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

There were 2 excursion bags containing first-aid kits hanging on the inside of the fence surrounding the outdoor play space, accessible to children in care.

Corrected Corrected by Aug 14, 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.

Staff person #4 was observed diapering a child in room #2 and did not wash the child's hands after being diapered.

Corrected Corrected by Aug 16, 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.

A bottle of hand sanitizer, labeled keep out of the reach of children, was sitting on a shelf by the television in the gross motor room, accessible to children in care.

Corrected Corrected by Aug 14, 2024

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.

The record for staff #1-6 included verification of their participation in fire safety training on 9/12/2023, which was more than 12 months following the date of their previous participation in fire safety training on 8/4/2022.

Corrected Corrected by Sep 9, 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). 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 record for staff #3 included a current state police clearance dated 7/2/2024, which was more than 60 months following the date of their previous clearance dated 3/8/2018.

Corrected Corrected by Jul 2, 2024

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person/facility person #2 will have until 8/29/2024 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Staff person/facility person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 8/5/2019.

Corrected Corrected by Aug 19, 2024

Category: supervision. 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 8/13/2024, staff #1 was observed supervising a group of 14 children of mixed age levels in room #1 at approximately 1 PM and when staff #1 was asked to name their assigned supervision group, they identified 1 younger school age child and 13 older school-age children.

Corrected Corrected by Aug 14, 2024

Category: supervision. Marked corrected in the state record.

3270.63 · 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.

There was a large gap under a section of the chain link fence surrounding the outdoor play space where the ground surface had washed away.

Corrected Corrected by Aug 19, 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.

Protective receptacle covers were not placed in 2 electrical outlets in a 3-prong adapter that was plugged in by the water fountain in the outdoor play space.

Corrected Corrected by Aug 19, 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.

Water stains were observed on 4 ceiling tiles in the gross motor room and 1 ceiling tile in the bathroom off the gross motor room. A drain grate was protruding from the ground right outside the door used to access the outdoor play space and on the hillside where children walk to the upper section of outdoor play space, which posed a potential tripping hazard for children in care. A piece of plywood with splintering edges was being used to cover a drain on the ground in the outdoor play space, which posed a potential hazard for children in care.

Corrected Corrected by Aug 19, 2024

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 exterior of the building by the back door, accessible to children using the outdoor play space.

Corrected Corrected by Aug 19, 2024

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

A sink in room #2 was not at a proper height for the children using it and a platform or steps was not being used for it to be easily approached.

Corrected Corrected by Aug 14, 2024

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 room #3 and #4.

Corrected Corrected by Aug 14, 2024

Category: physical safety. 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.

Emergency contact information for child #4 did not include the written consent signed by a parent for emergency medical care.

Corrected Corrected by Aug 20, 2024

Category: recordkeeping. 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.

The emergency contact information for child #3 did not include policy number for a child under a family policy or Medical Assistance benefits, if applicable. The emergency contact information for child #4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Aug 19, 2024

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

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The record for child #1, a preschool child, did not contain a current health report. The record for child #2, a preschool child, contained a current health report dated more than 12 months following the date of their previous health report.

Corrected Corrected by Jul 29, 2024

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The record for staff #2 included a current health assessment dated more than 24 months following the date of their previous health assessment.

Corrected Corrected by Aug 20, 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.

The record for child #4 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Aug 20, 2019

Category: ratio. Marked corrected in the state record.

3270.94(a)(3) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted during various program activity times.

Fire drills were not conducted during various program activities.

Corrected Corrected by Aug 19, 2024

Category: recordkeeping. 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 detection devices were not tested at least once every 30 days during the following time periods: 8/15 to 9/15/2023; 10/16 to 11/17/2023; 12/19/2023 to 1/19/2024; 1/19 to 2/19/2024; 3/19 to 4/19/2024; and 5/17 to 6/17/2024.

Corrected Corrected by Aug 19, 2024

Category: recordkeeping. 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.

The operator did not 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.

Corrected Corrected by Sep 4, 2023

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.

Staff #1-#8 did not complete the Pennsylvania Health and Safety Professional Development Update 2022, as required per Announcement C-22-06. The facility's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the prevention and identification of child maltreatment, as required per Announcement C-22-03.

Corrected Corrected by Oct 10, 2023

Category: ratio. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

An annual review of the emergency plan was not documented in writing and kept on file at the faciliy.

Corrected Corrected by Sep 19, 2023

Category: recordkeeping. 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.

The record for staff #1, #2, #4, #5, #6, #7 and #8 lacked documentation that they received annual training regarding the emergency plan.

