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.

During the investigation, it was verified by record review and interviews that, on 11/3/25, an incident report was not provided to the parents when Child #1 was scratched on the forehead by another child at the facility.

Corrected Corrected by Jan 2, 2026

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

3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

During the investigation, it was verified through staff interviews that Staff #1 was inappropriately talking to Child #2 about Staff #1's personal matters.

Corrected Corrected by Jul 16, 2025

Category: background checks. 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 the investigation, it was verified through staff interviews and record review that Staff #1 jokingly threatened to harm Child #1.

Corrected Corrected by Jul 16, 2025

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Staff #1 may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #1 may not work in a childcare position at the facility.

During the inspection, the file for Staff #1, who was working with children in the Pre-K 1 classroom, did not contain completed child abuse, criminal history or NSOR clearances required under the CPSL. The file for Staff #1 did not contain a copy of a request for the child abuse, criminal history, or NSOR clearances for provisional hiring under the CPSL.

Corrected Corrected by Jun 12, 2025

Category: background checks. 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.

During the renewal inspection, the State Police Clearance for Staff #1 had not been updated within 60 months as required under the CPSL. The NSOR certificate for Staff #2 was not received within the 45-day provisional period as required under the CPSL.

Corrected Corrected by Dec 19, 2024

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

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

During the renewal inspection, two windows with openings more than 6 inches were observed in the Toddler Room.

Corrected Corrected by Dec 11, 2024

Category: physical safety. 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.

During the renewal inspection, the health assessment for Staff #1 was dated 12/21/23 which was more than 24 months from the previous health assessment dated 9/30/21.

Corrected Corrected by Dec 11, 2024

Category: ratio. 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.

During the renewal inspection, the file for Staff #3, who was past 90 days, did not contain documentation of any health and safety training.

Corrected Corrected by Dec 27, 2023

Category: health medication. 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.

During the renewal inspection, the file for Staff #4 did not contain documentation of initial emergency plan training.

Corrected Corrected by Dec 27, 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).

During the renewal inspection, the file for Child #1 and Child #2 did not contain the Department's approved form to provide information to the family about the child's growth and development.

Corrected Corrected by Feb 9, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection, the agreement for Child #1, Child #2 and Child #4 did not specify the child's arrival and departure times.

Corrected Corrected by Jan 10, 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.

During the renewal inspection, the agreement for Child #1, Child #2 and Child #3 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jan 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection, the file for Staff #3 and Staff #5 did not contain an initial or subsequent health assessment. The file for Staff #3 did not contain an initial or subsequent tuberculin skin test, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. The health assessment for Staff #2 was received eight months after the first day working with children. The last health assessment for Staff #1 was dated 2/17/20 and the updated health assessment was not received until 1/5/23. The last health assessment for Staff #6 was dated 11/10/21 and there was no updated health assessment on file.

Corrected Corrected by Jan 19, 2024

Category: ratio. 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.

During the renewal inspection, the financial agreement for Child #1 and Child #2 had not been updated at least once in a 6-month period.

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. 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.

During the renewal inspection, the record for Child #1 and Child #2 did not include consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jan 19, 2024

Category: ratio. Marked corrected in the state record.

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

During the renewal inspection, the file for Staff #3 and Staff #4 did not contain verification of education. Staff #3 was terminated on 1/29/24.

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During the complaint investigation, it was verified that Staff #1, on two occasions, used children in the classroom to discipline other children who had hurt them. On one occasion, Staff #1 forcibly placed Child #1 on top of Child #2 in order to discipline Child #2 for jumping on Child #1. On another occasion, Staff #1, placed the hand of Child #3 in her hand to pull the hair of Child #2 as discipline for pulling the hair of Child #3.

Corrected Corrected by Oct 9, 2023

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.

During the renewal inspection, Staff #3 received emergency plan training on 12/14/22 which was 8 months after initial employment.

