3270.34(b)(1) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

The file for Staff Person #1, a Director, did not include documentation of one year experience with children.

Corrected Corrected by May 2, 2025

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.

Observed cleaning products and disinfecting wipes, which were accessible to children, in the hallway, which serves as a route to the indoor play space.

Corrected Corrected by Apr 16, 2025

Category: physical safety. 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.

Observed torn ceiling panels, which exposed insulation, around the drain pipes in the indoor play space.

Corrected Corrected by Apr 16, 2025

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Observed peeling tape and a glob of hair on the Velcro patch at the bottom of the chest of drawers in the infant area. This presents a potential choking hazard for children who may still be placing objects in their mouths.

Corrected Corrected by Apr 16, 2025

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

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

On 4/16/23 at 10:30 AM, Staff Person #2 was supervising 8 Preschool and 2 YSA children. Staff Person #2 identified the 8 Preschool children. Staff Person #2 was unable to name the two YSA children. At 1:30 PM, Staff Person #2 was supervising 8 Older Toddlers who were napping. Staff Person #2 identified 7 of the Older Toddlers. Staff Person #2 was unable to name one of the Older Toddlers.

Corrected Corrected by Apr 16, 2025

Category: supervision. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment in the file for Staff Person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by May 8, 2025

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

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 file for Staff Person #1 did not include two written letters of reference.

Corrected Corrected by May 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Observed a loose-fitted sheet in one of the pack n plays in the Infant/Toddler Room.

Corrected Corrected by Jul 17, 2024

Category: health medication. 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). 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 disclosure statements in the files for Staff Person #1 and #2 were on outdate forms. The most recent State Police and Child Abuse Clearances in the file for Staff Person #4 exceeded 60 months between clearances.

Corrected Corrected by Aug 19, 2024

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

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

The most recent Mandated Reporter Trainings in the file for Staff Person #4 exceeded 60 months between trainings.

Corrected Corrected by Jan 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(b)(1)/3270.192(2)(ii) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff Person #2, a Director with a Bachelor's Degree in Psychology, lacked documentation of one year child care experience.

Corrected Corrected by Jul 17, 2024

Category: recordkeeping. Marked corrected in the state record.

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 lacked scissors.

Corrected Corrected by Jul 17, 2024

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

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.

Observed a crack, which creates a sharp edge, in the seat of the smiley chair in the Young Toddler Area of the Infant/Toddler Room.

Corrected Corrected by Jul 17, 2024

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).

The fee agreements in the files for Child #4 and #5 did not include the services provided.

Corrected Corrected by Jul 18, 2024

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.

The emergency contact forms in the files for Child #1 and #5 did not include the health insurance coverage.

Corrected Corrected by Jul 17, 2024

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.

The emergency contact form in the file for Child #3 did not include the address of the release person.

Corrected Corrected by Jul 19, 2024

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.

The emergency contact binder in the Preschool Room did not include an emergency contact form for Child #6 who was receiving care in that area.

Corrected Corrected by Jul 17, 2024

Category: recordkeeping. 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.

The most recent health reports in the file for Child #4, a preschool child, exceeded 12 months between reports.

Corrected Corrected by Jul 17, 2024

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The most recent health report in the file for Child #2 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Jul 18, 2024

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

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.

Observed alcohol wipes and antiseptic ointments, which did not identify the name of the child for whom the medication is intended, in the first aid kits at the facility.

Corrected Corrected by Jul 17, 2024

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.

The most recent health assessments in the file for Staff Person #3 exceeded 24 months between assessments. The Health assessment in the file for Staff Person #2 did not include a TB Read date.

Corrected Corrected by Aug 9, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment in the file for Staff Person #2 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Aug 9, 2024

Category: health medication. 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.

The most recent parent updates to the emergency contact form and fee agreement in the file for Child #4 exceeded 6 months between updates.

Corrected Corrected by Jul 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for Staff Person #3 did not include documentation of 12 annual hours of child care training for the most recent full year of service: 12/19/22-12/19/23.

Corrected Corrected by Jul 17, 2024

Category: recordkeeping. 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.

The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster) to maintain compliance with 45 CFR § 98.41(a)(1)(vii)

Corrected Corrected by Sep 8, 2023

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.

The files for Staff Person #6, 7, 8 and 9 did not include documentation of emergency plan training conducted within the past 12 months (6/30/22).

