A Childs Dream Too Inc

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: Observed refrigerator with no thermometer.

Correction Required: 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.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Upon arrival, children were seen being sent upstairs inside facility while staff stayed outside on telephone.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: Observed first aid kit missing scissors.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection conducted 10/30/2024, the refrigerator used to store the children's food was observed reading a temperature of 52° F .

Correction Required: 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.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: During the renewal inspection conducted 10/30/2024, the agreement reviewed for child #1 was not signed by 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: During the renewal inspection conducted 10/30/2024, the agreement reviewed for child #2 and #3 did not contain a fee amount.

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

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: During the renewal inspection conducted 10/30/2024, the agreement reviewed for child #1 and #2 was the original agreement.

Correction Required: 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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During the renewal inspection conducted 10/30/2024, the agreement reviewed for child #1, #2 and #3 was not updated within a 6-month period. Child #1 agreement was not dated at all. The emergency contact reviewed for child #2 was also not updated within a 6-month period.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection conducted 10/30/2024, upon request there was no shaken baby syndrome policy available for review that addressed the recognition of potential sign and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying fussing child or distraught child or the prevention and identification of child maltreatment. The emergency plan reviewed did not address the facilities 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: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: During the renewal inspection conducted 10/30/2024, the health assessment reviewed for staff #1 was not updated within a 24month period.

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.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection conducted 10/30/2024, upon request there was no verification available to verify the facilities emergency plan was sent to their local municipality and county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the renewal inspection conducted 10/30/2024, upon request updated annual 12 hours of childcare training was not available for review for Staff #1 and #2.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection conducted 10/30/2024, the clearances reviewed for staff #1 were not updated within a 60month period. State police clearance, child abuse clearance, and FBI fingerprint clearance.

Correction Required: 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 childcare position at the facility.

Regulation: 3270.61(b)

Description: Care space not play space at same time

Noncompliance Area: During the renewal inspection conducted 10/30/2024, the first-floor childcare space with a capacity of 49 was not set up as childcare space and was being used as an indoor play space. only a small section was being used as the infant classroom.

Correction Required: Indoor child care space may not be used simultaneously as play space.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection conducted 10/30/2024, a hole was observed on the wall column near the infant room cubbies. The tile to enter up to second floor was cracked with small pieces and the cement wall in the outdoor play spay was observed cracked in different spots with the black paint chipping.

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 the renewal inspection conducted 10/30/2024, chip paint was observed on the gray closet door on the first floor and the gray door that leads up to the second floor. On the second-floor chip paint was observed near the reading section, along the borders of the door entrance, the wall near the toy shelves and on the square wall column.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the renewal inspection conducted 10/30/2024, the two bathrooms on the first floor did not include handwashing signs that included the regulated wording requirements.

Correction Required: 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.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During the renewal inspection conducted 10/30/2024, the stairway and emergency exit from the facility was observed blocked with mops, mop buckets and brooms.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During renewal inspection on 1/26/2023, OCDEL staff did not observe the emergency plan taht included accomodations for infants, toddlers, children with disabilities, and children with chronic mdical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection on 03/03/2022, file of child #1 did not contain form provided to family about child's growth and development in the context of services being provided at the facility (Child Service Report).

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: 3270.131(b)(2)/3270.131(d)(1)

Description: Toddler/preschool: updated health report every 12 months/Child's health history

Noncompliance Area: During renewal inspection on 03/03/2022, file for child #2 did not contain an updated health assessment. Health assessment on file for child #2 was dated 11/09/2020.

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. A health report shall include a review of the child's health history.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During renewal inspection on 03/03/22, files of staff person #2 and #6 did not contain an updated health assessment. Health assessment on file for staff person #2 was dated 02/10/2020; health assessment on file for staff person #6 was dated 08/29/2019.

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.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: During renewal inspection on 03/03/2022, emergency plan on file at facility did not indicate lock down procedures in the event of an emergency.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: During renewal inspection on 03/03/2022, fire evacuation routes to leave the facility via emergency exit and route from facility to relocation site were not included in emergency plan.

