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.

Upon review of the facility's 30-day fire testing documentation, more than 30 days has passed since the last test which was conducted on 2/20/26.

Corrected Corrected by Apr 8, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

The facility's inspection summary from 2/3/26 that contained a regulatory noncompliance citation needing verified as corrected, was not posted in a conspicuous location used by parents.

Corrected Corrected by Mar 12, 2026

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.

In the Sensory Room, the handle of a blue plastic bin was observed to not be in good repair as evidence by the handle was broken off causing it to have rough edges. The outdoor play space had a multicolored plastic child's fence that was observed to not be in good repair as evidence by being cracked at the top corner of the blue portion of the fence causing potential pinch points.

Corrected Corrected by Mar 12, 2026

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.

In the Toddler Room, two ceiling tiles to the left of the water fountain were observed to not be kept clean as evidence by having water spots from an unknown source.

Corrected Corrected by Feb 3, 2026

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.

Upon entry into the kitchen area, a ceiling tile next to the square light fixture on the far right, was observed to not be kept clean as evidence by having a water spot from a previous water leak.

Corrected Corrected by Sep 12, 2025

Category: physical safety. 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.

A Little Tikes plastic pink wavy slide climbing structure located in the outside play space was observed to not be in good repair as evidence by there being a hole on the white upper part and was cracked allowing for a pinch and crush point.

Corrected Corrected by Jul 16, 2025

Category: physical safety. 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 the Infant Room, part of the power cord attached to a motion baby swing was observed to be loosely hanging near the ground accessible to the infants in care and causing a potential strangulation hazard.

Corrected Corrected by Apr 16, 2025

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 staff file for Staff person #1 was observed to contain a current National Sex Offender Registry (NSOR) check dated 2/11/25 with an application dated 12/9/24 which was not received within 45 days of hire (See IS CODE SHEET) as required for provisional hiring prior to 2/1/25 under the Child Protective Service Law (CPSL). Staff person #1's file was observed to contain a DHS FBI receipt and clearance as well as a Child Abuse clearance all dated 1/14/25 which were applied for/obtained after their first day working with children (See IS CODE SHEET) as required for provisional hiring prior to 2/1/25 under the CPSL.

Corrected Corrected by Apr 16, 2025

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

3270.37(b)(1)/3270.192(2)(iii) · 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 following the outset of service at the facility.

The staff file for Staff person #1 who is functioning as an Aide, lacked proof of a high school diploma.

Corrected Corrected by Apr 17, 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.

In the Infant Room, part of the power cord attached to a motion baby swing was observed to be loosely hanging near the ground accessible to the infants in care and causing a potential strangulation hazard.

Corrected Corrected by Mar 7, 2025

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

3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

The facility's notice of refusal to renew their certificate of compliance was not posted in a conspicuous location used by parents; only the attachment was posted.

Corrected Corrected by Mar 7, 2025

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.

2nd CITATION: In the Toddler Room, one ceiling tile located to the left of the infant doorway was observed to not be kept clean as evidence by having water spot from an unknown source. PREVIOUSLY CITED ON 11/14/24

Corrected Corrected by Mar 10, 2025

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

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

In the Infant Room, the sink near the diapering area, which is used for handwashing was observed to not be operating at time of inspection as evidence by when the handle was turned up and to the left or right there was no running water coming out of the faucet.

Corrected Corrected by Mar 7, 2025

Category: health medication. 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's certificate of compliance that was posted was observed to not be current and had expired as of 2/26/24.

Corrected Corrected by Jan 24, 2025

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 #6 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 #6, staff person #6 may not work in a child-care position at the facility.

Staff person #6 was observed to be caring for children unsupervised. Staff person #6 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

Corrected Corrected by Jan 22, 2025

Category: supervision. 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 than 12 months apart; those fire safety trainings are dated 1/19/23 and 2/7/24.

The staff file for Staff person #1 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 1/13/23 and 2/11/24. The staff file for Staff person #5 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 1/19/23 and 2/7/24.

Corrected Corrected by Feb 4, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The staff file for Staff person #3, who was observed caring for children at time of inspection, lacked a valid National Sex Offender Registry (NSOR) clearance; the NSOR clearance on file is dated 11/8/19 which is more than 60 months old.

Corrected Corrected by Feb 4, 2025

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

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

In the Kitchen, after the children had lunch, a garbage can was observed to contain used cups and forks that have been contaminated by human secretions and did not have a lid.

Corrected Corrected by Feb 12, 2025

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 staff file for Staff person #2 lacked 8 of the 12 clock hours of annual childcare training required from 12/2022 - 12/2023.

Corrected Corrected by Feb 4, 2025

Category: recordkeeping. 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.

