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Home › PA › Pittsburgh › Mt Ararat Community Activity Center
745 N Negley Ave, Pittsburgh PA 15206 · License #CER-00247270 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.123(a)(6) · An agreement shall specify the date of the child's admission.
The fee agreements in the files for Child #3, 7 and 9 did not specify the date of the child's admission.
Corrected Corrected by Sep 26, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.
The first aid kits in Room #308 and 309 lacked scissors, tweezers and soap. The first aid kit in Room #224 lacked tweezers and soap.
Corrected Corrected by Sep 30, 2025
Category: health medication. Marked corrected in the state record.
3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.
The fee agreements in the files for Child #3, 7, 8 and 9 did not specify the date on which the fee is to be paid.
Corrected Corrected by Sep 26, 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. Until such time as the required pre- service trainings are completed, staff person #2, 9, 11 and 15 must be supervised, when interacting with children at a minimum by, an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, 9, 11 and 15, staff person #2, 9, 11, and 15 may not work in a child-care position at the facility.
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Non Compliant - Finalized
Disposition: Non Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
Staff person #2, 9, 11 and 15 were observed to be caring for children unsupervised. Staff person #2, 9, 11 and 15 have not completed the following pre- service training required prior to caring for children unsupervised: Staff Person #2, #9, #15: Pediatric CPR/First Aid in an approved curriculum from a licensed PQAS instructor. Staff Person #11: Health and Safety Training.
Corrected Corrected by Sep 30, 2025
Category: supervision. Marked corrected in the state record.
3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.
The files for Staff Person #15, 27 and 30 who have been working for more than 90 days, did not include documentation of initial emergency plan training. The file for Staff Person #17 did not include documentation of emergency plan training conducted within the past 12 months. (See LIS Code Sheet).
Corrected Corrected by Sep 23, 2025
Category: recordkeeping. 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. Until such time as the required pre- service trainings are completed, staff person #4 must be supervised, when interacting with children at a minimum by, an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.
The most recent Pediatric First Aid/CPR Certificate in the file for Staff Person #11 was acquired after the previous certificate had expired. Staff person #4 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 6/9/25. Documentation of updated Pediatric first aid and CPR training is not on file.
Corrected Corrected by Sep 30, 2025
Category: supervision. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.
The files for Staff Person #4, 8, 12, 13, 16, 17, 18, 19, 20 and 21 did not include documentation of annual fire safety training conducted within the past 12 months.
Corrected Corrected by Sep 30, 2025
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. Until such time as the required pre- service trainings are completed, staff person #15 must be supervised, when interacting with children at a minimum by, an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #15, staff person #15 may not work in a child-care position at the facility.
Staff person #15 has not completed the following required pre- service training within 90 days of their date of hire: Pediatric First Aid/CPR in an approved curriculum from a licensed PQAS instructor.
Corrected Corrected by Sep 30, 2025
Category: supervision. 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 Mandated Reporter Training in the file for Facility Person #27, a volunteer, was conducted more than 90 days after the facility person's first day working in childcare. The file for Facility Person #30, a volunteer who has been working in childcare for more than 90 days, did not include documentation on Mandated Reporter Training. (See LIS Code Sheet).
Corrected Corrected by Sep 30, 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. Facility Person #2, 5, 6, 7, 9, 12, 16, 22, 23, 24, 25 and 26 may not work in a child care position at the facility.
The files for Staff Person #27, 28, 29 and 30 lacked disclosure statements. The FBI Clearance and NSOR Certificate in the file for Staff Person #10 were acquired after the staff person's first day working in childcare. The most recent FBI Clearances in the file for Staff Person #13 exceeded 60 months between clearances. The State Police Clearance in the file for Staff Person #14 was acquired after the staff person's first day working in childcare. The Child Abuse Clearance in the file for Staff Person #28 was after the staff person's first day working in childcare. The file for Staff Person #2 included a DOE FBI Clearance, which is not valid. The file for Staff Person #2 lacked an NSOR Certificate. The file for Staff Person #5 did not include an FBI Clearance. The file for Staff Person #6 did not include a State Police Clearance. The file for Staff Person #7 did not include a State Police or Child Abuse Clearance. The file for Staff Person #9 included a DOE FBI Clearance, which is not valid. The files for Staff Person #12 and #16 do not contain an NSOR Certificate within the past 60 months. The files for Staff Person #22 and 25 lacked disclosure statements, FBI clearances and NSOR certificates. The files for Staff Person #23, 24 and 26 lacked disclosure statements, Child Abuse, FBI clearances and NSOR certificates. (See LIS Code Sheet).
Corrected Corrected by Sep 30, 2025
Category: background checks. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The files for Staff Person #1, 2, 3, 5, 6, 10, 11 did not include documentation of education and experience.
Corrected Corrected by Sep 30, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).
On 8/1/25 at 11:00 AM, Staff Person #9 was observed supervising a mixed group of 8 younger school age and 3 preschool children en route from 5 year old room to the playground.
Corrected Corrected by Sep 1, 2025
Category: supervision. 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.
Observed four electric outlets on a surge strip and one behind the butterflies in Room #109 that lacked protective receptacle covers.
Corrected Corrected by Sep 30, 2025
Marked corrected in the state record.
3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
Observed toxics, which were accessible to children, in the following areas: a bottle of weedkiller in the outdoor grassy field. Cleaning products in the staff lounge and laundry room, which were not locked, and it was confirmed that children walk by these rooms during transitions to bathrooms and playgrounds.
Corrected Corrected by Sep 30, 2025
Category: physical safety. Marked corrected in the state record.
3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.
Observed cleaning products stored next to Capris Suns in the cupboard in Room #222.
Corrected Corrected by Sep 30, 2025
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 stakes protruding from the framework, which create a potential trip hazard, in the preschool playground. Observed ceiling tiles, discolored from water damage, near the second light from the entrance in Room #109 and in the middle of Room #108. The baseboard was separating from the wall on the left side of the room in Room #109. Observed cracked outlet plates, which creates sharp edges, near the entrances to Room #108 and #109. Observed holes in the ceiling tile between two toilets in the downstairs girls restroom. Observed flaking rust, which creates a sharp edge, on the partitions between the toilets in the main floor men's restroom.
Corrected Corrected by Oct 20, 2025
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.
A handwashing sign was not posted at one of the toilets in the downstairs boys restroom.
Corrected Corrected by Sep 30, 2025
Category: health medication. Marked corrected in the state record.
3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.
The waste receptacle in the main floor men's restroom was not lidded.
Corrected Corrected by Sep 30, 2025
Category: health medication. 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.
Observed two wobbly toy shelves, which create a potential toppling hazard, near the entrance of Room #108.
Corrected Corrected by Sep 30, 2025
Category: physical safety. Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
Daily activity schedules were not posted in the computer lab or School Age Room #1.
Corrected Corrected by Sep 30, 2025
Category: physical safety. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The fee agreements in the files for Child #3, 7, 8 and 9 were not signed by the operator.
Corrected Corrected by Sep 27, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.
The fee agreements in the files for Child #3 and 9 did not specify the amount of the fee to be charged per day or per week.
Corrected Corrected by Sep 26, 2025
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 emergency contact forms in the files for Child #7 and 8 did not include the name, address and telephone number of the child's physician or source of medical care. It was observed that only a digital version (ProCare App) of emergency contact information was present in the school age classrooms. This app does not include a field for physician's information.
Corrected Corrected by Sep 26, 2025
Category: health medication. 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 forms in the files for Child #4, 6 and 9 did not include the enrolling parents work address and telephone number.
Corrected Corrected by Sep 24, 2025
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 #9 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 Sep 19, 2025
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 emergency contact forms in the files for Child #5, 6, 8 and 9 did not include health insurance coverage or policy numbers. It was observed that only a digital version (ProCare App) of emergency contact information was present in the school age classrooms. This app does not include a field for health insurance information.
Corrected Corrected by Sep 21, 2025
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The emergency contact forms in the files for Child #3, 5, 6, 8 and 10 did not include the release persons addresses. It was observed that only a digital version (ProCare App) of emergency contact information was present in the school age classrooms. This app does not include a field for release persons' addresses.
Corrected Corrected by Sep 5, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
The emergency transportation plan was not posted in School Age Room #1 or Room #225.
Corrected Corrected by Sep 5, 2025
Category: transportation. Marked corrected in the state record.
3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.
The most recent health reports in the file for Child #4, an older toddler, exceeded 12 months between reports. The file for Child #6, a preschool child, lacks an updated health report conducted within the past 12 months.
Corrected Corrected by Sep 24, 2025
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 #3 must be dismissed from care by close of business 8/5/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.
The file for Child #3 did not include an immunization record.
Corrected Corrected by Sep 19, 2025
Category: health medication. Marked corrected in the state record.
3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.
The most current health report in the file for Child #2 does 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 Sep 19, 2025
Category: health medication. Marked corrected in the state record.
3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
Observed antibiotic ointments and aspirin, which were not labeled with the name of the child for whom the medication was intended, in the first aid kits in Room #222 and #223.
Corrected Corrected by Sep 18, 2025
Category: health medication. 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.
Observed teacher's medications in an unlocked diaper changing table in Room #221.
Corrected Corrected by Sep 18, 2025
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 files for Staff #2, 3, 5, 6, 10, 22, 23, 24, 25 and 26 did not include an initial health assessment. The file for Staff Person #8 does not include an updated health assessment conducted within the past 24 months. The most recent health assessments in the files for Staff Person #4, exceeded 24 months between assessments. The initial health assessments in the files for Staff Person #14, 27 and 30 were conducted after the staff person's first day working in childcare. (See LIS Code Sheet).
