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 address continuity of operations.

Corrected Corrected by Feb 12, 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 there was no policy on shaken baby syndrome on file.

Corrected Corrected by Feb 12, 2024

Category: ratio. Marked corrected in the state record.

3270.27(a)/3270.27(f) · The facility shall have an emergency plan. 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 there was no emergency plan on file. The emergency plan was not sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Feb 12, 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).

During the renewal inspection staff #1 did not have the FBI clearance on file.

Corrected Corrected by Feb 12, 2024

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

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

During the renewal inspection cert rep observed 1 staff person with 17 preschool children in the classroom.

Corrected Corrected by Feb 12, 2024

Category: ratio. Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

During the renewal inspection the bathroom did not have a lidded waste receptacle.

Corrected Corrected by Feb 12, 2024

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

3270.123(a)(2)/3270.123(a)(5) · An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the persons designated by a parent to whom the child may be released.

During the renewal inspection child #2 and 5 fee agreement plan did not include the date on which the fee is paid. Child #1-5 did not have the release persons name on file whom the child may be released to.

Corrected Corrected by Feb 12, 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 the fee agreement for child #2 did not include the child admission date on file.

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. 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 the emergency contact for child #2-5 did not include the work address and phone number of the parent on file.

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

During the renewal inspection the emergency contact did not include the release persons address on file for child #3.

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During the renewal inspection a written plan identifying the means of transporting a child to emergency care was not on file.

Corrected Corrected by Feb 12, 2024

Category: transportation. 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 a written notification of safe routes was not posted.

Corrected Corrected by Feb 12, 2024

Marked corrected in the state record.

3270.182(3)/3270.182(6) · 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 transportation, walking excursions, swimming and wading.

During the renewal inspection child #2 and 5 emergency contact did not contain signed parental consent for emergency medical care and child #1 emergency contact did not contain signed parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Feb 12, 2024

Category: transportation. 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 the emergency contact for child #1, 2 and 5 did not contain signed parental consent for administration of minor first-aid procedures on file.

Corrected Corrected by Feb 12, 2024

Category: ratio. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

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

Corrected Corrected by Feb 12, 2024

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

3270.131(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.

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

Corrected Corrected by Feb 12, 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 a written notice notifying the local traffic safety authorities annually of the facilities location was not on file.

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

During renewal inspection on 1/30/23, while reviewing children's files, Cert Rep observed the following: - Child # 5's emergency contact did not include release person's address

Corrected Corrected by Jan 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

During renewal inspection on 1/30/23, while reviewing staff files, Cert Rep observed the following: - Child # 4's health assessment was dated 12/1/21

Corrected Corrected by Jan 30, 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 1/30/23, while reviewing staff files, Cert Rep observed the following: - Staff # 1 had a health assessment completed but did not have a completed health form or TB -Staff # 3 and Staff # 5 did not have a health assessment and TB in file

Corrected Corrected by Jan 30, 2023

Category: ratio. 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 renewal inspection on 1/30/23, while reviewing children's files, Cert Rep observed the following: - Child # 1,3,5, and 6 did not have parental consent for emergency medical care/ administering of minor first aid

Corrected Corrected by Jan 30, 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 1/30/23, while reviewing staff files, Cert Rep observed the following: - Staff # 5 did not have documentation of 2 nonfamily references in file

Corrected Corrected by Jan 30, 2023

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 renewal inspection on 1/30/23, while reviewing staff files, Cert Rep observed the following: - Staff # 2 did not have documentation of 12 hours of childcare training in file

Corrected Corrected by Jan 30, 2023

Category: recordkeeping. 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 1/30/23, while reviewing staff files, Cert Rep observed the following: - Staff # 1, 2,3 and 5 did not have documentation of emergency plan training in file.

Corrected Corrected by Jan 30, 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 1/30/23, while reviewing staff files, Cert Rep observed the following: Staff# 2 did not have documentation of annual firesafety training in file;

Corrected Corrected by Jan 30, 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 # 3,5-- 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 #---3,5 may not work in a child care position at the facility.

During renewal inspection on 1/30/23, while reviewing staff files, Cert Rep observed the following: - Staff # 3 , a provisional employee did not have receipt in file to show that the staff had applied for State police clearance - Staff # 5 had a volunteer State police and child abuse clearance, FBI clearance dated 6/12/15 and did not have a receipt in file to show that staff applied for NSOR clearance

Corrected Corrected by Jan 30, 2023

Category: supervision. 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 1/30/23, while reviewing staff files, Cert Rep observed the following: - Staff # 3 and Staff # 5 did not have documentation of education and 2 years of childcare experience in file

Corrected Corrected by Jan 30, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

During renewal inspection on 1/30/23, while reviewing children's files, Cert Rep observed the following: - Child 1-6 did not have an agreement file

Corrected Corrected by Jan 30, 2023

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 renewal inspection on 1/30/23, while reviewing children's files, Cert Rep observed the following: - Child # 3 and 5's emergency contact was missing physician's information address/phone number

Corrected Corrected by Jan 30, 2023

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During renewal inspection on 1/30/23, while reviewing children's files, Cert Rep observed the following: - Child # 6 emergency contact was missing health insurance and policy number in file -

Corrected Corrected by Jan 30, 2023

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

3270.31(e)(1)(iv) · Training conducted with audio-visual materials recognized by child care professionals is acceptable and may count toward the annual requirement for 12 clock hours of child care training.

During renewal inspection on 1/27/22, while reviewing staff files, Staff # 3 whose hire date 8/1/2019 did not have documentation of annual 12 clock hours of child care training

Corrected Corrected by Jan 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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. Prior to the issuance of the certificate of compliance

During initial inspection on 1/27/22, while reviewing staff files, - Staff # 1 whose hire date 8/1/20 did not have documentation of fire safety training in file - Staff # 3 whose hire date 8/1/19 did not have documentation of fire safety training in file

Corrected Corrected by Jan 27, 2022

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 -- 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 #--2- may not work in a child care position at the facility. Prior to the issuance of the certificate of compliance

During initial inspection on 1/27/22, while reviewing staff files, The file of facility person #2 hired 9/7/21 does not contain a completed NSOR verification. The LE does not have an approved waiver to hire provisionally. The file does not contain copies of request(s) for the clearances/verification, and the disclosure statement required for provisional hiring under the CPSL.

Corrected Corrected by Jan 27, 2022

Category: supervision. Marked corrected in the state record.

3270.151(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. Prior to the issuance of the certificate of compliance

During initial inspection on 1/27/22, while reviewing staff files - Staff # 1 whose hire date 8/1/20 had completed a health assessment but did not have documentation of a staff health form in file - Staff # 2 whose hire date 9/7/21 had a completed health assessment, but did not have documentation of a health form in file

Corrected Corrected by Jan 27, 2022

Category: ratio. Marked corrected in the state record.