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.Cleaning and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

There were items labeled "keep out of reach of children" including lotions and hand sanitizer on a window ledge in the upper portion of Garnett Hall, in reach of children.

Corrected Corrected by Apr 29, 2025

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 program's emergency plan was not posted in a conspicuous location.

Corrected Corrected by Apr 29, 2025

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.Until such time as the required training has been completed, staff persons #2, #4, and #6 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, #4, and #6, the staff may not work in a child-care position at the facility.

The first aid training completed and documented on file for Facility Persons #2, #4, and #6 were expired.

Corrected Corrected by May 23, 2025

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The current fire safety trainings documented and on file for Facility Persons # 1 and # 5 were each completed more than 12 months after the prior fire safety trainings on file.

Corrected Corrected by Apr 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The current mandated reporter training completed and on file for Facility Person # 3 was completed more than 60 months after the prior mandated reporter training.

Corrected Corrected by May 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #5 may not work in a child care position at the facility without all current completed clearances..

The criminal history, child abuse and NSOR clearances on file for Facility Person #3 were completed more than 60 months after the previous respective clearances on file. The most recent child abuse clearance on file for Facility Person #5 was completed more than 60 months prior. The NSOR clearance on file for Facility Person # 5 was completed more than 60 months after the previous NSOR clearance on file.

Corrected Corrected by May 6, 2025

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

3270.54(b) · At least two facility persons shall be present when children are on an excursion away from the facility. At a minimum, one of the facility persons shall be a staff person.

According to statements from the operator, at times a child in care will be walked from the facility to another facility operated by the same legal entity accompanied by only one facility person.

Corrected Corrected by Apr 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.62(c) · Outdoor or indoor play space shall be safe for large muscle activity.

The Mobility Room, the facility's play space, was not safe for large muscle activity due to the fact that there was a table and chairs in the middle of the room.

Corrected Corrected by Apr 29, 2025

Category: physical safety. 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 posted at the facility on 4/28/25 only ran through 4/30/25. The menu was not posted or shared with each family at least a week in advance.

Corrected Corrected by May 1, 2025

Marked corrected in the state record.

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

The emergency contact forms and agreements on file for children #1-#4 had not been reviewed and updated by a parent, with the review attested to with a parent's dated signature, within the previous 6 months.

Corrected Corrected by Jun 18, 2025

Category: recordkeeping. Marked corrected in the state record.

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

There was documentation of a total of 6.5 hours of child care training completed during the annual period of 7/2023-7/2024 on file for Facility Person #1. Additional hours of child care training completed and documented on file during this time period were counted to correct noncompliance with this regulation for the annual period of 7/2022-7/2023 at the renewal inspection conducted on 9/26/23.

Corrected Corrected by Sep 26, 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 for child #3 did not include the address of the child's physician or source of medical care.

Corrected Corrected by May 24, 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 file for staff #3 contained documentation of completing the 1-hour training titled Pennsylvania Health and Safety Update 2022 more than 90 days after their rehire date.

Corrected Corrected by Mar 5, 2024

Category: ratio. 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 #2, designated as an aide on the staff data sheet, did not contain documentation of the qualifications required for the position.

Corrected Corrected by May 24, 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.

The files for staff #4 and #5 did not contain current written evaluations.

Corrected Corrected by Jun 13, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact forms for children #3 and #4 did not include the addresses of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by May 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The emergency contact forms and agreements for children #1-5 have not been reviewed and updated in writing in over 6 months.

Corrected Corrected by May 24, 2024

Category: recordkeeping. 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 #1, #3, #4, and #5 contained consecutive health assessments dated more than 24 months apart. The most recent health assessments on file for staff #1, #3, #4, and #5 are now current.

Corrected Corrected by May 24, 2024

Category: ratio. 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 file for staff #2 contained the results of a TB screening conducted more than 12 months prior to providing initial service in a child care setting.

Corrected Corrected by May 24, 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.

The file for staff #2 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by May 24, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The files for staff #1, #2, #3, #4, #5, and #7 contained documentation of completing the 1 hour Pennsylvania Health and Safety Update after the deadline of 12/30/22 as set forth in Announcement C-22-06. The file for staff #8 lacked documentation of completing the training.

Corrected Corrected by Sep 28, 2023

Category: ratio. Marked corrected in the state record.

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

The file for staff #3 contained Pediatric CPR and First Aid certification that expired on 6/22/23.

Corrected Corrected by Oct 25, 2023

Category: ratio. 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 #4, designated by the director as an assistant group supervisor, did not contain documentation of the qualifications required for the position.

Corrected Corrected by Oct 6, 2023

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The files for staff #2 and #7 contained staff evaluations conducted more than 12 months apart. The most recent evaluations on file are now current.

Corrected Corrected by Sep 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.51/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At approximately 4:40 PM, staff #2 was observed with 12 children in the chapel. Two students were observed leaving the chapel to enter the Library/Gross Motor Room to retrieve books. No staff were present in the Library. Staff #2 was able to see the children from her position in the chapel, however staff #2 was not physically present with the children in the Library.

Corrected Corrected by Sep 28, 2023

Category: supervision. Marked corrected in the state record.

3270.51/3270.113(a) · 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. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At approximately 4:30 PM, a school age child was observed alone in the chapel. A group of children were observed checking in with staff #1 at the entry of the facility. The certification representative observed 1 child ascend the staircase to the chapel. When the certification representative followed the child, no staff were present in the chapel.

