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 allocated follow-up inspection from 8/7/2024 cert rep observed the emergency plan did not include the continuity of operations on file.

Corrected Corrected by Oct 16, 2024

Category: ratio. Marked corrected in the state record.

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

During the unannounced allocated follow-up inspection from 8/7/2024 cert rep observed there was 1 staff person in the facility with 3 children in care.

Corrected Corrected by Oct 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

During the unannounced allocated follow-up inspection from 8/7/2024 cert rep observed one of the lights in the facility was not working properly.

Corrected Corrected by Oct 16, 2024

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 unannounced allocated follow-up inspection from 8/7/2024 cert rep observed the walkers and bouncy chairs were not clean.

Corrected Corrected by Oct 16, 2024

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

3270.106(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.

During the unannounced allocated follow-up inspection from 8/7/2024 cert rep observed the pack and plays were not clean.

Corrected Corrected by Oct 16, 2024

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

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During the unannounced allocated follow-up inspection from 8/7/2024 cert rep observed documentation of testing the fire safety system every 30 days was not on file.

Corrected Corrected by Oct 16, 2024

Category: recordkeeping. 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.

During the renewal inspection cert rep observed the first aid kit was missing tape

Corrected Corrected by Sep 9, 2024

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

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

During the renewal inspection cert rep observed the lights in the facility was not working.

Corrected Corrected by Sep 9, 2024

Marked corrected in the state record.

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

During the renewal inspection cert rep observed the changing pad in the bathing was torn and not clean.

Corrected Corrected by Sep 9, 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 the renewal inspection the cert rep observed the emergency plan did not include the continuity of operations.

Corrected Corrected by Sep 9, 2024

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 the renewal inspection cert rep observed the shaken baby syndrome policy did not include the prevention and identification of child maltreatment.

Corrected Corrected by Aug 7, 2024

Category: ratio. Marked corrected in the state record.

3270.27(a) · The facility shall have an emergency plan.

During the renewal inspection cert rep observed there was no emergency plan on file.

Corrected Corrected by Sep 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (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.

During the renewal inspection staff #1 and 2 did not have first aid and CPR training on file.

Corrected Corrected by Sep 9, 2024

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

During the renewal inspection staff #1 did not have Health and Safety training on file.

Corrected Corrected by Sep 9, 2024

Category: health medication. 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 renewal inspection cert rep observed staff #2 and 3 did not have staff evaluations on file.

Corrected Corrected by Sep 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

During the renewal inspection cert rep observed toxic materials accessible to children in care.

Corrected Corrected by Aug 7, 2024

Marked corrected in the state record.

3270.72(c) · Screens shall be in good repair.

During the renewal inspection cert rep observed the screen in front of the radiator was torn and not in good repair.

Corrected Corrected by Sep 9, 2024

Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

During the renewal inspection cert rep observed there was no hand washing sign posted in the bathroom and staff #3 did not wash hands after diaper change.

Corrected Corrected by Sep 9, 2024

Category: health medication. 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 cert rep observed the walkers, bouncy chairs and changing pad were not clean.

Corrected Corrected by Sep 9, 2024

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

3270.106(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.

During the renewal inspection cert rep observed the pack and plays were not clean and all the rest equipment was not labeled for a specific child.

Corrected Corrected by Aug 9, 2024

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

During the renewal inspection cert rep observed the sleeping equipment was did not have 2 feet of space on three sides during nap time.

Corrected Corrected by Sep 9, 2024

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

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

During the renewal inspection the fee agreement for child #3 did not include the child's arrival and departure times.

Corrected Corrected by Sep 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

During the renewal inspection child #4 fee agreement did not include the date of the child's admission on file.

Corrected Corrected by Sep 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

During the renewal inspection cert rep observed child #1 emergency contact did not include the emergency contact information for the child on file.

Corrected Corrected by Sep 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During the renewal inspection child #1 emergency contact did not include the physicians phone number on file.

Corrected Corrected by Sep 9, 2024

Category: health medication. 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.

During the renewal inspection child #1-3 emergency contact did not include the work address and phone number for the enrolling parent on file.

Corrected Corrected by Sep 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

During the renewal inspection child #1 and 5 emergency contact did not include the information on the child's special needs or disabilities.

