York Day Nursery

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 correction verification visit, it was observed that the staff members in Toddler 2 classroom could not name the children assigned to them in their primary care groups. Staff members in the Pre K 2 classroom, were dividing their primary care groups when certification representative asked them to name their primary care groups.

Corrected by Sep 17, 2025

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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.

Documentation of the TB test on file for staff member 1 was dated 3/23/23, which is more than one year from their start date at the facility.

Corrected by Sep 12, 2025

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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 supplies were accesible to children in the cafeteria/school age child care space. Vaseline was accessible to children in an unlocked drawer in the pre k 1 classroom. This was corrected during the inspection.

Corrected by Jul 29, 2025

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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.

During the time of inspection, it was observed that there was a unlabeled spray bottle by the sink in the Pre K 1 classroom. This was corrected during the inspection.

Corrected by Jul 29, 2025

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3270.75(b) · A first-aid kit must be inaccessible to children.

During the time of inspection, it was observed that the school age first aid kit was on the floor. This was corrected during the inspection.

Corrected by Jul 29, 2025

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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 the baseboard by the sink in the pre k 1 classroom wasn't fastened to the wall. The bottom of the door frame around the shed in the nature playground was rotting out and had sharp edges.

Corrected by Aug 15, 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 in the kitchen area in the infant classroom. Plaster around the sink in the pre k 1 classroom was coming off.

Corrected by Aug 15, 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 a basket with pretend people and a basket with baby clothes were broken in the young toddler classroom. A basket was broken with cut up paper in the two year old classroom. A basked was cracked with animals and a basket was broken with manipulatives in the pre k 2 classroom. All broken/bins were removed during the inspection.

Corrected by Jul 29, 2025

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3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Documentation of a medication log was not on file for child 1. The medication was administered to the child in March 2025 and July 2025.

Corrected by Jul 30, 2025

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3270.113(a)/3270.113(a)(1) · 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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding communication while supervising children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 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.

Facility self reported that child 1 was left alone and unsupervised outside of the gym in the hall for roughly two minutes.

Corrected by Feb 17, 2025

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3270.113(a)/3270.113(a)(1) · 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. 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.

Facility self reported that child 1 was left alone and unsupervised outside of the gym in the hall for roughly two minutes.

Corrected by Jan 20, 2025

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3270.113(a)/3270.113(a)(1) · 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. 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.

Child 1 was unsupervised for 15 minutes. The child was found outside, hiding by the shed in the nature center by another staff member while the rest of the group was in the big playground. Staff members did not know the where abouts of the child and weren't physically present.

Corrected by Sep 27, 2024

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3270.113(a)/3270.113(a)(1) · 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. 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. 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.

Child 1 was unsupervised for 15 minutes. The child was found outside, hiding by the shed in the nature center by another staff member while the rest of the group was in the big playground. Staff members did not know the where abouts of the child and weren't physically present.

Corrected by Jan 8, 2025

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3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

While conducting a correction verification visit, it was observed that the inspection summary ending in 382 was not posted in a conspicuous location used by the parents.

Corrected by Sep 5, 2024

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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 be present in the facility until all completed clearances are on file. 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 be present in the facility until all completed clearances are on file.

While conducting a correction verification visit, it was observed that staff member 1 was in ratio with children and didn't have documentation of the results of the State Police Record Clearance or the results of the FBI clearance on file required for provisional hiring under the CPSL.

Corrected by Sep 5, 2024

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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.

Documentation of annual emergency evacuation training was not on file for staff member 1.

Corrected by Jul 17, 2024

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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 clearance, child abuse clearance and FBI clearance on file for staff member 2 were updated more than 60 months of the original clearance date. The state police clearance was obtained on 2/27/19 and updated on 5/13/24. The child abuse clearance was obtained on 3/7/19 and updated on 5/17/24. The FBI clearance on file was obtained on 1/15/19 and updated on 5/16/24. Documentation of the FBI clearance on file for staff member 3 was updated more than 60 months of the original date. The FBI clearance was obtained on 4/23/19 and updated on 5/16/24.

