3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

At the time of inspection, it was observed that the metal gate fencing the stairs leading down to the outdoor play area at the bottom had exposed, unraveled, sharp metal pieces that could potentially harm and/or cause bodily injury to children.

Corrected Corrected by Mar 21, 2025

Category: physical safety. 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, it was observed in the Older Toddler's childcare area, a child's cup containing milk sitting out on top of the children's cubbies.

Corrected Corrected by Mar 21, 2025

Category: nutrition. Marked corrected in the state record.

3270.27(f) · 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.

At the time of inspection, the facility did not have documentation that the Emergency Plan was sent to the local municipality and county emergency management agency.

Corrected Corrected by Mar 21, 2025

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

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

At the time of inspection, the facility did not have verification that the facility's use of pedestrian and vehicular routes around the childcare facility was delivered to their local municipality.

Corrected Corrected by Mar 21, 2025

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.

During the renewal inspection conducted on 3/4/24 the toy kitchen dish pan in classroom#4 basket was cracked with rough edges and sharp corners posing as a cutting or scratching hazard.

Corrected Corrected by Mar 4, 2024

Category: physical safety. 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 the renewal inspection conducted on 3/4/24 it was observed the facilities liability insurance did not display exact address of the facility

Corrected Corrected by Mar 4, 2024

Category: recordkeeping. 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 conducted on 3/4/24 the facility water measured at 120° F. inside classroom #1 and the children's bathroom,

Corrected Corrected by Mar 4, 2024

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 conducted on 3/4/24 the rear door leading to the outside play area hinged was hanging off posing as a tripping, or cutting hazard.

Corrected Corrected by Mar 4, 2024

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.

During the renewal inspection conducted on 3/4/24 in classroom#2; 3 sleeping mats were torn with cotton exposed, also posing as a scratching hazard.

Corrected Corrected by Mar 4, 2024

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

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

During the renewal inspection conducted on 3/4/24 the emergency plan did not include accommodations for infants, toddlers.

Corrected Corrected by Mar 4, 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.

Staff person #1-- was observed to be caring for children unsupervised. Staff person #1-- does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 11/13/2021.

Corrected Corrected by Mar 18, 2023

Category: supervision. 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 3/3/2023 the file record for staff person #1 did not include current emergency plan training.

Corrected Corrected by Mar 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(h) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. All staff persons shall complete the professional development under subsection (f).

Ongoing noncompliance- During the inspection on 1/27/2023 the file records of staff persons #1,2,3 and 4 on 1/27/2023 did not include the update of the health and safety training. During the inspection on 3/3/2023 the file record for staff person #1 did not include the update of the health and safety training.

Corrected Corrected by Mar 17, 2023

Category: health medication. 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 3/3/2023 staff person #1 was observed providing direct child care for five children and only knew the names of four of the children

Corrected Corrected by Mar 3, 2023

Category: supervision. Marked corrected in the state record.

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

During the inspection on 3/3/2023 one bottle in the infant room was observed not labeled.

Corrected Corrected by Mar 3, 2023

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 4/13/2023 the file record for child #1 did not include the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Corrected Corrected by Apr 20, 2023

Category: recordkeeping. 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 1/27/2023 the first-aid kit in the Preschool classroom was missing tape.

Corrected Corrected by Jan 27, 2023

Marked corrected in the state record.

3270.62(c) · Outdoor or indoor play space shall be safe for large muscle activity.

During the inspection on 1/27/2023 the outside play area was observed having debris and trash.

Corrected Corrected by Feb 27, 2023

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

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

During the inspection on 1/27/2023 the facility had an emergency plan that did not address volunteer emergency preparedness training, practice drills, and continuity of operations.

Corrected Corrected by Feb 27, 2023

Category: ratio. Marked corrected in the state record.

3270.21/3270.76 · Conditions at the facility may not pose a threat to the health or safety of the children. 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 inspection on 1/27/2023 the carpet in the Toddler classroom was soaked from a leak and the children were observed in the classroom running, playing and sitting on the wet carpet. Upon entrance of the facility, a foul odor was present from the moisture/wetness of the carpet. The ceiling tiles in the facility were soiled/ brown from the leak. This is a hazard to the health and safety of the children.

Corrected Corrected by Jan 28, 2023

Category: health medication. 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.

Ongoing noncompliance- During the inspection on 10/5/2022 the cots in the Infant and Preschool classroom did not have at least 2 feet of space on three sides while in use. During the inspection on 10/20/2022 the rest equipment in the Infant, Toddler and Preschool rooms did not have at least 2 feet of space on three sides while in use. During the inspection 1/27/2023 the rest equipment in the Infant/Toddler classroom did not have 2 feet of space on three sides while in use.

Corrected Corrected by Jan 30, 2023

Category: physical safety. 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 inspection on 1/27/2023 the file records for child #1and 2 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

Corrected Corrected by Jan 30, 2023

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

3270.31(g)/3270.31(h) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement. All staff persons shall complete the professional development under subsection (f).