Corrected Corrected by Sep 24, 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.
The most recent parent updates for the emergency contact forms in the files for Child #4, 5, 6 and 9 exceeded 6 months between updates. The fee agreements in the files for Child #4, 5, 6 and 9 have not been updated by the parents in the past 6 months. The emergency contact forms and fee agreements in the files for Child #1, 2, 3, 7 and 10 have not been updated by the parents in the past 6 months.
Corrected Corrected by Sep 24, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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 emergency contact form in the file for Child #1 did not contain signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff.
Corrected Corrected by Sep 24, 2025
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 files for Staff Person #1, 2, 3, 5, 6, 7, 10, 11, 22, 23, 24, 25 and 26 did not include two written letters of reference.
Corrected Corrected by Sep 24, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.
The files for Child #3, 7 and 8, who have been enrolled for more than 60 days, lacked an initial health report.
Corrected Corrected by Sep 24, 2025
Category: health medication. 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.
Continued Non-Compliance: On 2/10/25 a complaint investigation was conducted at the facility. Staff person #2 had not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR. The facility's acceptable plan of correction indicated the correction would be implemented by 3/7/25. On 6/2/25 an unannounced inspection was conducted. Staff person #2 still has not completed the following required pre- service training: Pediatric First Aid and CPR
Corrected Corrected by Jun 2, 2025
Category: health medication. 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 file for Staff person #4, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or a high school diploma or a general educational development certificate, 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children.
Corrected Corrected by Mar 28, 2025
Category: supervision. Marked corrected in the state record.
3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.
Per staff statements and personal observation on 2/26/25 at approximately 5:15pm, Staff persons #2 and 3, classified as aides, were observed caring for child unsupervised.
Corrected Corrected by Mar 28, 2025
Category: supervision. Marked corrected in the state record.
3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.
Per staff statements, Staff person #2 has been on her phone while caring for children yelling and using curse words.
Corrected Corrected by Mar 28, 2025
Category: recordkeeping. 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.
Staff person #4's file only contained 1 written nonfamily reference letter.
Corrected Corrected by Mar 28, 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. Until such time as the required pre- service trainings are completed, staff person #2 and 4 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2 and 4, staff person #2 and 4 may not work in a child-care position at the facility.
Per staff statements and personal observation on 2/26/25 at approximately 515pm, Staff person #2 and 4 were observed to be caring for children unsupervised. Staff person #2 and 4 have not completed the following pre- service training required prior to caring for children unsupervised: required health and safety training and pediatric first aid and CPR
Corrected Corrected by Apr 15, 2025
Category: supervision. 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.
Staff person #2 and #4's files did not have proof of emergency plan training within 90 days of their date of hire(See LIS Code Sheet).
Corrected Corrected by Mar 31, 2025
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 or (g)1-10. Until such time as the required training has been completed, staff person #2 and 4 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2 and 4, staff person #2 and 4 may not work in a child-care position at the facility.
Staff person #2 and 4 have not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR and Health and Safety Training.
Corrected Corrected by Mar 7, 2025
Category: supervision. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #1, 2, and 4 may not work in a child care position at the facility.
The file for staff person #2 contained a Department of Justice FBI fingerprint clearance dated 9/11/24 which is not an acceptable DHS FBI clearance. The file for staff #4, who is past 45 day provisional hire date(See LIS Code Sheet), did not contain a State Police Clearance or a signed, dated, and witnessed disclosure statement. The file for staff person #1 did not contain a signed, dated, and witnessed disclosure statement.
Corrected Corrected by Apr 4, 2025
Category: background checks. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file for staff person #1 contained an initial health assessment dated 3/27/23 which is more than 12 months prior to their date of hire(See LIS Code Sheet).
Corrected Corrected by Mar 28, 2025
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 for staff person #1 contained an initial TB test dated3/24/23 which is more than 12 months prior to their date of hire(See LIS Code Sheet).
Corrected Corrected by Mar 28, 2025
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 contained the following dates 9/5/24-11/12/24, which is more than 60 days apart.
Corrected Corrected by Mar 28, 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.
Staff person #9 did not have documentation of emergency plan training on file.
Corrected Corrected by Oct 10, 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 in a conspicuous location.
Corrected Corrected by Oct 10, 2024
Category: physical safety. 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 in Room 321.
Corrected Corrected by Oct 9, 2024
Category: health medication. 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 trainings on file for staff person #11 were dated 3/22/22 and 3/22/23, with no annual updated fire safety training on file.
Corrected Corrected by Oct 10, 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.
Staff person #7 did not have the following required pre-service training on file, which was required to be completed by 6/17/21, as per the updates to Chapter 3270 Child Care Center regulations, effective 12/19/20: Get Started with Center-Based Care; Building Blocks for Quality. Only the one-hour update was on file dated 12/29/22. Staff person #12 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality, the training was completed 10/2/24.
Corrected Corrected by Oct 10, 2024
Category: health medication. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).
Staff person #1 had no documentation of mandated reporter training on file. Staff person #9 had no documentation of mandated reporter training on file. Staff person #13 had no documentation of mandated reporter training on file. Staff person #6 did not complete the mandated reporter training within 90 days of their date of hire (see LIS code sheet); the training was competed on 7/31/24. The state police clearance on file for staff person #6 is dated 8/2/24, more than 45 days after hire (SEE LIS CODE SHEET) required for provisional hiring under the CPSL. The only State police Clearance (3/22/22), Child abuse clearance (3/28/22), and FBI clearance (2/9/24) on file for Staff person #4 are dated more than 45 days after hire (SEE LIS CODE SHEET) required for provisional hiring under the CPSL. The disclosure statement on file for staff person #10 was dated 8/14/2024, after their start date (SEE LIS CODE SHEE) required for provisional hiring under the CPSL. The FBI clearance on file for staff person #12 was for the department of education and not DHS.
Corrected Corrected by Oct 10, 2024
Category: background checks. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The most recent staff evaluation on file for staff person #2 is dated 12/23, with no previous staff evaluation 12 months prior. (SEE LIS CODE SHEET).
Corrected Corrected by Oct 10, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.34(b) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4).
Staff person #10 does not have the required qualifications including a human services degree, to qualify them as a director.
Corrected Corrected by Oct 9, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
The first aid kit in Room 322 was in a drawstring bag on the floor in the classroom.
Corrected Corrected by Oct 9, 2024
Category: health medication. Marked corrected in the state record.
3270.35(b) · A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4).
The education and experience on file for staff person #2 does not qualify them as a group supervisor. The education and experience on file for staff person #3 does not qualify them as a group supervisor. The education and experience on file for staff person #6 does not qualify them as a group supervisor. The education and experience on file for staff person #8 does not qualify them as a group supervisor. The education and experience on file for staff person #11 does not qualify them as a group supervisor. The file for staff person #12 did not have any verification of experience or education to qualify them as a GS.
Corrected Corrected by Oct 9, 2024
Category: supervision. 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.
Uncovered outlets were observed accessible to children ages 5 and younger in the following locations: In Room 320 on a power strip on the floor; in Room 321 on the wall below and to the left of the window; in room 310 on a power strip on the wall; in Room 324 on the wall below the telephone; on an extension cord on the floor, and on a power strip on the floor.
Corrected Corrected by Oct 10, 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.
The following toxics were observed accessible to children: In an unlocked janitor's closet in the hallway outside of the Toddler 1 room, various cleaning products including disinfectant, glass cleaner, and floor cleaner; in Room 320 hand sanitizer and a bottle of Dayquil in an unlocked desk drawer; in Room 322 glass cleaner in an unlocked desk drawer and hand sanitizer in the first aid kit in a bag on the floor; in the STEM room, "Mineral Blend" labeled "keep out of reach of children." and in room 224 dawn ultra was observed on the children's hand washing sink labeled "keep out of reach of children."
Corrected Corrected by Oct 9, 2024
Category: health medication. 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 a disinfectant in the closet in the Pre-K room not labeled with the contents. There was a bottle of a cleaning supply in the unlocked janitor's closet not labeled with the contents.
Corrected Corrected by Oct 9, 2024
Category: ratio. Marked corrected in the state record.
3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.
Multiple disinfectants were observed above the diapers, which could cause a hazard to the diapers and therefore the children if a leak occurred.
Corrected Corrected by Oct 10, 2024
Category: ratio. Marked corrected in the state record.
3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.
The first aid kit in Room 322 did not include tweezers, scissors or soap. The first aid kit in Room 307 did not include tweezers, scissors or soap. The first aid kit in room 108 did not include band aids. The first aid kit in room 310 did not include scissors. The first aid kit in Room 224 did not include scissors, gauze pads or soap.
Corrected Corrected by Oct 10, 2024
Category: health medication. Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
There was a sharp edge on the bottom of a shed in the Preschool outdoor play space where part of the door had broken off.
Corrected Corrected by Oct 10, 2024
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.
There were spots of peeling paint on the ceiling in the hallway outside of the Preschool room. There were spots of peeling paint behind the door in room 323.
Corrected Corrected by Oct 10, 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.
There was a base to a child-size basketball hoop in the Toddler outdoor play space, where the hoop was removed, the edges around the top of the base were rough with some sharper points. There was a broken blue bin in room 323 with sharp edges.
Corrected Corrected by Oct 10, 2024
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.
There was a toy mini vacuum in the Young Toddler room (222) with a piece that was removed that was less than an inch in diameter accessible to toddlers in care.
