3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 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.

During renewal inspection on April 19, 2024, certification representative observed staff #1 enter into the front room at 11:17 am to put out sleep mats, leaving 11 young toddlers in the back room with staff #2 and #3.

Corrected Corrected by Apr 19, 2024

Category: ratio. 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 renewal inspection on April 19, 2024, certification representative observed an area of damaged plaster in the front child care space.

Corrected Corrected by May 16, 2024

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.

During renewal inspection on April 19, 2024, certification representative observed chipped paint near the kitchen in the infant room, and on the blue and orange walls.

Corrected Corrected by Apr 19, 2024

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

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

During renewal inspection on April 19, 2024, certification representative observed staff #1 bring 3 children into the infant room at 10:40 am, and then turned her back to them while preparing lunch in the kitchen, leaving them unsupervised.

Corrected Corrected by Apr 19, 2024

Category: supervision. 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.

During renewal inspection on April 19, 2024, certification representative observed staff serve the children snack at 10:36 am without washing the children's hands prior.

Corrected Corrected by Apr 19, 2024

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.

During renewal inspection on April 19, 2024, certification representative observed staff #1 change multiple children's diapers without wiping the surface in between each use.

Corrected Corrected by Apr 19, 2024

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

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

During renewal inspection on April 19, 2024, the record of staff #3 was not present at the facility at the time of inspection.

Corrected Corrected by Apr 19, 2024

Category: recordkeeping. 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.

During renewal inspection on April 19, 2024, the record of staff #3 did not contain documentation of education.

Corrected Corrected by May 3, 2024

Category: recordkeeping. 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 renewal inspection on April 19, 2024, provider did not have documentation of an annual emergency drill on file at the facility.

Corrected Corrected by Apr 19, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During renewal inspection on April 19, 2024, provider did not have the current fire drill log/documentation indicating a fire drill was conducted at least once every 60 days on file at the facility.

Corrected Corrected by Apr 19, 2024

Category: recordkeeping. 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 complaint investigation on March 22, 2024, Certification representative observed staff #1 and #2 with a total of 12 children (8 young toddlers, 2 older toddlers, and 2 preschool children) at 9:45 am until 9:48 am when staff #3 came out of the bathroom.

Corrected Corrected by Mar 22, 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). 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 unannounced inspection on February 28, 2024, the record of staff #2 did not contain the receipts for submission of the PA state police clearance or the DHS FBI clearance. Continued non-compliance.

Corrected Corrected by Mar 22, 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.

During unannounced inspection on February 28, 2024, the records of staff #1 and #2 did not contain documentation of experience to qualify them as an AGS. Continued non-compliance.

Corrected Corrected by Mar 22, 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 unannounced inspection on February 28, 2024, the hot water measured at a temperature of 120°F. Continued non-compliance.

Corrected Corrected by Mar 22, 2024

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

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

During unannounced inspection on February 28, 2024, the record of staff #1 did not contain two written, nonfamily references and the record of staff #2 contained only one written, nonfamily reference. Continued non-compliance.

Corrected Corrected by Mar 22, 2024

Category: recordkeeping. 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 follow-up inspection on January 3, 2024, cert rep observed chipped paint in the bathroom and the front toddler room. Continued non-compliance from November 20, 2023.

Corrected Corrected by Jan 5, 2024

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

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

During follow-up inspection on January 3, 2024, the emergency plan on site at the time of inspection did not include Continuity of Operations. Continued non-compliance from 11-20-23.

Corrected Corrected by Feb 9, 2024

Category: ratio. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

During follow-up inspection on January 3, 2024, the emergency plan on site did not have documentation of a review at least annually. Continued non-compliance from November 20, 2023.

Corrected Corrected by Feb 9, 2024

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). 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 until all documentation is obtained and on file.

During follow-up inspection on January 3, 2024, the record of staff #3 did not contain a DHS FBI clearance.

Corrected Corrected by Feb 4, 2024

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

3270.51/3270.113(a) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During follow-up inspection on January 3, 2024, Certification representative observed staff #2 in the infant room with 5 infants, and also observed staff #2 go into the kitchen at approximately 11:30 am, leaving the 5 infants unsupervised. Continued non-compliance from November 20, 2023.

Corrected Corrected by Mar 7, 2024

Category: supervision. Marked corrected in the state record.

