3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

Corrected Corrected by Oct 1, 2025

Category: supervision. Marked corrected in the state record.

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

The Shaken Baby Policy submitted by the facility does not include language regarding the prevention and identification of child maltreatment.

Corrected Corrected by Oct 1, 2025

Category: ratio. 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). Facility Person #1 may not work in a child care position at the facility.

The signed disclosure statement on file for Staff person #1 is not dated, making it invalid.

Corrected Corrected by Oct 1, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff person #1, classified as Director, does not include verification of a Bachelor's degree in Education or a related human services field and 1 year of experience with children; or a Bachelor's degree with 30 credits in education or a related human services field and 2 years of experience with children; or an Associate's degree in education or a related human services field and 3 years of experience with children; or an Associate's degree with 30 credits in education or a related human services field and 4 years of experience with children.

Corrected Corrected by Oct 1, 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.

There are 2 outlets behind the television in the Toddler area that did not have covers inserted.

Corrected Corrected by Aug 28, 2025

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 agreement on file for Child #2 does not include the services to be provided by the childcare facility.

Corrected Corrected by Oct 1, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The agreement on file for Child #2 does not include the persons to whom the child can be released.

Corrected Corrected by Oct 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. 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 for Child #2 does not include written parental consent for the facility to obtain emergency medical care.

Corrected Corrected by Oct 1, 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 two most recent health assessments on file for Child #1, who is a preschool age child, are dated 10.27.23 and 11.14.24, more than 12 months apart.

Corrected Corrected by Oct 1, 2025

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

3270.131(d)(5)/3270.131(e)(3) · ·Child #2 must be dismissed from care by close of business on 8.28.25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The immunization record on file for Child #2, who is 10 months old, included 2 of 3 DTAP vaccines recommended by the ACIP for a child this age and 2 of 3 pneumococcal vaccines recommended by the ACIP for a child this age.

Corrected Corrected by Oct 1, 2025

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

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

The 2 most recent health assessments on file for Staff person #2 were dated 1.12.23 and 2.20.25, more than 24 months apart.

Corrected Corrected by Oct 1, 2025

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 current health assessment on file for Staff person #1 does not indicate if the staff person was assessed for communicable/contagious disease.

Corrected Corrected by Oct 15, 2025

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for Staff person #1 does not include the physician or health care professional's assessment of the person's suitability to provide childcare.

Corrected Corrected by Oct 15, 2025

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

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file for Child #2 does not include written parental permission for the facility to administer minor first aid procedures.

Corrected Corrected by Oct 1, 2025

Category: ratio. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility does not have verification of the completion of an emergency drill within the last 1 year.

Corrected Corrected by Oct 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement on file for Child #3 does not include the amount of the fee to be paid by the parent/guardian.

Corrected Corrected by Sep 17, 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 #1 may not work in a child care position at the facility.

The file for Staff person #1, classified as a Director, includes documentation of application of a Massachusetts state criminal history clearance, Massachusetts child abuse clearance, and Massachusetts sex offender clearance after the date of hire (See IS CODE SHEET). The Massachusetts child abuse clearance and sex offender clearance are currently in the file; the Massachusetts criminal history clearance was not yet received at the time of inspection. A Director may not be hired provisionally.

Corrected Corrected by Sep 17, 2024

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

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

The file for staff person #1, classified as Director, does not include verification of a Bachelor's degree in Education or a related human services field and 1 year of experience with children; or a Bachelor's degree with 30 credits in education or a related human services field and 2 years of experience with children; or an Associate's degree in education or a related human services field and 3 years of experience with children; or an Associate's degree with 30 credits in education or a related human services field and 4 years of experience with children.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

The cupboard containing diaper cream and wipes, labeled "Keep out of reach of children" in the toddler diapering area was not locked, making the toxics accessible to children.

Corrected Corrected by Sep 17, 2024

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

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement on file for Child #1 and #2 does not include the date the fee is to be paid by the parent/guardian.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The agreement on file for Child #1 does not include the services to be provided

Corrected Corrected by Sep 17, 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 on file for Child #2 does not include the work address and/or telephone number for the enrolling parent.

