3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

At the time of the inspection, Staff person 1 did not have proof of the professional development listed in subsections (f)1-9 and was past their 90 of hire. Staff 1 was missing the required 1 hour Health and Safety Update 2022.

Corrected Corrected by Dec 12, 2025

Category: health medication. 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. The legal entity must arrange for all facility staff to receive a minimum of two hours of in person training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Self Reported - staff 1 left the room for approximately 1 minute with 3 children, leaving child 1 in the room, alone and unsupervised.

Corrected Corrected by Aug 29, 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. TIERED LIS: 1. Children must be supervised at all times. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

On 7/16/25, Staff 1 and Staff 2 left Child 1 alone and unsupervised in the Orange Giraffe classroom for approximately 5 minutes.

Corrected Corrected by Oct 22, 2025

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.

At the time of the inspection, Staff 1 and staff 2 did not have a health assessment on file. Staff 2 did not have the results of a TB test on file.

Corrected Corrected by Aug 11, 2025

Category: ratio. Marked corrected in the state record.

3270.192(2)(i) · A facility person's record shall include verification of age.

At the time of the inspection, Staff 1 and Staff 2 did not have verification of age on file.

Corrected Corrected by Aug 11, 2025

Category: recordkeeping. 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.

At the time of the inspection, Staff1 and Staff 2 did not have verification of experience on file.

Corrected Corrected by Aug 11, 2025

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.

At the time of the inspection staff 1 only have 1 reference on file and staff 2 did not the 2 nonfamily references required on file.

Corrected Corrected by Aug 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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.

At the time of the inspection on 3/28/25, Staff 1 did not have proof of a health report on file, nor did they have proof of the results of a TB test.

Corrected Corrected by Apr 25, 2025

Category: ratio. 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.

At the time of the inspection on 3/28/25, Staff 1 did not have proof of prior experience on file.

Corrected Corrected by Apr 25, 2025

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.

At the time of the inspection on 3/28/25, Staff 1 did not have 2 written references on files.

Corrected Corrected by Apr 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3-- may not work in a child care position at the facility.

At the time of the inspection, Staff 2 did not have proof of their required Child Abuse Clearance, that is needed at time of hire for a provisional employee, on file.

Corrected Corrected by Dec 19, 2024

Category: background checks. 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.

At the time of the inspection, Staff 1 did not have proof of education on file.

Corrected Corrected by Dec 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

At the time of the inspection, Staff 1 did not have proof of two written references, on file.

Corrected Corrected by Dec 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

Staff 1 and Staff 2 had an argument in which Staff 1 and Staff 2 used harsh language towards each other in front of the children.

Corrected Corrected by Dec 2, 2024

Marked corrected in the state record.

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

Staff 3's physical did not state if staff was free from communicable disease and suitable to work in childcare. - this violation was not implemented from renewal inspection on 11/20/23.

Corrected Corrected by Feb 5, 2024

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 1, 2, and 4 did not have proof of education on file.- This violation was not implemented from the renewal inspection on 11/20/23.

Corrected Corrected by Feb 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff 2 was missing their Pediatric CPR and First Aide training and was past their 90 days. - this remains not implemented from renewal inspection on 11/20/23.

Corrected Corrected by Feb 5, 2024

Category: health medication. 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.

It was observed that staff 1, 2, 3 and 4 did not have the pre-service training and were not being supervised by a staff that had the pre-service training. Staff 1 was unsupervised in Green Frog Staff 2 was unsupervised in Yellow Ducks and staff 3 and staff 4 were unsupervised in Mobile Infants.

Corrected Corrected by Jan 11, 2024

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 5 -- may not work in a child care position at the facility.

Staff 5 was missing their NSOR and was past their 45 days so was no longer a provisional hire.

Corrected Corrected by Jan 16, 2024

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.

It was observed that staff 1 was alone with 12 preschoolers in the Green Frog Room.

Corrected Corrected by Jan 16, 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.

