3280.17 · The legal entity shall have comprehensive general liability insurance to cover all persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Certification representative conducted a renewal inspection. The liability posted at the sight was expired.

Corrected Corrected by May 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.26(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Certification representative conducted a renewal inspection. The emergency plan at the facility was not reviewed for the year.

Corrected Corrected by May 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.26(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

Certification representative conducted a renewal inspection. At the time of inspection, the facility did not have their emergency plan posted.

Corrected Corrected by May 22, 2025

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

3280.26(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.

Certification representative conducted a renewal inspection. The emergency plan had not been sent to the local municipality.

Corrected Corrected by May 22, 2025

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

3280.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and 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.

Certification representative conducted a renewal inspection. The record for staff person #1 did not include the required pediatric first aid training.

Corrected Corrected by May 22, 2025

Category: ratio. 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.

Certification representative conducted a renewal inspection. At the time of inspection, there was toxic (keep out of reach of children) dial soap on lower shelf in the classroom. In addition, there was toxic cleaning supplies under two unlocked sinks in the childcare space.

Corrected Corrected by May 22, 2025

Category: ratio. Marked corrected in the state record.

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

Certification representative conducted a renewal inspection. At the time of inspection, the hot water used by the children had a temperature of 137.5° F.

Corrected Corrected by May 22, 2025

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

3280.75(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.

Certification representative conducted a renewal inspection. The first aid kit in the childcare space was missing gloves and tweezers. (Corrected on site).

Corrected Corrected by Apr 22, 2025

Category: health medication. 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.

Certification representative conducted a renewal inspection. At the time of inspection, the bathroom sink faucet was in poor repair, there was water running out of the side of the faucet whenever it was in use.

Corrected Corrected by May 22, 2025

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

3280.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Certification representative conducted a renewal inspection. At the time of inspection, there was chairs stacked in front to the exit door, blocking the exit. (Corrected on site).

Corrected Corrected by Apr 22, 2025

Marked corrected in the state record.

3280.105(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.

Certification representative conducted a renewal inspection. The mats in the childcare space did not have children names. (Corrected on site).

Corrected Corrected by Apr 22, 2025

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

3280.111(b) · The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Certification representative conducted a renewal inspection. At the time of inspection, the facility did not have a written plan of daily activities and routines posted in a traffic area used by parents.

Corrected Corrected by May 22, 2025

Marked corrected in the state record.

3280.123(a)/3280.123(a)(6) · An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Certification representative conducted a renewal inspection. The record for child #1 did not include a fee agreement with the child's admission date or signed by the operator.

Corrected Corrected by May 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

Certification representative conducted a renewal inspection. Ther child bottle was not labeled with a name. (Corrected on site).

Corrected Corrected by Apr 22, 2025

Marked corrected in the state record.

3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Certification representative conducted a renewal inspection. There were no evacuation rout floor plans posted in a conspicuous location inside the facility.

Corrected Corrected by May 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Certification representative conducted a renewal inspection. At the time of inspection, the fire drill log did not indicate that the alarm is getting checked every 30 days.

Corrected Corrected by May 22, 2025

Category: recordkeeping. 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.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, there was peeling damaged grey paint throughout the facility.

Corrected Corrected by May 3, 2024

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.

On April 3, 2024, certification representative conducted a renewal inspection. The facility did not have a written policy to address potential signs of shaken baby syndrome, strategies for coping with crying fussy children or prevention and identification of child maltreatment. In addition, there three pair of pointy scissors located throughout the facility in reach of the children.

Corrected Corrected by May 3, 2024

Category: ratio. Marked corrected in the state record.

3280.17 · The legal entity shall have comprehensive general liability insurance to cover all persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have proof of general liability insurance.

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)/3280.26(d) · The facility shall have an emergency plan. The operator shall post the emergency plan in the facility at a conspicuous location.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have an emergency plan available, or posted in a conspicuous location used by parent.

