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3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The Emergency Plan trainings, in the files for Staff #2, Staff #3, and Staff #8 were dated 3.15.24 and 5.8.25, which were beyond 12 months. The Emergency Plan trainings, in the files for Staff #4, Staff #5, Staff #6 were dated 3.15.24 and 5.9.25, which were beyond 12 months.

Corrected by Jul 16, 2025

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3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The Fire Safety trainings, in the file for Staff #1, were dated 7.13.23 and 5.28.25, which exceeded the annual requirement. The Fire Safety trainings, in the file for Staff #3, were dated 1.5.24 and 6.4.25, which exceeded the annual requirement. The Fire Safety trainings, in the file for Staff #4, were dated 5.22.24 and 6.23.25, which exceeded the annual requirement. The Fire Safety trainings, in the file for Staff #7, were dated 5.13.24 and 06/2005, which exceeded the annual requirement.

Corrected by Jul 16, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for Staff #6 contained State Police Clearances dated 2.3.20 and 5.16.25, and Child Abuse Clearances dated 2.12.20 and 5.23.25, which exceeded the 60-month renewal requirement.

Corrected by Jul 16, 2025

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

One (1) protective receptacle cover was missing from the surge protector in back of the preschool room, located near the phone and computer, which was accessible to children 5 years of age or younger.

Corrected by Jun 30, 2025

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first-aid kit, in the preschool room, did not contain gloves.

Corrected by Jun 30, 2025

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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.

The window on the right side of the left wall, in the Rear Room, had a broken piece of glass which created a cutting hazard.

Corrected by Jun 30, 2025

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3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

A handwashing sign was not located at the toilet in stall #2, near the school-age/cafeteria room.

Corrected by Jul 16, 2025

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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.

A thermometer was not located in the refrigerator in the preschool room.

Corrected by Jun 30, 2025

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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.

The Health Assessments, in the files for Child #1 and Child #2, preschool children, were completed beyond 12 months.

Corrected by Jul 16, 2025

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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.

The Health Assessment, in the file for Staff #4, was dated 6.25.22, and none thereafter, which is beyond 24 months. The Health Assessments, in the file for Staff #7 (see IS Code Sheet), was dated 5.21.24, which was following initial service with children.

Corrected by Jul 16, 2025

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3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, 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.

The Mantoux test, in the file for Staff #7 (see IS Code Sheet), was dated 5.21.24, which was after initial employment.

Corrected by Jul 16, 2025

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has completed Basic first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum and the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Corrected by Apr 21, 2025

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3270.61(b) · Indoor child care space may not be used simultaneously as play space.

Per staff statements, the cafeteria/gross motor space is on the license, but it was the school age room when originally added to the license. The room is now primarily used as the cafeteria and an indoor gross motor play space.

Corrected by May 5, 2025

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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.

Multiple hand sanitizer dispensers were observed to be accessible to children in childcare space.

Corrected by May 8, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for Staff #2 (see IS Code Sheet) contained documentation of a Child Abuse Clearance dated 6.24.24, which exceeded the first date with children.

Corrected by Feb 25, 2025

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3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

In the upstairs restrooms, two (2) handwashing signs were missing near one (1) of the toilets in the Girls' Room, and near one (1) of the toilets in the Boys' Room.

Corrected by Mar 1, 2025

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3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, 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.

The file for Staff #1 (see IS Code Sheet) contained documentation of a Mantoux test read on 7.27.24, which was after the first date working with children.

Corrected by Feb 25, 2025

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3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff #1 will have until 2.25.25 to complete the required training. Until such time as the required training has been completed, Staff #1 must be supervised, when interacting with children by an AGS who has completed the required training related to this citation. If there are no staff available to supervise Staff #1, Staff #1 may not work in a child care position at the facility.

The file for Staff #1 contained documentation of First-Aid/CPR within 90 days of hire, but it was not Pediatric First-Aid/CPR.

Corrected by Feb 22, 2025

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The Fire Drill Log contained documentation of fire drills on 10.11.24 and 12.23.24, which exceeded 60 days.

