Inspire Early Education

3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

During the time of a complaint investigation, it was observed that diapers were not being changed every two hours in the infant classroom.

Corrected by Jan 20, 2026

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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.

During the time of inspection, it was observed that the first aid kit in the young toddler classroom was missing gauze. This was corrected during the inspection.

Corrected by Nov 18, 2025

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. · PA Required Health and Safety for Family Child Care Part 1 AND PA Required Health and Safety for Family Child Care Part 2

Documentation on file for staff member 2 and staff member 3, showed that PA Required Health and Safety for Family Child Care Part 2 was completed more than 90 days from their start date.

Corrected by Nov 18, 2025

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #6 -- 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 #6--- may not work in a child care position at the facility.

Documentation of the state police clearance, FBI clearance and mandated reporter training on file for staff member 1 were all updated more than 60 months of the previous clearance/mandated reporter training. Documentation of the NSOR clearance on file for staff member 4 was updated more than 60 months of the previous NSOR clearance date. Documentation of the mandated reporter training on file for staff member 5, was updated more than 60 months from the previous mandated reporter training. Documentation of an updated NSOR clearance on file for staff member 6, expired on 11/17/25.

Corrected by Dec 2, 2025

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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 time of inspection, it was observed that paint was peeling on the side of the building by the playground used by the toddlers and pre school aged children.

Corrected by Nov 18, 2025

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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.

During the time of inspection, it was observed that container with the rattles in them in the crawlers/walkers classroom was visibly dirty. The bin with musical instruments in it was visibly dirty in the older toddler classroom. The bin with the sensory toys was cracked in the preschool classroom. All dirty bins were cleaned and the cracked bin was removed during the inspection. A metal piece a previously installed umbrella was sticking out of the ground with sharp edges on the playground used by the toddler aged children.

Corrected by Nov 24, 2025

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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 time of inspection, it was observed that the refrigerator in the crawlers/walkers classroom was visibly dirty.

Corrected by Nov 18, 2025

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3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Documentation of the original agreement was on file for child 1, child 3, child 6 and child 7.

Corrected by Dec 2, 2025

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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.

Documentation of the emergency contact information on file for child 3, did not include the name of the child's physician or source of medical care. Documentation of the emergency contact information on file for child 5, did not include the phone number of the physician or source of medical care.

Corrected by Dec 2, 2025

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Documentation of the emergency contact information on file for child 2, child 5 and child 6, did not include the enrolling parents work address. The emergency contact information on file for child 2, child 4, child 5 and child 6, did not include the enrolling parents work phone number.

Corrected by Dec 2, 2025

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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.

Documentation of the emergency contact information on file for child 2 and child 6, did not include the health insurance coverage and policy number for the child.

Corrected by Dec 2, 2025

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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.

Documentation of the emergency contact information on file for child 5 and child 6, did not include complete addresses for the individuals designated by the parent to whom the child may be released.

Corrected by Dec 2, 2025

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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.

Documentation of the health assessment on file for staff member for staff member 6 and staff member 7, were updated more than 24 months from the previous health assessment date. Documentation of an updated health assessment was not on file for staff member 5.

Corrected by Nov 24, 2025

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3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs

Documentation on the fire alarm testing on file showed that alarms were not being tested every 30 days. The alarm was tested on 10/03/25 and again on 11/06/25; which is 34 days.

Corrected by Dec 12, 2025

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3270.17(a) · The operator shall make reasonable accommodation to include a child with special needs in accordance with applicable Federal and State laws.

Facility was not providing reasonable accommodations requested for child 1.

Corrected by Oct 21, 2025

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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 # 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. Facility Person #1--- may not work in a child care position at the facility.

Documentation of the criminal record clearance on file for staff member 1 was incomplete and is past the 45 day provisional hire period. Documentation of the disclosure statement on file for staff member 1 was not signed by a witness. The disclosure statement was corrected during the inspection.

Corrected by Apr 29, 2025

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3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Documentation of two years' experience was not on file for staff member 1. This was corrected on April 15, 2025.

Corrected by Apr 15, 2025

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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.

During the time of inspection, it was observed that cribs in the infant classroom were not at least 2 feet apart on three sides while infants are sleeping.

Corrected by May 1, 2025

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

Documentation of the health assessment on file for staff member 1 did not include an examination for communicable diseases and the results for that examination or a physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by May 9, 2025

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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 # 2 -- 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 # 2--- may not work in a child care position at the facility.

Documentation on file for staff member 2 did not include proof of submission of the FBI clearance while staff member 2 was working with children.

Corrected by Jan 28, 2025

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3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Continued non-compliance from SIN-00256567- Documentation on file for staff member 1 does not include documentation of two years' experience working with children.