Corrected Corrected by Aug 3, 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.

The files for Staff Person #6, 7, 8, 9 and 10 did not include documentation of fire safety training conducted within the past 12 months (6/30/22).

Corrected Corrected by Aug 31, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The Pediatric First Aid/CPR Training in the files for Staff Person #1 and #8 were conducted more than 90 days after the staff persons' first day working in child care: (See LIS Code Sheet).

Corrected Corrected by Aug 31, 2023

Category: health medication. 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). 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, 4 and 7 may not work at the facility.

The file for Staff Person #3 lacked an NSOR certification. Although Staff Person #3 has not been working at the facility for 45 days, the receipt for FBI fingerprinting was dated 6/16/23, which is after Staff Person #3's start date: (See LIS Code Sheet). For this reason, Staff Person #3 does not qualify as a provisional hire and cannot return to work until NSOR is acquired. The file for Staff Person #4, who has been working for more than 45 days, lacked an NSOR Certificate: (See LIS Code Sheet). The file for Staff Person #7 did not contain a State Police Clearance conducted within the past 60 months. For these reasons, Staff Person #4 and #7 cannot work at the facility until the current clearances are acquired. The Child Abuse, FBI Clearances and NSOR certificate in the file for Staff Person #1 and the State Police Clearance in the file for Staff Person #2 were applied/acquired after the staff persons' start date: (See LIS Code Sheet). The disclosure statements in the files for Staff Person's #1, 2, 3, 4 and 5 were on outdated forms.

Corrected Corrected by Sep 8, 2023

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

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 Person #1 and #4, Assistant Group Supervisors, did not contain documentation of two years experience in child care.

Corrected Corrected by Aug 31, 2023

Category: supervision. Marked corrected in the state record.

3270.35(e) · In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

On 8/2/23, after review of staff files and conversation with Director/LE, the facility has 52 children enrolled and only one staff who meets the qualifications of a Group Supervisor.

Corrected Corrected by Sep 8, 2023

Category: supervision. 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.

Observed nails and debris on the floor of the Gross Motor Room. Observed rough edges on the concrete surface of the wall in the Gross Motor Room. Observed two protruding nails, which create a potential puncture hazard, at the bottom of the sink cabinet in the Toddler 1 Area. Observed two exposed bolts, which create a potential puncture hazard, on the third toilet in the boy's restroom.

Corrected Corrected by Sep 8, 2023

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Observed ladders, sheet metal and several storage bins, which were blocking the exit of the gross motor room.

Corrected Corrected by Sep 11, 2023

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).

The most recent child service reports in the files for Child #3, 4 and 6 exceeded 6 months between reports.

Corrected Corrected by Aug 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(a)/3270.182(8) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The file for Child #2 lacked an emergency contact form and fee agreement.

Corrected Corrected by Aug 4, 2023

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.

The emergency contact form in the file for Child #1 did not include the work address and telephone number of the enrolling parent.

Corrected Corrected by Sep 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Observed on 8/2/23 at approximately 10:00 am, Staff Person #5 did not wash their own hands or ensure that Child #7 washed their hands after changing the child's diaper.

Corrected Corrected by Aug 7, 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.

The file for Staff Person #4 did not include an initial health assessment.

Corrected Corrected by Sep 8, 2023

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.

The most recent parent updates for the emergency contact form and fee agreement in the file for Child #3 exceeded 6 months between updates. The emergency contact forms and fee agreements in the files for Child #4, 5 and 6 have not been updated by the parents in the last 6 months.

Corrected Corrected by Sep 8, 2023

Category: recordkeeping. Marked corrected in the state record.

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 current Certificate of Compliance was not posted at the facility.

Corrected Corrected by Aug 31, 2023

Marked corrected in the state record.

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 initial health report in the file for Child #1 was conducted more than 60 days after the child's first day of attendance.

Corrected Corrected by Aug 4, 2023

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

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The initial Health and Safety training in the file for Staff Person #1 was the 6-hour Health and Safety Basics conducted on 2/6/19, which was not a valid training date. The current 10-hour Health and Safety training in the file for Staff Person #1 was not conducted until 6/29/22.

Corrected Corrected by Jun 29, 2022

Category: health medication. 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.

Observed PCV cement, which was in an unlocked electrical room, in the S/A Room.

Corrected Corrected by Jul 18, 2022

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.