Staff 13 did not have their Pre-service training (3270.31(f) 1-9) and were past their 90 days .

Corrected Corrected by Jan 16, 2024

Category: health medication. 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 10, 14, 4, and Staff 11 and 5 who were unsupervised and working alone with children and did not have their pre-service training completed, in Classroom 6 and classroom 8.

Corrected Corrected by Jan 17, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3,6,10,11, and 12 -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 3, 6, 10, 11 and 12--- may not work in a child care position at the facility.

It was observed while reviewing the files that staff 3 and Staff6 were missing their NSOR, and Staff 10, 11, 12 were missing their FBI clearance and were past their provisional hire period.

Corrected Corrected by Jan 26, 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 inspection, it was observed that the windows on the 2nd floor could open wider than 6 inches.

Corrected Corrected by Jan 15, 2024

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.

It was observed that staff 1, 2, 5 and 11's files were missing a current physical.

Corrected Corrected by Jan 31, 2024

Category: ratio. Marked corrected in the state record.

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

During the review of the files, it was observed that staff 6 and 9's physical did not state that they were free from communicable disease and suitable to work in childcare.

Corrected Corrected by Jan 26, 2024

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.

While reviewing the files, it was observed that Staff 4, 5, 7 and 8 were missing proof of education.

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

It was observed while reviewing the files that staff 7 was missing their Pediatric CPR and First aid training and was past their 90 days.

Corrected Corrected by Feb 15, 2024

Category: health medication. 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 was left in the classroom alone, unsupervised.

Corrected Corrected by Nov 2, 2023

Category: supervision. Marked corrected in the state record.

3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

Infant, 5 months old, was not being held while being bottle fed.

Corrected Corrected by Oct 24, 2023

Marked corrected in the state record.

3270.35(e) · In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

At the time of investigation certification rep reviewed staff #1, #3, #4 and #5 file and observed transcripts are missing in record that determine staff qualification. Staff #2 and #7 degree and transcripts in record need to be evaluated to determine qualification. Staff #6 did not have education in record that determines qualification.

Corrected Corrected by May 12, 2023

Category: supervision. 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.

At the time of investigation certification rep completed a walkthrough of the facility and observed and found Staff #7 in the Brown Bears room out of ratio: 1 teacher with 12 children total, the youngest child was 4 years and 8 months of age. Staff #8 was observed to be walking in the hallway leaving the Green Frog's room to be observed and found out of ratio with 1 teacher. Staff #9 had13 preschool children in total, the youngest child was 3 years of age at the time of walk through. The khaki Kangaroo room was observed and found to be out of ratio at the time of the walkthrough with 2 teachers and 13 children the youngest child at the time was I years in age. Certification rep observed another child dropped off by the parent at 11:05 am and now the total number of children to teacher child ratio is 2 teachers with 14 children total, the youngest child 1 years in age in the khaki Kangaroo room.

Corrected Corrected by May 1, 2023

Category: ratio. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Certification rep reviewed staff file and observed the following staff did not have on record training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. Staff #3 date of hire 1/24/22, staff #4 date of hire 6/15/21, staff #7 date of hire 1/3/22, staff #9 date of hire 7/6/21.

Corrected Corrected by Apr 11, 2023

Category: recordkeeping. 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.

Certification rep reviewed staff #4 and #7 file and observed no fire safety training certificate of completion on record: staff #4 date of hire 6/15/21, staff #7 date of hire 1/3/22.

Corrected Corrected by Apr 21, 2023

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.

Certification rep reviewed staff #1 file and observed the following staff did not complete 10 Health and safety training within 90 days of hire: date of hire11/10/22.

Corrected Corrected by May 26, 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). 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 # -- 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 #--- may not work in a child care position at the facility.

Certification rep reviewed staff files and observed staff #1 file has no FBI and mandated reporter training on record hire date 11/10/22. Staff #2 has no NSOR clearance on record hire date 11/10/22. Staff #5 Has no state criminal clearance on file date of hire 11/29/21. Staff #6 has FBI has a department of FBI clearance hire date 9/7/22. Staff #8 has no state criminal clearance on record hire date 11/28/22.

