3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

On 9/12/2024, Certification Representative facility staff #1 was working with a volunteer Child Abuse clearance in the file. Facility staff #1 served first as a volunteer and then as a staff person as of 7/25/2024. This was corrected onsite.

Corrected Corrected by Sep 12, 2024

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

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

At the time of inspection on 4/23/2024, Certification Representative observed that the back exit door that leads directly into the Wawa parking lot was propped opened without anything to restrict access in or out of the facility.

Corrected Corrected by Apr 23, 2024

Category: health medication. 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 on 2/16/2024, Certification Representative observed that the kitchen door was unlocked and there was a bottle of lysol cleaning spray that was in an unlocked lower cabinet.

Corrected Corrected by Feb 16, 2024

Marked corrected in the state record.

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

At the time of inspection on 2/16/2024, Certification Representative observed that the kitchen door was unlocked and there was a bottle of Polyethylene Glycol 3350 stored in the unlocked refrigerator.

Corrected Corrected by Feb 16, 2024

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

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

The operator failed to protect the health and safety of children when a facility staff and child were instructed to quarantine after being exposed to measles while unvaccinated. Facility staff was notified of the measles exposure on 12/11/2023 and instructed to quarantine until 12/29/2023. Facility staff #1 acknowledged being at the facility on 12/15/2023 and facility child #1 was present the facility on 12/20/2023 and 12/21/2023. Consequently, four children were exposed and later tested positive for the disease. The operator failed to notify all enrolled parents of the suspected outbreak in a timely fashion in order to prevent additional exposures.

Corrected Corrected by Jan 4, 2024

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

3270.34(a) · A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6).

The facility is without a qualified director to manage the facility and be onsite at least 30 hours per week.

Corrected Corrected by Feb 4, 2024

Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to 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.

At the time of inspection on 1/4/2024, the record for facility child #1 did not include a review of the child's immunized status according to recommendations of the ACIP or contain a written, signed and dated exemption from immunization from the parent. Certification Representative requested this information from the designee in charge and what was provided was a standard exemption form that was not filled out, signed and did not contain any information relating to the child.

Corrected Corrected by Feb 4, 2024

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

3270.136(b) · The operator shall inform parents of enrolled children when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency in the opinion of the Department of Health.

Based on investigation, on 12/22/2023 both facility staff #1 and facility child #1 tested positive for measles. The operator did not notify all parents of enrolled children of the suspected measles outbreak in the facility until 1/4/2024.

Corrected Corrected by Jan 4, 2024

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

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

At the time of inspection on 1/4/2024, Certification Representative observed 5 toddlers who were sitting in high chairs placed in front of a television. When asked by Certification Representative, staff acknowledged the children were in the high chairs so they can watch a show.

Corrected Corrected by Jan 4, 2024

Category: recordkeeping. 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.

At the time of inspection, the facility emergency plan did not address continuity of operations. Additionally, there was not a written policy to address shaken baby syndrome, abusive head trauma and child maltreatment on file at the facility.

Corrected Corrected by Oct 9, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

At the time of inspection, Facility staff #6 did not have an FBI clearance at least every 60 months. The FBI clearance in the record was dated 10/19/2016.

Corrected Corrected by Oct 16, 2023

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

3270.34(b)/3270.34(b)(4) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A director shall have attained an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 4 years of experience with children.

Facility staff #1 who was the director at the time of inspection, does not have the qualifications to serve as a facility director. Facility staff #1 had verification of an Associate's degree but there were not transcripts in the record. After a review of the transcripts sent to the Certification Representative on 10/17/2023, it was observed that facility staff #1 did not have at least 30 credit hours in qualifying fields of service and therefore does not qualify as a director.

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

At the time of inspection on 10/12/2023, Certification Representative observed broken ceiling tiles that were in need of repair in the area of the back exit

Corrected Corrected by Nov 9, 2023

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

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

At the time of inspection, the agreements for facility children #1, #2, and #4 did not include fee information.

Corrected Corrected by Nov 9, 2023

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, there were not child service reports or any other growth and development assessment on file for facility children #1, #2 and #4 as required at least every 6 months.

Corrected Corrected by Nov 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

At the time of inspection, the agreement forms for facility children #1, #2, #3, and #4 did not list the names of the persons designated by a parent to whom the child may be released.

Corrected Corrected by Nov 9, 2023

Category: recordkeeping. Marked corrected in the state record.

