3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Observed 10/23/2024 staff #1 was observed supervising children alone without a qualified staff member qualified as an assistant group supervisor or higher.

Corrected Corrected by Nov 4, 2024

Category: supervision. 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.

Observed 10/23/2024 the toys and play equipment outdoor were not clean and in good condition for children to play with.

Corrected Corrected by Nov 4, 2024

Category: physical safety. 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.

Observed 10/23/2024 child #2 and 3 agreement forms were missing the persons designated by a parent to whom the child may be released.

Corrected Corrected by Nov 4, 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.

Observed 10/23/2024 child #5 emergency contact information was missing the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Nov 4, 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.

Observed 10/23/2024 child #5 file did not contain their health insurance coverage policy information and number on the emergency contact form.

Corrected Corrected by Nov 4, 2024

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.

Observed 10/23/2024 child file # 1,4, and 5 emergency contact form were missing the addresses of the individual designated by the parent to whom the child may be released. Child #1 and 2 were missing the telephone numbers of the individual designated by the parent to whom the child may be released on their emergency contact form.

Corrected Corrected by Nov 4, 2024

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.

Observed 10/23/2024 there was not a current emergency drill log documented on file at the facility. Current one was documented and dated for11/23/22.

Corrected Corrected by Oct 29, 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.

Observed 10/17/2023 child #2,3 and 4 files health insurance coverage and policy numbers were missing from emergency contact from.

Corrected Corrected by Nov 9, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 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 may not work in a childcare position at the facility.

Observed 10/17/2023 The file for staff # 1 not contain a completed DHS required NSOR clearance. The requirement to have the completed DHS required clearances on file was not met. Staff #1 passed their provisional hire date.

Corrected Corrected by Nov 9, 2023

Category: background checks. 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.

Observed 10/17/2023 child #3 &4 files were missing date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Corrected Corrected by Nov 9, 2023

Category: recordkeeping. 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.

Observed 10/17/2023 child file # 1 and 2 emergency contact form were missing the addresses and telephone numbers of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Nov 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(1)/3270.131(e)(2)(i) · 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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Observed On 10/17/2023 observed child # 1 &2 file did not contain an exemption letter for the vaccinations (influenza) not completed in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Nov 9, 2023

Category: health medication. 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.

Observed 10/17/2023 Staff # 2 file and were missing their annual minimum of 12 clock hours of childcare training.

Corrected Corrected by Nov 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Observed 11/29/2022 the first aid kit that's used for excursions was missing soap and scissors from kit.

Corrected Corrected by Dec 15, 2022

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

3270.131(e)(1)/3270.131(e)(2)(i) · 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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Observed 11/29/2022 children file #1,2 3, and 4 were missing exemption forms from their file from the parents to opt out of receiving the annual influenza vaccine immunizations due to religious belief or strong personal objection.

Corrected Corrected by Dec 15, 2022

Category: health medication. 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.

Observed 11/2/2022 staff # 2 during a diaper change did not clean the surface after use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Corrected Corrected by Dec 15, 2022

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

3270.151(a)/3270.151(c)(2) · 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. 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.

Observed 11/29/2022 staff #1 file was missing a health assessment from their file. A health assessment conducted within 12 months prior to providing initial service in a childcare setting and every 24 months thereafter. Staff #1 was missing the tuberculosis screening by the Mantoux method from their file.

Corrected Corrected by Dec 1, 2022

Category: ratio. Marked corrected in the state record.

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Observed 11/29/2022 facility did not have menus posted or to provide to each family.

Corrected Corrected by Dec 15, 2022

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 childcare facility.

Observed 11/29/2022 facility did not have Written notification of safe routes posted in a conspicuous location in the childcare facility.

Corrected Corrected by Dec 15, 2022

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 childcare office.

Observed 11/29/2022 facility did not have information posted in a conspicuous location used by parents on how to access the regulations electronically and with instructions for contacting the appropriate regional childcare office.

Corrected Corrected by Dec 15, 2022

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.

During the initial inspection on 6/22/22, it was observed that the cover over the light fixture in Room 2 was not in good repair- cover was missing-provider was unable to determine or provide verification that light bulbs were shatter proof

Corrected Corrected by Jun 23, 2022

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