. 4, 9's emergency contact did not include signature for parental consent for emergency medical care and administration of minor first aid

Corrected Corrected by May 27, 2024

Category: ratio. Marked corrected in the state record.

3270.192(1)/3270.192(2)(i) · A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

During renewal inspection on 5/16/24, while reviewing staff files, Cert Rep observed the following: Staff # 3, and # 7 did not have documentation of ID and address in file

Corrected Corrected by May 16, 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.

During renewal inspection on 5/16/24, while reviewing staff files, Cert Rep observed the following: Staff # 2 had documentation of 1 non-family reference in file Staff # 4, 7, 8 9,11, 13, and 14 did not have documentation of 2 non-family references in file

Corrected Corrected by May 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1)/3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

During renewal inspection on 5/16/24, while reviewing paperwork for the facility. Cert Rep observed the following: There was no documentation of fire drill log being maintained at the facility.

Corrected Corrected by May 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

During renewal inspection on 5/16/24, while doing a walkthrough of the facility, Cert Rep observed the following: No evacuation routes were posted in the infant room, preschool room # 7 c

Corrected Corrected by May 16, 2024

Category: recordkeeping. Marked corrected in the state record.

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

On 7-25-23 during renewal inspection certification representative noticed that a few classrooms were missing proper handwashing signs over each toilet, training chair, diapering area and sink in the facility.

Corrected Corrected by Aug 1, 2023

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

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

On 7-25-23 during renewal inspection Certification Representative noticed that straps were missing from a high chair table in the infant room.

Corrected Corrected by Aug 22, 2023

Marked corrected in the state record.

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

On 7-25-23 during renewal inspection Certification Representative noticed that there was no written plan of daily activities and routines, including a time for free play shall be established for each group.

Corrected Corrected by Aug 22, 2023

Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

On 7-25-23 during renewal inspection Certification Representative noticed that the infant room did not have written statements giving the formula and feeding schedule for an infant shall be obtained from the parent

Corrected Corrected by Aug 22, 2023

Category: nutrition. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CHECKED ALL FIRST AID KITS. THE FIRST AID KIT LOCATED IN THE PRESCHOOL CLASSROOM #3 WAS ACCESSIBLE TO THE CHILDREN. (CORRECTED ON SITE).

Corrected Corrected by Apr 13, 2022

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

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.

ON APRIL 13, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2 AND #3 DID NOT INCLUDE FIRE SAFETY TRAINING.

Corrected Corrected by Apr 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: Health & Safety Training

ON APRIL 13, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2 AND #3 DID NOT INCLUDE HEALTH AND SAFETY TRAINING.

Corrected Corrected by Apr 27, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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.. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #2 and #3 may not work in a child care position at the facility.

ON APRIL 13, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #3 DID NOT INCLUDE AN NSOR CLEARANCE. THE RECORD FOR STAFF PERSON #1 DID NOT INCLUDE AN FBI CLEARANCE. THE RECORD FOR STAFF PERSON #2 DID NOT INCLUDE A MANDATED REPORTER TRAINING.

Corrected Corrected by Apr 27, 2022

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.

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THERE WERE 3 OUTLETS UNCOVERED IN THE 2ND FLOOR TODDLER CLASSROOM #4. (CORRECTED ON SITE).

Corrected Corrected by Apr 13, 2022

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 APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. IN PRESCHOOL CLASSROOM #3 THERE WAS A BROKEN CABINET WITH CLEANING MATERIAL ASSESSIBLE TO CHILDREN. IN ADDITION, STAFF PERSON #3 LEFT SPRAY BOTTLE IN REACH OF THE TODDLERS WHEN DIAPER CHANGING.(CORRECTED ON SITE).

Corrected Corrected by Apr 13, 2022

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. TELEPHONE NUMBERS OF THE NEAREST HOSPITAL, POLICE DEPARTMENT, FIRE DEPARTMENT, AMBULANCE AND POISON CONTROL CENTER WAS NOT POSTED NEAR OR ON THE FACILITIES TELEPHONE IN THE INFANT AND TODDLER CLASSROOMS.

