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 6/10/25 at approximately 8:16AM, child #1 walked out of Room 36 alone. Staff #1 and Staff #2 were present in the room, but were not aware child #1 exited. For approximately 1.5 minutes child #1 was alone in the hall before being returned to Room 36 by another staff member.

Corrected Corrected by Jun 30, 2025

Category: ratio. 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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all staff to receive a minimum of two hours of training regarding supervision of children. This training may be online or in-person. The operator must receive DHS approval of the training prior to scheduling the training. The operator shall provide a date for when this training will be completed. 3. The legal entity will participate in technical assistance provided by the ELRC regarding supervision with a focus on assessing classroom transition spaces and processes. Upon completion, the legal entity will submit documentation of the completed technical assistance to certification representative. This portion of the plan shall have a correction date within 8 weeks.

On 6/10/25 at approximately 8:16AM, child #1 walked out of Room 36 alone. Staff #1 and Staff #2 were present in the room, but were not aware child #1 exited. For approximately 1.5 minutes child #1 was alone in the hall before being returned to Room 36 by another staff member.

Corrected Corrected by Oct 14, 2025

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.

On 6/10/25 at approximately 8:16AM, child #1 walked out of Room 36 alone. Staff #1 and Staff #2 were present in the room, but were not aware child #1 exited. For approximately 1.5 minutes child #1 was alone in the hall before being returned to Room 36 by another staff member.

Corrected Corrected by Jun 11, 2025

Category: supervision. 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.

Based on the facility's documentation, consecutive tests of the fire alarm system were conducted more than 30 days apart; 2/21/25 and 3/24/25. Current compliant tests are now on file.

Corrected Corrected by Sep 11, 2025

Category: recordkeeping. 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.

Child #1 crawled out from under a broken gate into the hallway, and Child #1 was unsupervised by Staff #1, for approximately one (1) minute, which resulted in a staff:child ratio of 0:1.

Corrected Corrected by Feb 5, 2025

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.

Child #1 crawled out from under a broken gate into the hallway, and Child #1 was unsupervised by Staff #1, for approximately one (1) minute.

Corrected Corrected by Feb 5, 2025

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.

Child #1 crawled out from under a broken gate into the hallway, and Child #1 was unsupervised by Staff #1, for approximately one (1) minute.

Corrected Corrected by Feb 5, 2025

Category: supervision. Marked corrected in the state record.

3270.66(e) · Arts and crafts materials shall be nontoxic.

Two cans of Equate shaving cream,labeled keep out of reach of children, were observed in room 30. Based on statements made by staff, the shaving cream has been used by children for art projects.

Corrected Corrected by Oct 9, 2024

Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility's letter to parents explaining emergency procedures did not include details regarding the accommodations for infants and toddlers.

Corrected Corrected by Oct 17, 2024

Category: physical safety. 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.

Hand sanitizer was accessible to children on the teacher's desk in room 30. Three AAA batteries were accessible to children in an unlocked storage drawer in room 36.

Corrected Corrected by Oct 14, 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.

The top surface of the heat registers/vents in rooms 29, 30 and 35 measured 120° to 130° during the inspection. The surfaces are accessible to children.

Corrected Corrected by Dec 20, 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 stained ceiling tile was observed in the restroom in room 30. Protruding nail heads and splintering wood were observed on a flat piece of wood mounted on the wall in the girl's restroom. The wood previously served as a base for a wall mounted soap dispenser that is no longer attached. The rubber baseboard was detached in 3 areas of room 30.

Corrected Corrected by Dec 20, 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.

One area of peeling paint was observed on the cabinet door of room 29.

Corrected Corrected by Oct 9, 2024

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.

An open box of vinyl gloves was accessible to toddlers in room 34. The box was observed on a chalk tray directly behind a shelf used by children to set their water bottles.

Corrected Corrected by Oct 9, 2024

Category: physical safety. 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.

Splintering wood was observed on the seat bottom of an adult rocking chair in the infant room.

Corrected Corrected by Oct 9, 2024

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.

The refrigerator in room 34 lacked a thermometer.

Corrected Corrected by Oct 10, 2024

Category: nutrition. 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 file for child #3 lacked documentation of a service report shared with the parents in the last 6 months.

Corrected Corrected by Nov 8, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The agreement for child #2 did not specify the child's arrival and departure times.

Corrected Corrected by Oct 23, 2024

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 agreement for child #2 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Oct 23, 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.

The emergency contact form for child #4 lacked a complete address for the child's physician or source of medical care. The ECF for child #5 lacked the telephone number for the child's physician or source of medical care.

Corrected Corrected by Oct 23, 2024

Category: health medication. 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 emergency contact form for child #5 did not include the written consent signed by a parent for emergency medical care.

Corrected Corrected by Oct 25, 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 #2 did not include the health insurance policy information.

Corrected Corrected by Oct 23, 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 #2 lacked an address for an individual the child may be released to. The ECF for child #4 lacked complete addresses for the individuals the child may be released to.

Corrected Corrected by Oct 23, 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.

Room 34 lacked a posted written plan identifying the means of transporting a child to emergency care.

