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 a cracked Magna Tile in the Preschool Room.

Corrected Corrected by Dec 10, 2024

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file of Staff #6 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Dec 23, 2024

Category: recordkeeping. 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.

Observed Bic Wite-Out which indicated "keep out of the reach of children" in the bin labeled "fine tip sharpies" by the refrigerator in the Preschool Room which was accessible to children.

Corrected Corrected by Dec 23, 2024

Marked corrected in the state record.

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 file of Staff #7 lacked documentation of completing the Pennsylvania Health and Safety Update within 90 days of hire (See LIS Code Sheet).

Corrected Corrected by Dec 26, 2024

Category: ratio. Marked corrected in the state record.

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 the required pre-service trainings are completed, staff persons #2 and #3 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 persons #2 and #3, staff persons #2 and #3 may not work in a child-care position at the facility.

Staff persons #2 and #3 were observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training, pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum, and health and safety training. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum and health and safety training.

Corrected Corrected by Jan 20, 2025

Category: supervision. Marked corrected in the state record.

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.

The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jan 13, 2025

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

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 #1 and #4 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The file of Staff #1 contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 10/4/24 with a previous one completed on 8/6/22. The file of Staff #4 contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 10/3/24 with a previous one completed on 7/16/22.

Corrected Corrected by Dec 10, 2024

Category: ratio. Marked corrected in the state record.

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

The sinks in the Toddler Room and Infant Room lacked platforms or steps to be easily approached by children using them.

Corrected Corrected by Dec 14, 2024

Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #6 will have until January 7, 2025, to complete the required training. Until such time as the required training has been completed, staff person #6 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 #6, staff person #6 may not work in a child-care position at the facility.

Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (See LIS Code Sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Dec 23, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #6 will have until January 7, 2025, to complete the mandated reporter training. Until such time as the required training has been completed, staff person #6 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 #6, staff person #6 may not work in a child-care position at the facility.

Staff person #6 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #6 has documentation of completing mandated reporter training on 8/17/21, but it is not an approved course.

Corrected Corrected by Dec 23, 2024

Category: supervision. 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2, #8, and #9 may not work in a child care position at the facility. 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 #2, #8, and #9 may not work in a child care position at the facility.

The files of Staff #2, #3, #7, and #8 lacked a valid disclosure statement (See LIS Code Sheet). The disclosure statement on file for Staff #2, #3, #7, and #8 was not the one updated in 2020. The file of Staff #2 lacked a valid FBI Clearance. The file of Staff #2 contained an FBI Clearance dated 5/14/24 from the Department of Education. The file of Staff #3 lacked a valid Child Abuse Clearance prior to providing initial service in a child care setting (See LIS Code Sheet). The file of Staff #3 contained a Child Abuse Clearance for employment dated 11/4/24 and a Child Abuse Clearance for a volunteer dated 7/14/23. The files of Staff #6, #7, and #8 lacked a disclosure statement signed at the time of initial service in a child care setting (See LIS Code Sheet). The file of Staff #6 contained a disclosure statement dated 10/25/19. The file of Staff #7 contained a disclosure statement dated 9/24/24. The file of Staff #8 contained a disclosure statement dated 9/24/24. The file of Staff #6 lacked a Child Abuse Clearance and FBI Clearance updated every 60 months. The file of Staff #6 contained a Child Abuse Clearance dated 11/5/24 with a previous one dated 10/10/19. The file of Staff #6 contained an FBI Clearance dated 10/29/24 with a previous one dated 10/25/19. The file of Staff #8 did not contain a Child Abuse and Registry Check from the State(s) in which Staff #8 resided. The file of Staff #9 lacked a valid FBI Clearance. The file of Staff #9 contained an FBI Clearance dated 9/6/24 from the Department of Education.

Corrected Corrected by Dec 13, 2024

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

3270.33(a) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

The file of Staff #3 lacked documentation of meeting one of the applicable staff qualifications for the position in which the person was performing.

Corrected Corrected by Jan 20, 2025

Category: recordkeeping. 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 file of Staff #6 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (See LIS Code Sheet). The file of Staff #6 contained a written evaluation dated 12/23/22 but did not contain one for 2023 or 2024.

Corrected Corrected by Dec 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · 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 verification of child care experience, education and training prior to service at the facility.

