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 file for staff person #1 was observed to lack a written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. This was evidenced by no evaluations present in the file of staff person #1.

Corrected Corrected by Feb 6, 2025

Category: recordkeeping. 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.

The facility was observed to lack closed, plastic-lined receptacles for the disposal of trash that has been contaminated by human secretions or excrement.

Corrected Corrected by Mar 14, 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.

The facility lacked a sign at each toilet and sink instructing every facility person and able child to wash his hands after toileting and before eating.

Corrected Corrected by Mar 14, 2025

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

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

The files for children #1. #2, #3, #4 and #5 were observed to contain agreements that were not signed by the operator.

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. 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.

The files for children #1. #2, #3, #4 and #5 were observed to contain agreements that did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. 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.

The files for children #1. #2, #3, #4 and #5 were observed to contain agreements that did not specify the date of the child's admission.

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The facility was observed to lack documentation the facility had notified local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility

Corrected Corrected by Mar 14, 2025

Marked corrected in the state record.

3270.131(a) · 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.

2nd citation. Previously cited on 1/8/24. The file of Child #1 lacked a health report no later than 60 days following the first day of attendance at the facility. Child #1, who had an admission date of 9/11/23, did not have a health report on file.

Corrected Corrected by Apr 12, 2024

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff persons #1 and #2 will have until April 3, 2024 to complete the required training. Until such time as the required training has been completed, staff persons #1 and #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 available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Apr 3, 2024

Category: supervision. Marked corrected in the state record.

3270.33(a) · 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.

2nd citation. Previously cited on 1/8/24. The file of Staff #2, who was designated as assistant group supervisor, lacked documentation of meeting one of the applicable staff qualifications for the position in which the person is performing.

Corrected Corrected by Apr 12, 2024

Category: supervision. 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.

2nd citation. Previously cited on 1/8/24. Emergency contact information for Child #1 did not include the work address and work telephone number of the enrolling parent.

Corrected Corrected by Apr 12, 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.

2nd citation. Previously cited on 1/8/24. Emergency contact information for Child #1 lacked health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Apr 12, 2024

Category: health medication. 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.

2nd citation. Previously cited on 1/8/24. The file of Staff #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Apr 12, 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. Until such time as the required pre-service trainings are completed, staff persons #1, #2, #3, and #4 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 persons #1, #2, #3, and #4, staff persons #1, #2, #3, and #4 may not work in a child-care position at the facility.

Staff persons #1, #2, #3, and #4 were observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum and health and safety training. Staff persons #2, #3, and #4 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum, mandated reporter training, and health and safety training.

Corrected Corrected by Mar 15, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff person #1 will have until February 13, 2024, to complete the required training. Until such time as the required training has been completed, staff person #1 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 available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum and health and safety training.

Corrected Corrected by Feb 13, 2024

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons # 1, #3, and #4 may not work in a child care 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 Persons #1, #3, and #4 may not work in a child care position at the facility.

The file of Staff #1 lacked documentation of application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of the NSOR requested on 10/17/23 and a NSOR dated 10/26/23. The file of Staff #1 lacked documentation of application for the State Child Abuse and Neglect Registry from the State(s) in which Staff #1 resided in the last 5 years prior to providing initial service in child care (SEE LIS Code Sheet). The file of Staff #1 did not contain a Child Abuse and Registry Check from the State(s) in which Staff #1 resided. The file of Staff #2, a provisional hire, lacked a PA Child Abuse Clearance and lacked documentation of application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #2 contained documentation of the NSOR requested on 11/9/23 and a NSOR dated 11/14/23. The file of Staff #2 contained a Child Abuse Clearance dated 12/7/23. The file of Staff #3, a provisional hire, lacked a PA Child Abuse Clearance and documentation of application for a DHS FBI Clearance and National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #3 did not contain a PA Child Abuse Clearance, a request date for DHS FBI Clearance or the DHS FBI Clearance, and a request date for the NSOR or the NSOR. The file of Staff #3 lacked documentation of application for the State Child Abuse and Neglect Registry from the State(s) in which Staff #3 resided in the last 5 years prior to providing initial service in child care (SEE LIS Code Sheet). The file of Staff #3 did not contain a Child Abuse and Registry Check from the State(s) in which Staff #3 resided. The file of Staff #4, a provisional hire, lacked documentation of application for the DHS FBI Clearance and the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #4 did not contain a request date for the DHS FBI Clearance or the DHS FBI Clearance. The file of Staff #4 contained documentation of the NSOR requested on 12/21/23 but did not contain a NSOR. The file of Staff #4, a provisional hire, lacked a DHS FBI Clearance and National Sex Offender Registry Certificate within 45 days of hire (SEE LIS Code Sheet), and Staff #4 was not suspended after 45 days.

