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.

Facility persons #6 and #7 have not received training regarding the facility emergency plan.

Corrected Corrected by May 1, 2025

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 or (g)1-10. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Staff person #4 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Approved PFA/PCPR with a PQAS instructor.

Corrected Corrected by May 23, 2025

Category: supervision. 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.

The file for staff person #3, hire date (see IS code sheet) lacks documentation of PFA/PCPR training within 90 days of hire as evidenced by the training on file is dated 5/24/2024. The file does contain current training.

Corrected Corrected by May 24, 2024

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. Facility persons #6 and #7 may not work in a child care position.

The file for staff person #5, hire date (see IS code sheet), contains a current criminal history clearance that was obtained greater than 60 months after the previous criminal history clearance as evidenced by the clearance dates of 3/2/2020 and 3/7/2025. The file is now current. The files for facility person #6, hire date (see IS code sheet) serving as the bus driver, and facility person #7, hire date (see IS code sheet), serving as a volunteer, are lacking signed disclosure statements.

Corrected Corrected by May 1, 2025

Category: background checks. 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.

Observed in the hallway bathroom by the gym an electrical outlet that was lacking a protective cover.

Corrected Corrected by Mar 28, 2025

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.

Observed the hallway bathroom by the gym and the bathrooms in the Program 6 room are lacking hand-washing signs by toilets and sinks.

Corrected Corrected by Mar 28, 2025

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

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Observed the hallway bathroom by the gym was lacking a lidded waste receptacle.

Corrected Corrected by Apr 21, 2025

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

The Program 4 room was lacking a written plan of daily activities.

Corrected Corrected by Apr 21, 2025

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

In the Program 2 room there was a bottle of Children's Allergy medication that was lacking the name of the child for whom it was intended.

Corrected Corrected by Mar 28, 2025

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 person #1 contains a current health assessment that was conducted greater than 24 months after the previous health assessment. The files for facility person #6, serving as the bus driver, and facility person #7, serving as a classroom volunteer, are lacking valid health assessments.

Corrected Corrected by May 23, 2025

Category: ratio. 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 proof of purchase was not available for the individual fire detection devices that were demonstrated operational during the inspection and are tested every 30 days

Corrected Corrected by May 23, 2025

Category: ratio. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #2 contains only 1 of the required 12 hours of training between 12/ 2023 and 12/2024. The file for staff person #5 contains only 11 of the required 12 hours of training between during 12/2023 and 12/2024.

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

It was reported by the operator and verified through staff interviews that staff person #1 was holding child #1's hand during a field trip and when the child stated he didn't want to hold hands and pulled away, staff #1 used physical punishment when she held onto the child's wrist and raised the child's arm up above his head.

Corrected Corrected by Sep 10, 2024

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.

The facility's Emergency Plan lacked updates to include the following sections: Continuity of Operations.

Corrected Corrected by Apr 30, 2024

Category: ratio. 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 file for Staff #2 and Staff #11 lacked Emergency Plan Training within 90 days of hire. The most recent Emergency Plan training on file for Staff #8 is dated 2/22/23, more than 12 months prior.

Corrected Corrected by May 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The two most recent Pediatric First Aid/CPR trainings on file for Staff #7 were dated 1/27/22 and 3/1/24, which is more than 24 months apart.

Corrected Corrected by Mar 1, 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.

The two most recent fire safety trainings on file for Staff #1, Staff #2, and Staff #8 are more than 12 months apart.

Corrected Corrected by May 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(iv) · Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.

The most recent water safety training on file for Staff #2 is dated 2/1/23, more than 12 months prior.