Corrected Corrected by Feb 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · 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.

During the renewal inspection, the pediatric first aid training for Staff #2 expired October 2019 and was not renewed until 10/20/22 which was after the expiration date.

Corrected Corrected by Jan 4, 2023

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

During the renewal inspection, Staff #1, #2, #4 and #5 had not received annual fire safety training.

Corrected Corrected by Feb 28, 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. Staff #1, Staff #4 and Staff #5 will have until January 20, 2023, to complete the required training. Until such time Staff #1. Staff #4, and Staff #5 must be supervised, when interacting with children, by at minimum an Assistant Group Supervisor who has completed the required training related to this citation. If there are no staff available to supervise, Staff #1. Staff #4, and Staff #5 may not work in a child-care position at the facility. Also, Staff #1 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least on the waiting list or receive pediatric/first aid/CPR training in an approved curriculum by a PQAS-certified trainer. Staff #1. Staff #4, and Staff #5 may not work in a child-care position at the facility.

During the renewal inspection, Staff # 1, Staff #4 and Staff #5 had not completed the required pre-service training within 90 days of date hired: Get Started with Center-Based Care: Building Blocks for Quality. Also, Staff #1 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation of being PQAS-certified in this training topic.

Corrected Corrected by Feb 28, 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.

During the renewal inspection, the file for Staff #3 did not contain the required DHS FBI clearance; the mandated reporter training for Staff #4 dated 3/10/16 was not updated within 60 months as required under the CPSL; the NSOR verification certificate was received 10 months after the date of hire for Staff #5; Also, Staff #5 began employment with neither the state police nor FBI clearance on file.

Corrected Corrected by Feb 28, 2023

Category: background checks. 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.

During the renewal inspection, chipped paint was observed on the preschool quiet area wall.

Corrected Corrected by Jan 5, 2023

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During the renewal inspection, the refrigerator in the school-age room did not contain a thermometer.

Corrected Corrected by Jan 5, 2023

Category: nutrition. 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.

During the renewal inspection, the health assessment was dated 2/17/20 for Staff #1, dated 9/10/19 for Staff #3 and dated 8/15/19 for Staff #4. The health assessment for Staff #1, #3 and #4 were not updated within 24 months and are no longer valid.

Corrected Corrected by Feb 28, 2023

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.

During the renewal inspection, the file for Staff #3 did not contain two written nonfamily references.

Corrected Corrected by Feb 28, 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). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #1 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. Staff Person #1 may not work in a child care position at the facility.

During the renewal inspection, the file for Staff #1, hired 5/5/21, did not contain an NSOR verification certificate or mandated reporter training as required under the CPSL. The FBI Clearance was dated 9/30/21. Staff #1, hired as a director, is not permitted to be hired provisionally.

Corrected Corrected by Jan 14, 2022

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

3270.34(b)/3270.192(2)(iii) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

During the renewal inspection, the file for Staff #1, functioning as a director, did not contain documentation of the required years of experience or education for the director position.

Corrected Corrected by Feb 3, 2022

Category: recordkeeping. 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.

During the renewal inspection, peeling paint was observed on the wall near the door in the Pre-K room and over the vanity in the napping area. Peeling paint was also observed over the white board in the school-age room. Peeling plaster was observed under the window near the girls bathroom and over the bench in the Pre-K room. Peeling plaster was also observed on the banister wall leading upstairs to the school-age room.

Corrected Corrected by Dec 14, 2021

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

3270.92(a) · Portable space heaters are not permitted.

During the renewal inspection, a portable space heater was being used in the director's office.

Corrected Corrected by Jan 14, 2022

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection, the file for Staff #1, hired 5/5/21, did not contain an initial or subsequent health assessment or initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Corrected Corrected by Jan 14, 2022

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

During the renewal inspection, the file for Staff #1 contained only one nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jan 14, 2022

Category: recordkeeping. Marked corrected in the state record.