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.

Observed in the toddler space the cabinet under the changing table was not locked and there were 5 various brands of diaper cream all labeled, "keep out of the reach of children." The cabinet was accessible to the children present in the childcare space. Observed in the girls' restroom near the gross motor space, Aquaphor lotion labeled for child #4 accessible to children due to the fact it was stored in top, opening space of the diaper changing table.

Corrected Corrected by Mar 5, 2025

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

There was not a handwashing sign posted at the toilet in the last stall of the girls' and boys' restrooms located near the gross motor room and the restroom located near the infant room.

Corrected Corrected by Mar 5, 2025

Category: health medication. 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.

Observed 4 broken Magna tiles in the preschool space.

Corrected Corrected by Mar 5, 2025

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

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

The file of child #4 lacked an emergency contact form with the work address and telephone number of the enrolling parent.

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. 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.

The file of child #4 lacked an emergency contact form with the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. The file of child #5 lacked an emergency contact form with the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Mar 5, 2025

Category: health medication. 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.

The file of child #4 lacked an emergency contact form with the complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Observed an epi pen not labeled for child #3.

Corrected Corrected by Mar 5, 2025

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

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

There was not a medication log for infants' Tylenol labeled for child #5.

Corrected Corrected by Mar 5, 2025

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

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

Observed in the infant room, a bottle not labeled which belonged to child #1.

Corrected Corrected by Mar 5, 2025

Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

The file of child #2 lacked an emergency contact form with the signed parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Mar 5, 2025

Category: transportation. Marked corrected in the state record.

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.

At the time of the inspection, there was not documentation the emergency plan was sent to the local municipality.

Corrected Corrected by Mar 5, 2025

Category: physical safety. 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.

The file for staff person #4 contains Health & Safety training completed greater than 90 days after their hire date. The training is now current.

Corrected Corrected by Mar 18, 2024

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #4,5 will have until 3/29/2024 to complete the required training. Until such time as the required training has been completed, staff person #4, 5 must be supervised, when interacting with children, by a director, group supervisor or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, 5 staff person #4, 5 may not work in a child-care position at the facility.

Staff persons #4 and #5 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/ pediatric CPR conducted by a PQAS certified instructor.

Corrected Corrected by Mar 27, 2024

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The files for staff persons #1, #2 and #3 contain current written evaluations that were completed greater than 12 months after the previous evaluation.

Corrected Corrected by Mar 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The bathrooms in the gym lacked handwashing signs by the 2 urinals and by the diaper changing area.

Corrected Corrected by Mar 6, 2024

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Observed in the first aid kit in the gym a tube of Neosporin lacking the name of the individual for whom it was intended.

Corrected Corrected by Mar 6, 2024

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

3270.51 · 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.

According to staff interviews, on 8/31/2023 staff persons #1, #2 and #3 did not know that child #1 was locked in the playground storage shed until the children were called to line up to go inside. As there were no Staff in the storage shed ratio was not maintained. According to staff interviews, on 9/21/2023 staff person #1 left child #2 alone in the utility closet while staff #1 went to obtain a towel. As there were no Staff in the utility closet ratio was not maintained.

Corrected Corrected by Dec 13, 2023

Category: ratio. 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.

On 9/21/2023 while left unsupervised in a utility closet, child #2 had access to various toxic cleaning supplies that were stored in the utility closet.

Corrected Corrected by Dec 13, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · 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.

According to staff interviews, on 8/31/2023 staff persons #1, #2 and #3 did not know that child #1 was locked in the playground storage shed until the children were called to line up to go inside. Staff #1, #2 and #3 were not able to supervise Child #1 as they were not able to see, hear, direct and assess the child while locked in the storage shed. According to staff interviews, on 9/21/2023 staff person #1 left child #2 alone in the utility closet while staff #1 went to obtain a towel. Staff #1 was not able to supervise child #2 as they could not see, hear, direct or assess the child while alone in the utility closet.

Corrected Corrected by Dec 13, 2023

Category: supervision. Marked corrected in the state record.

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.

According to staff interviews, on 8/31/2023 staff persons #1, #2 and #3 did not know that child #1 was locked in the playground storage shed until the children were called to line up to go inside. Staff #1, #2 and #3 were not able to supervise Child #1 as they were not able to see, hear, direct and assess the child while locked in the storage shed. According to staff interviews, on 9/21/2023 staff person #1 left child #2 alone in the utility closet while staff #1 went to obtain a towel. Staff #1 was not able to supervise child #2 as they could not see, hear, direct or assess the child while alone in the utility closet.

Corrected Corrected by Dec 13, 2023

Category: supervision. Marked corrected in the state record.

3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Observed an infant in the infant room to be sleeping in a crib with a blankie that had an attached stuffed Minnie Mouse head.

Corrected Corrected by Mar 28, 2023

Category: physical safety. 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.

There was not an emergency medical transportation posting in the gym.

Corrected Corrected by Apr 4, 2023

Category: transportation. Marked corrected in the state record.

