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Home › PA › Pittsburgh › The Caring Castle Llc
5408 Clairton Blvd Suite 200, Pittsburgh PA 15236 · License #CER-00254763 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.61(c) · TIERED LIS: 1)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. This portion of the plan shall have an immediate correction date. 2) The Legal Entity will post the total capacity of the room in each individual child care space in a conspicuous location. The operator shall provide a date for when this will be completed. 3) The legal entity will create a written policy for maintaining capacity in each child care space. At a minimum, the policy needs to include a procedure for maintaining the capacity in each room and how staff will notify the director if they are going over capacity. The policy will be reviewed by each staff person and each staff person will need to sign an acknowledgement that they have read the policy. The acknowledgements will be submitted to the Regional Office for review. The operator shall provide a date for when this will be completed. 4) The legal entity will conduct mandatory staff meetings at least once a month for a period of 2 months following the approval of this plan. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last year as well as review and discuss the Depart of Human Services' regulation relating to room capacity. An agenda will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. Each staff person will sign an attendance sheet next to their printed name. The staff meeting agendas and logs will be submitted to the Department within 5 days of the meeting. The operator shall provide a date for when this will be completed.
CONTINUED NON-COMPLIANCE: On 1/22/26 an unannounced inspection was conducted at the facility. On 1/22/26 at approximately 9:30 am, the following ratio violations were observed: 12 children in Room #3 which has a capacity of 11; 6 children in Room #4 which has a capacity of 5; and 8 children in Room #5, which has a capacity of 6. The facility's acceptable plan of correction indicated the correction would be implemented by 1/22/26. On 2/25/26, at 9:30am, an unannounced complaint inspection was conducted. Certification representative observed 17 children in the New Room #3 which has a capacity of 16. On 5/15/2026 at approximately 10:10am, an unannounced monitoring inspection was conducted. Certification representative observed 5 children in the infant room (room 2) with two staff. Room 2 has a capacity of 4.
Disposition: Needs Verification
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
Corrected Corrected by Aug 7, 2026
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. Staff #2 and #4 may not work in a child care position at the facility.
The file for Staff #2 (See LIS Code Sheet) lacked the required out of state clearances. The file for Staff #4 (See LIS Code Sheet) lacked a current NSOR certificate. The most recent NSOR certificate on file was dated 12/8/20 which was obtained more than 60 months ago.
Corrected Corrected by Apr 9, 2026
Category: background checks. Marked corrected in the state record.
3270.35(b)/3270.192(2)(ii) · A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). 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, identified as a group supervisor, lacked documentation of child care experience, education and training prior to service at the facility.
Corrected Corrected by Apr 19, 2026
Category: supervision. 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 health report and TB screening results on file for Staff #1 were obtained after Staff #1 started working in a child care position.
Corrected Corrected by Apr 2, 2026
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 #1 and Staff #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Corrected Corrected by Apr 3, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.51 · TIERED LIS: 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. This portion of the plan shall have an immediate correction date. 2. The legal entity will hold monthly staff meetings for a period of three months from the acceptance of the plan of correction. All facility staff are required to attend the monthly staff meetings. The following topics must be covered over the course of the three staff meetings: supervision, ratio and capacity regulations and a review of all violations cited within the past 12 months. The legal entity will document each staff meeting by creating a dated agenda, including the specific topics reviewed and a dated attendance log, signed by each staff who attended the staff meeting. A copy of the dated agenda and attendance log will be provided to the OCDEL-DHS representative by email within one week after each staff meeting. The correction date for this portion of the plan shall be at min 3 months from the date of this plan of correction. 3. The legal entity will require all leadership staff, including the operator, director, assistant director, to participate in technical assistance visits provided by the ELRC, regarding the leadership's role in supporting staff compliance with ratio and supervision. The legal entity will complete a minimum of 3, in-person technical assistance visits provided by ELRC 5. The technical assistance visits must be completed within 4 months of the approval of this plan of correction. Upon completion of the visits, documentation will be provided to the OCDEL-DHS representative by email. The correction date for this portion of the plan shall be at min 4 months from the date of this plan of correction.
