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.

2nd CITATION: There was one ceiling tile in the girls bathroom located in the Fellowship Hall that was observed to not be kept clean as evidence by having water spots from a previous leak that has since been repaired. PREVIOUSLY CITED ON 11/7/24

Corrected Corrected by Jan 10, 2025

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

2nd CITATION: In Room 218 at approximately 1:25pm during naptime, three cots that were placed next to each other were observed to not have at least 2 feet of space on three sides of the cots while in use by preschool age children as evidence by there being less than a foot of space between the middle cot and the cots on either side as well as the cots being placed a foot or less from the wall or other furniture. PREVIOUSLY CITED ON 11/7/24.

Corrected Corrected by Jan 10, 2025

Category: physical safety. 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. Until such time as the required pre-service trainings are completed, staff person #3 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 staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR, Health and Safety Training, and Mandated Reporter Training.

Corrected Corrected by Nov 21, 2024

Category: supervision. 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: Staff Person #3 may not work in a child care position at the facility 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 Person #3 may not work in a child care position at the facility

The staff file for Staff person #1 was observed to contain a current National Sex Offender Registry (NSOR) check dated 9/24/24 with an application dated 9/19/24 which was not applied for prior to first day working with children (See IS CODE SHEET) as required for provisional hiring under the Child Protective Service Law (CPSL.) Staff person #1 also contained a DHS FBI clearance dated 10/16/24 on file and lacked proof of receipt of having been fingerprinted for the DHS FBI clearance prior to first date working with children as required by the CPSL. The staff file for Staff person #3 lacked a PA State Police clearance as well as a DHS FBI clearance; The FBI clearance on file was from West Virginia which is not an acceptable clearance. Staff person #3's file also contained a current NSOR check dated 9/30/24 with an application dated 9/18/24 which was not applied for prior to first day working with children (See IS CODE SHEET) as required by the CPSL.

Corrected Corrected by Nov 21, 2024

Category: background checks. 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.

The staff file for Staff person #7 contained current staff evaluation dated 5/2024 which was not completed at least one every 12 months from the previous staff evaluation on file dated 3/16/23.

Corrected Corrected by Nov 7, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

The staff file for Staff person #4, Staff person #6, and Staff person #8, who are functioning as assistant group supervisors, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position. The staff file for Staff person #2 and Staff person #5, who are functioning as Assistant Group Supervisors, lacked two years' experience working with children. The staff file for Staff person #3, who is functioning as an Assistant Group supervisor lacked proof of education and two years' experience working with children

Corrected Corrected by Nov 21, 2024

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.

In the Fellowship Hall, the following toxics labeled 'Keep Out of Reach of Children' were observed accessible to children in care: bottle of Purell hand sanitizer on the welcome desk, a container of Clorox wipes to the left of the coffee machine, another container of Clorox wipes, sanitizing bleach spray bottle to the right of the beverage bistro. In the Narthex Room, a Purell hand sanitizer, and two pink sanitizing spray bottles were observed accessible to children in care.

Corrected Corrected by Nov 21, 2024

Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

In Room 218 a snake plant, which is considered toxic to humans, was observed on a window seal.

Corrected Corrected by Nov 7, 2024

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

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The child file for Child #7, lacked an initial health report within 60 days after initial enrollment.

Corrected Corrected by Nov 21, 2024

Category: health medication. 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.

There was one ceiling tile in the girls bathroom located in the Fellowship Hall, and two ceiling tiles in Room 220, that were observed to not be kept clean as evidence by having water spots from a previous leak that has since been repaired.

Corrected Corrected by Nov 22, 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.

In Room 221 nine resting mats were observed to not be labeled for the use of a specific child.

Corrected Corrected by Nov 7, 2024

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

In Room 219, an infant was observed to be asleep in a crib and there was not at least 2 feet of space on three sides of the crib while it was in use as evidence by a dress up cabinet and rocking chair were less than a foot away from the crib.

Corrected Corrected by Nov 7, 2024

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.

At approximately 1:15pm, during naptime in Room 221, one staff and 7 toddlers were observed. During the onset of supervision/ratio check, Staff person #3 identified and named only 4 children thus leaving the other 3 children unaccounted for. When asked who was responsible for the 3 unnamed children Staff person #3 said Staff person #11, who was out of the room on their break, was responsible for those children.

Corrected Corrected by Nov 7, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

The child file for Child #7 was observed to contain a current financial agreement form that lacked the operators signature.

Corrected Corrected by Nov 7, 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 child file for Child #2 and Child #6 was observed to contain a current Emergency Contact form that lacked the health insurance name and policy number.

Corrected Corrected by Nov 22, 2024

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The staff file for Staff person #1 contained a current health assessment dated 9/23/24 which was not conducted prior to providing initial service in a childcare setting. The staff file for Staff person #4 contained a current health assessment dated 9/2/24 which was not conducted prior to providing initial service in a childcare setting.

