Thomas Child Care And Learning Academy Llc
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About the Provider
Hours of Operation
- Monday6:00 AM - 6:00 PM
- Tuesday6:00 AM - 6:00 PM
- Wednesday6:00 AM - 6:00 PM
- Thursday6:00 AM - 6:00 PM
- Friday6:00 AM - 6:00 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
|---|---|---|---|
| 2025-10-15 | Renewal | 3270.123(a)(1) - Amount of fee | Compliant - Finalized |
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Regulation: 3270.123(a)(1) Description: Amount of fee Noncompliance Area: The fee agreement for Child #3 was lacking the amount of the fee to be charged per day or per week. Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. |
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Provider Response: (Contact the State Licensing Office for more information.) The fee agreement for Child #3 has been updated to include the required fee amount. The parent/guardian has reviewed and signed the corrected agreement, and a copy has been placed in the child's file. |
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| 2025-10-15 | Renewal | 3270.123(a)(4) - Arrival/departure times | Compliant - Finalized |
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Regulation: 3270.123(a)(4) Description: Arrival/departure times Noncompliance Area: The fee agreement on file for Child #3 was lacking the child's arrival and departure times. Correction Required: An agreement shall specify the child's arrival and departure times. |
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Provider Response: (Contact the State Licensing Office for more information.) The fee agreement for Child #3 has been updated to include the child's regular arrival and departure times. The parent/guardian has reviewed and signed the corrected agreement, and the updated document has been placed in the child's file. |
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| 2025-10-15 | Renewal | 3270.123(a)(6)/3270.182(2) - Admission date/Application, admission, withdrawal dates | Compliant - Finalized |
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Regulation: 3270.123(a)(6)/3270.182(2) Description: Admission date/Application, admission, withdrawal dates Noncompliance Area: The fee agreement for Child #3 and Child #5 was lacking the 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The fee agreements for Child #3 and Child #5 have been updated to include each child's date of admission. Parents/guardians have reviewed and signed the corrected agreements, and the updated documents have been placed in the children's files. |
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| 2025-10-15 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: The emergency contact forms for Child # 1, Child #2, and Child #5 were lacking the work addresses and telephone numbers of the enrolling parent. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency contact forms for Child #1, child #2 and child #5 have been reviewed to ensure that the work addresses and phone numbers of parents are on the Emergency contact form. |
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| 2025-10-15 | Renewal | 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission | Compliant - Finalized |
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Regulation: 3270.124(b)(4)/3270.182(3) Description: Written consent/Consent for emergency medical care required prior to admission Noncompliance Area: The emergency contact form on file for Child #2 was lacking written consent signed by a parent for emergency medical care. Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency contact form for Child #2 has been updated to include written consent for emergency medical care, signed by the parent/guardian. The completed form has been placed in the child's file. |
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| 2025-10-15 | Renewal | 3270.124(b)(5) - Information re: special needs | Compliant - Finalized |
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Regulation: 3270.124(b)(5) Description: Information re: special needs Noncompliance Area: The emergency contact forms for Child #1, Child #2 and Child #5 were lacking information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. |
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Provider Response: (Contact the State Licensing Office for more information.) All current emergency contact forms for Child #1, Child #2, and Child #5 have been reviewed and updated to include each child's special needs information as provided by the parent or healthcare provider. |
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| 2025-10-15 | Renewal | 3270.124(b)(6) - Insurance coverage information | Compliant - Finalized |
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Regulation: 3270.124(b)(6) Description: Insurance coverage information Noncompliance Area: The emergency contact form for Child #1, Child #3, and Child #4 was lacking health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Emergency contact forms for Child #1, Child #3, and Child #4 have been reviewed and updated to include the child's health insurance coverage and policy number. |
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| 2025-10-15 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The emergency contact form on file for Child #1, Child #2 and Child #5 was lacking the addresses of the individuals designated by the parent to whom the child may be released. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency contact forms for Child #1, Child #2, and Child #5 have been reviewed and updated to include the full name, address, and telephone number of each individual authorized by the parent to pick up the child. |
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| 2025-10-15 | Renewal | 3270.131(b)(1)/3270.182(1) - Infant: updated health report every 6 months/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(b)(1)/3270.182(1) Description: Infant: updated health report every 6 months/Initial and subsequent health reports Noncompliance Area: The two most recent health assessments on file for Child #1, who is a young toddler, are dated 8/8/24 and 6/30/25, which are more than 6 months apart. 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. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #1's parent has been contacted to provide an updated health assessment to ensure the child's record is current and complies with the 6-month requirement. |
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| 2025-10-15 | Renewal | 3270.134(a) - Child's hands washed | Compliant - Finalized |
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Regulation: 3270.134(a) Description: Child's hands washed Noncompliance Area: It was observed that Staff Person #3 did not wash the hands of the child after having their diaper changed. Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff was reminded to make sure a child's hands are washed, before meals, snacks and after toileting and after being diapered |
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| 2025-10-15 | Renewal | 3270.135(a)(3) - Disposable diapers | Compliant - Finalized |
