3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The file for staff #1 contains pediatric first aid and cpr training that was renewed late. It was due 6/2023 and obtained 8/2023.

Corrected Corrected by Nov 19, 2024

Category: ratio. Marked corrected in the state record.

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

Staff person #2 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and cpr. It was due 1/2024 and completed 3/2024.

Corrected Corrected by Nov 19, 2024

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A 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 following staff files contain clearances that were updated late: #3 - criminal due 8/2024 and obtained 9/2024, child abuse due 8/2024 and obtained 9/2024; #4 - FBI due 6/22/2024 and obtained 6/24/2024; #6 - criminal due 9/19/2024 and obtained 9/24/2024, child abuse due 9/12/2024 and obtained 9/30/2024, NSOR due 11/6/2024 and obtained 11/7/2024.

Corrected Corrected by Nov 19, 2024

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

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

Observed one unlocked janitor's closet in the hallway that had cleaning products in it that were accessible to the children.

Corrected Corrected by Nov 19, 2024

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, #5 contain health assessments that were updated late. #1 due 6/2024 and obtained 7/2024; #3 due 5/2024 and obtained 6/2024; #5 due 4/8/2024 and obtained 4/17/2024.

Corrected Corrected by Nov 19, 2024

Category: ratio. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

On 2 occasions since the previous annual inspection, fire drills exceeded 60 days. ( 11/8/23-1/12/24; 3/11/24-6/21/24).

Corrected Corrected by Nov 19, 2024

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 #1 contains annual training hours for the 7/2023 - 7/2024 period that were late. 5 hours from 11/2024 were used to satisfy the 7/2023 - 7/2024 window.

Corrected Corrected by Nov 19, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The surface of the radiator cover on the wall across from the doorway in the infant room, and which is accessible to children in care, measure over 110 degrees Fahrenheit.

Corrected Corrected by Feb 1, 2024

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

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

There was an area of exposed plaster on the wall in the young toddler room where a coat hook had pulled out of the wall, damaging the surface.

Corrected Corrected by Dec 31, 2023

Category: physical safety. 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 Health and Safety professional development training update on file for Staff person #1 is dated 9/9/23, after the deadline of 12/30/22, as per Announcement C-22-06.

Corrected Corrected by Nov 28, 2023

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). 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 does not contain documentation of a completed NSOR certificate within 45 days of hire (See IS CODE SHEET) required for provisional hiring under the CPSL.

Corrected Corrected by Nov 30, 2023

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.

Staff person #3, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or a high school diploma or a general educational development certificate, 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children.

Corrected Corrected by Jan 2, 2024

Category: supervision. Marked corrected in the state record.

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

The file for Staff person #1 includes a staff evaluation dated 10/2023, more than 12 months after hire (See LIS Code sheet).

Corrected Corrected by Nov 28, 2023

Category: recordkeeping. 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 a spot of peeling paint, accessible to children, on the rear wall in the young toddler classroom. There was peeling paint in the social hall/gross motor room on the post and along the wall on the left of the room.

Corrected Corrected by Nov 28, 2023

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

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

There were two climbing bolsters in the outdoor playground that had tears on the vinyl surface covering.

Corrected Corrected by Nov 28, 2023

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

A written emergency transportation plan detailing transportation procedures for a medical emergency was not posted in the Preschool 2 room.

Corrected Corrected by Nov 28, 2023

Category: transportation. Marked corrected in the state record.

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

The two most recent health assessments on file for Child #1, who is a preschool age child, are dated 5/2/22 and 6/1/23, more than 12 months apart. The most recent health assessments on file for Child #2, who is a preschool age child, is dated 10/5/22, more than 12 months ago.

Corrected Corrected by Feb 1, 2024

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 10/19/21 and 11/9/23, more than 24 months apart.

Corrected Corrected by Nov 28, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.192(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The current health assessment on file for Staff person #4 does not indicate if the staff person was assessed for communicable/contagious disease.

Corrected Corrected by Dec 8, 2023

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

3270.151(c)(5)/3270.192(3) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The health assessment on file for Staff person #4 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

Corrected Corrected by Dec 8, 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 emergency plan on site does not include provisions regarding volunteer emergency preparedness training, and continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

Corrected Corrected by Nov 29, 2022

Category: ratio. Marked corrected in the state record.

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

Staff person #1, #2, #3, #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care-Building Blocks for Quality. Staff person #1 completed the training on 5/23/22; Staff person #2 completed the training on 5/15/22; Staff person #3 completed the training on 6/5/22; Staff person #4 completed the training on 5/7/22.

Corrected Corrected by Nov 18, 2022

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

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The water in the sink by the window in the hallway bathroom measured 119 degrees Fahrenheit.

Corrected Corrected by Jan 31, 2023

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

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

There were 2 register covers in Rec Hall that measured 136 degrees Fahrenheit to the touch, and 2 register covers in the Infant room that measured over 110 degrees Fahrenheit to the touch. All register covers were accessible to children.

Corrected Corrected by Nov 18, 2022

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

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

There was bubbled plaster and peeling paint on the far wall, under the windows in Rec Hall, within reach of children.

Corrected Corrected by Jan 31, 2023

Category: physical safety. 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 8/3/20 and 10/15/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #4 were dated 8/19/20 and 9/26/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #5 were dated 11/25/19 and 1/11/22, more than 24 months apart.

Corrected Corrected by Nov 18, 2022

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). 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 staff file for Staff person #1, who has a start date working in child care of 8/9/21, lacked a valid FBI clearance on file at time of hire; a DOE FBI clearance was on file which is no longer an acceptable clearance per the Child Protective Service Law (CPSL). Staff #1 has a DHS FBI clearance dated 8/20/21 on file.

Corrected Corrected by Nov 16, 2021

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

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

In the Rec Hall an electrical outlet, located to the right of the youth lounge door, was observed to lack two protective receptacle covers.

Corrected Corrected by Nov 16, 2021

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 staff file for Staff person #2, who has a start date working in child care as 8/9/21 contained a current health assessment dated 8/20/21 which was not obtained prior to providing initial service in a child care setting. The staff file for Staff person #3, contained a current health assessment dated 10/9/21 which was obtained more than 24 months from the previously dated 9/25/19 health assessment on file.

Corrected Corrected by Nov 16, 2021

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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 staff file for Staff person #2, who has a start date working in child care as 8/9/21, contained a tuberculosis screening dated 10/24/21 which was not obtained within previous 12 months of new employment.

Corrected Corrected by Nov 16, 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 facility emergency plan lacked accommodations for infants and toddlers in the event of an emergency.

Corrected Corrected by Nov 22, 2021

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

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility emergency plan lacked a lockdown procedure.

Corrected Corrected by Nov 22, 2021

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