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.

At the time of the Renewal Inspection on 03/10/2025, Hand sanitizer, Clorox Disinfectant Wipes, Gel Air Freshener and other Toxic Cleaning materials containing warnings labels stating to "keep out of reach of children" were found in the childcare space and children's bathroom in areas accessible to children.

Corrected Corrected by Mar 10, 2025

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

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

At the time of the Renewal Inspection on 03/10/2025, the Hot Water temperature in the bathroom designated for use by the children within the facility reached a temperature of 123.6° F.

Corrected Corrected by Mar 31, 2025

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

3270.77(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 Renewal Inspection on 03/10/2025, there was peeling paint observed on the blue and red section of the wall by the table in the childcare space.

Corrected Corrected by Mar 17, 2025

Category: physical safety. 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).

At the time of the Renewal Inspection on 03/10/2025, the file for Child #1 and Child #2 did not contain a Child Service Report.

Corrected Corrected by Mar 13, 2025

Category: recordkeeping. 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.

At the time of the Renewal Inspection on 03/10/2025, the file for Child #1did not contain the Health Insurance Medical Coverage for the child.

Corrected Corrected by Mar 11, 2025

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.

At the time of the Renewal Inspection on 03/10/2025, the emergency contact forms on file for Child #2 and Child #3 did not contain the address of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Mar 13, 2025

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.

At the time of the Renewal Inspection on 03/10/2025, the Facility's Emergency Transportation Plan was not posted in a conspicuous location within the facility.

Corrected Corrected by Mar 18, 2025

Category: transportation. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

At the time of the Renewal Inspection on 03/10/2025, Staff Person #2 was observed using Hand Sanitizer on the hands of Child #5 age 1, in place of handwashing, before lunch was served.

Corrected Corrected by Mar 10, 2025

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.

At the time of the Renewal Inspection on 03/10/2025, the file for Staff Person #1 did not contain a completed Staff Health Assessment form.

Corrected Corrected by Mar 14, 2025

Category: ratio. Marked corrected in the state record.

3270.166(6) · Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

At the time of the Renewal Inspection on 03/10/2025, Child #4 was observed sleeping in a pack-and-play with a bottle in the child's mouth.

Corrected Corrected by Mar 10, 2025

Category: physical safety. 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.

At the time of the Renewal Inspection on 03/10/2025, the Agreement Forms on file for Child #1, Child #2 and Child #3 were not reviewed and updated within the required 6-month period.

Corrected Corrected by Mar 12, 2025

Category: recordkeeping. 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.

At the time of the Renewal Inspection on 03/10/2025, the date of the most recent Annual Emergency Drill documented on file at the facility was 05/24/2023.

Corrected Corrected by Mar 31, 2025

Category: recordkeeping. 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.

At the time of the Renewal Inspection on 03/10/2025, the file for Child #1 did not contain an Initial Health Assessment.

Corrected Corrected by Mar 13, 2025

Category: health medication. 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 on 5/8/24, it was observed that the records of staff person #2 did not include the required 1-hour health and safety update.

Corrected Corrected by May 14, 2024

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 the renewal inspection on 5/8/24, it was observed that the records of staff person #1, staff person #2, staff person #3, staff person #4 and staff person #5 did not include updated training regarding the emergency plan. Trainings dated 2/13/23 and 9/10/21.

Corrected Corrected by May 8, 2024

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 the renewal inspection on 5/8/24, it was observed that the fire safety training in staff person #2's records was not an acceptable training. Training was completed online and not DHS training.

Corrected Corrected by May 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · 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 on 5/8/24, it was observed that the records of child #1 and child #2did not include an updated health report

Corrected Corrected by May 23, 2024

Category: health medication. 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.

During the renewal inspection on 5/8/24, it was observed that the records of staff person #5 did not include an acceptable health record. Date on health record appeared to be manipulated.

Corrected Corrected by May 28, 2024

Category: ratio. 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 on 5/8/24, it was observed that the records of child #1, child #2, child #3, and child #4 did not include an updated financial agreement. Documents dated 1/21/22, 11/15/22, 2/9/23 and 7/12/23 respectively.

Corrected Corrected by May 8, 2024

Category: recordkeeping. 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 on 5/8/24, it was observed that the records of child #3 and child #4 did not include an initial health report.

Corrected Corrected by May 23, 2024

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

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

On April 4, 2023 during the renewal inspection Certification Representative noticed that child # 1, child #2 and child # 3 agreement forms are missing date of admission.

Corrected Corrected by Apr 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

On April 4, 2023 during the renewal inspection Certification Representative noticed that child # 2 was missing a description of extra services.

Corrected Corrected by Apr 25, 2023

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.

On April 4, 2023 during renewal inspection Certification Representative noticed that child # 2, and child # 3 release person address was missing.

Corrected Corrected by Apr 25, 2023

Category: recordkeeping. Marked corrected in the state record.