3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff #1 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 #1, staff #1 may not work in a childcare position at the facility.

Staff #1 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 2/28/2021.

Corrected Corrected by Mar 18, 2026

Category: supervision. Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

The protective insulation on the hot water pipes in the corner of the preschool classroom was coming off exposing surfaces exceeding 110 degrees Fahrenheit.

Corrected Corrected by Mar 17, 2026

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the dramatic play area of the preschool classroom, a yellow and red plastic drawer was found to be cracked and broken leaving sharp rough edges creating a laceration risk.

Corrected Corrected by Mar 17, 2026

Category: ratio. 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 file of staff #1 contained NSOR verification certificates which were dated more than 60 months apart (1/3/2020 and 5/7/2025).

Corrected Corrected by May 16, 2025

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.

Documentation of written evaluations by the director for staff #1, employed for more than 12 months (see LIS code sheet), were not present at the time of the inspection. The annual evaluations of staff #2 were dated more than 12 months apart (11/20/2023 and 12/10/2024).

Corrected Corrected by May 16, 2025

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.

In the preschool classroom, the surge protector on the shelf, accessible to children under the age of 5 years, did not have a protective cover on one of the electrical outlets.

Corrected Corrected by May 16, 2025

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 the preschool classroom did not contain soap.

Corrected Corrected by May 16, 2025

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.

In the outdoor play space, plastic lattice creating a barrier from a metal unit was cracked in one area exposing the children to sharp rough edges.

Corrected Corrected by May 19, 2025

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.

The vinyl on the teacher chair in the Language Lab, which was accessible to children placing objects in their mouths, was peeling and flaking. The peeling pieces and flakes were less than an inch in diameter.

Corrected Corrected by May 16, 2025

Marked corrected in the state record.

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

The emergency contact form of child #3 did not contain the work address and work telephone number of the enrolling parent.

Corrected Corrected by May 27, 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 of child #1 did not contain 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 or documentation this is not applicable to the child.

Corrected Corrected by May 19, 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 form of child #3 did not contain the addresses of the persons designated by the parent to whom the child may be released.

Corrected Corrected by May 27, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file of child #3, a preschool age child (see LIS code sheet) contained a health assessment dated 11/17/2023 and file of child #5, identified as a preschool age child (see LIS code sheet), contained a health assessment dated 4/8/2024, but neither child contained an updated assessment within 12 months of the prior assessment.

Corrected Corrected by May 19, 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).

The immunization record of child #2 lacked documentation of 1 OF 2 Hep A vaccinations as recommended by the ACIP

Corrected Corrected by May 29, 2025

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

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file of child #1, enrolled for more than 60 days (see LIS code sheet), did not contain documentation of administered immunizations.

Corrected Corrected by May 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.

The first aid kit in the Steam classroom contained a packet of aspirin which was not labeled with the individual for whom it was intended.

Corrected Corrected by May 16, 2025

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.

In the kitchen, the following medications were observed to be expired: Children's Motrin with an expiration date of 11/2024 and an albuterol inhaler with an expiration date of 8/2024

Corrected Corrected by May 16, 2025

Category: ratio. Marked corrected in the state record.

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

The file of staff #3 contained a current health assessment dated 5/1/2025, which was updated more than 24 months from the previous assessment dated 10/14/2022.

Corrected Corrected by May 16, 2025

Category: ratio. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The current inspection of the fire detection system was dated 9/15/2024, which was more than 12 months from the previous inspection dated 8/29/2023.

Corrected Corrected by May 16, 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 file of child #1, enrolled for more than 60 days (see LIS code sheet), did not contain an initial health assessment. The file of child #4 contained a health assessment dated 5/3/2024, which was more than 60 days from their start at the facility (see LIS code sheet).

Corrected Corrected by May 19, 2025

Category: health medication. 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 of child #2 did not contain the telephone number of the child's physician.

Corrected Corrected by May 10, 2024

Category: health medication. 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 file of child #3 contained the original financial agreement.

Corrected Corrected by May 9, 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.

Documentation of emergency plan training for staff #2, a contracted staff from Child Care Careers, was dated 2/1/2024, which was more than 90 days from staff #2 starting at the facility.

