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

One electrical outlet was observed to be missing a protective receptacle cover in Classroom 7.

Corrected Corrected by Sep 10, 2024

Marked corrected in the state record.

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

The bucket high chair seats in Classroom 5 were missing the T-shaped safety straps.

Corrected Corrected by Sep 11, 2024

Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement form for Child #2 lacked the arrival and departure times.

Corrected Corrected by Sep 12, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for Child #1 lacked the complete address for the release persons listed.

Corrected Corrected by Sep 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Written parental consent was missing for a bottle of children's Ibuprofen observed in Classroom 2.

Corrected Corrected by Sep 11, 2024

Category: ratio. 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 updates to the health assessments on file for Staff Person #1 exceeded 24 months between examinations on 2.24.22 and 8.26.24.

Corrected Corrected by Sep 16, 2024

Category: ratio. Marked corrected in the state record.

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

Corrected Corrected by Jul 8, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f)(10) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10), within 90 days of hire. Staff person #1 will have until July 11, 2024 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has 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.

Corrected Corrected by Jul 8, 2024

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. Until such time as the required pre-service trainings are completed, staff person #8 and #9 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 #8 and #9, staff person #8 and #9 may not work in a child-care position at the facility.

Staff person #8 and #9 were observed to be caring for children unsupervised. Staff person #8 and #9 have not completed the following pre-service training required prior to caring for children unsupervised: Revised 10 hour health and safety training..

Corrected Corrected by Oct 27, 2023

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 one hour health and safety update in the file for staff persons #2, #4, #5, 6, #7, #10 and #11, all employed before 10/4/23. was dated after 12/30/22.

Corrected Corrected by Oct 27, 2023

Category: ratio. Marked corrected in the state record.

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

The last two fire safety trainings in the file for staff person #6 were dated 10/23/21 and 11/17/22.

Corrected Corrected by Oct 27, 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). Staff person #9 will have until 11/1/23 to complete the required training. Until such time as the required training has been completed, staff person #9 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 person #9, staff person #9 may not work in a child-care position at the facility.

Staff person #9 has not completed the following required pre-service training within 90 days of their date of hire: Revised health and safety training.

Corrected Corrected by Oct 27, 2023

Category: supervision. Marked corrected in the state record.

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

The last two mandated reporter training in the file for staff person #4 were dated 10/7/17 and 8/7/23. The last two mandated reporter trainings in the file for staff person #6 were dated 10/7/17 and 8/7/23.

Corrected Corrected by Oct 27, 2023

Category: recordkeeping. 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 person #3, holding the title of aide, did not include proof of a high school diploma or GED.

Corrected Corrected by Oct 27, 2023

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.

Staff person #3, holding the title of aide at the time of the inspection, was observed alone in the older toddler room.

Corrected Corrected by Oct 27, 2023

Category: supervision. 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.

In the older toddler room, there was a bottle of Up & Up hand sanitizer on the desk and a package of Members Mark baby wipes on a table, making them accessible to children in care at the time. In the infant room, there was a bottle of Lacura hand sanitizer on a cubby, which was accessible to children because young toddlers were in care at the time. In the PreK room, the gate to the storage closet easily disengaged when opening the door, making the closet, which contained cans of paint, accessible.

Corrected Corrected by Oct 27, 2023

Marked corrected in the state record.

3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

In the luch room, there was a container of Member's Mark disinfectant wipes next to boxes of cereal on the shelf.

Corrected Corrected by Oct 27, 2023

Category: ratio. 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 last child assessment in the file for child #3 was dated 3/4/23.

Corrected Corrected by Oct 27, 2023

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 information in the file for child #2, #4 and #5 did not include work information for the enrolling parent.

Corrected Corrected by Oct 27, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact information in the file for child #1 did not include an address for one of the release persons.

Corrected Corrected by Oct 27, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The last two health assessments in the file for staff persons #2 were dated 6/1/2/21 and 7/18/23 and in the staff file for staff person #11 were dated 2/14/21 and 2/16/23.

Corrected Corrected by Oct 27, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(1) · An adult health assessment must include a physical examination.

The most recent health assessment in the file for staff person #6 indicated that a physical exam was not performed, as the first box on the state health assessment form was cheked "No" in error.

Corrected Corrected by Oct 27, 2023

Category: health medication. 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 TB screening in the file for staff person #1 and #10 was dated more than 12 months previous to the individual's first day working with children.

Corrected Corrected by Oct 27, 2023

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 most recent health assessment in the file for staff person #6 indicated that the individual was not suitable to provide child care, as the third box on the state health assessment form was cheked "No" in error.

Corrected Corrected by Oct 27, 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 information regarding continuity of operations or emergency preparedness training for volunteers.

Corrected Corrected by Oct 26, 2022

Category: ratio. Marked corrected in the state record.

