Apple Pie Day Care

3270.133(7)(i) · A medication log shall include the name of the medication. Amend the child's medication log to ensure that it includes and name of the medication. Submit a copy of the amended log. Revise and submit policies and procedures regarding proper completion of the medication log to ensure that the medication log contains the name of the medication.

The medication log for two children did not include the name of the medication. (#3- log dated 9/3/25) (#4 log dated 5/22/25 (#5 log dated 7/16/25

Corrected by Nov 29, 2025

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3270.133(7)(iv) · A medication log shall include the amount of medication administered. Amend the child's medication log to ensure that it includes the amount of medication to be administered. Revise and submit policies and procedures regarding proper completion of the medication log to ensure that the medication log contains the amount of medication to be administered.

The medication log for two children did not shall include the amount of medication to be administered. (#1 -log dated 8/18/25) (#2-log dated 1/16/25) (#4-log dated 3/30/25) (#5 log dated 4/1-4/30/25)

Corrected by Nov 29, 2025

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3270.133(7)(v)/3270.133(7)(vi) · A medication log shall include the date of administration. A medication log shall include the time of administration.

The medication log for several children did not include the date and time for the medication to be administered. Amend the child's medication log to ensure that it includes the date and time for the medication to be administered. Revise and submit policies and procedures regarding proper completion of the medication log to ensure that the medication log includes the date and time for the medication to be administered. Operator will review and monitor all medication logs to ensure that they are properly completed. A facility staff person administered albuterol to a child and the

Corrected by Nov 29, 2025

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3270.95(b) · 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 system must be tested every 30 days as required under Act 62. Submit written documentation verifying that the system has been tested as specified. Ensure that the system is tested , documented in writing and retained with the fire drill records as required in ACT 62.

Operator lacked written documentation on file indicating that the fire alarm system has been tested every 30 days as required under Fire Act of July 14, 2020. This information was documented on the fire drill logs as required.

Corrected by Nov 29, 2025

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. The legal entity must arrange for all staff persons to receive hands-on DHS approved training in supervision of children that includes how to effectively cope with frustration when working with challenging children. Submit written verification of the completed training.

On 5/15/25, the operator acknowledged that a staff person became frustrated with a toddler and grabbed and pulled the child's arm.

Corrected by Jun 15, 2025

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: Children must be supervised at all times by 2/27/25. The legal entity must arrange for all facility staff to receive 2 hours of hands-on DHS approved training in supervision of children that includes how to effectively cope frustration when working with children. Submit written verification of the completed training by 3/37/25.

On 2/27/25, the facility acknowledged observing a staff person grabbing a child by the arm and slamming a child into a chair.

Corrected by Mar 27, 2025

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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. TIERED LIS: Children must be supervised at all times by 12/23/24. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must arrange for all facility staff to receive a minimum of two hours of DHS approved training regarding supervision of children including the requirement that staff must be physically present and be able to see, hear and assess and direct the activity of the children by 1/23/25. Submit written verification of the completed training for all facility staff persons.

On 12/2/24, a child sustained an injury while in care at the facility and the staff person assigned responsibility for supervision of the child had no knowledge of how the injury occurred.

Corrected by Jan 23, 2025

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3270.51/3270.52 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.The required staff:child ratios must be maintained at all timesWhen 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). The required staff:child ratios must be maintained at all times. The facility must arrange for facility staff to receive DHS approved training in proper staff:child ratios and develop a written staffing plan including provisions for staff shortages and times of transition to ensure ongoing compliance. Submit written verification of completed training for all facility staff persons and a copy of the written staffing plan.

On 3/7/24 at approximately 3:45pm, staff person #1 was observed caring for a mixed age group of 14 young/older school age children in the school age classroom near the entrance. Staff person #1 verified the ages of the children.

Corrected by Mar 14, 2024

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3270.51/3270.52 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.The required staff:child ratios must be maintained at all timesWhen 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). The required staff:child ratios must be maintained at all times. Ensure that staff/child ratios are maintained at all times.

On 3/7/24 at approximately 3:45pm, staff person #1 was observed caring for a mixed age group of 14 young/older school age children in the school age classroom near the entrance. Staff person #1 verified the ages of the children.

Corrected by Mar 7, 2024

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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. Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Submit a written copy of the amended emergency plan.

The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Mar 14, 2024

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

During complaint investigation on 8/3/23, cert rep discovered Staff 1 pulled a child by the arms and dislocated her shoulder.

Corrected by Aug 9, 2023

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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.

During renewal inspection, cert rep observed damage to Cot #1 in the upstairs older toddler room.

Corrected by Dec 13, 2022

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3270.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

During renewal inspection, cert rep observed a missing first aid kit while children were outside of their classroom on the playground.

Corrected by Dec 13, 2022

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

During renewal inspection, cert rep observed peeled or damaged paint and plaster on the corner by the cubbies in the upstairs preschool room and in the upstairs younger toddler room (Bees, the far and close walls).

Corrected by Dec 13, 2022

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

During renewal inspection, cert rep observed a broken gray plastic bin holding toys, as well as damaged areas of the artificial turf located on the outdoor playground.

Corrected by Dec 13, 2022

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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.

During renewal inspection, cert rep observed a spill inside the refrigerator located in the play area adjacent to the infant room.

Corrected by Dec 13, 2022

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3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

During renewal inspection, cert rep observed the first aid kit on the short school bus was missing soap.

Corrected by Dec 13, 2022

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