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.

At the time of the Renewal Inspection conducted on 12/16/2024, Staff Person #1 was observed working alone with 2 children ages 1-2 years old. The file for Staff Person #1 did not contain completion of the required CCDBG 10-Hour Health and Safety Revised training prior to working alone with children.

Corrected Corrected by Jan 10, 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.

At the time of the Renewal Inspection on 12/16/2024, The file for Staff Person #1, Staff Person #2, Staff Person #3 and Staff Person #4 did not contain verification of the completion of Emergency Plan training.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. 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.

At the time of the Renewal Inspection conducted on 12/16/2024, the file for Staff Person #2 and Staff Person #4 did not contain verification of the completion of the required CCDBG Revised10-Hour Health and Safety Training.

Corrected Corrected by Jan 10, 2025

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). Facility Person # 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 #2 may not work in a child care position at the facility.

At the time of the Renewal Inspection conducted on 12/16/2024, the file for Staff Person #2 did not contain a completed Child Abuse Clearance.

Corrected Corrected by Jan 10, 2025

Category: background checks. 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 the Renewal Inspection on 12/16/2024, the files for Child #1, Child #2, Child #3, Child #4 and Child #5 did not contain a Child Service Report.

Corrected Corrected by Jan 10, 2025

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.

At the time of the Renewal Inspection on 12/16/2024, the agreement forms on file for Child #1, Child #2, Child #3, Child #4 and Child #5 did not contain the date of the child's admission into the program.

Corrected Corrected by Jan 10, 2025

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 the Renewal Inspection on 12/16/2024, the emergency contact forms on file for Child #2, Child #3 and Child #5 did not contain the Health Insurance Policy Number for the child. The file for Child # 3 did not contain the Health Insurance Coverage for the child.

Corrected Corrected by Jan 10, 2025

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 the Renewal Inspection on 12/16/2024, the files for Child #1, Child #2, and Child #5 did not contain the addresses of the individuals to whom the parent designated the child may be released.

Corrected Corrected by Jan 10, 2025

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.

At the time of the Renewal Inspection on 12/16/2024, the facility's Emergency Transportaion Plan was not posted in a conspicuous location in the childcare space.

Corrected Corrected by Jan 10, 2025

Category: transportation. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

At the time of the Renewal Inspection conducted on 12/16/2024, the files for Staff Person #1 did not contain a health assessment including initial and subsequent tuberculosis test.

Corrected Corrected by Jan 10, 2025

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

3270.94(a)(1) · 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.

At the time of the Renewal Inspection on 12/16/2024, the date of the most recent fire drill on file at the facility was 10/14/2024.

Corrected Corrected by Jan 10, 2025

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.

At the time of the Renewal Inspection on 12/16/2024, the file for Child #4 did not contain a health report.

Corrected Corrected by Jan 10, 2025

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

3270.111(a) · 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.

At the time of the Complaint Investigation on 08/26/2024 Staff Person #1 was observed on video on 08/19/2024 placing Child #1 in a highchair during the center's rest time. Child #1 is seen falling asleep in the highchair.

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

At the time of the Complaint Investigation on 08/26/2024, Staff Person #1 is observed on video from 08/19/2024 saying to Child #1, "Get up, Why was you over there going to sleep, Get up", "Sit down, don't go to sleep", "You set up there and peed on yourself, why did you do that, you sat there and peed on yourself", "You not wet, boy sit down somewhere", "Boy I'll be glad when your parents come because you be doing stupid stuff", "You need to wake up", "I wish your parents come on yo, this is ridiculous".

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

During complaint investigation on 08/26/2024, facility could not provide a completed incident report for child #1 falling out of highchair and hitting face on the floor after not being properly secured in highchair as observed on video provided by facility from 08/19/2024 .

Corrected Corrected by Sep 16, 2024

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

3270.66(c)/3270.134(a) · 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. A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

At the time of the Unannounced Monitoring Inspection on 08/26/2024 before snack time, hand sanitizer was used in place of hand washing for children with ages ranging from 1 year to 4 years old. After being given hand sanitizer, Child #2 rubbed it in their hair.

Corrected Corrected by Sep 5, 2024

Category: ratio. Marked corrected in the state record.

3270.112/3270.113(e) · Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried. 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 the Unannounced Monitoring Inspection on 08/26/2024, Child #1 was strapped into a highchair for 30 minutes without activity or other stimulation.

Corrected Corrected by Sep 5, 2024

Category: recordkeeping. 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.

File Record for Child #1, Child #2, Child #3 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

On 10/4/21 at complaint investigation cert rep verified that staff person grabbed a child in a harsh manner.

Corrected Corrected by Nov 15, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

On 9-29-21 during a complaint investigation Certification Representative viewed a video recording of staff # 1 yelling at child # 1 to shut Up, while grabbing here out of the crib when she was crying this took place on Thursday, 9-24-21.

Corrected Corrected by Sep 29, 2021

Category: recordkeeping. Marked corrected in the state record.