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).

Upon certification rep. and Staff person #3 entering the Large Childcare Room, at approximately 12:40pm during nap time, two staff and 18 children of mixed ages (young and older toddlers) were observed. During the onset of supervision and ratio check, when staff were asked to identify and name the children whom they were responsible for, Staff person #1 identified and named 4 young and older toddlers and Staff person #2 started to identify and name 6 young and old toddlers, paused as if they were done, and Staff person #3 had to assist Staff person #2 in telling them who they were responsible for. Staff person #2 then identified and named a total of 14 young and older toddlers therefore, Staff #2 exceeded the mixed age staff: child ratio by 4 children.

Corrected Corrected by Jun 5, 2025

Category: supervision. 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.

Upon certification rep. and Staff person #3 entering the Large Childcare Room, at approximately 12:40pm during nap time, two staff and 18 children of mixed ages (young and older toddlers) were observed. During the onset of supervision and ratio check, when staff were asked to identify and name the children whom they were responsible for, Staff person #1 identified and named 4 young and older toddlers and Staff person #2 started to identify and name 6 young and old toddlers, paused as if they were done, and Staff person #3 had to assist Staff person #2 in telling them know who they were responsible for. Staff person #2 then identified and named a total of 14 young and older toddlers. When certification rep. brought to Staff person #3's attention that Staff person #2 was over by 4 children, Staff person #3 stated that those 4 children were the responsibility of Staff person #1. When certification went back to ask Staff person #1 again to identify and name the children whom they were responsible, Staff person #1 named the same 4 children until Staff person #3 had to tell them which other children they were responsible for and Staff person #1 named responsibility for 8 young and older toddlers. Therefore, it was determined that neither Staff #1 nor Staff #2 were able to independently name the group of children who they were responsible for.

Corrected Corrected by Jun 5, 2025

Category: supervision. 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. TIERED LIS: 1.) 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. 2.) The operator will develop a map layout of each room showing placement of resting mats and furniture placement to allow for 2ft on three sides.

2nd CITATION: At approximately 12:30pm during naptime, the following was observed: In Room 3 two preschool age children were observed sleeping on mats that were placed up against the wall and near furniture/toys approximately less than a 1 foot of space between the mats therefore not allowing for the required 2 feet of space on three sides of rest equipment while in use. In Room 5, multiple mats being used by sleeping toddlers and preschools were observed to be lined up vertically against the far wall with approximately 1 foot or less of space on two sides of other children's mats. Mats placed on the near right side of the room were observed to be placed against furniture/toys with approximately 1 foot of space or less between two sides of other children's mats therefore not allowing for 2ft of space on 3 sides of rest equipment while in use. PREVIOUSLY CITED ON: 4/15/25

Corrected Corrected by May 23, 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.

In Room 4 a clear plastic bin with a pirate ship toy inside which was stored behind the cardboard fireplace was observed to have a corner broken off causing it not to be in good repair. In the Large Childcare Room, a large clear plastic bin containing Legos, which was stored underneath the Lego table was observed to have the handle broken off causing it not to be in good repair. In Room 5, another clear plastic bin containing toys, that was stored on the bottom shelf of blue shelving unit, was observed to have a crack on the corner causing a potential pinch point. Also in Room 5, a blue and green foam square block from a climber set was observed to be torn exposing the foam inside causing it not to be in good repair.

Corrected Corrected by Apr 23, 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.

At approximately 1:00pm during naptime, the following was observed: In the Large Childcare Room two preschool age children were observed sleeping on mats that were placed up against the wall and approximately 1 foot from a shelving unit causing them to not have the required 2 feet of space on three sides. In Room 4, a preschool age child was observed sleeping on a mat that was placed approximately 1 foot from a shelving unit causing them to not have the required 2 feet of space on three sides.

Corrected Corrected by Apr 16, 2025

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 child file for Child #3 contained a current child service report dated 3/14/25 that was not completed every 6 months from the previous report dated 8/27/24. The child file for Child #4 contained a current child service report dated 3/13/25 that was not completed every 6 months from the previous report dated 8/30/24. The child file for Child #5 contained a current child service report dated 3/14/25 that was not completed every 6 months from the previous report dated 8/30/24. The child file for Child #6 contained a current child service report dated 3/13/25 that was not completed every 6 months from the previous report dated 8/27/24.