3270.33(a) · 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.

The files of Staff #1 and #4, who were designated as assistant group supervisors, lacked documentation of meeting one of the applicable staff qualifications for the position in which the person is performing. The file of Staff #3, who was designated as an aide, lacked documentation of meeting one of the applicable staff qualifications for the position in which the person is performing.

Corrected Corrected by Mar 15, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibili:7ty 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.

At approximately 7:30 AM on 1/8/24 Staff #1, #2, and #3 were caring for a group of mixed age children which included 9 young school age children and 7 older school age children. Staff #1, #2, and #3 indicated they were sharing responsibility of the children. When asked to name the children, Staff #1 and #2 were able to name all of them, but Staff #3 was only able to name 8 of them.

Corrected Corrected by Mar 15, 2024

Category: supervision. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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 of Children #1, #4, and #5 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.

Corrected Corrected by Mar 15, 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.

Emergency contact information for Child #3 did not include the address of the child's physician or source of medical care.

Corrected Corrected by Mar 15, 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.

Emergency contact information for Child #3 did not include the work address of the enrolling parent. Emergency contact information for Child #4 did not include the work address and work telephone number of the enrolling parent.

Corrected Corrected by Mar 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file of Child #4 lacked signed parental consent for emergency medical care prior to admission on the emergency contact form.

Corrected Corrected by Mar 15, 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.

Emergency contact information for Children #3 and #4 lacked health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Mar 15, 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.

Emergency contact information for Child #1 did not include the complete address of the individual designated by the parent to whom the child may be released. Emergency contact for Child #3 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 15, 2024

Category: recordkeeping. 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 written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in every child care space.

Corrected Corrected by Mar 15, 2024

Category: transportation. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

The emergency contact for Child #5 was not reviewed and updated at least once in a 6-month period. Child #5's emergency contact was signed on 5/13/23 with no documentation of reviews and updates.

Corrected Corrected by Mar 15, 2024

Category: recordkeeping. 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.

The files of Staff #2, #3 and #4 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a health assessment dated 12/13/23. The files of Staff #3 and #4 did not contain a health assessment.

Corrected Corrected by Mar 15, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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.

The files of Staff #1, #2, #3, and #4 lacked an initial health assessment which included tuberculosis screening by the Mantoux method at initial employment (SEE LIS Code Sheet). Staff #1 had a Mantoux test read date of 8/25/23. Staff #2 had a Mantoux test read date of 12/13/23.

Corrected Corrected by Mar 15, 2024

Category: health medication. 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.

The operator did not conspicuously post the menu at least 1 week in advance.

Corrected Corrected by Mar 15, 2024

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 file of Child #4 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form.

Corrected Corrected by Mar 15, 2024

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.

It was observed that agreements were not on file at the date of admission for Children #1 and #5. Child #1's date of admission was 8/23/23 with agreements dated 8/28/23 and 9/18/23. Child #5's date of admission was 8/23/23 with an agreement dated 9/23/23.

Corrected Corrected by Mar 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

Certification Representative observed that the child records were not stored in a locked cabinet.

Corrected Corrected by Mar 15, 2024

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 files of Staff #1, #2, #3, and #4 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Mar 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.241(c)(4) · In a program in which 46 or more school-age children are enrolled, the responsibility of an aide is described at §3270.37 (relating to aide qualifications and responsibilities).

Staff #3, who was designated as an aide, is employed at a facility where less than 46 children are enrolled.

Corrected Corrected by Mar 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6)/3270.27(f) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. 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 facility created an emergency drill log, but it did not address the time to complete the drill, special accommodations the facility used for any category of children, the total number of adults and children participating in the drill, and problems encountered or observations during the drill.

Corrected Corrected by Mar 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · 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 files of Children #3 and #4 lacked a health report no later than 60 days following the first day of attendance at the facility. Child #3, who had an admission date of 10/23/23, did not have a health report on file. Child #4, who had an admission date of 9/11/23, did not have a health report on file.

Corrected Corrected by Mar 15, 2024

Category: health medication. 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.

Observed foam blocks with bite marks.

Corrected Corrected by Mar 24, 2023

Marked corrected in the state record.

3270.14/3270.21 · Staff person #1 and #2 will have until February 17, 2023, to complete the Pennsylvania Health and Safety Update 2022. 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 files of Staff #1, #2, and #4 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022. The files of Staff #1 and #2 contained no documentation of completing the health and safety update. The file of Staff #4 contained documentation of completing the health and safety update on 1/14/23. The emergency plan did not address continuity of operations.

Corrected Corrected by Feb 17, 2023

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 of Staff #1 lacked documentation of receiving training regarding the emergency plan on an annual basis. The file of Staff #1 contained documentation of completing emergency plan training on 12/6/21 but no documentation for 2022.