3270.51/3270.113(a) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During follow-up inspection on January 3, 2024, Certification representative observed staff #2 in the infant room with 5 infants, and also observed staff #2 go into the kitchen at approximately 11:30 am, leaving the 5 infants unsupervised. Continued non-compliance from November 20, 2023.

Corrected Corrected by Jan 5, 2024

Category: supervision. Marked corrected in the state record.

3270.55(b) · Staff persons who are on duty but are not providing child care during naptime shall remain in the child care portion of the facility premises.

During follow-up inspection on January 3, 2024, it was reported to Certification representative that staff #3 was "on their break" and was not present on facility premises until they arrived at 11:55 am.

Corrected Corrected by Jan 5, 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 follow-up inspection on January 3, 2024, the water temperature measured at 129°F. Continued non-compliance from November 20, 2023.

Corrected Corrected by Jan 5, 2024

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

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

During follow-up inspection on January 3, 2024, certification representative observed cribs in use that did not have 2 feet of space on 3 sides. Continued non-compliance from November 20, 2023.

Corrected Corrected by Jan 5, 2024

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

3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

During follow-up inspection on January 3, 2024, certification representative observed two children sleeping in cribs with pillows. Continued non-compliance from November 20, 2023.

Corrected Corrected by Jan 5, 2024

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

3270.123(a)/3270.123(b) · An agreement shall be signed by the operator and the parent. A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

During follow-up inspection on January 3, 2024, the financial agreements of children #1, 2, 3 and 5 were not signed by the operator, and were the original agreements on file (not a copy). Continued non-compliance from November 20, 2023.

Corrected Corrected by Feb 9, 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.

During follow-up inspection on January 3, 2024, the agreements of children #1, 2, and 5 did not specify the date of the child's admission. Continued non-compliance from November 20, 2023.

Corrected Corrected by Jan 5, 2024

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.

During follow-up inspection on January 3, 2024, the emergency contact information of child #4 did not contain the address of the child's physician. Continued non-compliance from November 20, 2023.

Corrected Corrected by Jan 8, 2024

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 follow-up inspection on January 3, 2024, the emergency contact information of children #1 did not include the health insurance coverage and policy number. Continued non-compliance from November 20, 2023.

Corrected Corrected by Jan 5, 2024

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 follow-up inspection on January 3, 2024, the emergency contact information of child #4 did not include the name, address or telephone number of the individual designated by the parent to whom the child may be released, and the emergency contact information of children #1, 3, and 5 did not include the address of the individuals designated by the parent to whom the child may be released. Continued non-compliance from November 20, 2023.

Corrected Corrected by Jan 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During follow-up inspection on January 3, 2024, the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the child care spaces. Continued non-compliance from November 20, 2023.

Corrected Corrected by Jan 5, 2024

Category: transportation. 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 follow-up inspection on January 3, 2024, the emergency contact information and financial agreement of child #5 were not updated at least once in a 6 month period. Continued non-compliance from November 20, 2023 .

Corrected Corrected by Feb 9, 2024

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.

During follow-up inspection on January 3, 2024, cert rep observed staff #2 change a child's diaper and return him to the child care space without washing the child's hands. Continued non-compliance from November 20, 2023.

Corrected Corrected by Jan 5, 2024

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

3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

During follow-up inspection on January 3, 2024, certification representative observed an infant seated in a chair holding his own bottle, which was propped up by a blanket. Child was indicated as 5 months old at the time of inspection, per staff #1 and #2.

Corrected Corrected by Jan 5, 2024

Marked corrected in the state record.

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

During follow-up inspection on January 3, 2024, the records of staff #1, 2, and 3 did not contain documentation of childcare experience and the record of staff #4 did not contain documentation of education or experience. Continued non-compliance from November 20, 2023.

Corrected Corrected by Jan 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

During Renewal Inspection on November 20, 2023, the record of child #5 did not contain a health report within 6 months (dated 11-7-22).

Corrected Corrected by Nov 23, 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 Renewal Inspection on November 20, 2023, the emergency plan on file at the facility did not include Continuity of Operations.

Corrected Corrected by Nov 21, 2023

Category: ratio. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

During Renewal Inspection on November 20, 2023, the emergency plan on file at the facility did not have a documented review at least annually.

Corrected Corrected by Nov 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)/3270.123(b) · An agreement shall be signed by the operator and the parent. A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

During Renewal Inspection on November 20, 2023, the financial agreements of children #1, 2, 3 and 5 were not signed by the operator, and were the original agreements on file (not a copy).

