Daisy Day Care Center Llc

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.

A renewal inspection was conducted on 11/24/2025. At that time, staff files were reviewed. The following items were not updated within 60 months. Staff person #1: Mandated reporter training certificates on file are dated 2/10/2020 and 3/27/2025. Staff person #2: Child abuse clearances on file are dated 2/4/2020 and 3/5/2025. NSOR verifications on file are dated 3/2/2020 and 3/24/2025. Staff person #3: Child abuse clearances on file are dated 12/3/2019 and 12/6/2024.

Corrected by Nov 24, 2025

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3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

A renewal inspection was conducted on 11/24/2025. At that time, a sample of children's files were reviewed. The following information was missing from children's emergency contact forms: Child #2: Mother's work address. Child #4: Release person's phone number. Child #5: Mother's work address.

Corrected by Nov 24, 2025

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3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

A renewal inspection was conducted on 11/24/2025. At that time, a sample of children's files were reviewed. Health reports on file for child #1 and child #3 do not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Jan 5, 2026

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3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

A renewal inspection was conducted on 11/24/2025. At that time, diaper changing pads in the Infant/Young Toddler room and Young Toddler room were observed to be ripped, exposing the foam inside. This renders the surfaces unable to be properly cleaned after use.

Corrected by Nov 24, 2025

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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.

During unannounced monitoring conducted on 6/9/2025, certificate for pediatric first-aid/CPR training on file for staff person #2 expired on 2/28/2025 and was not renewed until 3/27/2025.

Corrected by Jun 9, 2025

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

During unannounced monitoring conducted on 6/9/2025, mandated reporter training certificates on file for staff person #1 are dated 2/10/2020 and 3/27/2025, which is past 60 months.

Corrected by Jun 9, 2025

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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.

During renewal inspection, previous certificate for pediatric first-aid/CPR training on file for staff person #5 expired on 8/31/2024 and was not renewed until 10/10/2024. Previous certificate for pediatric first-aid/CPR training on file for staff person #6 expired on 9/30/2024 and was not renewed until 10/10/2024.

Corrected by Oct 10, 2024

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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.

During renewal inspection, fire safety certificates on file for staff person #3 and staff person #4 are dated 2/22/2023 and 4/15/2024, which is past 12 months.

Corrected by Apr 15, 2024

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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 Person #7 may not work in a child care position at the facility until complete PSP clearance is on file.

During renewal inspection, RAP sheet attached to PSP clearance dated 10/27/2021 on file for staff person #7 was cut off and therefore clearance is incomplete. Child abuse clearances on file for staff person #1 are dated 8/11/2018 and 8/31/2023, which is past 60 months.

Corrected by Dec 11, 2024

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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.

During renewal inspection, diaper cream labeled "Keep out of reach of children" was stored in plastic bins on a lower shelf of the diapering table, making them accessible to children in Room 5 - Infant/Young Toddler room.

Corrected by Nov 18, 2024

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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.

During renewal inspection, first-aid kit in Room 1 - Pick-up/Drop off area did not contain tape.

Corrected by Nov 18, 2024

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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.

During renewal inspection, health assessments for the following staff persons were obtained past 24 months: Staff person #1: Health assessments on file are dated 3/12/2022 and 4/18/2014, which is past 24 months Staff person #3: Health assessments on file are dated 12/16/2021 and 1/30/2024, which is past 24 months.

Corrected by Apr 19, 2024

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3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

During renewal inspection, health assessment on file for staff person #2 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Nov 19, 2024

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #3 must take 5 hours of professional development to fulfill requirement for training year 12/14/2022-12/14/2023. Hours used to fulfill training year 12/14/2022-12/14/2023 may not be used to fulfill current training year.

During renewal inspection, staff person #3 obtained 7 hours of annual child care training for training year 12/14/2022-12/14/2023.

Corrected by Nov 18, 2024

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

During complaint investigation conducted 8/8/2024, staff person #1 was not able to identify any children in primary care group. Staff #1 was covering for another staff member on break. Additionally, complaint investigation verified that staff members leave school-age children in a room to watch movies while they go into other rooms to speak with other staff members.

Corrected by Aug 8, 2024

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3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Complaint investigation conducted on 8/8/2024 verified that an inappropriate movie has been played on the facility's TV by school-age children who have access to the facility's TV remote/ YouTube.

