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 #1 must complete PA required Heatlh and Safety for Centers-Group Child Care Parts 1 and 2.

Staff Person #1 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) but has not completed the required health and safety updated course titled Pennsylvania Health and Safety Update 2022 (1 hours) training.

Corrected Corrected by Apr 6, 2025

Category: ratio. 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.

It was observed that there was a bottle of floor cleaning solution on the floor in the entrance hallway that was accessible to the children in care.

Corrected Corrected by Apr 3, 2025

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 30-day fire detection testing log on file showed dates of testing of 10/18/24-11/18/24, and 12/18/24-2/10/25, with the last testing on 2/10/25 which are more than 30 days apart.

Corrected Corrected by Apr 14, 2025

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 two most recent annual emergency drills on file were dated 9/30/22 and 7/18/24, which are more than 12 months apart.

Corrected Corrected by Sep 19, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The one-hour health and safety professional development training certificate on file for Staff Person #8 is dated 11/15/23, which is after the deadline date of 12/30/22.

Corrected Corrected by Sep 19, 2024

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 two most current Pediatric CPR/First Aid certificates on file for Staff Person #4 are dated 6/15/21 and 6/6/24, and for Staff Person #7 are dated 11/2/21 and 12/4/23, which are both more than 24 months apart.

Corrected Corrected by Sep 19, 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.

The two most recent fire safety training on file for Staff Person #1 and Staff Person #6 are dated 1/18/23 and 5/28/24, for Staff Person #2 and Staff Person #3 are dated 1/17/23 and 5/28/24, for Staff Person #5 are dated 1/10/23 and 5/28/24, and for Staff Person #8 are dated 1/11/23 and 8/15/24, which are all more than 12 months apart.

Corrected Corrected by Sep 19, 2024

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 file for Staff Person #8 contains a State Police Clearance dated 6/20/22, a Child abuse Clearance dated 10/3/23, a DHS FBI clearance dated 6/17/22 and a NSOR certificate dated 6/8/22 all which are dated after hire date (see LIS code sheet).

Corrected Corrected by Sep 19, 2024

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

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The water temperature in the bathroom sink measured at 116° F.

Corrected Corrected by Sep 23, 2024

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

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

It was observed in the outdoor play space that the emergency bag with the first aid kit was located on a child sized picnic table making it accessible to the children that were in care.

Corrected Corrected by Sep 19, 2024

Category: health medication. 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 two most recent 6-month review for the emergency contact form and the fee agreement for Child #2 are dated 5/23/23 and 6/18/24, which are more than 6 months apart.

Corrected Corrected by Sep 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The most current health assessment on file for preschool Child #1 is dated 4/29/21, which is more than 12 months ago.

Corrected Corrected by Sep 25, 2024

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 two most recent health assessments on file for Staff Person #8 are dated 6/22/22 and 7/18/24 which are more than 24 months apart.

Corrected Corrected by Sep 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 included dates of testing from 8/4/23-10/4/23 and 12/1/23-5/30/24, which are both more than 60 days.

Corrected Corrected by Sep 19, 2024

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.

It was observed that the annual testing for the fire extinguisher located besides the kitchen was last tested/serviced in February 2023.

Corrected Corrected by Sep 23, 2024

Category: recordkeeping. 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.

Observed peeling, flaking paint on fence on the right side of the outdoor play space.

Corrected Corrected by Oct 6, 2023

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.

The one-hour Health and Safety Update in the file for Staff Person #1 was conducted after the prescribed timeframe of 12/30/22.

Corrected Corrected by Aug 29, 2023

Category: ratio. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Observed brown stains from previous water damage on the ceiling tiles in the following areas: Green and Purple Rooms: near windows. Bathroom upon entrance. Observed one ceiling tile missing from the ceiling in the bathroom.

Corrected Corrected by Sep 29, 2023

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

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

Observed teeth marks on some of the foam blocks in the Purple Room. This creates a potential choking hazard for children who are still placing objects in their mouths.

Corrected Corrected by Sep 22, 2023

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

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The fee agreements in the files for Child #1 and #3 were the originals.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact form in the file for Child #2 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Oct 2, 2023

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.

The emergency contact binder in the Blue Room did not contain an emergency contact form for Child #1 who was receiving care in this space.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The most recent updated health reports in the files for Child #2 and #3 exceeded 12 months between reports.

