3290.75(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

At the time of the inspection, peeled paint was observed in the area under the bulletin board.

Corrected Corrected by May 9, 2025

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

3290.123(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 § 3290.124(e).

At the time of the inspection, the files of child #1 and #2 did not include a child service report.

Corrected Corrected by May 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

At the time of the inspection, the agreement of child #1 did not include the name of the person designated by a parent to whom the child may be released,

Corrected Corrected by May 9, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.124(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.

At the time of the inspection, the emergency contact of child #1 and #2 did not include the health insurance policy number.

Corrected Corrected by May 5, 2025

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

3290.124(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.

At the time of the inspection, the emergency contact for child #2 did not include the address of the individual designated by the parent to whom the child may be released. The emergency contact of child #3 did not include the address and phone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by May 9, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)(2) · The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility.

At the time of the inspection, the file of child #1 and #2 did not include an initial health assessment.

Corrected Corrected by May 9, 2025

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

3290.151(a)/3290.192(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 on file at the facility. 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.

At the time of the inspection, the file of staff #1 had a sick visit summary as a health assessment.

Corrected Corrected by May 9, 2025

Category: ratio. Marked corrected in the state record.

3290.151(c)(2)/3290.192(2) · An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department. 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.

At the time of the inspection, the health assessment for staff #2 did not include a Tuberculosis screening.

Corrected Corrected by May 9, 2025

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

3290.31(a)(2) · Have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department no later than the submission of the second renewal application.

At the time of the inspection the record of staff person #1 was lacking in the proof of a high school diploma or a general educational development certificate.

Corrected Corrected by Apr 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.24(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.

At the time of the inspection the record of staff person #1 was lacking in documentation of training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update.

Corrected Corrected by Apr 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

At the time of the inspection the record of staff person #1 had a child abuse clearance dated 12/15/15 and a FBI clearance dated 12/8/15

Corrected Corrected by Apr 22, 2024

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

3290.131(b)(2)/3290.182(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 must contain initial and subsequent health reports.

At the time of the inspection the records of child #1 and child #2 were lacking in the current valid health assessments; both children have been in care more than 60 days as confirmed by staff person #1.

Corrected Corrected by Apr 26, 2024

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

3290.181(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.

At the time of the inspection the record of child #1 was lacking in the required six-month update, both the emergency contact form and financial agreement were dated from August of 23

Corrected Corrected by Apr 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.182(3)/3290.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

At the time of the inspection the emergency contact form of child #2 was lacking in both of the consents required prior to admission.

Corrected Corrected by Apr 26, 2024

Category: ratio. Marked corrected in the state record.

3290.31(g)/3290.31(g)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Pediatric first aid and pediatric cardiopulmonary resuscitation.

At the time of the inspection the record of staff person #1 was lacking proof of complete professional development listed in subsections (g)1-10; including but not limited to proof of the completion of Pediatric first aid and pediatric cardiopulmonary resuscitation.

Corrected Corrected by May 10, 2024

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

3290.182(3)/3290.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

On 7/7/23, at time of inspection, Child #1 file did not contain signed parental consent for emergency medical care the administration of first aid procedures by facility staff.

Corrected Corrected by Jul 10, 2023

Category: ratio. Marked corrected in the state record.

3290.24(a)(3)/3290.24(a)(4) · 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. 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.

On 2/24/23, at the time if initial inspection, the facility's emergency plan did not include a method for facility persons to contact parents as soon as an emergency situation arises and when the emergency has ended to provide instruction as to how to reunite with their children.

Corrected Corrected by Feb 28, 2023

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

3290.64(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 2/24/23, at time of initial inspection, lotions and cosmetic items instructing to "keep out of reach of children" were observed in two unlocked drawers under the bathroom sink.

Corrected Corrected by Feb 27, 2023

Category: ratio. Marked corrected in the state record.

3290.124(d) · A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

On 2/24/23, at the time of initial inspection, a written medical transport plan was not observed at the facility.

Corrected Corrected by Mar 6, 2023

Category: transportation. Marked corrected in the state record.

3290.151(c)(5)/3290.192(2) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. 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.

On 2/24/23, at the time of initial inspection, Staff Person #1 did not have an initial health assessment that addressed the physician's assessment of suitability for Staff Person #1 to provide child care.

Corrected Corrected by Mar 3, 2023

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

3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

On 2/24/23, at time of initial inspection, the facility's emergency plan did not provide accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Feb 3, 2023

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

3290.24(a)(1) · The facility shall have an emergency plan that provides for accommodations 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 2/24/23, at time of initial inspection, the facility's emergency plan did not provide accommodations for Shelter in Place and Lockdown during an emergency at the facility.

Corrected Corrected by Feb 28, 2023

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