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During renewal inspection on 03/03/2022, facility's emergency plan did not include accommodations for infants, toddlers and children with disabilities and/or chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During renewal inspection on 03/03/2022, file of staff persons #2, #3, #4 did not contain 12 hours of annual child care training. File of staff person #2 contained 11 hours; file of staff person #3 contained 8 hours; file of staff person #4 contained 10 hours.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: During renewal inspection on 03/03/2022, adult/infant/child CPR course taken by staff person #5 was not an approved course for Pediatric First Aid and CPR.

Correction Required: 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During renewal inspection on 03/03/2022, file for staff person #1 file contained a current Mandated Reporter training more than five (5) years old. Mandated Reporter training on file is dated 02/22/2017,

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During renewal inspection on 03/03/2022, stained ceiling tiles were observed in the first floor bathroom on the left above the sink and next to the vent; a cracked tile was observed in the first floor bathroom on the left in front of the toilet; stained ceiling tiles were observed in the 2nd floor rear bathroom over the toilet.

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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: During renewal inspection on 03/03/2022, first floor bathrooms and rear 2nd floor bathroom contained lidded receptacles where the step was not operable requiring lid to be lifted by hand to dispose of paper towels.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, hands free lidded waste receptacle.

Noncompliance Area: During the renewal inspection child #4 emergency contact did not include the phone number of the physician.

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

Noncompliance Area: During the renewal inspection the emergency contact for child #1-3 did not include the enrolling parents work address and phone number on file.

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

Noncompliance Area: During the renewal inspection the emergency contact did not include the health insurance policy for child #4 on file.

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: During the renewal inspection two classrooms did not have the emergency contacts in the child care space when children were 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.

Noncompliance Area: During the renewal inspection child #2 and 3 did not have a current health assessment on file.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. 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: During the renewal inspection the bathroom lights needed to be repaired.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Noncompliance Area: During the initial inspection in the toddler and pre school classrooms the cots were not 2 feet apart on three sides while in use during nap time.

Correction Required: 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.

Noncompliance Area: During the initial inspection a written plan identifying the means of transporting a child to emergency care was not displayed conspicuously in every child care space in the facility.

Correction Required: 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.

Noncompliance Area: During the initial inspection staff #1 did not have a current health assessment on file.

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.

Noncompliance Area: During the initial inspection a written statement giving the formula and feeding schedule for an infant was not on file.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: During the initial inspection hand washing sign was not posted at each toilet, training chair, diapering area and sink in the facility.

Correction Required: 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.

Noncompliance Area: During the initial inspection a fire drill was not held at least every 60 days.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: ON 10/18/2018, DURING AN UNANNOUNCED VISIT, TRASH CANS CONTAINING BROKEN UP ROCKS AND DEBRIS, AN UNRAVELD HOSE, STANDING RACK FULL OF CHAIRS, DIRTY TOYS CONTAINING STANDING WATER, DIRTY SAND BOX WITH DEBRIS AND PLASTIC GLOVE INSIDE OF IT, OVER GROWN WEEDS ON THE GROUND OF THE PLAYSPACE, A LARGE GRILL WITH WHEELS, A WHEELBARROW CONTAINING BROKEN ROCKS/CEMENT, DEBRIS AND LEAVES, AREFRIGERATOR AND DEBRIS AROUND THE PARAMETERS OF THE YARD CONTINUE TO CREATE AN UNSAFE SPACE FOR THE CHILDREN TO PLAY.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: ON 10/18/2018, DURING THE UNANNOUNCED VISIT, UNUSED OUTLETS LOCATED IN THE INFANT SPACE BY THE HIGH CHAIRS AND IN THE 1 YEAR OLD CLASSROOM ALONG THE WALL DID NOT CONTAIN PROTECTIVE RECEPTACLE COVERS. A ROUND SURGE OUTLET USED IN THE TWO YEAR OLD CLASSROOM DID NOT HAVE COVERS IN THE UNUSED OUTLETS.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: ON 10/18/2018, DURING AN UNANNOUNCED VISIT, CHIPPING PAINT WAS STILL PRESENT ON THE BLACK WALL BEHIND THE CRIBS AND ON THE TAN WALL UNDER THE TELEVISION. THE CEILING VENT IN THE PRESCHOOL BATHROOM IS STILL DIRTY AND DUSTY, BLACK FLOOR MOLDING ALONG THE WALL IN THE SCHOOL AGE ROOM WAS DETACHED FROM THE WALL NEAR THE TABLES. THE RUGS /STEPS AT THE SCHOOL AGE ENTRANCE WAS HEAVILY STAINED AND DIRTY. THE BANISTER IN THE SCHOOL AGE ENTRANCE WAS STILL DETACHED FROM THE WALL.

