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

During a complaint investigation on 2/13/25, it was determined by interviews with staff and representatives from an outside agency, that staff # 1 dragged child # 1 by their wrist and the child was heard saying "no, put me down." The date of the incident could not be specified due to the report not being made the day it happened. As soon as the operator was made aware of the incident, it was reported to child line.

Corrected Corrected by Feb 28, 2025

Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. All staff will attend a 2 hour in person training session regarding dealing with children with challenging behaviors.

During a complaint investigation on 2/13/25, it was determined by interviews with staff and representatives from an outside agency, that staff # 1 dragged child # 1 by their wrist and the child was heard saying "no, put me down." The date of the incident could not be specified due to the report not being made the day it happened. As soon as the operator was made aware of the incident, it was reported to child line.

Corrected Corrected by May 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

During a complaint investigation on 2/13/25, it was determined by interviews with staff and representatives from an outside agency that staff # 1 yells at child # 1 frequently. Child # 1 left their labeled seat, which they picked for the day, to get their smock for an activity. When the child returned, Staff # 1 was sitting in the seat. Staff # 1 told the child to sit elsewhere and child # 1 refused. An argument started and the child left the area. The exact date of this incident is unknown as it was not reported to the operator on the day it happened.

Corrected Corrected by Mar 28, 2025

Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

During a complaint investigation on 2/13/25, it was determined by interviews with staff and representatives from an outside agency that staff # 1 yells at child # 1 frequently and on one occasion said "you're a big boy, only babies pee in their pants" when the child had an accident. The exact date in which this incident happened could not be determined as the incident was not reported on the date it happened. The operator notified child line as soon as she was made aware.

Corrected Corrected by Feb 28, 2025

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 person # 1 did not complete annual fire safety as evidenced by the fire safety certificates dated 8/7/24 and 7/6/23.

Corrected Corrected by Dec 19, 2024

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 staff evaluation on file for staff person # 2 was not conducted within 12 months. Staff person # 2 has a staff evaluation dated 12/16/24, which is more than 12 months after their hire date (see code sheet for DOH).

Corrected Corrected by Dec 19, 2024

Category: recordkeeping. 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 was a play kitchen in the outdoor play space with a crack on the stove knob and door handle creating a sharp edge and pinch point.

Corrected Corrected by Jan 20, 2025

Category: physical safety. 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 on file for child # 1 does not have the parent's work address.

Corrected Corrected by Dec 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The health assessment on file for child # 2 (see code sheet for DOB) is dated 4/15/24, therefore no longer valid. The health assessment on file for child # 3 (see code sheet for DOB) is dated 4/9/24, therefore no longer valid.

Corrected Corrected by Jan 20, 2025

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

3270.131(d)(1)/3270.131(d)(2) · A health report shall include a review of the child's health history. A health report shall include a list of the child's allergies.

The health report on file for child # 4 did not include a review of the child's health history or list of allergies.

Corrected Corrected by Jan 20, 2025

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

3270.131(d)(3)/3270.131(d)(4) · A health report shall include a list of the child's current medication and the reason for the medication. A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

The health assessment on file for child # 4 does not have a list of current medications or assessment of health problems or special needs.

Corrected Corrected by Jan 20, 2025

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health report on file for child # 4 did not include a statement that the child is able to participate in child care.

Corrected Corrected by Jan 20, 2025

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

3270.151(a) · 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.

More than 24 months passed between health assessments for staff person # 1 as evidenced by health assessments on file dated 11/3/22 and 12/3/24.

Corrected Corrected by Dec 19, 2024

Category: ratio. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Cert rep observed perishable food items in a child's lunch box in the preschool room.

Corrected Corrected by Dec 19, 2024

Category: nutrition. 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.

An unannounced inspection was conducted on 2/20/2024. At that time, the fire drill log was reviewed. The date the last fire drill was conducted was 12/20/23, which was 62 days ago.

Corrected Corrected by Feb 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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.

An unannounced inspection was conducted on 1/24/24. At that time, the lights were turned off and the infant room was so dark that staff were unable to see the children. An acceptable plan of correction was received on 2/11/2024 with a correction date of 1/24/2024. A complaint investigation was conducted on 2/20/2024. At that time, Staff Person #1 named four children in their primary care group. Staff Person #2 named seven children in their primary care group, including the four children that Staff Person #1 named. There were twelve children total in the preschool room, leaving five children who were not assigned to a specific staff person's supervision group. It was also found that on 1/30/2024, Staff Person #1 had left two children unsupervised in the bathroom for an unknown period of time while cleaning up the classroom.