Corrected Corrected by Sep 22, 2023

Category: health medication. 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). Child #2, 3 and 4 must be dismissed from care by close of business 9/22/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The most recent immunization records in the files for Child #2, #3 and #4 did not include documentation of a flu shot administered within the past 12 months or a letter of exemption from the parent or physician.

Corrected Corrected by Sep 28, 2023

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for Facility Person #2 lacked an initial health assessment.

Corrected Corrected by Sep 27, 2023

Category: ratio. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The most recent parent updates for the emergency contact forms and fee agreements in the files for Child #2, 3 and 4 exceeded 6 months between updates. Child #1: 1/5/22-6/1/23 Child #2: 6/24/22-5/7/23 Child #3: 1/27/22-6/12/23.

Corrected Corrected by Oct 2, 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.

An emergency drill has not been conducted.

Corrected Corrected by Oct 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #4 did not contain documentation of completing emergency plan training in 2021. Current training is now on file.

Corrected Corrected by Sep 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · 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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Based on documentation at the facility, staff #1, #2, and #4 did not complete fire safety training on an annual basis. Each staff person previously completed the training in May 2021 and did not renew the training until 7/27/22. Current training is now on file for all three staff.

Corrected Corrected by Sep 27, 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. Staff #7 may not work in a child care position at the facility.

The file for staff #6 (SEE LIS CODE SHEET) contained a child abuse clearance and an FBI clearance dated after their first day in a child care position. The disclosure statement on file for staff #6 was not dated. The file for staff #7 contained a state police clearance obtained for the purpose of volunteering.

Corrected Corrected by Oct 3, 2022

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

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

The files for staff #7, designated as an aide, and staff #8, designated as an assistant group supervisor, did not contain documentation of meeting the qualifications of the positions they are performing.

Corrected Corrected by Sep 28, 2022

Category: supervision. 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 files for staff #2, #4, and #5 did not contain staff evaluations completed in 2021. All three staff were hired in 2020. Current evaluations are now on file.

Corrected Corrected by Sep 27, 2022

Category: recordkeeping. 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.

An unlabeled reusable bottle containing cleaning materials was observed in the green room.

Corrected Corrected by Sep 27, 2022

Category: ratio. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A broken electrical outlet plate was observed in the purple room. Four protruding nails and two protruding sticks were observed on the fence surrounding the outdoor play space. The protruding items were located on the lower portion of the fence are were accessible to children.

Corrected Corrected by Sep 27, 2022

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Peeling paint was observed in multiple areas on the wooden fence and metal bannister in the outdoor play space.

Corrected Corrected by Sep 28, 2022

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

3270.92(a) · Portable space heaters are not permitted.

A portable space heater was observed in the director's office.

Corrected Corrected by Sep 27, 2022

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.

Two cribs and one sleeping mat in the infant room were not labeled for use by a specific child. Each piece of equipment was observed to be in use by children on the day of the inspection.

Corrected Corrected by Sep 27, 2022

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

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

The file for child #2 did not contain an agreement.

Corrected Corrected by Sep 29, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The file for child #4 contained an agreement which did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Sep 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.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 files for children #3 and #4 contained original agreements.

Corrected Corrected by Oct 3, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file for child #2 contained emergency contact information that did not include the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Sep 28, 2022

Category: health medication. 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 files for children #2 and #3 contained emergency contact information that did not include health insurance coverage and policy number for the child.

Corrected Corrected by Oct 3, 2022

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

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The file for child #5 contained emergency contact information which did not include the addresses of two individuals designated by the parent to whom the child may be released.

Corrected Corrected by Oct 3, 2022

Category: recordkeeping. 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.

The file for child #5 contained an immunization record which did not include documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. A written exemption was not on file.

Corrected Corrected by Sep 30, 2022

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff #4 contained a health assessment which was not updated within 24 months. The file for staff #6 contained a health assessment conducted after their first day in a child care position. The most recent health assessments on file for both staff are now current.

Corrected Corrected by Sep 30, 2022

Category: ratio. 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 file for child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Sep 28, 2022

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

The file for staff #7 did not contain written references.

Corrected Corrected by Oct 3, 2022

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.

Based on documentation at the facility, consecutive fire drills dated 6/08/22 and 8/11/22 were conducted 66 days apart.