Corrected Corrected by Sep 27, 2023

Category: supervision. 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 for child #1 contained an incomplete address and lacked a telephone number for the child's physician or source of medical care. The emergency contact form for child #2 lacked an address for the child's physician or source of medical care.

Corrected Corrected by Sep 29, 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 for child #2 contained an incomplete address for the enrolling parent.

Corrected Corrected by Sep 27, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff #4 contained consecutive health assessments conducted more than 24 months apart. The most recent health assessment on file is now current.

Corrected Corrected by Sep 26, 2023

Category: ratio. Marked corrected in the state record.

3270.171(b)/3270.171(c) · Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. 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 was not posted in a conspicuous location in the child care facility.

Corrected Corrected by Oct 4, 2023

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 #6 did not contain written references.

Corrected Corrected by Oct 9, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Based on the 30 day fire detection system test log, consecutive tests occurred more than 30 days apart on the following dates; 10/19/23 and 11/23/22=35 days, 4/17/23 and 5/23/23 =36 days. The program restarted on 8/28/23 and a current test dated 9/11/23 is documented.

Corrected Corrected by Sep 26, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff #4 contained 11 hours of annual training completed late and 1 hour of training completed on time. The late trainings were dated after the assessment window of 7/19/22 to 7/19/23.

Corrected Corrected by Oct 9, 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 address continuity of operations.

Corrected Corrected by Oct 17, 2022

Category: ratio. Marked corrected in the state record.

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

The facility lacked a written policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Oct 17, 2022

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for staff #1, #2, and #3 contained fire safety training that was not completed on an annual basis, staff completed the training in February 2021 and again in March 2022. The files for staff #4 and #9 did not contain documentation of current fire safety training.

Corrected Corrected by Oct 17, 2022

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 #5 and #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety training topics 1-9. Current training is now on file. Staff #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric PR/FA. Current training is now on file.

Corrected Corrected by Oct 17, 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. Staff #4 may not work in a child care position at the facility.

The file for staff #4 contained an expired child abuse clearance dated 12/08/15. The file also contained state police and FBI clearances which were not updated within 60 months. Dates are as follows; previous SP dated 9/24/15 renewed on 9/28/21, previous FBI dated 10/15/15, renewed on 9/14/21. The file for staff #2 contained a state police clearance which was not renewed within 60 months; previous SP dated 10/13/16, renewed on 11/23/21.

Corrected Corrected by Oct 17, 2022

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 Child Protective Services). Staff person #1 will have until 10/18/22 to complete the mandated reporter 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 person(s) available to supervise staff #1 then staff #1 may not work in a child-care position at the facility.

Staff person #1 has not completed acceptable mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/13/16 and a training from an unapproved source dated 2/15/21. Staff person #4 did not renew mandated reporter training within 60 months. This is evidenced by the previous documented mandated reporter training on file being dated 10/21/16 and the most recent being dated 2/15/22.

Corrected Corrected by Oct 17, 2022

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.

The file for staff #7, designated as an aide, did not contain verification of the education required for the position.

Corrected Corrected by Oct 17, 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 files for staff #2 and #4 contained written evaluations conducted more than 12 months apart. Both files now contain current evaluations.

Corrected Corrected by Oct 17, 2022

Category: recordkeeping. 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 #1, #2, and #3 contained health assessments which were updated more than 24 months after the date of previous assessment. The most recent health assessments on file for all three staff are now current.

Corrected Corrected by Oct 17, 2022

Category: ratio. Marked corrected in the state record.

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

The files for staff #7 and #8 did not contain written references.

Corrected Corrected by Oct 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2--- may not work in a child care position at the facility.

The file for Staff #2 lacked an NSOR clearance.

Corrected Corrected by Oct 15, 2021

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 files for Staff #1 and #4 lacked staff evaluations.

Corrected Corrected by Oct 15, 2021

Category: recordkeeping. Marked corrected in the state record.

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

Peeling paint and plaster were observed on the left wall of the gross motor room, under the window.

Corrected Corrected by Oct 20, 2021

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

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

The files for Child #1, #2 and #3 contained emergency contact forms which lacked the work addresses and telephone numbers for the enrolling parents.

Corrected Corrected by Oct 19, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The file for Child #2 contained an emergency contact form which lacked the address and phone number for release persons.

Corrected Corrected by Oct 19, 2021

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.

Emergency contact forms were not present in the Parlor for 3 YSA children being cared for in that space.

Corrected Corrected by Oct 19, 2021

Category: recordkeeping. 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 #1 contained a most recent health assessment dated more than 24 months ago.

Corrected Corrected by Oct 16, 2021

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 file for Staff #3 contained a health assessment which included a notation by the medical provider that the individual had a communicable disease, yet lacked any further information.

Corrected Corrected by Oct 13, 2021

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 observed emergency plan lacked accommodations for infants and toddlers.

Corrected Corrected by Oct 15, 2021

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

3270.31(h)/3270.192(2)(iii) · All staff persons shall complete the professional development under subsection (f). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #4, a new hire, lacked documentation of health and safety training numbers 1 - 9, as listed in the regulation 3270.31(f). Training was required within 90 days of hire.

Corrected Corrected by Oct 15, 2021

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

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The observed fire drills contained the same hypothetical locations of the fires for consecutive drills.

Corrected Corrected by Oct 15, 2021

Category: recordkeeping. Marked corrected in the state record.