3270.31(e)(4)(i)/3270.31(f)(10) · 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 persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

On 2-25-2026 during an unannounced visit, staff person #1 was working alone with children unsupervised and did not have Pediatric first-aid/CPR training.

Corrected Corrected by Mar 7, 2026

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 Persons #1 and #2-- may not work in a childcare 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.

On 2-25-2026 during an unannounced visit, staff person #1 was working alone with children and did not have a DHS FBI clearance or out of state clearances on file. Staff person #2 did not have out of state clearances on file.

Corrected Corrected by Feb 25, 2026

Category: supervision. 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.

On 2-25-2026 during an unannounced visit, there was a fallen tree in the outdoor play space.

Corrected Corrected by Feb 26, 2026

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

On 2-25-2026 during an unannounced visit, staff person #2 did not have a health assessment on file at the facility.

Corrected Corrected by Mar 4, 2026

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

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

On 10-8-2025 during a complaint investigation, it was verified by staff that 2 staff persons were arguing in the presence of children, and harsh, demeaning or abusive language was used.

Corrected Corrected by Oct 8, 2025

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.

On 10-3-2025 during an unannounced visit, staff person #1 was observed working alone with children and did not complete the Health and Safety training.

Corrected Corrected by Oct 3, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

On 10-3-2025 during an unannounced visit, the file of staff person #1 did not include a health assessment.

Corrected Corrected by Oct 6, 2025

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.

On 9-17-2025 during a complaint investigation, it was verified that the outdoor play space has areas that are hazardous to children. The posts at the top of the swing set on the older kids side were not secure, causing the post to shift and slide across the top. The fence facing the creek is indented and the reinforcement has rolled up. Along the bottom of the fence has sharp wires sticking out.

Corrected Corrected by Sep 18, 2025

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

On 9-11-2025 during an unannounced follow-up visit, staff persons #1, #2 and #3 each left the other teachers out of ratio with 13 children in care, the youngest being 2 years old. Continued noncompliance from a Renewal inspection on 8-6-2025.

Corrected Corrected by Sep 11, 2025

Category: ratio. 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.

On 9-11-2025 during an unannounced follow-up visit, hand sanitizer was on the counter/desk in the Preschool room. There was Lysol disinfectant spray on the toilet bowl cover in the bathroom labeled Staff/Adult.

Corrected Corrected by Sep 11, 2025

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.

On 9-11-2025 during an unannounced follow-up visit, the walls in the Older Toddler classroom were dirty. Continued noncompliance from Renewal inspection on 8-6-2025.

Corrected Corrected by Sep 11, 2025

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

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

On 9-11-2025 during an unannounced follow-up visit, the bathroom labeled children's bathroom did not have any lighting. Continued noncompliance from a Renewal inspection on 8-6-2025.

Corrected Corrected by Sep 11, 2025

Marked corrected in the state record.

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

On 9-11-2025 during an unannounced follow-up visit, staff person #2 did not wash their hands or the hands of child #1 after being diapered.

Corrected Corrected by Sep 11, 2025

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.

On 8-6-2025 during a Renewal inspection, the walls in the Older Toddler classroom were dirty.

Corrected Corrected by Aug 6, 2025

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

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

On 8-6-2025 during a Renewal inspection, the bathroom labeled children's bathroom did not have any lighting.

Corrected Corrected by Aug 6, 2025

Marked corrected in the state record.

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

On 8-6-2025 during a Renewal inspection, the glass doors in the front Preschool room did not have a visual strip or identification placed on the glass.

Corrected Corrected by Aug 6, 2025

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.

On 8-6-2025 during a Renewal inspection, the toy kitchen in the Older Toddler room had a broken faucet spout and the Sesame Street toy was dirty.

Corrected Corrected by Aug 6, 2025

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

On 8-6-2025 during a Renewal inspection, a written plan of daily activities and routines was not posted in the Older Toddlers room.

Corrected Corrected by Aug 6, 2025

Marked corrected in the state record.

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

On 8-6-2025 during a Renewal inspection, the diaper changing surface in the Toddlers room was not cleaned after use with a sanitizing solution or by changing a pad or other surface covering.

Corrected Corrected by Aug 6, 2025

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).

On 8-6-2025 during a Renewal inspection, the file of staff person #3 had an expired FBI clearance dated 1-14-2020 and an expired Mandated Reporter training dated 3-2-2020.