Corrected Corrected by Sep 8, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The operator did not post the emergency plan in the facility.

Corrected Corrected by Sep 9, 2023

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

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The operator provided a letter to the parent of each enrolled child explaining the emergency procedures that did not include the following subsequent updates: the lockdown procedure and accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Sep 11, 2023

Category: physical safety. 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.

Staff #1-#8 did not participate, at least annually, in fire safety training.

Corrected Corrected by Oct 9, 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 #2 and #6 will have until 10/3/2023 to complete the required training. Until such time as the required training has been completed, staff person #2 and #6 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 #2 and #6, then staff person #2 and #6 may not work in a child-care position at the facility.

Staff person #2 and #6, who have worked in a child care position at the facility for more than 90 days, have not completed the CCDBG health and safety professional development training as listed in subsections (f)1-10 (see LIS code sheet).. Staff #2 completed Health and Safety Basics: Requirements for Certification on 8/16/2016, which was not an accepted training prior to 9/30/2016. Staff #6 completed Health and Safety Basics: Requirements for Certification on 7/24/2019, which was not an accepted training after 6/30/2018.

Corrected Corrected by Oct 2, 2023

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). 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 record for staff #1 included a current state police clearance dated 5/30/2023, more than 60 months following their previous clearance dated 12/2/2017; a current child abuse clearance dated 6/4/2023, more than 60 months following their previous clearance dated 12/2/2017; and a current FBI clearance dated 7/17/2023, more than 60 months following their previous clearance dated 12/26/2017. The record for staff #4 included a current state police clearance dated 5/31/2023, more than 60 months following their previous clearance dated 3/8/2018 and a current FBI clearance dated 5/31/2023, more than 60 months following their previous clearance dated 3/6/2018.

Corrected Corrected by Sep 13, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #5 will have until 10/3/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person/facility person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #5, then staff person #5 may not work in a child-care position at the facility.

Staff #1 completed mandated reporter training on 7/12/2023, more than 60 months following the completion of their previous training on 3/16/2018. Staff #5 did not complete mandated reporter training within 90 days of their hire (see LIS code sheet). Staff #7 completed mandated reporter training on 10/25/2020, more than 60 months following the completion of their previous training on 6/4/2015.

Corrected Corrected by Sep 13, 2023

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The director did not complete a minimum of one written evaluation of staff #1, #2, #5, #6, #7 and #8 within the last 12 months.

Corrected Corrected by Sep 15, 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.

An open bag of fertilizer labeled keep out of the reach of children was observed in the outdoor play space.

Corrected Corrected by Sep 4, 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.

The following visible hazards were observed in the outdoor play space: chicken wire that being used to prevent children from accessing the electrical components of the central air conditioning unit had sharp and pointy edges; a stake used to anchor a sun shelter was protruding from the ground and (3) stakes used to anchor the merry-go-round were protruding from the ground.

Corrected Corrected by Sep 4, 2023

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

A sink in room #1 was not at a proper height for the children using it and unable to be easily approached by means of a platform or steps.

Corrected Corrected by Sep 4, 2023

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.

A handwashing sign was not posted at a toilet in the bathroom and at a sink in the preschool area of room #1.

Corrected Corrected by Sep 4, 2023

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.

A source of running water was not present by the changing table in the toddler area of room #1.

Corrected Corrected by Sep 4, 2023

Category: health medication. 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.

There were (2) stuffed animals that had parts with a diameter of less than 1 inch and were labeled for children ages 3 and up observed in room #1 and #2, accessible to children who are still placing objects in their mouths.

Corrected Corrected by Sep 4, 2023

Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The record for child #1, an infant, lacked a current health report.

Corrected Corrected by Oct 10, 2023

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The record for staff #1, #3, #4 and #6 included a current health assessment dated more than 24 months following the date of their previous health assessment.

Corrected Corrected by Sep 4, 2023

Category: ratio. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Written notification of safe routes were not posted by the operator in the child care facility.

Corrected Corrected by Sep 4, 2023

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.

Based on a conversation with staff, it was determined that reports of accidents, injuries and illnesses involving children in care at the facility were not retained in the children's files.

Corrected Corrected by Sep 4, 2023

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

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

There was no documentation of an annual emergency drill on file at the facility.

Corrected Corrected by Oct 10, 2023

Category: recordkeeping. 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.

Fire detection devices were not tested at least once every 30 days during the periods from 8/1 to 9/16/2022; 10/6 to 11/18/2022; and 6/8 to 7/26/2022.

Corrected Corrected by Sep 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Corrected Corrected by Sep 19, 2023

Marked corrected in the state record.

