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

At the time of inspection, staff person #1 did not have documented verification of Emergency Plan Training.

Corrected Corrected by Apr 30, 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).

At the time of inspection, child #1 did not have a documented Child Service Report on file.

Corrected Corrected by Apr 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free trash cans.

At the time of inspection, the trashcans used for disposal of soiled diapers in the infant, younger and older toddler spaces were not hands-free covered trashcans.

Corrected Corrected by Apr 30, 2025

Category: health medication. 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.

At the time of inspection, milk in children cups and bottles were observed sitting on the children cubbies and not refrigerated as required in the young toddler space.

Corrected Corrected by Apr 30, 2025

Category: nutrition. 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.

At the time of inspection, staff person #1 did not have verification of Pediatric First Aid and CPR Training on file.

Corrected Corrected by Apr 30, 2025

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

3270.94(a)(1) · 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.

At the time of inspection, the facility did not have documented verification of the required fire drill every 60 days. The last documented fire drill was dated 11.7.24.

Corrected Corrected by Apr 30, 2025

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.

At the time of inspection, the facility did not have documentation of fire alarm testing being completed every 30 days. Last documented testing of the fire alarm was dated 11.7.2024.

Corrected Corrected by Apr 30, 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.

At the time of inspection, the facility's Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment policy did not speak to signs, symptoms and coping methods for Abusive Head Trauma and Child Maltreatment as the facility service children from infancy to school-age.

Corrected Corrected by Dec 2, 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 #3 may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a childcare position at the facility.

At the time of inspection, staff person #3 resided in the state of New York within the past 5 years and did not have the required out of state clearances on file.

Corrected Corrected by Nov 27, 2024

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

3270.36(b)(5)/3270.192(2)(iv) · 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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

At the time of inspection, staff persons #4 and #5 non-US issued diploma was not translated to English.

Corrected Corrected by Dec 9, 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.

At the time of inspection, older toddler room to the left of building entrance had an unprotected outlet exposed accessible to children.

Corrected Corrected by Nov 26, 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.

At the time of inspection, the children's bathroom to the rear of the building had labeled bottles containing bleach in an accessible unlocked cabinet.

Corrected Corrected by Nov 26, 2024

Marked corrected in the state record.

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

At the time of inspection, the younger toddler's room to the right of the main entrance had peeled paint on the blue wall adjacent to the main office.

Corrected Corrected by Dec 2, 2024

Category: physical safety. 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.

At the time of inspection, all sinks in the facility except the kitchen sink area did not have the proper handwashing sign posted.

Corrected Corrected by Dec 2, 2024

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.

At the time of inspection, the trashcan in children's bathroom and trashcan near the sink in the infant area were not lidded.

Corrected Corrected by Dec 9, 2024

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

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

At the time of inspection, children #1, #2, #3, #4 and #5 did not have current, completed Child Service Reports on file.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

At the time of inspection, child #2 Agreement Form did not have child's enrollment date.

Corrected Corrected by Nov 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

At the time of inspection, child #2 Emergency Contact form did not include the enrolling parents' home and work addresses and authorized release persons telephone number. Child #6 Emergency Contact form did not include enrolling parents' home address.

Corrected Corrected by Nov 27, 2024

Category: recordkeeping. 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.

At the time of inspection, children #8, #9 and #10 Emergency Contact Forms did not have parent consent signatures for Emergency Medical Care.

Corrected Corrected by Dec 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(1)/3270.131(d)(4) · A health report shall include a review of the child's health history. 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.

At the time of inspection, children #6, #7, and #8 health assessment forms did not include a review of the child's health history.

Corrected Corrected by Dec 9, 2024

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

3270.131(d)(7)/3270.131(d)(8) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

At the time of inspection, children #6 and #7 health assessments did not address the question regarding the children being able to participate in in childcare and appears to be free from contagious or communicable diseases.

Corrected Corrected by Dec 9, 2024

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

At the time of inspection, trash receptacle used to dispose diapers was not a handsfree receptacle.

Corrected Corrected by Dec 9, 2024

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

3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

At the time of inspection, there were several milk and formula cups/bottles sitting on the top of children cubbies and not refrigerated to avoid spoilage.

Corrected Corrected by Nov 27, 2024

Category: ratio. 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.

At the time of inspection, children #8, #9 and #10 Emergency Contact Forms did not have parent consent signatures for Minor First Aid.