Continued Non-Compliance: On 1/22/26 the following ratio violations were observed in the Main Room at approximately 9:30 am: Staff #1 was responsible for 6 young toddlers; Staff #2 was responsible for 6 young toddlers; and Staff #3 was responsible for 7 infants. In Room #3 at 9:40 am, Staff #4 was responsible for 12 preschoolers. The facility's acceptable plan of correction indicated that when children are grouped in similar age levels, the younger age determines the ratio. Staff to child ratios would be in compliance by 1/22/26. On 2/25/26 an unannounced complaint inspection was conducted. The following ratio violations were observed in the Main room. At 9:20am, certification representative observed 8 older toddlers in the care of staff #6. On 2/25/26 at 9:20am, certification representative observed 5 infants in the care of staff #3.
Corrected Corrected by Jul 23, 2026
Category: supervision. 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).
On 2/25/26 at 9:20am, certification representative observed 5 young toddlers and 1 older toddler in the care of staff #8.
Corrected Corrected by Mar 23, 2026
Category: ratio. Marked corrected in the state record.
3270.61(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.
Continued Non-Compliance: On 1/22/26 an unannounced inspection was conducted at the facility. On 1/22/26 at approximately 9:30 am, the following ratio violations were observed: 12 children in Room #3 which has a capacity of 11; 6 children in Room #4 which has a capacity of 5; and 8 children in Room #5, which has a capacity of 6. The facility's acceptable plan of correction indicated the correction would be implemented by 1/22/26. On 2/25/26, at 9:30am, an unannounced complaint inspection was conducted. Certification representative observed 17 children in the New Room #3 which has a capacity of 16.
Corrected Corrected by Mar 23, 2026
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 #5 may not work in a child care position at the facility. 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 and Facility Person #5, identified as a Volunteer, were observed working in Room #3 with 12 preschool aged children. Facility Person #5 lacked a PA Criminal History, Child Abuse Clearance, NSOR, FBI clearance and a disclosure statement.
Corrected Corrected by Jan 22, 2026
Category: background checks. Marked corrected in the state record.
3270.51 · TIERED PLAN OF CORRECTION: 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. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to complete a training regarding Ratio and Supervision. The training must be offered by ELRC 5, in-person and a minimum of 2 hours. The training must be completed within 2 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete. 3. The legal entity shall create a document that includes the following: Room Name; Room Capacity; staff:child ratios 3270.51, 3270.52. The legal entity will post the document in a conspicuous location in each child care room and space. The document must be approved by the Department prior to posting. The document must be posted within 2 months of the approval of this plan of correction. The operator shall provide a date for when this training will be complete.
On 1/22/26 the following ratio violations were observed in the Main Room at approximately 9:30 am: Staff #1 was responsible for 6 young toddlers; Staff #2 was responsible for 6 young toddlers; and Staff #3 was responsible for 7 infants. In Room #3 at 9:40 am, Staff #4 was responsible for 12 preschoolers.
Corrected Corrected by Mar 29, 2026
Category: supervision. Marked corrected in the state record.
3270.61(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.
On 1/22/26 at approximately 9:30 am, the following ratio violations were observed: 12 children in Room #3 which has a capacity of 11; 6 children in Room #4 which has a capacity of 5; and 8 children in Room #5, which has a capacity of 6.
Corrected Corrected by Jan 22, 2026
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.
Facility Person #5, identified as a Volunteer, was observed working in Room #3 with 12 children. Facility Person #5 lacked a valid health assessment.
Corrected Corrected by Jan 27, 2026
Category: ratio. Marked corrected in the state record.
3270.191 · An individual record is required for each facility person.