Corrected Corrected by Oct 10, 2024
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.
There was a shelf from a shelving unit propped up next to the dart game in Room 322 with a splintered edge.
Corrected Corrected by Oct 10, 2024
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.
The cots used by the children in the Toddler 1 room (221) were not labeled with the names of children who used them.
Corrected Corrected by Oct 10, 2024
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.
There was no thermometer in the fridge in the Preschool room (108).
Corrected Corrected by Oct 10, 2024
Category: nutrition. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
There was no agreement on file for child #6. The agreements on file for children #7, #8 and #9 were not signed by the operator.
Corrected Corrected by Oct 10, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.
The fee amount was not specified on the agreement on file for child #7.
Corrected Corrected by Oct 10, 2024
Category: recordkeeping. 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 were no child service reports completed, or a copy given to parents on file for children #1-#5.
Corrected Corrected by Oct 9, 2024
Category: recordkeeping. 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 agreements on file for children #7, #8, and #9.
Corrected Corrected by Oct 9, 2024
Category: recordkeeping. 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 agreements on file for children #3, #4, #7, #8, and #9 were the originals
Corrected Corrected by Oct 10, 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 health insurance information was not included on the emergency contact form on file for child #4.
Corrected Corrected by Oct 9, 2024
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The addresses for all releasee persons were not included on the emergency contact forms on file for children #6 and #7. There was no release person information listed on the agreement on file for child #8.
Corrected Corrected by Oct 10, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
There was no medical emergency transportation plan posted in the STEM room.
Corrected Corrected by Oct 10, 2024
Category: transportation. 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 emergency contact forms on file for children #2-#5 were not reviewed and updated by a parent in writing in the previous 6 months. The agreements on file for children #1-#5 were not reviewed and updated by a parent in writing in the previous 6 months. The current emergency contact form on file for child #1 was reviewed and updated by a parent in writing more than 6 months after the previous review.
Corrected Corrected by Oct 10, 2024
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.
There was no health assessment from the previous 6 months on file for child #4, a young toddler.
Corrected Corrected by Oct 10, 2024
Category: health medication. 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 were no health assessments from the previous 12 months on file for children #1, #2, #3, and #5.
Corrected Corrected by Oct 10, 2024
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).
The immunization record on file for child #3 did not indicate the child had sufficient doses of the following immunizations, as per ACIP recommendations based on the child's age: DTAP, HIB, pneumococcal, MMR, and varicella. The immunization record on file for child #5 did not indicate the child had sufficient doses of the following immunizations, as per ACIP recommendations based on the child's age: DTAP, HIB, pneumococcal, MMR, and varicella.
Corrected Corrected by Oct 10, 2024
Category: health medication. Marked corrected in the state record.
3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
There was an albuterol inhaler in a desk drawer in Room 321 not labeled with the name of the child for whom it was intended.
Corrected Corrected by Oct 10, 2024
Category: health medication. Marked corrected in the state record.
3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.
There was an albuterol inhaler in a desk drawer in Room 321 that was expired
Corrected Corrected by Oct 9, 2024
Category: health medication. Marked corrected in the state record.
3270.134(e) · A child shall have a labeled toothbrush if brushing teeth is a program activity.
The toothbrushes used by the children in the Toddler 1 room (221) were not labeled with the children's names.
Corrected Corrected by Oct 10, 2024
Marked corrected in the state record.
3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.
The trash can used for diaper disposal in the Toddler 1 room (221) was not hands-free.
Corrected Corrected by Oct 10, 2024
Category: health medication. 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.
There was no signed parental consent for minor first aid administration by facility staff on file for children #1, #5 and #6
Corrected Corrected by Oct 9, 2024
Category: ratio. 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 most recent health assessment on file for staff person #2 is dated 3/7/24 with no previous health assessment on file (SEE LIS CODE SHEET) making it over 24 months since their last health assessment. The health assessment on file for staff person #5 is dated 8/12/24, after their current start date (SEE LIS CODE SHEET). The 2 most recent health assessments on file for Staff person #8 were dated 3/2/22 and 8/8/24, more than 24 months apart. Staff person #12 has no health assessment on file.
Corrected Corrected by Oct 10, 2024
Category: health medication. 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 health assessment on file for staff person #9 had a note of receiving a chest x-ray without documentation of a Tuberculosis screening and the box was not checked on whether or not they tested negative for TB. The file for staff person #11 had no box checked for whether or not they tested negative for TB and there was no documentation on file for proof of a TB test.
Corrected Corrected by Oct 8, 2024
Category: health medication. Marked corrected in the state record.
3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.
Written notification of safe routes around the facility was not posted in a conspicuous location.
Corrected Corrected by Oct 10, 2024
Marked corrected in the state record.
3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.
The second vehicle was missing a transportation first aid kit.
Corrected Corrected by Oct 8, 2024
Category: health medication. Marked corrected in the state record.
3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
There was no signed parental consent for emergency medical care on file for children #1 and #6.
Corrected Corrected by Oct 9, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
The file for staff person #6 did not contain two appropriate written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Corrected Corrected by Oct 10, 2024
Category: recordkeeping. 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 parent letter portion of the emergency plan on site was missing accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Oct 9, 2024
Category: physical safety. 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.
Staff person #8 did not have the required 12 hours of PD training on file.
Corrected Corrected by Oct 8, 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.
There were no health assessments on file for children #7 and #9, in attendance for more than 60 days.
Corrected Corrected by Oct 10, 2024
Category: health medication. 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 facility lacked proof of notifying local traffic authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.
Corrected Corrected by Oct 10, 2024
Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a childcare position at the facility.
The file of staff #1, who was observed working with children, contained a Department of Justice fingerprint clearance and did not contain the acceptable DHS FBI fingerprint clearance or documentation of having been fingerprinted for the DHS FBI clearance. The file of facility person #2, who has been volunteering at the facility for over 30 days (see LIS code sheet), did not contain documentation of mandated reporter training.
Corrected Corrected by Oct 8, 2024
Category: background checks. Marked corrected in the state record.
3270.113(a)(1) · The legal entity shall ensure that, for a period of no less than 4 weeks, the facility director conducts at least 4 ratio /supervision monitoring checks each week and documents each monitoring check in a format pre-approved by a certification representative. Monitoring shall include all children in care at the time of the ratio/supervision check and occur at varying days of the week and times of day. Documentation of each observation shall include, at minimum, the date, time, classroom/location, staff names, number and age levels of children supervised by each staff person, whether appropriate supervision was observed, and the director's signature. This documentation shall be retained on file at the facility and provided to a certification representative immediately upon request.
FOURTH CITATION; PREVIOUSLY CITED ON 12/12/23, 3/13/24, AND 6/5/24: According to staff statements, on an undetermined date in late April / early May 2024, at approximately 9:35 AM , child #1 was found in the Preschool room by Facility Person #1 unsupervised. There were no staff present in the classroom. Staff state Facility Person #2 left the Preschool room with the group of children they were supervising to visit the restroom and then the gym at approximately 9:25. According to staff statements and attendance records, it is possible the child was dropped off at the facility and left with an undetermined staff person after the group left the Preschool room. The documentation of ratio/supervision monitoring checks required after the 3/13/24 inspection, and submitted by the operator, did not include all children in care at the time of the ratio/supervision check and the number and age levels of the children supervised by every staff person. The requirement to complete and document the ratio/supervision checks was extended an additional 8 weeks. The documentation of ratio/supervision monitoring checks submitted by the operator on 9/20/24 for the school-age groups did not indicate the number and age levels of children supervised by each staff person and whether appropriate supervision was observed by the director.
Corrected Corrected by Oct 18, 2024
Category: supervision. 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.
SECOND CITATION; PREVIOUSLY CITED ON 3/13/24:There was no documentation of emergency plan training for Facility Person #1
Corrected Corrected by Aug 21, 2024
Category: recordkeeping. 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.
SECOND CITATION; CITED PREVIOUSLY ON 3/13/24: Facility Persons #2 and #3 were classified as group supervisors. There was no documentation on file of the staff persons' education and/or child care experience, required for their respective classifications, on file.
Corrected Corrected by Aug 22, 2024
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.
SECOND CITATION; PREVIOUSLY CITED ON 3/13/24: There was no staff evaluation completed by the director in the previous 12 months and on file for Facility Persons #4.
Corrected Corrected by Aug 21, 2024
Category: recordkeeping. 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.
SECOND CITATION;PREVIOUSLY CITED ON 3/13/24:The initial health assessment/TB test on file for Facility Person #3 was completed more than 12 months prior to their start date.
Corrected Corrected by Sep 5, 2024
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.
SECOND CITATION; PREVIOUSLY CITED ON 3/13/24: There were no written nonfamily references on file for Facility Persons #1.
Corrected Corrected by Sep 5, 2024
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.
SECOND CITATION; PREVIOUSLY CITED ON 3/13/2024: There was no documentation of an emergency drill, in the required format, conducted at the facility in the previous 12 months.
Corrected Corrected by Aug 22, 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. Until such time as the required trainings are completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, then staff person #3 may not work in a child-care position at the facility.
Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/19/19.
Corrected Corrected by Nov 1, 2024
Category: supervision. 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 persons #1 and #2 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 persons #1 and #2, then staff persons #1 and #2 may not work in a child-care position at the facility.
Staff #1 and #2 were observed to be caring for children unsupervised. Both staff were observed supervising a group of school age children in the hall. Staff persons #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Topics 1-10 including Pediatric CPR and First Aid.