Corrected by Jul 17, 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 clorox wipes and other cleaning materials were within reach of children in the cafeteria. The clorox wipes and other cleaning materials were put out of reach of children during the inspection.

Corrected by Jul 16, 2024

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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 ceiling tiles in the bathrooms located in the pre k 1 classroom, toddler 2 classroom and pre k counts classroom all had water marks on them.

Corrected by Aug 2, 2024

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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 there was peeling paint until the window in the pre k 1 classroom, peeling paint under the sink in the pre k counts classroom and peeling paint under the cubbies in the toddler 2 classroom. The peeling paint was corrected during the inspection.

Corrected by Jul 17, 2024

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3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

During the time of inspection, it was observed that a visual strip or other visual identification was not placed on the class in the pre k 1 classroom. This was corrected during the inspection.

Corrected by Jul 16, 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 there were broken baskets containing toys in the pre k 1 classroom and the pre k 2 classroom. The climber in the toddler 2 classroom was visibly dirty and had dirt collecting in the corners of the equipment. The broken baskets were removed during the inspection.

Corrected by Jul 16, 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 form on file for child 5 did not include the enrolling parents work address. Documentation of the emergency contact form on file for child 6 did not include the enrolling parents work address and enrolling parents work phone number.

Corrected by Jul 16, 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 3 and child 4 did not include complete addresses for release persons.

Corrected by Jul 17, 2024

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3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

A 6 month updated health assessment was not on file for child 7. The most recent health assessment on file was dated 12/6/23

Corrected by Jul 20, 2024

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

An updated health assessment was not on file for child 4. The most recent health assessment on file was dated 5/22/23.

Corrected by Jul 22, 2024

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3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Documentation of the immunization record on file for child 7, did not include the 6 month recommended dose of the Rotavirus, DTAP, HIB, and PCV13 vaccines.

Corrected by Jul 22, 2024

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3270.133(7)(i)/3270.133(7)(iv) · A medication log shall include the name of the medication. A medication log shall include the amount of medication administered.

Documentation of the medication log on file for child 2 did not include the medication name and the amount of medication administered. This was corrected during the inspection.

Corrected by Jul 16, 2024

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3270.133(7)(v) · A medication log shall include the date of administration.

Documentation of the medication log on file for child 1 and child 2 did not include the dates of administration. This was corrected during the inspection.

Corrected by Jul 16, 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 of the health assessment and TB test on file for staff member 1 was completed after the staff members first day caring for children.

Corrected by Jul 17, 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 4 did not include two written nonfamily references attesting to the person's suitability to serve as a facility person.

Corrected by Jul 17, 2024

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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 letter on file that the parents receive at the time of enrollment that outlines the emergency evacuation plan, did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Jul 17, 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 of two years' experience working with children was not on file for staff member and staff member 3.

Corrected by Aug 8, 2023

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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.

Documentation of pediatric first aid/CPR on file for staff member 5, staff member 6, staff member 7, staff member 8, staff member 9, staff member 10, staff member 11, staff member 12, staff member 13, staff member 14, staff member 15, staff member 16 and staff member18 showed that they renewed their pediatric first aid/CPR training after the expiration of the most current certification.

Corrected by Aug 8, 2023

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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. Staff person 10 will have until 8/17/23 to complete the required training. Until such time as the required training has been completed, staff person 10 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person 10, staff person 10 may not work in a child-care position at the facility.

Staff person 10 has not completed the following required pre-service training within 90 days of their hire date (see LIS code sheet): Health and Safety Basics Update

Corrected by Aug 12, 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.

Clearances for staff members were not updated in a 60 month timeframe. The FBI clearance for staff member 6 expired on 1/17/23 and was updated on 1/18/23. The FBI clearance for staff member 17 expired on 5/8/23 and was updated on 7/13/23. The child abuse clearance for staff member 6 expired on 1/16/23 and was updated on 2/9/23. The state police clearance for staff member 7 expired on 9/21/22 and was updated on 12/22/22. The state police clearance for staff member 10 expired on 4/17/23 and was updated on 6/26/23.The mandated reporter training for staff member 17 expired on 5/22/18 and was updated on 7/10/23. The mandated reporter training for staff member 6 expired on 1/30/17 and was updated on 2/8/22.

