An agreement shall be signed by the operator and the parent.

The Agreements in the files for Child #1, #2, #3, #4, #5, #6, and #7 lacked the operator's signature.

3270.123(a) · Corrected Dec 5, 2025

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 #2 contained a health assessment that was not conducted within 24 months of the previous assessment.

3270.151(a) · Corrected Dec 5, 2025

Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. 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 persons file in an electronic system as designated by the Department. Documentation of the completion of the professional development under § 3270.31(f) taken from September 30, 2016 forward satisfies this requirement.

The file for Staff #1 contained the 6-hour Health and Safety Basic training that was obtained outside the acceptable timeframe of 9/30/16-6/30/18.

3270.31(f)/3270.31(g) · Corrected Dec 5, 2025

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

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.

Infants were playing with a sensory bin filled with lima beans, fruit loops, and foam leaves all less than 1 inch in diameter in which the infant children could choke on if they put them in their mouths.

3270.103 · Corrected Nov 6, 2025

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

In Room CM-5 there was an electrical outlet cover on the back wall by the bookshelf that was missing a protective receptacle outlet cover. This outlet was accessible to children 5 years of age or younger.

3270.65 · Corrected Oct 22, 2025

Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In Room CM-10 there was peeling paint on the back corner walls near the door.

3270.77(a) · Corrected Oct 22, 2025

A parent shall provide written consent for administration of medication or a special diet.

An Epi-Pen labeled for Child #1 was observed to lack written parental consent for administration. A bottle of Motrin labeled for Child #2 was observed to lack written parental consent for administration. A bottle of Tylenol labeled for Child #3 was observed to lack written parental consent for administration. An Albuterol Inhaler labeled for Child #4 was observed to lack written parental consent for administration.

3270.133(6) · Corrected Oct 22, 2025

A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

The Health Assessment for Staff #1 contained documentation that Staff #1 should obtained an x-ray due to an allergic reaction to the Mantoux method. The file for Staff #1 lacked documentation of an x-ray.

3270.151(c)(2)(ii) · Corrected Oct 22, 2025

A first-aid kit must be inaccessible to children.

The first aid kit located in Room CM 14 was observed on the teacher's desk making it accessible to children.

3270.75(b) · Corrected Aug 6, 2025

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 facilities Emergency Plan did not address Continuity of Operations.

3270.14/3270.21 · Corrected Aug 7, 2025