Corrected Corrected by Feb 20, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training.

An unannounced inspection was conducted on 1/24/24. At that time, the lights were turned off and the infant room was so dark that staff were unable to see the children. An acceptable plan of correction was received on 2/11/2024 with a correction date of 1/24/2024. A complaint investigation was conducted on 2/20/2024. At that time, Staff Person #1 named four children in their primary care group. Staff Person #2 named seven children in their primary care group, including the four children that Staff Person #1 named. There were twelve children total in the preschool room, leaving five children who were not assigned to a specific staff person's supervision group. It was also found that on 1/30/2024, Staff Person #1 had left two children unsupervised in the bathroom for an unknown period of time while cleaning up the classroom.

Corrected Corrected by Mar 16, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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.

An unannounced inspection was conducted on 1/24/24. At that time, the lights were turned off and the infant room was so dark that staff were unable to see the children.

Corrected Corrected by Feb 1, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during naptime and transition times such as visiting the bathroom and supervision on the playground. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy.

An unannounced inspection was conducted on 1/24/24. At that time, the lights were turned off and the infant room was so dark that staff were unable to see the children.

Corrected Corrected by Feb 16, 2024

Category: supervision. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

A renewal inspection was conducted on 12/15/23. At that time, the facility used the ProCare app to access emergency contact information. The app does not include the release persons address, the health insurance information, the physician's information, or the parent's work address and phone numbers. An acceptable plan of correction was received on 12/15/23 with a correction date of 12/29/23. An unannounced inspection was conducted on 1/24/24. At that time, the emergency contact forms in the classroom were reviewed. The emergency contact form for Child #2 did not include the address of the release persons.

Corrected Corrected by Jan 25, 2024

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

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.

A renewal inspection was conducted on 12/15/23. At that time, the nap mats in the preschool room were not labeled with the children's names.

Corrected Corrected by Dec 22, 2023

Category: physical safety. 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.

A renewal inspection was conducted on 12/15/23. At that time, Staff Person #4 did not have a staff evaluation completed by the director on file. The evaluations on file were self-conducted.

Corrected Corrected by Dec 20, 2023

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 OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

A renewal inspection was conducted on 12/15/23. At that time, the emergency plan was reviewed. The emergency plan did not include a continuity plan for operations in times of an emergency.

Corrected Corrected by Dec 29, 2023

Category: ratio. Marked corrected in the state record.

3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

A renewal inspection was conducted on 12/15/23. At that time, the emergency plan was reviewed. The emergency plan did not include a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Dec 29, 2023

Category: physical safety. 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.

A renewal inspection was conducted on 12/15/23. At that time, the emergency plan training log was reviewed. The following staff participated in emergency plan training on 12/14/23, which was more than 90 days after their date of hire: Staff Person #1, Staff Person #2, Staff Person #3, and Staff Person #5. No other emergency plan training was on file for the aforementioned staff.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

A renewal inspection was conducted on 12/15/23. At that time, the staff files were reviewed. The file for Staff Person #1, an assistant group supervisor, contained verification of high school education, but did not include verification of experience.

Corrected Corrected by Dec 29, 2023

Category: supervision. 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 renewal inspection was conducted on 12/15/23. At that time, Locktite super glue was observed in an unlocked drawer approximately 30 inches high that was accessible to the preschool children in the room. The super glue was labeled "keep out of reach of children."

Corrected Corrected by Dec 15, 2023

Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

A renewal inspection was conducted on 12/15/23. At that time, discarded tissues, cups, and paper towels were observed in an unlidded trash can in the preschool room.

Corrected Corrected by Dec 15, 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.

A renewal inspection was conducted on 12/15/23. At that time, a large serrated knife was observed on the counter in the preschool room where it was accessible to the children. Three large rubbermaid totes were stacked on top of each other in the foyer presenting a crush hazard.

Corrected Corrected by Dec 15, 2023

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.

A renewal inspection was conducted on 12/15/23. At that time, a little tikes care with a crack in the side was observed on the toddler playground.

Corrected Corrected by Dec 15, 2023

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.

A renewal inspection was conducted on 12/15/23. At that time, plastic bags were observed in an unlocked cupboard in the toddler room on a shelf approximately 24 inches high where they were accessible to the young and older toddlers in the classroom.