Corrected Corrected by Sep 9, 2024

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.

During the renewal inspection child #1, 2, 4 and 5 emergency contact did not include the release persons address.

Corrected Corrected by Sep 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

During the renewal inspection the cert rep observed the changing pad was not cleaned after diapering.

Corrected Corrected by Sep 9, 2024

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

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

During the renewal inspection cert rep observed a menu was not posted.

Corrected Corrected by Sep 9, 2024

Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

During the renewal inspection cert rep observed the nursers and bottles were not labeled with the child's name.

Corrected Corrected by Sep 9, 2024

Marked corrected in the state record.

3270.181(c) · 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.

During the renewal inspection child #2-4 emergency contact and fee agreement was not updated at least once in a 6-month period.

Corrected Corrected by Sep 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

During the renewal inspection child #1 emergency contact did not contain signed parental consent for emergency medical care.

Corrected Corrected by Sep 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

During the renewal inspection child #1 emergency contact did not contain signed parental consent for administration of minor first-aid procedures.

Corrected Corrected by Sep 9, 2024

Category: ratio. 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 cert rep observed there was no documentation of annual emergency drill on file.

Corrected Corrected by Sep 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During the renewal inspection cert rep observed documentation of testing the fire safety system every 30 days was not on file.

Corrected Corrected by Sep 9, 2024

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 renewal inspection cert rep observed a copy of the emergency plan and subsequent plans was not sent to the local municipality and the county emergency management agency.

Corrected Corrected by Sep 9, 2024

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 renewal inspection cert rep observed staff #2 and 3 did not have 12 clock hours of child care training on file.

Corrected Corrected by Sep 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.131(b)(2) · 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 operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the renewal inspection child #1 did not have a health assessment on file. Child #2 did not have a health assessment with immunizations on file.

Corrected Corrected by Sep 9, 2024

Category: health medication. 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 cert rep observed

Corrected Corrected by Sep 9, 2024

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 renewal inspection on 5/15/23, while doing a walkthrough of the facility, Cert Rep observed the following: - The facility's front entrance was missing some tiles

Corrected Corrected by May 25, 2023

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 renewal inspection on 5/15/23, while reviewing staff files, Cert Rep observed the following: -Staff # 2 and # 3 did not have the mandated 1-hr health and safety training in file that was to be completed on 12/30/23.

Corrected Corrected by May 15, 2023

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 renewal inspection on 5/15/23, while reviewing staff files, Cert Rep observed the following: - Staff #5 did not have documentation of emergency plan training in file

Corrected Corrected by May 15, 2023

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 renewal inspection on 5/15/23, while reviewing staff files, Cert Rep observed the following: - Staff # 3 did not have documentation of fire safety training in file

Corrected Corrected by May 29, 2023

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 # -2-, # 5 may not work in a childcare 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- and # 5- may not work in a childcare position at the facility.

During renewal inspection on 5/15/23, while reviewing staff files, Cert Rep observed the following: - Staff # 2's FBI in file, was form the criminal justice center, it was not the correct DHS FBI. - Staff # 5 did not have Child abuse clearance in file to qualify under the 45-day provisional waiver hire. Staff # 5 did not have documentation of receipt in file to show FBI clearance was applied for.

Corrected Corrected by May 15, 2023

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

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During renewal inspection on 5/15/23, while reviewing staff files, Cert Rep observed the following: - Staff # 2 and # 3 did not have documentation of education in file to qualify as an AGS and Aide - Staff # 5 did not have documentation of 2500 childcare hours to qualify to be an AGS

Corrected Corrected by May 15, 2023

Category: supervision. Marked corrected in the state record.

3270.106(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.

During renewal inspection on 5/15/23, while doing a walkthrough, Cert Rep observed the following: - the pack n plays were not labeled for specific child's use. -an infant was observed asleep in the car seat that was placed in the pack n play

Corrected Corrected by May 15, 2023

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

3270.112 · Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

During renewal inspection on 5/15/23, while doing a walkthrough, Cert Rep observed the following: -Infant was not being stimulated. Infant was picked up to be fed, then placed back in pack n play, then changed, and placed back in pack and play

Corrected Corrected by May 15, 2023

Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

During renewal inspection on 5/15/23, while doing a walkthrough of the facility, Cert Rep observed the following: - the bottles used for children were not labeled with specific child's name

Corrected Corrected by May 15, 2023

Marked corrected in the state record.