Corrected Corrected by Apr 16, 2025

Category: recordkeeping. 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.

At approximately 11:30am in Room 5 Staff person #1, while wearing gloves, was observed to have conducted three diaper changes in a row, discarded the gloves between each change and put new gloves on, without washing their hands after diapering each child.

Corrected Corrected by Apr 17, 2025

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 child file for Child #2 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form were signed by the parent on 3/25/25 and 7/18/24 and the financial agreement form were 3/25/25 and 7/16/24. The child file for Child #3 contained a financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the emergency contact form was last reviewed on 3/15/24 and the financial agreement form was last reviewed on 8/30/24. The child file for Child #5 contained an emergency contact form that was not reviewed and signed by the parent every 6 months; the emergency contact form was last reviewed and signed on 8/30/24. The child file for Child #6 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form and financial agreement form were signed by the parent on 3/14/25 and 8/30/24.

Corrected Corrected by Apr 16, 2025

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.

The current annual fire system inspection report on file was dated 8/23/24 which was completed more than 12 months after the previous inspection report dated 7/19/23.

Corrected Corrected by Apr 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The facility's emergency plan was observed to lack an evacuation route to a location away from the facility premises.

Corrected Corrected by Apr 23, 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.

There was no policy on file at the facility to address the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma or strategies for coping with a crying, fussing, or distraught child.

Corrected Corrected by Apr 6, 2024

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 specified in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter to the parents explaining the emergency plan does not address annual emergency drills.

Corrected Corrected by Apr 22, 2024

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.

The following was observed: torn rest mats exposing foam in the toddler and Preschool 3 rooms, a broken plastic toy bin with a sharp edge in the main child care space, and a fraying wicker-like basket in the toddler room creating a sharp edge.

Corrected Corrected by Apr 3, 2024

Category: physical safety. 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 most recent first aid training completed and documented on file for Facility Person #2 was expired.

Corrected Corrected by Apr 4, 2024

Category: ratio. 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.

Current firesafety training documented and on file for Facility Persons #2 and #3 was completed more than 12 months after their previous firesafety training.

Corrected Corrected by Apr 4, 2024

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.

There was no documentation on file that Facility Persons #4 and #5, both employed at the facility more than 90 days, have completed the required pre-service health & safety training. Documentation of completion of health & safety training on file for Facility Person #9 indicates the training was completed more than 90 days after their start date.

Corrected Corrected by Apr 26, 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. Facility Persons #5, and #6 may not work in a child care position at the facility without all completed required clearances on file.

The criminal history clearances on file for Facility Persons #5 and#6 were incomplete and therefore invalid. The FBI clearance on file for Facility Person #5 was not completed through DHS and therefore invalid. The most recent mandated reporter training completed and on file for Facility Person #1 was completed more than 60 months after the previous mandated reporter training documented and on file. Mandated reporter training completed and documented on file for Facility Person #9 was completed more than 90 days after their start date.

Corrected Corrected by Apr 3, 2024

Category: background checks. 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 torn rest mats in the toddler room, exposing foam.

Corrected Corrected by Apr 3, 2024

Category: physical safety. 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 required education and/or experience for the staff classifications for Facility Persons #4, #5,#7 and #10 were not documented and on file.

Corrected Corrected by Jun 11, 2024

Category: recordkeeping. Marked corrected in the state record.

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

There were uncovered outlets on a power strip near the entrance to the facility.

Corrected Corrected by Apr 3, 2024

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 were Clorox wipes in reach of children in an unlocked storage closet. There was hand sanitizer on a shelf in reach of children in the Preschool 4 room.

Corrected Corrected by Apr 3, 2024

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 an area of damaged plaster on the wall in the main child care space, near the door to the toddler room.

