Little Genius Day Care Llc

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 on 6/1/26 Staff 1 and 3 had more than 12 months between fire safety training dates. Staff 1 had fire safety trainings dated 4/8/25 and 5/11/26, and Staff 3 had fire safety trainings dated 4/8/25 & 5/11/26 in their respective files.

Corrected by Jun 1, 2026

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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 on 6/1/26 Cert rep observed the trim was peeling up off the wall(not in good repair) in the large bathroom in the toddler/preschool room.

Corrected by Jun 1, 2026

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3270.123(a)(1)/3270.124(b)(7) · An agreement shall specify the amount of the fee to be charged per day or per week. 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 on 6/1/26 Child 1's fee agreement did not have the fee amount listed. Additionally Child 3's emergency contact form did not include the address and phone number for all release persons.

Corrected by Jun 12, 2026

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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.

During a renewal inspection on 6/1/26 Cert rep observed that the facility Bus did not have the emergency medical transportation plan in the bus or the emergency contact binder for transportation. Staff reported that the emergency medical transportation plan was not otherwise taken with staff when leaving the facility with children in the bus.

Corrected by Jun 1, 2026

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3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

During a renewal inspection on 6/1/26 Preschool Child 4's initial health report from 7/31/25, was not signed by a physician, physician's assistant or a CRNP who completed the form. See LIS code sheet for DOB and Date of Admission.

Corrected by Jul 10, 2026

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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 6/1/26 Preschool Child 4's initial health report from 7/31/25, did not include statements that 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 . See LIS code sheet for DOB.

Corrected by Jul 10, 2026

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3270.151(c)(4) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

During a renewal inspection on 6/1/26 Staff 2's health assessment dated 1/5/26 said that Staff 2 did have signs of a communicable disease, however there was no explanation as to what this was, or if this posed a risk to children, or other persons in contact with Staff 2. Staff 2 did not have any other current health assessments available for review.

Corrected by Jun 12, 2026

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3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

During a renewal inspection on 6/1/26 Cert rep observed that the facility's safe routes were not posted in a conspicuous location in the child care facility.

Corrected by Jun 1, 2026

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3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter ensure the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

During a renewal inspection 6/1/26 review of the fire drill log determined that on 3/16/26 and 4/15/26 the consecutive fire drills had the same hypothetical location of the fire (laundry).

Corrected by Jun 1, 2026

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3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

During a renewal inspection on 6/1/26 older toddler Child 2's initial health report was dated 3/26/26, which is more than 60 days after their date of admission. See LIS code sheet for DOB, and date of admission. It was reported that Child 2 continued to attend the child care between their 60th day and 3/26/26.

Corrected by Jun 1, 2026

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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 PA Required Health and Safety for Centers-Group Child Care Part 1 (Requisitos de Salud y Seguridad para Centros-Grupos de Cuidado Infantil en PA Parte 1) (3 hours) is completed, staff person 1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. 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. Once all preservice trainings are completed, staff person 1 may only care for children unsupervised if they have all qualifications on file to qualify as an AGS or higher.

During an allocated unannounced monitoring inspection on 3/26/26 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: PA Required Health and Safety for Centers-Group Child Care Part 1 or completed an acceptable previous version of the Health and Safety Training.

Corrected by Mar 26, 2026

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3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

During an allocated unannounced monitoring inspection on 3/26/26 Staff 1, 3, and 4 did not have initial emergency plan training and it has been more than 90 days since their dates of hire. See LIS code sheet for dates of hire. Staff 1 was observed providing care on 3/26/26, and Staff 4 was reported to be working as staff. It was reported that Staff went on leave starting 2/25/26, however staff 3 worked as Staff between their 90th day and 2/25/26.

Corrected by Mar 26, 2026

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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.

During an allocated unannounced monitoring inspection on 3/26/26 Cert rep observed that the most recent sent version of the emergency plan letter for parents does not include lockdown procedures and accommodations for infants toddlers, children with special needs and chronic medical conditions.

