Aa To Zz Child Care And Learning Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 2/19/26 it was observed that there was a broken chair on the preschool playground, creating a pinch hazard for children.

Correction Required: 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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: On 2/19/26 it was observed that the refrigerator in the kitchen did not have a 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: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: On 2/19/26 it was observed that policies regarding transportation were not present in the parent handbook.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: On 2/19/26 it was observed that the agreement forms for children 1, 2, 3, 4, 5, 6, 7, and 8 did not have an operator signature.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: On 2/19/26 it was observed that the facility emergency transportation plan was not posted in the Library.

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.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 2/19/26 it was observed that bottles were not labeled in the infant classroom.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.171(b)/3270.171(c)

Description: Safe pick-up and drop-off in writing/Safe routes posted

Noncompliance Area: On 2/19/26 it was observed that pick up and drop off procedures were not posted in a conspicuous location.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: On 2/19/26 it was observed that staff persons 1, 2, and 3 did not have an evaluation completed in the previous 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: On 2/19/26 it was observed that the first aid kit in the van did not include soap.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: On 2/19/26 it was observed that 2 metal spikes were protruding from the retaining boards on the school age playground, posing a tripping or impalement hazard.

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: On 2/19/26 it was observed that there was peeling paint at the facility. Peeling paint was observed in the Older Toddler classroom. CORRECTED ON SITE. Peeling paint was observed on the exterior wall of the building on the preschool playground.

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

Regulation: 3270.133(7)(v)/3270.133(7)(vi)

Description: Date of administration/Time of administration

Noncompliance Area: On 2/13/25, it was observed that child medication logs were not filled out completely. The medication log for child 7 did not include times to administer the medication. The medication log for child 8 did not include dates to administer the medication.

Correction Required: A medication log shall include the date of administration. A medication log shall include the time of administration.

Regulation: 3270.151(a)

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

Noncompliance Area: On 2/13/25, it was observed that staff health assessments were not updated timely. Staff person 1 had a health assessment on file that expired on 9/12/24 that was not updated until 10/19/24.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: On 2/13/25, it was observed that staff person 3 only had 1 written nonfamily reference on file. CORRECTED ON SITE.

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: 3270.21/3270.66(a)

Description: General Health and Safety/Locked or inaccessible

Noncompliance Area: On 2/13/25, it was observed that the mop bucket with cleaning water was accessible to children in the cubby area of the preschool classroom. CORRECTED ON SITE.

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.

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

Description: Age and Training

Noncompliance Area: On 2/13/25, it was observed that Staff person 1 did not update their Pediatric first aid/CPR before it expired. Staff person 1 had a first aid/CPR training on file that expired on 10/31/24 that was not updated until 11/7/24.

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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 2/13/25, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 1 had a child abuse clearance dated 9/22/24 which was after their start date.

Correction Required: 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.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 1/8/24, it was confirmed through staff interview that staff persons 1 and 2 were unaware of the whereabouts of a child in their primary group and could not find them upon parent pick up. Child was found in the attached classroom bathroom.

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. Children must be supervised at all times. 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 5/1/24 damaged equipment was observed at the facility. The carpet was torn in the preschool classroom causing an entanglement/tripping hazard. CORRECTED ON SITE. The hose box lid was cracked on the toddler playground causing a pinching hazard.

Correction Required: 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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 5/1/24, it was observed that the emergency contact form for child 1 did not include addresses for the persons to whom the child may be released to.

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: 3270.133(7)(iii)/3270.133(7)(iv)

Description: Refrigeration required/Amount to administer

Noncompliance Area: On 5/1/24, it was observed that the medication log for child 2 did not indicate whether the medication required refrigeration or the dosage amount.

Correction Required: A medication log shall include a requirement for refrigeration of medication. A medication log shall include the amount of medication administered.

Regulation: 3270.133(7)(v)

Description: Date of administration

Noncompliance Area: On 5/1/24, it was observed that the medication log for child 3 did not indicate the dates the medication should be administered.