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

The last two FA/CPR trainings in the file for staff person #5 were dated 10/24/19 and 7/26/22. The training was not renewed before the previous certification had expired.

Corrected Corrected by Oct 26, 2022

Category: ratio. Marked corrected in the state record.

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

The last two fire safety trainings in the file for staff person #4 were dated 10/8/20 and 10/23/21.

Corrected Corrected by Oct 26, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff persons #1, #2, #4, #5, #6, #7 and #9 included a FA/CPR training dated before 4/29/22 that was not an acceptable curriculum and was not taught by a PQAS instructor and the updated training with an acceptable curriculum and a PQAS instructor was dated 7/26/22. The file for staff person #6 included a health and safety training dated 2/22/22, which is more than 90 days past their initial employment.

Corrected Corrected by Oct 26, 2022

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 person #8 will have until 10/26/22 to complete the required training. Until such time as the required training has been completed, staff person #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 person #8, staff person #8 may not work in a child-care position at the facility.

Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire: Acceptable FA/CPR.

Corrected Corrected by Oct 26, 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). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2, #3 and #6 may not work in a child care position at the facility.

The disclosure statement in the file for staff person #2, #3 and #6 was not the most current version of the form. The only state police clearance in the file for staff person #9, DOH 8/10/21, was dated 7/13/22.

Corrected Corrected by Oct 26, 2022

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

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

At approximately 9:45 am, a young toddler was observed buckled into a chair on the floor of the gross motor room while other toddlers were playing. When asked why the child was in the chair, staff stated that she was placed in the chair because she was biting other children.

Corrected Corrected by Oct 26, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include thein the file for child #1 home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information in the file for child #1 did not include a work address for the child's mother. The emergency contact information in the file for child #4 did not include a work address or phone number for the child's mother or a work address for the child's father.

Corrected Corrected by Oct 26, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact information in the file for child #2 did not include an address for one of the release persons.

Corrected Corrected by Oct 26, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Th last two health reports in the file for child #1, a young toddler, were dated 1/20/22 and 8/24/22.

Corrected Corrected by Oct 26, 2022

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

3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The file for child #3, who is approximately 8 months old, did not include evidence of a flu shot and did not contain a written statement of exemption by a parent.

Corrected Corrected by Oct 26, 2022

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 last two health assessments in the file for staff person #7 were dated 12/12/19 and 2/24/22.

Corrected Corrected by Oct 26, 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 first emergency drill documented at the facility was 7/5/22.

Corrected Corrected by Oct 26, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

There was not a written feeding schedule at the facility from the parents of one of the enrolled infants.

Corrected Corrected by Oct 27, 2021

Category: nutrition. 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 facility's letter to the parents explaining the emergency procedures did not include information about the program's plan for shelter of children in a lockdown.

Corrected Corrected by Oct 27, 2021

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

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

Firesafety training was completed by Facility Person #3 on 7/27/20 and 8/30/21 more than 12 months apart.

Corrected Corrected by Oct 27, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development in the following topics within 90 days of hire:Pediatric first aid and pediatric cardiopulmonary resuscitation.

Facility Person #2 has been employed at the facility for more than 90 days and has not completed pediatric first aid and CPR.

Corrected Corrected by Oct 11, 2021

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). . A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Mandated reporter training was completed by Facility Person #1 on 7/3/15 and 8/28/20, more than 60 months apart.

Corrected Corrected by Oct 27, 2021

Category: recordkeeping. Marked corrected in the state record.

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

Facility Person #2 began employment with a volunteer criminal history clearance on file and no proof of application for a criminal history clearance. The valid (employment) criminal history clearance on file for Facility Person #2 was completed after her start date.

Corrected Corrected by Oct 27, 2021

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

3270.103/3270.108(c) · 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. Styrofoam cups and plates may not be used.

There were styrofoam bowls in the older toddler and young toddler room that staff state are used to serve food to children.

Corrected Corrected by Oct 27, 2021

Category: nutrition. 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.

There was an infant sleeping in a crib in the infant room in which there was not 2 feet of space on 3 sides.

Corrected Corrected by Oct 27, 2021

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 fee amount was not specified on the agreement on file for child #1.

Corrected Corrected by Oct 27, 2021

Category: recordkeeping. 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 current health assessments on file for Facility Persons #1 and #3 were each completed more than 24 months after the prior respective health assessments.

Corrected Corrected by Oct 27, 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 facility's emergency plan does not specify accommodations for infants and toddlers.

Corrected Corrected by Oct 27, 2021

Category: physical safety. 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.

Fire drills were recorded on the facility's fire drill log for 12/2/20 and then 2/1/21, with no fire drill in between these dates.

Corrected Corrected by Oct 27, 2021

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.

According to the operator's statement, the operator has not provided the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Oct 27, 2021

Marked corrected in the state record.