Corrected Corrected by May 3, 2024

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

3280.26(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.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have emergency plan training for staff person #1, #2 or #3.

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have emergency plan parent letter to be provided to the families.

Corrected Corrected by May 3, 2024

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

3280.26(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.

On April 3, 2024, certification representative conducted a renewal inspection. The facility emergency plan had not been sent to the local municipality and to the county emergency management agency.

Corrected Corrected by May 3, 2024

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

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have the annual 12 clock hours of child care training for staff person #1, #2 or #3.

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)(4)(i)/3280.31(f)(10) · Competence is the completion of training by a professional in the field of first-aid and 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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not proof of training by a professional in the field of pediatric first-aid and CPR for staff person #1, #2 or #3.

Corrected Corrected by May 3, 2024

Category: ratio. 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, #2 and #3 may not work in a child care position at the facility.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have clearances for staff person #1, #2 or #3.

Corrected Corrected by May 3, 2024

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

3280.34(b)(1)/3280.35(1) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A secondary staff person shall have obtained a high school diploma or a general educational development certificate.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not proof of experience or education for staff person #1, #2 or #3.

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.62(a) · A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not provide an outdoor or indoor play space to be used for large muscle activity.

Corrected Corrected by May 3, 2024

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

3280.64 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, there was broken toys, broken equipment, random trash and other hazard debris on the steps of the outside back walkway.

Corrected Corrected by May 3, 2024

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

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, there was an electrical outlet unplugged in the front classroom.

Corrected Corrected by May 3, 2024

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.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, there was a Lysol cleaning spray can on a low shelf not locked away or out of reach.

Corrected Corrected by May 3, 2024

Category: ratio. Marked corrected in the state record.

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

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the hot water temperature in areas accessible to children was 135.3° F.

Corrected Corrected by May 3, 2024

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

3280.69(b) · Safe drinking water shall be made available to children of all ages throughout the day.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, when turning on the faucet the water that came out was brown and rusted.

Corrected Corrected by May 3, 2024

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

3280.73 · A facility shall have an operable telephone. A facility that has an unpublished telephone number shall make the number available to the parent, the release persons of the children in care, an agency that oversees or funds the facility and the appropriate regional office of the Department.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have a working telephone on site.

Corrected Corrected by May 3, 2024

Marked corrected in the state record.

3280.75(a)/3280.75(c) · A first-aid kit shall be in the facility. A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have a first aid kit created or any first aid items on site.

Corrected Corrected by May 3, 2024

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

3280.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, there was an exit door iron gate unable to fully open due to being blocked by a portion of the emergency exit stairs. This issue would not allow the back door to fully open when trying to exit the building.

Corrected Corrected by May 3, 2024

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

3280.101(a)/3280.101(b)(6) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include toys and equipment for large muscle development.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have a variety or a sufficient amount of play equipment and materials appropriate to the developmental needs, individual interests and ages of young children.

Corrected Corrected by May 3, 2024

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

3280.111(a)/3280.111(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 and routines shall be posted in a traffic area used by parents.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have a written plan of daily activities and routines, including a time for free play posted in a traffic area used by parents.

Corrected Corrected by May 3, 2024

Marked corrected in the state record.

3280.123(a)/3280.123(a)(4) · An agreement shall be signed by the operator and the parent. An agreement shall specify the child's arrival and departure times.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have a signed agreement that specified the child's arrival and departure times for child #1 or #2.

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(a)/3280.124(b)(7) · Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency. 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.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have a signed emergency contact forms for child #1 or #2.

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.192(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.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have two written, nonfamily references for staff person #1, #2 or #3.

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.151(a)/3280.151(c)(2) · 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. 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.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have proof of a health assessment conducted within 12 months or proof of tuberculosis screening by the Mantoux method for staff person #1, #2 or #3.

Corrected Corrected by May 3, 2024

Category: ratio. Marked corrected in the state record.