Corrected Corrected by Apr 3, 2024

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

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

At approximately 1:55 PM in the Preschool 3 Room, Facility Person # 11 was supervising 8 preschoolers as they napped on rest equipment. There was insufficient lighting in the room for the children to be seen clearly.

Corrected Corrected by Apr 3, 2024

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.

At approximately 1:55 PM in the Preschool 3 Room, Facility Person # 11 was supervising 8 preschoolers as they napped on rest equipment. There was insufficient lighting in the room for the children to be seen clearly.

Corrected Corrected by Apr 3, 2024

Category: supervision. Marked corrected in the state record.

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

The agreements on file for children # 1 and #5 did not specify the correct admission dates.

Corrected Corrected by Apr 3, 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.

There was no emergency contact forms in the preschool 4 and the toddler room for one of the children in care in each of those rooms.

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · 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. 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 current agreement on file for child #3 was reviewed and update by a parent in writing more than 6 months after the previous agreement review. The most recent emergency contact form on file for child #1 was reviewed and updated by a parent more than 6 months prior.

Corrected Corrected by May 30, 2024

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.

There was an undated health assessment along with a health assessment dated 2/2023 on file for child #2, an older toddler. It was unable to be determined if the undated health assessment was completed in the 12 months following the date of the previous health assessment.

Corrected Corrected by May 3, 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.

There was only one written nonfamily reference on file for Facility Person # 6, and none on file for Facility Person #8.

Corrected Corrected by Jun 11, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The pediatric first aid & CPR training completed and on file for Facility Persons #4 #5 and #9 was completed more than 90 days after their respective start dates.

Corrected Corrected by Apr 19, 2024

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.

The fire drill log on file at the facility indicates that fire drills were conducted on 5/10/23, 7/19/23, and 10/25/23. They were also conducted on 12/14/23 and then on 2/23/24. Fire drills were not conducted at least every 60 days.

Corrected Corrected by Apr 3, 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.

There was no documentation on file that Facility Persons #2, #3, #6, and #8 have completed the additional health and safety training update, required to be completed by staff by 12/30/22.

Corrected Corrected by Apr 26, 2023

Category: ratio. 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 a plan for continuity of operations in the event of an emergency, as required by federal mandate.

Corrected Corrected by May 5, 2023

Category: ratio. 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 firesafety training on file for Facility Persons #1, #3, #5, and #6 indicates that the most recent, current firesafety training completed by these staff was completed more than 12 months after the previous fire safety training documented and on file.

Corrected Corrected by Apr 18, 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 health and safety training completed and documented on file for Facility Person #4 was completed (on 3/19/23) more than 90 days after their start date. (See IS Code Sheet.)

Corrected Corrected by Apr 18, 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 #1 may not work at the facility without all current completed clearances on file.

The most recent FBI clearance on file for Facility Person #1, currently suspended, was completed on 3/29/18. Documentation on file indicates that Facility Person #1 was removed from employment at the facility more than 60 months after the clearance date, on 4/3/23.

Corrected Corrected by Apr 4, 2023

Category: background checks. 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 current child service report on file for child #1 was completed more than 6 months after enrollment and after the regulation suspension was lifted on 10/30/22. The most recent child service report on file for child #2 was completed more than 6 months prior.

Corrected Corrected by Apr 19, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · 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. 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 current emergency contact form and agreements on file for child #1 were reviewed and updated by a parent in writing more than 6 months after the previous documented review.

Corrected Corrected by Apr 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).Children #2 and #3 must be dismissed from care by close of business 4/18/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

There was no documentation of current influenza vaccines, recommended annually by the ACIP,on file for children #2 and #3.

Corrected Corrected by Apr 26, 2023

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.

There was only one nonfamily written reference on file for Facility Person #7.

Corrected Corrected by Apr 18, 2023

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.

Documentation of emergency drills conducted at the facility indicate that they s were conducted on 7/22/21 and 8/3/22, more than 12 months apart. The documentation of the drills on file did not include all required elements as a part of the documentation.

Corrected Corrected by Apr 18, 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.

Documentation of fire drills conducted at the facility indicate that a drills was held on 9/23/22 and then next again on 12/12/22 more than 60 days later.