Both bathrooms located in the sensory room were observed to have torn wallpaper and drywall above the soap dispenser causing it not to be in good repair. Also in the sensory room, the black wooden trim around the interior doorway of the girls bathroom was observed to have a piece of the trim broken off exposing splintering sharp wood. The following ceiling tiles were observed to not be kept clean as evidence by having water spots from an unknown source: in the toddler room, 1 ceiling tile to the left of the infant door, and 2 ceiling tiles in the middle room near entry way, and 3 ceiling tiles in the kitchen.

Corrected Corrected by Jan 23, 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.

At approximately 10:15am in the Sensory Room, during the onset of supervision and ratio, Staff person #2 identified and named the 4 preschool aged children and also claimed responsibility for 3 other preschool age children who were in the adjacent PreK Room. Staff person #2, while still in the Sensory Room, was observed to not be physically present with those 3 other children in her assigned group. In the Gym, at approximately 12:45pm during nap time, 3 staff and 28 children of mixed ages were observed. During the onset of supervision and ratio, Staff person #4 identified and named 8 older toddlers, Staff person #5 identified and named 5 young and older toddlers, and Staff person #3 identified and named 11 preschool age children thus leaving 4 children unnamed and unaccounted for. On 1/7/25, at approximately 9:35am in the Sensory Room, during the onset of supervision and ratio, Staff person #3 identified and named 5 preschool aged children and also claimed responsibility for 1 other preschool age children who was in the adjacent PreK Room. Staff person #3, while still in the Sensory Room, was observed to not be physically present with that 1 other child in her assigned group.

Corrected Corrected by Feb 12, 2025

Category: supervision. 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).

Two child service reports in the file for Child #1, were observed to lack a date of completion by staff; therefore, it is unable to be determined if the child service reports were completed within six months of each other. Two child service reports in the file for Child #2, were observed to lack a date of completion by staff; therefore, it is unable to be determined if the child service reports were completed within six months of each other.

Corrected Corrected by Feb 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The child file for Child #3, who was a young toddler, was observed to contain an updated health report dated 9/10/24 which was conducted more than 6 months from the previously dated 11/24/23 health report on file

Corrected Corrected by Feb 4, 2025

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.

Staff Person #3's current health assessment dated 10/9/24 is deemed invalid due to evidence that the health assessment had been electronically manipulated by the operator. The medical professional confirmed that Staff person #3 had never been seen at their medical facility.

Corrected Corrected by Feb 4, 2025

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.

Six-month reviews of the Emergency Contact Forms and Financial Agreements for Child #2 and Child #3 were deemed invalid due to Staff person #1, who stated that they are in charge of child files, disclosure that they entered the parent's name and backdated the review date to avoid a citation for noncompliance.

Corrected Corrected by Jan 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.181(d) · Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Six-month reviews of the Emergency Contact Forms and Financial Agreements for Child #2 and Child #3 were deemed invalid due to Staff person #1, who stated that they are in charge of child files, disclosure that they entered the parent's name and backdated the review date to avoid a citation for noncompliance.

Corrected Corrected by Jan 24, 2025

Category: recordkeeping. Marked corrected in the state record.

20.71(a)(7) · The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.

The staff health assessment for Staff person #3 has been deemed fraudulent, due to written evidence obtained from the medical professional's office. Upon inquiry, the operator disclosed that the operator digitally altered the health assessment prior to submitting the document to the Certification Representative to avoid a citation for noncompliance.

Corrected Corrected by Jan 24, 2025

Category: health medication. 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.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 1/2/24 - 2/2/24 (31 days), 3/1/24 - 4/1/24 (31 days), 5/1/24 - 6/3/24 (33 days), 7/1/24 - 8/1/24 (31 days), 8/1/24 - 9/2/24 (32 days), 10/1/24 - 11/1/24 (31 days).

Corrected Corrected by Jan 24, 2025

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.

Documentation of the completed updated health and safety training, required to be completed by all staff by 12/30/22, indicates that Facility Persons # 1, #2, #3, #5, #6, #7 and #8 completed the training after this date.

Corrected Corrected by Jan 12, 2024

Category: ratio. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The facility's emergency plan was not posted conspicuously. There was a sign posted near the entrance indicating the emergency play was located in the cabinet below, but the emergency plan was not in the cabinet.

Corrected Corrected by Jan 12, 2024

Category: physical safety. 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.

There was a bottle of bleach water in the gross motor room in an unlocked cabinet on a shelf low enough to be in reach of children.

Corrected Corrected by Jan 12, 2024

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

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

There was a bottle of bleach water in the gross motor room not labeled with the contents.