3280.171(b)/3280.171(c) · Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the childcare facility.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, written pick-up and drop off procedures were not posted at a conspicuous location in the childcare facility.

Corrected Corrected by May 3, 2024

Marked corrected in the state record.

3280.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have an established file for child #1 or #2,

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.182(1) · A child's record must contain initial and subsequent health reports.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have initial or subsequent health reports for child #1 or #2,

Corrected Corrected by May 3, 2024

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

3280.191 · An individual record is required for each facility person.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have an established file for staff person #1, #2 or #3.

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.192(1)/3280.192(2)(i) · A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have the name, addresses, telephone numbers or verification of age on file for staff person #1. #2 or #3.

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.26(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.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have an emergency plan available that provided accommodations for infants, toddlers, children with disabilities or children with chronic medical conditions.

Corrected Corrected by May 3, 2024

Category: physical safety. 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.

On April 3, 2024, certification representative conducted a renewal inspection. The facility did not have an emergency drill log indicating the time or different types of drills.

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(1)/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 fire drills are conducted at least once every 60 days. 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.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the primary staff person did not have documentation of a fire drill within the last 60 days.

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have evacuation routes posted in a conspicuous location throughout the facility.

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

On April 3, 2024, certification representative conducted a renewal inspection. There was no documentation showing that the fire alarm system is being checked every 30 days.

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.24(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.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have their current certificate of compliance or information on how to access the regulations posted in a conspicuous location used by parents.

Corrected Corrected by May 3, 2024

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.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have an emergency plan available that provided shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Corrected Corrected by May 3, 2024

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

3280.131(a)/3280.131(e)(4) · 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. The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have health assessments for child #1 or #2.

Corrected Corrected by May 3, 2024

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

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

On April 3, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility had not proof that they sent a letter to the local traffic safety authorities about the program's use of pedestrian and vehicular routes.

Corrected Corrected by May 3, 2024

Marked corrected in the state record.

3280.113(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.

On December 26, 2023, certification representative conducted a complaint investigation. After reviewing documentation and speaking with the provider, it was determined that staff person #1 did not properly supervise the children.

Corrected Corrected by Dec 26, 2023

Category: supervision. Marked corrected in the state record.

3280.182(7) · A child's record must 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.

On December 26, 2023, certification representative conducted a complaint investigation. After reviewing documentation and speaking with the provider, it was determined that staff person #1 did not complete an incident report to give to the parent on the day that the child was bitten and scratched.

Corrected Corrected by Dec 26, 2023

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

3280.26(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.

On March 16. 2023 during the unannounced inspection, the file of Staff #2 did not contain evidence of being trained on the facility's emergency plan. **continued non-compliance**

Corrected Corrected by Apr 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

On March 16, 2023 during the unannounced inspection, the file of Staff #2 did not contain evidence of a signed disclosure statement. **continued non-compliance**

Corrected Corrected by Apr 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.113(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.

On March 16, 2023 during the unannounced inspection the Cert Rep observed Staff #1 walk out of the facility and reenter when she observed cert rep approaching the door. When Cert Rep went inside there were 3 children present with individual #1 who Staff #1 acknowledged was not a staff person. Cert Rep observed Staff #1 go into the basement leaving children with individual # 4 unsupervised. **continued non-compliance**

Corrected Corrected by Apr 16, 2023

Category: supervision. Marked corrected in the state record.

3280.123(a) · An agreement shall be signed by the operator and the parent.

On March 16, 2023 during the renewal inspection, the fee agreement of child #3 and child #4 was not signed by the operator, the fee agreement of child #4 was not signed by the parent. The file of Child #2 did not contain evidence of a signed fee agreement. **continued non-compliance**

Corrected Corrected by Apr 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

On March 16, 2023 during the renewal inspection, the fee agreement of child #3 did not contain evidence of services provided **continued non-compliance**

Corrected Corrected by Apr 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

On March 16, 2023 during the renewal inspection, the fee agreement of Child #3 and Child #4 did not contain evidence of arrival and departure times. **continued non-compliance**

Corrected Corrected by Apr 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(6) · An agreement shall specify the date of the child's admission.