Corrected by Aug 8, 2023

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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 a cabinet with cleaning materials wasn't locked and within reach of children in the Toddler 1 classroom. The cleaning materials were moved out of reach of children during the inspection. Potting soil was within reach of children in the Toddler 2 classroom and the Pre K classroom.

Corrected by Jul 17, 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.

During the time of inspection, it was observed that the first aid kit in the infant room was missing tape. Tape was placed in the first aid kit during the inspection.

Corrected by Jul 17, 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 the air vents in the Toddler 3, Pre K, Gym and Pre K three classrooms were visibly dirty. Ceiling tiles in the bathroom and classroom in the Toddler 3 room had significant water marks on them indicating a leak. A ceiling tile in the Pre K 3 bathroom wasn't placed in the tile grid, exposing duct work in the ceiling and another ceiling tile in the bathroom had a water mark on it indicating a leak. A ceiling tile in the gym had significant water damage indicating a leak. The baseboards in the corner of the Pre K 3 room by the sink were missing. The bottom of the cabinet by the child's handwashing sink in the Pre K classroom had water damage and was disintegrating.

Corrected by Aug 16, 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 there was peeling paint in the Toddler 3 and Toddler 2 classrooms. The peeling paint was corrected during the inspection.

Corrected by Aug 10, 2023

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3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

During the time of inspection, it was observed that the glass pane by the door in the toddler 1 room didn't have a visual strip or other visual identification.

Corrected by Aug 10, 2023

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Documentation of completing an annual emergency drill wasn't on file

Corrected by Aug 8, 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.

During the time of inspection, it was observed that baskets that held toys were broken and had sharp edges that could cause a cut in the Toddler 1, Toddler 2, Toddler 3 classroom and Pre K 3 classrooms. The soap dispenser in the Toddler 2 bathroom was broke and fell off of the wall during the inspection. The half wall located in the gym was cracked/broken on the lower right side with sharp edges.

Corrected by Aug 16, 2023

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3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

During the time of inspection, it was observed that a cot wasn't labeled for a specific child in the Toddler 1 classroom.

Corrected by Aug 8, 2023

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3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

During the time of inspection, it was observed that a staff member placed an infant in a crib with a pacifier clip attached to their clothes.

Corrected by Jul 17, 2023

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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 14, staff member16, staff member and staff member 17 were updated after 24 months of their initial health assessment. The health assessment on file for staff member 18 was completed after their first day caring for children.

Corrected by Aug 8, 2023

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

Documentation of the health assessment on file for staff member 1 didn't include a physical examination.

Corrected by Aug 9, 2023

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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 4, didn't include an examination for communicable diseases and assessment of the person's suitability to provide child care.

Corrected by Aug 8, 2023

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

Documentation on file of pediatric first aid/CPR training for staff member 2 was completed after their 90 days of hire.

Corrected by Aug 8, 2023

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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.

Documentation of the fire detection system testing showed that the testing wasn't being completed every 30 days. Testing was completed on 12/30/22; 1/30/23; which is 31 days and 2/28/23, 3/31/23; which is 31 days.

Corrected by Aug 8, 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.

Staff person number 5 had a child abuse clearance dated 1/16/2017 and updated on 2/9/2022, which is greater than 60 months. Updated clearance is obtained and on file.

Corrected by Oct 3, 2022

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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.

Staff person number 3 had a health assessment dated 11/5/19 and updated on 4/29/22, which is greater than 24 months. Staff person number 4 had a health assessment dated 2/21/20 and updated on 5/12/22, which is greater than 24 months. Staff person number6 had a health assessment dated 4/7/20 and updated on 5/2/22, which is greater than 24 months.

Corrected by Oct 3, 2022

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3270.31(h) · All staff persons shall complete the professional development under subsection (f).