Corrected Corrected by Jul 26, 2024
Category: supervision. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).
Staff person #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/19/19.
Corrected Corrected by Nov 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.
THIRD CITATION; PREVIOUSLY CITED ON 12/12/23 AND 3/13/24: According to staff statements, on an undetermined date in late April / early May 2024, at approximately 9:35 AM , child #1 was found in the Preschool room by Facility Person #1 unsupervised. There were no staff present in the classroom. Staff state Facility Person #2 left the Preschool room with the group of children they were supervising to visit the restroom and then the gym at approximately 9:25. According to staff statements and attendance records, it is possible the child was dropped off at the facility and left with an undetermined staff person after the group left the Preschool room.
Corrected Corrected by Aug 21, 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.
THIRD CITATION; PREVIOUSLY CITED ON 12/12/23 AND 3/13/24: According to staff statements, on an undetermined date in late April / early May 2024, at approximately 9:35 AM , child #1 was found in the Preschool room by Facility Person #1 unsupervised. There were no staff present in the classroom. Staff state Facility Person #2 left the Preschool room with the group of children they were supervising to visit the restroom and then the gym at approximately 9:25. According to staff statements and attendance records, it is possible the child was dropped off at the facility and left with an undetermined staff person after the group left the Preschool room.
Corrected Corrected by Jun 5, 2024
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.
THIRD CITATION; PREVIOUSLY CITED ON 12/12/23 AND 3/13/24: According to staff statements, on an undetermined date in late April / early May 2024, at approximately 9:35 AM , child #1 was found in the Preschool room by Facility Person #1 unsupervised. There were no staff present in the classroom. Staff state Facility Person #2 left the Preschool room with the group of children they were supervising to visit the restroom and then the gym at approximately 9:25. According to staff statements and attendance records, it is possible the child was dropped off at the facility and left with an undetermined staff person after the group left the Preschool room.
Corrected Corrected by Jun 5, 2024
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · **The legal entity shall ensure that, for a period of no less than 8 weeks, the facility director conducts at least 4 ratio /supervision monitoring checks each week and documents each monitoring check in a format pre-approved by a certification representative. Monitoring shall include all children in care at the time of the ratio/supervision check and occur at varying days of the week and times of day. Documentation of each observation shall include, at minimum, the date, time, classroom/location, staff names, number and age levels of children supervised by each staff person, whether appropriate supervision was observed, and the director's signature. This documentation shall be retained on file at the facility and provided to a certification representative immediately upon request.
THIRD CITATION; PREVIOUSLY CITED ON 12/12/23 AND 3/13/24: According to staff statements, on an undetermined date in late April / early May 2024, at approximately 9:35 AM , child #1 was found in the Preschool room by Facility Person #1 unsupervised. There were no staff present in the classroom. Staff state Facility Person #2 left the Preschool room with the group of children they were supervising to visit the restroom and then the gym at approximately 9:25. According to staff statements and attendance records, it is possible the child was dropped off at the facility and left with an undetermined staff person after the group left the Preschool room.
Corrected Corrected by Sep 20, 2024
Category: supervision. 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 trainings are completed, facility persons #3 and #4 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 Facility Persons #3 and #4, Facility Persons #3 and #4 may not work in a child-care position at the facility.
Facility person #3 was observed to be caring for children unsupervised. There was no documentation on file indicating facility person #3 has completed mandated reporter training within the last 60 months. The previously documented mandated reporter training was dated 2/19/19. Facility person #4 was observed to be caring for children unsupervised. There was no documentation on file indicating Facility person #4 has completed the following pre-service training required prior to caring for children unsupervised: health & safety training, mandated reporter training.
Corrected Corrected by Jun 5, 2024
Category: supervision. 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.
A copy of the inspection summary dated 3/13/24 - 4/2/24 which included regulatory noncompliance items not yet corrected was not posted in a conspicuous location used by parents.
Corrected Corrected by Jun 5, 2024
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 first aid training completed and on file for Facility Person #2 was expired - dated 4/1/22.
Corrected Corrected by Jul 22, 2024
Category: ratio. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Facility Person#3 will have until 7/30/24 to complete the mandated reporter training. Until such time as the required training has been completed, Facility Person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise Facility Persons #1 and #3, Facility Persons #1 and #3may not work in a child-care position at the facility.
There was no documentation Facility Persons #1 and #3 completed mandated reporter training within the last 60 months. There was no documentation of completion of mandated reporter training on file for Facility Person #1. The previously documented mandated reporter training on file for Facility Person #3 was dated 2/19/19.
Corrected Corrected by Jul 22, 2024
Category: supervision. 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.
The following training documentation was observed at a previous inspection, but not located in the staff file when reviewed on 6/5/24:- pediatric first aid and CPR training for Facility Persons #1 and #5; mandated reporter training for Facility Persons #5 and #6; health & safety training for Facility Person #6. -
Corrected Corrected by Jul 19, 2024
Category: health medication. 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 in the STEM room, where a group of children were receiving care.
Corrected Corrected by Mar 14, 2024
Category: health medication. Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
The daily schedule was not posted in the Pre-K room and room 310.
Corrected Corrected by Mar 14, 2024
Category: physical safety. Marked corrected in the state record.
3270.113(a) · ***The legal entity shall ensure that all facility staff participate in at least four monthly staff meetings, where a topic regarding the supervision of children is included for discussion as a part of each meeting. Documentation of the meeting dates, agenda, and names of staff participating shall be retained on file and submitted to the certification representative upon request.
SECOND CITATION; PREVIOUSLY CITED ON 12/12/23: At approximately 12:50 PM on 3/13/24, Facility Person #1 was observed in the Preschool Room supervising 6 preschoolers. Facility Person #1 stated they were supervising those 6 children while the rest of the group was in the restroom with Facility Person #2. It was then observed that there were 3 children in the hallway outside of the classroom, retrieving items from cubbies. The children then joined the group in the classroom. Facility Person #2 was in the restroom down the hall and was observed to be supervising 2 preschoolers in the restroom. There was no staff person present in the hallway to supervise the children in that space.
Corrected Corrected by Aug 9, 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.
SECOND CITATION; PREVIOUSLY CITED ON 12/12/23: At approximately 12:50 PM on 3/13/24, Facility Person #1 was observed in the Preschool Room supervising 6 preschoolers. Facility Person #1 stated they were supervising those 6 children while the rest of the group was in the restroom with Facility Person #2. It was then observed that there were 3 children in the hallway outside of the classroom, retrieving items from cubbies. The children then joined the group in the classroom. Facility Person #2 was in the restroom down the hall and was observed to be supervising 2 preschoolers in the restroom. There was no staff person present in the hallway to supervise the children in that space.
Corrected Corrected by Apr 10, 2024
Category: supervision. Marked corrected in the state record.
3270.113(a) · *The legal entity shall ensure that all facility staff complete an in-person training regarding the supervision of children through the Early Learning Resource Center. Documentation of the training, completed by the training entity, to include the training date and names of all participants shall be both retained on file and forwarded to the certification representative upon completion.
SECOND CITATION; PREVIOUSLY CITED ON 12/12/23: At approximately 12:50 PM on 3/13/24, Facility Person #1 was observed in the Preschool Room supervising 6 preschoolers. Facility Person #1 stated they were supervising those 6 children while the rest of the group was in the restroom with Facility Person #2. It was then observed that there were 3 children in the hallway outside of the classroom, retrieving items from cubbies. The children then joined the group in the classroom. Facility Person #2 was in the restroom down the hall and was observed to be supervising 2 preschoolers in the restroom. There was no staff person present in the hallway to supervise the children in that space.
Corrected Corrected by May 31, 2024
Category: supervision. Marked corrected in the state record.
3270.113(a) · **The legal entity shall ensure that facility staff complete a technical assistance program regarding the supervision of children through the Early Learning Resource Center. Documentation of the completion shall be both retained on file and forwarded to the certification representative upon completion.
SECOND CITATION; PREVIOUSLY CITED ON 12/12/23: At approximately 12:50 PM on 3/13/24, Facility Person #1 was observed in the Preschool Room supervising 6 preschoolers. Facility Person #1 stated they were supervising those 6 children while the rest of the group was in the restroom with Facility Person #2. It was then observed that there were 3 children in the hallway outside of the classroom, retrieving items from cubbies. The children then joined the group in the classroom. Facility Person #2 was in the restroom down the hall and was observed to be supervising 2 preschoolers in the restroom. There was no staff person present in the hallway to supervise the children in that space.
Corrected Corrected by Jun 30, 2024
Category: supervision. 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 of completion of required preservice trainings on file for Facility Person #1 (pediatric first aid & CPR) and Facility Person #14 (pediatric first aid & CPR) and pediatric first aid & CPR). Both facility persons #1 and #14 were observed caring for children unsupervised.
Corrected Corrected by May 4, 2024
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.
There was no documentation of firesafety training completed in the previous 12 months on file for Facility Persons #4 and #16 Documentation of firesafety training on file for Facility Persons #5, #6 and #7 indicate the most recent training was conducted more than 12 months after the previous training and/or staff start date.
Corrected Corrected by May 31, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.
The emergency plan was documented as having last been reviewed in February 2023.
Corrected Corrected by Apr 10, 2024
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.
There was no documentation of emergency plan training for facility persons #4, #12, #13 and #14, all employed/volunteering at least than 90 days at the facility.
Corrected Corrected by Apr 24, 2024
Category: recordkeeping. 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.
