3280.124(f)/3280.181(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.

At time of inspection, the parents of child #1-3 did not review and/or update their child's emergency contact form and agreements.

Corrected Corrected by Nov 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2)/3280.131(c) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

At time of inspection, child #3 did not have an updated health assessment with immunization documented within the last 12 months. (Dated 3/29/23)

Corrected Corrected by Nov 25, 2024

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

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 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 may not work in a child care position at the facility.

At time of inspection, staff person #1 did not have updated FBI clearance documented in their record.

Corrected Corrected by Dec 20, 2023

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

3280.32(c) · The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, physical violence or moral corruptness.

At time of inspection (11/29/23), Facility Person#2 or a person present in the facility is awaiting trial for (a) crime/crimes of child abuse, child neglect, physical violence, or moral corruptness.

Corrected Corrected by Jan 8, 2024

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

3280.52(c)/3280.53(a) · 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 at §3280.52(b).

At time of inspection, the primary staff person was alone caring for 1 infant, 2 older toddlers and 2 preschoolers. The primary staff person was out of staff/child ratio until the secondary staff person arrived at 1pm.

Corrected Corrected by Dec 20, 2023

Category: ratio. Marked corrected in the state record.

3280.69(a) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

At time of inspection, the water temperature in the bathroom used by the children measured at 120 degrees.

Corrected Corrected by Dec 6, 2023

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

3280.131(d)(5)/3280.131(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 time of inspection, Child # 1-2 and #4 did not have required influenza immunization documented and/or exemption letter from parent documented in their child's records.

Corrected Corrected by Dec 20, 2023

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

3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

At time of inspection, the parents of child #4 did not provide signature of consent for emergency medical care and administration of minor first aid.

Corrected Corrected by Dec 20, 2023

Category: ratio. Marked corrected in the state record.

3280.76 · 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 Monday, 11/07/22, cert rep observed kitchen cabinet door off hinges exposing toxics. Cert rep also observed window seating bench cushion was damaged and bottom vent under seat needed repair.

Corrected Corrected by Dec 23, 2022

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

3280.14/3280.20 · 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.

In review of emergency plan documents, facility's emergency plan failed to include statement regarding continuity of operations.

Corrected Corrected by Dec 23, 2022

Category: ratio. Marked corrected in the state record.

3280.14/3280.20 · 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.

In review of health and safety documentation, facility failed to have a written policy and procedure addressing shaken baby syndrome, abusive head trauma and child maltreatment.

Corrected Corrected by Dec 23, 2022

Category: ratio. Marked corrected in the state record.

3280.26(c)/3280.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

In review of emergency plan documents, staff person 2 did not receive annual training on the facility's emergency plan.

Corrected Corrected by Dec 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)/3280.192(2)(iii) · A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

In review of staff files, staff person 1 failed to have completed 12 hours of annual professional development training.

Corrected Corrected by Nov 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

During renewal inspection on Monday, 11/07/22, cert rep observed toxics under a sink in the kitchen accessible to children due to broken cabinet door.

Corrected Corrected by Dec 23, 2022

Category: ratio. Marked corrected in the state record.

3280.77(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 Monday, 11/07/22, cert rep observed damaged plaster on wall outside of bathroom.

Corrected Corrected by Dec 23, 2022

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

3280.131(a)/3280.182(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 must contain initial and subsequent health reports.

In review of children files, child 1, enrolled more than 60 days, file failed to include an initial health report. File included immunization records only.

Corrected Corrected by Dec 23, 2022

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

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

During renewal inspection on Monday, 01/10/22, cert rep observed toxics under a sink in the kitchen accessible to children due to broken cabinet.

Corrected Corrected by Feb 10, 2022

Category: ratio. Marked corrected in the state record.

3280.76 · 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 Monday, 01/10/22, cert rep observed kitchen cabinet door off hinges exposing toxics.

Corrected Corrected by Feb 10, 2022

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

3280.106 · 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 renewal inspection on Monday, 01/10/22, cert rep observed thermometer located in refrigerator had a reading of 50 degrees.

Corrected Corrected by Feb 10, 2022

Category: nutrition. Marked corrected in the state record.

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

In review of emergency plan documents, facility failed to have conducted an annual drill.

Corrected Corrected by Feb 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(9) · The primary staff person 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 Monday, 01/10/22, cert rep observed facility failed to have conducted a fire drill within 60 days. The last fire drill was conducted on 09/2021.

Corrected Corrected by Feb 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides 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.

In review of facility's emergency plan, cert rep observed emergency plan failed to address lock-down procedures

Corrected Corrected by Feb 10, 2022

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