Staff person number 1 had 6 hour health and safety training dated 9/1/16, which is not accepted. Staff number 1 may not be left unsupervised with children until approved training is completed. Staff person number 2 had 6 hour health and safety training dated 7/1/16, which is not accepted. Staff number 2 may not be left unsupervised with children until approved training is completed.

Corrected by Sep 27, 2022

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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.

Proof of Purchase for Fire detection system was not on file.

Corrected by Oct 3, 2022

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3270.31(e)(4)(i)/3270.31(f)(10) · 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.Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff person number 2 did not have Pediatric CPR/First Aid training on file. CPR/First aid training was not completed within 90 days of employment. Staff Person number 2 must be supervised by an AGS or higher until Pediatric CPR/First Aid is completed.

Corrected by Jun 14, 2022

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3270.31(f)/3270.31(h) · Staff persons shall complete professional development in the following topics within 90 days of hire:All staff persons shall complete the professional development under subsection (f).

Staff person number 1 does not have health and safety training on file. Health and safety training was not completed within 90 days of employment. Staff number 1 must be supervised by an AGS or higher until health and safety training is completed. Staff number 3 does not have health and safety training on file. Health and safety training was not completed within 90 days of hire. Staff number 3 must be supervised by an AGS or higher until health and safety training is completed. Staff number 4 does not have health and safety training on file. Health and safety training was not completed within 90 days of hire. Staff number 4 must be supervised by an AGS or higher until health and safety training is completed.

Corrected by Jun 17, 2022

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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. The required staff:child ratios must be maintained at all times.

Staff number 1 took one older toddler aged child from the gym to the classroom, leaving one staff with 11 older toddler aged children.

Corrected by Jun 15, 2022

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3270.113(a)/3270.113(a)(1) · 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 training regarding supervision of children. A training titled "The Role of Communication in Supervising Children" has been accepted by DHS and will be conducted by Lorrie Hall.

An additional child was added to the group of 6 children and 2 staff, making 7 children and 2 staff. The 7th child was not added to a primary care group. The 7th child was left unsupervised in the classroom.

Corrected by Jun 22, 2022

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3270.113(a)/3270.113(a)(1) · 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 submit documentation in a format approved by DHS proving that the director or assistant director is monitoring staff's knowledge and implementation of primary care groups, supervision, and ratios e.g., a checklist. Checks should be done daily at random times throughout the day. 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. 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.

An additional child was added to the group of 6 children and 2 staff, making 7 children and 2 staff. The 7th child was not added to a primary care group. The 7th child was left unsupervised in the classroom.

Corrected by Sep 16, 2022

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3270.113(a)/3270.113(a)(1) · 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. 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

An additional child was added to the group of 6 children and 2 staff, making 7 children and 2 staff. The 7th child was not added to a primary care group. The 7th child was left unsupervised in the classroom.

Corrected by Jun 15, 2022

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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.

A child was observed to place a small rock in their mouth. The small object was located on the outdoor playground for toddlers.

Corrected by Apr 1, 2022

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3270.113(a)/3270.113(a)(1) · 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 training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

On 2/3, Staff person number 1 and number 2 left child #1 in the classroom unattended after the staff took the rest of the class to breakfast. Child #1 was unattended for approximately 3 minutes. Staff number 3 then walked into the classroom and saw child #1 but did not look to see if any staff were around. Staff number 3 then left the classroom, leaving child #1 alone for approximately 1 minute until another staff came into the classroom and found the child. On 2/7/22, ratios and supervision were assessed in the classrooms. In the toddler 1 room, 3 children were not assigned to a care group amongst staff in the room. In the toddler 3 room, 15 children were in care but the classroom was split up. Inside, 8 children were in care and 5 were assigned to care groups amongst present staff, leaving 3 children unaccounted for. The other group of children from the toddler 3 room, 7 children were outside with 2 staff. Both staff listed 2 children in their primary care group, leaving 3 children not assigned to a primary group amongst the 2 staff.