Corrected Corrected by Aug 6, 2025

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

On 8-6-2025 during a Renewal inspection, staff persons #1, #2 and #3 each left the other teachers out of ratio with 13 children in care, the youngest being 2 years old.

Corrected Corrected by Aug 6, 2025

Category: ratio. 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.

On 8-6-2025 during a Renewal inspection, a protective receptacle was missing in the bathroom labeled adult/staff.

Corrected Corrected by Aug 6, 2025

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.

On 8-6-2025 during a Renewal inspection, the trash can in the adult/staff bathroom was not lined with a plastic bag and had materials contaminated by human secretions.

Corrected Corrected by Aug 6, 2025

Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

On 8-6-2025 during a Renewal inspection, the file of child #2 did not include a child service report.

Corrected Corrected by Aug 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

On 8-6-2025 during a Renewal inspection, the agreement form of child #2 did not specify the child's arrival and departure times.

Corrected Corrected by Aug 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

On 8-6-2025 during a Renewal inspection, the agreement form of child #2 did not specify the child's date of admission.

Corrected Corrected by Aug 6, 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.

On 8-6-2025 during a Renewal inspection, the emergency contact form of child #1 did not list the telephone number of the child's physician or source of medical care.

Corrected Corrected by Aug 6, 2025

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

On 8-6-2025 during a Renewal inspection, the emergency contact form of child #3 did not include the child's health insurance/MA coverage.

Corrected Corrected by Aug 6, 2025

Category: health medication. 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.

On 8-6-2025 during a Renewal inspection, the emergency contact forms of children #2 and #3 did not include the release person's address.

Corrected Corrected by Aug 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

On 8-6-2025 during a Renewal inspection, staff person #2 did not wash their hands or the hands of child #1 after being diapered.

Corrected Corrected by Aug 6, 2025

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

On 8-6-2025 during a Renewal inspection, the file of staff person #4 did not include a health assessment.

Corrected Corrected by Aug 17, 2025

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

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

On 10-7-2024 during a follow-up visit, the Toddlers (Inventors) Room did not have a source of running water for handwashing by the diapering area. Continued noncompliance from a Renewal inspection on 9-13-2024.

Corrected Corrected by Oct 18, 2024

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.

On 10-7-2024 during a follow-up visit, the small pink, green and purple doll house in the Toddler Room was dirty. The stairs of the changing table and the side of the changing table were also dirty. Continued noncompliance from the Renewal inspection on 9-13-2024.

Corrected Corrected by Oct 18, 2024

Category: physical safety. 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.

On 10-7-2024 during a follow-up visit, the Preschool/Pre-K outdoor play space by the swings did not have enough loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. Continued noncompliance from a Renewal inspection on 9-13-2024.

Corrected Corrected by Oct 18, 2024

Category: physical safety. 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.

On 9-13-2024 during a Renewal inspection, staff person #3 was observed not washing a child's hands after diapering.

Corrected Corrected by Oct 3, 2024

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

On 9-13-2024 during a Renewal inspection, the emergency contact form of child #6 did not contain the MA policy number. The emergency contact form of child #7 did not contain health insurance coverage and policy number information.

Corrected Corrected by Oct 3, 2024

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

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

On 9-13-2024 during a Renewal inspection, the liability insurance on file at the facility had an expiration date of 12-17-2023 and 4-19-2024.

Corrected Corrected by Oct 3, 2024

Category: ratio. Marked corrected in the state record.

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

On 9-13-2024 during a Renewal inspection, the facility's emergency plan was not posted in a conspicuous location.

Corrected Corrected by Sep 13, 2024

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

3270.31(e)(4)(i)/3270.31(f)(10) · 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 persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

On 9-13-2024 during a Renewal inspection, the file of staff person #2 did not include Pediatric first-aid/CPR training.

Corrected Corrected by Oct 3, 2024

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

On 9-13-2024 during a Renewal inspection, the file of staff person #1 did not contain an updated fire safety training.

Corrected Corrected by Oct 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.63/3270.76 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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.

On 9-13-2024 during a Renewal inspection, the Preschool/Pre-K outdoor play space had trees and overgrown plants that prevented the children from use of the entire play space. Tree stumps were sticking out of the ground in the Preschool/Pre-K space. The outdoor play space used by all children had large rocks by the toy driving cars. The fence near the toy driving cars was broken. Several cement parking barriers in the outdoor play space used by everyone had screws sticking out.

Corrected Corrected by Oct 3, 2024

Category: physical safety. 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.