Corrected by Mar 1, 2025

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The Fire System Testing Log contained documentation of manual testing on 11.10.24 and 12.23.24, which exceeded 30 days.

Corrected by Mar 1, 2025

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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.

The Emergency Plan did not contain documentation of Continuity of Operations.

Corrected by Aug 31, 2024

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3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #1 (see IS Code Sheet), contained documentation of Fire Safety Training on 7.6.23, which exceeded the annual requirement. The file for Staff #3 contained documentation of Fire Safety Training on 6.20.23 and 7.5.23, which exceeded the annual requirement. The file for Staff #4 (see IS Code Sheet) contained documentation of Fire Safety Training on 5.14.23, and none prior, which did not meet the annual requirement. The file for Staff #5 contained documentation of Fire Safety Training on 5.31.22 and 1.5.24, which exceeded the annual requirement. The file for Staff #10 contained documentation of Fire Safety Training on 6.21.23, and none thereafter, which exceeded the annual requirement.

Corrected by Aug 31, 2024

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for Staff #2 (see IS Code Sheet), contained an NSOR Certificate dated 1.31.24, with an application dated 11.30.23, which were after the initial date working with children. The file for Staff #4 contained FBI Clearances dated 11.8.18 and 4.17.24, which exceeded the 60-month renewal requirement. The file for Staff #5 (see IS Code Sheet), contained documentation of Mandated Reporter training on 6.3.22, which exceeded the 90-day requirement.

Corrected by Aug 31, 2024

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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.

The file for Staff #8 contained evaluations dated 5.1.22 and 3.31.24, which exceeded the 12-month requirement. The file for Staff #10 (see IS Code Sheet), contained documentation of an evaluation dated 3.31.24, but none prior to that date, which did not meet the 12-month requirement. The file for Staff #11 contained evaluations dated 5.1.22 and 10.19.23, which exceeded the 12-month requirement.

Corrected by Aug 31, 2024

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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.

A one (1) gallon container of Hydrogen Peroxide, which stated, "Keep out of reach of children," was located in an unlocked, black metal cupboard in the School-Age Room, and was accessible to children.

Corrected by Aug 31, 2024

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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.

Approximately 1' of missing base cove, along the back wall, and an 8" section of broken baseboard, were located in the Main Room, which were not in good repair. Approximately 8' of missing base cove, along the chalkboard wall, and 1 1/2' of broken base cove on the fire panel wall, were located in the Rear Room, which were not in good repair. Many broken gray, 12" x 18" laminate floor tiles were located in the School Age Room, which created a tripping hazard for children. Cracked glass, approximately 3" x 5", was located on the stained-glass window, on the left side of the School Age Room, which created a cutting/scraping hazard for children.

Corrected by Aug 31, 2024

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3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

A handwashing sign was not posted at either of the toilets near the preschool room.

Corrected by Aug 31, 2024

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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.

The Emergency Contact form, in the file for Child #4, did not contain the name of the physician or source of medical care.

Corrected by Aug 31, 2024

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact form, in the files for Child #1 and Child #2, did not contain the enrolling parent's work address.

Corrected by Aug 31, 2024

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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.

An Emergency Transportation Plan was not displayed in the upstairs, preschool room.

Corrected by Aug 31, 2024

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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.

The two most recent Health Assessments, in the file for Staff #1, Staff #5, Staff #9, and Staff #10, exceeded the 24-month renewal requirement. The Health Assessment in the file for Staff #2 (see IS Code Sheet), was dated 11.16.23, which was following initial service with children. The Health Assessment in the file for Staff #6 (see IS Code Sheet), was dated 3.28.24, which was following initial service with children.

Corrected by Aug 31, 2024

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3270.31(f)(7)/3270.192(2)(iii) · Staff persons shall complete professional development in emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)) within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #7 (see IS Code Sheet), contained documentation of Emergency Plan Training on 3.15.24, which exceeded 90 days of hire.

Corrected by Aug 31, 2024

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The documentation for the testing of the Fire Detection System, showed that it was tested every two (2) months, which exceeded the requirement of every 30 days.