Corrected by Aug 8, 2024

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3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for staff #1 and any staff caring for school-age children to complete the trainings entitled "Supervisión: ¿Qué Se Requiere?", "Supervisión: Trabajo en equipo", and "Supervisión: Contando a los Niños" through Better Kid Care or similar training that has been approved by the Northeast Regional Office if staff has previously taken any of the aforementioned courses.

During complaint investigation conducted 8/8/2024, staff person #1 was not able to identify any children in primary care group. Staff #1 was covering for another staff member on break. Additionally, complaint investigation verified that staff members leave school-age children in a room to watch movies while they go into other rooms to speak with other staff members.

Corrected by Sep 13, 2024

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3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Legal entity must update facility's supervision policy related to staff transitions to include how receiving and outgoing staff will identify the children in the group being transferred and must address that staff will conduct name-to-face checks. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with any staff that will be working at this location and have staff sign off that the understand and will follow the supervision policy. New hires should also be trained on the supervision policy and documentation of training, including staff's signature and date, must be kept on file at the facility.

During complaint investigation conducted 8/8/2024, staff person #1 was not able to identify any children in primary care group. Staff #1 was covering for another staff member on break. Additionally, complaint investigation verified that staff members leave school-age children in a room to watch movies while they go into other rooms to speak with other staff members.

Corrected by Sep 13, 2024

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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. Staff person #1 and staff person #3 shall complete the required one-hour 2022 update to the health and safety training by September 3, 2024.

During unannounced monitoring conducted 8/8/2024, staff person #1 and staff person #3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected by Aug 8, 2024

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3270.151(a)/3270.151(c)(2) · 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. 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.

During unannounced monitoring conducted 8/8/2024, health assessment and TB test for staff person #2 were both dated 9/23/2022, which is over 12 months prior to initial service (see LIS code sheet for start date).

Corrected by Aug 26, 2024

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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 and staff person #5 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 and staff person #5, staff person #1 and staff person #5 may not work in a child-care position at the facility.

During unannounced monitoring conducted 4/10/2024, staff person #1 and staff person #5 were observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR from PQAS instructor. Staff person #5 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/19/2019.

Corrected by Apr 11, 2024

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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 #1 will have until 5/4/2024 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.

During unannounced monitoring conducted on 4/10/2024, 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/CPR from PQAS instuctor.

Corrected by Apr 11, 2024

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #5 will have until 5/4/2024 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #5 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/facility person #5, staff 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 person #2 and staff person #1 must be supervised, when interacting with children, by an AGS. If there are no staff person(s) available to supervise staff person #1 and staff person #2, staff person #1 and staff person #2 may not work in a child-care position at the facility.

During unannounced monitoring conducted 4/10/2024, staff person #5 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/19/2019. Staff person #2 did not have NSOR clearance on file and was observed to be working alone in the young toddler classroom. Staff person #1 had PSP clearance request on file dated 7/20/2023, which is not an acceptable clearance. Staff person #1 also did not have NSOR clearance on file. Staff person #1 was observed to be working alone in the infant classroom.

Corrected by Apr 25, 2024

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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 legal entity must arrange for the legal entity and anyone who is responsible for staff files and/or hiring to register for and attend the existing provider orientation conducted by the NE Regional Office on 5/15/2024.

During unannounced monitoring conducted 4/10/2024, staff person #5 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/19/2019. Staff person #2 did not have NSOR clearance on file and was observed to be working alone in the young toddler classroom. Staff person #1 had PSP clearance request on file dated 7/20/2023, which is not an acceptable clearance. Staff person #1 also did not have NSOR clearance on file. Staff person #1 was observed to be working alone in the infant classroom.

Corrected by May 15, 2024

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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).

During unannounced monitoring conducted 4/10/2024, staff person #1 was present in the infant room with 5 children. The youngest child in the infant room was 7 months old. Staff person #2 was present in the young toddler room with 7 children. The youngest child in the young toddler room was 2 years old.

Corrected by Apr 10, 2024

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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). The legal entity must create a policy in order to maintain proper ratio. This policy will ensure that proper staff:child ratio is maintained at all times. This policy must address how proper ratios will be maintained during morning drop-off and afternoon pick-up when a staff is required to answer the door for parents, how lunch breaks will be handled, and what staff should do if a parent is dropping off and they will have too many children. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the ratio policy.