Corrected Corrected by Nov 27, 2024

Category: ratio. 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.

At the time of inspection, the facility's fire drill practice scenarios were recorded incorrectly as the required annual emergency drill. Annual emergency drill capturing lock-down, shelter in place and/or site evacuation had not been completed.

Corrected Corrected by Dec 6, 2024

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.

At the time of inspection, staff person's #1 and #2 were missing the required number of annual training hours.

Corrected Corrected by Dec 5, 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. Staff person# 4 and 7 shall complete health and safety training within 90 days of hire. Staff person# 4 and 7 will have until 11/28/23 to complete health and safety training. Staff person# 4 and 7 must be supervised, when interacting with children, by an AGS who has completed the required health and safety training. If there is no staff available to supervise staff persons#4 and 7 may not work in a child care position at the facility.

While conducting the renewal inspection on 11/9/23 it was observed staff persons# 4 and 7 has not completed health and safety training with in 90 days of hire.

Corrected Corrected by Nov 28, 2023

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.

While conducting the renewal inspection on 11/9/23 it was observed staff person#2 file did not include annual evaluation.

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

While conducting the renewal inspection on 11/9/23 it was observed in classroom# 3 the first aid kit was not located in an inaccessible to the children.

Corrected Corrected by Nov 30, 2023

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.

While conducting the renewal inspection on 11/9/23 it was observed in classroom#4 bathroom a whole in the wall by the toilet area.

Corrected Corrected by Nov 30, 2023

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

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

While conducting the renewal inspection on 11/9/23 it was observed chipped paint in classroom#1 in the dramatic play area.

Corrected Corrected by Nov 30, 2023

Category: physical safety. 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.

While conducting the renewal inspection on 11/9/23 it was observed the changing table in classroom # 1,2 and 4 did not display the required signage posted by the changing table or classroom sink.

Corrected Corrected by Nov 30, 2023

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

3270.133(7)(iv) · A medication log shall include the amount of medication administered.

While conducting the renewal inspection on 11/9/23 it was observed in classroom# 3; two medication logs were incomplete missing required information to administer medications.

Corrected Corrected by Nov 30, 2023

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

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

While conducting the renewal inspection on 11/9/23 it was observed staff person #1 was changing children but did not clean the surface after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Corrected Corrected by Nov 30, 2023

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

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

While conducting the renewal inspection on 11/9/23 it was observed staff person#5 file did not include education or training documentation such as transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

While conducting the renewal inspection on 11/9/23 it was observed staff persons# 2 and 3 file did not include results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculous. Staff person# 4 and 6 file did not include written report of initial and subsequent health assessments, including the is results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculous.

Corrected Corrected by Nov 30, 2023

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

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

During the inspection on 3/10/2023 the facility had an emergency plan that did not address volunteer emergency preparedness training, practice drills, and continuity of operations.

Corrected Corrected by Mar 17, 2023

Category: ratio. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the inspection on 3/10/2023 the file records for staff person #1 did not include verification of child care experience prior to service at the facility.

Corrected Corrected by Mar 10, 2023

Category: supervision. Marked corrected in the state record.

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

During the inspection on 3/10/2023 the first-aid kits in the Youn Toddlers classroom was missing tweezers, scissors and soap.

Corrected Corrected by Mar 10, 2023

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.

During the inspection on 3/10/2023 the file records for child # 1 did not include the name, address and telephone number of the child's physician or source of medical care on emergency contact form.

Corrected Corrected by Mar 10, 2023

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

3270.182(3) · 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 inspection on 3/10/2023 the file records for child # 1 did not include signed parental consent for emergency medical care for the child.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

During the inspection on 12/5/2022 the file records for staff person #1 did not include out of state clearances. Facility Person #1--- may not work in a child care position at the facility.

Corrected Corrected by Jan 5, 2023

Category: supervision. 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.

Ongoing noncompliance- During the inspection on 8/18/2022 the file records for staff person #1,2,3,4,5 and 6 did not include verification of child care experience prior to service at the facility. The file records for staff persons #3, and 4 did not include verification of education prior to service at the facility. During the inspection on 10/28 the file records for staff persons #1,2,3,4,5,6, and 7 did not include acceptable verification of child care service prior to service at the facility. The file record for staff person #5 did not include verification of education prior to service at the facility.During the inspection on 12/5/2022 the file records for staff person #1 did not include verification of education prior to service at the facility.

