3280.52(c) · 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 at §3280.52(b).

On 4/4/25, at 12:05 PM, Staff Person #1 was observed supervising 12 children: 1 Infant, 3 Young Toddlers, and 8 Preschool Children in the Dining Room.

Corrected Corrected by May 9, 2025

Category: supervision. Marked corrected in the state record.

3280.61(h)(3)(iii) · When the capacity of a space is exceeded while children are eating, the number of children present in the space may not be more than twice the measured capacity of the space.

On 4/4/25, from 12:05-12:40, 12 children were present in the Dining Room for lunch. The Dining Room has a capacity of four, which allows for only eight children during lunch.

Corrected Corrected by May 9, 2025

Category: ratio. Marked corrected in the state record.

3280.20 · Conditions at the facility may not pose a threat to the health or safety of the children.

Observed adult scissors and a stapler, which were accessible to children, on a table in the preschool room. Observed loose fitted sheets on two of the Pack n Plays in the living room.

Corrected Corrected by Apr 25, 2025

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

3280.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

The back outdoor play area does not have a means of restricting access to the upper area where garbage is collected. Observed two ladders and a cinder block in this area, which create potential toppling hazards. The gate in the front outdoor play area, which leads to a busy street, is damaged and does not restrict access to the street. The lower connecting pole to the gate is missing and the latch does not lock securely.

Corrected Corrected by May 9, 2025

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

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed one outlet with a missing receptacle cover near the washer where preschool children wash hands.

Corrected Corrected by Apr 25, 2025

Marked corrected in the state record.

3280.66(a) · 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Observed in the following areas, which were accessible to children: Can of paint and disinfecting wipes in the laundry room where preschool children wash hands, cans of paint and cleaning supplies next to the sink in kitchen, cans of paint in an unlocked shed in the back outdoor play space, ice melt in an unlocked bin in the front outdoor play space.

Corrected Corrected by May 2, 2025

Category: ratio. Marked corrected in the state record.

3280.66(c) · Toxic plants are not permitted in a child care space.

Observed two golden pothos, which have been determined to be toxic, in the dining room.

Corrected Corrected by Apr 4, 2025

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

3280.76 · 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 in the following areas: Loose hanging wires from the ceiling in the laundry room (handwashing area). Holes in the wall between the bathroom and laundry room. Preschool Room: holes in the wall in the corner by library, loose ledge where sleeping mats are stored, which creates a potential toppling hazard, two ceiling tiles separating in the dramatic kitchen play area. Dining Room/Living Room: peeling tape and screws loose on the swivel door between the two rooms, which creates a potential pinch hazard. Front outdoor play space: light fixture above door detached, drain pipe broken and cover not on, which creates a sharp edge.

Corrected Corrected by May 30, 2024

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Observed peeling, flaking paint on the on the wall in the area that contained washer and dryer in the laundry room (handwashing area).

Corrected Corrected by May 9, 2025

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

3280.105(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.

Observed less than two feet of space on three sides of the Pack n Plays in the living room.

Corrected Corrected by Apr 25, 2025

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

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

The first child service report in the file for Child #3 was conducted more than six months after the child's first day in care.

Corrected Corrected by Apr 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 #1, 2 and 3 did not include the work address and phone number of the enrolling parent.

Corrected Corrected by Apr 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact form in the file for Child #2 did not include information on the disability/special needs of the child.

Corrected Corrected by May 9, 2025

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

3280.131(b)(1)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

The most recent updated health reports in the file for Child #2, a young toddler, exceeded 6 months between reports.

Corrected Corrected by May 2, 2025

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

3280.131(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 recent health report in the file for Child #1 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 May 9, 2025

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

3280.133(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 pain medication that was not labeled with the child's name in a pink bag for Child #4.

Corrected Corrected by May 2, 2025

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

3280.133(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 an EpiPen and inhaler for Child #1 in a bag that was accessible to children in the preschool room.

Corrected Corrected by May 2, 2025

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

3280.133(6)/3280.133(7)(i) · A parent shall provide written consent for administration of medication or a special diet. A medication log shall include the name of the medication.

Observed an EpiPen and inhaler for Child #1, which lacked written consent for administration of medication from the parent and a medication log.

Corrected Corrected by May 9, 2025

Category: ratio. Marked corrected in the state record.

3280.134(a)/3280.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

On 4/4/25 at 9:30 AM, observed that Staff Person #2 did not wash their hands or the child's hands after a diaper change.

Corrected Corrected by Apr 4, 2025

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

3280.181(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 emergency contact form in the file for Child #3, who has been enrolled for more than 6 months, has not been updated by the parent.

Corrected Corrected by Apr 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Documentation of the most recent emergency drill was conducted on 3/15/24, which was more than 12 months prior to the date of the renewal inspection (4/4/25).

