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.

At the time of inspection, the file for Staff #1 did not include a signed disclosure statement

Corrected Corrected by Apr 24, 2024

Category: background checks. 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 cracked corner with sharp edges was observed on a plastic toy bin in the Preschool Red Room, which could be harmful to children.

Corrected Corrected by Apr 24, 2024

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.

In the Preschool Red area, two cracked plastic toy bins were observed under the play table and accessible to children. On the Toddler Playground, exposed bolts were observed on the perimeter of the inside of the gate, which is accessible to children.

Corrected Corrected by Apr 4, 2023

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

3270.102(a)/3270.103 · 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. 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.

Peeling paper books with pieces less than 1 inch in diameter were observed in the Toddler (YT), Young 1's, and Older Infants areas and were accessible to children who are still placing objects in their mouths.

Corrected Corrected by Mar 28, 2024

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 #1 may not work in a child care position at the facility after 2/22/24, until all complete out of state clearances are received.

The file for Staff #1 did not contain documentation of application of an OK State Sex Offender and and OK State Child Abuse clearance prior to date of hire required for provisional hiring under the CPSL. Staff #1 cannot return to work after 2/22/24, until all complete out of state clearances are received.

Corrected Corrected by Feb 22, 2024

Category: background checks. 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 for Staff #1 includes only 1 written, nonfamily reference letter.

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.102(g) · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

There was a cracked plastic toy container lid in the Preschool Red area, which could cause pinch points.

Corrected Corrected by Dec 14, 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.

The fire alarm 30-day test log includes test dates 10/25/23-11/25/23 (31 days), more than 30 days apart.

Corrected Corrected by Dec 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

A spray bottle containing a mixture of bleach and water was observed being stored on top of a box of graham crackers in the downstairs classroom.

Corrected Corrected by Nov 22, 2023

Category: ratio. Marked corrected in the state record.

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

The walkway to the door exiting the facility from the infant room was obstructed by infant equipment, a large cardboard box, a storage cart and children's sleep equipment.

Corrected Corrected by Nov 27, 2023

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.

Diaper Genies, which are not considered to be hands-free, were observed being used to discard soiled disposable diapers in the infant and toddler rooms.

Corrected Corrected by Nov 29, 2023

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

3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

A 4 month old infant was observed sitting in an infant seat while being bottle fed by a staff person.

Corrected Corrected by Nov 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Protective outlet covers were not placed in an electrical outlet on the wall in the downstairs child care space, accessible to children 5 years of age or younger.

Corrected Corrected by Sep 25, 2023

Category: physical safety. 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 Swiffer Wetjet mop containing cleaning fluid labeled keep out of the reach of children was observed hanging in the toddler area of the upstairs child care space, accessible to children in care.

Corrected Corrected by Sep 25, 2023

Category: physical safety. 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.

Low-growing prickly weeds were observed along the inside of the fence surrounding the preschool outdoor play space.

Corrected Corrected by Sep 28, 2023

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

3270.114 · Weather permitting, children shall be taken out doors daily.

Staff providing care in the Infant Classroom indicated that they do not take the children receiving care in the Infant Room out doors daily.

Corrected Corrected by Jul 5, 2023

Category: physical safety. 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 emergency plan lacked continuity of operations as required by Federal Regulations.

Corrected Corrected by Jul 5, 2023

Category: ratio. Marked corrected in the state record.

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

The signed disclosure statement on file for Staff Person #1 was not the current version and did not include all needed information as required by the CPSL.

Corrected Corrected by Jul 5, 2023

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.

In the Downstairs Classroom a bleach water spray and a bottle of hand sanitizer were observed on a half wall. Also in the Downstairs classroom a container of sanitizing wipes was observed in an unlocked Sterlite drawer. The toxics were all accessible to children receiving care in the space.

Corrected Corrected by Jul 5, 2023

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.

Two bins and two lids were observed to be cracked in the Downstairs classroom causing a potential pinch and crush point. Torn rest mats, with exposed foam, were also observed in the Downstairs Classroom.

Corrected Corrected by Jul 5, 2023

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

The rest equipment in the Downstairs Classroom was not labeled for use of a specific child. In the Infant Classroom two cribs for children receiving care in the space were observed to be unlabeled.

Corrected Corrected by Jul 5, 2023

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

A written plan of daily activities was not posted in the Infant Classroom.

Corrected Corrected by Jul 5, 2023

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The written emergency transportation plan posted in the classrooms lacked staffing provisions in the event of an emergency.

Corrected Corrected by Jul 5, 2023

Category: transportation. 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 file for Staff Person #2, a rehire, lacked an initial health assessment within 12 months prior to restarting at the facility. The prior assessment was completed 1 year, 11 months, 1 week and 4 days prior to starting. The updated health report was completed 20 days after their rehire.