On March 16, 2023 during the renewal inspection, the fee agreement of Child #3 and Child #4 did not contain evidence of child's admission date **continued non-compliance**

Corrected Corrected by Apr 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.151(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.

On March 16, 2023 during the renewal inspection, the file of Staff #2 did not contain evidence of a health assessment. **continued non-compliance**

Corrected Corrected by Apr 16, 2023

Category: ratio. Marked corrected in the state record.

3280.151(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.

On March 16, 2023 during the renewal inspection, the file of Staff #2 did not contain evidence of tuberculosis screening by the Mantoux method. **continued non-compliance**

Corrected Corrected by Apr 16, 2023

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

3280.192(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.

On March 16, 2023 during the renewal inspection, the file of Staff#2 did not contain evidence of verification of education. **continued non-compliance**

Corrected Corrected by Apr 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(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.

On March 16, 2023 during the renewal inspection, the file of Child #2 did not contain evidence of a health assessment **continued non-compliance**

Corrected Corrected by Apr 16, 2023

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

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

On January 17, 2023 during the renewal inspection, the fee agreement of child #2 did not contain evidence of services provided

Corrected Corrected by Jan 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

On January 17, 2023 during the renewal inspection, the fee agreement of Child #2 and Child #3 did not contain evidence of arrival and departure times.

Corrected Corrected by Jan 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(6) · An agreement shall specify the date of the child's admission.

On January 17, 2023 during the renewal inspection, the fee agreement of Child #2 and Child #3 did not contain evidence of child's admission date

Corrected Corrected by Jan 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.151(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.

On January 17, 2023 during the renewal inspection, the file of Staff #2 did not contain evidence of a health assessment.

Corrected Corrected by Jan 19, 2023

Category: ratio. Marked corrected in the state record.

3280.151(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.

On January 17, 2023 during the renewal inspection, the file of Staff #2 did not contain evidence of tuberculosis screening by the Mantoux method.

Corrected Corrected by Jan 19, 2023

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

3280.192(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.

On January 17, 2023 during the renewal inspection, the file of Staff#2 did not contain evidence of verification of education.

Corrected Corrected by Jan 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.26(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.

On January 17, 2023 during the renewal inspection, the file of Staff #2 did not contain evidence of being trained on the facility's emergency plan

Corrected Corrected by Jan 18, 2023

Category: recordkeeping. 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). 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: Staff 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. Staff Person #1 may not work in a child care position at the facility.

On January 17, 2023 during the renewal inspection, the file of Staff #1 did not contain evidence of a criminal background clearance, the clearance on file was dated 11/21/2017. The file of Staff #2 did not contain evidence of a signed disclosure statement.

Corrected Corrected by Feb 17, 2023

Category: supervision. Marked corrected in the state record.

3280.113(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.

On January 17, 2023 during the renewal inspection the Cert Rep observed Staff #1 walk out of the facility and reenter when she observed cert rep approaching the door. When Cert Rep went inside there were 3 children present with individual #4 who Staff #1 acknowledged was not a staff person. Cert Rep observed Staff #1 go into the basement leaving children with individual # 4 unsupervised.

Corrected Corrected by Jan 17, 2023

Category: supervision. Marked corrected in the state record.

3280.123(a) · An agreement shall be signed by the operator and the parent.

On January 17, 2023 during the renewal inspection, the fee agreement of child #2 and child #3 was not signed by the operator, the fee agreement of child #3 was not signed by the parent. The file of Child #1 did not contain evidence of a signed fee agreement.

Corrected Corrected by Jan 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(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.

On January 17, 2023 during the renewal inspection, the file of Child #1 did not contain evidence of a health assessment

Corrected Corrected by Jan 17, 2023

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