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

Noncompliance Area: ON 10/05/2018, DURING THE INITIAL INSPECTION, CERTIFICATION REP OBSERVED STAFF PERSON #1 WAS FULLY INSIDE THE TODDLER BATHROOM ASSISTING A CHILD, WHILE TWO OTHER TODDLER CHILDREN WERE SITTING ALONG THE OUTER SIDE WALL OF THE BATHROOM, OUT OF THE STAFF PERSON'S VIEW.

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.

Noncompliance Area: ON 10/05/2018, DURING THE INITIAL INSPECTION, EXPIRED EPPI PEN AND ALLERGY MEDICATION WAS PRESENT FOR CHILD #1 AND CHILD #2.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: ON 10/05/2018, DURING THE INITIAL INSPECTION, THE FACILITY'S CURRENT CERTIFICATE OF COMPLIANCE WAS NOT POSTED IN A CONSPICUOUS LOCATION USED BY PARENTS.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: ON 10/05/2018, DURING THE INITIAL INSPECTION, 2 LADDERS, A STANDING RACK, FULL OF CHAIRS, BOARDS, A GRILL ON WHEELS, AN UNRAVELED HOSE, DIRTY TOYS AND DEBRIS WAS LOCATED IN THE OUTSIDE PLAY SPACE.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: ON 10/05/2018, DURING THE INITIAL INSPECTION, A LITTLE OF BOTTLE OF WHITE OUT WAS PRESENT ON THE CUBBIE IN THE OLDER TODDLER ROOM. HANDSANITIZER WAS PRESENT ON TOP OF THE CUBBIE IN THE OLDER TODDLER CHILD CARE SPACE. HAND SANITIZER AND CLEANING MATERIALS WERE PRESENT ON TOP OF THE CUBBIES IN THE PRESCHOOL 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.

Noncompliance Area: ON 10/05/2018, DURING THE INITIAL INSPECTION, CHIPPING PAINT WAS PRESENT ON THE WALLS UNDER THE TV IN THE INFANT CHILD CARE SPACE AND ON THE BLACK WALL ACROSS FROM THE ENTRANCE INTO THE INFANT SPACE. THE VENT LOCATED IN THE PRESCHOOL BATHROOM WAS DIRTY. CEILING MOLDING WAS ATTACHING FROM THE WALL IN THE PRESCHOOL ROOM ACROSS FROM THE BACK DOOR ENTRANCE. BLACK FLOOR MOLDING WAS LOOSE FROM THE WALL IN THE SCHOOL AGE ROOM UNDER THE TABLE. THE RUGS/STEPS AT THE SCHOOL AGE ENTRANCE WAS DIRTY AND STAINED. THE BANISTER IN THE SCHOOL AGE ENTRACE WAS IN DISREPAIR, LOOSE FROM THE WALL. DAMAGED SHEETROCK (HOLE) WAS PRESENT WHERE THE BANISTER WAS IN DISREPAIR. THE PATHWAY LEADING FROM THE SIDE EXIT OF BUILDING INTO THE BACK PLAY SPACE IS DIRTY AND FULL OF LEAVES.

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