Corrected by Mar 26, 2026

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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. Until such time as PA Required Health and Safety for Centers-Group Child Care Part 1 (Requisitos de Salud y Seguridad para Centros-Grupos de Cuidado Infantil en PA Parte 1) (3 hours) and PA Required Health and Safety for Centers-Group Child Care Part 2 (Requisitos de Salud y Seguridad para Centros-Grupos de Cuidado Infantil en PA Parte 2) (3 hours) are completed, staff person 1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. 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. Once all preservice trainings are completed, staff person 1 may only care for children unsupervised if they have all qualifications on file to qualify as an AGS or higher.

During an allocated unannounced monitoring inspection on 3/26/26 Staff person 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2 or an acceptable previous version of Health and Safety Training.

Corrected by Mar 30, 2026

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3270.36(b)(5)/3270.192(2)(iv) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During an allocated unannounced monitoring inspection on 3/26/26 Staff 3 had a high school diploma and 1842 hours of experience working with children. It was reported that Staff 3 had additional experience working with children, however this was not verified in the file. It was reported that Staff 3 had been working as an assistant group supervisor at the facility.

Corrected by Mar 27, 2026

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3270.37(b)(3)/3270.192(2)(iv) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During an allocated unannounced monitoring inspection on 3/26/26 Staff 1's file did not have verification of any education or any child care experience. Staff 1's file included an application which noted Staff 1 completed 10th grade, however this is not an acceptable verification of education. Staff 1 has been working as an Aide.

Corrected by May 1, 2026

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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.

During an allocated unannounced monitoring inspection on 3/26/26 Staff 1 was observed providing care to 9 children alone, and was therefore unsupervised.

Corrected by Mar 26, 2026

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3270.52/3270.113(a)(1) · 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). 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. TIERED LIS: 1. The required staff:child ratios must be maintained 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must update their supervision and ratio policies to include information regarding mixed aged ratios and mixed age supervision groups. This policy will ensure that all children are properly assigned to a specific staff person and supervised at all times. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his assigned group and be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. This policy must address the steps staff and the operator will take in order to maintain both similar and mixed aged ratios and supervision group sizes including but not limited to when someone needs to answer the door of the facility or otherwise leave the childcare space. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and during nap time. The legal entity must receive approval of the policies from the Regional Office. Once approved by the Regional Office, the legal entity must review policies with all staff and have staff sign off that they understand and will follow the approved policies The operator shall provide a correction date for when this portion of the plan will be completed.

During an allocated unannounced monitoring inspection on 3/26/26 Cert observed Staff 2 was not physically present with the children in their assigned group while in the hallway, and Staff 1 was observed to be alone in the room with 4 older toddlers and 5 preschool aged children. Staff 1 and 2 were present in the toddler/preschool room with 9 children (4 older toddlers and 5 preschool children. Staff 2 left the toddler/preschool room and went to the facility hallway. Staff 2 reported they left the childcare space to answer the facility door. When Cert rep questioned Staff 2 about Staff 1 being alone with the children, Staff 2 then reentered the toddler/preschool room and named and identified 5 children (older toddlers) as being in Staff 2's group. Staff 1 identified 4 children (preschool aged) as being in her group.

Corrected by May 15, 2026

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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 an allocated unannounced inspection on 3/26/26 Cert rep observed peeling paint on the wall along the bottom right hand side of the painted wall mural in the playspace.

Corrected by Mar 26, 2026

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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 an allocated unannounced inspection on 3/26/26 Cert rep observed tears along the edges of the folds in the changing mats in the large bathroom in the Toddler/Preschool room. These tears would prevent proper sanitation.

Corrected by Mar 26, 2026

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3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

During an allocated unannounced inspection on 3/26/26 Cert rep observed Plastic bags and Wipes in bags labeled "keep bags away from children" under changing table in the large bathroom in the Toddler/Preschool room. The children who use this bathroom may still be placing objects in their mouths.

Corrected by Mar 26, 2026

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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.

During an allocated unannounced monitoring inspection on 3/26/26 Staff 1's file had 0 written references.

Corrected by Mar 27, 2026

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

During a renewal inspection on 6/10/25 Cert rep observed the Computer room did not have the daily activities posted.

Corrected by Jun 9, 2025

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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.