Correction Required: A medication log shall include the date of administration.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On 5/1/24, it was observed that the emergency contact form for child 1 did not have signed parental consent for administration of first aid.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.21/3270.76

Description: General Health and Safety/Building Surfaces

Noncompliance Area: On 5/1/24 it was observed that there were hazards on the playground outside the Pre K classroom. The metal spikes holding down the railroad ties were observed to be protruding causing a tripping or impalement hazard. The railroad tie on the left side of the mulch area was observed to be very soft in the middle. posing a foot entrapment or tripping hazard.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 5/1/24, it was observed that staff person 1 had been employed as the cook for longer than 90 days and did not have record of completed Mandated Reporter Training on file.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 5/1/24, it was observed that toxics were accessible to children. Diaper creams were observed to be stored in the unlocked cabinet, under the changing table. in the infant room. Sunscreen was observed to be accessible in the Pre K classroom on the desk, in the bag on the floor, and in the basket near the cubby 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: 3270.75(c)

Description: Has all items

Noncompliance Area: On 5/1/24, it was observed that the first aid kit in the Young Toddler classroom was missing rubber gloves. CORRECTED ON SITE.

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: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: On 5/1/24, it was observed that there was peeling paint in the facility. Peeling paint was observed behind the table in the eating area in the infant classroom. Peeling paint was observed on the wall and windowsill in the eating area in the young toddler classroom. Peeling paint was observed on the door to the library in the Pre K classroom.

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.

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: On 3/14/24, it was observed that there were mouse droppings in the kitchen on the open shelving and under the sink. Mouse droppings were also observed on the floor in the school age and older toddler classrooms.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: On 10/19/23 it was observed that staff health assessments were not on file before starting employment. Continued non-compliance was observed on 1/10/24. Staff person 5 was currently employed as the cook and did not have a health assessment or TB test 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. 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.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: On 12/6/23, it was observed that child 1 was restrained in a crib from 7:45 until 8:20 AM. The child was an infant who was awake for the duration of this time.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 12/6/23, it was observed that the facility was out of ratio between 7:45 AM and 8:00 AM. Continued Non-Compliance from 11/3/23. Staff person 1 was observed in the preschool classroom with 11 preschool age children. Ratio for this group should have been 1 adult to 10 children. 13 children (1 infant and 12 young and older toddlers) were observed in the toddler classroom. Staff person 2 stated that their primary care group was 1 infant and 3 younger toddlers. Staff person 3 was responsible for the remaining 9 young and older toddlers. Ratio for staff person 3 should have been 1 adult to 5 children.

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). A Facility representative will attend Existing Provider Orientation.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 12/6/23, it was observed that the facility was out of ratio between 7:45 AM and 8:00 AM. Continued Non-Compliance from 11/3/23. Staff person 1 was observed in the preschool classroom with 11 preschool age children. Ratio for this group should have been 1 adult to 10 children. 13 children (1 infant and 12 young and older toddlers) were observed in the toddler classroom. Staff person 2 stated that their primary care group was 1 infant and 3 younger toddlers. Staff person 3 was responsible for the remaining 9 young and older toddlers. Ratio for staff person 3 should have been 1 adult to 5 children.

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). The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 12/6/23, it was observed that the facility was out of ratio between 7:45 AM and 8:00 AM. Continued Non-Compliance from 11/3/23. Staff person 1 was observed in the preschool classroom with 11 preschool age children. Ratio for this group should have been 1 adult to 10 children. 13 children (1 infant and 12 young and older toddlers) were observed in the toddler classroom. Staff person 2 stated that their primary care group was 1 infant and 3 younger toddlers. Staff person 3 was responsible for the remaining 9 young and older toddlers. Ratio for staff person 3 should have been 1 adult to 5 children.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: On 11/3/23 it was observed that children's hands were not washed after diaper changes in the young toddler classroom. Staff person 4 was observed changing 3 consecutive diapers without washing each child's hands.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: On 11/3/23, it was observed that staff hands were not washed after diaper changes in the young toddler classroom. Staff person 4 was observed completing 3 consecutive diaper changes without washing their hands after each child.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 11/3/23 it was observed that ratio was not met in the facility. At 7:50 AM it was observed that there were 12 children observed in the toddler classroom (2 infants, 4 young toddlers, and 6 older toddlers) with staff person 3 and 4. Staff ratio should have been 1 adult to 4 children. At 7:50 AM it was observed that there were 30 children in the school age classroom (9 preschoolers and 21 school age children) with staff person 1 and 2. Staff ratio should have been 1 adult to 10 children.

Correction Required: 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.

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: On 11/3/23, it was observed that there were 30 children present in the school age classroom where the measured capacity is 21.

Correction Required: The capacity established for an indoor space may not be exceeded.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 10/19/23, it was observed that the white couch int he One's classroom was torn on the armrests.

Correction Required: 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.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: On 10/19/23, it was observed that there were not arrival/departure times on the agreement forms for child 2 and 4.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: On 10/19/23, it was observed that parent work phone number was not listed on the emergency contact form for child 4.

