3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

During a renewal inspection on 11/18/14, expired diaper cream and sunblock was observed in the infant room.

Corrected Corrected by Nov 19, 2024

Category: health medication. 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.

During a renewal inspection on 11/19/14, certification rep observed a bottle of lotion in a child's cubby labeled "keep out of reach of children," accessible to children.

Corrected Corrected by Nov 19, 2024

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.

During a renewal inspection on 11/19/24, certification rep observed torn edges on the play mats in the gym area and in the infant room.

Corrected Corrected by Nov 22, 2024

Category: physical safety. 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.

During a renewal inspection on 11/19/24, the diaper trash can in the infant classroom had a lock and slide mechanism that was not hands free.

Corrected Corrected by Nov 19, 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.

More than 24 months passed between staff health assessments for staff # 1, 2, and 3 making them invalid. Health assessments for staff person # 1 are dated 4/19/22 and 6/25/24; health assessments for staff person # 2 are dated 5/10/22 and 6/25/24; health assessments for staff person # 3 are dated 1/13/22 and 4/17/24.

Corrected Corrected by Nov 19, 2024

Category: ratio. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

During a renewal inspection on 11/19/24, certification rep observed a bottle of milk which requires refrigeration, in a child's cubby.

Corrected Corrected by Nov 19, 2024

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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 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.

During a complaint investigation on 4/15/24, a review of surveillance video verified that on 4/3/24, child # 1 was inside a bathroom unsupervised for less than one minute while a now former staff member was changing the diaper of another child. Staff person # 1 heard child # 1 knock on the door to get out and opened the door. During a complaint investigation on 4/15/24, a review of surveillance video verified that on 4/5/24, child # 1 was bit by another child. Staff # 2 and 3 were present in the classroom, however where they were positioned, they were unable to see what was happening between the two children.

Corrected Corrected by Sep 1, 2024

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. Children must be supervised at all times. 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.

During a complaint investigation on 4/15/24, a review of surveillance video verified that on 4/3/24, child # 1 was inside a bathroom unsupervised for less than one minute while a now former staff member was changing the diaper of another child. Staff person # 1 heard child # 1 knock on the door to get out and opened the door. During a complaint investigation on 4/15/24, a review of surveillance video verified that on 4/5/24, child # 1 was bit by another child. Staff # 2 and 3 were present in the classroom, however where they were positioned, they were unable to see what was happening between the two children.

Corrected Corrected by May 16, 2024

Category: supervision. Marked corrected in the state record.

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

During a complaint investigation on 4/15/24, the operator admitted that on 3/7/23, a now former staff gave the wrong breast milk to child # 1.

Corrected Corrected by May 16, 2024

Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

During a complaint investigation on 4/15/24, it was determined that the parent does not receive the original accident report for accidents, injuries, and illnesses.

Corrected Corrected by May 16, 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 persons #1 & 2 will have until 5/22/24 to complete the required training. Until such time as the required training has been completed, staff persons # 1 and 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 available to supervise staff persons # 1 and 2, staff persons # 1 and 2 may not work in a child-care position at the facility.

Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First Aid and Heatlh and Safety Training. Staff person #2 did not complete the 10 hour health and safety training within 90 days of their date of hire. Staff # 2 took the incorrect version of the training.

Corrected Corrected by May 16, 2024

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 OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

A renewal inspection was conducted on 11/14/23. At that time, the emergency plan was reviewed. The emergency plan did not include a continuity plan for operations in times of an emergency.

Corrected Corrected by Dec 14, 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.

A renewal inspection was conducted on 11/14/23. At that time, the facility files were reviewed. The file for Facility Person #4 did not include documentation of emergency plan training.

Corrected Corrected by Dec 14, 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. Staff person #3 shall complete the required one-hour 2022 update to the health and safety training by 11/29/23.

A renewal inspection was conducted on 11/14/23. At that time, the staff files were reviewed. The file for Staff Person #3, who has been employed longer than 90 days, had not completed the one hour update to the health and safety training.

