Early Beginnings

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.

During a renewal inspection 5/5/25-5/8/25 Cert rep observed broke white plastic with rough edges on the tires of two toy riding cars in the outdoor play space.

Corrected by May 5, 2025

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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 a renewal inspection 5/5/25-5/8/25 Staff 1 received Fire safety training on 6/5/23 and 2/21/25, this is more than 12 months between fire safety trainings. Facility Person 2 has not received fire safety training. (See LIS code sheet for DOH)

Corrected by May 8, 2025

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

During a renewal inspection 5/5/25-5/8/25 Staff person 1 completed Pediatric First aid and CPR on 4/1/24, which is beyond 90 days from their date of hire (see LIS code sheet).

Corrected by May 8, 2025

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3270.75(c)/3270.75(d) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

During a renewal inspection 5/5/25-5/8/25 Cert rep observed the first aid kit in the Upper Level room did not have tape. Cert rep observed the first aid kit in the 2024 Ford van did not contain a water bottle.

Corrected by May 5, 2025

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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 a renewal inspection 5/5/25-5/8/25 Cert rep observed grime and a yellow unidentifiable sticky residue on the right wall and base board of the stall in the bathroom on the lower level.

Corrected by May 5, 2025

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

During a renewal inspection 5/5/25-5/8/25 Cert rep observed peeling plaster on the back wall and of the stall in the bathroom on the lower level.

Corrected by May 10, 2025

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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.

During a renewal inspection 5/5/25-5/8/25 Cert rep noted Child 2's emergency contact form did not have the address of all release persons listed.

Corrected by May 8, 2025

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3270.131(d)(5)/3270.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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. Child 1 must be dismissed from care by close of business 5/8/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

During a renewal inspection on 5/8/25 Child 1's file was missing record of the following vaccinations as per the ACIP recommendations: Hepatis B-dose 3, DTAP-dose 4, Hib-dose 1, Pneumococcal-dose 1, Polio-dose 3, and Hepatis A-1st dose. Child 1 did not have an exemption letter on file. (See LIS code sheet for DOB).

Corrected by May 8, 2025

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3270.131(d)(7)/3270.131(d)(8) · 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 health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

During a renewal inspection on 5/5/25-5/8/25 Cert rep noted Child 2's DHS health assessment did not have answers provided to if the child is able to participate in child care and appears to be free from contagious or communicable disease and that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted.

Corrected by May 13, 2025

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3270.175(c) · Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

During a renewal inspection 5/5/25-5/8/25 Cert rep observed the 2012 Ford van did not have the manufacture instructions for the Costco brand booster seats that were in the van. Staff confirmed these booster seats are used for the children in this van.

Corrected by May 8, 2025

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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.

During a renewal inspection on 5/5/25-5/8/25 Staff reported that the facility was not maintaining a copy of reports regarding accidents, injuries, and illnesses in a facility wide file.

Corrected by May 5, 2025

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3270.27(d)/3270.27(e) · The operator shall post the emergency plan in the facility at a conspicuous location. 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.

It was observed and stated that the facility's emergency plan was not posted in a conspicuous location, and the facility's emergency plan letter, given to parents at the time of enrollment, did not include information on their lockdown procedures.

Corrected by May 24, 2024

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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.

It was stated and observed that although the facility had an emergency transportation plan posted, that plan did not accurately explain the staffing provisions in the event of an emergency both on and off facility premise. In addition, this plan was not accompanying staff when leaving facility property with the children.

Corrected by May 24, 2024

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3270.31(f) · Staff person #1 shall complete the required one-hour 2022 update to the health and safety training by 6/30/2023.

Staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected by Jun 15, 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 6/15/2023, the bottom part of the stall in downstairs bathroom was rusted.

Corrected by Jun 15, 2023

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a childcare space for children receiving care in the space.

During the Renewal Inspection on 6/15/2023, the emergency contact forms were not present in the classroom downstairs for the school age children that were receiving care in this classroom at this time.

Corrected by Jun 15, 2023

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3270.27(a)(5)/3270.27(a)(6) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During the Renewal Inspection on 6/14/2022, the emergency plan at the facility did not have specified in writing describing that the emergency plan provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions as applicable. The facility also did not have documented that an emergency drill has been conducted during the previous 12 months.

Corrected by Jun 24, 2022

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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.

A complaint Inspection was conducted on 5/11/2022. It was verified through staff interviews that Child #1, age 2 sustained scratches on his arm on 5/4/2022 and his face and neck area on 5/5/2022 during altercations with another child each day. The facility did not complete an accident/injury/illness report for either one of these incidents. On the day of the inspection, facility also did not have a master file for accident, injury, and illness reports.

Corrected by May 11, 2022

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