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: On 10/19/23, it was observed that addresses for release persons were not on the emergency contact form for child 4.

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: 3270.133(7)(iii)/3270.133(7)(v)

Description: Refrigeration required/Date of administration

Noncompliance Area: On 10/19/23 it was observed that the medication log for child 10 was incomplete. The medication log did not indicate the dates to administer and whether the medication required refrigeration.

Correction Required: A medication log shall include a requirement for refrigeration of medication. A medication log shall include the date of administration.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 10/19/23, it was observed that staff person 6 did not have completed Health and Safety training or pediatric first aid and CPR training on file. I was stated by management staff that staff person 6 drives the bus by themselves. Staff persons may not work alone without completion of Health and Safety training or pediatric first aid and CPR training.

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)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: On 10/19/23 it was observed that staff health assessments were not on file before starting employment. Staff person 4 was currently employed with children and did not have a health assessment or TB test on file. Staff person 5 was currently employed as the cook and did not have a health assessment or TB test on file. Staff person 6 was currently employed as the bus driver and did not have a health assessment or TB test 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. 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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 10/19/23, it was observed that staff person 4 and 6 were currently employed with children did not have 2 written nonfamily references on file.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: On 10/19/23, it was observed that the used water cups from snack time were stored in a plastic bin on the floor beside the sink counter in the One's classroom. A one year old child was observed drinking out of at least 4 different cups in the bin without intervention.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On 10/19/23, it was observed that staff person 6 was working alone with children as the bus driver and did not have record of completion of Emergency Plan training on file. Staff person 6 may not work alone until Emergency Plan training is completed.

Correction Required: 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 10/19/23, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 1 had a state police clearance on file that expired on 4/20/23 that was not updated until 5/22/23. Clearances must be updated every 60 months. Staff person 1 had a FBI clearance on file that expired on 4/25/23 that was not updated until 10/18/23. Clearances must be updated every 60 months. Staff person 1 had a child abuse clearance on file that expired on 5/1/23 that was not updated. Clearances must be updated every 60 months. Staff person 1 may not work until child abuse clearance is updated. Staff person 1 had a Mandated Reporter training on file that expired on 8/9/23 that was not updated until 10/4/23. Mandated Reporter Training must be updated every 60 months. Staff person 4 did not have a State Police clearance or provisional paperwork on file verifying it was submitted. Clearances or Provisional Paperwork must be on file before starting employment with children. Staff person 4 may not work until completed State Police clearance is on file. Staff person 3 did not have a NSOR (National Sex Offender Registry) certificate on file and had been employed longer than 90 days. All clearances must be completed and on file within 45 days of employment with children. Staff person 3 may not work with children until NSOR certificate is on file. Continued non-compliance from 8/1/23. Staff person 4 has clearances on file that indicate they are suitable for work with children, but misdemeanors are present and the clearances were not submitted for review by the regional office. Staff person 4 may not work unsupervised with children until clearances are reviewed. Staff person 6 was observed to be employed by the facility and did not have a NSOR certificate on file. Staff Person 6 may not work with children until the NSOR certificate is on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1, 3, 4, and 6 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, 3, 4, and 6, --- 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: On 10/19/23, it was observed that staff person 6 was employed as the bus driver who drives the school age students alone. Staff person must be at least Assistant Group Supervisor qualified and did not have verification of education or experience on file to meet the requirements for Assistant Group Supervisor.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: On 10/19/23, it was observed that the first aid kit in the 2's classroom did not contain rubber gloves. CORRECTED ON SITE.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: On 10/19/23, it was observed that there was a visible layer of dirt that could be scraped off with a finger on the vent covers by the exit doors in the School Age, Preschool, and PreK classrooms.

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: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: On 10/19/23 it was observed that there was peeling paint in the facility. Peeling Paint was observed on the wall by the hallway door, in the 2's classroom. Peeling Paint/splintering wood was observed on the green half door between the one's and two's classrooms.

