My First Steps Child Care Center Ii

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. Announcement C-22-03: Updates to Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements states To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; Strategies for coping with a crying, fussing, or distraught child; and Address the prevention and identification of child maltreatment.

During a renewal inspection 2/11/26-3/10/26 the facility did not have a written policy which addressed the prevention and identification of child maltreatment.

Corrected by Mar 10, 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 a renewal inspection 2/11/26-3/10/26 the facility did not have a letter for the parents which explained the emergency procedures.

Corrected by Mar 10, 2026

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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 5 and Facility Person 6 may not work in a child care position or have any interaction with children at the facility until such time as the required PA and out of state clearances are on file for Staff Person 5 and Facility Person 6.

During a renewal inspection on 2/11/26 Staff Person 5 and Facility Person 6 did not have all required clearances on file before their first day working with or interacting with children. (See LIS code sheet for first day with children). Staff Person 5 and Facility Person 6 reported they had resided in Florida in the past 60 months, however Staff Person 5 and Facility Person 6 did not have Florida Criminal record check and Florida Child Abuse clearances on file. Staff Person 5 was observed providing care to children on 2/11/26 and Facility Person 6 was observed interacting with children. Additionally Facility Person 6 had a PSP clearance request dated 2/26/25, however they did not have a PSP clearance on file. Facility Person 6 is beyond their 45 day provisional hire time period.

Corrected by Feb 11, 2026

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3270.35(b)(2)/3270.192(2)(iv) · A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year 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 a renewal inspection 2/11/26-3/10/26 Staff Person 11 had a foreign degree that was evaluated to be equivalent to a bachelor's degree from an accredited college or university in the United States. Staff Person 11 did not have transcripts or other acceptable forms of documentation available to review to determine if they had at least 30 credit hours in early childhood education, child development, special education, elementary education or the human services field. Staff Person 11 did not have an experience working with children verified in the file.

Corrected by Apr 16, 2026

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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 a renewal inspection on 2/11/26 Cert rep observed Lysol in an unlocked and accessible staff locker in the Light Green Room(Room 1). The Lysol was labeled "keep out of reach of children."

Corrected by Feb 11, 2026

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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 a renewal inspection on 2/11/26 Cert rep observed the door between Room 5(Orange) and the kitchen which had a working stove was open and unlocked. The stove did not have any protective mechanism to prevent direct contact with the stove, or the knobs to turn the stove on.

Corrected by Feb 11, 2026

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3270.75(b) · A first-aid kit must be inaccessible to children.

During a renewal inspection on 2/11/26 Cert rep observed the first aid kits in the following rooms were on shelves that would be accessible to the school age children who use these rooms: Room 1 (Light Green), Room 2(Blue), Room 3(Purple), and Room 5(Orange).

Corrected by Feb 11, 2026

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3270.76/3270.102(a) · 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. 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 on 2/11/26 Cert rep observed tears in the beige chair in Room 3(Purple Room), tears in the foam play pit in Room 6 (Rainbow Room), a rough edge from a broken piece of trim on the back wall of the right side of Room 6 (Rainbow Room), Frayed carpet on right side of Room 6 (Rainbow Room), tears in the changing mat in the men's bathroom used by room 8(Sky Blue Room) and room 9(Green Room), and holes which exposed the internal foam in the door frame cushion for the door to Room 9(Green Room). On 2/27/26 Cert rep observed splintering wood which created a rough edge on the wood trim around the raise section of the Side playground, a crack which caused a rough edge on the plastic bench in the front playground, and a crack which caused a rough edge on the yellow plastic bridge equipment on the front playground.

Corrected by Mar 14, 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 a renewal inspection on 2/11/26 Cert rep observed peeling paint on the door frame of the door to Room 9(Green Room). On 2/27/26 Cert rep also observed peeling paint on the green metal toy car in the front playground.

Corrected by Apr 2, 2026

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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 2/11/26-3/10/26 it was noted that the facility was not providing parents information in writing regarding their night care policies. The facility reported via their provider survey that evening care is provided.

Corrected by Mar 10, 2026

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

During a renewal inspection on 2/11/26-3/10/26 emergency contact information for Children 1-9 did not include parent's home address and phone number (Children 7 and 9), Parent's work address (Children 1-8), Parent's work phone number (Children 5 &7).

Corrected by Mar 10, 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 2/11/26 Cert rep observed that the emergency medical transportation plan was not present in the vehicles for transportation, or the binders taken with staff during transportation. It was reported that the emergency medical transportation was not taken with staff during transportation of children to and from the facility.