Corrected Corrected by Dec 15, 2023

Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

A renewal inspection was conducted on 12/15/23. At that time, the financial agreement for Child #1 and Child #2 did not include the fee amount.

Corrected Corrected by Dec 22, 2023

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).

A renewal inspection was conducted on 12/15/23. At that time, the following children did not have a child service report completed within the past six months: Child #1, Child #2, and Child #4. The child service report for Child #3 dated 10/26/23 was not signed by the parent.

Corrected Corrected by Dec 22, 2023

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.

A renewal inspection was conducted on 12/15/23. At that time, the emergency contact form for Child #1 did not include the name, address, or phone number of the child's physician.

Corrected Corrected by Dec 22, 2023

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.

A renewal inspection was conducted on 12/15/23. At that time, the emergency contact information for Child #1 did not include the address or phone number of the release persons.

Corrected Corrected by Dec 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

A renewal inspection was conducted on 12/15/23. At that time, the facility used the ProCare app to access emergency contact information. The app does not include the release persons address, the health insurance information, the physician's information, or the parent's work address and phone numbers.

Corrected Corrected by Dec 29, 2023

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

A renewal inspection was conducted on 12/15/23. At that time, the staff stated that they used the trash can in the bathroom that is not hands free when changing a dirty diaper. Staff also stated that they will use the other trash can where the lid was observed propped open when changing a wet diaper in the toddler room.

Corrected Corrected by Dec 29, 2023

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.

A renewal inspection was conducted on 12/15/23. At that time, the staff files were reviewed. The health assessment and TB test for Staff Person #1 was completed 11/22/23, after their date of hire. The health assessment and TB test for Staff Person #2 was completed 11/22/23, after their date of hire.

Corrected Corrected by Dec 15, 2023

Category: ratio. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

A renewal inspection was conducted on 12/15/23. At that time, there was no written statement giving the feeding schedule for the infants enrolled at the facility.

Corrected Corrected by Dec 22, 2023

Category: nutrition. Marked corrected in the state record.

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

A renewal inspection was conducted on 12/15/23. At that time, the bottles in the infant room were not labeled with a child's name.

Corrected Corrected by Dec 15, 2023

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 renewal inspection was conducted on 12/15/23. At that time, the financial agreement for Child #4 had not been updated since 5/11/23.

Corrected Corrected by Dec 22, 2023

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.

A renewal inspection was conducted on 12/15/23. At that time, an emergency drill had not been conducted in the past year.

Corrected Corrected by Dec 22, 2023

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.

An unannounced inspection was conducted on 7/11/23. At that time, Staff Person #1 and Staff Person #2 were working together unsupervised. At that time, Staff Person #1 did not have any preservice training on file. Staff Person #2 had not yet completed the health and safety training. Neither staff have been working longer than 90 days. On 8/11/23 an unannounced inspection was conducted. At that time, Staff Person #3 and Staff Person #4 were working together unsupervised. At that time, Staff Person #4 did not have any preservice training on file. Staff Person #3 had not yet completed the health and safety training or pediatric first aid/cpr training. Neither staff have been working longer than 90 days.

Corrected Corrected by Aug 11, 2023

Category: supervision. Marked corrected in the state record.

3270.61(g) · Preschool and school-age children may not be involved in small or large muscle activity in the same group space in which children are sleeping or resting.

An unannounced inspection was conducted on 8/11/23. During the inspection, three children were observed sleeping on the floor of the room upon entering the main entrance to the facility. Eleven other children were observed in the room.

Corrected Corrected by Aug 11, 2023

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

3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

An unannounced inspection was conducted on 8/11/23. During the inspection, 14 school age and preschool children were observed in the room upon entering the main entrance with two staff. This room was set up as a foyer. It did not have play equipment for children and was not set up for child care space.

Corrected Corrected by Aug 17, 2023

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

An unannounced inspection was conducted on 8/11/23. During the inspection, three children were observed sleeping on the floor of the room upon entering the main entrance to the facility. The children were surrounded by other children up against them and did not have two feet of space on any sides.

Corrected Corrected by Aug 11, 2023

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

3270.61(h) · The capacity established for an indoor space may not be exceeded.

An unannounced inspection was conducted on 8/11/23. During the inspection, 14 school age and preschool children were observed in the room upon entering the main entrance with two staff. This room has a maximum capacity of five children.

Corrected Corrected by Aug 11, 2023

Category: ratio. Marked corrected in the state record.