Corrected Corrected by Apr 20, 2022

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 APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CHECKED ALL FIRST AID KITS. THE FIRST AID KIT LOCATED IN THE INFANT CLASSROOM #1 DID NOT CONTAIN BANDAGES.

Corrected Corrected by Apr 20, 2022

Category: health medication. 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 APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THERE WAS A BROKEN DOORKNOB LOCATED IN THE TODDLER CLASSROOM #2. THERE WAS A BROKEN SINK KNOB LOCATED IN INFANT ROOM #1. THERE WAS A WHOLE IN THE BACK WALL LOCATED IN PRESCHOOL CLASSROOM #3. IN THE 2ND FLOOR TODDLER CLASSROOM #4 THERE WAS A BROKEN SHELF LEANING. CERT REP ASKED FOR ALL ITEMS TO BE REMOVED FROM THE BROKEN SHELF IN TODDLER CLASSROOM #4 SO THAT NOTHING FALLS ON THE CHILDREN.

Corrected Corrected by Apr 20, 2022

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 APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THERE WAS RED PEELING PAINT ON THE INFANT ROOM DOOR. THERE WAS ALSO WHITE PEELING CHIPPED PAINT LOCATED IN THE 2ND FLOOR TODDLER CLASSROOM #4.

Corrected Corrected by Apr 20, 2022

Category: physical safety. 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 APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE OUTDOOR PLAY EQUIPTMENT WAS DIRTY AND NEEDED TO BE CLEANED. IN ADDITION, THERE WAS A BROKEN SAND TABLE, BROKEN DRAMATIC PLAY KITCHEN SINK LOCATED IN THE PRESCHOOL CLASSROOM #3.

Corrected Corrected by Apr 20, 2022

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

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THERE WERE ROOTS COMING UP FROM UNDER THE PLAYGROUNG EQUPTMENT. THERE WAS ONLY A THIN LAYER OF WOODCHIPS.

Corrected Corrected by Apr 20, 2022

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

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

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THERE WAS A BABY SITTING IN A BROKEN BOUNCY SEAT IN THE INFANT ROOM. IN ADDITION, THERE WAS A BROKEN WHITE BOARD LOCATED IN THE PRESCHOOL CLASSROOM #3.

Corrected Corrected by Apr 13, 2022

Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. PLAY PIN, MATS AND REST EQUIPTMENT (LOCATED IN THE INFANT AND TODDLER CLASSROOMS) WERE NOT LABLED FOR SPECIFIC USE OF A SPECIFIC CHILD.

Corrected Corrected by Apr 20, 2022

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE REFRIGERATER LOCATED IN THE 2ND FLOOR TODDLER CLASSROOM DID NOT HAVE A THERMOMETER. ON MAY 3, 2022, DURING A FOLLOW-UP VISIT THE REFRIGERATER LOCATED IN THE 2ND FLOOR TODDLER CLASSROOM HAD A THERMOMETER THAT WAS TEMPING WARM/ ABOVE 45° F (CONTINUED NON-COMPLIANCE).

Corrected Corrected by Apr 20, 2022

Category: nutrition. 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.

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. STAFF PERSON #4 AND #5 (LOCATED IN THE PRESCHOOL CLASSROOM#3) WERE NOT ASSIGNED THE RESPONSIBILITY FOR SUPERVISION OF SPECIFIC CHILDREN.

Corrected Corrected by Apr 20, 2022

Category: supervision. Marked corrected in the state record.

3270.123(a)(4)/3270.123(a)(5) · An agreement shall specify the child's arrival and departure times.An agreement shall specify the persons designated by a parent to whom the child may be released.

ON APRIL 13, 2022, DURING THE RENEWAL INSPECTION, THE FEE AGREEMENT FOR CHILD #6 AND #7 DID NOT INCLUDE ARRIVAL OR DEPARTURE TIMES. THE FEE AGREEMENT FOR CHILD #1 DID NOT INCLUDE PERSONS WHOM THE CHILD MAY BE RELEASED.

Corrected Corrected by Apr 20, 2022

Category: recordkeeping. Marked corrected in the state record.