Corrected Corrected by Apr 21, 2023

Category: supervision. 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.

On April 24th, 2023, Certification rep observed staff #2 and staff #10 from the orange Giraffes classroom with a total of 15 children in a mixed age group, the youngest age of the child at the time was 2.5 years of age.

Corrected Corrected by Jun 19, 2023

Category: ratio. Marked corrected in the state record.

3270.55(a) · The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

On May 16, 2023, Certification rep observed staff #3 and staff #11 in the purple cat room out of ratio with a total of 12 children, the youngest of age 1 1/2 years of age. Certification rep observed staff #3 leave the room to take one child to the office leaving staff #11 alone with a total of 11 children in the purple cat room.

Corrected Corrected by Jun 19, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

Certification rep reviewed staff # 8 file and observed no physical examination assessment on record date of hire 11/28/22.

Corrected Corrected by Apr 12, 2023

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

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

Certificationr rep reviewed the following staff files and observed Staff # 7 is missing Tb results page and Staff #9 is missing date TB test was read.

Corrected Corrected by Apr 11, 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.

Certification rep reviewed staff #9 file and observed no proof of education on record .Staff #5 verification doesn't specify years of experience and staff #6 is missing verification of experience.

Corrected Corrected by Apr 12, 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.

certification rep reviewed staff files and observed staff #1 is missing one letter of reference on file, staff #2 is missing two letters of references, staff #6 is missing two reference letters and staff #8 is missing two letters of reference on file.

Corrected Corrected by Apr 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Certification rep reviewed staff files and observed pediatric first aid was not completed within 90 days of hire staff #3 date of hire 1/24/22.

Corrected Corrected by May 19, 2023

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 childcare training.

Certification rep reviewed staff files and observed the following staff did complete an annual minimum of 12 clock hours of childcare training. Staff #3 date of hire 1/24/22, staff #4 date of hire 6/15/21, staff #9 date of hire 7/6/21.

Corrected Corrected by Apr 11, 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.

Certification rep reviewed staff #10 file and observed staff #10 has not completed the health and safety training within 90 days of hire. Date of hire: 9/14/22.

Corrected Corrected by Jan 23, 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). 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 # -- 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 #--- may not work in a childcare position at the facility.

Certification rep reviewed staff #1 file and observed no State Police Clearance, Child Abuse Clearance and NSOR certificate on record date of hire: 12/29/22. Staff #2 file has no FBI Clearance on record date of hire:11/30/22. Staff #3 file has no FBI Clearance ON RECORD date of hire:11/10/22. Staff #4 file has no NSOR certificate on record date of hire: 11/28/22. Staff #5 file has no State Police Clearance on record date of hire:11/28/22. Staff #6 file has no Child Abuse Clearance and no NSOR certificate on record date of hire 9/9/22. Staff #7 file has no Child Abuse Clearance and no FBI Clearance on record date of hire: 11/11/22. Staff #8 file has no State Police, Child Abuse Clearance, FBI Clearance and NSOR certificate on record date of hire 12/12/22. Staff #10 file has no FBI Clearance no NSOR certificate and no mandated reporter training within the last 60 months date of hire: 9/14/22.

Corrected Corrected by Feb 1, 2023

Category: supervision. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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. 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.

Certification rep reviewed staff #2, #4 and #8 file and observed 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 missing in staff #2, #4 and #8 record.

Corrected Corrected by Jan 26, 2023

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Certification rep reviewed staff #9 file and observed two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person missing in record.

Corrected Corrected by Jan 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · 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.

STAFF 4 AND 5'S FILES DID NOT CONTAIN A PHYSICAL/HEALTH REPORT NOT THE RESULTS OF A TB TEST.