Corrected Corrected by Nov 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.51/3270.113(a) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 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. 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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

During Renewal Inspection on November 20, 2023, Certification Representative observed staff #2 in the kitchen, #1 in the front with 5 young toddlers, and staff #3 in the bathroom changing a child's diaper with the door closed entirely, leaving 7 infant children unattended at 11:15 am. At 11:29 am, Cert rep observed staff #2 in the front space serving lunch, leaving staff #3 with 8 infants in the back space. At 11:33 am, Cert rep observed all 3 staff in the back space, leaving 5 young toddlers in the front space unattended. Cert rep observed 2 staff in the infant room with 9 children at rest time.

Corrected Corrected by Nov 21, 2023

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 Renewal Inspection on November 20, 2023, the hot water temperature measured at 138°F.

Corrected Corrected by Nov 20, 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.

During Renewal Inspection on November 20, 2023, Certification representative observed areas of chipped paint in the toddler and infant spaces.

Corrected Corrected by Nov 25, 2023

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

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

During Renewal Inspection on November 20, 2023, Certification representative observed cribs in use that did not have 2 feet of space on 3 sides.

Corrected Corrected by Nov 21, 2023

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

3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

During Renewal Inspection on November 20, 2023, Certification representative observed child #1 sleeping in a crib with a pillow.

Corrected Corrected by Nov 20, 2023

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 Renewal Inspection on November 20, 2023, staff did not have assigned supervision groups of specific children.

Corrected Corrected by Nov 20, 2023

Category: supervision. 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.

During Renewal Inspection on November 20, 2023, the agreements of children #1, 2, and 5 did not specify the date of the child's admission.

Corrected Corrected by Nov 21, 2023

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.

During Renewal Inspection on November 20, 2023, the emergency contact information of child #4 did not contain the address of the child's physician.

Corrected Corrected by Nov 21, 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 Renewal Inspection on November 20, 2023, the emergency contact information of children #1 and #2 did not include the health insurance coverage and policy number.

Corrected Corrected by Nov 21, 2023

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 Renewal Inspection on November 20, 2023, the emergency contact information of child #4 did not include the name, address or telephone number of the individual designated by the parent to whom the child may be released, and the emergency contact information of children #1, 2, 3, and 5 did not include the address of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Nov 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During Renewal Inspection on November 20, 2023, the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the child care spaces.

Corrected Corrected by Nov 20, 2023

Category: transportation. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

During Renewal Inspection on November 20, 2023, the emergency contact information and financial agreement of child #5 were not updated at least once in a 6 month period, and the financial agreement of child #3 was not updated at least once in a 6 month period.

Corrected Corrected by Nov 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)/3270.131(e)(2)(i) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. 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.

During Renewal Inspection on November 20, 2023, the immunization record of child #4 did not show that the child had received an influenza vaccine, and did not contain an exemption document.

Corrected Corrected by Nov 22, 2023

Category: health medication. 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.

During Renewal Inspection on November 20, 2023, Certification representative observed staff #3 change a child's diaper and return them to the childcare space without washing their hands, and observed the children eat their lunch without washing their hands prior.

Corrected Corrected by Nov 20, 2023

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

3270.163(a)(1) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

During Renewal Inspection on November 20, 2023, Certification representative observed the children eat a meal consisting of hot dogs, rice, broccoli and water. Cert rep did not observe a dairy component served.

Corrected Corrected by Dec 20, 2023

Category: nutrition. Marked corrected in the state record.

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

During Renewal Inspection on November 20, 2023, the records of staff #1, 2, and 3 did not contain documentation of childcare experience and the record of staff #4 did not contain documentation of education or experience.

Corrected Corrected by Nov 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During Renewal Inspection on November 20, 2023, the records of staff #2 and #3 did not contain two written, nonfamily references.

Corrected Corrected by Nov 28, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During Renewal Inspection on November 20, 2023, the record of child #2 did not contain an initial health assessment.

Corrected Corrected by Nov 28, 2023

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

3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

There was a liquid plug-in air-freshener at the entrance to the facility at the time of inspection that was in reach of the children.

Corrected Corrected by Aug 3, 2021

Category: ratio. 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 inspection the outdoor play area needed cleaning.

Corrected Corrected by Aug 9, 2021

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.

There was peeling paint along the window area in the infant/toddler space and in the restroom at the time of inspection.

Corrected Corrected by Sep 3, 2021

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