Corrected Corrected by Jan 12, 2024

Category: ratio. Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

There was no first aid kit located in the sensory room.

Corrected Corrected by Jan 12, 2024

Category: health medication. 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.

There was damaged plaster on the wall in the storage area off of the gross motor room near the rest equipment and in the doorway between the storage area and the gross motor room. There were large pieces of peeling paint on the exterior the wall of the building in the outdoor playspace.

Corrected Corrected by Jan 12, 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.

There was a crib in use in the infant room with less than 2 feet of space on 3 sides due to the placement of equipment near the crib.

Corrected Corrected by Jan 12, 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).

There was no child service report on file for child #4. The current child service report on file for child #5 was completed more than 6 months after the child's first day of attendance.

Corrected Corrected by Jan 12, 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 on file for children #1, #2,and #3 did not include the health insurance information.

Corrected Corrected by Jan 12, 2024

Category: health medication. 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.

There was no emergency contact form in the preschool room for one of the children receiving care in that room.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

The emergency contact form on file for child #4 was not reviewed and updated by a parent in writing in the previous 6 months.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. 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 health assessment on 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 Jan 12, 2024

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

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Facility Person #4 was observed serving food to children without washing their hands first.

Corrected Corrected by Jan 12, 2024

Category: health medication. 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.

Documentation of smoke detector testing indicates the smoke detectors were not tested at least every 30 days during the following intervals: 1/27/23-2/27/23; 3/27/23 - 4/27/23; 5/26/23 - 6/26/23; and 8/25/23-9/25/23.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. 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 initial health assessment on file for child #5 was completed more than 60 days after their first date of attendance.

Corrected Corrected by Jan 12, 2024

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. The provider must have on file The provider's written policy must include, but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma. Strategies for coping with a crying, fussing, or distraught child; and Address the prevention and identification of child maltreatment.

The provider's written policy regarding prevention of shaken baby, syndrome, abusive head trauma, and child maltreatment did not address the prevention and identification of child maltreatment.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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. Emergency plan must include a plan for the continuity of operations in the event of an emergency.

The emergency plan did not include a plan for continuity of operations in the event of an emergency.

Corrected Corrected by Dec 31, 2022

Category: ratio. Marked corrected in the state record.

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 letter to be provided to the parents regarding the emergency plan does not include the facility's plan for a lockdown.

Corrected Corrected by Dec 31, 2022

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

3270.31(f)/3270.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Documentation of the health and safety training on file for Facility Person #2 was dated more than 90 days after their start date (See IS Code Sheet.)

Corrected Corrected by Dec 31, 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 provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1 and #2- may not work at the facility without all completed clearances on file.

There was no FBI clearance on file for Facility Person #1, provisionally hired and employed at the facility more than 45 days. The NSOR clearance on file for Facility Person #1 (dated 11/9/22) was completed and on file more than 45 days after their start date. (See IS Code Sheet.) There was no FBI clearance on file for Facility Person #2, provisionally hired and employed at the facility more than 45 days. The criminal history clearance (dated 9/15/22) and NSOR clearance (dated 9/16/22) on file for Facility Person #2 were completed and on file more than 45 days after their start date. (See IS Code Sheet.)

Corrected Corrected by Dec 31, 2022

Category: background checks. 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.

Toxics were accessible to children a follows: In the front gross motor room, there was a sanitizing solution in an unlocked cabinet, and in the restroom adjacent to the room, a toilet bowl cleaner and disinfectant wipes were in the unlocked cabinet under the sink. In the kitchen/meal room, there was an unlocked closet with cleaning supplies.

Corrected Corrected by Dec 31, 2022

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.

There was damaged plaster on the wall by the storage area in the back of the gross motor room. There was a small area of peeling paint, and paint chips on the floor in the dramatic play area of the Pre-K 2 room.

Corrected Corrected by Dec 31, 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.

There was no handwashing sign posted by the training chair in a restroom in the Pre-K 1 room.

Corrected Corrected by Dec 31, 2022

Category: health medication. 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.

There were plastic bags in a low unlocked drawer in the kitchen, a room used for meal by children including toddlers.

Corrected Corrected by Dec 31, 2022

Category: nutrition. Marked corrected in the state record.

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

There was no daily activity schedule posted in the Pre-K 1 room.

Corrected Corrected by Dec 31, 2022

Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The admission date was not specified on the agreement for child #1.

Corrected Corrected by Dec 31, 2022

Category: recordkeeping. Marked corrected in the state record.

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 current health assessment on file for child #3 was completed more than 12 months after the prior health assessment on file.

Corrected Corrected by Dec 31, 2022

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

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.

There was no documentation of a current flu vaccine (recommended annually by the ACIP) on file for children #3 and #4.