Corrected Corrected by Nov 29, 2023

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.

A renewal inspection was conducted on 11/14/23. At that time, exposed bolts were observed on the school age playground and preschool playground. Jagged bolts were observed on the preschool playground.

Corrected Corrected by Dec 14, 2023

Category: physical safety. 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 #4 may not work in a child care position at the facility until all required clearances are on file.

A renewal inspection was conducted on 11/14/23. At that time, the staff files were reviewed. The PA State Police clearance for Staff Person #1 and Staff Person #2 were not complete clearances and were still in pending status. The file for Facility Person #4 did not include mandated reporter training or any clearances or the request for the clearances.

Corrected Corrected by Nov 14, 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 renewal inspection was conducted on 11/14/23. At that time, disinfectant spray was observed in an unlocked cabinet in the school age area. Disinfectant spray was observed in an unlocked cabinet above the sink in the preschool area. Both were accessible to the children in care.

Corrected Corrected by Nov 14, 2023

Marked corrected in the state record.

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

A renewal inspection was conducted on 11/14/23. At that time, the first aid kit was observed in an unlocked cabinet in the school age area. The first aid kit was observed in an unlocked cabinet above the sink in the preschool area. Both were accessible to the children in care.

Corrected Corrected by Nov 14, 2023

Category: health medication. 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.

A renewal inspection was conducted on 11/14/23. At that time, water stained ceiling tiles were observed in the preschool/school age room and in the main room of the facility. Dust covered ceiling fans were observed in the preschool/school age room. The door to the shed was observed to be laying on the ground of the school age playground.

Corrected Corrected by Dec 14, 2023

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.

A renewal inspection was conducted on 11/14/23. At that time, peeling paint was observed by the lunch table in the infant room.

Corrected Corrected by Nov 21, 2023

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

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

A renewal inspection was conducted on 11/14/23. At that time, the bathroom in the preschool/school age room was equipped with a trash can that was not lidded.

Corrected Corrected by Nov 28, 2023

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

3270.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

A renewal inspection was conducted on 11/14/23. At that time, the parent handbook was reviewed. The supervision policy of the facility was not included in the parent handbook.

Corrected Corrected by Dec 14, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

A renewal inspection was conducted on 11/14/23. At that time, the financial agreements for the children were reviewed. The financial agreements were not signed by the operator.

Corrected Corrected by Dec 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

A renewal inspection was conducted on 11/14/23. At that time, the financial agreements were reviewed. The financial agreements did not include a person designated by the parent to whom the child may be released.

Corrected Corrected by Dec 14, 2023

Category: recordkeeping. 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.

A renewal inspection was conducted on 11/14/23. At that time, the emergency contact forms were reviewed. The emergency contact forms did not include the work address and phone number of the following children: Child #1, Child #2, Child #3.

Corrected Corrected by Dec 14, 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.

A renewal inspection was conducted on 11/14/23. At that time, the emergency contact forms were reviewed. The emergency contact forms did not include the address of the release persons.

Corrected Corrected by Dec 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1, Child #3, and Child #4 must be dismissed from care by close of business 11/14/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted on 11/14/23. At that time, the immunization records were reviewed. The immunization record for Child #1 did not include administration of the hepatitis A vaccine. The immunization record for Child #3 did not include administration of the third immunization of DTAP and pneumococcal. The immunization record for Child #4 did not include administration of the flu vaccine.

Corrected Corrected by Nov 14, 2023

Category: ratio. Marked corrected in the state record.

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

A renewal inspection was conducted on 11/14/23. At that time, A&D ointment was observed in a floor level drawer in the bathroom used by the children where it was accessible to the children. The A&D ointment was labeled "keep out of reach of children."

Corrected Corrected by Nov 14, 2023

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 11/14/23. At that time, the facility files were reviewed. The file for Facility Person #4 did not include a health assessment or TB test.