The files of Staff #2, #5 and #7, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children. The file of Staff #8, who was designated as an assistant group supervisor, lacked documentation of a high school diploma or a general educational development certificate.

Corrected Corrected by Jan 20, 2025

Category: supervision. 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 foam letters with bite marks in the Toddler Room. Observed small foam cubes with bite marks in the Preschool Room. Observed foam bases and foam pieces with numbers with bite marks in the Outdoor Play Space.

Corrected Corrected by Dec 10, 2024

Category: physical safety. 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.

At approximately 12:32 PM observed Staff #5 send a preschool child to the Toddler Room to use the bathroom and observed Staff #5 stand in the threshold of the door between the Preschool and Toddler Rooms to supervise the child in the bathroom and to supervise 9 preschool age children in the Preschool Room.

Corrected Corrected by Dec 10, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement for Child #5 did not specify the amount of the fee to be charged per day or per week.

Corrected Corrected by Dec 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement for Children #1, #2, #4, and #5 did not specify the date on which the fee is to be paid.

Corrected Corrected by Dec 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files of Children #1, #2, #3, #4, and #5 contained the original agreement. The facility did not make a copy for the file and give the original to the parent.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Emergency contact information for Child #5 did not include the telephone number of the child's physician or source of medical care.

Corrected Corrected by Dec 10, 2024

Category: health medication. 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.

Emergency contact information for Child #4 did not include the work address of the enrolling parent.

Corrected Corrected by Dec 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The files of Children #1 and #3 lacked written consent signed by a parent for emergency medical care prior to admission.

Corrected Corrected by Jan 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Emergency contact information for Child #1 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Jan 30, 2025

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

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The file of Child #2 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained health reports dated 8/11/23, 3/7/24, and 8/26/24.

Corrected Corrected by Jan 10, 2025

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

3270.131(d)(3)/3270.133(8) · A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

The file of Child #3 contained a health report which did not include a list of the child's current medication and the reason for the medication and if a special diet is prescribed for a child.

Corrected Corrected by Jan 30, 2025

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

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.

Observed staff placing soiled diapers in a lidded waste receptacle instead of a plastic-lined, hands-free covered can in the Toddler Room.

Corrected Corrected by Dec 10, 2024

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.

The files of Staff #3, #6, #7, and #9 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (See LIS Code Sheet). The file of Staff #3 contained a health assessment dated 10/25/24. The file of Staff #6 contained a health assessment dated 8/10/23. The file of Staff #7 contained a health assessment dated 11/19/24. The file of Staff #9 did not contain a health assessment.

Corrected Corrected by Jan 10, 2025

Category: ratio. 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.

The files of Staff #3, #6, #7, and #8 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (See LIS Code Sheet). The file of Staff #3 had a Mantoux test read date of 10/25/24. The file of Staff #6 had a Mantoux test read date of 8/23/21. The file of Staff #7 had a Mantoux test read date of 11/21/24. The file of Staff #8 had a Mantoux test read date of 11/4/24.

Corrected Corrected by Jan 3, 2025

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

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.

The emergency contact for Child #4 was not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was signed on 8/22/23 and reviewed on 2/22/24.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(5) · 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.

The files of Children #1 and #3 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

Corrected Corrected by Jan 10, 2025

Category: ratio. Marked corrected in the state record.

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.

The file of Staff #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file of Staff #5 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (See LIS Code Sheet). The file of Staff #5 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 10/3/24.

Corrected Corrected by Dec 26, 2024

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

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 12/1/23, 1/3/24, 2/2/24, 2/7/24, 3/7/24, 4/5/24, 5/3/24, 6/3/24, 7/3/24, 8/5/24, 9/4/24, 10/4/24, 11/1/24, and 11/29/24.

Corrected Corrected by Jan 3, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of reviewing documentation, the emergency plan lacked documentation of conducting a drill.

Corrected Corrected by Jan 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

At the time of reviewing documentation of fire drills, they were not conducted every 60 days on the following dates: 1-4-23 to 3-22-23 = 77 days, 3-22-23 to 6-7-23 = 77 days, and 6-7-23 to 9-1-23 = 86 days.

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of reviewing documentation, the emergency plan lacked a continuity of operations.

Corrected Corrected by Dec 15, 2023

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). PROVISIONAL HIRE UNSUPERVISED: 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.