Corrected Corrected by Apr 10, 2024
Category: physical safety. 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 required under 3270.27(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 did not include information on the accommodations or annual drills as required under 3270.27(a).
Corrected Corrected by Apr 15, 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.
Current first aid training documentation on file for Facility Person #16 indicates the training was completed more than 24 months after the previous training.
Corrected Corrected by May 4, 2024
Category: ratio. 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 of current health and safety training on file for Facility Persons #14, employed at the facility more than 90 days.
Corrected Corrected by Apr 19, 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 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, #2, #3, #4, #5, #6, #12, #13 and #16 may not work in child care or classroom volunteer positions at the facility without all completed clearances and signed disclosure statements on file.
There was no signed disclosure statement on file for Facility Person #1. There was no NSOR clearance on file for Facility Person #2. Facility Person #2 was observed caring for children unsupervised. The criminal history clearance on file for Facility Person #3 was incomplete, and the disclosure statement on file was not signed by a witness. The clearance and disclosure statements on file for Facility Person #3 were invalid. The only NSOR clearance on file for Facility Person #4 was completed more than 45 days after their start date. The disclosure statement on file signed by Facility Person #4 was not dated. The most recent child abuse clearance on file for Facility Person #5 was completed more than 60 months prior. The most recent child abuse clearance on file for Facility Person #6 was completed more than 60 months prior. The current FBI clearance on file for Facility Person #6 was completed more than 60 months after the previous FBI clearance. The disclosure statement signed and on file for Facility Person #14 was signed after their start date. The current FBI clearance and NSOR clearance on file for Facility Person #14 were completed after their start date. There was no proof of application on file for these clearances for Facility Person #14. The most recent child abuse clearance on file for Facility Person #16 was completed more than 60 months prior. Facility Persons #12 and #13 serve as volunteers at the facility. There were no signed disclosure statements on file for Facility Persons #12 and #13 and no clearances on file for Facility Person #13.
Corrected Corrected by May 4, 2024
Category: supervision. 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.
Facility Persons #1 and #14 were classified as group supervisors. Facility Persons #2 and #3 were classified as assistant group supervisors. There was no documentation on file of the staff persons' education and/or child care experience, required for their respective classifications, on file.
Corrected Corrected by Mar 18, 2024
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.
There were no staff evaluations completed in the previous 12 months and on file for Facility Persons #4, #5, #6, and #16.
Corrected Corrected by May 10, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.
SECOND CITATION; PREVIOUSLY CITED ON 12/12/23: At approximately 12:50 PM on 3/13/24, Facility Person #1 was observed in the Preschool Room supervising 6 preschoolers. Facility Person #1 stated they were supervising those 6 children while the rest of the group was in the restroom with Facility Person #2. It was then observed that there were 3 children in the hallway outside of the classroom, retrieving items from cubbies. The children then joined the group in the classroom. Facility Person #2 was in the restroom down the hall and was observed to be supervising 2 preschoolers in the restroom. There was no staff person present in the hallway to supervise the children in that space.
Corrected Corrected by Mar 13, 2024
Category: supervision. 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 six uncovered outlets on a power strip on the floor in the Toddler 1 room. There was an uncovered outlet on the wall in the Pre-K room.
Corrected Corrected by Mar 14, 2025
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.
The following toxics were observed accessible to children: hand sanitizer in a backpack pocket on the floor in the Music room; cleaning products in an unlocked desk drawer in room 308; hand sanitizer and disinfectant wipes in an unlocked desk drawer in room 320; disinfectant wipes in an unlocked drawer in room 323
Corrected Corrected by Mar 14, 2024
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 cleaner in an unlabeled spray bottle on a shelf above the sink in the STEM room, and another in a cabinet in the Pre-K room.
Corrected Corrected by Mar 14, 2024
Category: ratio. Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
First aid kits were accessible to children in the following locations: in a backpack on the floor in the Music room; next to the sink in the Art room; in an unlocked drawer in Room 320
Corrected Corrected by Mar 14, 2024
Category: health medication. 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 following required items were missing from the indicated first aid kits: tweezers and soap in Toddler 1; tweezers in Pre-K; bandaids, gloves, scissors and tweezers in room 308; scissors, tweezers and soap in room 322
Corrected Corrected by Mar 14, 2024
Category: health medication. Marked corrected in the state record.
3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.
There was no lidded trash can near the sink in the STEM room.
Corrected Corrected by Mar 14, 2024
Category: health medication. Marked corrected in the state record.
3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.
There was equipment on the floor in front of an exterior exit from the infant room.
Corrected Corrected by Mar 13, 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.
There was a crack in a plastic toy bin in the Pre-K room, resulting in a sharp edge/ potential pinch point.
Corrected Corrected by Mar 14, 2024
Category: physical safety. Marked corrected in the state record.
3270.102(f) · Indoor play equipment for climbing shall be installed or used over a protective surface covering which does not interfere with the stability of the equipment.
Climbing equipment installed in the Toddler 1 room was not installed over a protective surface covering.
Corrected Corrected by Mar 14, 2024
Category: physical safety. Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
In the infant room, three cribs were in use with less than 2 feet of space on three sides of each crib. In the Preschool room, three cots were in use with less than 2 feet of space on three sides of each cot.
Corrected Corrected by Mar 14, 2024
Category: physical safety. Marked corrected in the state record.
3270.113(a)(1) · *The facility shall implement a hands-free tangible method of tracking supervision of children by facility staff. This shall be used at all times by any staff supervising children.
SECOND CITATION; PREVIOUSLY CITED ON 12/12/23: At approximately 12:40 PM on 3/13/24 in the Older Toddler Room, Facility Persons #8 and #11 were supervising a total of 7 children (3 older toddlers and 4 preschoolers). When asked to identify which children they were each supervising, each staff named 3 children, resulting in one child not claimed by either staff. At approximately 12:55 PM on 3/13/24 in the Preschool Room Facility Person #1 and Facility Person #2 were supervising a total of 11 preschoolers. When asked to identify which children they were each supervising, Facility Person #1 claimed 5 children and Facility Person #2 claimed 4 children, resulting in 2 children not claimed by either staff person. At approximately 12:50 PM on 3/13/24, Facility Person #1 was observed in the Preschool Room supervising 6 preschoolers. Facility Person #1 stated they were supervising those 6 children while the rest of the group was in the restroom with Facility Person #2. It was then observed that there were 3 children in the hallway outside of the classroom, retrieving items from cubbies. The children then joined the group in the classroom. Facility Person #2 was in the restroom down the hall and was observed to be supervising 2 preschoolers in the restroom. There was no staff person present in the hallway to supervise the children in that space.
Corrected Corrected by Mar 14, 2024
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.
SECOND CITATION; PREVIOUSLY CITED ON 12/12/23: At approximately 12:40 PM on 3/13/24 in the Older Toddler Room, Facility Persons #8 and #11 were supervising a total of 7 children (3 older toddlers and 4 preschoolers). When asked to identify which children they were each supervising, each staff named 3 children, resulting in one child not claimed by either staff. At approximately 12:55 PM on 3/13/24 in the Preschool Room Facility Person #1 and Facility Person #2 were supervising a total of 11 preschoolers. When asked to identify which children they were each supervising, Facility Person #1 claimed 5 children and Facility Person #2 claimed 4 children, resulting in 2 children not claimed by either staff person. At approximately 12:50 PM on 3/13/24, Facility Person #1 was observed in the Preschool Room supervising 6 preschoolers. Facility Person #1 stated they were supervising those 6 children while the rest of the group was in the restroom with Facility Person #2. It was then observed that there were 3 children in the hallway outside of the classroom, retrieving items from cubbies. The children then joined the group in the classroom. Facility Person #2 was in the restroom down the hall and was observed to be supervising 2 preschoolers in the restroom. There was no staff person present in the hallway to supervise the children in that space.
Corrected Corrected by Mar 13, 2024
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · **The legal entity shall ensure that, for a period of no less than 12 weeks, the facility director conducts at least 4 ratio /supervision monitoring checks each week and documents each monitoring check in a format pre-approved by a certification representative. Monitoring shall include all children in care at the time of the ratio/supervision check and occur at varying days of the week and times of day. Documentation of each observation shall include, at minimum, the date, time, classroom/location, staff names, number and age levels of children supervised by each staff person, whether appropriate supervision was observed, and the director's signature. This documentation shall be retained on file at the facility and provided to a certification representative immediately upon request.
SECOND CITATION; PREVIOUSLY CITED ON 12/12/23: At approximately 12:40 PM on 3/13/24 in the Older Toddler Room, Facility Persons #8 and #11 were supervising a total of 7 children (3 older toddlers and 4 preschoolers). When asked to identify which children they were each supervising, each staff named 3 children, resulting in one child not claimed by either staff. At approximately 12:55 PM on 3/13/24 in the Preschool Room Facility Person #1 and Facility Person #2 were supervising a total of 11 preschoolers. When asked to identify which children they were each supervising, Facility Person #1 claimed 5 children and Facility Person #2 claimed 4 children, resulting in 2 children not claimed by either staff person. At approximately 12:50 PM on 3/13/24, Facility Person #1 was observed in the Preschool Room supervising 6 preschoolers. Facility Person #1 stated they were supervising those 6 children while the rest of the group was in the restroom with Facility Person #2. It was then observed that there were 3 children in the hallway outside of the classroom, retrieving items from cubbies. The children then joined the group in the classroom. Facility Person #2 was in the restroom down the hall and was observed to be supervising 2 preschoolers in the restroom. There was no staff person present in the hallway to supervise the children in that space.