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

At the time of inspection, the emergency contact form for facility children #2 and #4 did not include the health insurance information as required.

Corrected Corrected by Nov 9, 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.

At the time of inspection, the emergency contact form for facility child #4 did not include the addresses of all of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Nov 9, 2023

Category: recordkeeping. Marked corrected in the state record.

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

At the time of inspection, there was not a health assessment at least every 12 months for facility child #1. The last health assessment in the record was over 16 months.

Corrected Corrected by Nov 9, 2023

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

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

At the time of inspection, Facility staff #8 did not have a health assessment on file at the facility.

Corrected Corrected by Nov 9, 2023

Category: ratio. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

At the time of inspection, there was not signed parental consent for emergency medical care or the administration of minor first-aid procedures for facility child #4.

Corrected Corrected by Nov 9, 2023

Category: ratio. 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.

At the time of inspection, facility staff #5 and #7 did not have acceptable verification of education. There was not an evaluation of the US equivalency for the staff's education as required due to being foreign credentials.

Corrected Corrected by Nov 9, 2023

Category: recordkeeping. Marked corrected in the state record.

20.71(a)(7) · The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.

At the time of inspection on 10/12/2023, Certification Representative observed 4 questionable health assessment forms which appeared to have been altered and/or fraudulent in the files of facility staff #1, #2, #3 and #4. Certification Representative verified the 4 health assessments were not valid after speaking to the health providers and sending copies of the forms for their view. Certification Representative received confirmation that there were no records of those health assessments being conducted for those staff on the dates of service written on the health forms.

Corrected Corrected by Nov 9, 2023

Category: health medication. 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 facility emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 9, 2023

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

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

At the time of inspection, Certification Representative observed a fire system inspection dated 6/28/2022 which indicated that the system is not monitored due to the phone lines needing service. Facility staff #1 provided Certification Representative verification of monthly system checks that were completed in July, August and September 2023. There was not documentation of fire system checks completed at least every 30 days. Additionally, there was not proof of purchase of the fire system onsite. The fire system purchase attestation form did not have a date of approximate purchase. This attestation form was corrected onsite.

Corrected Corrected by Nov 9, 2023

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

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility emergency plan did not include a lock-down procedure.

Corrected Corrected by Nov 9, 2023

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

3270.131(a) · 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.

At the time of inspection, there was not a health assessment on file within 60 days of enrollment for facility child #3.

Corrected Corrected by Nov 9, 2023

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

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

During the unannounced monitoring inspection conducted on 7/21/2023 observed staff person #1's file did not include verification of fire safety training.

Corrected Corrected by Aug 4, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the unannounced monitoring inspection conducted on 7/21/2023 observed staff person #1's file did not include verification of CCDBG health and safety professional development training.

Corrected Corrected by Aug 4, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 unannounced monitoring inspection conducted on 7/21/2023 observed staff person #1's criminal history record expired. The date it was obtained is 8/1/2016.

Corrected Corrected by Aug 4, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During the unannounced monitoring inspection conducted on 7/21/2023 observed staff person #1's file did not include verification of completion of pediatric first aid and pediatric cardiopulmonary resuscitation training.

Corrected Corrected by Aug 4, 2023

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

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

During the unannounced monitoring inspection conducted on 7/21/2023 observed staff person #1's file did not include an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Aug 4, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the allocated unannounced monitoring inspection conducted on 6/16/2023 observed staff did not provide immediate access to the facility to the certification representative. The certification representative called the facility telephone and requested access into the facility but was not let in for twenty minutes. Also observed that staff did not have access to the files and records while the director is not in the building.

Corrected Corrected by Jul 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 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 the allocated unannounced monitoring inspection conducted on 6/16/2023 observed 1 staff person with 7 in the infant room with the youngest being 11 months old.

Corrected Corrected by Jul 6, 2023

Category: ratio. Marked corrected in the state record.

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

During the allocated unannounced monitoring inspection conducted on 6/16/2023 observed peeled paint in the Preschool room.

Corrected Corrected by Jul 6, 2023

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

During the allocated unannounced monitoring inspection conducted on 6/16/2023 observed the toilet located in the back bathroom when flushed the water was not going down.

Corrected Corrected by Jul 6, 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 the allocated unannounced monitoring inspection conducted on 6/16/2023 observed the children in the Toddler room's cots were not 2 feet apart.