Corrected Corrected by May 24, 2024

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 #2, Staff #6, and Staff #12 had not completed the following required pre-service training within 90 days of their date of hire: Pediatric First Aid/CPR. Staff #2 completed the training on 12/30/22, Staff #6 completed the training on 12/30/22, and Staff #12 completed the training on 10/23/23. (SEE IS CODE SHEET) Staff #4 and Staff #11 have not completed the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Pediatric First Aid/CPR

Corrected Corrected by May 24, 2024

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for Staff #9 and Staff #12 contained a Mandated Reporter training that is not from an approved training source, making it invalid.

Corrected Corrected by May 10, 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 file for Staff #4 was lacked documentation of application for an FBI clearance prior to hire and the FBI clearance is dated 12/14/23 (SEE IS CODE SHEET).

Corrected Corrected by Apr 30, 2024

Category: background checks. 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.

In Program 4, an outlet cover was missing in the surge protector attached to the wall.

Corrected Corrected by Mar 27, 2024

Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

In Program 4, a door that leads to the kitchen was observed unlocked, which made the stove accessible to children.

Corrected Corrected by May 17, 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.

A hole in the poured playground surfacing was observed in the Large Fenced Playground, which could be a tripping hazard.

Corrected Corrected by May 24, 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 shed wall in the Small Fenced Playground, which is accessible to children.

Corrected Corrected by May 24, 2024

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.

Foam blocks with teeth marks and broken magnatiles were observed in Program 2, Program 6, and Program 7, which could be hazardous to children. In the Small Fenced Playground, a plastic picnic table was observed with cracked plastic with sharp edges that could cause injury.

Corrected Corrected by Mar 27, 2024

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

3270.102(a)/3270.103 · 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. 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.

In the Small Fenced Playground, splintered wood less than 1 inch in diameter was observed at the base of the shed wall, in a space used by Toddlers who are still placing objects in their mouths.

Corrected Corrected by May 24, 2024

Category: physical safety. 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 Emergency Contact form for Child #3 & Child #5 lacked the address and phone number for the child's physician or source of medical care.

Corrected Corrected by Apr 30, 2024

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact form for Child #1 did not contain the enrolling parent's work address and phone number.

Corrected Corrected by Apr 30, 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 form for Child #3 lacked the child's Health Insurance/MA Policy Number.

Corrected Corrected by Apr 30, 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.

The Emergency Contact form for Child #3 and Child #5 lacked complete addresses for all listed release persons.

Corrected Corrected by Apr 30, 2024

Category: recordkeeping. 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 most recent health assessment on file for Child #2 (PSA) is dated 2/1/23, which is more than 12 months ago.

Corrected Corrected by Apr 30, 2024

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

In Program 2, Children's Tylenol labeled for use by Child #7 expired on 2/2024 and was not in accordance with the manufacturer's original label.

Corrected Corrected by Mar 26, 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 two most recent health assessments on file for Staff #8 are dated 11/15/21 and 2/22/24, more than 24 months apart. The initial health assessment on file for Staff #10 is dated 1/12/23, which is more than 1 year prior to date of hire (SEE IS CODE SHEET).

Corrected Corrected by Apr 30, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for Staff #5 and Staff #9 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

Corrected Corrected by May 24, 2024

Category: health medication. 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 Emergency Contact for Child #5 lacked written parent permission for the facility to administer minor first aid procedures.

Corrected Corrected by Apr 30, 2024

Category: ratio. Marked corrected in the state record.

3270.94(a)(1) · 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 at least once every 60 days.

The fire drill log on file included fire drill conducted 4/4/23-6/12/23, more than 60 days apart.

Corrected Corrected by Jun 12, 2023

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.

The file for Staff #3 contained 11 of 12 annual child care training hours.

Corrected Corrected by Mar 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.131(e) · 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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file for Child #4 did not contain an initial health assessment and written verification of immunization, which is more than 60 days beyond date of enrollment. The file for Child #5 contained an initial health assessment dated 2/23/24, which was more than 60 days beyond date of enrollment. (SEE IS CODE SHEET)

Corrected Corrected by Apr 30, 2024

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

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #1 did not contain the documentation of the completion of the additional one-hour Healthy and Safety Basics training module.