Corrected Corrected by Aug 2, 2024
Category: supervision. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The agreements on file for children #4 - #9 were not signed by the operator.
Corrected Corrected by Mar 13, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.
The agreements on file for children #5, #6, #8 and #9 did not specify the fee amount
Corrected Corrected by Mar 14, 2024
Category: recordkeeping. 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).
Copies of the assessments completed in the last 6 months and on file for children # 2, #3 and #4 were not given to the parents, as per staff statement.
Corrected Corrected by Mar 13, 2024
Category: recordkeeping. 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 #4-#9 did not specify the admission date.
Corrected Corrected by Mar 19, 2024
Category: recordkeeping. 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 agreements on file for children #4-#9 were the originals.
Corrected Corrected by Mar 14, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(1) · Emergency contact information must include the name and birth date of the child.
The birthdate on the emergency contact form on file for child #7 was incorrect.
Corrected Corrected by Mar 14, 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 #2, #5, #6, #7, and #9 did not include the health insurance information.
Corrected Corrected by Mar 14, 2024
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The emergency contact forms on file for children #6 and #7 did not include the addresses of all release persons listed.
Corrected Corrected by Mar 13, 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 were no emergency contact forms in the STEM room for children receiving care in that room. There was no emergency contact form in the Toddler 2 room for one of the children receiving care in that room. There was no emergency contact form in the preschool room for one of the children receiving care in that room.
Corrected Corrected by Mar 13, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
The medical emergency transportation plan was not posted in rooms 308 and 223.
Corrected Corrected by Mar 14, 2024
Category: transportation. 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 emergency contact forms and agreements on file for children #1, #2, #3, #4, #5, #8 and #9 were not reviewed and updated by a parent in writing in the previous 6 months.
Corrected Corrected by Mar 14, 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.
The most recent health assessment on file for child #3, a preschooler, was completed more than 12 months after the previous health assessment.
Corrected Corrected by Mar 14, 2024
Category: health medication. Marked corrected in the state record.
3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
There was burn cream - not labeled with a child's name to be used by that child - in first aid kits in rooms 322 and 323.
Corrected Corrected by Mar 14, 2024
Category: health medication. 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.
There were throat drops and Advil in an unlocked desk drawer in room 323.
Corrected Corrected by Mar 14, 2024
Category: health medication. Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
There was no written parental consent for administration of a child's inhaler in the preschool room.
Corrected Corrected by Mar 15, 2024
Category: ratio. Marked corrected in the state record.
3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.
According to documentation and staff statements, more than 2 hours passed between several diaper checks/changes in the Toddler 1 room - children were changed between 9:10-9:45, and not yet checked/ changed again as of 12:15.
Corrected Corrected by Mar 14, 2024
Category: health medication. Marked corrected in the state record.
3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.
The initial health assessment/TB tests on file for Facility Persons #1 and #3 were each completed more than 12 months prior to their respective start dates. There were no health assessment/TB tests on file for Facility Persons #2 #11, #12, #14. The most recent health assessments on file for Facility Person #7, #9 and #15 were completed more than 24 months prior. The current health assessments on file for Facility Persons #10 and #17 was completed more than 24 months after the prior health assessments on file.
Corrected Corrected by May 24, 2024
Category: ratio. Marked corrected in the state record.
3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.
The menu was not posted or provided to parents at least a week in advance.
Corrected Corrected by Mar 15, 2024
Marked corrected in the state record.
3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.
There was one unlabeled bottle in the infant room.
Corrected Corrected by Mar 14, 2024
Marked corrected in the state record.
3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
There was no signed parental consent for emergency medical care for the child on file for children #2 and #7.
Corrected Corrected by Mar 19, 2024
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.
The fire drill log indicates that a fire drill was conducted on 11/16/23, then again on 1/16/24, more than 60 days later.
Corrected Corrected by Mar 15, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
There was no signed parental consent for administration of minor first-aid procedures by facility staff on file for children #2 and #7.
Corrected Corrected by Mar 14, 2024
Category: ratio. Marked corrected in the state record.
3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.
There was no signed parental consent for transportation and walks for child #7, who is transported by the facility and takes walks with the program.
Corrected Corrected by Mar 14, 2024
Category: transportation. Marked corrected in the state record.
3270.192(2)(i) · A facility person's record shall include verification of age.
There was no verification of age on file for Facility Person #12.
Corrected Corrected by Mar 14, 2024
Category: recordkeeping. 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 were no written nonfamily references on file for Facility Persons #1, #2, #12 and #14. There was one written nonfamily reference on file for Facility Person #3.
Corrected Corrected by May 24, 2024
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.
There was no documentation of an emergency drill, in the required format, conducted at the facility in the previous 12 months.
Corrected Corrected by Mar 14, 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.
There was no documentation of current pediatric first aid & CPR training on file for Facility Persons #14, employed at the facility more than 90 days.
Corrected Corrected by May 4, 2024
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.
Information on how to access the regulations in this chapter electronically was not posted at the facility and the operator was unaware if or how it had been shared with parents of all enrolled children.
Corrected Corrected by Mar 14, 2024
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.
There was documentation of 6 of the required 12 hours of trainings for the most recent annual review period on file for Facility Person #7.
Corrected Corrected by Mar 14, 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.
There were no health assessments on file for children #2, #4. #6, #7, and #9, all enrolled more than 60 days.
Corrected Corrected by May 24, 2024
Category: health medication. Marked corrected in the state record.
3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.
The operator self-reported that on 11/29/23 at approximately 11:00 AM, Facility Persons #1 and #2 were supervising 10 preschoolers in the Older Toddler room. Staff statements indicate that both staff left the classroom with all of the children except for child #1, who remain in the classroom unsupervised, unknown to Facility Persons #1 and #2. Facility Person #1 stopped with 3 children at the restroom in the hallway, while Facility Person #2 continued with the rest of the group to the gym. Facility Person #1 and the children they were supervising, joined the group in the gym after the children used the restroom. According to staff statements, at approximately 11:30 AM, child #1 was discovered by Facility Person #3 in the classroom unsupervised and was returned to the group.
Corrected Corrected by Dec 12, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a) · **All child care staff persons employed by the facility shall complete at least 2 hours of supervision training. The training description must be submitted to the certification representative for approval. Documentation must be submitted to certification upon completion and retained in the staff files.
The operator self-reported that on 11/29/23 at approximately 11:00 AM, Facility Persons #1 and #2 were supervising 10 preschoolers in the Older Toddler room. Staff statements indicate that both staff left the classroom with all of the children except for child #1, who remain in the classroom unsupervised, unknown to Facility Persons #1 and #2. Facility Person #1 stopped with 3 children at the restroom in the hallway, while Facility Person #2 continued with the rest of the group to the gym. Facility Person #1 and the children they were supervising, joined the group in the gym after the children used the restroom. According to staff statements, at approximately 11:30 AM, child #1 was discovered by Facility Person #3 in the classroom unsupervised and was returned to the group.
Corrected Corrected by Feb 29, 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.
The operator self-reported that on 11/29/23 at approximately 11:00 AM, Facility Persons #1 and #2 were supervising 10 preschoolers in the Older Toddler room. Staff statements indicate that both staff left the classroom with all of the children except for child #1, who remain in the classroom unsupervised, unknown to Facility Persons #1 and #2. Facility Person #1 stopped with 3 children at the restroom in the hallway, while Facility Person #2 continued with the rest of the group to the gym. Facility Person #1 and the children they were supervising, joined the group in the gym after the children used the restroom. According to staff statements, at approximately 11:30 AM, child #1 was discovered by Facility Person #3 in the classroom unsupervised and was returned to the group.
Corrected Corrected by Dec 12, 2023
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.
The operator self-reported that on 11/29/23 at approximately 11:00 AM, Facility Persons #1 and #2 were supervising 10 preschoolers in the Older Toddler room. Staff statements indicate that both staff left the classroom with all of the children except for child #1, who remain in the classroom unsupervised, unknown to Facility Persons #1 and #2. Facility Person #1 stopped with 3 children at the restroom in the hallway, while Facility Person #2 continued with the rest of the group to the gym. Facility Person #1 and the children they were supervising, joined the group in the gym after the children used the restroom. According to staff statements, at approximately 11:30 AM, child #1 was discovered by Facility Person #3 in the classroom unsupervised and was returned to the group.
Corrected Corrected by Dec 12, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · **The facility shall implement a hands-free tangible method of tracking supervision of children by facility staff. This shall be used at all times by any staff supervising children.
The operator self-reported that on 11/29/23 at approximately 11:00 AM, Facility Persons #1 and #2 were supervising 10 preschoolers in the Older Toddler room. Staff statements indicate that both staff left the classroom with all of the children except for child #1, who remain in the classroom unsupervised, unknown to Facility Persons #1 and #2. Facility Person #1 stopped with 3 children at the restroom in the hallway, while Facility Person #2 continued with the rest of the group to the gym. Facility Person #1 and the children they were supervising, joined the group in the gym after the children used the restroom. According to staff statements, at approximately 11:30 AM, child #1 was discovered by Facility Person #3 in the classroom unsupervised and was returned to the group.
Corrected Corrected by Feb 29, 2024
Category: supervision. 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.
Facility Person #2 was observed caring for children unsupervised. There was no documentation of completion of pediatric first aid/CPR training on file for Facility Person #2.
Corrected Corrected by Feb 16, 2024
Category: supervision. 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 current documentation of pediatric first aid/CPR training on file for Facility Person #1 (12/9/23) was completed after the expiration of the previous pediatric first aid/CPR training documented and on file (5/31/23).