Facility Person #5, identified as a Volunteer, was observed working in Room #3 with 12 children. Facility Person #5 lacked an individual record/file.
Corrected Corrected by Jan 27, 2026
Category: recordkeeping. 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.
Facility Person #5, identified as a Volunteer, was observed working in Room #3 with 12 children. Facility Person #5 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Corrected Corrected by Jan 26, 2026
Category: recordkeeping. 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.
Observed an unstable shelf in the Main Room in the OT area.
Corrected Corrected by Dec 5, 2025
Marked corrected in the state record.
3270.34(b)(3)/3270.192(2)(ii) · A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. 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 lacks verification of an associate's degree to qualify staff as staff's designated position.
Corrected Corrected by Dec 5, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. TIERED LIS 1. Aides must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The facility shall have all current aids sign a statement acknowledging that they cannot be alone with children & non-aides (all other staff) sign a statement acknowledging that they cannot leave children alone with an aid. The statement should include what to do instead. All staff shall continue to sign the corresponding documents at hire.
Observed staff person #1 escorting/supervising children to the restroom alone. Staff #1 is qualified as an aide.
Corrected Corrected by Dec 4, 2025
Category: supervision. 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.
Observed uncovered outlets on the light strand on the Christmas tree and in the power strip at the refrigerator in room 11. Children under 5 years of age had access the these areas.
Corrected Corrected by Dec 4, 2025
Marked corrected in the state record.
3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.
Several windows in the Main Room above the ground floor that open directly to the outdoors and are accessible to children were not adequately modified or adapted to limit the opening to 6 or fewer inches. The device used to restrict the windows was not working properly.
Corrected Corrected by Dec 4, 2025
Category: physical safety. Marked corrected in the state record.
3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.
The OT diapering area and the diapering are in the main room near the infants lacked a handwashing sign.
Corrected Corrected by Dec 5, 2025
Category: health medication. Marked corrected in the state record.
3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
Observed an adult chair in the YT area in the main room with exposed foam that was accessible to YT aged children (children who are still placing objects in their mouths).
Corrected Corrected by Dec 5, 2025
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.
The cribs used for the children were not labeled for the use of a specific child and used only by the specified child.
Corrected Corrected by Dec 5, 2025
Category: physical safety. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The agreement in the file for child #2 was not signed by the operator.
Corrected Corrected by Dec 4, 2025
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 file for child #2 lacks the work address of the enrolling parent.
Corrected Corrected by Dec 5, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.
The file for child #1 contains a health assessment that was obtained late. It was due 8/2025 and obtained 11/2025.
Corrected Corrected by Dec 4, 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 following staff files contain health assessments that were updated late: #2 due 12/2024 and obtained 2/2025; #3 due 10/2025 and obtained 11/2025; #4 due 12/2024 and obtained 1/2025; #5 due 11/9/2025 and obtained 11/14/2025; #6 due 11/19/2025 and obtained 11/20/2025.
Corrected Corrected by Dec 4, 2025
Category: ratio. Marked corrected in the state record.
3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.
Observed yogurt and a lunchable (lunch meat) labeled "refrigerate" in a lunch bag that was not refrigerated in room 11.
Corrected Corrected by Dec 4, 2025
Category: nutrition. Marked corrected in the state record.
3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.
Observed 4 baby bottles that were not labeled with a child's name.
Corrected Corrected by Dec 4, 2025
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 #1 lacks one written, nonfamily reference from individuals attesting to the person's suitability to serve as a facility person.
Corrected Corrected by Dec 5, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.
The file for child #1 contains an initial health report that was obtained after 60 days following the first day of attendance at the facility. It was due 10/2025 and obtained 11/2025.
Corrected Corrected by Dec 4, 2025
Category: health medication. 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.
On 5/21/25 at 12:45pm, 3 PS children and 3 OT children were observed to be in care and napping. The room was very dark and the children could not be seen adequately. The room had no natural light or artificial light at naptime.