The file of staff #3 had documentation of receipt and the complete clearance for PA State Police after their date of hire (see LIS code sheet).

Corrected Corrected by Jan 10, 2024

Category: supervision. 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 #1 lacked an emergency contact form with the work address and telephone number of the enrolling parent.

Corrected Corrected by Dec 8, 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.

The file of child #1 lacked an emergency contact form with the full address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 8, 2023

Category: recordkeeping. 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 of staff #1 and #2 lacked health assessments. The file of staff #4 had a late health assessment due to the fact the ones on file were dated 1-15-20 an 10-11-22.

Corrected Corrected by Jan 31, 2024

Category: ratio. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

At the time of reviewing documentation, the emergency plan lacked addressing accommodations to children with chronic medical conditions.

Corrected Corrected by Dec 15, 2023

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

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

At the time of reviewing documentation of testing the smoke detection system, the system was not tested every 30 days due to the fact the dates listed were 5-1-23 to 6-5-23 = 35 days and 7-5-23 to 8-7-23 = 33 days.

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #14 have not completed the following required pre-service training within 90 days of their start dates (see LIS code sheet): Pennsylvania Health and Safety Update 2022.

Corrected Corrected by Feb 11, 2023

Category: ratio. 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 file of staff #14, a facility person lacked documentation of completing emergency plan training at the time of hire.

Corrected Corrected by Jan 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The emergency plan was not posted in the facility at a conspicuous location.

Corrected Corrected by Feb 6, 2023

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

3270.31(f) · Staff person #3 shall complete professional development in the topics of 3270,31(f)(10) within 90 days of hire (see LIS code sheet): Pediatric First Aid and CPR. Staff person #3 has until 2-11-23 to complete the required training. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)(10).

Staff person #3 has not completed the following required pre-service training within 90 days of their start date (see LIS code sheet): Pediatric First Aid and CPR.

Corrected Corrected by Feb 11, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #14 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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. Facility Person #14 may not work in a child care position at the facility.

The file of staff #13 lacked documentation of a valid PA State Police clearance due to the fact the document on file was for a volunteer.

Corrected Corrected by Jan 26, 2023

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(iii) · 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 verification of child care experience, education and training following the outset of service at the facility.

The files of staff #9 and #11, both an AGS lacked documentation to support the positions due to the fact there was not proof of education.

Corrected Corrected by Feb 4, 2023

Category: supervision. 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.

The files of children #1 and #2 lacked the flu immunization.

Corrected Corrected by Feb 3, 2023

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

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.

The file of staff #14, a facility person lacked two written, nonfamily references.

Corrected Corrected by Jan 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Based on documentation on the fire drill log, fire drills were not conducted every 60 days due to the fact 9-1-22 to 11-1-22 is 61 days and 11-1-22 to 1-4-23 is 64 days.

Corrected Corrected by Jan 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The certificate of compliance and information on how to access the regulations in this chapter electronically, with instructions for contacting the appropriate regional child care office were not posted in a conspicuous location used by parents.

Corrected Corrected by Feb 6, 2023

Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The files of staff #10 and #12 lacked documentation of completing an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Mar 1, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of the inspection, there was not a policy for shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Oct 17, 2022

Category: ratio. Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Observed a trash can in the preschool room with dirty tissues. The trash can lacked a lid.

Corrected Corrected by Oct 19, 2022

Marked corrected in the state record.

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

Observed in the infant room a Graco brand and Fisher Price brand high chair lacking shoulder straps in the plastic mold cutouts. Therefore, the chairs were not used according to the manufacturer's guidelines.

Corrected Corrected by Oct 17, 2022

Marked corrected in the state record.

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

The file for child #1 lacked an agreement with an enrollment date.

Corrected Corrected by Oct 20, 2022

Category: recordkeeping. 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.

At the time of the inspection, emergency transportation plans were not posted in each child care space.

Corrected Corrected by Oct 17, 2022

Category: transportation. Marked corrected in the state record.

3270.133(7)(i) · A medication log shall include the name of the medication.

Observed an Epi Pen not labeled for the use of a specific child in the first aid kit in the preschool room.

Corrected Corrected by Oct 17, 2022

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file of staff #1 lacked documentation of completing the annual requirement for 12 clock hours of child care training in 2021.

Corrected Corrected by Oct 17, 2022

Category: recordkeeping. Marked corrected in the state record.