Corrected Corrected by Oct 21, 2024

Category: transportation. Marked corrected in the state record.

3270.133(7)(iv) · A medication log shall include the amount of medication administered.

The amount of medication administered was not documented on the medication log for child #1 located in room 35. Based on the log, staff administered Orajel to child #1 on 2/22/24 and 2/29/24.

Corrected Corrected by Oct 14, 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.

A current menu was not posted. The posted menu was for the month of September.

Corrected Corrected by Oct 21, 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 record for child #5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Oct 25, 2024

Category: ratio. 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 facility person #1 did not contain written references.

Corrected Corrected by Oct 21, 2024

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 #2 contained an initial health report dated more than 60 days following the first day of attendance at the facility. A current health report is now on file.

Corrected Corrected by Oct 28, 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.

The files for staff #1, #2, and #3 and the file for facility person #4 contained disclosures which were not signed by a witness at the time of initial employment. (SEE LIS CODE SHEET) The disclosures are now signed and dated by a witness with the dates recorded as follows; staff #1 6/14/24, staff #2 6/14/24, staff #3 6/14/24, and facility person #4 6/24/24.

Corrected Corrected by Jul 8, 2024

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

3270.72(c) · Screens shall be in good repair.

An open window in the boys restroom lacked a screen. An open window in the girls restroom had a damaged screen leaving a gap between the screen and window frame. A tear, approximately 3 inches long, was observed on the screen in the window of the restroom connected to the Twos Room.

Corrected Corrected by Jul 8, 2024

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.

Westcott brand antibacterial scissors, with both blunt and pointed tips, were observed in the Pre-k room and the 3s room. Based on the manufacturer's website, the blunt tip scissors are intended for ages 4+ and the pointed tip scissors are intended for ages 6+.

Corrected Corrected by Jul 8, 2024

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

3270.133(3)/3270.133(6) · 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. A parent shall provide written consent for administration of medication or a special diet.

An Albuterol inhaler and Albuterol refill, labeled for child #1, were observed in the Pre-k and school age rooms. Child #1 has recently undergone a name change. As a result, the first and last names on the medication do not match the first and last names listed on the parental consent for administration.

Corrected Corrected by Jul 9, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for facility person #4 contained a health assessment that lacks the results of an examination for communicable disease and lacks the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Jul 10, 2024

Category: health medication. 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.

A lunch box containing yogurt was observed on the shelf near the teacher's desk in the Pre-K room.

Corrected Corrected by Jul 8, 2024

Category: nutrition. 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.

Based on documentation, the 30 day tests of the facility's fire alarm system were conducted at intervals exceeding 30 days; 11/13/23 to 12/19/23= 36 days, 3/08/24 to 4/11/24 = 34 days, and 5/10/24 to 6/10/24 = 31 days.

Corrected Corrected by Jul 9, 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 operator lacked a section addressing the prevention and identification of Child Maltreatment in their Shaken Baby syndrome, abusive head trauma and child maltreatment policy and procedure to maintain compliance with 45 CFR 98.41(a)(1)(vi) and in accordance with Announcement C-22-03.

Corrected Corrected by Nov 8, 2023

Category: ratio. 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 operator lacked updated sections in their emergency plan that addresses volunteer emergency preparedness training and the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.

Corrected Corrected by Nov 9, 2023

Category: ratio. 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 in room 38 and 34 lacked sterile gauze pads.

Corrected Corrected by Oct 16, 2023

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

3270.27(c)/3270.192(2)(iii) · 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 facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff files #1 and #2 contained documentation of training on the emergency plan dated 4/19/22 and 9/12/23 which exceeded the required training annually as required.

Corrected Corrected by Nov 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Volunteer #5 file contained documentation of completion of mandated reporter training dated 12/18/17 and not completed mandated reporter training with thin the last 60 months. (See LIS CODE SHEET)

Corrected Corrected by Oct 23, 2023

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. Facility Person #3 may not work in a child care position at the facility.

Staff file #3 lacked a copy of the NSOR verification in the file with in 45 days of start at the facility. (See LIS CODE SHEET)

Corrected Corrected by Oct 16, 2023

Category: background checks. 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.

Staff person #4 was working as an assistant group supervisor but lacked the applicable qualifications contained in the staff file to support that position.

Corrected Corrected by Oct 23, 2023

Category: supervision. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

The first aid kits located in rooms 34 and 29 were accessible to the children in care.

Corrected Corrected by Oct 16, 2023

Category: health medication. 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 preschool room 29 lacked a hand washing sign at the diaper changing area.

Corrected Corrected by Oct 16, 2023

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Child file #2 lacked the health insurance policy number for the child on the emergency contact form.

Corrected Corrected by Oct 18, 2023

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

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

The facility lacked copies of incident reports in the child's files.

Corrected Corrected by Oct 16, 2023

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

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff file #4 lacked documentation of the staff person's education and experience prior to hire at the facility. (See LIS CODE SHEET) Staff file #6 lacked documentation of the staff person's education and experience prior to hire at the facility. (See LIS CODE SHEET)

Corrected Corrected by Oct 16, 2023

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.