Corrected Corrected by Apr 25, 2023

Category: health medication. 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.

The first-aid kit located in the Pro 2 room contained non-sterile gauze pads.

Corrected Corrected by Mar 28, 2023

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 tray of a mounted bulletin board in an area accessible to children in the Pro 1 room was observed to have metal support brackets with sharp edges that could cause laceration injuries.

Corrected Corrected by Mar 28, 2023

Category: ratio. 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.

An approximately 12"x6" plastic bin in an area accessible to children in care in the Pro 2 room was observed to have cracked, jagged edges that could cause laceration or pinch point injuries. A storage basket located in an area accessible to children in care the Pro 1 room was observed to have a cracked edge that could cause laceration injuries.

Corrected Corrected by Mar 28, 2023

Category: ratio. Marked corrected in the state record.

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

A wooden, child-sized chair located in an area accessible to children in the Pro 1 room was observed to have loose framing that could cause a pinch point injury.

Corrected Corrected by Mar 28, 2023

Marked corrected in the state record.

3270.51 · The legal entity will conduct monthly staff meeting for a period of three months after the plan of correction is accepted. The monthly staff meetings will have an agenda that includes discussions around maintaining ratio and supervision of children. Discussion regarding all inspections for the past 15 months will be included in the three staff meetings. An agenda and attendance will be created for each meeting and made available to the Department upon request.

*Based upon facility self-report and subsequent interviews with staff persons, it was determined that Staff #1 left one pre-school aged child unsupervised while said staff person used the restroom.

Corrected Corrected by Jan 25, 2023

Category: supervision. Marked corrected in the state record.

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.

Based upon facility self-report and subsequent interviews with staff persons, it was determined that Staff #1 left one pre-school aged child unsupervised while said staff person used the restroom.

Corrected Corrected by Jan 25, 2023

Category: supervision. Marked corrected in the state record.

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.

Based upon facility self-report and subsequent interviews with staff persons, it was determined that Staff #1 left one pre-school aged child unsupervised while said staff person used the restroom.

Corrected Corrected by Nov 15, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Based upon facility self-report and subsequent interviews with staff persons, it was determined that Staff #1 left one pre-school aged child unsupervised while said staff person used the restroom.

Corrected Corrected by Mar 22, 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. Facility Person #1 may not work in a child care position at the facility.

The operator self-reported that the file for facility person #1, date of hire (see IS code sheet), contains a FBI clearance dated 11/8/2021 and obtained through the Department of Education which is not accepted for employment in a child care facility under CPSL.

Corrected Corrected by Jul 18, 2022

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

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The file for child #2 contains the original financial agreement.

Corrected Corrected by Mar 24, 2022

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 files for staff persons #2 and #3 are lacking verification of emergency plan training at the time of initial hire and the files for staff persons #4, #5 and #6 are lacking emergency plan training during the previous 12 month period.

Corrected Corrected by Apr 1, 2022

Category: recordkeeping. 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 file for staff person #6 is lacking fire safety training during the previous 12 month period.

Corrected Corrected by Apr 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

The file for staff person #1, employed greater than 90 days, is lacking verification of training in the first 9 of the 10 required health and safety topics.

Corrected Corrected by Jun 1, 2022

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). 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. 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. Facility Person #--- may not work in a child care position at the facility.

The file for staff person #3, provisionally hired 11/29/2021, is lacking an NSOR verification within 45 days of hire as required under the provisional hire waiver. The file does contain a current NSOR verification dated 2/15/2022.

Corrected Corrected by Feb 15, 2022

Category: supervision. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #3, serving as an aide, is lacking a highschool diploma or verification of completion of 8th grade and 2 years of child care experience.

Corrected Corrected by Mar 28, 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 files for staff persons #4,#5 and #6 contain current employee evaluations that were completed greater than 12 months following the previous evaluation. The files are now current.