Corrected Corrected by Apr 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The fire drill/fire system test log documents one time when fire system checks exceeded 30 days between checks: 1/3/25-2/3/25. On the day of the inspection, the interconnected smoke detectors were not operating properly. Each smoke detector was individually operable, but the two smoke detectors did not go off simultaneously when one or the other was activated.

Corrected Corrected by May 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

The facility did not have notification on file of letter to local traffic safety authorities of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Corrected Corrected by May 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.26(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

The emergency plan was documented as reviewed on 3/4/24 and previously in 2022, with no review documented in between.

Corrected Corrected by May 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.26(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.

There was documentation of emergency plan training on file for Facility Persons #2 and #3 from 3/4/24, but no documentation of emergency plan training from 2023.

Corrected Corrected by Jun 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures outlined in 3280.26(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 the facility's plan for a lockdown, accommodations in an emergency, or information on annual emergency drills.

Corrected Corrected by May 20, 2024

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

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

There was documentation of only 8 hours of child care training on file, completed during their most recent review year, for Facility Persons # 1 and #2.

Corrected Corrected by May 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.71 · 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.

There was a heater in the preschool restroom, a small wall heater plugged into an outlet, in reach of children, in operation and exceeding 110° F .

Corrected Corrected by May 2, 2024

Category: ratio. Marked corrected in the state record.

3280.102(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 low basketball hoop in the front playspace with a detached net accessible and hazardous to children as it could present a strangulation hazard.

Corrected Corrected by May 30, 2024

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

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

The child service reports on file for children #1, #2, #3 and #4 were not complete.

Corrected Corrected by May 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 back infant/toddler room ("living room") or downstairs preschool room for children receiving care in those rooms.

Corrected Corrected by May 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(f) · 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.

The emergency contact form on file for child #2 was reviewed and updated by a parent in writing more than 6 months after the previous review.

Corrected Corrected by May 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(5)/3280.131(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).

There was no documentation of the ACIP recommended doses of MMR and varicella vaccines, as per the child's age, on file for child #1. Child #1 must be dismissed from care by close of business on 5/2/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Corrected Corrected by May 3, 2024

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

3280.15(b) · (b) The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance granted by the Department under this chapter.

The facility's occupancy permit presented at the inspection, issued in 2006, limited the provider to the use of the ground floor only, however the provider was using the ground floor and the basement level.

Corrected Corrected by May 20, 2024

Marked corrected in the state record.

3280.26(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's emergency plan did not specify accommodations to be taken in an emergency for infants and toddlers.

Corrected Corrected by May 20, 2024

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

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The documentation of smoke detector testing at the facility indicates that the detectors were tested on 2/2/24 and then again on 3/18/24, more than 30 days apart. There was no documentation of smoke detector testing between 6/2023 and 10/2023.

Corrected Corrected by May 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.24(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The operator has not shared with parents or posted information for the families on how to access the regulations electronically.

Corrected Corrected by May 3, 2024

Marked corrected in the state record.

3280.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

SECOND CITATION; CITED PREVIOUSLY ON 4/12/23: At approximately 11:15 AM, there were 5 children in care in the multipurpose room, which has a measured maximum capacity of 4 children.

Corrected Corrected by Jun 30, 2023

Category: ratio. Marked corrected in the state record.

3280.76 · 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.

SECOND CITATION, PREVIOUSLY CITED ON 4/12/23: There were exposed bolts at the gate and the fencing in the front outdoor playspace.

Corrected Corrected by Jun 28, 2023

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

3280.105(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.

SECOND CITATION; CITED PREVIOUSLY ON 4/12/23: There was a packnplay in use in the infant/ toddler room with less than 2 feet of space on 3 sides.

Corrected Corrected by Jun 20, 2023

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

3280.124(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.

SECOND CITATION; PREVIOUSLY CITED ON 4/12/23: The medical emergency transportation plan was not posted in the infant/toddler room.

Corrected Corrected by Jun 21, 2023

Category: transportation. Marked corrected in the state record.

3280.105(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 3 preschool children in care in the Pre-K/Schoolage room without rest equipment labeled with their names.

Corrected Corrected by Apr 12, 2023

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

3280.14/3280.20 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility's emergency plan did not include a plan for continuity of operations in the event of an emergency, as required by federal mandate.

Corrected Corrected by Jun 2, 2023

Category: ratio. Marked corrected in the state record.

3280.52(b) · 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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 11:35, Facility Person #1 was caring for an infant, 2 young toddlers and 2 older toddlers in the infant/toddler room when Facility Person #2 left the room to wash her hands in the restroom adjacent to the multipurpose room after diapering an infant.

Corrected Corrected by Apr 12, 2023

Category: ratio. Marked corrected in the state record.