Corrected Corrected by Dec 19, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Ongoing noncompliance: During the inspection on 8/18/2022 the file records for staff person #4 and 5 did not include an initial health assessment. The file record for staff person #3 included a health assessment and TB test that was more than 12 months prior to date of hire. During the inspection on 10/28/2022 the file record for #4 included a health assessment and TB test that was more than 12 months prior to date of hire. During the inspection on 12/5/2022 the file records for staff person #2 did not include an initial health assessment.

Corrected Corrected by Jan 5, 2023

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

During the inspection on 10/28/2022 an exit was observed blocked by a table and toys .

Corrected Corrected by Oct 28, 2022

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. Provider must obtain supervision training for all staff from Better Kid Care.

Ongoing noncompliance- During the inspection on 8/18/2022 child #2 was observed going to the bathroom alone unsupervised at 12:35 pm. During the inspection on 10/28/2022 child #7 was observed alone unsupervised.

Corrected Corrected by Oct 28, 2022

Category: supervision. Marked corrected in the state record.

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

Ongoing noncompliance: During the inspection on 8/18/2022 staff person # 4 did not know the names and whereabouts of the children in their assigned group. During the inspection on 10/28/2022 staff person #did not know all of the names and whereabouts of the children in their assigned group.

Corrected Corrected by Nov 11, 2022

Category: supervision. Marked corrected in the state record.

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

During the inspection on 10/28/2022 child #2(infant; 3 months old) was observed sleeping in the playpen on their stomach.

Corrected Corrected by Oct 28, 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.

During the inspection on 10/28/2022 the file records for child # 1,4, and 5 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released on emergency contact form.

Corrected Corrected by Nov 4, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Ongoing noncompliance: During the inspection on 8/18/2022 the infant and preschool room did not have emergency contact information present in a childcare space for the children receiving care in the space. During the inspection on 10/28/2022 the infant and preschool room did not have emergency contact information present in a childcare space for the children receiving care in the space.

Corrected Corrected by Oct 31, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the inspection on 10/28/2022 the file records for child # 1,3, 4, 5 and 6 did not include a health assessment that included a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Corrected Corrected by Nov 28, 2022

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

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

During the inspection on 10/28/2022 the file records for child # 1,3, 4, 5 and 6 did not include a health assessment that included a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected Corrected by Nov 28, 2022

Category: health medication. 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.

Ongoing noncompliance- During the inspection on 8/18/2022 the file records for staff person #1,2,3,4,5 and 6 did not include verification of child care experience prior to service at the facility. The file records for staff persons #3, and 4 did not include verification of education prior to service at the facility. During the inspection on 10/28 the file records for staff persons #1,2,3,4,5,6, and 7 did not include acceptable verification of child care service prior to service at the facility. The file record for staff person #5 did not include verification of education prior to service at the facility.

Corrected Corrected by Nov 11, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Ongoing noncompliance: During the inspection on 8/18/2022 the file records for staff person #4 and 5 did not include an initial health assessment. The file record for staff person #3 included a health assessment and TB test that was more than 12 months prior to date of hire. During the inspection on 10/28/2022 the file record for #4 included a health assessment and TB test that was more than 12 months prior to date of hire.

Corrected Corrected by Nov 28, 2022

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

3270.94(a)(1) · 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.

During the inspection on 8/18/2022 the facility did not have a fire drill log.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the inspection on 8/18/2022 the file record for staff person #5 did not include emergency plan training.

Corrected Corrected by Aug 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3, 4 and 5 -- 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.

During the inspection on 8/18/2022 the file record for staff person #3 did not include state police clearance, child abuse clearance, NSOR certificate and FBI Clearance. The file record for staff person #4 did not include a state police, child abuse clearance, FBI clearance and mandated reporter training. The file record for staff person #5 did not include a FBI clearance. Facility Person #3,4 and 5--- may not work in a child care position at the facility.

Corrected Corrected by Sep 18, 2022

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).

During the inspection on 8/18/2022 staff person #1 was observed with 8 children, the youngest child was two years old.

Corrected Corrected by Aug 18, 2022

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 the inspection on 8/18/2022 the first-aid kits in the infants and preschool classroom were missing soap.

Corrected Corrected by Aug 19, 2022

Marked corrected in the state record.

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

During the inspection on 8/18/2022 the facility did not have adequate lighting during nap time.

Corrected Corrected by Aug 18, 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.

