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 #--- may not work in a child care position at the facility.

Observed 3/17/2025. Staff #1 file did not contain a completed DHS required Child Abuse clearance on file. The requirement to have the completed DHS required clearances on file was not met.

Corrected Corrected by Mar 24, 2025

Category: background checks. 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 3/17/2025 in the Story Room the bookcase had peeling wood and damaged on the side that contained sharp edges that could be easily accessible to children and not free from visible hazards

Corrected Corrected by Mar 20, 2025

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.

Observed 3/17/2025 staff #3 was observed supervising 12 Preschool age children alone in the classroom while staff #4 had 1 child leaving staff #3 exceeding the ratio for the appropriate age group.

Corrected Corrected by Mar 18, 2025

Category: supervision. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Observed 3/17/2025 child #1 were missing an updated health report on file, the current health report on file dated 1/29/2024.

Corrected Corrected by Mar 17, 2025

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.

Observed 3/17/2025 staff # 1 medical assessment on file was dated for 1/26/2023 and staff #2 was 3/9/2023, both medical assessments exceeded the 24-month of the signature date.

Corrected Corrected by Mar 22, 2025

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Observed 3/17/2025 Staff #5 file did not include an acceptable verification of education letter signed by a representative of the experiential, educational or training entity, staff #5 degree was not evaluated to U.S. equivalency.

Corrected Corrected by Mar 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1)/3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Observed 3/17/2025, Fire drills were not conducted since February 2024 to September 2024, and there was not a written record of the fire drills conducted on file.

Corrected Corrected by Mar 18, 2025

Category: recordkeeping. 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 3/18/2024 child file # 1,2,3,4, and 5 emergency contact form were missing the addresses of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Observed 3/18/2024 staff #3 did not complete the one-hour health and safety training course update for staff members hired or have taken the health and safety course prior to 10/4/2022.

Corrected Corrected by Apr 4, 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. Facility Person #1, 2 and 4 may not work in a childcare position at the facility.

Observed 3/18/2024 The file for staff # 2 and 4 not contain a completed DHS required (staff #4) FBI and (staff #2) Child Abuse clearance. Staff #1 did not contain out of state clearances for the state of New York. The requirement to have the completed DHS required clearances on file were not met.

Corrected Corrected by Apr 4, 2024

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

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Observed 3/18/2024 child file #1 did not contain an updated health report on file. Child #1 last physical was 11/2/2022. An updated health report at least every 12 months for an older toddler or preschool child.

Corrected Corrected by Apr 4, 2024

Category: health medication. 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.

Observed 3/16/2023 staff #1, 2, 4, 5 and 6 did not complete the one-hour health and safety training course update for staff members hired prior to 10/4/2022.

Corrected Corrected by Mar 31, 2023

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. Facility Person #6 may not work in a childcare position at the facility.

Observed 3/16/2023 Staff person #6 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7-5-2017.

Corrected Corrected by Mar 31, 2023

Category: background checks. 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.

Observed 3/16/2023 Children # 2 file did not contain medical insurance policy # on the emergency contact form.

Corrected Corrected by Mar 31, 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 3/16/2023 children #1-8 file did not contain addresses from the individual designated by the parent to whom the child may be released to on the emergency contact form.

Corrected Corrected by Mar 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(3) · The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

Observed 3/16/2023 Children # 4 did not contain a health assessment on file. Children enrollment date is passed 60 days of their admission date.

Corrected Corrected by Mar 31, 2023

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

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Observed On 3/16/2023 observed child # 2 health assessment was incomplete and not signed by a physician/ CRNP.

Corrected Corrected by Mar 31, 2023

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

3270.131(e)(1)/3270.131(e)(2)(i) · 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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Observed On 3/16/2023 observed child # 3 file did not contain an exemption letter for the vaccinations not completed in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Mar 31, 2023

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

3270.133(1)/3270.133(5) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Observed 3/16/2023 Child #9 &10 EPI Pen was not in its original container. The medication shall remain in the container in which it was received. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Corrected Corrected by Mar 31, 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 3/16/2023 staff #3 file was missing a health assessment in their file. A health assessment conducted within 12 months prior to providing initial service in a childcare setting and every 24 months thereafter.

Corrected Corrected by Mar 31, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Observed 3/16/2023 staff #3 was missing a tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Mar 31, 2023

Category: health medication. 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.

On 3/22/22, the tumbling mat located in the facility's gross motor room was torn in multiple places exposing the foam interior and causing a trip hazard.

Corrected Corrected by Mar 22, 2022

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

3270.131(a)/3270.131(a)(3) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

On 3/22/22, Child #1 file did not contain an initial health assessment (only immunization record was on file).

Corrected Corrected by Apr 1, 2022

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