3280.26(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.

The file for staff person #1 lacked emergency plan training completed at the time of initial employment and requires current training. The file for staff person #2 lacked current emergency plan training dated within the last year.

Corrected Corrected by Apr 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(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The file for staff person #1, hired within the last year, had an outdated disclosure statement form and lacked the current disclosure statement form. (See LIS CODE SHEET)

Corrected Corrected by Apr 30, 2024

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

3280.124(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 for child #2 had an emergency contact form that lacked the addresses of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Apr 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.151(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 file for staff person #1 had an initial health assessment that was dated after the staff person provided initial service in a child care setting at the facility.

Corrected Corrected by Apr 29, 2024

Category: ratio. Marked corrected in the state record.

3280.151(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 file for staff person #1 had a tuberculosis screening by the Mantoux method that was dated after initial employment at the facility.

Corrected Corrected by Apr 30, 2024

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

3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file for child #4 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Apr 24, 2024

Category: ratio. Marked corrected in the state record.

3280.24(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 parent of each enrolled child was not provided with information on how to access the DHS child care regulations electronically.

Corrected Corrected by Apr 30, 2024

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 file for staff person #1 lacked an initial health assessment.

Corrected Corrected by Feb 18, 2024

Category: ratio. Marked corrected in the state record.

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.

Children were observed using hand sanitizer prior to eating snack rather than washing hands with soap and water.

Corrected Corrected by May 15, 2023

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

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Staff person #1 was the only facility person present in the child care facility on 5/12/2023 at 3:40pm when 4 school aged children were observed in care.

Corrected Corrected by May 15, 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. Until such time as the required trainings are completed, staff person #1, #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(s) available to supervise staff person #1, #2, staff person #1, #2 may not work in a child care position at the facility.

During the on-site inspection on 3/8/23, Staff person #1, #2 were observed to be caring for children unsupervised. Staff person#1, #2 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 2/26/23.

Corrected Corrected by Apr 21, 2023

Category: supervision. 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 Health and Safety professional development training update on file for Staff person #1 is dated 2/28/23, after the deadline of 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #2 is dated 3/2/23, after the deadline of 12/30/22, as per Announcement C-22-06.

Corrected Corrected by Apr 11, 2023

Category: ratio. Marked corrected in the state record.

3270.31(f) · : 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 trainings are completed, staff person #1, #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(s) available to supervise staff person #1, #2, staff person #1, #2 may not work in a child care position at the facility.

The file for Staff person #1, #2 includes verification of First Aid/CPR training dated 2/26/21, which expired on 2/26/23. The First Aid/CPR training on file for Staff person #1 dated 3/2/23 is not a PQAS approved curriculum or PQAS approved trainer.

Corrected Corrected by Apr 21, 2023

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 most recent staff evaluation on file for Staff person #2 is dated 10/22/21, more than 12 months ago.

Corrected Corrected by Apr 12, 2023

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.

The current emergency contact form on file for Child #1 and #2 does not indicate if the child any special medical needs, which is needed in an emergency situation.

Corrected Corrected by Mar 9, 2023

Category: health medication. 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.

The documentation on file for the most recent emergency drill does not allow for documentation of the following required elements: the type of drill; the length of time of the drill; the staff who participated in the drill; the number of children participating; if any special accommodations for children with special needs were required; any observations or problems encountered during the drill, as per Announcement C-22-04.

Corrected Corrected by May 8, 2023

Category: recordkeeping. 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.

The facility does not have documentation verifying that the most recent emergency plan was submitted to the local municipality and to the county emergency management agency, as per Announcement C-22-04.

Corrected Corrected by May 8, 2023

Category: physical safety. 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 director's written evaluation of facility person #1 was completed over 12 months from their initial employment.

Corrected Corrected by Oct 22, 2021

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.

The emergency contact information of child #2 did not contain the address of their physician or source of medical care.

Corrected Corrected by Mar 9, 2022

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.

The emergency contact information of child #2 did not contain the work address and telephone number of the enrolling parents.

Corrected Corrected by Mar 9, 2022

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 file of facility person #1 contained a health assessment dated 3/6/2020 and did not contain documentation of a current health assessment within 24 months.

Corrected Corrected by Apr 4, 2022

Category: ratio. 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.

The health assessment of child #1 (start date 8/26/2021) was dated more than 90 days (due to Covid suspension) from their first day of attendance at the facility.

Corrected Corrected by Jan 27, 2022

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