On 9-13-2024 during a Renewal inspection, the extension cord in the Toddler Room was missing a protective receptacle cover. The bathroom labeled staff (acknowledged by staff that children have access) was missing a protective receptacle cover.

Corrected Corrected by Oct 3, 2024

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.

On 9-13-2024 during a Renewal inspection, the Toddlers (Inventors) Room had a cabinet containing toxins (Lysol spray, a bottle of bleach and water, disinfectant wipes) that were easily accessible inside of it. On top of the cabinet were diapering creams (Boudreaux's butt paste, Desitin, Diaper paste) that were accessible to children.

Corrected Corrected by Oct 3, 2024

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

On 9-13-2024 during a Renewal inspection, the office, located in the Preschool (Achievers) Room and the Toddlers (Inventors) Room did not have emergency telephone numbers (nearest hospital, fire department, ambulance and poison control) were not posted by the telephones.

Corrected Corrected by Oct 3, 2024

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.

On 9-13-2024 during a Renewal inspection, the bottom of the green back wall in the Toddler Room was dirty. The wall by the mirror in the Infant room and the wall to the left upon entrance into the infant room was dirty as well as the shelves with the baby doughnut (boppy) pillows. The wall leading from the Preschool/Pre-K room to the Infant room was dirty. The heating vent in the Young Toddler Room was dirty.

Corrected Corrected by Oct 3, 2024

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

On 9-13-2024 during a Renewal inspection, under the light switch in the bathroom marked Staff was dirty. The sink was very wobbly. The doorframe borders around both bathrooms were dirty.

Corrected Corrected by Oct 3, 2024

Marked corrected in the state record.

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

On 9-13-2024 during a Renewal inspection, the Toddlers (Inventors) Room did not have a source of running water for handwashing by the diapering area. The Young toddlers (Explores) Room had an empty portable sink by the diapering area.

Corrected Corrected by Oct 3, 2024

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.

On 9-13-2024 during a Renewal inspection, the small pink, green and purple doll house in the Toddler Room was dirty. The stairs of the changing table and the side of the changing table were also dirty. The changing table in the Infant room was dusty. The aqua blue baby jumper/saucer was dirty. A ripped pack 'n play was leaning against the brick wall in the Outdoor play space used by all children.

Corrected Corrected by Oct 3, 2024

Category: physical safety. 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.

On 9-13-2024 during a Renewal inspection, the Preschool/Pre-K outdoor play space by the swings did not have enough loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission.

Corrected Corrected by Oct 3, 2024

Category: physical safety. 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.

On 9-13-2024 during a Renewal inspection, the outdoor play space used by all children had mulch, objects with removable parts that have a diameter of less than 1 inch, accessible to children who are still placing objects in their mouths in the space.

Corrected Corrected by Oct 3, 2024

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.

On 9-13-2024 during a Renewal inspection, the daily activities schedule was not posted in the Toddler Room.

Corrected Corrected by Oct 3, 2024

Category: physical safety. 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.

On 9-13-2024 during a Renewal inspection, the agreement forms of child #1 and child #4 did not have the fee amount listed.

Corrected Corrected by Oct 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

On 9-13-2024 during a Renewal inspection, the files of child #1, child #2, child #3, child #4 and child #5 did not contain child services reports.

Corrected Corrected by Oct 3, 2024

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.

On 9-13-2024 during a Renewal inspection, the agreement forms of child #1 and child #2 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Oct 3, 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.

On 9-13-2024 during a Renewal inspection, the agreement form of child #7 did not show proof that the parent received the original agreement.

Corrected Corrected by Oct 3, 2024

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.

On 9-13-2024 during a Renewal inspection, the emergency contact form of child #7 did not include the name and telephone number of the child's physician or source of medical care.

Corrected Corrected by Oct 3, 2024

Category: health medication. 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.

On 9-13-2024 during a Renewal inspection, the emergency contact forms of child #4 and child #7 did not include written consent by a parent for emergency medical care.

Corrected Corrected by Oct 3, 2024

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.

On 9-13-2024 during a Renewal inspection, the emergency contact form of child #7 did not include information about the child's special needs as specified by the child's parent, physician, physician's assistant or CRNP.

Corrected Corrected by Oct 3, 2024

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

On 9-13-2024 during a Renewal inspection, the file of staff person #4 did not contain a health assessment.

Corrected Corrected by Oct 3, 2024

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

3270.151(c)(2)/3270.192(3) · 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 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.

On 9-13-2024 during a Renewal inspection, the file of staff person #2 did not include the tuberculosis screening on the health assessment.