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

ON APRIL 13, 2022, DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FOR CHILD #4 DID NOT INCLUDE THE PHYSICIAN PHPNE NUMBER OR THE MEDICAL INSURANCE POLICY NUMBER.

Corrected Corrected by Apr 20, 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.

ON APRIL 13, 2022, DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FOR CHILD #6 DID NOT INCLUDE THE PERSONS THAT THE CHILD CAN BE RELEASED TO.

Corrected Corrected by Apr 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(2) · The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility.

ON APRIL 13, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR CHILD #5 DID NOT INCLUDE AN UPDATED HEALTH ASSESSMENT.

Corrected Corrected by Apr 27, 2022

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.

ON APRIL 13, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #1 AND #4 DID NOT HAVE AN UPDATED HEALTH ASSESSMENT ON FILE.

Corrected Corrected by Apr 27, 2022

Category: ratio. Marked corrected in the state record.

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

ON APRIL 13, 2022, DURING THE RENEWAL INSPECTION STAFF PERSON #3 DID NOT WASH THEIR HANDS INBETWEEN DIAPER CHANGING.

Corrected Corrected by Apr 20, 2022

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

3270.161(c) · Food that has been previously served to a person or returned from a table shall be discarded.

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH. THERE WAS A SIPPY CUP WITH OLD MILK LOCATED IN CHILD #4 CUBBY, TODDLER CLASSROOM #4 (LOCATED ON THE 2ND FLOOR) THERE WAS A SIPPY CUP WITH OLD MILK LOCATED IN CHILD #4 CUBBIE.(CORRECTED ON SITE).

Corrected Corrected by Apr 13, 2022

Category: nutrition. 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.

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH. THERE WAS A LUNCH BOX SITTING OUT IN THE INFANT ROOM COUNTERTOP THAT CONTAINED YOGURT. (CORRECTED ON SITE).

Corrected Corrected by Apr 13, 2022

Category: nutrition. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THERE WERE NO WRITTEN STATEMENTS FOR "INFANT FEEDING SCHEDULE" AVAILIBLE FOR EACH INFANT.

Corrected Corrected by Apr 20, 2022

Category: nutrition. Marked corrected in the state record.

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

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH. THE SIPPY CUPS AND BOTTLES LOCATED IN THE INFANT ROOM #1 AND TODDLER ROOM #4 (ON THE 2ND FLOOR) WERE NOT LABELED WITH THE CHILDREN NAMES.

Corrected Corrected by Apr 20, 2022

Marked corrected in the state record.

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

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR STAFF #3 DID NOT INCLUDE VERIFICATION OF CHILDCARE EXPERIENCE.

Corrected Corrected by Apr 27, 2022

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

ON APRIL13, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #3 DID NOT INCLUDE TWO NON FAMILY REFERENCE LETTERS.

Corrected Corrected by Apr 27, 2022

Category: recordkeeping. Marked corrected in the state record.

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

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE EMERGENCY PLAN POSTED DID NOT PROVIDE ACCOMMODATIONS FOR INFANTS, TODDLERS, CHILDREN WITH DISABILITIES OR CHILDREN WITH CHRONIC MEDICAL CONDITIONS.

Corrected Corrected by Apr 27, 2022

Category: physical safety. 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.

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE FACILITY DID NOT HAVE AN EMERGENCY DRILL LOG AVAILIBLE.

Corrected Corrected by Apr 20, 2022

Category: recordkeeping. Marked corrected in the state record.

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

ON APRIL 13, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE FACILITIES CURRENT DHS CONTACT INFORMATION WAS NOT POSTED IN A CONSPICUOUS LOCATION USED BY PARENTS. (CORRECTED ON SITE).

Corrected Corrected by Apr 13, 2022

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.

ON APRIL 13, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2 AND #3 DID NOT INCLUDE THE ANNUAL TWELVE CLOCK HOURS OF CHILD CARE TRAINING. IN ADDITION, THE RECORD FOR STAFF #4 IS IN NEED OF TWO MORE CLOCK HOURS OF CHILD CARE TRAINING.

Corrected Corrected by Apr 27, 2022

Category: recordkeeping. Marked corrected in the state record.