Corrected by Feb 11, 2026

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

During a renewal inspection on 2/11/26 Cert rep observed a child's Diaper rash cream with expiration date 9/2024 in Room 6(The Rainbow room).

Corrected by Feb 11, 2026

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3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

During a renewal inspection on 2/11/26 Cert rep observed Staff 5 using their hand to lift the lid of the trash can during a diaper change.

Corrected by Feb 14, 2026

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3270.151(a)/3270.151(b) · 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 health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. TIERED LIS: 1. 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 shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. Facility Persons 1-10 must obtain a valid and current Health Assessment. The operator shall provide a correction date for when this portion of the plan will be corrected. 2. The legal entity will submit initial Health Assessments of any newly hired facility persons and staff, and any newly updated Health Assessments for all existing facility person and staff who were hired before the date of this inspection for a period of 3 months to the NE Regional Office. During that time any initial and updated health assessment is not considered acceptable until their health assessment has been approved by the NE Regional Office. Submitted health assessments will be reviewed by the NE regional office within 1 week of submission. The operator shall provide a correction date that is a minimum of 3 months from the date an acceptable plan is received.

During a renewal inspection on 2/11/26-3/10/26, Cert Rep observed health assessments on file for Facility Persons 1-10 dated 9/18/24, 11/1/24, 6/14/25, 9/22/25, 6/13/25, 6/13/25, 9/18/24, 1/31/25, 1/5/26, and 6/7/24 respectively. The physician's signature and date appeared to be altered. Cert Rep spoke with the physician's office and the office confirmed that Facility Persons 1-9 are not patients, and Facility Person 10 has not been seen as a patient since 2018. The health assessments for Facility Persons 1-10 are fraudulent and not valid. Facility Persons 1-10 did not have another current valid health assessment on file.

Corrected by Jul 21, 2026

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3270.176(f) · In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van. Effective 2/11/26 the GMC Savanna G3500 van with VIN ending in 6863 can not be used for transporting children, until such time as the van is verified to meet the requirements of 67 Pa. Code Chapter 171 and is verified through the manufacturer's sticker to not be an 11-15 passenger van.

During a renewal inspection on 2/11/26 Cert rep observed that the GMC Savanna G3500 van with VIN ending in 6863 did not have the manufacturer's sticker showing the capacity. Compliance is unable to be verified, as the capacity sticker is missing.

Corrected by Feb 11, 2026

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3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

During a renewal inspection on 2/20/25 Cert rep observed the first aid kits in the Chevy Express and the GMC Nico did not contain water bottles.

Corrected by Feb 20, 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. The operator shall have a Written policy to address the following: 1) Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, 2) Strategies for coping with a crying, fussing, or distraught child and 3) The prevention and identification of child maltreatment

During a renewal inspection on 2/20/25 Cert rep observed the facility did not have a written policy that addresses: Strategies for coping with a crying, fussing, or distraught child.

Corrected by Mar 3, 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.

During a renewal inspection on 2/20/25 Staff reported that parents were not being provided a letter explaining the emergency procedures. Cert rep observed that the emergency plan was not posted in a conspicuous location for parents.

Corrected by Feb 28, 2025

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3270.35(e) · In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

During a renewal inspection on 2/20/25 Staff reported the maximum number of children at the facility at one time is 80 which would require 2 group supervisors. The facility had 1 Staff Person working as a group supervisor.

Corrected by Feb 24, 2025

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3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

During a renewal inspection on 2/21/25 Staff 1 did not have a high school diploma or a general educational development certificate on file. Staff 1 has been working has an assistant group supervisor.

Corrected by Feb 24, 2025

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

During a renewal inspection on 2/20/25 Cert rep observed an outlet without a protective cover in the yellow room on the wall to the right of the door with the moths of the year sign. This room could be accessible to children 5 years old or younger.

Corrected by Feb 21, 2025

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3270.76/3270.102(a) · 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. 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 on 2/20/25 Cert rep observed the free standing sink was not securely attached to the wall. Children would be able to climb or hang on the sink which creates a hazard as it could fall on children if it detached fully from the wall. Cert rep also observed a pinch point between the sink and the wall as a result of it not be securely attached to the wall. This sink was located in the boys bathroom used by the Sky blue room and the green apple room. Cert rep observed a curl in the outdoor matting in the toddler playspace which created a tripping hazard. Cert Rep observed the cement in the raised section of the all ages playspace had loose chipped pieces with sharp edges.

Corrected by Feb 21, 2025

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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 a renewal inspection on 2/20/25 cert rep observed a plastic bag in an accessible children's cubie in the green apple room. This room had older toddlers who may still be placing objects in their mouths.