During unannounced monitoring conducted 4/10/2024, staff person #1 was present in the infant room with 5 children. The youngest child in the infant room was 7 months old. Staff person #2 was present in the young toddler room with 7 children. The youngest child in the young toddler room was 2 years old.

Corrected by Jun 24, 2024

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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.

During unannounced monitoring conducted 4/10/2024, health assessments on file for staff person #3 were dated 3/12/2022 and 4/8/2024, which is past 24 months. Last health assessment on file for staff person #4 is dated 12/15/2021.

Corrected by Apr 25, 2024

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During unannounced monitoring conducted on 4/10/2024, facility's fire detection testing log reflected that smoke detectors were tested past 30 days on the following occasions: 11/13/2023-12/18/2023, 1/15/2024-2/19/2024.

Corrected by Apr 11, 2024

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3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During complaint investigation conducted 4/10/2024, staff person #2 did not know the names of children in their group. Additionally, two school-age children were observed to be alone in a room on the second floor of the facility. Throughout the investigation, school-aged children were observed to be walking through the hallways and traveling to different floors of the facility unaccompanied by a staff member.

Corrected by May 28, 2024

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

During complaint investigation conducted 4/10/2024, staff person #2 did not know the names of children in their group. Additionally, two school-age children were observed to be alone in a room on the second floor of the facility. Throughout the investigation, school-aged children were observed to be walking through the hallways and traveling to different floors of the facility unaccompanied by a staff member.

Corrected by Apr 10, 2024

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3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy.

During complaint investigation conducted 4/10/2024, staff person #2 did not know the names of children in their group. Additionally, two school-age children were observed to be alone in a room on the second floor of the facility. Throughout the investigation, school-aged children were observed to be walking through the hallways and traveling to different floors of the facility unaccompanied by a staff member.

Corrected by Jun 24, 2024

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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.

As of the renewal inspection on 11/29/23, there was no continuity of operations plan as required by 45 CFR 98.41(a)(1)(vii).

Corrected by Dec 29, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

As of the renewal inspection on 11/29/23, staff #1 did not have clearances from a state she has lived in in the previous 5 years.

Corrected by Dec 29, 2023

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

During the renewal inspection on 11/29/23, the heater in Room 5 that is at floor level accessible to children was on and got very hot to the touch.

Corrected by Dec 4, 2023

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

During the renewal inspection on 11/29/23, the ceiling tiles by the windows in room #6 were stained.

Corrected by Dec 4, 2023

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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.

During the renewal inspection on 11/29/23, there was not two feet of space on three sides of cribs when infants were sleeping.

Corrected by Dec 4, 2023

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3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

As of the renewal inspection on 11/29/23, accident and incident reports were not being filed in the child's file.

Corrected by Dec 4, 2023

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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.

On 2/15/23 during an unannounced inspection, Staff #1, who was working with children, did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Feb 15, 2023

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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 or above 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.

During an unannounced inspection on 2/15/23, staff #1 was observed working alone with 17 preschool and school age children. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety training and Pediatric First Aid and Pediatric CPR.

Corrected by Feb 22, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

During an unannounced inspection on 2/15/23, Staff #1 (see code sheet for hire date) was observed working alone with 17 preschool and school age children. Staff #1 did not have NSOR on file.

Corrected by Feb 23, 2023

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3270.62(b) · Outdoor or indoor play space shall be measured at 65 square feet per child.

On 2/15/23 during an unannounced inspection, there were 17 preschool and school age children in the outdoor play space that measures for 11 children.

Corrected by Feb 16, 2023

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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.

On 2/15/23 during an unannounced inspection, Staff #1, who was working with children, did not have a health assessment and results of TB screening on file.

Corrected by Feb 15, 2023

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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 2/15/23, in the afternoon, there were 17 preschool and school-age children observed with staff #1. This number of children requires at least 2 staff persons at all times.

Corrected by Feb 16, 2023

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

During an unannounced inspection on 2/15/23 in the afternoon, there were 17 preschool and school-age children observed with staff #1. Staff #1 was standing at the top of the ramp to the play space by the open door to the facility. The children were going in and out of the open door of the building, making it impossible for the teacher to supervise and be physically present with all of the children.

