6TH STREET NANAS DAYCARE LLC

Regulation: 3270.192(2)(ii)/3270.192(5)

Description: Exp, educ., training prior to facility/Two written references

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 3 was missing 2 references. and verification of child care experience

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 1 was missing TB

Correction Required: 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 2 was missing out of state clearances.

Correction Required: 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.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 1 is missing high school diploma. Document that was in the staff file did not verify date staff received diploma

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection certification rep observed cleaning solution accessible in the bathroom near the school age room.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During renewal inspection certification rep checked the water temp in the bathroom. The temperature was 120° F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: During renewal inspection certification rep observed the windows in the school age room opening more than 6 inches

Correction Required: 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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection certification rep observed chipped paint in little fishes room. Certification rep observed a hole on the wall where the toilet paper holder was.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Certification rep verified staff 1 forcefully grabbed child 1 by the arm and sat her on the chair for time out.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During unannounced visit certification rep reviewed children's files. Emergency contact and fee agreement for child 1 were expired.

Correction Required: 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.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: During unannounced visit certification rep reviewed staff files. Staff 2 was missing initial health assessment and TB.

Correction Required: 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 2 was missing two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: 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.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During unannounced inspection certification rep reviewed staff files. Staff 1 was missing updated fire safety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced visit certification rep reviewed staff files. FBI clearance for staff 1 was 3-28-19. Staff 2 was missing child abuse and state criminal clearance.

Correction Required: 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 and 2- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #-1 and 2-- may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During unannounced visit certification rep reviewed staff files. Staff 2 was missing 2 years experience working with children.

Correction Required: 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.

Regulation: 3270.133(1)/3270.133(3)

Description: Original container/Name on bottle

Noncompliance Area: During renewal inspection certification rep observed unlabeled Viles of albuterol solution without its original container.

Correction Required: 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. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection certification rep reviewed emergency plan. Emergency plan did not address continuity of operations.

Correction Required: 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.

Regulation: 3270.192(2)(ii)/3270.192(5)

Description: Exp, educ., training prior to facility/Two written references

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Experience for staff 2 needs to be verified.During renewal inspection certification rep reviewed staff files. Staff 1 was missing 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.36(b)(4)

Description: HS/GED + postsecondary

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 1 was missing education from their file.

Correction Required: An assistant group supervisor shall have a high school diploma or a general education development certificate and have completed a post-secondary training curriculum described in §3270.31(c).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During renewal inspection certification rep observed loose baseboard in the school age bathroom on the second floor. The green carpet outside is ripped and children can trip and fall.

Correction Required: 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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection certification rep observed chipped paint in the follow rooms: on the blue wall in the Little Stars room, the gray wall by the trash can in the Little Fishy room, the back wall in the preschool room needs repair (plaster/ drywall exposed), chipped paint by the yellow and gray walls. In the school age room chipped paint by the turquoise wall near the window, in the bathroom near the toilet paper holder (holder broke off, plaster/ dry wall exposed)

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: On 12-28-22 provider verified that staff person # 1 was speaking harshly to child # 1.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: On 10-4-22 during renewal inspection Certification Representative noticed that child # 3 file was missing an agreement form.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: On 10-4-22 during renewal inspection Certification Representative noticed that child # 3 is missing a Child Service Report form in his file.

Correction Required: 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).

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: On 10-4-22 during renewal inspection Certification Representative noticed that child #1, 2, and # 4 extra service section on the agreement was blank.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: On 10-4-22 during renewal inspection Certification Representative did not see updated annual liability insurance certificate.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.20(b)

Description: Mail or deliver written report to regional office within 72 hours

Noncompliance Area: On 10-4-22 during renewal certification Certification Representative noticed that provider did not submit Emergency Plan to local emergency police municipality.

Correction Required: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: On 10/22/21 during renewal inspection certification representative noticed that child #4 and child # 5 emergency contact form was missing parent/guardian business name and business telephone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On October 22, 2021 during renewal inspection Certification Representative noticed that child # 3 emergency contact form was missing medical insurance policy name and policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 10/22/21 during renewal inspection certification representative noticed that child # 4 and child # 5 were missing release persons address on their emergency contact form.

Correction Required: 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.

Regulation: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: On 10/22/21 during Renewal Inspection Certification Representative noticed that staff person # 1 was missing her Health & Safety Training Certificate.

Correction Required: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: On 9/17/20 at renewal inspection certification representative observed that toxic cleaning products accessible to children under the sink in the 2nd floor bathroom closest to the steps.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: On 9/17/20 at renewal inspection certification representative observed an open window in the 2nd floor bathroom nearest the school age room that did not have a screen.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Noncompliance Area: On 9/17/20 at renewal inspection certification representative observed that peeling paint on the sink cabinet in the 2nd floor bathroom closest to the school age room.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: On 10/24/19 at renewal inspection certification representative observed that school age children's emergency contact forms did not accompany the children in the van to and from school.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: On 10/24/19 at renewal inspection certification representative observed that the file of child # 2 contained a health assessment dated 9/10/18.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: On 10/24/19 at renewal inspection certification representative observed that the immunization record for child #1 reflected that the child has not received the flu shot as recommended by the ACIP. There is no exemption letter on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: On 10/24/19 at renewal inspection certification representative observed that the file of staff person # 2 contained a health assessment dated 2/10/17 and the file of staff person # 1 contained a health assessment with no date of exam.

Correction Required: 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.

Noncompliance Area: On 10/24/19 at renewal inspection certification representative observed that the file of staff person # 1 did not contain 2 written references attesting to staff person's suitability to work with children.

Correction Required: 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

Noncompliance Area: On 10/24/19 at renewal inspection certification representative observed that the file of staff person # 3, hire date 5/29/16, contained a volunteer child abuse clearance instead of an employment child abuse clearance as required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: On 10/24/19 at renewal inspection certification representative observed staff person # 4 who qualifies as an aide working alone with children in the 2nd floor preschool classroom.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Noncompliance Area: On 10/24/19 at renewal inspection certification representative observed a window open in the upstairs bathroom that did not have a screen.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Noncompliance Area: On 10/24/19 at renewal inspection certification representative observed areas of damaged paint and plaster on the walls in the toddler eating area, the infant area, and the young toddler area.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: On 10/22/18 at renewal inspection certification representative observed that the emergency contact form for child # 1 did not contain the child's health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: On 10/22/18 at renewal inspection certification representative observed that the half door between the infant room and young toddler room has several broken areas at the bottom in reach of the children.

Correction Required: 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.

Noncompliance Area: On 10/22/18 at renewal inspection certification representative observed that there was damaged plaster and peeling paint on the walls in the young toddler classroom.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: AS SELF REPORTED, STAFF PERSON #1 BROUGHT TOXIC MATERIALS INTO THE FACILITY AND ACCESSIBLE TO CHILDREN.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.