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

During the Unannounced Inspection on 04/08/2025, staff person number 2 did not have Health and Safety training one hour update on file.

Corrected Corrected by Apr 21, 2025

Category: ratio. 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 Unannounced Inspection on 04/08/2025, staff person 1 and 2 did not have proof of emergency plan training on file.

Corrected Corrected by Apr 21, 2025

Category: recordkeeping. 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 Inspection 04/08/2025, staff persons numbers 1 and 2 did not have fire safety training on file.

Corrected Corrected by Apr 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 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 #2 may not work in a child care position at the facility.

During the Unannounced Inspection on 04/08/2025, staff person number 2 did not have disclosure statement on file.

Corrected Corrected by Apr 21, 2025

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 unannounced Inspection on 04/08/2025, staff person number 1 did not have Staff Evaluations on file.

Corrected Corrected by Apr 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

During the Unannounced Inspection on 04/08/2025, there were no child records accessible onsite. "This is continued non-compliance from the renewal inspection conducted on 02/27/2025."

Corrected Corrected by Apr 21, 2025

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 the Unannounced Inspection on 04/08/2025, there was no written documentation on file regarding Emergency Drills. "This is continued non-compliance from renewal inspection conducted on 2/27/2025."

Corrected Corrected by Apr 21, 2025

Category: recordkeeping. 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 Inspection 04/08/2025, staff person number 2 did not have PQAS approved Pediatric CPR training on file.

Corrected Corrected by Apr 21, 2025

Category: health medication. 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 the Unannounced Inspection on 04/08/2025, written documentation for fire drills were not on file to be reviewed. "This is a continued non-compliance from the renewal inspection conducted on 02/27/2025."

Corrected Corrected by Apr 21, 2025

Category: recordkeeping. 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.

During the Unannounced Inspection on 04/08/2025, it could not be assessed if the emergency plan was sent to the county emergency management agency and local municipality. "This is continued non-compliance from the renewal inspection conducted on 02/27/2025."

Corrected Corrected by Apr 21, 2025

Category: physical safety. 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 Inspection on 04/08/2025, staff person number 1 did not have 12 hours of annual training on file.

Corrected Corrected by Apr 21, 2025

Category: recordkeeping. 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.

During the Unannounced Inspection on 04/08/2025, there was no evidence of written documentation notifying traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. "This is continued non-compliance from renewal inspection conducted on 02/27/2025."

Corrected Corrected by Apr 21, 2025

Marked corrected in the state record.

3270.31(f)(1) · Staff persons shall complete professional development in the prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements within 90 days of hire.

During the Unannounced Inspection on 04/08/2025, staff person number 1 did not have Health and Safety training on file.

Corrected Corrected by Apr 21, 2025

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

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

During the Renewal Inspection on 02/27/2025, the Emergency Plan was not posted in a conspicuous location.

Corrected Corrected by Apr 4, 2025

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 the Renewal Inspection on 02/27/2025, it was observed that there was no policy addressing: Recognition of potential signs/symptoms of abusive head trauma, strategies for coping with a crying, fussing, or distraught child, the prevention and identification of child maltreatment on file.

Corrected Corrected by Apr 4, 2025

Category: ratio. Marked corrected in the state record.

3270.111(b) · The written plan of daily activities shall be posted in the group space.

During the Renewal Inspection on 02/27/2025, there was no written plan of daily activities posted in any of the classes that care was given.

Corrected Corrected by Apr 4, 2025

Category: physical safety. 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 on 02/27/2025, there was no Transportation Plan posted in any of the care spaces.

Corrected Corrected by Apr 4, 2025

Category: transportation. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

During the Renewal Inspection on 02/27/2025, there were no pick-up and drop-off procedures posted.

Corrected Corrected by Apr 4, 2025

Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

During the Renewal Inspection on 02/27/2025, there were no child records accessible onsite.

Corrected Corrected by Apr 4, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During the Renewal Inspection on 02/27/2025, it was observed that that staff files were not accessible or present onsite.

Corrected Corrected by Feb 27, 2025

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 the Renewal Inspection on 02/27/25, there was no written documentation on file regarding Emergency Drills.

Corrected Corrected by Apr 4, 2025

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 the Renewal Inspection on 02/27/2025, written documentation for fire drills were not on file to be reviewed.

Corrected Corrected by Apr 4, 2025

Category: recordkeeping. 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 02/27/2025, there was no certification of compliance posted or access to the regulations available.

Corrected Corrected by Apr 4, 2025

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.

During the Renewal Inspection on 02/27/2025, there was no proof that the Emergency Plan was sent to the local municipality and county emergency management agency.

Corrected Corrected by Apr 4, 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.

During the Renewal Inspection on 02/27/2025, there was no evidence of written documentation notifying traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Apr 4, 2025

Marked corrected in the state record.

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

During renewal inspection, cert rep observed missing FBI clearance from the file of Staff 1.

Corrected Corrected by Mar 18, 2024

Category: supervision. 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.

During renewal inspection, cert rep observed missing documentation of a health assessment in the file of Staff 1.

Corrected Corrected by Mar 18, 2024

Category: ratio. Marked corrected in the state record.

3270.31(g) · 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.

During renewal inspection, cert rep observed missing documentation of the completed health and safety professional development training in the file of Staff 1.

Corrected Corrected by Mar 18, 2024

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

3270.31(f)/3270.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. 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. Prior to issuance of certificate of compliance.

Observed 9/28/2023 staff files #1 and 2 did not contain the health and safety training in their file.

Corrected Corrected by Oct 13, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 & 2 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. Facility Person #1 & 2 may not work in a child care position at the facility, Prior to issuance of certificate of compliance.

Observed 9/28/2023 The file for staff # 1 and 2 does not contain a completed DHS required FBI and NSOR clearance. The requirement to have the completed DHS required clearances on file was not met.

Corrected Corrected by Oct 13, 2023

Category: background checks. 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. Prior to issuance of certificate of compliance.

Observed 9/28/2023 the first- aid kit was missing soap, tweezers and scissors.

Corrected Corrected by Oct 13, 2023

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. Prior to issuance of certificate of compliance.

Observed 9/28/2023 staff# 2, and 3 was missing a health assessment in their file. A health assessment shall be conducted within 12 months prior to providing initial service in a childcare setting and every 24 months thereafter.

Corrected Corrected by Oct 13, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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. Prior to issuance of certificate of compliance.

Observed 9/28/2023 staff #2 was missing a tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Oct 13, 2023

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