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.

A renewal inspection was conducted on 9/13/24. The facility's emergency plan does not address continuity of operations.

Corrected Corrected by Sep 13, 2024

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff 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 completed on 9/13/24. Staff person #1 completed their disclosure statement after they had begun working in the childcare facility.

Corrected Corrected by Sep 13, 2024

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

3270.61(e) · Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms.

A renewal inspection was completed on 9/13/24. The facility has an operable stove in a childcare space.

Corrected Corrected by Sep 13, 2024

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

3270.131(c)/3270.131(d)(7) · 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. 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 9/13/24. Child #1 has a health visit summary dated 8/23/23 for their initial health assessment on file. Child #1 has a current health assessment dated 2/19/24.

Corrected Corrected by Sep 13, 2024

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

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.

A renewal inspection was conducted on 9/13/24. Staff person #2's health assessment and TB were not completed within 12 months prior to providing initial service in a childcare setting; Health assessment and TB dated 4/14/23.

Corrected Corrected by Sep 27, 2024

Category: ratio. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that 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.

A renewal inspection was completed on 9/13/24. The fire drill log did not list hypothetical locations of the fire that are rotated around the facility for each drill. The hypothetical locations were all listed as the same location.

Corrected Corrected by Sep 18, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

A renewal inspection was conducted on 9/13/24. Child #1 did not have an initial health report within 60 days following the first day of attendance at the facility. Child #1 has a current health assessment on file dated 2/19/24.

Corrected Corrected by Sep 13, 2024

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months.

File for Staff # 1 contained State Police Clearances dated 1/30/18 and 7/8/23.

Corrected Corrected by Sep 20, 2023

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

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

A bottle of Tylenol was observed in the top drawer of teacher's desk. Desk drawer was not locked. drawer was accessible to children.

Corrected Corrected by Sep 20, 2023

Marked corrected in the state record.

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.

Play couch in the Preschool room was observed to have several areas of peeling fabric.

Corrected Corrected by Sep 20, 2023

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

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

Fee Agreement for Child # 1 did not contain child's date of admission.

Corrected Corrected by Sep 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Emergency Contact Forms for Children # 3 and # 4 did not contain address of release persons.

Corrected Corrected by Sep 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

Infant bottle was not labeled with child's name.

Corrected Corrected by Sep 20, 2023

Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Emergency Contact Form for Child # 2 did not contain signed parental consent for emergency medical care and for the administration of minor first-aid procedures by staff.

Corrected Corrected by Sep 26, 2023

Category: ratio. Marked corrected in the state record.

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. Director will develop a Supervision Policy that addresses supervision at all times, including diaper changing, outside and transition times. Ratio must also be addressed in policy. Policy must be approved by Regional Office. All staff must be trained, and verification of training must be in staff file.

Staff # 1 and # 2 admitted that three children wandered out of the gym through the locker room into the school. Staff # 1 and #2 were unsure how long children were missing. Staff #1 and ##2 admitted to not having children assigned to supervision groups.

Corrected Corrected by Aug 26, 2023

Category: supervision. Marked corrected in the state record.

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.

Staff # 1 and # 2 admitted that three children wandered out of the gym through the locker room into the school. Staff # 1 and #2 were unsure how long children were missing. Staff #1 and ##2 admitted to not having children assigned to supervision groups.

Corrected Corrected by Jul 18, 2023

Category: supervision. Marked corrected in the state record.

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 receive a minimum of 2 hours of PQAS approved, in-person training regarding Supervision. It does not matter if the PQAS approved training is done through ELRC. The Legal Entity must receive DHS approval of the training content prior to scheduling the training. The training may not be completed while children are in care and may not be counted to the annual training requirement.

Staff # 1 and # 2 admitted that three children wandered out of the gym through the locker room into the school. Staff # 1 and #2 were unsure how long children were missing. Staff #1 and ##2 admitted to not having children assigned to supervision groups.

Corrected Corrected by Aug 26, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Health and Safety Topics including pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person # 10 will have until 8/11/23 to complete the required training. Until such time as the required training has been completed, staff person # 10 must be supervised, when interacting with children, by a staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person # 10, staff person # 10 may not work in a child-care position at the facility.

Staff person # 10 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Topics including pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person #10 was not unsupervised with children.

Corrected Corrected by Jul 18, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons #1-#10 shall complete the required one-hour 2022 update to the health and safety training by 8/11/23.

Staff persons #1 - #10 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Jul 18, 2023

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

3270.61 · Measurement and use of inodoor child care space.

Facility was using the elementary school gym as indoor play space. The gym is not measured childcare space.

Corrected Corrected by Jul 18, 2023

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Emergency Contact Forms for Children # 1 and # 2 did not contain health insurance policy number.

Corrected Corrected by Oct 14, 2022

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

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.

File for Child # 3 did not contain an updated health assessment, last one in file is dated 4/26/21.

Corrected Corrected by Oct 14, 2022

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

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

File for Child # 1 did not include an updated immunization record.

Corrected Corrected by Oct 14, 2022

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

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Emergency Contact Forms for Children # 1 and # 3 did not contain signed parental consent for emergency medical care and the administration of minor first aid by staff.

Corrected Corrected by Oct 14, 2022

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Files for Staff # 1 and # 2 did not contain verification of child care experience.

Corrected Corrected by Oct 14, 2022

Category: recordkeeping. Marked corrected in the state record.

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

First-aid kit in the 3 year old room was in an area accessible to children.

Corrected Corrected by Nov 3, 2021

Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Coppertone sunscreen was observed on a shelf accessible to children.

Corrected Corrected by Nov 3, 2021

Marked corrected in the state record.

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.

Facility did not have a written plan identifying means of transporting a child to emergency care and staffing provisions in case of an emergency.

Corrected Corrected by Nov 4, 2021

Category: transportation. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

File for Staff # 1 did not contain an updated TB test at time of hire. Staff #1 began employment on 4/5/21, TB test is dated 2/10/20.

Corrected Corrected by Nov 26, 2021

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