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Home › PA › Windber › Little Ramblers Daycare & Preschool
3616 Graham Ave, Windber PA 15963 · License #CER-00248859 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
Observed child #1, an infant sleeping in a pack and play with a pacifier that had clip and rope attached to it. Also observed child #1, an infant sleeping with 3 heavy medium, thick blankets on top of them to create a weighted blanket per the staff.
Corrected Corrected by Mar 10, 2026
Category: health medication. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.
The file of staff #1 lacked all PA clearances, along with out of state clearances from Ohio. The file of staff #1 also lacked a Disclosure statement with a witness signature and date. In addition, staff #1 was observed in ratio, caring for children
Corrected Corrected by Mar 26, 2026
Category: supervision. Marked corrected in the state record.
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
Observed in the toddler space, 3 rest mats in use that were less than 2 feet apart on 3 sides of the mat while in use during naptime. Observe in the preschool space 1 rest mat in use during naptime with less than 2 feet of space on 3 sides of the mat.
Corrected Corrected by Mar 26, 2026
Category: physical safety. 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.
At approximately 12:30 p.m., CR observed insufficient lighting to allow staff to effectively supervise the children in the toddler area during naptime.
Corrected Corrected by Mar 11, 2026
Category: supervision. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file of staff #1 lacked an initial health assessment and results of the TB test. Staff #1 was observed in ratio providing care to children.
Corrected Corrected by Mar 16, 2026
Category: ratio. 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.
The file of staff #5 had documentation of renewing CPR late due to the fact they were dated: 2-16-20 and 10-23-25. The file of staff #6 had documentation of renewing CPR late due to the fact they were dated: 5-6-23 and 6-21-25
Corrected Corrected by Nov 21, 2025
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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Persons # 2, #4 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #2, #4 may not work in a child care position at the facility.
The file of staff #1 had documentation of a late NSOR at the time of initial hire due to the fact it was dated 6-2-23 (see LIS code sheet). The file of staff #2 lacked a child abuse clearance due to the fact the only document on file was the receipt. The file of staff #3 had late child abuse and NSOR clearances at the time of initial hire due to the fact they were dated 6-18-25 and 6-11-25 (see LIS code sheet). The file of staff #4 had a late clearances at the time of initial hire due to the fact they were dated 6-9-25 PSP; and 6-23-25 CA; and a missing FBI clearance due to the fact only the receipt was on file.
Corrected Corrected by Nov 21, 2025
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.
The file of child #1 lacked an emergency contact form with the full work addresses and telephone numbers of the enrolling parent.
Corrected Corrected by Nov 17, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.
At the time of the inspection, there was not documentation the emergency plan was sent to the local municipality and to the county emergency management agency annually.
Corrected Corrected by Dec 2, 2025
Category: physical safety. Marked corrected in the state record.
3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.
Observed prescription medication for child #1 with an expiration date of 3-2024.
Corrected Corrected by Nov 19, 2024
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). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
At the time of reviewing the file, the file of staff #4 lacked proof of an updated Child Abuse clearance; the one in the file was dated 11-5-19. The file of staff #4 also lacked an updated Disclosure Statement. The file of staff #2 had a late initial PA Child Abuse clearance and signed Disclosure statement due to the fact they were dated: 8-26-24 and 8-27-24 (see LIS code sheet). The file of staff #1 had PA State Police clearances more than 60m months apart due to the fact they were dated: 7-11-24 and 7-8-19.
Corrected Corrected by Nov 20, 2024
Category: supervision. 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 #3 lacked an emergency contact form with the address of the child's physician or source of medical care.
Corrected Corrected by Nov 25, 2024
Category: health medication. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The file of child #3 lacked an emergency contact form with the work address and phone number of the enrolling parent.
Corrected Corrected by Nov 25, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.
The file of child #3 lacked an emergency contact form with information on the child's special needs or "NA" if not applicable.
Corrected Corrected by Nov 25, 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 file of child #2 lacked an emergency contact form with the address of the individual designated by the parent to whom the child may be released.
Corrected Corrected by Nov 25, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.
Observed prescription medication for child #1 accessible to children in care due to the fact it was stored in the child's bookbag sitting on a shelf low enough for children in care to access.
Corrected Corrected by Nov 18, 2024
Category: health medication. Marked corrected in the state record.
3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.
The file of staff #3 had health assessments more than 24 months apart due to the fact they were dated: 3-29-23 and 3-1-21.
Corrected Corrected by Nov 25, 2024
Category: ratio. Marked corrected in the state record.
3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
Based on documentation of testing the smoke detection system, testing occurred once a month rather than every 30 days for the months that have 31 days.
Corrected Corrected by Nov 25, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.
At the time of the inspection, there was no documentation the emergency plan was sent to the local municipality.
Corrected Corrected by Nov 26, 2024
Category: physical safety. 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.
