3270.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

During the renewal inspection on 08/08/24, Cert Rep did not observe a bottle of water in the first aid kit the facility takes on excursions.

Corrected Corrected by Aug 8, 2024

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

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

During the renewal inspection on 08/08/24, Cert Rep observed several parts of broken wood from art/crafts toy laying on the floor in the preschool classroom posing as trip hazards.

Corrected Corrected by Aug 8, 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 on 08/08/24, Cert Rep observed the toy chair in the outdoor play area used by the children as dirty and rusty.

Corrected Corrected by Aug 15, 2024

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

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

During the renewal inspection on 08/08/24, Cert Rep did not observe the facility's current certificate of compliance posted in a conspicuous location used by parents.

Corrected Corrected by Aug 8, 2024

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 8/28/23, while doing a walk-through of the facility, Cert Rep observed the following: The facility's emergency plan did not address continuity of operations.

Corrected Corrected by Sep 11, 2023

Category: ratio. Marked corrected in the state record.

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

During renewal inspection on 8/28/23, while reviewing files, Cert Rep observed the following: - Staff # 1, 3, 4, and # 5 did not have documentation of the mandated 1-hr health and safety training in file.

Corrected Corrected by Sep 11, 2023

Category: ratio. 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.

During renewal inspection on 8/28/23, while doing a walk-through of the facility, Cert Rep observed the following: - Staff # 6 in room # 2's bathroom and Staff # 7 in room # 1's bathroom washing children's hands, were not supervising children who were leaving the bathrooms to retrieve their lunches from the refrigerator to the classroom. - Staff # 5 that was in classroom # 1 was observed helping children opening lunch boxes, was not supervising the children who were leaving the classroom to retrieve lunch boxes and water bottles.

Corrected Corrected by Aug 28, 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 renewal inspection on 8/28/23, while reviewing files, Cert Rep observed the following: - Staff # 2, 3, 4, did not have documentation of pediatric CPR/First Aid in file. Staff has exceeded the 90-day period for completion.

Corrected Corrected by Sep 11, 2023

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

3270.27(a)(1)/3270.27(a)(5) · 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 shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During renewal inspection on 8/28/23, while doing a walk-through of the facility, Cert Rep observed the following: - The facility's emergency plan did not specify where in the facility staff and children would shelter in place/lockdown procedures - The facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Sep 11, 2023

Category: physical safety. 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 8/28/23, while reviewing children's files Cert Rep observed the following: Child #1's health assessment was dated 8/2/22.

Corrected Corrected by Sep 11, 2023

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

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

During my inspection I observed that the room 104 had some peeling paint on the wall by the room door.

Corrected Corrected by Oct 28, 2022

Category: physical safety. 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.

While reviewing the staff's files I observed that staff 1-4, 7-9, did not have the annual fire safety training.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. Marked corrected in the state record.

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

While reviewing the staff's files I observed that staff 1, 7-9, did not have their annual written evaluation.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During my inspection I observed that the refrigerator in 103 did not have a thermometer.

Corrected Corrected by Oct 28, 2022

Category: nutrition. 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.

While reviewing the children's files I observed that child 1 did not have their parent's work information on their emergency contact sheet.

Corrected Corrected by Oct 28, 2022

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.

While reviewing the staff's files I observed that staff 8 did not have verification of their education.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. Marked corrected in the state record.

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

While reviewing the staff's files I observed that staff 3, 4, 5, did not have their health assessment.

Corrected Corrected by Oct 28, 2022

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 childcare training.

While reviewing the staff's files I observed that staff 1,6, did not have their 12 clock hours of childcare training.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. Marked corrected in the state record.

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

While reviewing the staff I observed that staff 2 did not have a current fire safety training.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1, 2, 3, may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

While reviewing the staff's files I observed that staff 1, hired on July 2021, was missing all of their out-of-state clearance. Staff 2 hired on September 2021, & staff 3 hired on September 2021, does not contain a copy or a current mandated reporter training.

Corrected Corrected by Nov 11, 2021

Category: supervision. Marked corrected in the state record.

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

While reviewing the children's files I observed that child 1 did not have the work address & telephone number on the emergency contact sheet.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department .A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

While reviewing the staff's files I observed that staff 2, 4, did not have a current physical or a TB screening.

Corrected Corrected by Nov 11, 2021

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

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

While reviewing the staff's files I observed that staff 2, 3, did not have verification of experience and education.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.