A Giving Heart

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: CONTINUTED NON-COMPLIANCE: On 2/3/26 an unannounced renewal inspection was conducted at the facility. At approximately 2:40pm, Staff #1 and Staff #3 were observed switching classrooms. Staff #1 was observed exiting Room 104 leaving 4 children unsupervised for 5 seconds until Staff #3 crossed the hall to return to Room 104. On 3/13/26, an unannounced inspection was conducted. At approximately 11:50am, Staff #1 left Room 104 to open the front door, leaving Staff #2 alone with 1 infant, 2 young toddlers, and 2 older toddlers.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). TIERED LIS: 1. The required staff:child ratios must be maintained at all times. 2. The legal entity shall have all staff complete the training "Supervision: Staff:Child Ratios" provided by Better Kid Care. Proof of completion shall be submitted to the certification representative and kept in each staff person's record.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 2/3/26 at approximately 2:40pm, Staff #1 and Staff #3 were observed switching classrooms. Staff #1 was observed exiting Room 104 leaving 4 children unsupervised for 5 seconds until Staff #3 crossed the hall to return to Room 104.

Correction Required: 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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 2/3/26 at approximately 2:40pm, Staff #1 and Staff #3 were observed switching classrooms. Staff #1 was observed exiting Room 104 leaving 4 children unsupervised for 5 seconds until Staff #3 crossed the hall to return to Room 104.

Correction Required: 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.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement form for Child #3 was not signed by the operator or the parent.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement form for Child #3 lacked the fee amount.

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: The file for Child #2 and Child #3 lacked a child service report regarding the child's growth and development.

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)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement form for Child #2, Child #3, and Child #4 lacked the child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #3 lacked the address for the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #4 did not contain a complete home address for the enrolling parent.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #4 did not contain a complete address for the child's release persons.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: Room 104 and Room 107 lacked emergency contact information for children present, and receiving care in the space.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent emergency contact review for Child #3 is dated 6/17/25, more than 6 months prior to the date of inspection. The most recent emergency contact review for Child #4 is dated 6/15/25, more than 6 months prior to the date of inspection. The most recent agreement form review on file for Child #3 and Child #4 is dated 6/17/25, more than 6 months prior to the date of inspection.

Correction Required: 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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The health report form on file for Child #1 is dated, 12/29/25, more than 60 days after the child's start date. The health report form on file for Child #2 is dated, 5/21/25, more than 60 days after the child's start date. The health report form on file for Child #5 is dated 6/2/25, more than 60 days after the child's start date.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report form on file for Child #4 did not contain a statement that the child is able to participate in childcare and if the child appears to be free from communicable disease.

Correction Required: 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.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for Staff #3 lacked an initial health assessment.

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. 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.