Corrected by Feb 16, 2023

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3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding supervision and ratios of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During an unannounced inspection on 2/15/23 in the afternoon, there were 17 preschool and school-age children observed with staff #1. Staff #1 was standing at the top of the ramp to the play space by the open door to the facility. The children were going in and out of the open door of the building, making it impossible for the teacher to supervise and be physically present with all of the children.

Corrected by May 5, 2023

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until 12/14/22 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 or above 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.

As of the renewal inspection on 11/28/22, Staff person #1 has a Pediatric First Aid and Pediatric CPR certificate that expired 9/16/22 (see LIS code sheet for hire date).

Corrected by Dec 3, 2022

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 may not work in a child care position at the facility.

As of the renewal inspection on 11/28/22, Staff #2 did not have clearances from New York, where she has lived in the previous 5 years.

Corrected by Nov 30, 2022

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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.

During the renewal inspection on 11/28/22, there was no emergency contact information in the room where child #1 was receiving care.

Corrected by Nov 29, 2022

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3270.61 · Measurement and use of inodoor child care space.

during the renewal inspection on 11/28/22, there were 9 preschoolers in a room that measures for 8, and 8 school agers in a room that measures for 7.

Corrected by Nov 29, 2022

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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.

On 11/4/21 during the renewal inspection, the cribs in the infant room were not labeled for use of a specific child. The program submitted a plan of correction that stated "Cribs are all labeled with the child's name. We will make sure labels are updated and accurate at all times." The correction date was 11/15/21. On 12/14/21 during a follow up visit, there was a three year old in a crib in the infant room that was not labeled for the child. This is an ongoing violation.

Corrected by Dec 14, 2021

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

It was confirmed through interviews at a complaint investigation conducted on 11/17/2021 that a staff person left the school-age classroom unsupervised to get snacks and use the bathroom. The facility provided a plan of correction that stated "A staff meeting was done on 11/5/21. We reviewed and discussed some of the regulations. Also, a memo was provided to all staff members on 12/9/21 to make sure all staff understand that they must be in compliance with these regulations (children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times). We will provide supervision training on a regular basis to all staff members. We will make sure that all children are supervised by the staff at all times." The correction date given was 12/9/21. On 12/14/21, staff #1 left the classroom to answer the door, leaving the class unattended. Staff #2 left the infant room to greet the Certification Rep, leaving the room unattended.

Corrected by Dec 14, 2021

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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.

On 11/4/21 during the renewal inspection, there was no emergency contact form in the toddler room for a child that was receiving care in that room. The provider submitted a plan of correction that stated "The emergency contact form was put in the classroom emergency contact folder. We will keep folders updated and in order to easily find documents." The date of correction given by the provider was 11/4/21. On 12/14/21, there was no emergency contact form for child #1 in the room where he was receiving care. There was also no emergency contact information for child #2 in the room where the child was receiving care. This is an ongoing violation.

Corrected by Dec 14, 2021

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3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

On 11/4/21 during the renewal inspection, there was no documentation of influenza vaccine in the previous year on file for child #1 (start date 9/8/20). The facility provided a plan of correction that stated "Documentation of influenza vaccine or an exemption letter will be submitted for child #1 by 12/4 or the child will be removed from care. We will have a system in place to track when updates are needed and notify parents 30 days prior to the document expiration." A correction date of 12/4/21 was given. On 12/14/21, there was still no documentation of influenza vaccine or an exemption letter and the child was in care.

Corrected by Jan 4, 2022

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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.

On 10/27/21 staff #1, an aide at the facility, was alone with school age children. This was confirmed through interviews conducted during a complaint investigation on 11/4/21 and 11/17/21.

Corrected by Dec 5, 2021

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3270.114 · Weather permitting, children shall be taken out doors daily.

On 11/4/21 during the renewal inspection, none of the children were taken outside all day, despite it being a sunny day with temperatures in the 50s and no air quality alerts.

Corrected by Nov 5, 2021

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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.

On 11/4/21 during the renewal inspection, there was no emergency contact form in the toddler room for child #2 where the child was receiving care.

Corrected by Nov 4, 2021

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3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

On 11/4/21 during the renewal inspection, the health and safety training for staff #1 was dated 9/5/16, prior to the acceptable date for the training. There was no health and safety training for staff #2 (hire date 7/25/21), and staff #3 (hire date 11/8/19).