Corrected Corrected by Jan 19, 2023

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 most recent health assessment on file for Facility Person #3 was completed more than 24 months after the prior health assessment on file.

Corrected Corrected by Dec 31, 2022

Category: ratio. Marked corrected in the state record.

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

There were no written feeding schedules from the parents of two of the enrolled infants.

Corrected Corrected by Dec 31, 2022

Category: nutrition. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

There was a bottle in the infant room not labeled with the child's name.

Corrected Corrected by Dec 31, 2022

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 specify accommodations for infants and toddlers in an emergency.

Corrected Corrected by Dec 31, 2022

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

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

There was no documentation that an emergency drill had been conducted.

Corrected Corrected by Dec 31, 2022

Category: recordkeeping. Marked corrected in the state record.

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 review date documented on the emergency plan was 1/25/19.

Corrected Corrected by Jan 19, 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.

According to the staff, the parents of enrolled children had not yet been provided with information on how to access the regulations electronically.

Corrected Corrected by Jan 19, 2023

Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

There was no documentation that the current emergency plan was sent to the county emergency management agency and the local municipality.

Corrected Corrected by Dec 31, 2022

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

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Traffic letters on file that were sent to the local traffic safety authorities were dated 9/18/19 and 9/26/22.

Corrected Corrected by Jan 19, 2023

Category: recordkeeping. 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.

Fire drills were conducted on the following dates which exceeded 60 days: 3/1/2021 to 5/3/2021 and 7/1/2021 to 9/1/2021.

Corrected Corrected by Dec 13, 2021

Category: recordkeeping. 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.

The Infant classroom contained a maroon chair, the Pre-K 2 classroom contained a blue chair and the outdoor play space contained a green chair all of which were cracked and broken.

Corrected Corrected by Dec 13, 2021

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

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.

The larger refrigerator in the Infant classroom did not contain a thermometer.

Corrected Corrected by Dec 13, 2021

Category: nutrition. 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 of facility person #7 did not contain 2 written, nonfamily references from individuals attesting to their suitability to serve as a facility person.

Corrected Corrected by Dec 13, 2021

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.

Documentation of fire safety training for facility person #2 was dated 5/29/2020 and updated 6/11/2021, exceeding one year.

Corrected Corrected by Dec 13, 2021

Category: recordkeeping. Marked corrected in the state record.

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

Pediatric first aid and CPR was not completed by facility person #1 within 90 days of starting with children.

Corrected Corrected by Feb 18, 2022

Category: health medication. 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.

Mandated reporter training of facility person #5 was dated 7/19/2016 and updated on 8/5/2021, exceeding 60 months are required by the child protective service law.

Corrected Corrected by Dec 13, 2021

Category: recordkeeping. 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 applications for NSOR verification certificate of facility person #3 were dated 11/19/2020 and 9/30/2021 and the completed NSOR verification certificate was dated 10/7/2021, which is more than 45 days after their provisional hire period.

Corrected Corrected by Dec 13, 2021

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 indoor play space where the toddlers were napping contained a first aid kit which did not include gloves.

Corrected Corrected by Dec 13, 2021

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

The toilet in the girls restroom off of Pre-K 1had bolts protruding from the base on both sides.

Corrected Corrected by Dec 13, 2021

Category: physical safety. 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.

A bin containing play tools was cracked and broken in the Pre-K 2 classroom. The Pre-K 1 classroom contained a play house which was broken on the side which was holding the roof in place.

Corrected Corrected by Dec 13, 2021

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

3270.131(e) · 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.

Verification of immunizations from a physician, physician's assistant, CRNP, the Department of Health or a local health department in accordance with the recommendations of the ACIP was not provided for child #1 who has been enrolled at the facility for more than 60 days.

Corrected Corrected by Dec 13, 2021

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

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.

Immunizations for child #2 and 3 were not in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Dec 13, 2021

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 of facility person #4 contained a health assessment dated 10/1/2019 and facility person 6 was dated 11/8/2019 and both lacked an updated heath assessment within 24 months. The file of facility person #7 did not contain a health assessment at initial employment.

Corrected Corrected by Dec 13, 2021

Category: ratio. 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 of facility person #7 did not contain a tuberculosis screening and the results of the screening at initial employment.

Corrected Corrected by Dec 13, 2021

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

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

The file of facility person #7 did not contain verification of child care experience, education and training prior to service at the facility.

Corrected Corrected by Dec 13, 2021

Category: recordkeeping. 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.

An initial health assessment was not provided for child #1 who has been enrolled at the facility for more than 90 days (COVID extension).

Corrected Corrected by Dec 13, 2021

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