Corrected Corrected by Feb 16, 2024
Category: ratio. 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 indicating that Facility Person #3, employed at the facility more than 90 days, has completed the required preservice health and safety training.
Corrected Corrected by Feb 16, 2024
Category: health medication. 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 documentation of pediatric first/CPR on file for Facility Person #3 indicates the training was completed more than 90 days after their start date.
Corrected Corrected by Feb 16, 2024
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.
There was no record of any fire drills conducted between 7/31/23 and 10/20/23.
Corrected Corrected by Nov 16, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
The facility's emergency plan did not include a plan for continuity of operations in the event of an emergency, as required by federal regulation.
Corrected Corrected by Apr 5, 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.
Documentation on file of the completed updated health and safety training, required to be completed by staff by 12/30/22 was completed after this date by Facility Persons #3. #8, #10, #12, #13, and #17.
Corrected Corrected by Apr 4, 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. Until such time as the required pre-service trainings are completed, staff person #16 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 #16, staff person #16 may not work in a child-care position at the facility.
Facility Person #16 was observed to be caring for children unsupervised. Facility Person #16 has not completed the following pre-service training required prior to caring for children unsupervised: approved pediatric first aid and CPR
Corrected Corrected by May 30, 2023
Category: supervision. 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.
There was no documentation on file of initial emergency plan training on file for Facility Persons #1. #7, #8, and #14. The current emergency plan training documented and on file for Facility Person # 12 was completed more than 12 months after the previously documented emergency plan training.
Corrected Corrected by Apr 5, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.
The current annual firesafety training documented and on file for Facility Persons #2 , #3, #4, and #14, was completed more than 12 months after the previous firesafety training. There was no documentation of current firesafety training on file for Facility Person #12.
Corrected Corrected by May 6, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.Staff person #8, #13, and #15 will have until 5/25/23 to complete the required training. Until such time as the required training has been completed, staff persons #8, #13, and #15 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 available to supervise these staff, staff persons #8, #13, and #15 may not work in a child-care position at the facility.
Facility Persons #8, #13, and #15 have not completed the following required pre-service training within 90 days of their date of hire: pediatric first aid/CPR.
Corrected Corrected by May 30, 2023
Category: supervision. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #13 and #15 may not work at the facility without all completed clearances.
The current criminal history, child abuse and FBI clearances on file for Facility Person #4 were completed more than 60 months after the previous respective clearances. The current criminal history, child abuse and FBI clearances on file for Facility Person #11 were completed more than 60 months after the previous respective clearances. The current FBI clearances on file for Facility Person #14 was completed more than 60 months after the previous respective clearances. There was no NSOR clearance on file for Facility Person #13, employed at the facility more than 45 days. There was no criminal history clearance on file for Facility Person #15, employed at the facility for more than 45 days.
Corrected Corrected by Apr 5, 2023
Category: background checks. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).
The current mandated reporter training on file for Facility Person #4 was completed more than 60 months after the previous mandated reporter training. There was no documentation that Facility Person #15, employed more than 90 days, has completed mandated reporter training.
Corrected Corrected by Apr 5, 2023
Category: recordkeeping. 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.
There was no documentation on file of the education and/or experience required for the staff classifications for Facility Persons #1, #4, #7, #8, #9, #13, #15, and #16.
Corrected Corrected by May 30, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The staff evaluation on file for Facility Person #5 was competed more than 12 months after their start date.
Corrected Corrected by Apr 4, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.
At approximately 10:35 AM, Facility Person #2 was supervising 11 preschoolers in the hallway.
Corrected Corrected by Apr 4, 2023
Category: supervision. 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 was an uncovered outlet on a wall in reach of children in Room 225.In the Library (2) and Younger School Age Room (5), rooms in which care is provided for children under the age of six, uncovered electrical outlets were observed. Additionally, in the Library, five uncovered surge protector outlets were observed. Each of the aforementioned noted areas of concern were located in an area accessible to children in care.
Corrected Corrected by May 16, 2023
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 hand sanitizer at the sink in Room 225, in reach of children.
Corrected Corrected by Apr 4, 2023
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 cleaner in a spray bottle in a cabinet in Room 223, not labeled with the contents.
Corrected Corrected by Apr 4, 2023
Category: ratio. Marked corrected in the state record.
3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.
Emergency phone numbers were not posted in Room 225, the music room, the dance room, the library and the game room.
Corrected Corrected by Apr 5, 2023
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.
There was an area of splintered wood on the wall outside of the door to the music room. Cracked, plastic electrical outlet faceplates were observed in the Library (1) and the Gameroom (2). An electrical outlet in the Younger School Age Room was lacking a faceplate, which allowed access to the receptacle terminals. In the Older School Age Room, Stem Lab, and Younger School Age Room, sharp edges were observed on the ends of the metal trays of wall mounted chalkboards. All aforementioned concerns were located in areas accessible to children in care.
Corrected Corrected by May 26, 2023
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.
There was peeling paint/damaged plaster on the wall beneath the window in Room 221 and on the wall behind a trash can in Room 223, and on a wall behind a chair on Room 226 and on the wall in the Computer Lab.
Corrected Corrected by Jun 2, 2023
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.
Several jagged metal pieces of a swingset were observed in an area accessible to children in the outdoor playspace.
Corrected Corrected by Apr 4, 2023
Category: physical safety. Marked corrected in the state record.
3270.102(f) · Indoor play equipment for climbing shall be installed or used over a protective surface covering which does not interfere with the stability of the equipment.
There was no protective surface covering under the climbing play equipment in Room 222.
Corrected Corrected by Apr 5, 2023
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.
There were four cots used by children in Room 221 not labeled with their names.
Corrected Corrected by Apr 4, 2023
Category: physical safety. 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 emergency contact form on file for child #4 did not include the physician's name, address and phone number.
Corrected Corrected by May 31, 2023
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 emergency contact forms on file for child #1 did not include the health insurance information.
Corrected Corrected by May 31, 2023
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The emergency contact forms on file for children #1, #3 and #4 do not include the addresses of all release persons.
Corrected Corrected by May 31, 2023
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 were no emergency contact forms present in Room 221 for three of the children receiving care in that room.
Corrected Corrected by Apr 4, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
The medical emergency transportation plan was not posted in Room 225, the music room, the dance room, the library and the game room.
Corrected Corrected by Apr 4, 2023
Category: transportation. 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.
Emergency contact forms and agreements on file for children #1, #3, #4, #5, #6. #7, and #8 were not reviewed and updated by a parent in writing in the previous 6 months.
Corrected Corrected by Apr 21, 2023
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 health assessment on file for child #8, a young toddler, was completed more than 6 months prior.
Corrected Corrected by Apr 14, 2023
Category: health medication. 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 health assessments on file for children #6 and #7 were completed more than 12 months prior.
Corrected Corrected by Apr 28, 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Children #5, #6, #7, #8, and #9 must be dismissed from care by close of business 4/4/23 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 immunization record on file for children #5 and #9. The immunization record on file for child #6 did not indicate the child had sufficient doses of the HIB or Hepatitis A vaccines and did not have a current annual flu vaccine. The immunization record on file for child #7 did not indicate the child had sufficient doses of the Hepatitis B or Hepatitis A vaccines and did not have a current annual flu vaccine. The immunization record on file for child #8 did not indicate the child had sufficient doses of the Hepatitis B, DTAP, HIB or Hepatitis A vaccines..
Corrected Corrected by Apr 28, 2023
Category: health medication. 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.
There was an albuterol inhaler and diazepam in a backpack on a table, in reach of children, in the music room.
Corrected Corrected by Apr 4, 2023
Category: health medication. Marked corrected in the state record.
3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.
The current health assessment on file for Facility Person #4 was completed more than 24 months after the previous health assessment on file. The most recent health assessment on file for Facility Person #14 was completed more than 24 months prior. The initial health assessment and TB test on file for Facility Person #6 and the TB test for Facility Person #9 was completed after their start date. There were no initial health assessments on file for Facility Person #9, #13, #15 and #16. There was no documentation of a negative TB test on file for Facility Person #7, #13, #15 and #16.
Corrected Corrected by Jun 2, 2023
Category: ratio. Marked corrected in the state record.
3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
There was no signed consent for emergency medical care on file for children #1 and #4,
Corrected Corrected by Jun 2, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
There was no signed consent for minor first-aid procedures by facility staff on file for children #1 and #4.
Corrected Corrected by May 31, 2023
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.
There was only one one written reference on file for Facility Person #7. There were no written nonfamily references on file for Facility Persons #9, #13, #15, and #16.
Corrected Corrected by May 19, 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.
There was no record of an emergency drill.
Corrected Corrected by May 19, 2023
Category: recordkeeping. 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.
A review of the facility's fire drill log indicates that fire drills were recorded as conducted on 5/12/22 and then again on 7/28/22, more than 60 days apart. The information recorded on the log for fire drills conducted on 2/20/23 and 3/24/23 did not include the names of all facility persons participating in the fire drill.
Corrected Corrected by Apr 4, 2023
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.
There were no health assessments on file for children #1, #4, #5 and #9, all enrolled more than 60 days.
Corrected Corrected by May 31, 2023
Category: health medication. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1, #2, and #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1, #2, and #3, these staff may not work in a child-care position at the facility.