During a renewal inspection on 6/10/25 Cert rep observed the 2005 Chevrolet bus owned by the facility and driven for transportation did not have a valid Pennsylvania State Police inspection for School buses. This was evidenced by the school bus inspection sticker with an expiration date of 8/31/2019. This inspection is a Department of Transportation requirement.

Corrected by Jun 24, 2025

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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.

During a renewal inspection on 6/9/25 Director reported that parents were not being provided a letter explaining the emergency procedures.

Corrected by Jun 20, 2025

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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. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). This portion of the plan shall have an immediate correction date. 2. The legal entity must create a checklist for new and existing staff. This checklist must address all necessary staff paperwork including but not limited to required clearances and time frames for renewals of these documents. The checklist must be approved by the regional office and be used by the person responsible for hiring and maintaining staff records. The provider shall provide a correction date for this portion of the plan.

During a renewal inspection on 6/9/25 Cert rep noted more than 60 months between clearances for the following Staff: Staff 1: PSP(10/24/19, & 4/2/25), Child Abuse (11/20/19 & 4/10/25), DHS FBI (1/31/20, & 4/7/25), NSOR (2/5/20 & 4/8/25). Staff 2: NSOR (2/4/20 & 4/8/25). Staff 3: Child Abuse (5/16/19 & 5/29/24), NSOR (2/20/20 & 4/8/25). Staff 4: NSOR (1/31/20 & 4/7/25). Staff 5: Child Abuse (3/12/19 & 5/28/24), DHS FBI (2/3/20, & 4/7/25).

Corrected by Jul 31, 2025

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3270.75(a)/3270.75(b) · A first-aid kit shall be in a child care space. A first-aid kit must be inaccessible to children.

During a renewal inspection on 6/10/25 Cert rep observed the Computer room did not have a first kit. Cert rep also observed the first aid kits on the walls of the Preschool/Toddler Room and the Indoor playground were on the wall at a height that made them accessible to children

Corrected by Jun 9, 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 on 6/10/25 Cert rep observed a broken tile on the wall in the girls bathroom near the toilet.

Corrected by Jun 9, 2025

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3270.121(b) · At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

During a renewal inspection on 6/10/25 Cert rep noted parents were not receiving information regarding the facility's general daily schedule and pick-up arrangements

Corrected by Jun 20, 2025

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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).

During a renewal inspection on 6/10/25 Child 3 did not have a Child service report. Child 3 has been enrolled for move than 6 months (See LIS code sheet for date of enrollment.)

Corrected by Jun 30, 2025

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3270.124(b)(2)/3270.124(b)(3) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During a renewal inspection on 6/10/25 Cert rep noted children's emergency contact forms did not list parents work address(Child 1) and work phone number(Child 1 and 3). Child 2's emergency contact form did not list a phone number for the child's physician/source of medical care.

Corrected by Jun 20, 2025

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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.

During a renewal inspection on 6/10/25 Cert rep observed the Computer room did not have the emergency medical transportation plan posted. Cert rep also observed that the emergency medical transportation plan was not in the vehicles used for transportation of children to and from the facility. Staff reported this plan was not being taken with staff when transporting children.

Corrected by Jun 9, 2025

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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 a renewal inspection on 6/9/25 Staff 3 had a most recent health assessment dated 6/27/22. This is more than 24 months since the previous health assessment. Staff 3 was observed to be working in a staff role.

Corrected by Jun 19, 2025

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3270.175(a) · A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

During a renewal inspection on 6/9/25 Staff reported that the facility was not using car seats/booster seats when transporting young school aged children who are 7 years of age or younger.

Corrected by Jun 9, 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 6/9/25 Staff reported that the facility was not maintaining a copy of reports regarding accidents, injuries, and illnesses in the child's file.

Corrected by Jun 9, 2025

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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.

It was observed in the preschool area that two cabinets had cleaning products accessible to children ; they contained Lysol spray, Chlorox wipes, and Windex.

Corrected by Jun 25, 2024

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3270.121(b) · At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

It was observed and stated that the facility did not provide to all enrolled families a written supervision policy or clothing policy.