3280.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

From 11:25-11:30 there were 6 children in care in the multipurpose room, which has a measured maximum capacity of 4 children. From approximately 11:30-12:20 there were 5 children in care in the infant/toddler room, which has as a measured maximum capacity of 4 children.

Corrected Corrected by Apr 12, 2023

Category: ratio. Marked corrected in the state record.

3280.66(a) · 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

There was a packet of Lysol disinfectant wipes on the floor of the restroom adjacent to the multipurpose room. In the Pre-K/Schoolage room, there were disinfectant wipes and hand sanitizer on a low shelf in reach of children.

Corrected Corrected by Apr 12, 2023

Category: ratio. Marked corrected in the state record.

3280.76 · 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 were exposed bolts at the gate in the front outdoor playspace.

Corrected Corrected by May 5, 2023

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

3280.105(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.

There were 2 packnplays in use in the infant/ toddler room with less than 2 feet of space on 3 sides.

Corrected Corrected by Apr 12, 2023

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

3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement on file for child #2 did not specify the arrival and departure times.

Corrected Corrected by Apr 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The original agreements were on file for children #1-#5.

Corrected Corrected by Apr 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 form on file for child #2 did not include the health insurance policy number.

Corrected Corrected by Apr 13, 2023

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

3280.124(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 infant/toddler room.

Corrected Corrected by May 19, 2023

Category: transportation. Marked corrected in the state record.

3280.124(f) · 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.

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 prior emergency contact form. The most recent emergency contact forms on file for children #2 and #3 were not reviewed and updated by a parent in writing in the previous 6 months.

Corrected Corrected by Apr 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(5)/3280.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).Children #2, #3, and #5 must be dismissed from care by close of business on 4/12/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

There was no documentation of a current annual flu vaccine on file for children #2, #3 and #5.

Corrected Corrected by Apr 14, 2023

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

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Documentation of smoke detector testing at the facility indicate that the smoke detectors were tested on 9/1/22 and next on 10/3/22 and again on 12/1/22 and next on 1/2/23. On both occasions, more than 30 days passed between testing.

Corrected Corrected by Apr 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The documentation of testing the operability of the facility's smoke detectors on file indicated more than 30 days passed between testing documented on 3/4/22 and 4/4/22.

Corrected Corrected by Apr 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(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 most recent health assessment on file for child #1 was completed more than 12 months prior. The current health assessment on file for child #2 (dated 3/24/22) was completed more than 12 months after the prior assessment on file (7/1220), and after the covid related suspension of the regulation ended effective 1/6/22.

Corrected Corrected by Jun 10, 2022

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

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There was a power strip on near the TV on the floor in the basement preschool/schoolage room with three uncovered outlets.

Corrected Corrected by Apr 20, 2022

Marked corrected in the state record.

3280.66(a) · 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

In the kitchen, there were cleaning supplies located in an unlocked cabinet under the sink accessible to children, and a disinfectant spray located in a drawer low enough to be in reach of children

Corrected Corrected by Apr 20, 2022

Category: ratio. Marked corrected in the state record.

3280.76 · 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 splintering and nails protruding from a wooden handrail located by steps in the back outdoor playspace.

Corrected Corrected by Jun 17, 2022

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the restroom, there was damaged plaster on the wall behind the paper towel dispenser. There was peeling paint on the steps at the front entrance and on a ledge and floor of the porch area outside the back door, in the back outdoor playspace.

Corrected Corrected by Jun 17, 2022

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

3280.105(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 two rest mats in the preschool room and a packnplay in the infant/toddler room not labeled with the names of the children who use them.

Corrected Corrected by Apr 20, 2022

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

3280.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The agreements on file for children #1-#5 were the originals.

Corrected Corrected by May 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 infant/young toddler room for children receiving care in that space.

Corrected Corrected by Apr 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 infant/ toddler room.

Corrected Corrected by Apr 20, 2022

Category: transportation. Marked corrected in the state record.

3280.131(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.

There was no current documentation of an annual influenza vaccine on file for children #1 and #5.

Corrected Corrected by Jun 10, 2022

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

3280.151(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.

The current health assessment on file for Facility Person #1 was completed more than 24 months after the prior health assessment on file.

Corrected Corrected by Apr 20, 2022

Category: ratio. Marked corrected in the state record.

3280.26(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's emergency plan does not specify accommodations for infants or toddlers.

Corrected Corrected by Jun 29, 2022

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

3280.26(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 documented. According to the operator an emergency drill has not yet been conducted.

Corrected Corrected by Apr 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The evacuation routes were not posted on the basement level of the facility.

Corrected Corrected by Jun 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(9) · The primary staff person 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 hypothetical locations of the fire recorded on the fire drill log.

Corrected Corrected by Jun 10, 2022

Category: recordkeeping. Marked corrected in the state record.