Observed staff file #5 contained documentation of the updated health and safety training which was completed after the required date to complete the training (12/30/22). Observed staff files #1, #3, #4, #6, #7, #8, #9, and #10 did not have documentation of completing the required health and safety training update which was to be completed by 12/30/22.
Corrected Corrected by Nov 28, 2023
Category: ratio. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
Observed in the infant room the pack n plays had loose sheets creating and increased risk for SIDS for the infants.
Corrected Corrected by Nov 14, 2023
Category: health medication. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -2- may not work in a childcare position at the facility until a valid criminal background clearance is obtained.
Observed staff file #2 contained a criminal background check which was not complete and was stating the request was under review. Staff #2 has been in a child care position for more than 45 days.
Corrected Corrected by Nov 16, 2023
Category: background checks. Marked corrected in the state record.
3270.34(b)(1) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.
Observed staff file #5 did not contain documentation of 1 year of experience with children.
Corrected Corrected by Dec 8, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
Observed an electrical outlet in the small room which did not have a protective receptacle cover. Observed and outlet on the counter in the preschool area which did not have a protective receptacle cover.
Corrected Corrected by Nov 15, 2023
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.
Observed the infant first-aid kit did not contain sterile gauze.
Corrected Corrected by Nov 15, 2023
Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
Observed a spot of damaged drywall in the bathroom next to the small room. Observed damaged and exposed wires in the outdoor play area which were a tripping hazard. Observed an exposed bolt on the gate leading to the outdoor play area. Observed a cracked window with a rough edge in the small room. Observed the toddler and the preschool fans needed to be cleaned.
Corrected Corrected by Dec 12, 2023
Category: physical safety. Marked corrected in the state record.
3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.
Observed a spot of peeling paint by the door in the small room bathroom.
Corrected Corrected by Dec 7, 2023
Category: physical safety. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
Observed a torn diaper changing pad in the infant room.
Corrected Corrected by Nov 15, 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.
Observed child files #2 and #3 did not contain the address of the individual designated by the parent to whom the child may be released.
Corrected Corrected by Nov 17, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.
Observed child file #1 contained an updated health assessment (9/13/23) which was dated more than 6 months after the previous valid health assessment (1/13/23).
Corrected Corrected by Nov 20, 2023
Category: health medication. Marked corrected in the state record.
3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.
Observed staff file #1 contained an updated health assessment (9/9/22) which was dated more than 24 months after the previous valid health assessment (6/24/20).
Corrected Corrected by Nov 20, 2023
Category: ratio. 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.
Observed the facility did not have documentation of completing an emergency drill within the previous 12 months.
Corrected Corrected by Dec 15, 2023
Category: recordkeeping. 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.
Observed one time in the previous 12 months the fire alarm testing was conducted more than 30 days apart (6/1/23-7/5/23).
Corrected Corrected by Nov 20, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.
Observed the facility did not have a copy of the comprehensive general liability insurance.
Corrected Corrected by Nov 26, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.66(e) · Arts and crafts materials shall be nontoxic.
Observed a can of shaving cream, labeled keep out of the reach of children, in the arts and crafts cabinet in the preschool room.
Corrected Corrected by Nov 15, 2021
Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
Observed cabinet doors in the toddler bathroom and the preschool area which did not completely shut creating pinch points. Observed an exposed carpet seam and a door hinge which was loose and not working properly in the infant room.
Corrected Corrected by Nov 12, 2022
Category: physical safety. Marked corrected in the state record.
3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.
Observed the toddlers did not have steps to reach the sink used to wash hands and were being lifted by staff to get their hands washed.
Corrected Corrected by Nov 3, 2022
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 broken plastic cone in the outdoor play area. Observed exposed foam on a soft chair in the infant room.
Corrected Corrected by Nov 24, 2021
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.
Observed a small object less than 1 inch in diameter in the ball pit in the infant room. Observed multiple small particles less than 1 inch in diameter on the floor by the big chair in the infant room.
Corrected Corrected by Nov 3, 2022
Marked corrected in the state record.
3270.105 · High chairs shall have a wide base and a T-shaped safety strap.
Observed 2 high chairs in the back room which were missing the T-shaped safety strap.
Corrected Corrected by Nov 3, 2022
Marked corrected in the state record.
3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.
Observed the thermometer in the back room refrigerator was at 50 degrees at the time it was checked.
Corrected Corrected by Nov 7, 2022
Category: nutrition. 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.
Observed child file #1 did not contain the complete address of the individual designated by the parent to whom the child may be released.
Corrected Corrected by Nov 28, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.
Observed child file #1, an infant, did not contain an updated immunization record of vaccinations received for the period of time when the infant was between 4 and 8 months old.
Corrected Corrected by Nov 24, 2021
Category: health medication. Marked corrected in the state record.