Corrected Corrected by Jul 6, 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 the allocated unannounced monitoring inspection conducted on 6/16/2023 observed the staff person in the After School room did not know the names of the children in her assigned group.

Corrected Corrected by Jul 6, 2023

Category: supervision. Marked corrected in the state record.

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

During the renewal inspection conducted on 10/13/2022 observed child #1's emergency contact information did not include the policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Oct 27, 2022

Category: health medication. 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 10/13/2022 observed the facility did not have a current copy of the general liability insurance policy on file at the facility.

Corrected Corrected by Oct 27, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4 and # 5 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

During the renewal inspection conducted on 10/13/2022 observed staff person #1's state police clearance stated it is for healthcare purposes. Observed staff person #2's FBI clearance is expired with the last one on file from 9/17/2017. Observed staff person #4's file did not include a state police clearance. Observed staff #5's file did not include the National Sex Offender Registry (NSOR).

Corrected Corrected by Oct 27, 2022

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

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

During the renewal inspection conducted on 10/13/2022 observed staff person #3 and #5's files did not include a written evaluation within the 12 month time frame.

Corrected Corrected by Oct 27, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 10/13/2022 observed staff person #3's file did not include verification of education.

Corrected Corrected by Oct 27, 2022

Category: supervision. 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 the renewal inspection conducted on 10/13/2022 observed staff person #5's file included a school document from another country that needs to be evaluated for U.S equivalency.

Corrected Corrected by Oct 27, 2022

Category: supervision. Marked corrected in the state record.

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

During the renewal inspection conducted on 10/13/2022 observed the chain in the inside of the tank on the toilet needs to be re-attached in the Toddler room bathroom.

Corrected Corrected by Oct 27, 2022

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 renewal inspection conducted on 10/13/2022 observed child #2's emergency contact information did not include the work telephone number of the enrolling parent.

Corrected Corrected by Oct 27, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 10/13/2022 observed staff person #5's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Oct 27, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 11/3/2021 observed staff person #2 and #3's files did not contain pediatric first-aid and CPR training.

Corrected Corrected by Nov 29, 2021

Category: ratio. Marked corrected in the state record.

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

During the renewal inspection conducted on 11/3/2021 observed staff person #1 and #2's files did not contain Health & Safety training.

Corrected Corrected by Nov 29, 2021

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

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

During the renewal inspection conducted on 11/3/2021 observed staff person #2s file did not contain mandated reporter training. Observed staff person #3's file did not contain the criminal history record.

Corrected Corrected by Nov 29, 2021

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

3270.34(b)/3270.34(b)(1) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

During the renewal inspection conducted on 11/3/2021 observed staff person #3's file did not contain verification of experience working with children.

Corrected Corrected by Nov 29, 2021

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 11/3/2021 observed the bathroom located in the back room had no cover on the light switch.

Corrected Corrected by Nov 29, 2021

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

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

During the renewal inspection conducted on 11/3/2021 observed an infant sleeping in a swing as staff person advised they did not have enough rest equipment for all the infants.

Corrected Corrected by Nov 29, 2021

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 11/3/2021 observed the infant room, indoor play space, preschool room and after school room did not have daily schedules posted.

Corrected Corrected by Nov 29, 2021

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 renewal inspection conducted on 11/3/2021 observed staff in the young toddler room and infant room were not assigned the responsibility for supervision of specific children.

Corrected Corrected by Nov 29, 2021

Category: supervision. 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 the renewal inspection conducted on 11/3/2021 observed the indoor play space and the infant room did not have emergency transportation plans posted.

Corrected Corrected by Nov 29, 2021

Category: transportation. Marked corrected in the state record.

3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

During the renewal inspection conducted on 11/3/2021 observed the facility did not have a transportation first-aid kit.

Corrected Corrected by Nov 29, 2021

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

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

During the renewal inspection conducted on 11/3/2021 observed staff person #3's file did not include verification of age.

Corrected Corrected by Nov 29, 2021

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 renewal inspection conducted on 11/3/2021 observed staff person #2's file did not contain verification of education.

Corrected Corrected by Nov 29, 2021

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 the renewal inspection conducted on 11/3/2021 observed staff person #3's file only contained one reference letter.

Corrected Corrected by Nov 29, 2021

Category: recordkeeping. Marked corrected in the state record.