Ready Set Learn Early Childhood Lrng Center

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.

During the renewal inspection on 10/01/24 the file reviewed for staff person #1 did not include annual emergency plan training.

Corrected by Oct 1, 2024

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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.

During the renewal inspection on 10/01/24 the emergency contact form reviewed for child #1 did not include the PCP name.

Corrected by Oct 2, 2024

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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.

During the renewal inspection on 10/01/24 the emergency contact form reviewed for child #1 did not include health insurance policy number.

Corrected by Oct 2, 2024

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

On April 30, 2024 during the unannounced inspection three outlets were missing protective covers in the middle, second room childcare space. One outlet cover was missing in the front main room childcare space near the television.

Corrected by Apr 30, 2024

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

On April 30, 2024 during the unannounced inspection on top of a small refrigerator in the back infant childcare space, four bottles were observed without being labeled with the children's names.

Corrected by Apr 30, 2024

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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 April 16, 2024 at approximately 10:15am during complaint investigation staff member #1 was observed leaving staff member #2 alone in the front childcare space. There were 9 children, with the youngest child being 2 years of age.

Corrected by Apr 16, 2024

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

On April 16, 2024 during an unannounced inspection the exit in the indoor play space was obstructed with a red 6-seater buggy.

Corrected by May 1, 2024

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3270.62(c) · Outdoor or indoor play space shall be safe for large muscle activity.

On April 16, 2024 during an unannounced inspection, a 4-seater stroller and an outdoor fence wrapped in plastic was being stored in the indoor play space.

Corrected by May 1, 2024

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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 April 16, 2024 during an unannounced inspection, a black chalkboard wall inside of the indoor play space was damaged with a hole.

Corrected by May 6, 2024

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

On April 16, 2024 during an unannounced inspection staff #1 and #2 CPR certificate reviewed was not acceptable and did not specify Pediatric. In addition, Staff #1's training was not an approved training program and staff #2's was not acceptable due to being an online course.

Corrected by May 13, 2024

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3270.75(a) · A first-aid kit shall be in a child care space.

During the renewal inspection on 10/05/23 there was no first aid kit in the indoor play space.

Corrected by Oct 6, 2023

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3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

During the renewal inspection on 10/05/23 the health record reviewed for child #1 indicated that child was behind on immunizations. Immunization dates were 08/06/20, 10/13/20 and 07/21/23. Child was to return for immunizations August 2023 per physician notes.

Corrected by Oct 19, 2023

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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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children, including the requirement that staff persons must be physically present and be able to see, hear and assess and direct the activity of the children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must also submit a plan for supervision to put practices in place to ensure that children are supervised at all times. Submit written verification of the completed training for all facility staff persons as well as the supervision plan.

On 10/4/22, a child sustained an injury at the facility and the staff person responsible for the supervision of the child had no knowledge of how the injury occurred. (child #1) (staff #1)

Corrected by Nov 12, 2022

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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. Children must be supervised at all times. Ensure that children are supervised at all times.

On 10/4/22, a child sustained an injury at the facility and the staff person responsible for the supervision of the child had no knowledge of how the injury occurred. (child #1) (staff #1)

Corrected by Oct 12, 2022

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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. Ensure that parents are provided the original report on the day of the incident involving an injury, accident or illness. Revise and submit written policies and procedures to ensure that parents are provided the original incident report on the date of the incident.

On 10/4/, a 22, child #1 sustained an injury and the facility did not provide the parent the original report on the date of the incident.

Corrected by Nov 12, 2022

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Obtain and submit written verification of the completed required health and safety training for the identified staff persons. Staff person cannot work alone with children until the required health and safety training has been completed.

One staff person's record did not contain written verification of required health and safety training completed within 90 days of hire. (#1)

Corrected by Nov 19, 2022

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3270.34(b)(4)/3270.192(2)(iv) · A director shall have attained an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 4 years of experience with children. 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. Obtain and submit written verification of the transcript indicating the date the degree was awarded or conferred or a copy of the degree for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

The record of the staff person identified as the facility director did not contain a transcript indicating the date the degree was awarded or conferred or a copy of the degree. (#2)

Corrected by Dec 19, 2022

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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. 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). Develop and submit a written staffing plan including provisions for staff shortages or emergencies and operational tasks that impact staffing to ensure ongoing compliance.

On 7/8/22, at approximately 2pm, staff person #1 was observed caring for mixed aged group of 15 preschool and school age children. Staff person #1 verified the ages of the children.

Corrected by Jul 8, 2022

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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. 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). The required staff:child ratios must be maintained at all times.

On 7/8/22, at approximately 2pm, staff person #1 was observed caring for mixed aged group of 15 preschool and school age children. Staff person #1 verified the ages of the children.

Corrected by Jul 8, 2022

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3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. The legal entity must ensure that there are at least two facility persons present when two or more children are in care. Develop and submit a written staffing plan including provisions for staff shortages or emergencies and operational tasks that impact staffing to ensure ongoing compliance.

On 6/8/22, at approximately 6:40am, only one staff person was present at the facility when five children were in care. This was acknowledged by the operator at the time of the investigation.

Corrected by Jul 8, 2022

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3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children. Revise facility policies regarding the prohibition of using harsh, demeaning and abusive language in the presence of children. Notify all facility staff in writing that the use of using harsh, demeaning and abusive language in the presence of children is prohibited by regulation. Submit written verification of the revised policies and facility staff notification.

On 6/28/22, a facility person used cursing and vulgar language in the presence of children while parents were dropping their children off for care at the facility. The operator acknowledged this at the time of the investigation.

Corrected by Jul 8, 2022

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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. Submit a copy of the revised letter.

The letter given to parents regarding the emergency plan did not explain the emergency procedure updates to the plan as required in 3270.27 subsection a. Revise the letter given to parents to ensure that it explains the emergency procedures and updates to the plan as required in 3270.27 subsection a.

Corrected by Mar 1, 2022

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3270.51 · 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. Revise and submit a written staffing and child transition plan that include nap arrangements to ensure that staff/child ratios are maintained at all times.

On 2/2/22, at approximately 3pm, 8 older toddler age children (2 years old) were observed being cared for by staff person #1 in the older toddler classroom. Staff indicated it was nap time, but most of the children were not resting on rest equipment. The ages of the children were verified by staff persons present

Corrected by Feb 2, 2022

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3270.51 · 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 times. Ensure that staff/child ratios are maintained at all times.

On 2/2/22, at approximately 3pm, 8 older toddler age children (2 years old) were observed being cared for by staff person #1 in the older toddler classroom. Staff indicated it was nap time, but most of the children were not resting on rest equipment. The ages of the children were verified by staff persons present.

Corrected by Feb 2, 2022

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