Corrected by Jan 24, 2025

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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.

Continued non-compliance from SIN-00256567- The highchair in the infant classroom had old food under the seat.

Corrected by Feb 5, 2025

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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.

Documentation on file for staff member 2 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Jan 31, 2025

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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 member 7 -- 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 member 1, staff member 3, and staff member 8-- may not work in a child care position at the facility.

Documentation on file for staff member 1 did not include an updated child abuse clearance or an updated FBI clearance. The child abuse clearance and FBI clearance expired on 2/22/2024. The state police clearance on file for staff member 1 expired on 1/11/2024 and was updated on 11/19/24 which is more than 60 months of the original date. Documentation on file for staff member 3 did not include an updated FBI clearance or an NSOR certification. The FBI clearance expired on 10/30/2024 and the NSOR clearance expired on 11/19/24. Documentation on file for staff member 8 did not include an updated NSOR certification. NSOR certification on file for staff member 8 expired on 11/19/2024. Documentation on file for staff member 7 did not include the results of the state police clearance and the disclosure statement on file was not dated or signed by a witness.

Corrected by Dec 2, 2024

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

Documentation of the agreement on file for child 3 and child 7 did not include the arrival and departure times.

Corrected by Dec 2, 2024

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3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Documentation on file for staff member 4 and staff member 5 did not include documentation of 2 years experience working with children.

Corrected by Dec 2, 2024

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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.

During the time of inspection, it was observed that cleaning solution was on the changing table within reach of children while children were being diapered in the crawler/walker, young toddler and young twos classrooms.

Corrected by Dec 3, 2024

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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.

During the time of inspection, it was observed that the large play table and toy bins in the crawler/walker classroom were dirty. The highchair in the infant classroom had old food under the seat mat.

Corrected by Dec 2, 2024

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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 time of inspection, certification representative was in the Director's office and overheard a staff member in the crawler/walker room tell a child that they would take the child's blanky and binky away if they did not go onto the nap mat.

Corrected by Nov 26, 2024

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3270.123(a) · An agreement shall be signed by the operator and the parent.

Documentation of the agreement on file for child 6 and child 7 were not signed by the operator.

Corrected by Nov 26, 2024

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3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

Documentation of the agreement on file for child 5 did not include the fee amount.

Corrected by Dec 2, 2024

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3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Documentation of the original agreement was on file for child 1, child 2, child 3, child 4, child 5, child 8, child 9, and child 10.

Corrected by Dec 2, 2024

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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.

Documentation of the emergency contact information on file for child 9, did not include the address of the child's physician or source of medical care.

Corrected by Nov 26, 2024

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Documentation of the emergency contact information on file for child 9 did not include the enrolling parents work address, enrolling parent's home address or the enrolling parent's work phone.

Corrected by Nov 26, 2024

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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.

Documentation of the emergency contact information on file for child 1, child 4, child 6, and child 9 did not include the release person's address. The emergency contact information for child 1 did not include the release person's phone number.

Corrected by Nov 26, 2024

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3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

Documentation of the emergency contact information on file for child 3 was reviewed more than 6 months of the original review date.

Corrected by Nov 26, 2024

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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.

Documentation on file for staff member 1 did not include an updated health assessment. The health assessment on file is dated 10/8/22. Documentation of the initial health assessment for staff member 6 on file was dated 3/28/22 and updated on 11/19/24 which is more than 24 months.

Corrected by Dec 2, 2024

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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.

Documentation on file for staff member 2 and staff member 4 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Dec 12, 2024

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3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Documentation of testing the fire detection system on file showed that the alarms wasn't completed every 30 days. Testing was completed on 8/8/24, 9/26/24; which is 49 days and on 9/26/24, 10/28/24; which is 32 days.

Corrected by Dec 2, 2024

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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.

Staff member 1 was upset with a child because they bit another child. The staff member grabbed the child by their arm and pulled the child across the room and said "I know I'm not allowed, but if I could, I would smack you in the face right now". Staff member 1 was terminated.

Corrected by Jun 14, 2024

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3270.113(b)/3270.113(d) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Staff member 1 was upset with a child because they bit another child. The staff member grabbed the child by their arm and pulled the child across the room and said "I know I'm not allowed, but if I could, I would smack you in the face right now". Staff member 1 was terminated.

Corrected by Jun 14, 2024

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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.

Staff member 1 was upset with a child because they bit another child. The staff member grabbed the child by their arm and pulled the child across the room and said "I know I'm not allowed, but if I could, I would smack you in the face right now". Staff member 1 was terminated.

Corrected by Jun 14, 2024

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3270.111(c)/3270.113(d) · 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. A facility person may not use harsh, demeaning or abusive language in the presence of children.