Corrected by Nov 4, 2021

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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.

On 11/4/21 during the renewal inspection, the most recent fire safety training for staff #8 was dated 9/16/20.

Corrected by Nov 23, 2021

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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, #6, and #7 may not work in a child care position at the facility.

On 11/4/21 during the renewal inspection, the most recent disclosure statement on file for staff #1 was dated 11/16/16. Staff #2 (hire date 7/25/21) was missing FBI clearance and NSOR, and the required CPSL training and must be removed from care. Staff #3 (hire date 11/8/19) was missing NSOR and must be removed from care. Staff #6 (hire date 12/1/20) was missing NSOR and must be removed from care. Staff #7 (hire date 9/16/20) was missing a signed disclosure statement and NSOR and must be removed from care.

Corrected by Nov 17, 2021

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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.

On 11/4/21 during the renewal inspection, there was no written evaluation in the previous year on file for staff #1, #3, #4, #5, and #7, all employed for over one year.

Corrected by Nov 10, 2021

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3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

On 11/4/21 during the renewal inspection, there was no director employed at the facility. It was reported to the Certification Representative that the director resigned in August 2021.

Corrected by Nov 22, 2021

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3270.51/3270.52 · 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.

On 11/4/21 during the renewal inspection, there were 8 children with 1 staff in the preschool room, however, the youngest child was 2 years old requiring a ratio of 1:6. There were 14 school age children that were left several times with one staff person.

Corrected by Nov 5, 2021

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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.

On 11/4/21 during the renewal inspection, there were Clorox Wipes, hand sanitizer and Lysol spray on the sink accessible to children in the Preschool room.

Corrected by Nov 5, 2021

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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.

On 11/4/21 during the renewal inspection, the cribs in the infant room were not labeled for use of a specific child.

Corrected by Nov 5, 2021

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3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

On 11/4/21 during the renewal inspection, there was no immunization record on file for child #1 (start date 6/30/21) and no documentation of influenza vaccine in the previous year on file for child #2 (start date 9/8/20).

Corrected by Dec 4, 2021

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3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

On 11/4/21 during the renewal inspection, staff #3 was observed changing three diapers consecutively before nap without washing any of the children's hands or her own hands.

Corrected by Nov 5, 2021

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3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

On 11/4/21 during the renewal inspection, staff #3 was observed changing three diapers consecutively before nap without cleaning the changing table or changing the surface covering after each use.

Corrected by Nov 5, 2021

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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.

On 11/4/21 during the renewal inspection, staff #2 (start date 7/25/21) did not have a health assessment on file. The most recent health assessment for staff #7 was dated 5/28/19.

Corrected by Nov 11, 2021

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3270.151(c)(1)/3270.151(c)(5) · An adult health assessment must include a physical examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

On 11/4/21 during the renewal inspection, the health assessment form for staff #4 did not indicate that the physician completed a health assessment or provide an assessment of the person's suitability to provide child care.

Corrected by Nov 5, 2021

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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.

On 11/4/21 during the renewal inspection, there was no TB screening and results on file for staff #2 (hire date 7/25/21).

Corrected by Nov 5, 2021

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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

On 11/4/21 during the renewal inspection, there were no references on file for staff #2 (hire date 7/25/21).

Corrected by Nov 5, 2021

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3270.61(h) · The capacity established for an indoor space may not be exceeded.

On 11/4/21 during the renewal inspection, there were 14 school age children in a room with a capacity of 8.

Corrected by Nov 5, 2021

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

It was confirmed through interviews at a complaint investigation conducted on 11/17/2021 that Staff #1 has left the school-age classroom unsupervised to get snacks and use the bathroom.

Corrected by Dec 9, 2021

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3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for all facility staff to complete the Better Kid Care trainings titled Supervision: What's Required (Supervision: Que Se Requiere?) and Supervision: Teamwork (Supervision: Trabajo en Equipo). Certificates of completion should be submitted to the Regional Office once completed.

It was confirmed through interviews at a complaint investigation conducted on 11/17/2021 that Staff #1 has left the school-age classroom unsupervised to get snacks and use the bathroom.

Corrected by Dec 20, 2021

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