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

The operator did not post the emergency plan in the facility.

Corrected Corrected by Sep 1, 2022

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

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.

Staff persons did not participate, at least annually, in fire safety training during the period between 10/1/2020 to 8/4/2022.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The director did not complete a minimum of one written evaluation every 12 months of all existing staff persons (#1 and #3-7) during the period between 1/6/2021 to 3/18/2022.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.64 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

A drainage grate was protruding from the ground in the middle of the walkway used by children access to the upper level of the outdoor play space and it posed a potential tripping hazard for them.

Corrected Corrected by Sep 10, 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.

There were metal ground stakes protruding from the base of play equipment (a car and two airplanes) in the outdoor play space.

Corrected Corrected by Sep 1, 2022

Category: physical safety. 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 parent did not review the emergency contact information for child #1 since 12/22/2021.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The record for staff #1 included a current health assessment dated more than 24 months prior to the date of their previous health assessment.

Corrected Corrected by Sep 1, 2022

Category: ratio. 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.

The initial health assessment for staff #2 did not include the results of a tuberculin skin test.

Corrected Corrected by Sep 7, 2022

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.

A parent did not review the financial agreement for child #1 since 12/22/2021.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

Child records were not stored in a locked cabinet.

Corrected Corrected by Sep 9, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

Facility persons' records were not stored in a locked cabinet.

Corrected Corrected by Sep 9, 2022

Category: recordkeeping. 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.

An emergency drill was not conducted annually during the period between 12/19/2020 to 8/16/2022.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Two metal fans were observed to be accessible to children on the floor of the school age room. The fans lacked protective mesh guards.

Corrected Corrected by Aug 30, 2021

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

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file for child #3 contained emergency contact information which did not include the address of the child's physician.

Corrected Corrected by Oct 4, 2021

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). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for staff #2 did not contain a valid state police clearance for the time period between 11/3/20 and 3/28/21. A state police clearance dated 8/23/17, which was previously verified by the certification representative, was no longer on file. The file only contained state police clearances dated 11/2/15 and 3/29/21 on the day of the inspection.

Corrected Corrected by Aug 30, 2021

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.

Toxics were accessible to children in the laundry room off the school age room. The door was unlocked. The following toxics were observed; Great Value Bleach and Liquid Plumr Drain Cleaner on the floor of the room and Color Place spray paint on a low shelf.

Corrected Corrected by Aug 30, 2021

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.

An active water leak in the roof was observed in the gross motor room on the day of the inspection. A loop of fabric, which created a tripping hazard, was observed on an area rug in the preschool room.

Corrected Corrected by Oct 4, 2021

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.

The faucet in the preschool restroom was missing a handle.

Corrected Corrected by Aug 30, 2021

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.

The following were observed in the toddler room; Lincoln Logs, with the smallest pieces measuring less than 1 inch in diameter and uncooked elbow macaroni and other pasta, less than 1 inch in diameter in a sensory bin. Both young and older toddlers were observed in care in the room. An empty plastic bag was observed in the outdoor play space.

Corrected Corrected by Aug 30, 2021

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.

Room 3 lacked a posted written plan of daily activities.

Corrected Corrected by Aug 30, 2021

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

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

The file for child #3 contained an agreement which was not signed by the parent.

Corrected Corrected by Sep 1, 2021

Category: recordkeeping. 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.

The file for child #3 contained emergency contact information which did not include the written consent signed by a parent for emergency medical care.

Corrected Corrected by Sep 1, 2021

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.

The files for children #1, #2, and #3 contained immunization records which lacked documentation of receiving the influenza vaccine within the last 12 months as recommended by the ACIP. Written exemptions were not on file at the time of the inspection.

Corrected Corrected by Sep 13, 2021

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff #1 contained a health assessment which was not updated within 24 months. The most recent health assessment on file was dated 10/16/18.

Corrected Corrected by Sep 7, 2021

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for staff #2 contained a health assessment which did not include the results of an examination for communicable diseases or the physician's assessment of the person's suitability to provide child care.

Corrected Corrected by Oct 1, 2021

Category: health medication. 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 facility's emergency plan did not provide for accommodations for infants and toddlers.

Corrected Corrected by Sep 1, 2021

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

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility did not have means of providing the parent of each child enrolled with information on how to access the regulations in this chapter electronically

Corrected Corrected by Aug 31, 2021

Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Th file for child #1 contained an initial health report conducted more than 60 days following their first day of attendance. The health report was due prior to the regulation beings suspended due to covid-19. The most recent health report on file is now current.

Corrected Corrected by Oct 1, 2021

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