Corrected Corrected by Jul 5, 2023

Category: ratio. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Based on facility person statements, the following incident occurred on 5/23/23 at 3:20 p.m. Facility person #1 was supervising a group of 3 infants in the infant room when Facility person #1 took the water from a crockpot that was set on high and being used to heat bottles and poured it into a plastic container to sterilize pacifiers. Facility person #1 then placed the container on top of a 27-inch shelving unit and this made the container accessible to a 10-month-old infant who then pulled the container onto themselves resulting in 1st degree burns being sustained from their shoulder blade to their belly and 2nd degree burns being sustained to their right shoulder and a spot directly above their belly button. According to facility person #1, their back was turned away from the infant at the time of the incident, and they did not see how it happened.

Corrected Corrected by May 31, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Based on facility person statements, the following incident occurred on 5/23/23 at 3:20 p.m. Facility person #1 was supervising a group of 3 infants in the infant room when Facility person #1 took the water from a crockpot that was set on high and being used to heat bottles and poured it into a plastic container to sterilize pacifiers. Facility person #1 then placed the container on top of a 27-inch shelving unit and this made the container accessible to a 10-month-old infant who then pulled the container onto themselves resulting in 1st degree burns being sustained from their shoulder blade to their belly and 2nd degree burns being sustained to their right shoulder and a spot directly above their belly button. According to facility person #1, their back was turned away from the infant at the time of the incident, and they did not see how it happened.

Corrected Corrected by May 31, 2023

Category: supervision. Marked corrected in the state record.

20.71(a)(6) · The Department may deny, refuse to renew or revoke a certificate of compliance for gross incompetence, negligence or misconduct in operating facility.

Based on facility person statements, the following incident occurred on 5/23/23 at 3:20 p.m. Facility person #1 was supervising a group of 3 infants in the infant room when Facility person #1 took the water from a crockpot that was set on high and being used to heat bottles and poured it into a plastic container to sterilize pacifiers. Facility person #1 then placed the container on top of a 27-inch shelving unit and this made the container accessible to a 10-month-old infant who then pulled the container onto themselves resulting in 1st degree burns being sustained from their shoulder blade to their belly and 2nd degree burns being sustained to their right shoulder and a spot directly above their belly button. According to facility person #1, their back was turned away from the infant at the time of the incident, and they did not see how it happened.

Corrected Corrected by Jun 28, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 and #2 will have until 12/2/22 to complete the required training. Until such time as the required training has been completed, staff person #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 person #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

Staff person #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff #1 - approved pediatric first aid and CPR training; Staff #2 - current health and safety training.

Corrected Corrected by Dec 2, 2022

Category: supervision. Marked corrected in the state record.

3270.62(b) · Outdoor or indoor play space shall be measured at 65 square feet per child.

Upon assessment of supervision and ratio on the main playground at 10:35 AM, 28 children were observed. The measured capacity for the main playground is 24 children.

Corrected Corrected by Nov 17, 2022

Category: supervision. Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

The windows in the main upstairs room, which is above the ground floor, were observed to open more than 6 inches.

Corrected Corrected by Sep 21, 2022

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

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

Peeling paint was observed on the bricks on the back of the building, accessible to children on the playground.

Corrected Corrected by Dec 2, 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.

Rest cots in the downstairs main room were observed to be ripped.

Corrected Corrected by Dec 2, 2022

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

The mats used for rest time in the downstairs and upstairs main rooms, and the cribs in the Infant Room, were observed to lack labels for whom they were intended.

Corrected Corrected by Nov 17, 2022

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

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file for Child #1 contained consecutive health reports dated more than 12 months apart.

Corrected Corrected by Nov 1, 2022

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

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

Unlabeled Tylenol and cough syrup was observed in the downstairs room, unlabeled Tylenol was observed in the Infant Room and the main upstairs room.

Corrected Corrected by Sep 21, 2022

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

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

The outlet under the white board in the preschool room lacked a protective outlet cover and was accessible to the children in care who are 5 years and younger.

Corrected Corrected by Sep 22, 2021

Marked corrected in the state record.

3270.70(a) · The indoor temperature shall be at least 65° F.

The temperature in the preschool room measured at 64.6° F.

Corrected Corrected by Sep 22, 2021

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

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

The boys and girls rooms upstairs lacked a handwashing sign at each toilet.

Corrected Corrected by Sep 22, 2021

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

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

The embedded equipment in the preschool outdoor play space lacked 9 inches of loose-fill as required.

Corrected Corrected by Sep 22, 2021

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

3270.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

The infant-toddler outdoor play space had gravel and mulch chips that were less than 1 inch in diameter and were infants and toddlers receive care.

Corrected Corrected by Sep 26, 2021

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

The chair at the square table in the preschool room by the tree on the wall was loose and posed pinch points for the children in care.

Corrected Corrected by Sep 22, 2021

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.

The facilities emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Oct 4, 2021

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