Corrected Corrected by May 22, 2025
Category: supervision. Marked corrected in the state record.
3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.
Observed staff #1 and #2 identified as aides supervising 6 children at naptime in room #4 without the supervision of a staff person qualified at minimum as an assistant group supervisor. Observed staff #3 identified as aide supervising 3 children at without the supervision of a staff person qualified at minimum as an assistant group supervisor in the infant room intermittently throughout the investigation.
Corrected Corrected by May 22, 2025
Category: supervision. Marked corrected in the state record.
3270.106(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 6 children using rest equipment at naptime in room #4 that was not at least 2 feet of space on three sides of a bed, cot, crib or other rest equipment while the equipment was in use.
Corrected Corrected by May 22, 2025
Category: physical safety. 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 cleaning products in a portable sink cabinet in the toddler room that were accessible to children due to a malfunctioning child safety latch.
Corrected Corrected by Dec 5, 2024
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.
Observed loose crib sheets on the cribs in the infant room.
Corrected Corrected by Dec 6, 2024
Category: health medication. 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 #2, #4, #5, and #6 lack annual fire safety training. It was due 9/2024.
Corrected Corrected by Nov 26, 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.
The file for staff #7 contains a criminal clearance that was updated late. It was due 8/11/2024 and obtained 8/12/2024.
Corrected Corrected by Dec 5, 2024
Category: background checks. Marked corrected in the state record.
3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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 lacks verification of experience (2500 hours) to qualify staff as an AGS. At the previous renewal, staff qualified as an aide.
Corrected Corrected by Dec 5, 2024
Category: supervision. Marked corrected in the state record.
3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.
Observed staff #1 alone in room #4 at 12:30pm caring for children when the other staff left staff #1 alone with the children in the room at naptime. Staff #1 is qualified as aide.
Corrected Corrected by Dec 5, 2024
Category: supervision. 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).
At 11:30am on 12/5/24, 2 young toddlers and 4 older toddlers were observed in the care of one staff person in the toddler room. The ratio should have been one staff person to a maximum of 5 children. 6 children were observed to be in the care of one staff. At 12:45pm on 12/5/24, 3 infants and 2 young school aged children were in the care of one staff person in the infant room. The ratio should have been one staff person to a maximum of 4 children.
Corrected Corrected by Dec 5, 2024
Category: ratio. Marked corrected in the state record.
3270.61(c)/3270.61(h) · 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. The capacity established for an indoor space may not be exceeded.
At 12:45pm on 12/5/24, 5 children were observed in care in the infant room that measures for a maximum of 4 children.
Corrected Corrected by Dec 5, 2024
Category: ratio. Marked corrected in the state record.
3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.
The first aid kit in the toddler room lacked band aids. The first aid kit in room #4 lacked soap and gauze.
Corrected Corrected by Dec 6, 2024
Category: health medication. Marked corrected in the state record.
3270.92(a) · Portable space heaters are not permitted.
A portable space heater was present in the infant room. The heater was not observed in use at the time of the inspection.
Corrected Corrected by Dec 5, 2024
Category: physical safety. 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 information was not present in the infant room for the children receiving care in that space.
Corrected Corrected by Dec 5, 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 file for staff #2 lacks a current health assessment. The health assessment was due 8/2024.
Corrected Corrected by Dec 5, 2024
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 #3 contains a health assessment that was obtained late. It was due 2/2024 and obtained 10/2024. The file for staff #7 contains a health assessment that was obtained late. It was due 10/21/2024 and obtained 11/1/2024.
Corrected Corrected by Dec 5, 2024
Category: ratio. Marked corrected in the state record.
3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.
Observed one unlabeled baby bottle in the toddler room.
Corrected Corrected by Dec 5, 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. Until such time as the required pre-service trainings are 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 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 and cpr and 10 hour health and safety training.
