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

During the unannounced monitoring the certification representative viewed the file of staff #4's staff #4 was missing 12 hours of professional development training in the file.

Corrected Corrected by Apr 24, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During the unannounced monitoring the certification representative viewed staff #4's file staff #4 was missing a up to date pediatric first aid cpr in the file. Staff #3 was missing a first aid cpr certificate in the file.

Corrected Corrected by Apr 24, 2025

Category: ratio. 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 the unannounced inspection the certification representative was informed that the director was no longer working at the center. The provider did not have another staff currently employed that qualified as the assistant director.

Corrected Corrected by Apr 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

During the inspection window the certification representative was informed that the director was no longer working for the center.

Corrected Corrected by Apr 18, 2025

Marked corrected in the state record.

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

During the unannounced monitoring the certification representative viewed staff #3 file staff # 3 was missing education and experience in the fille.

Corrected Corrected by Mar 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the unannounced inspection the certification representative viewed staff # 3 file staff #3 was missing a health assessment in the file.

Corrected Corrected by Apr 24, 2025

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

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

During the unannounced monitoring the certification representative was given a staff file who returned back to work after reviewing the file staff # 3 was missing two references.

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection the certification representative requested to view the shaken baby, abusive head trauma and child maltreatment policy. The provider did not have the policy available at the time of the inspection.

Corrected Corrected by Mar 20, 2025

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.

During the renewal inspection the certification representative viewed the staff files staff #1 and #2 were missing an emergency plan training certificate in the file.

Corrected Corrected by Mar 20, 2025

Category: ratio. Marked corrected in the state record.

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

During the renewal inspection the certification representative viewed the staff files staff #2 was missing an updated CPR certificate in the file.

Corrected Corrected by Mar 20, 2025

Category: ratio. 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.

During the renewal inspection the certification representative viewed the staff files staff #1 and #2 were both missing fire safety training in the file.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. 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.

During the renewal inspection the certification representative conducted a facility walk through and observed damage to the drop ceiling they were signs of a leak.

Corrected Corrected by Mar 20, 2025

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

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

During the renewal inspection the certification representative conducted a facility walk through and observed a hole in the wall in the bathroom that is used by children next to the toilet.

Corrected Corrected by Mar 20, 2025

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

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

During the renewal inspection the certification representative view the children's files, child #3 was missing consent for obtaining emergency medical are on the emergency contact form.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5)/3270.124(b)(7) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. 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.

During the renewal inspection the certification representative viewed the children files child # 3 was missing policy number and insurance information. Child # 3 was also missing the release person address on the emergency contact form.

Corrected Corrected by Mar 20, 2025

Category: health medication. 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 the renewal inspection the certification representative viewed the children files children #2, #3, #4 were missing up to date emergency contacts #2, #3 #4 and #5 were missing and up to date financial agreements.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the renewal inspection the certification representative viewed the children files children # 1, #2 #4 and #5 were all missing updated health assessments in the file.

Corrected Corrected by Mar 20, 2025

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

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

During the renewal inspection the certification representative viewed the children files children #1and #4 required updated shot records.

Corrected Corrected by Mar 20, 2025

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

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

During the renewal inspection the certification representative viewed the children files, child # 3 was missing consent for minor first aid on the emergency contact form.

Corrected Corrected by Mar 20, 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 the renewal inspection the certification representative viewed children's files child #3 was missing consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Mar 20, 2025

Category: transportation. 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.

During the renewal inspection the certification representative requested to view the centers emergency drill. The provider was unable to provide a copy of the annual drill at the time of the renewal inspection.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. 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 the renewal inspection the certification representative viewed the staff files staff #1 and #2 were missing 12 hours of professional development trainings in the file.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the renewal inspection the certification representative viewed child #3 file, child # 3 was missing a health assessment in the file.

Corrected Corrected by May 23, 2024

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

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

During the renewal inspection the certification representative viewed the emergency plan, the plan was missing the section that address the plans for continuity of care.

Corrected Corrected by Apr 18, 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. 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 #--- may not work in a child care position at the facility.

During the renewal inspection the certification representative viewed staff #2 file, staff #2 was missing the FBI results in the file.

Corrected Corrected by Apr 18, 2024

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 the renewal inspection the certification representative conducted a facility walk through the water that is used by the children was running too hot and must be turned down.

Corrected Corrected by Apr 18, 2024

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

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

During the renewal inspection the certification representative conducted a facility walk through, the first aid kit was missing tape.

Corrected Corrected by Apr 18, 2024

Category: health medication. 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 the renewal inspection the certification representative conducted a facility walk through and observed peeling paint on the baseline of the walls in the childcare measured space.

Corrected Corrected by Apr 18, 2024

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

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the renewal inspection the certification representative viewed child #3 file, child # 3 was missing a health assessment in the file.

Corrected Corrected by Apr 28, 2024

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.

During the renewal inspection the certification representative viewed the staff files, staff #1 was missing 8 hours professional development training in the file.

Corrected Corrected by Mar 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.24(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

The certification representative arrived at the facility location to conduct a follow up on corrections pertaining to the renewal inspection that was conducted on 3/15/24. The certification representative rang the doorbell and knocked several times. The certification representative heard a child yell out to let someone know that someone was at the door. The certification representative could see a child's sneaker shaking while laying on a cot. The certification called the facility number and spoke to the owner and informed the owner that an attempt was being made to access the facility. The certification attempted again after speaking to the owner and still was not given access to the facility.