3270.166(2) · New foods shall be introduced to an infant only after consultation with the child's parent.
Observed the facility did not have a written feeding plan which listed the packaged baby foods the infant was allowed to be fed.
Corrected Corrected by Dec 1, 2022
Category: nutrition. Marked corrected in the state record.
3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Observed staff file #1 contained two written, nonfamily references which were dated after the staff began working in a child care position. Observed staff file #2 contained one written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.
Corrected Corrected by Nov 16, 2021
Category: recordkeeping. Marked corrected in the state record.
3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.
Observed the operator did not have documentation of submitting the updated emergency plan to the local municipality.
Corrected Corrected by Dec 1, 2022
Category: physical safety. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an assistant group supervisor who has completed the required training related to this citation. If there are no staff person's available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.
Staff person #1 was 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: 3270.31.f.1-10.
Corrected Corrected by Jul 20, 2022
Category: supervision. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -1- may not work in a child care position at the facility.
Observed staff file #1 did not contain a CPSL required signed disclosure statement. Observed staff file #1, did not contain a valid child abuse clearance which is required when a staff starts in a child care position.
Corrected Corrected by Jul 20, 2022
Category: background checks. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
In the Main Room, the gate was left open giving the children access to the kitchen area where there were sharp knives located in a drawer accessible to the children in care.
Corrected Corrected by Nov 15, 2021
Category: health medication. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.
The file for Staff #4, date of hire 4/21/21, lacked documentation of health and safety training numbers 1-9, as listed in the regulation within 90 days of hire.
Corrected Corrected by Nov 24, 2021
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.
The file for Staff #2 contained FBI Clearances that were not completed within 60 months of the previous clearance; 12/2/14 and 12/18/19. The file for Staff #3 contained State Police Clearances that were not completed within 60 months of the previous clearance; 3/30/16 and 4/19/21. Although the file for Staff #6 contained complete clearances at the time of inspection, it was observed that the provisional time period of 45 days had expired prior to the National Sex Offender Certificate and Child Abuse Clearance being in their file. Staff #6 was allowed to continue to work with children during this time period.
Corrected Corrected by Nov 24, 2021
Category: background checks. 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.
The files for Staff #1, Staff #2, and Staff #3 contained mandated reporter training that was not completed within 60 months of the previous training. Staff #1 dates of training,22/4/15 and 2/16/20. Staff #2 dates of training, 2/4/15 and 10/21/20. Staff #3 dates of training, 3/28/16 and 4/10/21. The file for Staff #4 lacked timely Mandated Reporter Training as required under the CPSL. The staff file contained Mandated Reporter training after the required with 90 days of hire.
Corrected Corrected by Nov 24, 2021
Category: recordkeeping. 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.
In the Back Room on the floor was a Hawaiian Breeze Glade Air freshener that was accessible to the children in care. In the Kitchen underneath the sink there was Clorox Bleach, Toilet Bowl Cleaner, and Miracle Rust Preventative Spray Enamel all labeled Keep Out Of Reach Of Children. The cabinet was left unlocked and the gate to the kitchen was not closed giving the children in care access.
Corrected Corrected by Nov 15, 2021
Marked corrected in the state record.
3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.
In the School Age Room there was an unlabeled bottle. Staff stated that the liquid in the bottle was toy disinfectant.
Corrected Corrected by Nov 15, 2021
Category: ratio. Marked corrected in the state record.
3270.72(b) · Windows or doors used for ventilation shall be screened when open.
In the Main Room there was a window open that did not have a screen.
Corrected Corrected by Nov 15, 2021
Marked corrected in the state record.
3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
In the Back Room, there was a Little Remedies Gas Relief Drops that did not identify the name of the child for whom the medication was intended.
Corrected Corrected by Nov 16, 2021
Category: health medication. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The files for Staff #2 and Staff #3 contained a health assessment that was conducted more than 24 months after the previous assessment. Staff #2 Health Assessments dated, 1/10/18 and 1/21/20. Staff #3 Health Assessments dated, 3/29/18 and 6/24/20. The file for Staff #7 lacked a Health Assessment at time of hire.
Corrected Corrected by Nov 24, 2021
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 Staff #3 and Staff #5, contained one written, nonfamily reference and one written, family reference from individuals attesting to the suitability to serve as a facility person. The file for Staff #6, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person.
Corrected Corrected by Nov 24, 2021
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 Facility's Emergency Plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Nov 16, 2021
Category: physical safety. Marked corrected in the state record.
3270.31(f)(10) · Pediatric first aid and pediatric cardiopulmonary resuscitation.
The file for Staff #2 lacked competence in the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR) before the requirement of compliance on 6/17/21. The file for Staff #4 lacked documentation of current certification in pediatric first-aid and CPR.
Corrected Corrected by Nov 15, 2021
Category: health medication. Marked corrected in the state record.