Corrected by Mar 9, 2022

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3270.113(a)/3270.113(a)(1) · 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 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 2/3, Staff person number 1 and number 2 left child #1 in the classroom unattended after the staff took the rest of the class to breakfast. Child #1 was unattended for approximately 3 minutes. Staff number 3 then walked into the classroom and saw child #1 but did not look to see if any staff were around. Staff number 3 then left the classroom, leaving child #1 alone for approximately 1 minute until another staff came into the classroom and found the child. On 2/7/22, ratios and supervision were assessed in the classrooms. In the toddler 1 room, 3 children were not assigned to a care group amongst staff in the room. In the toddler 3 room, 15 children were in care but the classroom was split up. Inside, 8 children were in care and 5 were assigned to care groups amongst present staff, leaving 3 children unaccounted for. The other group of children from the toddler 3 room, 7 children were outside with 2 staff. Both staff listed 2 children in their primary care group, leaving 3 children not assigned to a primary group amongst the 2 staff.

Corrected by May 14, 2022

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3270.113(a)/3270.113(a)(1) · 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. 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.

On 2/3, Staff person number 1 and number 2 left child #1 in the classroom unattended after the staff took the rest of the class to breakfast. Child #1 was unattended for approximately 3 minutes. Staff number 3 then walked into the classroom and saw child #1 but did not look to see if any staff were around. Staff number 3 then left the classroom, leaving child #1 alone for approximately 1 minute until another staff came into the classroom and found the child. On 2/7/22, ratios and supervision were assessed in the classrooms. In the toddler 1 room, 3 children were not assigned to a care group amongst staff in the room. In the toddler 3 room, 15 children were in care but the classroom was split up. Inside, 8 children were in care and 5 were assigned to care groups amongst present staff, leaving 3 children unaccounted for. The other group of children from the toddler 3 room, 7 children were outside with 2 staff. Both staff listed 2 children in their primary care group, leaving 3 children not assigned to a primary group amongst the 2 staff.

Corrected by Feb 3, 2022

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3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

Staff number 3 did not have a completion date for Health and Safety training.

Corrected by Oct 29, 2021

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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.

Staff number 1 had a State Police clearance that was greater than 60 months. Clearance dated 12/19/15 and renewed on 1/4/21. Staff number 1 had a child abuse clearance that was greater than 60 months. Clearance dated 12/31/15 and renewed on 1/6/21. Staff number 2 had an FBI clearance greater than 60 months from previous clearance. Previous clearance dated 3/31/16 and renewed on 4/22/21. Staff number 6 had a State Police clearance with a period greater than 60 months. Previous clearance dated 3/30/16 and renewed on 4/22/21.

Corrected by Oct 29, 2021

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3270.74/3270.124(e) · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The gross motor play room (gymnasium) did not have posted emergency telephone numbers or a posted emergency transportation plan. This was corrected on site.

Corrected by Oct 29, 2021

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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.

Staff in the PreK Counts 4 (room 124) classroom and in the PreK Counts 3 (room 127) classroom did not have assigned primary care groups.

Corrected by Oct 29, 2021

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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.

Emergency Contact form for Child number 2 did not include a physician's address.

Corrected by Oct 29, 2021

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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.

Emergency Contact form for child number 2, 3, 4, and 5 did not list any information on the child's special needs or disabilities.

Corrected by Nov 23, 2021

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3270.131(d)(1) · A health report shall include a review of the child's health history.

Health assessment for child number 1 did not include a health history for the child.

Corrected by Nov 1, 2021

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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.

Health report for child number 1 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease

Corrected by Nov 1, 2021

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3270.131(e)(2)(i) · 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.

Letter of immunization exemption for child number 8 did not indicate a strong personal objection or a religious belief as a reason for not receiving immunizations.

Corrected by Oct 29, 2021

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3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Documentation of symptoms for administration of medication were not clear for child number 9.

Corrected by Nov 24, 2021

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3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Child number 7 had a prescription of Auvi-q but there was no medication log for the medication.

Corrected by Nov 23, 2021

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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.

Staff number 5 did not update the health assessment within 24 months. Previous health assessment dated 8/27/19 and updated on 9/27/21.

Corrected by Oct 29, 2021

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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.

Emergency plan on file did not list accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Oct 29, 2021

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