Corrected Corrected by Jul 25, 2024
Category: supervision. 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 # 2 may not work in a child care position at the facility until all 4 complete clearances are on file at the facility. 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 files for staff #1 and #2 contain clearances that were obtained late (after initial service in the child care setting). The NSOR, child abuse, criminal and FBI clearances were all late for staff #1. The criminal was late for #2, the wrong FBI clearance was applied for, the NSOR was applied for late if staff #2 was properly provisionally hired, however, the provisional hire process was improperly done therefore, staff #2 is not on a provisional hire status.
Corrected Corrected by Jul 25, 2024
Category: background checks. Marked corrected in the state record.
3270.35(b)(1)/3270.192(2)(ii) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. 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 lacks verification of a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.
Corrected Corrected by Jul 25, 2024
Category: supervision. Marked corrected in the state record.
3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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 #1 lacks verification of 2 years experience with children.
Corrected Corrected by Jul 25, 2024
Category: supervision. 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 lack a health assessment and TB test conducted within 12 months prior to providing initial service in a child care setting.
Corrected Corrected by Aug 15, 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 lacks two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Corrected Corrected by Jul 25, 2024
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.
The files for staff #1, #6, #8, #9 contain first aid and cpr training that was obtained late: #1 due 11/10/23 and obtained 11/16/23; #6 due 2/2023 and obtained 11/2023; #8 due 1/2023 and obtained 11/2023; #9 due 11/2022 and obtained 11/2023. Staff #9 obtained general health and safety training late: due 11/2022 and obtained 1/2023.
Corrected Corrected by Nov 16, 2023
Category: health medication. Marked corrected in the state record.
3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #1, #6, #7, #8 will have until _1/31/24_ to complete the required training. Until such time as the required training has been completed, staff person #1, #6, #7, #8 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 available to supervise staff persons #1, #6, #7, #8 staff persons #1, #6, #7, #8may not work in a child-care position at the facility.
Staff persons #1, #6, #7, #8 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet):10 hour health and safety training.
Corrected Corrected by Jan 3, 2024
Category: supervision. 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).
The files for staff #1 (criminal due 8/10/23 and obtained 9/5/23); staff#5 (FBI due 11/15/23 and obtained 11/18/23); staff #12 (criminal due 8/6/23 and obtained 9/5/23), (child abuse due 8/6/23 and obtained 9/11/23), (FBI due 8/6/23 and obtained 9/29/23); staff #10 (criminal due 8/6/23 and obtained 9/5/23), (child abuse due 8/16/23 and obtained 9/11/23), (FBI due 8/16/23 and obtained 9/29/23); staff #13 (child abuse due 1/2023 and obtained 4/2023) contain clearances that were all obtained or renewed late.
Corrected Corrected by Jan 1, 2024
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 #6 and #7 contain late evaluations; #6 due 11/2023 and obtained 12/2023; #7 due 10/2023 and obtained 12/2023.
Corrected Corrected by Jan 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The files for staff #2, #3, and #4 lacks 2 years of experience to qualify them as an AGS.
Corrected Corrected by Jan 23, 2024
Category: supervision. Marked corrected in the state record.
3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. 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 #5 lacks a high school diploma or a general educational development certificate to qualify as an aide.
Corrected Corrected by Jan 24, 2024
Category: recordkeeping. 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.
Observed a damaged step stool and a damaged potty seat int he restroom that was intended for use by the children.
Corrected Corrected by Dec 15, 2023
Category: physical safety. Marked corrected in the state record.
3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.
Observed an inhaler that was intended for use by a child without the written instructions from the individual who prescribed the medicine in the facility's medicine box.
Corrected Corrected by Dec 15, 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 #11 lacks a health assessment that was due 11/2023.
Corrected Corrected by Dec 13, 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 files for staff #2, #4, #5, and #10 contain late health assessments. #2 due 10/2023 and obtained 11/2023; #4 due 10/2023 and 11/2023; staff #5 due 11/15/20323 and obtained 11/28/2023; staff #10 due 2/2023 and obtained 10/2023.