Observed bolts facing upward, which were not capped, on the bases of the toilets in the following areas: Upstairs: one in front bathroom, two in middle, and one in back. Downstairs: One in the boy's bathroom. Observed ceiling tiles stained from possible water damage in the infant area and in the corner between the Infant and Young Toddler areas.

Corrected Corrected by Jul 20, 2022

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

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.

Upstairs: One toilet in the back bathroom and one toilet in the front bathroom lacked handwashing signs.

Corrected Corrected by Jul 19, 2022

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

3270.102(a)/3270.103 · 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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Observed bite marks on foam peg boards and broken crayons less than one inch in diameter in the Older Toddler Room. This creates a potential hazard for children who are still placing objects in their mouths.

Corrected Corrected by Jul 18, 2022

Category: physical safety. 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.

The binder in the PS/SA Room did not contain an emergency contact form for Child #1 who was receiving care in this room.

Corrected Corrected by Jul 18, 2022

Category: recordkeeping. 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.

The most recent updated health reports in the files for Child #3 and #4 exceeded 12 months between reports.

Corrected Corrected by Jan 10, 2022

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

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 inhaler for Child #2 did not contain written instructions from the physician or instructions for administration on the label.

Corrected Corrected by Jul 18, 2022

Category: ratio. 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.

The most recent health assessments in the files for Staff Person #2 and #3 exceeded 24 months between assessments.

Corrected Corrected by May 2, 2022

Category: ratio. Marked corrected in the state record.

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 documented two times when fire drills were conducted more than 60 days apart: 10/8/21-2/4/22 and 2/4/22-4/22/22.

Corrected Corrected by May 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

On 3/29/22 at approximately 11:15 AM, staff #3 was observed in the toddler room with 6 young toddlers.

Corrected Corrected by Mar 9, 2022

Category: ratio. 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).

On 3/29/22, at approximately 11:15 AM, staff #1 and staff #2 were observed in the eating area with 13 children of mixed ages. When asked to identify the group of children they were responsible for supervising, staff #1 identified 7; 1 preschooler and 6 older toddlers. Staff #2 identified 6; 4 older toddlers and 2 young toddlers.

Corrected Corrected by Mar 9, 2022

Category: supervision. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The file for child #1 contained an agreement which did not specify the amount of the fee to be charged.

Corrected Corrected by Aug 2, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The file for child #1 contained an agreement which did not specify the date on which the fee is to be paid.

Corrected Corrected by Aug 2, 2021

Category: recordkeeping. Marked corrected in the state record.

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 #3 did not update mandated reporter training within 60 months as required. The last documented training occurred 1-13-16.

Corrected Corrected by Jul 30, 2021

Category: recordkeeping. 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).

At approximately 9:40 AM, staff #1 was observed in the front area of the 2nd floor supervising 11 children; 9 school agers and 2 preschoolers. When asked, staff #1 confirmed that all 11 children were under her direct supervision. Staff #2 was present in another area of the 2nd floor with 10 preschool children.

Corrected Corrected by Jul 12, 2021

Category: supervision. 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.

Two bottles of Tub Tile Cleaner and one bottle of Sol-U-Guard were observed to be accessible to children on the sink of a restroom directly connected to the school age care space on the second floor. The door to the restroom was unlocked and open at the time of the inspection.

Corrected Corrected by Jul 12, 2021

Category: physical safety. 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.

A large rug with a curled corner, which presented a tripping hazard, was observed in the area where children eat meals on the first floor.

Corrected Corrected by Jul 12, 2021

Category: nutrition. 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.

Peeling paint was observed in two areas along the baseboard in the gross motor room.

Corrected Corrected by Jul 12, 2021

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

An unanchored flat screen TV was observed on a cart in the front PS area on the second floor.

Corrected Corrected by Jul 12, 2021

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.

The files for children #2, #3, and #4 contained emergency contact information which did not include work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Aug 2, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.134(c) · Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

One restroom in the front PS area of the second floor lacked paper towels at the time of the inspection.

Corrected Corrected by Jul 12, 2021

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

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 facility person #4 contained an initial health assessment which did not include results of tuberculosis screening.

Corrected Corrected by Aug 2, 2021

Category: health medication. 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.

The facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Aug 2, 2021

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

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 facility did not have means to provide parents of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Aug 2, 2021

Marked corrected in the state record.