Corrected Corrected by Mar 24, 2023

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 of Staff #1 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #1 contained documentation of participating in fire safety training on 8/26/21 but had no documentation for 2022.

Corrected Corrected by Mar 24, 2023

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.

The files of Staff #1 and #2 lacked documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 1/31/22. The file of Staff #2 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 1/22/22.

Corrected Corrected by Mar 24, 2023

Category: health medication. 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 file of Staff #4 lacked documentation of a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #4 contained a written evaluation dated 12/1/22.

Corrected Corrected by Mar 24, 2023

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.

Observed a cracked roof on a doll house creating rough edges.

Corrected Corrected by Mar 24, 2023

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

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Observed embedded equipment in the Outdoor Play Space with approximately 1 to 3 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as protective surface coverings.

Corrected Corrected by Mar 24, 2023

Category: physical safety. 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.

At approximately 7:30 AM Staff #1 left Staff #2 and #3 to care for children in the gymnasium while Staff #1 greeted Certification Representative and parents at the door located at the end of the hallway. Staff #2 and #3 were caring for a group of mixed age children which included 10 young school age children and 7 older school age children. Staff #2 and #3 indicated they were sharing responsibility of the children. When asked to name the children, Staff #2 was able to name all of them, but Staff #3 was only able to name 7 of them. When Staff #1 returned to the gymnasium, Staff #1 was able to name all of the children.

Corrected Corrected by Mar 24, 2023

Category: supervision. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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 file of Child #4 contained the original agreement. The facility did not make a copy for the file and give the original to the parent.

Corrected Corrected by Mar 24, 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.

The file of Child #1 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Mar 24, 2023

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 file of Child #4 lacked the work telephone number of the enrolling parent on the emergency contact form.

Corrected Corrected by Mar 24, 2023

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 file of Child #3 lacked the health insurance coverage and policy number for a child under a policy or Medical Assistance benefits, if applicable, on the emergency contact form.

Corrected Corrected by Mar 24, 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.

The file of Child #3 lacked the telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Mar 24, 2023

Category: recordkeeping. 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 written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in every child care space.

Corrected Corrected by Mar 24, 2023

Category: transportation. Marked corrected in the state record.

3270.131(d)(4) · 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 file of Child #2 contained a health report which lacked 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.

Corrected Corrected by Mar 24, 2023

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

3270.151(c)(2) · 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.

The file of Staff #5 lacked an adult health assessment which included a tuberculosis screening by Mantoux method at the time of initial employment (SEE LIS Code Sheet). Staff #5 had a Mantoux read date of 11/9/22.

Corrected Corrected by Mar 24, 2023

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

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The file of Staff #2 contained an adult health assessment which indicated Staff #2 had a communicable disease, but the physician, physician's assistant, or CRNP did not describe the conditions and the risk it might pose to others exposed to this individual.

Corrected Corrected by Mar 24, 2023

Category: health medication. 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.

The emergency contacts and agreements for Children #1, #2, and #4 were not reviewed and updated at least once in a 6-month period. Child #1's emergency contact and agreement were signed on 5/11/22 with no reviews. Child #2's emergency contact and agreement were signed on 5/2/22 with no reviews. Child #4's emergency contact and agreement were signed on 5/16/22 with no reviews.

Corrected Corrected by Mar 24, 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.

An emergency drill was not conducted annually. The facility had documentation of an emergency drill being conducted on 11/17/21.

Corrected Corrected by Mar 24, 2023

Category: recordkeeping. 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 Director or designated staff person did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 12/16/21, 2/2/22, 3/31/22, 5/20/22, and 10/19/22.

Corrected Corrected by Mar 24, 2023

Category: recordkeeping. 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 child care office.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents. The certificate of compliance posted was dated 4/20/21 to 4/20/22. The operator did not 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 child care office.

Corrected Corrected by Mar 24, 2023

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 files of Staff #2 and #4 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Mar 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · 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 file of Child #1 lacked an initial health report no later than 60 days following the first day of attendance at the facility. The file of Child #1, with an admission date of 8/24/22, did not contain a health report.

Corrected Corrected by Mar 24, 2023

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

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The operator lacked documentation of notifying the local traffic authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. The operator provided documentation of local traffic authorities being notified on 10/14/22.

Corrected Corrected by Mar 24, 2023

Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The file for staff #3 lacked an examination for communicable diseases and information on medical problems that might threaten the health of the children on the health assessment.

Corrected Corrected by Feb 18, 2022

Category: health medication. 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.

Staff #1 and #2 lacked professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. No current training was observed on file.

Corrected Corrected by Jan 22, 2022

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