Facility Person #3 was observed to be caring for children unsupervised. Facility Persons #1 and #2 were observed caring for children together in one room unsupervised by any other staff person. Facility Persons #1, #2 and #3 have not completed approved pediatric first aid and CPR training prior to caring for children unsupervised. Facility Person #3 has not completed required health and safety training prior to caring for children unsupervised.
Corrected Corrected by Feb 16, 2023
Category: supervision. Marked corrected in the state record.
3270.31(f)(10) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until April 8, 2023 to complete the required training. Until such time as the required training has been completed, staff person #1 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 available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.
Facility Person #1 has not completed the following required pre-service training within 90 days of their date of hire (see IS Code Sheet):approved pediatric first aid and CPR training.
Corrected Corrected by Feb 27, 2023
Category: supervision. 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 described 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 to explain the emergency plan did not include the plan for a lockdown.
Corrected Corrected by Apr 26, 2022
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 current pediatric first aid/CPR trainings completed and on file for Facility Persons #7 and #9 were not completed prior to the expiration of the previous first aid training. The most recent in-person pediatric first aid/CPR training completed and on file for Facility Person #10 was from 2/11/19 and had expired.
Corrected Corrected by Apr 30, 2022
Category: ratio. Marked corrected in the state record.
3270.31(f)/3270.31(h) · Staff persons shall complete professional development in the following topics within 90 days of hire:All staff persons shall complete the professional development under subsection (f).
There was no documentation of completion of the required health and safety trainings on file for Facility Persons #6 and #11, both employed at the facility more than 90 days. (See IS Code sheet.)
Corrected Corrected by Jul 6, 2022
Category: health medication. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1, #5, #8, #7, #11, #12,and #13 may not work at the facility until they have all completed valid clearances and signed disclosure statements on file.
The FBI clearance on file or Facility Person #1 was completed through the Dept of Education and therefore invalid. The criminal history and child abuse clearances on file for Facility Person #2 were completed more than 60 months after the previous respective clearances on file. The NSOR clearance on file for Facility Person #4 was requested on 12/22/21 and completed on 12/29/21, both documented dates after her start date (See IS Code Sheet). The most recent FBI clearance on file for Facility Person #7 was more than 60 months old. There were no NSOR clearances on file for Facility Person #11 or #13.. The child abuse clearance on file for Facility Person #12 was a volunteer clearance and therefore invalid for a childcare position. The NSOR clearance on file for Facility Person #15 was completed on 10/13/21, after her start date. (See IS Code sheet.) The signed disclosures on file for Facility Persons #5 and #8 were not dated. There was no signed disclosure on file for Facility Person #11.
Corrected Corrected by Apr 26, 2021
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 Facility Persons #5, #8, #11, #12, #15 did not include documentation of the education and/or child care experience required for their respective staff classification.
Corrected Corrected by Jun 30, 2022
Category: recordkeeping. 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 current and sole evaluation on file for Facility Person #9 was completed more than 12 months after her start date. The staff evaluation was completed on 1/22/22. (See IS Code sheet.)
Corrected Corrected by May 25, 2022
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 two uncovered outlets in the cafeteria.
Corrected Corrected by Apr 26, 2022
Marked corrected in the state record.
3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.
Emergency phone numbers were not posted in the music room or the dance room near the phones.
Corrected Corrected by Apr 26, 2022
Category: physical safety. 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.
There were no tweezers in the first aid kit in Room 108.
Corrected Corrected by Apr 26, 2022
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 an area of damaged plaster on the wall above the mirror.
Corrected Corrected by Apr 27, 2022
Category: physical safety. Marked corrected in the state record.
3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.
There was no lid on the trash can in the mens's ECDC restroom.
Corrected Corrected by Apr 26, 2022
Category: health medication. 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.
There was a desk in Room 322 with a broken metal handle, creating sharp points/edges. There was a bookshelf in Room 310 with a detached shelf, creating a potential pinch point.
Corrected Corrected by Apr 26, 2022
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.
There were 3 thermometers in the refrigerator in Room 225. Two of the three thermometers read 50° F.
Corrected Corrected by Apr 27, 2022
Category: nutrition. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
There were no agreements on file for children #5 and #7. The agreement on file for child #1 was not signed by the parent. The agreements on file for children #6 and #8 were not signed by the operator.
Corrected Corrected by Jun 30, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.
The agreement on file for child #8 did not specify the amount of the fee to be charged per day or per week.
Corrected Corrected by Jun 30, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.
The agreement on file for child #6 did not include the arrival and departure times.
Corrected Corrected by Jun 30, 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 agreement on file for child #8 did not specify persons designated by a parent to whom the child may be released.
Corrected Corrected by Jun 30, 2022
Category: recordkeeping. 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 #6 and #8 did not include the admission dates.
Corrected Corrected by Jun 30, 2022
Category: recordkeeping. 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 agreement on file for child #6 was the original.
Corrected Corrected by Jun 30, 2022
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 #7 and #8 did not include the health insurance information.
Corrected Corrected by Jun 30, 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 emergency contact forms on file for children #3 and #8 did not include the addresses of all release persons. The emergency contact form on file for child #6 did not include the last names of all release persons.
Corrected Corrected by Jun 30, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
The medical emergency transportation plan was not posted in the music room, the dance room, or the cafeteria.
Corrected Corrected by Apr 26, 2022
Category: transportation. 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 informationA 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 emergency contact and agreement forms on file for children #1, #6, and #8,and the emergency contact form on file for child #5 were not reviewed and updated by a parent in writing within the previous 6 months. The current agreement on file for child # 3 was reviewed and updated by the parent in writing more than 6 months after the prior review and after 1/6/22, when the suspension of this regulation was lifted.
Corrected Corrected by Jun 30, 2022
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 most recent health assessment on file for child #1, a young toddler, was completed more than 6 months prior.
Corrected Corrected by Jul 1, 2022
Category: health medication. Marked corrected in the state record.
3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.
The health assessment on file for child #8 was not signed by a physician, physician's assistant or a CRNP.
Corrected Corrected by Jun 22, 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.
The immunization record on file for child #1 did not indicate the child had sufficient doses of the pneumococcal vaccine as recommended by the ACIP for a child of that age. There was no documentation of an annual flu vaccine - recommended by the ACIP - on file for child #4.
Corrected Corrected by Jun 30, 2022
Category: health medication. Marked corrected in the state record.
3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
There were sample packets of medications including triple antibiotic ointment, aspirin, non-aspirin, not labeled for use by specific children in first aid kids in Rooms 108, 323, and the Art room.
Corrected Corrected by Apr 26, 2022
Category: health medication. Marked corrected in the state record.
3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.
The initial health assessment on file for Facility Person #3, dated 1/15/20 was not completed in the 12 months prior to the facility person's start date. (See IS Code Sheet.) The updated health assessment on file for Facility Person 3 was completed more than 24 months after the prior health assessment on file.The initial health assessment on file for Facility Person #4, dated 8/30/18 was not completed in the 12 months prior to the facility person's start date. (See IS Code Sheet.) There was no health assessment completed in the last 24 months on file for Facility Person #4. There were no health assessment/TB test on file for Facility Persons #6, #11 and #14. The TB test on file for Facility Person #8, completed on 3/7/22, was completed after Facility Person #8's start date. (See IS Code Sheet.)There was no health assessment on file for Facility Person #13.
Corrected Corrected by Jul 15, 2022
Category: ratio. 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 on file for Facility Person #10 did not include an examination for communicable diseases and the results of that examination.
Corrected Corrected by Jul 15, 2022
Category: health medication. Marked corrected in the state record.
3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.
The health assessments on file for Facility Persons # 1 and #10 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.
Corrected Corrected by Jul 15, 2022
Category: health medication. 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 feeding schedules from the parents of an infant in Room 225 and two infants in Room 226.
Corrected Corrected by Apr 27, 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 were two infant's bottles in Room 225 not labeled with the children's names.
Corrected Corrected by Apr 26, 2022
Marked corrected in the state record.
3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
There was no signed parental consent for emergency medical care for the child on file for children #7 and #8.
Corrected Corrected by Jun 30, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
There was no signed parental consent for administration of minor first-aid procedures by facility staff on file for children #7 and #8.
Corrected Corrected by Jun 30, 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
There were no nonfamily written references on file for Facility Persons #11, #12, and #13. There was only one written nonfamily reference on file for Facility Person #15.
Corrected Corrected by Jun 30, 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.
There was no emergency drill conducted and documented until 2/16/22, more than 12 months after the regulation took effect in 12/19/20.
Corrected Corrected by Apr 26, 2022
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.
There was no documentation of in-person pediatric first aid/CPR training on file for Facility Person #6, employed at the facility more than 90 days. (SEE IS Code Sheet). The pediatric first aid training completed and on file for Facility Persons #3, #5, #11, #14 and #15 were completed on 3/16/22, more than 90 days after their respective start dates. (See IS Code sheet.)
Corrected Corrected by Jun 30, 2022
Category: health medication. 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.
There was documentation of only 3 hours of completed child care training on file for Facility Person # 2 during the most recent review year. There were no child care training hours documented an on file for Facility Person #7 for the most recent review year. There was documentation of only 11 hours of completed child care training on file for Facility Person #9 during the most recent review year. There was documentation of only 5 hours of completed child care training on file for Facility Person #10 during the most recent review year. There was documentation of only 7.5 hours of completed child care training on file for Facility Person #11 during the most recent review year.
Corrected Corrected by Jul 15, 2022
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.
There was no health assessment on file for child #6, enrolled at the facility for more than 60 days.
Corrected Corrected by Jun 30, 2022
Category: health medication. Marked corrected in the state record.