Corrected by Aug 31, 2024

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3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Documentation was not available that parents of enrolled children were provided with information on how to access the regulations electronically.

Corrected by Aug 31, 2024

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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.

The files for staff #2, #3, #7, #8, #9, and #13 contain emergency plan training that was obtained late. Staff #2 was due 10/2022 and obtained 5/2023, staff #3 was due 10/2022 and obtained 4/2023, staff #7 was due 10/2022 and obtained 5/2023, staff #8 was due 9/2022 and obtained 4/2023, staff #9 was due 3/2023 and obtained 5/2023, staff #13 was due 5/2022 and was obtained 6/2023.

Corrected by Jun 30, 2023

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3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for staff #1 and #9 lack updated fire safety training. Staff #1 was due 6/2023 and staff #9 was due 3/2023.

Corrected by Jun 21, 2023

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The files for staff #1and #6 contain mandated reporter training that was renewed late. Staff #1's training was due 7/2022 and obtained 8/2022. Staff #6's training was due 7/2022 and obtained 9/2022.

Corrected by Jun 1, 2023

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Volunteer #13 will have until 8/22/23 to complete the mandated reporter training. Until such time as the required training has been completed, volunteer #13 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise volunteer #13-, volunteer #13 may not work in a child-care position at the facility.

Volunteer #13 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected by Aug 18, 2023

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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.

The file for child #1 contains a health assessment that was obtained late. The health assessment was due 10/2022 and was obtained 6/2023.

Corrected by Jun 9, 2023

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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.

The file for staff #1, #5, #11 and #13 contained health assessments that were initially obtained or updated late. Staff #1 was due 12/2022 and obtained 6/2023, staff #5 was due 9/2022 and obtained 3/2023, staff #11 was due 3/2023 and obtained 6/2023, staff #13 was due 2/2022 and obtained 6/2023.

Corrected by Jun 30, 2023

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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.

The file for staff #4 lacks an updated health assessment. The health assessment was due 8/2022.

Corrected by Jul 18, 2023

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #5 will have until 8/9/22 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children by an AGS who has completed the required training relevant to this citation.

Staff person #5 has not completed the following pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety basics.

Corrected by Aug 9, 2022

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #6 had not completed the following pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety basics.

Corrected by Jul 19, 2022

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person #6 had not completed the mandated reporter training within 90 days of their hire date (see LIS code sheet).

Corrected by Jul 19, 2022

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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.

The file for staff #4 contains a disclosure statement that was obtained late (after initial employment).

Corrected by Jul 19, 2022

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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.

The files for staff #1 and #7 contain evaluations that exceed 12 months.

Corrected by Jul 19, 2022

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3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Observed several windows in the hallway that open directly to the outdoors and are accessible to children that were not constructed, modified or adapted to limit the opening to 6 or fewer inches.

Corrected by Jul 29, 2022

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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.

The files for staff #1, #2, #3 and #7 contain health assessments that were updated late. (beyond 24 months)

Corrected by Jul 19, 2022

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

Staff person #4 and #6 had not completed the following pre service training within 90 days of their date of hire (see LIS code sheet): first aid and cpr.

Corrected by Jul 19, 2022

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Per the director, and the fire drill log, a fire drill was not held between 12/21/21 and 4/22/22.

Corrected by Jul 19, 2022

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3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #1 did not contain documentation of training regarding the emergency plan after the plan as updated on 9/2/21.

Corrected by Sep 7, 2021

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3270.72(b) · Windows or doors used for ventilation shall be screened when open.

Five windows in the new care space were open without screens during the inspection; 2 in the restrooms and 3 in the child care room.

Corrected by Sep 7, 2021

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in the upstairs preschool room lacked scissors and tweezers.

Corrected by Sep 7, 2021

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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.

Crumbling plaster was observed on the left hand wall of the upstairs preschool room. Two protruding metal pieces were observed on the wall on either side of the small stage.

Corrected by Sep 7, 2021

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