While interviewing staff members for a complaint investigation, a staff member disclosed that she has observed staff member 1 getting into children's faces and screaming at them and grabbing children by their wrist (not leaving marks) and putting them into chairs.

Corrected by Jun 14, 2024

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

Documentation of the agreement on file for child 2 did not include the child's admission date. This was corrected during the inspection.

Corrected by Nov 27, 2023

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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.

Documentation of the state police record on file for staff member 2 was still under review status. The state police record clearance was completed and verified to have no record during the inspection. The disclosure statement on file for staff member 3 was not dated or signed by a witness. This was corrected during the inspection.

Corrected by Nov 27, 2023

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3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Documentation on file for staff member 3 did not include verification of two years' experience working with children.

Corrected by Nov 30, 2023

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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.

During the time of inspection, it was observed that a ceiling tile had water marks on it in the walker/crawlers room indicating a significant leak.

Corrected by Nov 28, 2023

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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 time of inspection, it was observed that paint was peeling in the young 2's classroom. The peeling paint was covered during the inspection.

Corrected by Nov 27, 2023

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

Documentation of the agreement on file for child 3 did not include the child's arrival and departure times.

Corrected by Nov 27, 2023

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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.

Documentation of the emergency contact on file for child 1 did not include the address of the child's physician.

Corrected by Nov 27, 2023

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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.

Documentation of the emergency contact information on file for child 1 and child 3 did not include release persons phone number.

Corrected by Nov 27, 2023

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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.

Documentation on file for staff member 1 and staff member 3 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Nov 28, 2023

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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.

Documentation of the emergency plan on file did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. This was corrected during the inspection.

Corrected by Nov 27, 2023

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3270.76/3270.102(e) · 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. Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

During an unannounced monitoring visit, it was observed that the plaster by the baseboard in the young two's classroom was falling apart and pieces of the plaster were on the floor. The pieces were swept up and thrown away during the visit.

Corrected by Jun 14, 2023

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3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

During a transition period, child 1 ran down the hall and around a corner into the two-year-old classroom where staff and children were present. Staff member 1 ran outside to the playground to look for child 1 because she didn't know that child 1 had ran into the two-year old classroom.

Corrected by Jun 14, 2023

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3270.183(b) · A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Staff member 1 posted pictures and stories of child 1 on her personal, public Facebook page.

Corrected by Jun 14, 2023

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3270.76/3270.102(a) · 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. 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.

It was observed that the playground structure was missing a climbing pole and the metal latch at the bottom of the structure where the pole is secured, was sticking out of the bottom bar thus causing a tripping hazard.

Corrected by Feb 21, 2023

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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 child abuse clearance and FBI clearance on file for staff member 3, was updated after the 60 month timeframe. The child abuse clearance expired on 9/13/2022 and was updated on 9/14/2022. The FBI clearance expired on 9/8/2022 and was updated on 9/19/2022.

Corrected by Jan 4, 2023

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in the Preschool room did not contain nonporous gloves. CORRECTED ON SITE

Corrected by Jan 4, 2023

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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.

Infant Room: Dust was observed on the windowsill. Crawler/Walker Room: A water spot was observed on a ceiling tile indicating a water leak. Young Two's Room: A hole in the wall of the bathroom was observed.

Corrected by Jan 27, 2023

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3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

It was observed that there wasn't a hand washing sign located by the sink in the Older 2's room.

Corrected by Jan 4, 2023

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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.

Crawler/Walker Room: Dust was observed on the toy sink. Young Toddler Room: Dust was observed on the top shelf of the bookcase in the back corner of the room. Preschool Room: It was observed that the bottom of a woven basket with toys was broke on the shelf. Basket was removed during inspection. Pre K Room: Dust was observed on the top of the play kitchen. : It was observed the kid table in the corner of the room had cracked edges that could cause harm. Cracked edges were taped at the time of inspection

Corrected by Jan 4, 2023

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

The refrigerator in the crawler/ walker room did not contain an operable thermometer.

Corrected by Jan 4, 2023

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3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health assessment for Child 2 did not include a statement that the child was able to participate in childcare and appears to be contagious from communicable disease.

Corrected by Jan 31, 2023

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3270.133(1) · 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.

It was observed that the medication for Child 1 was not in the original container .

Corrected by Jan 4, 2023

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

It was observed that the medication for Child 1 was expired in September 2022.

Corrected by Jan 4, 2023

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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.

The health assessment on file for staff member 3 was marked "yes" for communicable diseases but did not provide any information about how this might threaten the health of the children or prohibit a staff person from providing adequate care.

Corrected by Feb 13, 2023

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