Corrected Corrected by Sep 17, 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 on file for Child #1 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

Corrected Corrected by Sep 17, 2024

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

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

The emergency contact form on file for Child #1 does not include a complete address for all listed release persons.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

There were infant feeding bottles in the refrigerator in the infant room that were not labeled with the name for whom the bottles were intended.

Corrected Corrected by Sep 17, 2024

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 did not have a written policy for the identification and prevention of shaken baby syndrome and abusive head trauma as required by Announcement C-22-03.

Corrected Corrected by Sep 25, 2023

Category: ratio. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The operator's letter that is provided to parents explaining the emergency procedures lacked details regarding accommodations for children and the procedures for communicating with parents during and after an emergency

Corrected Corrected by Sep 25, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for staff #1 contained a child abuse clearance which was not renewed within 60 months. The previous child abuse clearance was dated 1/11/18. The current child abuse clearance was dated 7/27/23.

Corrected Corrected by Aug 28, 2023

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

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

A bag containing a first aid kit was accessible to children while they were on the playground. The bag was observed on the ground inside the fence near the gate. The bag was not equipped with a lock.

Corrected Corrected by Aug 28, 2023

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

The sink in the toddler room lacked steps that are tall enough for all the children observed in the room to easily wash their hands. Staff were observed holding a child on their knee during hand washing and stated the child could not reach the sink on his own.

Corrected Corrected by Sep 7, 2023

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

In the toddler room, straps across the diaper table stairs created a tripping hazard. The straps were mounted to the steps by the operator and were intended to stop the children from climbing them. Two children were observed climbing up and down the steps while the only staff person in the room was changing a diaper. The children were trying to step over the straps while going up and down which created a tripping hazard. .

Corrected Corrected by Sep 7, 2023

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 for child #3 did not include the telephone number of the child's physician or source of medical care.

Corrected Corrected by Aug 28, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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 file for child #1, eight months old, lacked documentation of receiving the influenza vaccine. The file for Child #2 contained an immunization record which indicated the child did not receive the influenza vaccine at any time in 2022, however a current 2023 vaccination for influenza is now on file. The files did not contain written exemption letters.

Corrected Corrected by Aug 28, 2023

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

Equate brand Homeopathic Cold & Cough medicine, which lacked written parental consent, was observed in the medication storage cabinet. The medication was labeled for use by child #2.

Corrected Corrected by Aug 28, 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 for staff #2 contained consecutive health assessments dated more than 24 months apart. The most recent health assessment on file is now current.

Corrected Corrected by Aug 28, 2023

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 facility's annual inspections of the fire alarm system were conducted more than 12 months apart. The previous inspection report was dated 7/08/22. The current inspection report was dated 7/13/23.

Corrected Corrected by Aug 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Based on statements made by staff, on 8/17/23 staff #1 fell asleep while supervising an infant. The sleeping staff was unable to provide active supervision to the infant they were responsible for supervising.

Corrected Corrected by Aug 28, 2023

Category: supervision. Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Based on statements made by staff, on 8/17/23 child #1, an infant, slept in a swing for approximately 1 hour.

Corrected Corrected by Aug 28, 2023

Category: physical safety. 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.

Based on statements made by staff, on 8/17/23 staff #1 fell asleep while supervising an infant. The sleeping staff was unable to provide active supervision to the infant they were responsible for supervising.

Corrected Corrected by Aug 28, 2023

Category: supervision. Marked corrected in the state record.

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

Based on statements made by staff, on 8/17/23 staff #1 fell asleep while supervising an infant. The sleeping staff was unable to provide active supervision, including knowing the whereabouts of the infant they were responsible for supervising.

Corrected Corrected by Aug 28, 2023

Category: supervision. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Based on statements made by staff, on 8/17/23 child #1, an infant, slept in a swing for approximately 1 hour.

Corrected Corrected by Sep 29, 2023

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

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

The facility's emergency plan did not include details related to continuity of operations.