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.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On 8/2/23, it was observed that there was not sufficient surfacing material under the embedded playground equipment on the preschool/school age side of the playground.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 8/2/23, it was observed that requirements for health and safety training were not followed. Staff person 2 had been employed for longer than 90 days and did not have verification of the required Health and Safety training on file. Staff person 1 was in their provisional hire period and did not have health and safety training and first aid/CPR training on file and were observed working alone with children in the school age classroom.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 8/2/23, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 3 had been employed for longer than 45 days and did not have a NSOR (National Sex Offender Registry) certificate on file. Staff person 3 was observed working alone with the infants and the young toddlers. Not Corrected 10/23/23 Staff person 2, who is it their provisional hire period was observed working alone in the school age classroom and did not have completed Mandated Reporter training on file.-Corrected

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 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: 3270.33(a)/3270.192(2)(iv)

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: On 8/1/23, it was observed that staff person 1 did not have verification of education on file. Staff person 1 was functioning as an Assistant Group Supervisor and was observed working alone in the school age classroom.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 1/6/23, it was observed that the play washer and dryer in the dramatic play area was chipped and splintering.

Correction Required: 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.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: On 1/6/23, it was observed that the daily schedule of activities was not posted in the Kindergarten and Pre K classrooms. CORRECTED 1/9/23.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.151(a)

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

Noncompliance Area: On 1/6/23, it was observed that staff person 2 had a health assessment on file that expired on 8/17/22 that was not updated until 9/12/22. Staff health assessments must be updated every 24 months.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 1/6/23, it was observed that staff person 1 had a FBI clearance on file that expired on 8/31/22 that was not updated until 12/10/22. FBI clearances must be updated every 60 months.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 1/6/23, it was observed that teacher medication was stored in an unlocked desk drawer. CORRECTED 1/9/23

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On 1/6/23, it was observed that there was peeling paint on the closet door near the teacher's desk.

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

Noncompliance Area: Mulch (less than 1 inch in diameter) was observed along the fence to the toddler playground. Pieces of mulch had washed under the fence and the mulch was accessible from the playground.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. 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.

Noncompliance Area: A small container of hand-sanitizer was observed in an area accessible to the children in the kindergarten room. (CORRECTED ON SITE)

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: The base of the chain-link fence was in poor repair near the school-age basketball hoop, and near the sandbox on the preschool playground. Areas along the base were sharp and pointing inwards towards the play-space.

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: An area of peeling paint/plaster was observed in the pre-k classroom (CORRECTED ON SITE). Chipping/peeling paint was observed on the door frames outside on the playground.

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

Noncompliance Area: The mushroom tree play equipment on the infant/toddler playground has sharp edges, entrapment/pinch points.

Correction Required: 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.

Noncompliance Area: On 7/31/19 diaper changing was observed in the YT room. Staff did not wash her hands nor the child's after each diaper change.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: Staff 1 did not have 2 written references on file.

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: Staff 1 did not have documentation of payment/request of completed clearances on file. Hire date 7/2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person 1 -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person 1--- may not work in a child care position at the facility.

Noncompliance Area: An incident involving an enrolled child was not reported to the parent on the day of the incident.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: Staff 1 "flicked" child on the head to obtain his attention.

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

Noncompliance Area: Staff 1 heard using harsh, loud aggressive tone of voice towards children.

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

Noncompliance Area: Medication for child 1 was not in the original containers.

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.

Noncompliance Area: Exposed tree roots and cement post headers pose hazards on the toddler playground.

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity. 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: Sanitizer used for diapering was not properly made.

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: An infant placed in crib for sleeping was observed with a stuffed animal in the crib. The toy/stuffed animal was immediately removed and regulation discussed with staff.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: Staff #1, seasonal/summer employee, did not receive updated annual emergency plan training upon return to work. Last documented training 5/10/17.

Correction Required: 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. 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: Staff 1 did not have annual firesafety training. Date of hire June 2017.

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.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: When reviewing closing staffing, none of the closers have current first aid training.

Correction Required: One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: FORMULA BOTTLES FOR INFANTS WERE NOT WASHED/RINSED/SANITIZED OR WASHED IN DISHWASHER AFTER EACH USE.

Correction Required: Toys soiled by secretion or excretion shall be cleaned with soap and water, rinsed and sanitized before being used by a child. Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Noncompliance Area: AGREEMENT DID NOT INCLUDE SERVICES PROVIDED I.E. CHILDCARE, MEALS, ACTIVITIES OR DATE OF ADMISSION.

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).An agreement shall specify the date of the child's admission.

Noncompliance Area: AGREEMENT FORM DID NOT INCLUDE DESIGNATED RELEASE PERSON AND SERVICES CONSIDERED EXTRA.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: NO FIRST AID KIT IN OMNIBUS #2. CORRECTED ON SITE.

Correction Required: A first-aid kit, including the contents as specified in 3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: STAFF 1 DATE OF HIRE 1/9/17 DID NOT HAVE CURRENT PHYSICAL OR TB 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.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.