Corrected by Feb 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 2/21/25 Cert rep noted Child 4's most recent child service report was dated 7/10/24. This is more than 6 months since the previous child service report. Staff reported that the facility was only completing child service reports once a year for enrolled children.

Corrected by Feb 26, 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 2/20/25 Cert rep observed that the emergency medical transportation plan was not located in the vehicles or in the emergency contact binders for transportation. Staff reported the facility was not taking the emergency medical transportation plan when staff left the facility with children.

Corrected by Feb 20, 2025

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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 a renewal inspection on 2/21/25 cert rep noted Child 3's most recent acceptable health assignment was dated 9/12/23. This is more than 12 months old.

Corrected by Mar 4, 2025

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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 2/21/25 Cert rep observed Child 1 had an appointment summary on file as a health assessment. Cert rep observed Child 1's Health assessment was not signed by a physician, physician's assistant or a CRNP.

Corrected by Feb 28, 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 2/21/25 Children 1, and 2 did not have an acceptable health assessment which provided answers to the following: a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease and a statement that the child had age-appropriate screenings recommended by the American Academy of Pediatrics were conducted. Child 1 had an appointment summary on file as a health assessment. Child 2 had a PA school physical on file as a Child health assessment and is not a school age child(see DOB in code). Children 1 and 2 have been enrolled for more than 60 days.

Corrected by Mar 7, 2025

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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. Directed plan: Child 1 must be dismissed from care after 2/21/25 until Child 1's immunization record which is in compliance with the ACIP immunization schedule or an immunization exemption letter is on file at the facility.

During a renewal inspection on 2/21/25 Cert rep noted that Child 1 did not have written verification of the child's immunization record on file. Child 1 did not have an immunization exemption on file. Child 1 in still in care at the facility. Child 1 has been enrolled for more than 60 days.

Corrected by Feb 28, 2025

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3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

During a renewal inspection on 2/20/25 Cert rep observed that when diapers were changed in the Sky blue room a non-hands free trash can was being used to disposed of soiled disposable diapers.

Corrected by Feb 20, 2025

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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 a renewal inspection on 2/20/25 and 2/21/25 Cert rep noted Staff 5 had a health assessment and TB test dated 9/15/23. This is not within 12 months of Staff 5's start date (See LIS code sheet for DOH).

Corrected by Mar 10, 2025

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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.

During a renewal inspection Cert rep noted there was not documentation available for review that supported the emergency plan was sent to the local municipality.

Corrected by Feb 20, 2025

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. Directed Plan: Staff 2 must take 5.5 hours of professional development to fulfill requirement for training year 12/2023-12/2024. Hours used to fulfill training year 12/2023-12/2024 may not be used to fulfill current training year. Staff 3 must take 6 hours of professional development to fulfill requirement for training year 10/2023-10/2024. Hours used to fulfill training year 10/2023-10/2024 may not be used to fulfill current training year. Staff 4 must take 5.5 hours of professional development to fulfill requirement for training year 12/2023-12/2024. Hours used to fulfill training year 12/2023-12/2024 may not be used to fulfill current training year.

During a renewal inspection on 2/20/25 and 2/21/25 the following staff did not have 12 training hours during their training year: Staff 2 (6.5 hours recorded during training year 12/2023-12/2024) Staff 3 (6 hours recorded during training year 110/2023-10/2024) Staff 4 (6.5 hours recorded during training year 12/2023-12/2024)

Corrected by Feb 21, 2025

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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. Until such time as the required training has been completed, staff person 1 must be supervised, when interacting with children, by an AGS, group supervisor or director 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 an announced inspection on 12/19/24 it was noted Staff person 1 does not have a valid Pediatric First Aid and CPR on file. This is evidenced by the previously documented Pediatric First aid and CPR training on 10/15/2022 which expired 10/31/2024.

Corrected by Jan 29, 2025

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3270.113(a)(1) · 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. Operator will revise supervision policy to include information regarding the supervision of school aged children and children in the hallways. Operator will review this policy with all staff. Staff will sign acknowledgement of this policy which will remain in their Staff files.

During an unannounced inspection on 12/19/24 Cert rep observed the school age children leaving the school aged classroom to go down the hall to their cubbies. Staff 1 and 2 who were assigned supervision of these children was not physically present with these children.

Corrected by Feb 10, 2025

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3270.113(a)(1) · 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 12/19/24 Cert rep observed the school age children leaving the school aged classroom to go down the hall to their cubbies. Staff who was assigned supervision of these children was not physically present with these children.

Corrected by Dec 19, 2024

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

During a renewal inspection on 12/19/24 cert rep observed school aged children having snack without washing their hands beforehand.