Staff file #4 contained one of the two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person required. (See LIS CODE SHEET) Staff file #7 lacked copies of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (See LIS CODE SHEET)

Corrected Corrected by Nov 6, 2023

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.

The operator lacked updated sections in their emergency plan and their parent letter that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 9, 2023

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.

The facility had documentation of testing the fire detection system dated 7/14/23, 8/30/23, 9/8/23, and 10/9/23 which exceeded the 30 days as required by section 1016(c) of the act (62 P.S. §  1016(c)).

Corrected Corrected by Oct 10, 2023

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.

Child file #1 lacked an initial health report within 60 days of attendance at the facility. (See LIS CODE SHEET)

Corrected Corrected by Oct 19, 2023

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.

Per staff statements, on 6/13/23 staff #1 and staff #2 were in the gym with 9 children. When the staff left the gym to return to their classroom with the children, child #1, an older toddler, was left alone and unsupervised in the gym. Child #1 was alone in the gym for approximately a few minutes until child #1 was found strapped into a stroller, in the gym.

Corrected Corrected by Jun 16, 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. Children must be supervised at all times.

Per staff statements, on 6/13/23 staff #1 and staff #2 were in the gym with 9 children. When the staff left the gym to return to their classroom with the children, child #1, an older toddler, was left alone and unsupervised in the gym. Child #1 was alone in the gym for approximately a few minutes until child #1 was found strapped into a stroller, in the gym.

Corrected Corrected by Jun 16, 2023

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.

Per staff statements, on 6/13/23 staff #1 and staff #2 were in the gym with 9 children. When the staff left the gym to return to their classroom with the children, child #1, an older toddler, was left alone and unsupervised in the gym. Child #1 was alone in the gym for approximately a few minutes until child #1 was found strapped into a stroller, in the gym.

Corrected Corrected by Jun 16, 2023

Category: supervision. 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.

On 10/17/22, Staff #1, administered a lice treatment kit to child #1 and #2. The lice treatment was not specifically labeled for use on either child.

Corrected Corrected by Oct 18, 2022

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

On 10/17/22. Staff #1 administered a lice treatment kit to child #1 and #2. The children's parents did not provide written consent for the administration of the lice treatment kit.

Corrected Corrected by Oct 18, 2022

Category: ratio. 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, #2, #4, and #5, may not work in a childcare position at the facility.

Staff files #1, #2, #4, and #5 lacked a signed and dated disclosure statement in the file. (See LIS CODE SHEET)

Corrected Corrected by Oct 21, 2022

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

3270.64 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

The outside play space contained a cable from the utility pole to the ground that posed a tripping and strangulation hazard to the children while they play in the space.

Corrected Corrected by Oct 25, 2022

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

3270.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

The outdoor play space for the young and older toddlers contained mulch that was accessible to the toddlers while they were playing.

Corrected Corrected by Nov 28, 2022

Category: physical safety. 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.

Child file #2 lacked the child's admission date on the agreement form.

Corrected Corrected by Oct 21, 2022

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.

Child file #3 lacked the child's health insurance coverage and policy number on the emergency contact form.

Corrected Corrected by Oct 24, 2022

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Staff file #3 contained 3 hours of annual childcare training for the year 12/19/20-12/19/21 so 9 hours of childcare training from 2022 completed trainings.

Corrected Corrected by Nov 16, 2022

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.

Child file #1 lacked an initial health report within 60 days of the child's first day of attendance at the facility. (See LIS CODE SHEET)

Corrected Corrected by Oct 5, 2022

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

3270.31(f)(1) · Staff persons shall complete professional development in the prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements within 90 days of hire.

Staff file #4 contained documentation of health and safety training dated 10/3/22 which was more than 90 days after hire. (See LIS CODE SHEET) Staff file #5 contained documentation of health and safety training dated 10/5/22 which was more than 90 days after hire. (See LIS CODE SHEET)

Corrected Corrected by Oct 21, 2022

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

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 persons did not participate, at least annually, in fire safety training during the period of time from 7/18/2020 to 10/2/2021.

Corrected Corrected by Oct 2, 2021

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 director did not complete a minimum of one written evaluation every 12 months for staff #1 (9/10/2020-10/1/2021) , #2 (9/14/2020-10/1/2021), #3 (9/7/2020-10/1/2021) and #4 (9/9/20-10/1/2021).

Corrected Corrected by Oct 1, 2021

Category: recordkeeping. 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 record for child #1 and #3 contained the original agreement.

Corrected Corrected by Oct 25, 2021

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 information for child #1 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. The emergency contact information for child #2 did not include policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Oct 25, 2021

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 information for child #1 did not include the address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 25, 2021

Category: recordkeeping. 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 for child #3 did not include a include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Nov 12, 2021

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

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The fire drill log included the designated location for evacuation not the hypothetical locations of the fire.

Corrected Corrected by Oct 26, 2021

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 record for child #4 did not include a health assessment more than 60 days (90 days as per ANNOUNCEMENT C-20-04) following the first day of attendance.

Corrected Corrected by Oct 25, 2021

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