Corrected Corrected by Sep 16, 2022

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.

Loose crib sheets, which present a suffocation risk, were observed in a crib while in use by child #6, an infant.

Corrected Corrected by Sep 1, 2022

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

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics 1-9. Completed training is now on file.

Corrected Corrected by Aug 24, 2022

Category: health medication. 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 file for staff #4 lacked a written evaluation. The staff person has been employed for over 12 months.(See LIS code sheet)

Corrected Corrected by Aug 25, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Upon arrival, staff #3 was observed returning with 2 children from the restroom downstairs. Staff #2 was observed in the PS area with 10 children; 4 young school agers, 5 preschoolers, and 1 older toddler.

Corrected Corrected by Aug 24, 2022

Category: ratio. 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.

Three outlets in the preschool area, accessible to children 5 years of age or younger, lacked protective covers.

Corrected Corrected by Aug 24, 2022

Marked corrected in the state record.

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

A wall mounted chalkboard shelf in the school age room was not tightly secured to the wall creating a pinch point.

Corrected Corrected by Aug 31, 2022

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

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The file for child #2 contained an agreement which did not specify the amount of the fee to be charged.

Corrected Corrected by Aug 26, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The file for child #2 contained an agreement which did not specify the date on which the fee is to be paid.

Corrected Corrected by Aug 26, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #2 contained emergency contact information which did not include the address of the child's source of medical care.

Corrected Corrected by Sep 16, 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 files for children #1, #2, and #4 contained emergency contact information which did not include work addresses or telephone numbers for the enrolling parent or guardian.

Corrected Corrected by Sep 9, 2022

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 for child #3 contained consecutive health reports conducted more than 12 months apart. The most recent health report on file is now current.

Corrected Corrected by Aug 24, 2022

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The files for children #2 and #3 contained vaccination records which did not include documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. Written exemptions were not on file.

Corrected Corrected by Sep 9, 2022

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

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

The files for staff #1 and #2 contained health assessments conducted more than 24 months apart. The most recent health assessments on file for both staff are now current.

Corrected Corrected by Aug 24, 2022

Category: ratio. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility has not conducted an emergency drill.

Corrected Corrected by Sep 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

The file for staff #3 contained documentation of completing the required preservice training, health and safety topics 1-9, on 8/13/16 which is prior to the validity date of September 30, 2016. Documentation of acceptable training is now on file.

Corrected Corrected by Aug 24, 2022

Category: health medication. 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 file for child #1 lacked disability information on the emergency contact form.

Corrected Corrected by Aug 6, 2021

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

3270.66(b) · Toxics shall be stored away from food, food preparation areas and child care spaces.

Toxics were observed stored on the top shelf over food, paper plates, and cups in the locked storage room behind the stage.

Corrected Corrected by Aug 6, 2021

Category: ratio. Marked corrected in the state record.

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

There was peeling paint and plaster on the wall of the building in the playground area.There was Velcro pulling off the wall exposing some peeling paint in the toddler area in the main room

Corrected Corrected by Sep 3, 2021

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

3270.82(h) · A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The girls bathroom lacked a hand washing sign by the training chair.

Corrected Corrected by Aug 5, 2021

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.

In the girls bathroom there was a cracked garbage can lid, in the school age room there was a blue milk crate that was cracked on the bottom edge, and an orange bin that has a crack, a green table that has rough edge, and a white board eraser holder that had a sharp corner. In the kitchen area there was a plastic bin lid that was cracked.

Corrected Corrected by Aug 5, 2021

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

In the toddler area the staff changing a diaper, opened the lidded can with their hands.

Corrected Corrected by Aug 5, 2021

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for Staff # 1 contained a health assessment that was passed the 24 months following the date of signature.

Corrected Corrected by Aug 5, 2021

Category: ratio. 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 emergency plan lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Sep 3, 2021

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

3270.25(a) · 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 did not provide the parent of each child enrolled with information on how to access the regulations in chapter 3270 electronically.

Corrected Corrected by Aug 5, 2021

Marked corrected in the state record.