Corrected Corrected by Nov 28, 2023
Category: ratio. Marked corrected in the state record.
3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file for staff #2 lacks a TB test that was due 10/2023.
Corrected Corrected by Dec 17, 2023
Category: health medication. 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 #1, #3, and #5 lack two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Corrected Corrected by Dec 30, 2023
Category: recordkeeping. 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 annually. The emergency drill was due 10/2023.
Corrected Corrected by Dec 14, 2023
Category: recordkeeping. 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.
The facility lacks a shaken baby policy.
Corrected Corrected by Dec 13, 2022
Category: health medication. Marked corrected in the state record.
3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.
The refrigerator in the infant room #2 was 48 degrees F.
Corrected Corrected by Dec 13, 2022
Category: nutrition. Marked corrected in the state record.
3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.
The files for staff #1, #5, #6, #8, #10 and #11 lack emergency plan training and/or verification of the training.
Corrected Corrected by Jan 10, 2023
Category: recordkeeping. 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 #2, and #3 lack annual fire safety training. The fire safety training was due 10/2022.
Corrected Corrected by Jan 10, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #1 and #8 will have until _1/20/23 to complete the required training. Until such time as the required training has been completed, staff persons #1 and #8 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 available to supervise staff persons #1 and #8 may not work in a child-care position at the facility.
Staff persons #1 and #8 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first and cpr. Staff person #1 has not completed the following required pre-service training within 90 days of staff's date of hire (see LIS code sheet): health and safety basics.
Corrected Corrected by Jan 13, 2023
Category: supervision. 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 #5 contains an NSOR clearance that was obtained late. It was due 11/18/22 and obtained 11/29/22.
Corrected Corrected by Dec 13, 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 protective services).
Staff person #9 renewed the mandated reporter training late. (see LIS code sheet). The training was due 3/2022 and was completed 8/2022.
Corrected Corrected by Dec 13, 2022
Category: recordkeeping. 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. Children must be supervised at all times.
On 12/13/22 at approximately 3:00pm, a preschool-aged child walked out of the preschool space and into the kitchenette area where this certification representative and the director were working without the supervision of a staff person.
Corrected Corrected by Dec 13, 2022
Category: supervision. 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 Persons #5, #6, #7 and #10 may not work in a child care position at the facility until valid clearances are on file. 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 lack valid clearances: Staff #5, #6, #7 and #10 lack FBI clearances. Staff #10 lacks a criminal clearance.
Corrected Corrected by Dec 21, 2022
Category: background checks. Marked corrected in the state record.
3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The files for staff #1, #5, #6, #7 lack verification of a high school diploma and/or experience to qualify them as an assistant group supervisor.
Corrected Corrected by Jan 19, 2023
Category: supervision. Marked corrected in the state record.
3270.61(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.
The facility was using a space for child care that was not measured within permanent stationary partitions or walls.
Corrected Corrected by Dec 13, 2022
Category: physical safety. Marked corrected in the state record.
3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.
Observed one window in room #2 and several windows in the main room that were not adapted to limit the opening to 6 or fewer inches. The windows are above the ground floor that open directly to the outdoors and are accessible to children. The previous modification was no longer effective.
Corrected Corrected by Dec 13, 2022
Category: physical safety. Marked corrected in the state record.
3270.75(a) · A first-aid kit shall be in a child care space.
The infant room #2 lacked a first aid kit.
Corrected Corrected by Dec 13, 2022
Category: health medication. Marked corrected in the state record.
3270.106(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 a crib in use without 2 feet of space on 3 sides. Observed children on rest mats in the PS area room #3 without 2 feet of space on 3 sides.