Corrected by Jan 29, 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 an unannounced inspection on 10/2/24 cert rep observed two school aged children (ages 5 years and 6 years old) being transported in the facility van without appropriate safety restraints, booster seats.

Corrected by Oct 3, 2024

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

During an unannounced inspection on 10/2/2024 cert rep observed safety restraints-booster seats in the silver Odyssey van that did not have the booster seat's manufactures' instructions in the vehicle.

Corrected by Oct 3, 2024

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3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

During The Renewal Inspection on 2/25/2024, the lid for hands-free covered can used for diapering in the older toddler classroom was not going all the way up; thus, it was not working as hands-free.

Corrected by Feb 15, 2024

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3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

During The Renewal Inspection on 2/25/2024, The financial agreement for Child #1 and Child #2 had not been updated by the parent since March of 2023.

Corrected by Feb 15, 2024

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons #1 and #2 will have until 2/28/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff persons #1 and #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 persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Staff persons #1 and #2 have 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 3/28/2016 for Staff #1 and 12/8/2015 for Staff #2.

Corrected by Feb 9, 2023

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3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During the Renewal Inspection on 2/9/2023, the soap dispenser in the bathroom for the Blue Room was observed to be cracked with sharp edges exposed. The red wooden fence in the outdoor play area was observed to be peeling in several areas of the fence.

Corrected by Feb 16, 2023

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3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

During the Renewal Inspection on 2/9/2023, Child #1, an infant (Date of Birth-12/1/2022) was observed sleeping in a bounce seat from 10:45 AM until 10:56 AM. There is not any medical reason on file to document that Child #1 should not sleep in the sleeping position recommended by the American Academy of Pediatrics.

Corrected by Feb 9, 2023

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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.

On 2/9/2023, Staff #3 had a completed health assessment on file that was dated 1/20/2022. See LIS code sheet.

Corrected by Feb 14, 2023

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

On 2/9/2023, the facility did not have documented that an annual emergency drill has been conducted during the previous 12 months.

Corrected by Feb 14, 2023

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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. The required staff:child ratios must be maintained at all times. 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 required staff:child ratios must be maintained at all times.

During the Renewal Inspection on 2/3/2022, Staff #1 and Staff #2 were working in the Green Apple classroom with a group of 12 children that were each identified as Older Toddlers. A review of the file for Child #1 showed that this child will not be age 2 until 3/28/2022.

Corrected by Feb 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). Each clearance for all staff must be renewed at least once every 60 months. All staff must also complete an approved mandated reporter training at least once every 60 months. 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 the staff file review on 2/3/2022, each staff for all files that were reviewed had updated clearances and an updated mandated training on file. However, the following was observed: The mandated reporter training for Staff #2 was completed on 1/30/2021, but the previous mandated reporter training on file for Staff #2 was completed on 9/20/2015. The state police clearance for Staff #3 was updated on 8/4/2021, but the previous state police clearance on file was dated 6/7/2016, the FBI clearance for Staff #3 was updated on 8/6/2021, but the previous FBI clearance on file was dated 2/22/2016 and the mandated reporter training for Staff #3 was updated on 12/22/2021, but the previous mandated reporter training on file was completed 10/14/2016. The state police clearance for Staff #4 was updated on 5/28/2021, but the previous state police clearance on file was dated 3/11/2016, the child abuse clearance for Staff #4 was updated on 6/1/2021, but the previous child abuse clearance on file was dated 3/15/2016 and the FBI clearance for Staff #4 was updated on 5/30/2021, but the previous FBI clearance on file for Staff #4 was dated 3/30/2016. The state police and child abuse clearances for Staff #5 were updated on 5/28/2021 and the FBI clearance was updated on 6/12/2021, but all three of these previous clearances were dated 2/5/2016. The mandated reporter training for Staff #5 was updated on 8/10/2021, but the previous mandated reporter training on file was completed on 2/8/2016.

Corrected by Feb 3, 2022

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3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During the Renewal Inspection on 2/3/2022, the red wooden fence in the outdoor play area to have to broken fence posts that exposed sharp edges and splinters. The red wooden fence also had several areas where paint was peeling.

Corrected by Mar 4, 2022

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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 the Renewal Inspection on 2/3/2022, a playhouse with several cracks that left sharp edges exposed was observed in the outdoor play area.

Corrected by Feb 4, 2022

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3270.131(b)(1)/3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. 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 child file review on 2/3/2022, the most recent health report on file for Child #2, a young toddler was dated 7/26/2021. The most recent health report on file for Child #3, an older toddler was dated 1/7/2021.

Corrected by Feb 11, 2022

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