3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

During the renewal inspection the rug in infant/young toddler and school age classroom was not clean.

Corrected Corrected by Jun 26, 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 emergency plan did not include continuity of operations.

Corrected Corrected by Jun 26, 2024

Category: ratio. Marked corrected in the state record.

3270.27(c)/3270.27(f) · 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. 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 staff #4 and 5 did not have emergency plan training on file. A copy of the emergency plan delivery was not sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(b)/3270.192(1) · A staff person shall be 18 years of age or older. A facility person's record shall include the name, address and telephone number of the facility person.

During the renewal inspection staff #6 did not have verification of name, address and age on file.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3, 4, 5 and 6 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

During the renewal inspection staff #3 and 5 did not have did not have the state police clearance on file. Staff #4 did not have the FBI clearance on file. Staff #5 did not have mandated reporter training on file. Staff #6 did not have the child abuse clearance on file.

Corrected Corrected by Jun 26, 2024

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

During the renewal inspection staff #1-5 did not have staff evaluations on file.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. 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 the renewal inspection the cert rep observed the molding around the wall in the older toddler classroom bathroom was in need of repair.

Corrected Corrected by Jun 26, 2024

Category: physical safety. 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 one of the ceiling lights in the infant/young toddler classroom and the older toddler classroom was not working.

Corrected Corrected by Jun 26, 2024

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 the cert rep observed the rails of the pack and play and the padding was not clean. The cert rep observed the cots were stacked with the sheets on them.

Corrected Corrected by Jun 26, 2024

Category: physical safety. 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.

During the renewal inspection the older toddler, preschool and school age classroom did not have a daily schedule posted.

Corrected Corrected by Jun 26, 2024

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 the emergency contact for child #1 and 2 did not include the all of the name, address and phone number of the physician.

Corrected Corrected by Jun 26, 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 #2, 3 and 4 emergency contact did not include the parents work address and phone number on file.

Corrected Corrected by Jun 26, 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 the emergency contact for child #1 and 3 did not include information on the childs disabilities on file.

Corrected Corrected by Jun 26, 2024

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

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

During the renewal inspection cert rep observed that the emergency contacts for all children present in the child care space for the infant/younger toddler classroom and the preschool classroom was missing.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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#2 emergency contact did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures on file.

Corrected Corrected by Jun 26, 2024

Category: ratio. 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 the renewal inspection staff #2, 3 and 6 did not have two written nonfamily references on file.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(2)/3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills). 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 the emergency plan did not include accommodations for evacuation of children, accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions on file.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. 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 staff #1-5 did not have 12 hours of annual childcare training on file.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection a letter notifying the local traffic safety authorities annually in writing of the location of the facility was not on file. A written notice of safe routes was not posted in a conspicuous location in the child care facility.

Corrected Corrected by Jun 26, 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 renewal inspection on 5/1/23, while doing a walk- through of the facility, the light in the young toddler room behind the office was not working

Corrected Corrected by May 8, 2023

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 5/1/23, while doing a walk-through of the facility, Cert Rep observed the following: - The young toddler room behind the office did not have children in care, but needed cleaning - The facility's outdoor playground needed cleaning

Corrected Corrected by May 8, 2023

Category: physical safety. 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 5/1/23, while reviewing staff files, Cert Rep observed the following: - Staff # 9 did not have documentation of emergency plan training in file

Corrected Corrected by May 1, 2023

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 renewal inspection on 5/1/23, while reviewing staff files, Cert Rep observed the following Staff # 1 had documentation of Adult CPR/First Aid, and not Pediatric CPR/First Aid in file.

Corrected Corrected by May 1, 2023

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 renewal inspection on 5/1/23, while reviewing staff files, Cert Rep observed the following: - Staff # 4, and Staff # 5 did not have documentation of the 10-hour health and safety training in file

Corrected Corrected by May 30, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -1, 3- 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 #--1, 3- may not work in a childcare position at the facility.

During renewal inspection on 5/1/23, while reviewing staff files, Cert Rep observed the following: - Staff # 1 did not have documentation of a completed NSOR. NSOR was applied for on 1/26/23. - Staff # 3's Child Abuse was dated 8/11/17, FBI dated 12/21/17, and Mandated reporter training dated 11/27/17 -Staff # 5's mandated reporter training was dated 12/28/17

Corrected Corrected by May 1, 2023

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

3270.34(a) · A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6).

During renewal inspection on 5/1/23, while reviewing staff files, Cert Rep observed the following: Staff # 1 did not have a completed file to meet the requirements of a Director

Corrected Corrected by May 30, 2023

Category: recordkeeping. 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 5/1/23, while reviewing staff files, Cert Rep observed the following - Staff # 4 did not have documentation of high school diploma and 2 years if experience to qualify as an AGS

Corrected Corrected by May 30, 2023

Category: supervision. 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).

During renewal inspection on 5/1/23, while reviewing children's files, Cert Rep observed the following - Child # 2 did not have documentation of child service report in file

Corrected Corrected by May 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(1)/3270.182(1) · A health report shall include a review of the child's health history. A child's record shall contain initial and subsequent health reports.

During renewal inspection on 5/1/23, while reviewing children's files, Cert Rep observed the following - Child # 2 and Child # 5 did not have a health report in file just immunization record.

Corrected Corrected by May 8, 2023

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

3270.151(a)/3270.192(3) · 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. 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.

During renewal inspection on 5/1/23, while reviewing staff files, Cert Rep observed the following - Staff # 9 had a health assessment completed on 7/7/22 but did not have it documented on a staff health form

Corrected Corrected by May 8, 2023

Category: ratio. 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 5/1/23, while reviewing staff files, Cert Rep observed the following - Staff # 4 had 1 written reference in file - Staff # 6 had 1 written reference in file

Corrected Corrected by May 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(c)/3270.182(1) · 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.A child's record shall contain initial and subsequent health reports.

During renewal inspection on 7/13/22, while reviewing children's files, Child # 8 did not have a completed health form in file

Corrected Corrected by Jul 13, 2022

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

3270.36(b)(5)/3270.192(2)(iv) · 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 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.

During unannounced 8/18/21, Staff # 1 whose hire date 8/12/21 did not have documentation of high school diploma in file

Corrected Corrected by Aug 18, 2021

Category: supervision. Marked corrected in the state record.

3270.52 · 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 in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

During unannounced monitoring on 8/18/21 Cert Rep observed the following - in the young school age/older school age children there were Staff # 1 with 15 children - in the preschool room Staff # 2 had 8 preschool children and 1 infant

Corrected Corrected by Aug 18, 2021

Category: ratio. Marked corrected in the state record.

3270.107 · 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 unannounced monitoring 8/18/2021, Cert Rep observed that the refrigerator did not have a thermometer in the refrigerator

Corrected Corrected by Aug 18, 2021

Category: nutrition. Marked corrected in the state record.