During the inspection on 1/27/2023 the file records of staff persons #1,2,3 and 4 on 1/27/2023 did not include the update of the health and safety training.

Corrected Corrected by Feb 3, 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.

Staff person #1--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet)

Corrected Corrected by Nov 5, 2022

Category: ratio. Marked corrected in the state record.

3270.52 · IF USING TIERED LIS: The required staff:child ratios must be maintained at all times.The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Ongoing noncompliance- During the inspection on 10/5/2022 staff person #1 was observed having six children alone, the youngest child was an infant (8months old). During the inspection on 10/20/2022 staff person #2 was observed having 16 children alone, the youngest child was a preschool child. Staff person#3 was observed caring for 6 children, the youngest child was an infant.

Corrected Corrected by Jan 20, 2023

Category: ratio. Marked corrected in the state record.

3270.52 · IF USING TIERED LIS: The required staff:child ratios must be maintained at all times 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).

Ongoing noncompliance- During the inspection on 10/5/2022 staff person #1 was observed having six children alone, the youngest child was an infant (8months old). During the inspection on 10/20/2022 staff person #2 was observed having 16 children alone, the youngest child was a preschool child. Staff person#3 was observed caring for 6 children, the youngest child was an infant.

Corrected Corrected by Oct 20, 2022

Category: ratio. Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Ongoing noncompliance- During the inspection on 10/5/2022 the cots in the Infant and Preschool classroom did not have at least 2 feet of space on three sides while in use. During the inspection on 10/20/2022 the rest equipment in the Infant, Toddler and Preschool rooms did not have at least 2 feet of space on three sides while in use.

Corrected Corrected by Oct 20, 2022

Category: physical safety. 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 will have to obtain referred training by DHS for all staff.

Ongoing noncompliance- During the inspection on 10/5/2022 staff persons # 1 and 7 stated that they did not have any children that they were specifically assigned to. During the inspection on 10/20/2022 staff person #2 was observed with 16 children, and only gave the assignment of responsibility for 10 children.

Corrected Corrected by Oct 20, 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 10/20/2022 child #1(infant) was observed sleeping in an apparatus(bouncy sleep) inside of a crib.

Corrected Corrected by Oct 20, 2022

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 10/20/2022 the file records for child # 2 did not include signed parental consent for emergency medical care for the child.

Corrected Corrected by Oct 21, 2022

Category: recordkeeping. 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 inspection 10/20/2022 the file record child #2 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Oct 21, 2022

Category: ratio. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

During the inspection on 10/5/2022 staff person #1 was observed having six children alone, the youngest child was an infant (8months old).

Corrected Corrected by Oct 5, 2022

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: Staff Person #4 -- 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 10/5/2022 the file record for staff person #1 did not include mandated reporter training. The file record for staff person # 4 did not include a NSOR clearance. Staff Person #4--- may not work in a child care position at the facility.

Corrected Corrected by Oct 12, 2022

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 the inspection on 10/5/2022 the file record for staff person #5 did not include a current written evaluation.

Corrected Corrected by Oct 19, 2022

Category: recordkeeping. 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 10/5/2022 the cots in the Infant and Preschool classroom did not have at least 2 feet of space on three sides while in use.

Corrected Corrected by Oct 6, 2022

Category: physical safety. 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 10/5/2022 staff persons # 1 and 7 stated that they did not have any children that they were specifically assigned to.

Corrected Corrected by Oct 5, 2022

Category: supervision. 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 10/5/2022 the infant room did not have emergency contact information present in a child care space for two child receiving care in the space.

Corrected Corrected by Oct 5, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the inspection on 10/5/2022 the bottle for child #1 was observed not labeled.

Corrected Corrected by Oct 5, 2022

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 person # 1 must obtain verification of child abuse clearances as required under CPLS. Facility person #1 may not work in child care position at the facility.

Staff person #1 file did not have verification of child abuse clearance. Facility Person #1 -- may not work in a child care position at the facility

Corrected Corrected by Jun 17, 2022

Category: background checks. 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.

Staff person # 1 was observed engaged in a cell phone conversation while caring for children. This impeded full supervision capabilities - see, hear, direct and assess.

Corrected Corrected by Jun 17, 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.

While conducting inspection staff person # 1 had 6 children in her classroom and only knew the names of 3 of the children in her care.

Corrected Corrected by Jun 17, 2022

Category: supervision. 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.

The emergency contact form for child #1 did not have address for release person.

Corrected Corrected by Jun 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

While observing diaper changing in the infant room staff person # 2 did not wash/wipe infants hands after changing. Staff person# 2 also changed a young toddler and did not washed/wiped the child's hands before being allowed to return to the table to finish eating lunch.

Corrected Corrected by Jun 17, 2022

Category: health medication. 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.

Staff person # 1 was observed changing 3 different children and did not wash hands between each changing of child.

Corrected Corrected by Jun 17, 2022

Category: health medication. 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.

Child # 2 emergency contact form did not have a signature for consent for transportation.

Corrected Corrected by Jun 17, 2022

Category: transportation. Marked corrected in the state record.