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

During renewal inspection on 5/15/23, while reviewing staff files, Cert Rep observed the following: -Staff # 6 listed as facility staff did not have a file at the facility

Corrected Corrected by May 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(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.

During renewal inspection on 5/15/23, while reviewing staff files, Cert Rep observed the following: - Staff # 5 did not have documentation of 2 non-family references in file

Corrected Corrected by May 15, 2023

Category: recordkeeping. 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 conducted on 8/8/22, Certification Representative did not observe a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Aug 22, 2022

Category: ratio. Marked corrected in the state record.

3270.27(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

During the renewal inspection conducted on 8/8/22, Certification Representative did not observe an emergency plan that included a method for facility persons to inform parents as soon as reasonably possible when an emergency arises.

Corrected Corrected by Aug 22, 2022

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

3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

During the renewal inspection conducted on 8/8/22, Certification Representative did not observe an emergency plan that included a method for facility persons to inform parents that an emergency has ended.

Corrected Corrected by Aug 22, 2022

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #1 and #2 will have until 8/25/22 to complete the required training. Until such time as the required training has been completed, staff person #1 and #2 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

Staff person's #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 1.Prevention and control of infectious diseases (including immunizations) 2. Prevention of Sudden Infant Death Syndrome (SIDS) & Use of Safe Sleep Practices 3. Administration of Medication, consistent with standards for parental consent 4. Prevention of and Response to Emergencies due to Food and Allergic Reactions 5. Building and Physical Premises Safety, including Identification of and Protection from Hazards, Bodies of Water and Vehicular Traffic 6. Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment 7. Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event (such as violence at a child care facility), within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5195a(a)(1)) that shall include procedures for evacuation, relocation, shelter-in-place and lock down, staff and volunteer emergency preparedness training and practice drills, communication and reunification with families, continuity of operations, and accommodation of infants and toddlers, children with disabilities, and children with chronic medical conditions 8. Handling and Storage of Hazardous Materials and the Appropriate Disposal of Bio-contaminants 9. Appropriate precautions in Transporting Children

Corrected Corrected by Aug 25, 2022

Category: supervision. 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). 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 renewal inspection conducted on 8/8/22, staff person #1 did not have a state police clearance, a child abuse clearance, or an FBI clearance completed with in the last 60 months. Staff person #1 had a state police clearance dated 9/8/16, a child abuse clearance dated 9/4/16, and an FBI clearance dated 9/22/16.

Corrected Corrected by Aug 22, 2022

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

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During the renewal inspection conducted on 8/8/22, Certification Representative observed no outlet cover on the outlet under the television in the main room floor accessible to children being cared for under the age of 5.

Corrected Corrected by Aug 8, 2022

Marked corrected in the state record.

3270.124(f) · 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

During the renewal inspection conducted on 8/8/22, certification representative did not observe emergency contact information that had been updated in a six month period for child #1,#2,#3, and #4.

Corrected Corrected by Aug 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

During the renewal inspection conducted on 8/8/22, Certification Representative observed a baby bottle not in use with formula in it sitting on a table near the facility's refrigerator.

Corrected Corrected by Aug 8, 2022

Category: nutrition. 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 conducted on 8/8/22, Certification Representative did not observe safe routes for the facility posted in a conspicuous location in the child care faciliity.

Corrected Corrected by Aug 22, 2022

Marked corrected in the state record.

3270.27(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.

During the renewal inspection conducted on 8/8/22, Certification Representative did not observe an emergency plan that included accommodations for infants and toddlers. The facility was providing care for infants and toddlers at the time of the renewal inspection.

Corrected Corrected by Aug 22, 2022

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 renewal inspection conducted on 8/8/22, Certification Representative did not observe 12 annual clock hours of child care training for staff person #1, staff person #2, and staff person #3.

Corrected Corrected by Aug 22, 2022

Category: recordkeeping. Marked corrected in the state record.