Corrected Corrected by Apr 18, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection the certification representative viewed the emergency plan, the plan was missing the section that address the plans for continuity of care.

Corrected Corrected by Apr 15, 2024

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

During the renewal inspection the certification representative viewed the staff files staff #2 was missing the Health and Safety training in the file.

Corrected Corrected by Apr 15, 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). 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 #2 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 #2 may not work in a childcare position at the facility.

During the renewal inspection the certification representative viewed staff #2 file, staff #2 was missing the FBI results in the file.

Corrected Corrected by Apr 15, 2024

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 the renewal inspection the certification representative conducted a facility walk through the water that is used by the children was running too hot and must be turned down.

Corrected Corrected by Apr 15, 2024

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

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

During the renewal inspection the certification representative conducted a facility walk through, the first aid kit was missing tape.

Corrected Corrected by Apr 14, 2024

Category: health medication. 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 the renewal inspection the certification representative conducted a facility walk through and observed peeling paint on the baseline of the walls in the childcare measured space.

Corrected Corrected by Apr 15, 2024

Category: physical safety. 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 the renewal inspection the certification representative viewed the children's file children #1, #2, #3, #4 and #5 were all missing child service reports in the file.

Corrected Corrected by Apr 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the renewal inspection the certification representative viewed the children's file child #1 was missing a health assessment in the file.

Corrected Corrected by Apr 15, 2024

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

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the renewal inspection the certification representative viewed child #3 file, child # 3 was missing a health assessment in the file.

Corrected Corrected by Apr 15, 2024

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

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

During the renewal inspection the certification representative viewed the children's files child #3 was missing an updated shot record in the file.

Corrected Corrected by Mar 15, 2024

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

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

During the renewal inspection the certification representative viewed child #2 file, child # 2 was missing an updated shot record.

Corrected Corrected by Apr 15, 2024

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.

During the renewal inspection the certification representative viewed the staff files, staff #1 was missing 8 hours professional development training in the file.

Corrected Corrected by Apr 15, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 8/1/23, staff person #3 did not have the updated required Health and Safety Pre-Service Training completed.

Corrected Corrected by Aug 31, 2023

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 the renewal inspection conducted on 8/1/23, staff persons #1 and #3 did not have annual firesafety training on file.

Corrected Corrected by Aug 31, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 8/1/23, staff person #3 did not have a child abuse clearance completed with in the past 60 months. The child abuse clearance of staff person #3 was dated 1/2/16.

Corrected Corrected by Aug 1, 2023

Category: background checks. 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 the renewal inspection conducted on 8/1/23, Cert Rep observed a bottle of hand sanitizer.

Corrected Corrected by Aug 1, 2023

Marked corrected in the state record.

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

During the renewal inspection conducted on 8/1/23, the first aid kit in the toddler space did not include tape.

Corrected Corrected by Aug 1, 2023

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During the renewal inspection conducted on 8/1/23, child # 2 and child #3 did not have their health insurance and policy number included in their emergency contact information.

Corrected Corrected by Aug 31, 2023

Category: health medication. 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 the renewal inspection conducted on 8/1/23, the emergency contact form of child #1 was not updated with in a 6-month period. Child #1's emergency contact form was dated 12/6/22.

Corrected Corrected by Aug 31, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 8/1/23, staff persons #1 and #2 did not have a health assessment that was conducted with in the past 24 months. Staff person #1's health assessment was dated 11/24/20. Staff person #2's health assessment was dated 6/1/21.

Corrected Corrected by Aug 31, 2023

Category: ratio. Marked corrected in the state record.

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

During the renewal inspection conducted on 8/1/23, staff person #4 had one written non family reference on file.

Corrected Corrected by Aug 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.61(i) · The total number of children receiving child care services at the facility at any one time may not exceed the facility's maximum capacity.

During the renewal inspection conducted on 8/1/23, Cert Rep observed 13 children being cared for, which exceeded the facility's maximum capacity of 12.

Corrected Corrected by Aug 1, 2023

Category: ratio. Marked corrected in the state record.

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

The file of child # 4 and child # 5 is missing information regarding services which are to be considered as extra on the agreement form.

Corrected Corrected by Oct 14, 2022

Category: recordkeeping. 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.

During the renewal inspection the certification representative observed the white shelf by the window in the front area in the childcare space wabbly and not anchored down.

Corrected Corrected by Oct 19, 2022

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

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

The file of child # 4 and child # 5 is missing the operator's signature on the agreement form.

Corrected Corrected by Oct 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

The file of child # 5 the amount of the fee to be charged per day or per week and the date on which the fee is to be paid.

Corrected Corrected by Oct 14, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file of child # 3 is missing the telephone number of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Oct 14, 2022

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The File of child # 4 is missing the home and work telephone number of the enrolling parent on the emergency contact form.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(4) · A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

The child of file # 2 is missing information regarding abnormal results of screening tests for vision, hearing or lead poisoning on the health assessment form.

Corrected Corrected by Nov 14, 2022

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

3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The file of child # 3 is missing an exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian in the child's.

Corrected Corrected by Oct 17, 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.

DURING THE COMPLAINT INVESTIGATION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH AND OBSERVED THAT THE DRAIN IN THE OUTDOOR PLAY SPACE WAS CLOGGED

Corrected Corrected by Jun 15, 2022

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