Family Resources Therapeutic Preschool

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.

Facility Person #1 was classified as an assistant group supervisor based on completion of high school and at least 2 years of child care experience. The hours of child care experience required for the classification were not documented in the file.

Corrected by May 12, 2025

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3270.102(f) · Indoor play equipment for climbing shall be installed or used over a protective surface covering which does not interfere with the stability of the equipment.

There was a piece of gross motor play/climbing equipment in the play space not used over a protective surface covering.

Corrected by May 12, 2025

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3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

There was a tube of neosporin in the first aid kit in the main child care space. It was not labeled with the name of a child for their individual use.

Corrected by May 12, 2025

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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.

The instructions for contacting the regional child care certification office were not posted conspicuously.

Corrected by May 12, 2025

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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.

There was no documentation of emergency plan training on file for Facility Persons #1 and #2, both volunteers at the facility for more than 90 days.

Corrected by Dec 10, 2024

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

There was no documentation of completion of mandated reporter training on file for Facility Persons #1 and #2, both which had been volunteering at the facility for more than 90 days.

Corrected by Jan 17, 2025

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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.

There were two children observed sleeping on play equipment in the gym.

Corrected by Dec 10, 2024

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3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

There was a child's medication (Asmanax) at the facility without written parental consent for administration.

Corrected by Dec 11, 2024

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The most recent emergency drill documented was conducted on 11/8/2023. The documentation did not include the type of drill conducted and the accommodations made for children with special needs during the drill.

Corrected by Dec 11, 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.

A broken corner with sharp edges was observed on an electrical outlet wall plate in the gym.

Corrected by Jun 28, 2024

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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 facility's policy to identify and prevent shaken baby syndrome and maltreatment of children did not include details regarding strategies for coping with a crying, fussing, or distraught child.

Corrected by Jun 28, 2024

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3270.27(a)(3)/3270.27(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.

The director stated primary contact with parents during an emergency would occur through the Brightwheel App, however these details were not included in the facility's emergency plan.

Corrected by Jun 28, 2024

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3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The director stated primary contact with parents during an emergency would occur through the Brightwheel App, however these details were not included in the letter to parents explaining the emergency procedures.

Corrected by Jun 28, 2024

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3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #4 did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the previous certification dated 12/12/21. A current certification dated 3/05/24 is now on file.

Corrected by Jun 28, 2024

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3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #5 did not complete mandated reporter training from an approved source within 90 days of hire. This is evidenced by a certificate on file dated 4/15/24.

Corrected by Jun 28, 2024

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3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for staff #2 and #4, designated as assistant group supervisors on the staff data sheet, did not contain documentation of the qualifications required for the position. The file for staff #3, designated as a group supervisor on the staff data sheet, did not contain documentation of the qualifications required for the position.

Corrected by Jun 28, 2024

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

One bottom support post of a nylon crawl through tunnel was observed protruding through the fabric.

Corrected by Jun 28, 2024

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3270.115(c) · A water play table or a container used for water play that contains unfiltered water shall be emptied daily.

A small amount of water was observed in a water play table upon arrival. Based on statements made by staff, the water table was used the previous day.

Corrected by Jun 28, 2024

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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 contained consecutive health reports dated more than 12 months apart. The most recent health report on file is now current.

Corrected by Jun 28, 2024

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3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

The following medications, which lacked written instructions from the prescriber, were observed in the facility's medication box: 3 albuterol inhalers, 1 Epi Pen, and 2 containers of diazepam.

Corrected by Jun 28, 2024

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3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

The following medications, which were not labeled with the name of the child for whom they were intended, were observed in the facility's medication box: 3 albuterol inhalers, 1 Epi Pen, and 2 containers of diazepam.

Corrected by Jun 28, 2024

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Three expired albuterol inhalers were observed in the medication box. The medications expired June 2019, Feb 2021, and Dec 2023.

Corrected by Jun 28, 2024

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3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

An Epi Pen observed in the medication box lacked written parental consent for administration.

Corrected by Jun 28, 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 file for staff #1 contained consecutive health assessments dated more than 24 months apart. The most recent health assessment on file is now current.

Corrected by Jun 28, 2024

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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.

The files for staff #6 and #7 contained only 1 written reference.

Corrected by Jun 28, 2024

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The emergency drill log currently used by the facility did not include a section to document special accommodations that were made for children.

Corrected by Jun 28, 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.

A blue wall tile, in the male restroom, was broken off at approximately 6" x 4", at the bottom of the wall, accessible to children, which created a scraping/cutting hazard for children in care.

Corrected by May 19, 2023

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3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the following topics 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 #1 contained documentation of completing health and safety topics 1-10, as referenced in 3270.31(f), more than 90 days after hire date. The health and safety training was dated 4/12/22 and the pediatric FA/CPR training was dated 4/13/22 (SEE LIS CODE SHEET).

Corrected by Jun 1, 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 Staff #1 may not work in a child care position at the facility.

The file for staff #1 contained a state police clearance obtained for the purpose of volunteering instead of for employment.

Corrected by Jun 1, 2022

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3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Based on documentation, staff #1 completed mandated reporter training more than 90 days after hire. The training was dated 4/23/22. (SEE LIS CODE SHEET)

Corrected by Jun 1, 2022

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3270.131(d)(5)/3270.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file for child #1, enrolled for over 60 days, did not contain an immunization record.

Corrected by Jun 30, 2022

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3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #2 contained an immunization record which lacked documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP.

Corrected by Jun 1, 2022

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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 approximately 11:00am, children were observed using hand sanitizer prior to eating. The children did not wash hands with running water.

Corrected by Jun 1, 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 file for staff #1 contained an initial health assessment conducted more than 12 months prior to providing initial service in a child care setting.

Corrected by Jun 1, 2022

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3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The file for child #3, enrolled for over 60 days, did not contain a health report.

Corrected by Jun 30, 2022

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