Corrected Corrected by Nov 22, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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.

The staff file for Staff person #1 and Staff person #3 lacked a tuberculin skin test and the results.

Corrected Corrected by Nov 22, 2024

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

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The child file for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, Child #8, Child #9, and Child #10 contained a current emergency contact information form that lacked signed parental consent for emergency medical care for the child.

Corrected Corrected by Dec 12, 2024

Category: recordkeeping. 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.

The child file for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, Child #8, Child #9, and Child #10 contained a current emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Dec 12, 2024

Category: ratio. Marked corrected in the state record.

3270.192(3) · 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 staff file for Staff person #1 lacked a tuberculin skin test and the results. The staff file for Staff person #3 lacked a health assessment as well as a tuberculin skin test and the results.

Corrected Corrected by Nov 12, 2024

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 staff file for Staff person #1 was observed to lack one nonfamily reference.

Corrected Corrected by Nov 21, 2024

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.

In Room 218 two staplers were observed to be accessible to the preschool age children in care.

Corrected Corrected by Nov 21, 2023

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Staff person #7 had not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06; Staff person #7 has since completed the training on 1/16/23.

Corrected Corrected by Nov 28, 2023

Category: ratio. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Upon review of the facility's emergency plan, it was observed that the annual reviews and updates done by the director have not been documented in writing and kept on file at the facility.

Corrected Corrected by Dec 11, 2023

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.

The staff file for Staff person #3 was observed to contain documentation of having received training on the facility emergency plan on 8/14/23 which was more than 90 days from date of hire.

Corrected Corrected by Nov 21, 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 staff file for Staff person #1 was observed to contain fire safety trainings that were conducted more than12 months apart; those fire safety trainings are dated 8/6/23 and 7/21/22. The staff file for Staff person #4 was observed to contain fire safety trainings that were conducted more than12 months apart; those fire safety trainings are dated 8/4/23 and 7/22/22.

Corrected Corrected by Nov 21, 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.

Staff person #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. Staff person #1 has since obtained Pediatric First Aid/CPR on 5/1/23. Staff person #5 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR and Health and Safety training. Staff person #1 has since obtained Pediatric First Aid/CPR on 2/8/23 and completed the Health and Safety training on 3/20/23. Staff person #6 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training. Staff person #6 has since obtained Health and Safety training dated 11/29/22.

Corrected Corrected by Nov 21, 2023

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

3270.35(b)(1)/3270.192(2)(ii) · A group supervisor shall have 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The staff file for Staff person #2, who is functioning as a Group Supervisor, contained a Bachelor of Science degree that lacked the academic field of study as well as lacked a transcript. Therefore, it cannot be determined if the field of study meets regulatory requirements.

Corrected Corrected by Dec 12, 2023

Category: supervision. 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.

The staff file for Staff person #2 contained a current health assessment dated 8/26/23 which was not conducted prior to providing initial service in a childcare setting. The staff file for Staff person #4, contained a current health assessment dated 8/31/23 which was conducted more than 24 months from the previously dated 7/721 health assessment on file.

Corrected Corrected by Nov 21, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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.

The staff file for Staff person #2 contained a current tuberculosis screening and results dated 8/26/23 which was not conducted prior to providing initial service in a childcare setting.

Corrected Corrected by Nov 21, 2023

Category: health medication. 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 staff file for Staff person #3 contained a current health assessment dated 7/10/23 that lacked an assessment of the person's suitability to provide childcare.

Corrected Corrected by Nov 22, 2023

Category: health medication. 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.

Upon review of the facility's fire drill log, the following fire drills were observed to have been conducted more than 60 days apart: 1/13/23 - 3/16/23 (62 days), 3/16/23 - 5/18/23 (63 days), 5/18/23 - 9/1/23 (106 days), 9/1/23 - 11/1/23 (61 days).

Corrected Corrected by Dec 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

In Room 218, Room 220, and Rom 221, at approximately 1:00pm during nap time, the room was observed to lack adequate lighting thus making is difficult for staff to see the children's faces in order to properly supervise the children as they napped.

Corrected Corrected by Nov 16, 2022

Category: supervision. 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.

The sink located in Narathex room lacked a handwashing sign.

Corrected Corrected by Nov 16, 2022

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. Staff person #1 and Staff person #2 may not work in a child care position at the facility.

The staff file for Staff person #1 lacked documentation of having applied for and received the out of state clearances from the State in which they resided in within the previous five years as required by the Child Protective Service Law (CPSL). The file for staff person #2 lacked a DHS FBI clearance and a National Sex Offender Registry (NSOR) clearance; documentation of application of a DHS FBI clearance as well as an application for a NSOR clearance that were not submitted prior to date of hire (See IS CODE SHEET) as required for provisional hiring under the CPSL.