Corrected Corrected by Mar 4, 2022

Category: recordkeeping. 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.

Observed electrical outlets missing protective covers in the Program 1 room by the string of lights and in the Program 4 room in the power strip on the left side wall. Children under the age of 5 were observed to have access to the outlets in these child care spaces.

Corrected Corrected by Mar 11, 2022

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.

Observed the large gate on the blacktop area of the school age outdoor child care space to have several large protruding bolts without safety caps.

Corrected Corrected by May 30, 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.

Observed on the toddler preschool playground peeling paint on the top rail of the chain link fence.

Corrected Corrected by May 30, 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.

Observed in the Program 1 room a child's painted wooden table with peeling paint and splintering wood on the legs of the table.

Corrected Corrected by Mar 11, 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.

Observed lunch boxes stored in the cubbies in the Program 1 and Program 2 rooms containing potentially hazardous foods including a 'lunch-able' and yogurt labeled 'keep refrigerated' and a sandwich containing lunchmeat.

Corrected Corrected by Mar 11, 2022

Category: nutrition. Marked corrected in the state record.

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

The file for child #2 contains a financial agreement that was not signed by the operator.

Corrected Corrected by Mar 24, 2022

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).

The files for child #3 and child #4 are lacking child service reports or approved child assessments completed during the previous 6 month period.

Corrected Corrected by Apr 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(3)/3270.182(1) · The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for child #5 contains an initial health report that is dated more than 1 year prior to the first date of attendance and is therefore not valid and does not contain an updated or current health report.

Corrected Corrected by Apr 1, 2022

Category: health medication. 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 file for child #4, preschool aged, is lacking verification of a flu vaccine during the year 2021 as required by the ACIP immunization schedule.

Corrected Corrected by Apr 15, 2022

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 person #4 is lacking a health assessment conducted during the previous 24 month period.

Corrected Corrected by Apr 15, 2022

Category: ratio. Marked corrected in the state record.

3270.182(8) · 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.

The files for children #1 through #5 contain the original agreement instead of a copy.

Corrected Corrected by Mar 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

The file for staff person #3 contains only 1 of the required 2 written, nonfamily references.

Corrected Corrected by Apr 15, 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.

There is no documentation of an annual emergency drill conducted during the period of 12/18/2020 to 12/18/2021.

Corrected Corrected by Apr 15, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff person #3 is lacking verification of training in pediatric first aid and pediatric CPR and has exceeded 90 days since hire.

Corrected Corrected by May 27, 2022

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

3270.94(a)(1) · 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 at least once every 60 days.

The facility fire drill log showed fire drills conducted on 4/30/2021 and 1/31/2022, exceeding 60 days between drills.

Corrected Corrected by Apr 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The operator self-reported that the most current emergency plan has not been sent to the local municipality .

Corrected Corrected by Mar 16, 2022

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

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #5 contains only 3 of the required 12 hours of professional development training completed during the 12/19/2020 to 12/19/202 time period.

Corrected Corrected by Jun 1, 2022

Category: recordkeeping. 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.

The file for child #4 is lacking an initial health report within 90 days of the first day of attendance. The file does contain a current health report.

Corrected Corrected by Apr 15, 2022

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

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.

On 10/19/2021 at 3:15 pm it was observed that staff person #1 was alone supervising 15 young school aged children until staff person #3 arrived at 3:40 pm.

Corrected Corrected by Oct 20, 2021

Category: supervision. 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 file for facility person #1, serving as the facility lifeguard, was lacking training regarding the facility emergency plan.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(d) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

It was observed during the offsite swim inspection at the CARpool community pool that emergency contact information was not present for child #1 and child #2.

Corrected Corrected by Aug 20, 2021

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 file for facility person #1, serving as the lifeguard, does not include a health assessment.

Corrected Corrected by Aug 31, 2021

Category: ratio. Marked corrected in the state record.