Corrected Corrected by Dec 14, 2023

Category: ratio. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

A renewal inspection was conducted on 11/14/23. At that time, an avocado and cheese was observed in lunch boxes in the toddler room. Yogurt was observed in a lunch box in the preschool room. Two yogurts and cheese were observed in lunch boxes in the school age room.

Corrected Corrected by Nov 14, 2023

Category: nutrition. 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.

A renewal inspection was conducted on 11/14/23. At that time, the facility had not completed an emergency drill in the past year.

Corrected Corrected by Nov 21, 2023

Category: recordkeeping. Marked corrected in the state record.

20.71(b)(5) · A facility person who has been named as perpetrator in a founded/an indicated report of child abuse may not be present in the facility.

Staff Person #1 has been named as a perpetrator in a founded/indicated report of child abuse.

Corrected Corrected by Jul 12, 2023

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

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. The legal entity must arrange for all staff to receive a minimum of two hours of training regarding Health & Safety: Child Abuse and Neglect. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The trainings may not be counted towards the 12 hours of training required by regulation.

A complaint investigation was conducted on 7/14/23. During the investigation video surveillance was reviewed from 7/7/23. The video shows Staff Person #1 roughly grabbing Child #1 by the head with one hand and pulling the child in front of them. Staff Person #1 then aggressively grabs Child #1 by the shoulders and walks across the room to the wall, lifting him higher as he walks. Child #1 is then pushed up against the wall about 4 feet high with Staff Person #1's face close to the child's for about three seconds before roughly placing the child on the ground where the child is seen crumpling to the floor as Staff Person #1 walks away. Staff Person #1 was also seen hitting Child #2 in the side of the head roughly enough to knock them to the floor from a sitting position, before Staff Person #1 drags the child closer to them and gets in their face. Staff Person #1 was seen hitting Child #1 in the side of the head, grabbing the child under the arms and shoving the child backwards onto the floor. Staff Person #1 was observed walking past Child #1, then turning toward Child #1 and kicking Child #1 to the ground.

Corrected Corrected by Aug 23, 2023

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

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. The legal entity must create a discipline policy. This policy must specifically include positives strategies for guiding children's behavior. The discipline policy must include what to do if a staff person observes another staff person not following the discipline policy. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all current staff and have staff sign off that they understand and will follow the discipline policy. All new staff hired must review the discipline policy with the director at their time of hire and must sign off that they understand and will follow the discipline policy.

A complaint investigation was conducted on 7/14/23. During the investigation video surveillance was reviewed from 7/7/23. The video shows Staff Person #1 roughly grabbing Child #1 by the head with one hand and pulling the child in front of them. Staff Person #1 then aggressively grabs Child #1 by the shoulders and walks across the room to the wall, lifting him higher as he walks. Child #1 is then pushed up against the wall about 4 feet high with Staff Person #1's face close to the child's for about three seconds before roughly placing the child on the ground where the child is seen crumpling to the floor as Staff Person #1 walks away. Staff Person #1 was also seen hitting Child #2 in the side of the head roughly enough to knock them to the floor from a sitting position, before Staff Person #1 drags the child closer to them and gets in their face. Staff Person #1 was seen hitting Child #1 in the side of the head, grabbing the child under the arms and shoving the child backwards onto the floor. Staff Person #1 was observed walking past Child #1, then turning toward Child #1 and kicking Child #1 to the ground.

Corrected Corrected by Oct 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

A complaint investigation was conducted on 7/14/23. During the investigation video surveillance was reviewed from 7/7/23. The video shows Staff Person #1 roughly grabbing Child #1 by the head with one hand and pulling the child in front of them. Staff Person #1 then aggressively grabs Child #1 by the shoulders and walks across the room to the wall, lifting him higher as he walks. Child #1 is then pushed up against the wall about 4 feet high with Staff Person #1's face close to the child's for about three seconds before roughly placing the child on the ground where the child is seen crumpling to the floor as Staff Person #1 walks away. Staff Person #1 was also seen hitting Child #2 in the side of the head roughly enough to knock them to the floor from a sitting position, before Staff Person #1 drags the child closer to them and gets in their face. Staff Person #1 was seen hitting Child #1 in the side of the head, grabbing the child under the arms and shoving the child backwards onto the floor. Staff Person #1 was observed walking past Child #1, then turning toward Child #1 and kicking Child #1 to the ground.