Corrected Corrected by Feb 4, 2022

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

STAFF 4'S FILE DID NOT CONTAIN 2 NONFAMILY REFERENCES DURING THE INSPECTION.

Corrected Corrected by Jan 28, 2022

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). 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, 3, 4, AND 5 -- 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 1 AND STAFF 3 WERE MISSING THE DHS FBI CLEARANCE; STAFF 4 WAS MISSING THE CHILD ABUSE AND FBI CLEARANCE; STAFF 5 WAS MISSING THEIR NJ CLEARANCES, THE CHILD ABUSE CLEARANCE AND THE NSOR LETTER - DURING THE INPSECTION.

Corrected Corrected by Jan 28, 2022

Category: supervision. 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.

CHILD 1 AND 2 DID NOT HAVE PROOF OF A FLU SHOT DURING THE INSPECTION.

Corrected Corrected by Feb 4, 2022

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

3270.151(a)/3270.151(c)(2) · 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.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.

STAFF 4 AND 5 DID NOT HAVE PROOF OF A PHYSICAL AND THE TB TEST RESULTS ON FILE AT THE TIME OF THE INSPECTION.

Corrected Corrected by Jan 28, 2022

Category: ratio. Marked corrected in the state record.

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

STAFF 2'S PHYSICAL DID NOT STATE IF THEY WERE FREE FROM COMMUNICABLE DISEASE AND SUITABLE TO WORK IN CHILDCARE.

Corrected Corrected by Jan 14, 2022

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

3270.82(h)/3270.82(i) · 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. A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

During initial inspection, certification rep observed missing handwashing signs above the toilets in the bathroom in classrooms Cats, Khaki Kangaroo, Teal Turtles (multipurpose room), Blue Horses, Giraffe, Brown Bear, Green Frog, Yellow Duck. During initial inspection, certification representative went into the children's bathroom. Children's bathroom did not have lidded waste receptacle in classrooms Cats, Khaki Kangaroo, Teal Turtles (multipurpose room), Blue Horses, Giraffe, Brown Bear, Green Frog, Yellow Duck

Corrected Corrected by Jul 7, 2021

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

3270.123(a)/3270.123(a)(3) · An agreement shall be signed by the operator and the parent.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 initial inspection, certification rep reviewed children's file. Child 1,2,3 and 5 were missing fee agreements. During the initial inspection, certification rep reviewed children's file. Child 4 was missing arrival departure, fee amount and emergency contact. Child 6 was missing the fee amount

Corrected Corrected by Jul 7, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2)/3270.124(b)(6) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During initial inspection, certification rep reviewed children's file. Child 1,2,3,4,5 and 6 was missing name, address and telephone number of the child's physician or source of medical care.During initial inspection, certification rep reviewed children's file. Child 2,3,4 was missing health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits,

Corrected Corrected by Jul 7, 2021

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.

During initial inspection, certification rep reviewed staff files. Staff 1,2,3,4,5,6,7 and 8 were missing verification of child care experience and education

Corrected Corrected by Jul 7, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · 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 initial inspection, certification rep reviewed staff files. Staff 2,4 and 7 were missing written report of initial and subsequent health assessments.

Corrected Corrected by Jul 7, 2021

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

3270.192(4) · 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.

During initial inspection, certification rep reviewed staff files. Staff 1,3, 4 and 6 were missing clearances from their files.

Corrected Corrected by Jul 7, 2021

Category: background checks. 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 initial inspection, certification rep reviewed staff files. Staff 1,2,3,4,5,6,7 and 8 were missing 2 letters of reference from their file

Corrected Corrected by Jul 7, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5)/3270.27(c) · 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 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 initial inspection, certification representative reviewed emergency plan and facility's emergency plan did not include accommodations for children with disabilities.During initial inspection, certification representative reviewed staff files. Staff 1,2,3,4,5,6,7,aqnd 8 did not receive training regarding emergency plan at the time of initial employment.

Corrected Corrected by Jul 7, 2021

Category: recordkeeping. Marked corrected in the state record.