Corrected Corrected by Nov 29, 2022

Category: background checks. 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 emergency plan lacked information regarding volunteer emergency preparedness, and continuity of operations included in their emergency plan.

Corrected Corrected by Dec 1, 2022

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(i) · 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.

The staff file for Staff person #3, Staff person #8, and Staff person #10 contained current first-aid/CPR training dated 8/17/21 which was not renewed on or before the expiration of the previous training certificate on file dated 8/15/19. The staff file for Staff person #5 contained current first-aid/CPR training dated 8/17/21 which was not renewed on or before the expiration of the previous training certificate on file dated 5/23/19. The staff file for Staff person #7 contained current first-aid/CPR training dated 8/17/21 which was not renewed on or before the expiration of the previous training certificate on file dated 7/31/19.

Corrected Corrected by Nov 16, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #11 will have until 12/14/22 to complete the required training. Until such time as the required training has been completed, staff person #11 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #11, staff person #11 may not work in a child-care position at the facility.

Staff person #11 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training.

Corrected Corrected by Dec 1, 2022

Category: supervision. 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.

In Room 218, Room 220, and Room 221, at approximately 1:00pm during nap time, the room was observed to lack adequate lighting thus making is difficult for staff to see the children's faces in order to properly supervise the children as they napped.

Corrected Corrected by Nov 16, 2022

Category: supervision. Marked corrected in the state record.

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

In CDC Preschool - Room 218 an inhaler for Child #2 was observed to not be in the original container.

Corrected Corrected by Dec 1, 2022

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The staff file for Staff person #3, contained a current health assessment dated 10/31/22 which was conducted more than 24 months from the previously dated 9/29/20 health assessment on file. The staff file for Staff person #4, contained a current health assessment dated 1/29/22 which was conducted more than 24 months from the previously dated 1/6/20 health assessment on file. The staff file for Staff person #6, contained a current health assessment dated 10/24/22 which was conducted more than 24 months from the previously dated 9/2/20 health assessment on file. The staff file for Staff person #9, contained a current health assessment dated 7/7/22 which was conducted more than 24 months from the previously dated 5/22/20 health assessment on file. The staff file for Staff person #10, contained a current health assessment dated 10/14/21 which was conducted more than 24 months from the previously dated 10/2/19 health assessment on file.

Corrected Corrected by Nov 16, 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.

Upon review of the facility's fire drill log the fire drills conducted between 12/7/21 and 2/21/22 was more than 60 days between drills.

Corrected Corrected by Nov 16, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

Staff person #6 self-reported that the facility had not been testing their fire detection system once every 30 days.

Corrected Corrected by Nov 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)/3270.182(8) · An agreement shall be signed by the operator and the parent. 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 child file for Child #1 was observed to lack a financial agreement form.

Corrected Corrected by Mar 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(h) · 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. All staff persons shall complete the professional development under subsection (f): Pediatric First Aid and Pediatric CPR.

The file for staff person #3 had current pediatric first-aid and CPR training with a completion date of 8-17-21 that was after the March 2021 expiration of the prior training.

Corrected Corrected by Dec 2, 2021

Category: ratio. 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 file for staff person #2, hired provisionally with a start date of 9-7-21, had an FBI clearance dated 9-21-21 and lacked verification of fingerprinting for the FBI clearance at their start date to be a provisional hire. The file for staff #1 had FBI clearances dated 6-3-15 and 6-17-20 that were over 60 months between clearances.

Corrected Corrected by Dec 2, 2021

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

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. 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 #7, functioning as an aide, lacked verification of education to qualify as an aide.

Corrected Corrected by Dec 2, 2021

Category: recordkeeping. Marked corrected in the state record.

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.

In the CDC 2 room on the second floor of the facility, the middle window was observed to open more than 6 inches.

Corrected Corrected by Dec 2, 2021

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

3270.75(b) · A first-aid kit must be inaccessible to children.

In the CDC 3 room, the first-aid kit was in a bag that was hanging on the doorknob of the door to the hallway and was accessible to children. In the CDC 2 room, the first-aid kit was in a bag on a chair behind the door and was accessible to children.

Corrected Corrected by Dec 2, 2021

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.

The files for staff person #2, with a start date of 9-7-21, and staff person #7, with a start date of 10-28-21, lacked an initial health assessment and require a current health assessment. The file for staff person #4 had a health assessment that exceeded 24 months between assessments.

Corrected Corrected by Dec 2, 2021

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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.

The file for staff person #5, with a start date of 8-23-21, had an initial health assessment and tuberculosis screening by the Mantoux method that were dated over a year prior to initial employment/providing initial service in a child care setting and require a current health assessment and tuberculosis screening by the Mantoux method.

Corrected Corrected by Dec 2, 2021

Category: ratio. 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 parent of each enrolled child was not provided with information on how to access the DHS child care regulations electronically.

Corrected Corrected by Dec 2, 2021

Marked corrected in the state record.