Corrected Corrected by May 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility.

The file of staff #1 contained documentation of a name-based search on a national sex offender website but did not contain the required NSOR verification certificate confirming their name search on the National Sex Offender Registry.

Corrected Corrected by May 8, 2024

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.

Documentation of the past 2 evaluations for staff #3 were dated 6/2022 and 11/20/2023 which was more than 12 months apart.

Corrected Corrected by May 8, 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.

Upon arrival at approximately 10:00 am, staff #1 was also arriving at the facility. Staff #1 had rang the doorbell to be let into the facility. Shortly after, staff #4 opened the door and quickly ran back to the classroom where they were caring for 10 children between 3 to 5 years of age. Staff #4 leaving the classroom created a staff to child ratio of 0:10.

Corrected Corrected by May 8, 2024

Category: ratio. 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 the portable sink in the toddler classroom.

Corrected Corrected by May 8, 2024

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

A cracked and broken blue character figurine, which had rough edges, was on the ground in the outdoor play space.

Corrected Corrected by May 8, 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.

In the toddler room, two children were coloring with markers and the marker caps were attached to the end of the marker. The removable caps are less than an inch in diameter. Also in the toddler room, foam blocks on the shelf contained teeth marks. The marker caps and foam blocks were accessible to children still placing objects in their mouths.

Corrected Corrected by May 8, 2024

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.

Upon arrival at approximately 10:00 am, staff #1 was also arriving at the facility. Staff #1 had rang the doorbell to be let into the facility. Shortly after, staff #4 opened the door and quickly ran back to the classroom where they were caring for 10 children between 3 to 5 years of age. Staff #4 leaving the classroom to answer the door left those 10 children unsupervised. At approximately 10:12 am, staff #4 left the preschool classroom to answer the door. When they left, staff #1 was standing in doorway of the other entrance while 2 children were across the hall in the restroom and 8 children were in the classroom.

Corrected Corrected by May 30, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The financial agreement of child #4 did not contain the arrival and departure times of the child.

Corrected Corrected by May 9, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form of child #1 did not include the home or work address and work telephone number of an enrolling parent and the form of child #3 did not contain the work address or telephone number of the enrolling parent.

Corrected Corrected by May 9, 2024

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 of child # 1 did not contain 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 or documentation this is not applicable to the child,

Corrected Corrected by May 10, 2024

Category: health medication. 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 written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted int he toddler classroom.

Corrected Corrected by May 8, 2024

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 current health assessment of child #1, identified as a preschool age child, was dated 5/2/2024 which was more than 12 months from the prior which was dated 3/3/2023.

Corrected Corrected by May 8, 2024

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

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file of child #2, enrolled for more than 60 days (see coded LIS sheet) did not include documentation of administered immunizations or Documation of an acceptable exemption.

Corrected Corrected by May 10, 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.

In a chair in the main classroom, the purse of staff #1 was observed on the chair. When asked if the purse contained medications, staff #1 opened the purse and a bottle of ibuprofen was in the purse. The purse containing medication was accessible to the children on the chair.

Corrected Corrected by May 8, 2024

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

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility emergency plan did not include accommodations for toddlers.

Corrected Corrected by May 20, 2024

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

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 a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The documentation of the fire drill conducted on 4/29/2024 did not include the number of children who participated in the fire drill.

Corrected Corrected by May 8, 2024

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 file of child #2, enrolled for more than 60 days (see coded LIS sheet) did not contain an initial health assessment.

Corrected Corrected by May 10, 2024

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

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

The emergency plan did not include a contingency plan or contingency fund which can help strategize how to pay for repairs, pay staff, and continue to run the business after a disaster or emergency strikes the area.

Corrected Corrected by May 25, 2023

Category: ratio. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

An adult pair of scissors were accessible to children in a craft bin on a shelf in the main classroom.

Corrected Corrected by May 18, 2023

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Documentation of the initial emergency plan training for facility person #1 was dated 2/3/2023, which is more than 90 days from their start date at the facility (see coded LIS sheet).

Corrected Corrected by May 18, 2023

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 kit in the STEAM classroom did not contain soap.