3270.161(c) · Food that has been previously served to a person or returned from a table shall be discarded.

A complaint investigation was conducted on 7/11/23. During the investigation, staff stated that they would save children's vegetables if they did not eat them during lunch to serve to the child later at snack time.

Corrected Corrected by Jul 11, 2023

Category: nutrition. 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. Until such time as the required pre-service trainings are completed, Staff Person #1 and 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 #1 and Staff Person #2, then Staff Person #1 and Staff Person #2 may not work in a child-care position at the facility.

An unannounced inspection was conducted on 7/11/23. At that time, Staff Person #1 and Staff Person #2 were working together unsupervised. At that time, Staff Person #1 did not have any preservice training on file. Staff Person #2 had not yet completed the health and safety training. Neither staff have been working longer than 90 days.

Corrected Corrected by Jul 11, 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. Staff Person #1 may not work in a child care position at the facility until a DHS FBI Clearance is on file.

An unannounced inspection was conducted on 7/11/23. At that time, Staff Person #1 was observed working at the facility. While reviewing staff files for preservice training, it was discovered that Staff Person #1 had a Dept of Ed FBI Clearance on file, but did not have a DHS FBI Clearance or the request for the clearance.

Corrected Corrected by Jul 11, 2023

Category: background checks. 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.

An unannounced inspection was conducted on 7/11/23. At that time, the fire drill log was reviewed. The date of the last fire drill conducted was 5/9/23, which was over 63 days from 7/11/23.

Corrected Corrected by Jul 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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.

An unannounced inspection was conducted on 1/6/23. At that time, Staff Person #4 named three children in their group of preschool children. Staff Person #4 appeared flustered and was given a second opportunity to name the children in their primary group using the Procare app. Staff Person #4 then named five children in their primary care group. Certification representative asked if there were five children in the group of Staff Person #4. Staff Person #4 responded that there were five children in their group. The children were counted and it was discovered that Staff Person #4 had seven children in their primary care group. Two children were not accounted for.

Corrected Corrected by Jan 6, 2023

Category: supervision. 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.

A renewal inspection was conducted 12/6/22. At that time, the staff files were reviewed. The file for Staff Person #4 did not contain two written, nonfamily letters of reference. An acceptable plan of correction was received with an implementation date of 12/16/22. An unannounced inspection was conducted on 1/6/23. At that time, the file for Staff Person #4 did not contain two written, nonfamily letters of reference.

Corrected Corrected by Jan 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

A renewal inspection was conducted 12/6/22. At that time, the child files were reviewed. The financial agreement for Child #1 did not include the amount of the fee charged or the date on which the fee is paid.

Corrected Corrected by Dec 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

A renewal inspection was conducted 12/6/22. At that time, the child files were reviewed. The financial agreement for Child #1 did not include the child's arrival and departure times.

Corrected Corrected by Dec 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

A renewal inspection was conducted 12/6/22. At that time, the trash can used for diapering in the toddler room was in need of new batteries and was no longer hands-free. The trash can was open during the inspection.

Corrected Corrected by Dec 10, 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.

A renewal inspection was conducted 12/6/22. At that time, the changing pad used for diapering in the toddler room was ripped and visibly dirty during the inspection.

Corrected Corrected by Dec 10, 2022

Category: health medication. 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.

A renewal inspection was conducted on 12/6/22. At that time, a set mouse trap was observed in an unlocked floor level cabinet in the School Age 1 room and in the School Age 2 room.

Corrected Corrected by Dec 6, 2022

Category: health medication. 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.

A renewal inspection was conducted on 12/6/22. At that time, the emergency plan was reviewed. The plan had not been reviewed since 11/24/22.

Corrected Corrected by Dec 31, 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.

A renewal inspection was conducted 12/6/22. At that time, the staff files were reviewed. The files for Staff Person #3 and Staff Person #5, who have been employed longer than 90 days, did not have documentation of emergency plan training.

Corrected Corrected by Dec 16, 2022

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. Staff Person #1 may not work in a child care position at the facility until Idaho clearances are on file at the facility.

A renewal inspection was conducted 12/6/22. At that time, the staff files were reviewed. The file for Staff Person #1 was reviewed. It was discovered that Staff Person #1 had lived in Idaho in the past five years. The file did not contain Idaho clearances. The files for Staff Person #6 and Staff Person #7 did not contain signed disclosure statements.