Corrected Corrected by Oct 3, 2024

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

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

On 9-13-2024 during a Renewal inspection, staff person #3 did not wash their hands after diapering a child.

Corrected Corrected by Oct 18, 2024

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.

On 9-13-2024 during a Renewal inspection, the financial agreement forms of child #1 and child #5 were not updated within a 6-month period.

Corrected Corrected by Oct 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

On 9-13-2024 during a Renewal inspection, the emergency contact forms of child #5 and child #7 did not contain signed parental consent for administration of medications or special dietary needs.

Corrected Corrected by Oct 3, 2024

Category: ratio. 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.

On 9-13-2024 during a Renewal inspection, the emergency contact forms of child #4 and child #7 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Corrected Corrected by Oct 3, 2024

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental con sent for transportation, walking excursions, swimming and wading.

On 9-13-2024 during a Renewal inspection, the emergency contact forms of child #5 and child #7 did not contain signed parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Oct 3, 2024

Category: transportation. Marked corrected in the state record.

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

On 9-13-2024 during a Renewal inspection, the file of staff person #3 did not contain proof of education or experience.

Corrected Corrected by Oct 3, 2024

Category: recordkeeping. 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.

On 9-13-2024 during a Renewal inspection, the file of staff person #1 only contained 4 hours of annual PD trainings.

Corrected Corrected by Oct 3, 2024

Category: recordkeeping. 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). Facility Person #1 and #2 may not work in a childcare 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 #1 and #2 may not work in a childcare position at the facility.

On 1-5-2024 during an unannounced visit, staff persons #1 and #2 files did not contain NSOR's.

Corrected Corrected by Jan 18, 2024

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.

On 1-5-2024 during an unannounced visit, the rear classroom contained 2 bottles of hand sanitizer, a can of Lysol spray and a spray bottle of bleach and water. The office's desk also had a bottle of hand sanitizer located on the counter upon entry.

Corrected Corrected by Jan 5, 2024

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

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

11/14/23 during the renewal inspection, the sink located near the changing table was out of order and not available for handwashing.

Corrected Corrected by Nov 24, 2023

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

3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

At the time of inspection, it was verified that children in infant class was not being checked and or changed every 2 hours.

Corrected Corrected by Aug 17, 2023

Category: health medication. 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.

At the time of investigation, no written statement giving the formula and feeding schedule for an infant could be obtained from the parent.

Corrected Corrected by Aug 17, 2023

Category: nutrition. Marked corrected in the state record.

3270.27(a) · The facility shall have an emergency plan.

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FACILITY HAD AN EMERGENCY PLAN THAT DID NOT PROVIDE FOR ACCOMMODATIONS FOR INFANTS AND TODDLERS. THE PROVIDER WILL UPDATE THE EMERGENCY PLAN TO INCLUDE ACCOMMODATIONS FOR THE INFANTS AND TODDLERS IN CARE. THE PROVIDER WILL REVIEW ALL REGULATIONS AND ANNOUNCEMENTS RELATED TO THE EMERGENCY PLAN PRIOR TO EACH UPDATE TO ENSURE THAT ALL CRITERIA ARE MET.

Corrected Corrected by Oct 5, 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.

THE PROVIDER WILL INSPECT THE OUTDOOR EQUIPMENT PERIODICALLY TO ENSURE THAT IT IS IN GOOD CONDITION AND DOES NOT HAVE ANY PEELING PAINT.

Corrected Corrected by Oct 5, 2022

Category: physical safety. 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.

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE REFRIGERATOR IN THE 1YO ROOM HAD A TEMPERATURE OF 48 DEGREES FAHRENHEIT ON THE THERMOMETOR INSDIE THE REFRIGERATOR.

Corrected Corrected by Oct 5, 2022

Category: nutrition. 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.

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #1 DID NOT HAVE A HEALTH ASSESSMENT DATED WITHIN THE LAST 24 MONTHS.

Corrected Corrected by Oct 5, 2022

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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility.

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #1 DID NOT HAVE A FBI CLEARANCE ON FILE AT THE FACILITY.

Corrected Corrected by Sep 10, 2021

Category: supervision. 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.

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE REFRIGERATOR, IN THE FIRST CLASSROOM UPON ENTERING THE BUILDING, HAD A TEMPERATURE THAT READ 48 DEGREES ON THE THERMOMETER.

Corrected Corrected by Sep 10, 2021

Category: nutrition. Marked corrected in the state record.