During the inspection on 8/18/2022 the playpens in the infant room were not labeled.

Corrected Corrected by Aug 18, 2022

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 the inspection on 8/18/2022 the cots in the Infant, Toddlers and Preschool did not have at least 2 feet of space on three sides while in use.

Corrected Corrected by Aug 18, 2022

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

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

During the inspection on 8/18/2022 child #2 was observed going to the bathroom alone unsupervised at 12:35 pm.

Corrected Corrected by Aug 18, 2022

Category: supervision. Marked corrected in the state record.

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

During the inspection on 8/18/2022 staff person # 4 did not know the names and whereabouts of the children in their assigned group.

Corrected Corrected by Aug 18, 2022

Category: supervision. 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.

During the inspection on 8/18/2022 the file records for child #1 and 2 did not include the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Corrected Corrected by Aug 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · 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.

During the inspection on 8/18/2022 the file records for child #1 and 2 did not 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 on the emergency contact form.

Corrected Corrected by Aug 25, 2022

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 the inspection on 8/18/2022 the infant and preschool room did not have emergency contact information present in a child care space for the children receiving care in the space.

Corrected Corrected by Aug 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(3) · The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

During the inspection on 8/18/2022 the file record for child #2 included an initial health report that was dated no more than 1 year prior to the first day of attendance at the facility (health report date: 11/12/2020).

Corrected Corrected by Sep 18, 2022

Category: health medication. 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.

During the inspection on 8/18/2022 the file records for #child 1 did not include a written statement giving the formula and feeding schedule for an infant obtained from the parent.

Corrected Corrected by Aug 22, 2022

Category: nutrition. Marked corrected in the state record.

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

During the inspection on 8/18/2022 the file record for child#2 did not include a review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Corrected Corrected by Aug 25, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the inspection on 8/18/2022 the file record for staff persons #3 and 4 did not include the name, address and telephone number of the facility person.

Corrected Corrected by Aug 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(i) · A facility person's record shall include verification of age.

During the inspection on 8/18/2022 the file record for staff persons # 3 and 4 did not include verification of age.

Corrected Corrected by Aug 19, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the inspection on 8/18/2022 the file records for staff person #1,2,3,4,5 and 6 did not include verification of child care experience prior to service at the facility. The file records for staff persons #3, and 4 did not include verification of education prior to service at the facility.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the inspection on 8/18/2022 the file records for staff person #4 and 5 did not include an initial health assessment. The file record for staff person #3 included a health assessment and TB test that was more than 12 months prior to date of hire.

Corrected Corrected by Sep 18, 2022

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

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

During the inspection on 8/18/2022 the file records for staff persons# 4 and 6 did not include two written, non family references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During the inspection on 8/18/2022 the facility did not have proof of installation for the smoke detection system.

Corrected Corrected by Aug 22, 2022

Category: recordkeeping. 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.

Staff person # 1,2, and 3 file did not include documentation of completion of emergency plan training. All violations must be corrected prior to issuance of certification of compliance.

Corrected Corrected by Jun 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.64 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

loose debris wood with nails in them and empty paint cans was observed on the side of the facility leading to outside play area. This poses as a danger for children when walking to outside play area. All violations must be corrected prior to issuance of certification of compliance.

Corrected Corrected by Jun 17, 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.

The first-aid kit in the pre-school room did not have scissors. All violations must be corrected prior to issuance of certificate of compliance.

Corrected Corrected by Jun 17, 2022

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.

It was observed the door that leads to back classroom is loose and is disrepaired. All violations must be corrected prior to issuance of certificate of compliance.

Corrected Corrected by Jun 17, 2022

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

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

It was observed the main entrance glass doors did not have visual identification on doors. All violations must be corrected prior to issuance of certification of compliance.

Corrected Corrected by Jun 17, 2022

Category: physical safety. 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.

It was observed front bathroom, back bathroom, and sink in childcare space did not have handwashing sign posted. All violations must be corrected prior to issuance of certification of compliance.

Corrected Corrected by Jun 17, 2022

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

3270.171(d) · Children shall be picked up and discharged only at locations specified by the facility as safe locations.

The facility did not post a procedure to inform parents of a safe designated pick up and discharge location for children . All violations must be corrected prior to issuance of certification of compliance.

Corrected Corrected by Jun 17, 2022

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.

The emergency plan did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. All violations must be corrected prior to issuance of certification of compliance.

Corrected Corrected by Jun 17, 2022

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