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.

The files for staff persons #6 and #7 contain current emergency plan training completed greater than 12 months after the previous training. The files are now current.

Corrected Corrected by Apr 5, 2023

Category: recordkeeping. 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.

The files for staff persons #1-#8 contain verification of completion of the Health and Safety update completed after the required date of 12/30/2022. The trainings are now current. The file for staff person #9 is lacking documentation of completion of the health and safety update.

Corrected Corrected by Apr 5, 2023

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. Facility Person #10 may not work in a child care position at the facility.

The file for staff person #10, hire date (see LIS code sheet) contains a disclosure statement lacking a witness signature. The file for staff person #11, hire date (see LIS code sheet) contains a criminal history status check however is lacking the valid criminal history clearance prior to start date. The file is also lacking verification of request for the NSOR prior to start date. The file now contains completed clearances. The file for staff person #12 is lacking documentation of request for the NSOR verification prior to start date. The file does contain the completed verification letter.

Corrected Corrected by Apr 5, 2023

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

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

The file for staff person #5 contains current mandated reporter training competed greater than 60 months after the previous mandated reporter training. The file is now current.

Corrected Corrected by Apr 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The hot water temperature at the sinks in the two restrooms in the gym exceeded 110 degrees. The children use the sinks to wash hands.

Corrected Corrected by Apr 6, 2023

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in the gym lacks tweezers. The first aid kit in the school age room lacks scissors.

Corrected Corrected by Mar 29, 2023

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

3270.135(c) · The diapering area may not be used for food preparation or food service.

Observed in the infant room that the sink used for handwashing after diapering is also used for preparing infant's bottles.

Corrected Corrected by Mar 29, 2023

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The files for staff persons #3, #8 and #11 contain current health assessments that were completed greater than 24 months after the previous health assessments. The files are now current.

Corrected Corrected by Mar 29, 2023

Category: ratio. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #3 contains no hours of child care training completed during the previous year. The file for staff person #7 contains only 1 hour of child care training completed during the previous year.

Corrected Corrected by Apr 28, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

Observed staff file #2 and #5 did not contain documentation of training in the emergency plan at the time of initial employment.

Corrected Corrected by Mar 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(g) · Staff persons shall complete professional development in the following topics within 90 days of hire: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Observed staff file #2 and 4 contained documentation of the health and safety training which was completed more than 90 days after the date of hire. Observed staff file #7 did not contain documentation of health and safety training for child care centers.

Corrected Corrected by Apr 22, 2022

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

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development in the following topics within 90 days of hire: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Observed staff file #2 contained documentation of training in pediatric first aid and pediatric cardiopulmonary resuscitation which was dated more than 90 days after hire.

Corrected Corrected by Mar 29, 2022

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

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

Observed staff file #1 contained updated criminal background, child abuse, FBI fingerprint clearances and the CPSL required mandated reporter training which were all completed more than 60 months after the date of the previous valid clearance or training. Observed staff file #4 contained a child abuse clearance which was dated after their first day working in a child care position and the file did not contain child abuse clearance request form. Observed staff file #5 contained an FBI fingerprint clearance which was dated after their first day working in a child care position and the file did not contain a fingerprint submitted receipt.

Corrected Corrected by Mar 30, 2022

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

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.

Observed staff file #3 and #5 did not contain documentation of 2 years experience with children.

Corrected Corrected by Mar 29, 2022

Category: supervision. Marked corrected in the state record.

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.

Observed a detached screw by the entrance door in the outdoor toddler play area.

Corrected Corrected by May 2, 2022

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

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

Observed multiple spots of peeling/damaged paint on the lower portion of the metal siding in the toddler play area. Observed peeling/damaged paint by the exit door and the bar in the indoor gross motor room.

Corrected Corrected by Apr 22, 2022

Category: physical safety. 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.

Observed in the large play yard swings with damaged and peeling covers and the bottom of the slide was damaged and had rough edges. Observed in the indoor gross motor area a see saw with torn fabric.

Corrected Corrected by Apr 22, 2022

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

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.

Observed in the toddler outdoor play area, small rubber particles with a diameter of less than 1 inch, all over parts of the poured protective surface and accessible to children who are still placing objects in their mouths.

Corrected Corrected by Mar 31, 2022

Category: physical safety. 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.

Observed the emergency contact information for child #3 did not contain the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 22, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Observed there was no emergency contact information available for children receiving care when they were outside in the toddler play area.

Corrected Corrected by Mar 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Observed child file #2 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP. Observed child file #1 did not contain written verification of MMR and Varicella vaccines administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Apr 15, 2022

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

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Observed there were no medication logs for medications stored and administered in the older toddler, young toddler, and infant areas.

Corrected Corrected by Mar 24, 2022

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

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.

Observed staff file #3, 5, and 6 contained updated health assessments which were dated more than 24 months after the previous valid health assessment.

Corrected Corrected by Mar 29, 2022

Category: ratio. Marked corrected in the state record.