Corrected Corrected by Dec 13, 2022
Category: physical safety. 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 file for child #1 lacks parental updated signatures on the agreement and the emergency contact form
Corrected Corrected by Dec 15, 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 file for staff #3 contains a late health assessment. It was due 10/2022 and was obtained 11/2022. The file for staff #5 contains a late health assessment. It was due 11/18/2022 and was obtained 12/12/2022.
Corrected Corrected by Dec 13, 2022
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 files for staff #4, #7, and #8 lack a health assessment conducted within 12 months prior to providing initial service in a child care setting.
Corrected Corrected by Jan 17, 2023
Category: ratio. Marked corrected in the state record.
3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The files for staff #7 and #8 lack TB tests. The file for staff #5 contains a TB test that was obtained late. The test was due 11/18/22 and was obtained 12/14/22.
Corrected Corrected by Jan 17, 2023
Category: health medication. 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 #6 and #8 need 1 non-family reference letter.
Corrected Corrected by Dec 15, 2022
Category: recordkeeping. 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.
A fire drill was not held between 7/12/22 and 9/23/22. This exceeded a 60 day span.
Corrected Corrected by Dec 13, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.25(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 facility's EXPIRED certificate of compliance was posted in a conspicuous location used by parents.
Corrected Corrected by Dec 13, 2022
Marked corrected in the state record.
3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.
The file for child #1 contains a health assessment that was obtained late. The health assessment was due 7/2022 and was obtained 8/2022. The file for child #2 contains a health assessment that was obtained late. The health assessment was due 10/2022 and was obtained 11/2022.
Corrected Corrected by Dec 13, 2022
Category: health medication. Marked corrected in the state record.
3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.
The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.
Corrected Corrected by Jan 5, 2023
Marked corrected in the state record.
3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. 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 #7 contains emergency plan training that was completed late (exceeded 12 months).
Corrected Corrected by Jan 5, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the following topics within 90 days of hire: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 lacks health and safety training.
Corrected Corrected by Feb 4, 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 the criminal history record, the FBI clearance, the NSOR, child abuse registry clearance information, and a copy of the disclosure statement as required under the CPSL.
The files for staff #3 (child abuse) and #6 (FBI, NSOR) contain clearances that were obtained or updated late.
Corrected Corrected by Jan 5, 2022
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 hand sanitizer accessible on a ledge to children in the main room. The sanitizer is labeled "keep out of reach of children".
Corrected Corrected by Jan 5, 2022
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.
The table in the main room that requires safety straps in it during use lacked the safety straps.
Corrected Corrected by Jan 28, 2022
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.
The back classroom lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency .
Corrected Corrected by Jan 28, 2022
Category: transportation. Marked corrected in the state record.
3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.
Observed several tubes of diaper cream that were in 2 different shelving units that were accessible to children in the main room.
Corrected Corrected by Jan 5, 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 #6 contain health assessments that were obtained late.
Corrected Corrected by Jan 5, 2022
Category: ratio. Marked corrected in the state record.
3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file for staff #6 lacks a TB test.
Corrected Corrected by Jan 28, 2022
Category: health medication. Marked corrected in the state record.
3270.183(a)/3270.193(a) · Child records are confidential and shall be stored in a locked cabinet. Facility persons' records are confidential and shall be stored in a locked cabinet.
Neither the records for the children or facility persons were stored in a locked cabinet.
Corrected Corrected by Jan 5, 2022
Category: recordkeeping. 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 #4 lacks 2 non family references.
Corrected Corrected by Jan 28, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire .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 #2, #4, #5, #6, and #7 lack pediatric first aid and pediatric cardiopulmonary resuscitation. Staff #7 has completed infant and child courses which are not accepted by DHS.
Corrected Corrected by Mar 1, 2022
Category: health medication. Marked corrected in the state record.
3270.27(a)(1)/3270.27(a)(5) · 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 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 provide for accommodations for shelter of children during an emergency including lock-down and infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Jan 21, 2022
Category: physical safety. Marked corrected in the state record.