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 staff #1 and 3 did not have Health and Safety Training on file.

Corrected Corrected by Feb 12, 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 staff #2 and 5 did not have emergency plan training on file.

Corrected Corrected by Feb 12, 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 staff #4 did not have fire safety training on file.

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. 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, 3 and 4 did not have staff evaluations on file.

Corrected Corrected by Feb 12, 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 there was exposed paint and cleaning supplies in the bathroom in the back of the building.

Corrected Corrected by Feb 12, 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 the renewal inspection the bathroom in the back of the facility was not clean.

Corrected Corrected by Feb 12, 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 the mat inside the pack and play in the infant room was not clean. The rockers were sitting inside of the pack and plays on the mats.

Corrected Corrected by Feb 12, 2024

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

During the renewal inspection cert rep rang the doorbell. The staff person in the preschool classroom answered the door. The children in the preschool classroom were left unsupervised while the staff person opened the door.

Corrected Corrected by Feb 12, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During the renewal inspection child #1 fee agreement did not specify the release persons name.

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 child #1 emergency contact did not include the parents work address and phone number.

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. 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 staff #1 did not have a health assessment on file.

Corrected Corrected by Feb 12, 2024

Category: ratio. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

During the renewal inspection a written statement giving the formula and feeding schedule for the infants was not on file.

Corrected Corrected by Feb 12, 2024

Category: nutrition. 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 there were bottles not labeled with the child's name.

Corrected Corrected by Feb 12, 2024

Marked corrected in the state record.

3270.192(2)(iv) · 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 the renewal inspection staff #3 did not have verification of education on file.

Corrected Corrected by Feb 12, 2024

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 1.11.23, while reviewing files Cert Rep observed the following: Staff # 1's emergency plan training was dated 2/20/21

Corrected Corrected by Jan 11, 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 1.11.23, while reviewing files Cert Rep observed the following: - Staff # 1 's fire safety training was dated 2/20/21

Corrected Corrected by Jan 11, 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.

During renewal inspection on 1.11.23, while reviewing files Cert Rep observed the following: Child # 3 and 5's emergency contact did not list the release persons address.

Corrected Corrected by Jan 11, 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 childcare position at the facility.

During renewal inspection on 1.11.23, while reviewing files Cert Rep observed the following: - Staff # 3's State police clearance was applied for on 4/11/22 but did not have a disseminated date, Staff # 3 did not have a mandated reporter training in file -Staff # 5 applied for a NSOR clearance on 7/8/22 but did not have a completed clearance in file

Corrected Corrected by Jan 11, 2023

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 renewal inspection on 1/11/23, while doing a walk-through of the facility, Cert Rep observed the following. - Staff # was in the front childcare space alone with 7 children- 2 older toddler (children 2 years old) and 5 preschoolers (children 3-5 years old)

Corrected Corrected by Jan 11, 2023

Category: ratio. Marked corrected in the state record.

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During renewal inspection on 1/11/23, while doing a walk-through of the facility, Cert Rep observed the following. - Peeling paint in different areas of the green room- infant room (middle classroom) -Peeling paint in several areas of the green room young and older toddlers - (located in the back of the facility) - Debris in the backyard play space that consisted of a pile of wood with nails sticking out

Corrected Corrected by Jan 11, 2023

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 renewal inspection on 1/11/23, while doing a walk-through of the facility, Cert Rep observed the following. - the pack and plays both in the infant room and toddler room were not labelled for the use of specific children that was observed in them

Corrected Corrected by Jan 11, 2023

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

During renewal inspection on 1/11/23, while doing a walk0thoriugh of the facility, Cert Rep observed the following. - Staff # was observed changing an infant in the front classroom and left 6 children alone in the middle classroom and back classroom of the facility.

Corrected Corrected by Jan 11, 2023

Category: supervision. 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 1.11.23, while reviewing files Cert Rep observed the following: Child # 3's health assessment was dated 10/22/21

Corrected Corrected by Jan 11, 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 1.11.23, while reviewing staff files Cert Rep observed the following: - Staff # 2 did not have a health assessment and TB in file - Staff # 5 had an incomplete health assessment in file no signature or date on health assessment by physician or CRNP

Corrected Corrected by Jan 11, 2023

Category: ratio. 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 renewal inspection on 1.11.23, while reviewing files Cert Rep observed the following: Child # 5's emergency contact did not have a signature for administering minor first aid

Corrected Corrected by Jan 11, 2023

Category: ratio. Marked corrected in the state record.

3270.31(e)(1)(ii) · Training conducted by an entity that is licensed or certified professionally competent in the training topic is acceptable and may count toward the annual requirement for 12 clock hours of child care training.

During renewal inspection on 3/2/22, while reviewing staff files, Cert Rep observed the following - Staff # 1 did not have 12 annual clock hours of childcare training in file - Staff # 2 did not have 12 annual clock hours of childcare training in file -Staff# 3 did not have 12 annual clock hours of childcare training in file

Corrected Corrected by Mar 2, 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.

During renewal inspection on 3/2/22, while reviewing staff files, Staff # 3 did not have current fire safety training in file

Corrected Corrected by Mar 2, 2022

Category: recordkeeping. 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 3/2/22, while doing a walk through of the facility, Cert Rep observed that the pack n play in the infant room were not labelled for each individual child's use

Corrected Corrected by Mar 3, 2022

Category: physical safety. 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 3/2/22, while reviewing children's files, Child # 3's emergency contact did not have physician's number listed

Corrected Corrected by Mar 2, 2022

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 renewal inspection on 3/2/22, while reviewing children's files, Child # 6's emergency contact did not include father's address

Corrected Corrected by Mar 2, 2022

Category: recordkeeping. 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 renewal inspection on 3/2/22, while doing a walk through of the facility, the facility did not have emergency contacts for the children in the infant room and the preschool room

Corrected Corrected by Mar 3, 2022

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 renewal inspection on 3/2/22, while reviewing children's files, Child # 3 and Child # 4's emergency contact did not include a signature of parental consent for emergency medical care and obtaining administering medical care

Corrected Corrected by Mar 2, 2022

Category: ratio. 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 renewal inspection on 3/2/22, the facility's emergency pan did not provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Mar 2, 2022

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