Corrected Corrected by Oct 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility lacked means to provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Oct 10, 2022

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.

The emergency plan was updated in June 2022, but has not been resent to the local municipality and the county EMA.

Corrected Corrected by Oct 31, 2022

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 files for children #2 and #4, both enrolled for over 60 days, did not contain health reports.

Corrected Corrected by Oct 10, 2022

Category: health medication. 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.

Children 2 years of age and older were not wearing masks at the facility.

Corrected Corrected by Sep 14, 2021

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

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The emergency contact form of child #3 did not contain the telephone number of a person listed as an emergency contact.

Corrected Corrected by Sep 16, 2021

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.

Documentation of initial emergency plan of facility person #3 (start date 8/10/2021) was dated 8/26/2021 which was more than 7 days from their start date with children. Facility person #3 now has initial emergency plan training.

Corrected Corrected by Sep 20, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(g) · Staff persons shall complete professional development in the following topics within 90 days of hire: 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.

Professional development in the required training topics of health and safety were not completed for facility person #1 (start date with children 3/8/2021) within 90 days of starting with children and facility person #5 (start date with children 11/1/2020) by 6/17/2021.

Corrected Corrected by Sep 24, 2021

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 PA state police clearance of facility person #1 (start date with children 3/8/2021) was dated 3/9/2021, their FBI clearance was dated 3/25/2021 both after their start date with no documentation of submission and their NSOR verification certificate was dated 5/4/2021, after the 45-day provisional hire period, with documentation of submission on 3/3/2021. The PA state police clearance of facility person #2 (start date with children 7/23/2021) was "under review" and dated 8/6/2021 with a completed PA state police clearance dated 8/12/2021 and a completed NSOR verification certificate dated 7/28/2021, both after their start date with children and did not contain documentation of submission for either clearance. The PA state police clearance of facility person #3 (start date with children 8/10/2021) contained documentation of FBI clearance fingerprinting and a completed clearance dated 8/23/2021 and an NSOR verification certificate dated 8/20/2021. Both after their start date with children, with no documentation of submission. The 2020 disclosure statements of facility person #1, 2, 3 and 4 were incomplete lacking a date and the original disclosure statement of facility person #4 was not present.

Corrected Corrected by Sep 17, 2021

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At approximately 10:07 am, facility person #1, who was alone in the green classroom, identified 4 young toddlers and 2 older toddlers in their group which put facility person #1 out of ratio by 1 child.

Corrected Corrected by Sep 13, 2021

Category: ratio. 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 top of the half door to infant room was damaged on the bottom corner of the door and created a sharp and splintering surface.

Corrected Corrected by Sep 14, 2021

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form of child #2 did not contain the work address and child #1 and 4 did not contain the work address and telephone number of the enrolling parent .

Corrected Corrected by Sep 17, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact form of child #3 did not contain the telephone number of one of the release persons designated by the parent to whom the child may released.

Corrected Corrected by Sep 17, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

A pink backpack in the bottom shelf outside the infant room contained Tylenol labeled "keep out of the reach of children" and was accessible to children.

Corrected Corrected by Sep 13, 2021

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

3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

The health assessment of facility person #3 was not signed by a physician, physician's assistant or CRNP and did not include the individual's professional title.

Corrected Corrected by Sep 20, 2021

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

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The health assessment of facility person #3 did not contain documentation of an examination for communicable diseases and the results of the examination.

Corrected Corrected by Sep 21, 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 #1 contained a child care experience verification form which was not signed by the verifier and did not contain enough documented hours to qualify as an AGS.

Corrected Corrected by Sep 17, 2021

Category: recordkeeping. Marked corrected in the state record.

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

Documentation of initial emergency plan training for facility person #5 (start date with children 11/1/2020) was not present. Facility person #5 had documentation of current emergency plan training dated 8/26/2021.

Corrected Corrected by Sep 13, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(4) · The hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The fire drill log contained fire drills approximately every 30 days with all hypothetical location since 2/2021 at "the gate."

Corrected Corrected by Sep 30, 2021

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 health assessment of child #3 (start date 10/28/2020) was dated 3/5/2021, exceeding 90 days (suspended due to COVID). Child #3 has a current health assessment.

Corrected Corrected by Sep 13, 2021

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