Corrected Corrected by May 18, 2023

Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The toilet in the second stall of the boy's restroom did not contain a posted handwashing sign.

Corrected Corrected by May 18, 2023

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

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file of child #1, enrolled for more than 6 months (see coded LIS sheet), did not contain documentation of 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 and child #4 contained the documentation, however it exceeded 6 months (2/20/2023 and 2/23/2022).

Corrected Corrected by Jun 1, 2023

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 form of child #4 did not contain the address of the child's physician.

Corrected Corrected by May 19, 2023

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 form of child #4 did not contain the work address and work telephone number of the enrolling parent.

Corrected Corrected by May 19, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact information of child #2 did not contain 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 or documentation this is not applicable to the child.

Corrected Corrected by May 19, 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 form of child #1 did not contain the address of one of the individuals and child #3 did not contain any addresses for the individuals designated by the parent to whom the child may be released.

Corrected Corrected by May 19, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The health assessments of child #1, identified as a preschooler, were dated more than 12 months apart (9/27/2021 and 11/17/2022) and the health assessments of child #4, also a preschooler, were dated 4/16/2021 and 4/26/2023, more than 12 months apart.

Corrected Corrected by May 18, 2023

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.

An expired EpiPen (expiration date of 1/2023) and expired Triamicinolone Ointment (expiration date of 1/2022) were stored with the children's medication in the kitchen cabinet.

Corrected Corrected by May 18, 2023

Category: ratio. Marked corrected in the state record.

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

The file of facility person #1 contained an initial health assessment dated 4/23/2021, which was more than 12 months prior to their start date (see coded LIS sheet).

Corrected Corrected by May 18, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file of facility person #1 contained a tuberculosis screening dated 4/9/2019, which was more than 12 months prior to working at the facility (see coded LIS sheet).

Corrected Corrected by May 18, 2023

Category: health medication. 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 health assessment of child #3 was dated 3/29/2023 and the health assessment of child #5 was dated 4/7/2023, both more than 60 days after their start date at the facility (see coded LIS sheet).

Corrected Corrected by May 18, 2023

Category: health medication. 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.

An electrical outlet was not covered with a protective receptacle cover by the stove in the play kitchen area.

Corrected Corrected by May 10, 2022

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.

Suave hand sanitizing spray, labeled "keep out of the reach of children," was on the table accessible to children. Based on conversation with the facility person, their purse on the floor, under the table, contained adult medication and was accessible to children.

Corrected Corrected by May 10, 2022

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

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

In the boy''s and girl's restrooms, toilets used by the children contained protruding bolts from the base of the toilet which could cause injury to a child if stepped on.

Corrected Corrected by May 11, 2022

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The handwashing sign in the boy's and girl's restroom was between the 2 sinks Each sink did not contain its own handwashing sign.

Corrected Corrected by May 10, 2022

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

A green lid containing chalk in the main classroom was cracked. The Language Lab classroom had 2 trays, which were stored with the Play-doh, which were cracked. In the outdoor play space, 2 small climbers were cracked on the deck children use to slide down the slide.

Corrected Corrected by May 10, 2022

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

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

The file of child #1 contained the original financial agreement.

Corrected Corrected by May 11, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact information of child #4 did not contain the address of the child's physician.

Corrected Corrected by May 11, 2022

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 information of child #1 and 3 did not contain the work address and work telephone number of the enrolling parent.

Corrected Corrected by May 10, 2022

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 information of child #2 and 4 did not address 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 or documentation it was not applicable to the child.

Corrected Corrected by May 10, 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 information of child #2 did not contain the address of one of the release persons identified by the parent to whom the child may be released.

Corrected Corrected by May 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The health assessment of child #2 was not current.

Corrected Corrected by May 20, 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.

Documentation of the influenza vaccination of child #3 was not current.

Corrected Corrected by May 10, 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.

The first aid kit in the STEAM room and in the Main room contained alcohol pads and burn cream not labeled for the use of an individual child.

Corrected Corrected by May 10, 2022

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

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

The file of child #1 did not contain signed parental consent for emergency medical care for the child.

Corrected Corrected by May 10, 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.

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

Corrected Corrected by May 10, 2022

Category: ratio. Marked corrected in the state record.