Corrected Corrected by Jul 13, 2023

Category: recordkeeping. 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.

A renewal inspection was conducted on 11/15/22. At that time, exposed bolts were observed on the fencing of all three playgrounds. An acceptable plan of correction was received with an implementation date of 12/15/22. An unannounced inspection was conducted on 1/6/23. At that time, exposed bolts were observed on the fencing of all three playgrounds.

Corrected Corrected by Jan 9, 2023

Category: physical safety. 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.

A renewal inspection was conducted on 11/15/22. At that time, Staff Person #5 did not have an NSOR certificate on file within 45 days of their date of hire. The NSOR certificate was dated 11/1/22.

Corrected Corrected by Nov 15, 2022

Category: background checks. 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.

A renewal inspection was conducted on 11/15/22. At that time, peeling paint was observed in the "big potty" bathroom on the wall between the sink and the toilet.

Corrected Corrected by Nov 29, 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.

A renewal inspection was conducted on 11/15/22. At that time, a ripped chair cushion with exposed foam was observed in the young toddler area. A sharp, broken metal file cabinet was observed on the floor of the older older toddler area. Exposed bolts were observed on the fencing of all three playgrounds.

Corrected Corrected by Dec 15, 2022

Category: recordkeeping. 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.

A renewal inspection was conducted on 11/15/22. At that time, a plastic bag was observed on a shelf 2 feet high and was accessible to the children in the young toddler area. Diapers contained in plastic packaging were observed on a floor level shelf in the young older toddler area and were accessible to the children in care. Staff in the young toddler area identified a child in care at that time that still places objects in their mouth.

Corrected Corrected by Nov 15, 2022

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

A renewal inspection was conducted on 11/15/22. At that time, the refrigerator in the infant room was not equipped with a thermometer.

Corrected Corrected by Nov 22, 2022

Category: nutrition. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

A renewal inspection was conducted on 11/15/22. At that time, the file for Child #2 was reviewed. At that time, the most recent review of the emergency contact form and financial agreement was dated 3/6/22.

Corrected Corrected by Nov 22, 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.

A renewal inspection was conducted on 11/15/22. At that time, the file for Child #1 was reviewed. At that time, the most recent flu vaccine was administered 10/13/2020. Child #1 did not have documentation that the flu vaccine was administered during the previous flu season as recommended by the ACIP.

Corrected Corrected by Nov 22, 2022

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 11/15/22. At that time, the staff files were reviewed. At that time, the following staff did not have a health assessment with TB test results on file at the facility prior to the onset of their employment: Staff Person #1 (health assessment/TB date 1/13/22), Staff Person #2 (health assessment/TB date 8/24/22), Staff Person #3 (health assessment/TB date 9/27/22), and Staff Person #4 (health assessment/TB date 11/10/22),

Corrected Corrected by Nov 15, 2022

Category: ratio. 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.

A renewal inspection was conducted on 11/15/22. At that time, the owner stated that an emergency drill had been conducted, but had not been documented and filed at the facility.

Corrected Corrected by Nov 15, 2022

Category: recordkeeping. 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.

A renewal inspection was conducted on 11/19/21. At that time, exposed bolts were observed along the fencing to the playground.

Corrected Corrected by Dec 3, 2021

Category: physical safety. 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 Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) verification certificate effective 9/30/2019, requiring anyone hired after 9/30/19 to have the NSOR verification certificate to work in child care. The CPSL revision also includes the removal of the provisional hire period as of 12/31/2019. Effective December 31, 2019, the 90-day provisional hire period was obsolete and has been replaced by a 45-day provisional hire period. The new 45-day provisional hire period is only permitted once the certified child care facility applies for a provisional hire waiver and it is granted by OCDEL. Staff Person #3 may not work at the facility until a completed Chile Abuse Clearance is on file at the facility. Staff Person #5 may not work at the facility until a completed FBI Clearance is on file at the facility.