Corrected Corrected by Dec 6, 2022

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

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

A renewal inspection was conducted 12/6/22. At that time, the staff files were reviewed. The file for Staff Person #4 contained a high school diploma but did not contain verification of two years' experience to qualify them as an assistant group supervisor. The file for Staff Person #5 contained a high school diploma but did not contain verification of two years' experience to qualify them as an assistant group supervisor.

Corrected Corrected by Dec 10, 2022

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).

A renewal inspection was conducted on 12/6/22. At 9:30am, Staff Person #1 had 5 young toddlers and 4 older toddlers in her group. Staff Person #1 had a mix of 5 young and older toddlers from 6am through 7:42am, when the 6th child arrived. The 7th child arrived at 8:08am. The 8th and 9th children arrived at 8:20am. Staff Person #1 provided the arrival times using the app used to check children in. Another staff had called off sick that day and the staff scheduled to begin at 9:00am was stuck in traffic. Staff Person #1 was out of ratio with a group of young and older toddlers from 7:42am- 9:37am when a second staff arrived.

Corrected Corrected by Dec 6, 2022

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.

A renewal inspection was conducted 12/6/22. At that time, exposed bolts were observed on the gate of the toddler playground fence. The gate to the toddler playground fence was cracked, with sharp plastic, exposed near the handle of the gate. A kiddie pool car used for sensory play on the was filled with approximately four inches of rain water and was accessible to children on the toddler playground.

Corrected Corrected by Dec 13, 2022

Category: physical safety. 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.

A renewal inspection was conducted 12/6/22. At that time, the staff files were reviewed. The files for Staff Person #4 and Staff Person #6 did not contain two written, nonfamily letters of reference.

Corrected Corrected by Dec 16, 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.

A renewal inspection was conducted on 12/6/22. At that time, the director stated that an emergency drill was conducted in January 2021, but it had not been documented.

Corrected Corrected by Dec 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · 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.Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Files were reviewed for the renewal inspection. At that time, the file for Staff Person #2, date of hire 10/19/21, was reviewed. The file did not contain Pediatric First Aid and CPR Training documentation.

Corrected Corrected by Feb 28, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f)/3270.31(h) · Staff persons shall complete professional development in the following topics within 90 days of hire:All staff persons shall complete the professional development under subsection (f). As of 12/19/2020, PA Chapter 3270, Child Care Centers, was updated requiring all existing staff hired prior to the regulation change to complete the Health and Safety Training prior to 6/17/2021. All staff hired after the new regulations went into effect have 90 days to complete the Health and Safety Training from their date of hire.

Files were reviewed for the renewal inspection. At that time, the file for Staff Person #1, date of hire 6/2/21, was reviewed. The file did not contain the Health and Safety Training documentation. The file for Staff Person #2, date of hire 10/19/21, was reviewed. Neither file contained the Health and Safety Training documentation.

Corrected Corrected by Feb 4, 2022

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

3270.76/3270.101(a) · 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. Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

A renewal inspection was conducted on 1/28/22. At that time, the school age room 2 was inspected. The room is being used for storage and is not set up for child care use.

Corrected Corrected by Feb 4, 2022

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

A renewal inspection was conducted on 1/28/22. At that time, the facility did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected Corrected by Feb 4, 2022

Category: transportation. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

A renewal inspection was conducted on 1/28/22. At that time, the young toddler room did not have a hands-free trash can used for diapering.

Corrected Corrected by Feb 4, 2022

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

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

A renewal inspection was conducted on 1/28/22. At that time, the facility did not have a written feeding schedule for the infants in care.

Corrected Corrected by Feb 4, 2022

Category: nutrition. 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

Files were reviewed for the renewal inspection. At that time, the file for Staff Person #1, date of hire 6/2/21, was reviewed. The file only contained one written letter of reference. The file for Staff Person #3, date of hire 11/15/21, was reviewed. The file only contained one written letter of reference.

Corrected Corrected by Feb 4, 2022

Category: recordkeeping. 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.

A renewal inspection was conducted on 1/28/22. At that time, the emergency plan did not include accommodations for infants and toddlers that are enrolled in the facility.

Corrected Corrected by Jan 28, 2022

Category: physical safety. 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.

A renewal inspection was conducted on 1/28/22. At that time, the inspection report provided for the fire detection system was dated 4/2020. Provider did not have current inspection report from landlord.

Corrected Corrected by Jan 28, 2022

Category: recordkeeping. Marked corrected in the state record.