Corrected by Jun 28, 2024

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3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

It was observed and stated that the facility did not send a copy of their emergency plan to their local municipality.

Corrected by Jun 28, 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 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. All staff clearances must be renewed at least once every 60 months.

On 4/4/2024, the state police clearance on file for Staff #1 was dated 7/5/2018. The updated state police clearance was immediately requested and received. However, Staff #1 was working with an expired state police clearance prior to obtaining the updated clearance.

Corrected by Apr 4, 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. 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 operator must develop written policies and procedures to be implemented at the facility to ensure that children in care are supervised by a staff person at all times. The written policies must specifically address the procedures for how children will be supervised at all times by a staff person when they are transitioned to and from bathroom breaks and transitioned to and from any location at the facility. Once approved, all existing staff and new hires must be trained on the approved policies and procedures and the documentation must be kept on file at the facility.

During an unannounced inspection on 3/27/2024, school age children were observed individually on 4 separate occasions walking unsupervised from the classroom to the bathroom located on the other side of the building and then back to the classroom.

Corrected by Apr 23, 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. 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.

During an unannounced inspection on 3/27/2024, school age children were observed individually on 4 separate occasions walking unsupervised from the classroom to the bathroom located on the other side of the building and then back to the classroom.

Corrected by Apr 23, 2024

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3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #2 will have until 5/4/2024 to complete the required training. Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.

Staff #2 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 pediatric cardiopulmonary resuscitation (CPR).

Corrected by May 3, 2024

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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.

On 6/21/2023, two loose tiles were seen near the wall in the back part of the school age classroom.

Corrected by Jun 21, 2023

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3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in childcare group settings). Child #1 and #2 must be dismissed from care by close of business on 6/21/2023 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

On 6/21/2023, the updated health reports on file for Child #1 and #2 did not have the up-to-date annual influenza immunization as recommended by the ACIP. The files for Child #1 and #2 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent.

Corrected by Jun 21, 2023

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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.

It was confirmed through interviews that staff at the facility had been observed placing Child #1, age 4, in a high chair during circle time on multiple occasions. This happened most recently on 2/2/2023.

Corrected by Feb 3, 2023

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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. The legal entity must arrange for all facility staff employed as of the date of the training to receive a minimum of 2 hours of PQAS-approved in-person or live training regarding behavior management of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

It was confirmed through interviews that staff at the facility had been observed placing Child #1, age 4, in a high chair during circle time on multiple occasions. This happened most recently on 2/2/2023.

Corrected by Apr 1, 2023

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #2 will have until 3/22/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 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 available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented verified mandated reporter trainings on file being dated 10/20/2017.

Corrected by Feb 16, 2023

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3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1 will have until 3/22/2023 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): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR).

Corrected by Feb 24, 2023

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the Renewal Inspection on 6/21/2022, the most recent health report on file Child #1, a preschool child was dated 11/24/2020 (see LIS code sheet).

Corrected by Jun 28, 2022

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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.

Staff #3 had previously completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) that expired in April 2021 prior Staff #3 renewing their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 5/7/2022. See code sheet for date of hire.

Corrected by Jun 21, 2022

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3270.31(f) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #1 and #2 will have until 7/23/2022 to complete the required training. Until such time as the required training has been completed, staff person #1 and staff person #2 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 and staff person #2 may not work in a child-care position at the facility.

Staff person #1 and Staff person #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR).

Corrected by Jun 21, 2022

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until 7/23/2022 to complete the mandated reporter 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 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 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 2/1/2017. Staff person #4 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected by Jun 21, 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 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. All required staff clearances must renewed at least every 60 months. Staff persons may not work in a child care position at the facility with any clearances that are expired.

Staff #1 previously completed the FBI clearance on 9/3/2016, but did not renew the FBI clearance until 5/20/2022.

Corrected by Jun 21, 2022

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3270.131(a)/3270.131(c) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

During the Renewal Inspection on 6/21/2022, Child #2 did not have a completed health report on file that was written and signed by a physician, physician's assistant or a CRNP (see LIS code sheet).

Corrected by Jun 21, 2022

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