Corrected Corrected by Apr 18, 2023

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.

Documentation of fire alarm system professional inspections indicate that inspections were conducted on 7/15/21 and 8/17/22, more than 12 months apart.

Corrected Corrected by May 23, 2023

Category: recordkeeping. 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.

The most recent written notification to traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was dated 4/8/22,

Corrected Corrected by Apr 18, 2023

Marked corrected in the state record.

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

On 2/9/23 a child in care suffered an injury that resulted in the child receiving emergency room treatment. The operator did not notify the regional certification office of the incident.

Corrected Corrected by Apr 25, 2023

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

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

The cabinet in which the child records were stored was not locked.

Corrected Corrected by May 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

The cabinet in which the facility persons' records were stored was not locked.

Corrected Corrected by May 6, 2022

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 most recent firesafety training documented and on file for Facility Person #1 was completed more than 12 months after the previous firesafety training documented and on file.

Corrected Corrected by Feb 5, 2022

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.

The most recent FBI clearance on file for Facility Person #2 was completed more than 60 months after the previous FBI clearance on file.

Corrected Corrected by Nov 22, 2021

Category: background checks. 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.

The chain link fence enclosing the outdoor play space had numerous sharply-edged aluminum clips located in areas accessible to children in care that could cause laceration/puncture injuries.

Corrected Corrected by May 5, 2022

Category: ratio. 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 a small, quarter size area of peeling paint on a wall the Four's room. There was a small, dime-size area of damaged plaster on a wall in the large main space, in the back area of the space. There was an area of damaged plaster on a restroom wall behind a trash can.

Corrected Corrected by May 5, 2022

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.

Two ride-on, toddler sized tricycles located in areas accessible to children in care in the outdoor play space were observed to have areas of cracked plastic with pointed edges that could cause laceration/puncture injuries. Also located in areas accessible to children in the outdoor play space, a wooden playhouse was observed to have a trim piece that had become detached from the house, which caused several trim nails to become exposed, which could cause laceration/puncture injuries. In that first large space, anapproximately 4'x3' wooden table in an area accessible to children in care was observed to have four outwardly facing exposed bolts located on the underside of the tabletop where the table surface connected to each of the four table legs. Contact with said bolts could cause laceration injuries. An approximately 21"x16" plastic storage bin in the main space and an approximately 16"x8" mesh storage bin in the two-year-old room were observed in areas accessible to children in care. Contact with the cracked edges could cause laceration/puncture injuries.

Corrected Corrected by May 5, 2022

Category: ratio. 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.

In the main child care space, numerous circular pieces of foam with a diameter of approximately 3" were observed in a storage container in an area accessible to children in care who are still placing things in their mouths. One of these foam pieces was observed to have teeth mark impressions on the surface. In the one-year-old room, several vinyl covered rest mats were observed to have splits at the seams that made the foam padding accessible to children who are still placing things in their mouths. Each noted area of concern poses the potential for a child to detach and potentially ingest a piece of foam less than 1" in diameter, which would present a choking hazard.

Corrected Corrected by May 5, 2022

Category: physical safety. 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 program's emergency plan did not provide for accommodations for toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by May 4, 2022

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

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

The only documentation of pediatric first aid/CPR training on file for Facility Person #3 indicates the training was completed more than 90 days after their start date (SEE IS CODE SHEET). The first aid/CPR training documented was completed on 3/21/22. There was no documentation of pediatric first aid/CPR training completed and on file for Facility Person #4, employed at the facility for more than 90 days. (SEE IS CODE SHEET)

Corrected Corrected by May 10, 2022

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

3270.94(a)(1)/3270.94(a)(9) · 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 Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The fire drill log on file at the facility did not indicate there were any fire drills conducted between 5/17/21 and 7/21/21.

Corrected Corrected by May 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

There was documentation of only 4 hours of annual child care training (for the period of 12/19/20-12/19/21) completed and on file for Facility Person #1.

Corrected Corrected by Jun 10, 2022

Category: recordkeeping. Marked corrected in the state record.