A renewal inspection was conducted on 11/19/21. At that time, staff files were reviewed. The file for Staff Person #1, date of hire 10/18/21, contained an FBI Fingerprinting receipt dated 11/8/21. The file for Staff Person #3, date of hire 10/14/21, did not contain the child abuse clearance or the request for the clearance. The file for Staff Person #5, date of hire 11/3/21, contained an FBI Fingerprinting receipt dated 11/11/21. It did not contain the completed FBI Clearance for Staff Person #5. The file for Staff Person #9, date of hire 10/14/21, contained a FBI Fingerprint receipt dated 11/3/21. The file for Staff Person #10, date of hire 10/4/21, contained an FBI fingerprinting receipt dated 11/3/21.

Corrected Corrected by Nov 19, 2021

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.

A renewal inspection was conducted on 11/19/21. At that time, the staff files were reviewed. The file for Staff Person #7, an aide, did not contain proof of high school education to qualify her for the position. The file for Staff Person #8, an assistant group supervisor, did not contain proof of high school education to qualify her for the position.

Corrected Corrected by Dec 3, 2021

Category: supervision. 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.

A renewal inspection was conducted on 11/19/21. At that time, soiled tissues and wipes were observed in an unlidded trash can in the Main Room.

Corrected Corrected by Nov 26, 2021

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.

A renewal inspection was conducted on 11/19/21. At that time, the first aid kit in the young toddler area did not contain band-aids.

Corrected Corrected by Nov 19, 2021

Category: health medication. 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.

A renewal inspection was conducted on 11/19/21. At that time, damaged plaster was observed next to the gate to the preschool area in the main room.

Corrected Corrected by Nov 26, 2021

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

3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

A renewal inspection was conducted on 11/19/21. At that time, magnatiles were observed in the older toddler area where eight older toddlers and one young toddler were playing. The instruction manual for magnatiles state that they are for children ages three and up.

Corrected Corrected by Nov 19, 2021

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.

A renewal inspection was conducted on 11/19/21. At that time, the facility did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected Corrected by Dec 3, 2021

Category: transportation. 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 11/19/21. At that time, the staff files were reviewed. The file for Staff Person #1, date of hire 10/18/21, contained a health assessment with TB test results dated 11/6/21 and 11/9/21, respectively. The file for Staff Person #2, date of hire 11/11/21, did not contain a health assessment or TB test results. The file for Staff Person #3, date of hire 10/14/21, did not contain a health assessment or TB test results. The file for Staff Person #4, date of hire 6/13/21, contained a health assessment with TB test results dated 6/1721 and 6/23/21, respectively. The file for Staff Person #5, date of hire 11/3/21, did not contain a health assessment or TB test results. The file for Staff Person #6, date of hire 7/14/21, contained a TB test dated 8/3/21. The file for Staff Person #7, date of hire 6/14/21, contained a health assessment with TB test results dated 6/18/21. The file for Staff Person #9, date of hire 10/14/21, contained a health assessment with TB test results dated 10/29/21 and 11/1/21, respectively. The file for Staff Person #10, date of hire 10/4/21, contained a health assessment with TB test results dated 11/3/21.

Corrected Corrected by Dec 19, 2021

Category: ratio. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

A renewal inspection was conducted on 11/19/21. At that time, the facility did not have a written feeding schedule for any of the infants in care.

Corrected Corrected by Nov 26, 2021

Category: nutrition. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

A renewal inspection was conducted on 11/19/21. At that time, the facility did not have a letter notifying the local traffic authorities of the location of the child care.

Corrected Corrected by Dec 3, 2021

Marked corrected in the state record.