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Regulation: 3270.135(a)(3) Description: Disposable diapers Noncompliance Area: During observation of a diaper change Staff # 3 put a soiled diaper on the changing table until they completed the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can. Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff was reminded that a soiled diaper must be immediately discarded by placing it into a plastic-lined, hands-free covered can to prevent contamination and maintain proper hygiene. |
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| 2025-10-15 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 most current health assessment on file for Staff Person #4 is dated 4/18/23 which is more than 24 months ago. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We have updated Staff Person #4's health assessment so it is current and meets the 24-month requirement. |
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| 2025-10-15 | Renewal | 3270.151(c)(3) - Exam communicable disease | Compliant - Finalized |
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Regulation: 3270.151(c)(3) Description: Exam communicable disease Noncompliance Area: The current health assessment on file for Staff Person #1 indicated that the staff person has a communicable/contagious disease, with no additional information given. Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. |
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Provider Response: (Contact the State Licensing Office for more information.) We will obtain a complete, updated health assessment for Staff Person #1 from a licensed healthcare provider to ensure the assessment explicitly addresses communicable diseases and includes test results, diagnoses, and any required follow-up or restrictions . We did file the updated assessment in the staff member's record. |
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| 2025-10-15 | Renewal | 3270.161(d) - Potentially hazardous food refrigerated | Compliant - Finalized |
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Regulation: 3270.161(d) Description: Potentially hazardous food refrigerated Noncompliance Area: It was observed that there was lunch box on the counter next to the refrigerator in the downstairs preschool room that contained a cheese pizza Lunchables that needs refrigerated, and in the toddler classroom here was a lunchbox that contained yogurt that wasn't in the refrigerator. Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated. |
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Provider Response: (Contact the State Licensing Office for more information.) We immediately put the lunch in the fridge to maintain safe temperatures and prevent foodborne illness. |
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| 2025-10-15 | Renewal | 3270.182(5) - Consent for administration of minor first-aid required prior to admission | Compliant - Finalized |
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Regulation: 3270.182(5) Description: Consent for administration of minor first-aid required prior to admission Noncompliance Area: The emergency contact form on file for Child #2 was lacking signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency contact forms for Child #2 have been reviewed and updated to include parental consent for admin of minor first aid procedures by facility staff. |
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| 2025-10-15 | Renewal | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: Staff Person #2 completed Pediatric First Aid/CPR pre-service training after 90 days of their day of hire (see LIS code sheet). Their Pediatric First Aid/CPR certificate is dated 5/22/25. Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff Person #2 has now successfully completed the Pediatric First Aid/CPR training and holds a valid certificate. |
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| 2025-10-15 | Renewal | 3270.66(b) - Original container | Compliant - Finalized |
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Regulation: 3270.66(b) Description: Original container Noncompliance Area: It was observed that there was toxic cleaning supplies stored on top of the refrigerator in the infant/toddler room and older toddler/young preschool rooms, which could potentially leak and contaminate the area in which food is being stored. Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces. |
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Provider Response: (Contact the State Licensing Office for more information.) All cleaning supplies have been immediately removed from the tops of refrigerators and placed in bins and relocated to designated secured storage cabinets or in bins that are inaccessible to children and located away from any food or food preparation areas. All cleaning products will be stored in a closed container, out of the reach of children, at all times. |
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| 2025-10-15 | Renewal | 3270.67(a) - Trash removed once a day | Compliant - Finalized |
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Regulation: 3270.67(a) Description: Trash removed once a day Noncompliance Area: In the outdoor play space, it was observed that there was a garbage can full of discarded food and drinks that wasn't removed from the play space the day before. Correction Required: Trash shall be removed from the facility at least once per day. |
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Provider Response: (Contact the State Licensing Office for more information.) The trash was immediately removed from the outdoor play area. The area was cleaned and inspected to ensure it was free of debris and pests. |
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| 2024-12-05 | Self-Reported Non Compliance | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: On 11/20/24, the operator self-reported a non-functioning furnace in the downstairs preschool 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Furnace was replaced on 12/5/24 and children were moved back into their normal facility |
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| 2024-10-02 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: There were foam blocks with teeth marks and a cracked bin in the preschool room. There was a cracked pencil box, a cracked blue bin, and a cracked yellow bin in the pre-K room. There was a blue cracked bin in the toddler room. There was a broken garbage can with an exposed wire in the playground. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The foam blocks w/ the teeth marks and all the cracked bins in the toddler rooms as well as the Pre-K rooms have been disposed of. |
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| 2024-10-02 | Renewal | 3270.123(b)/3270.182(8) - Parent receives original/Copy of initial and subsequent agreements. Parent receives original. | Compliant - Finalized |
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Regulation: 3270.123(b)/3270.182(8) Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original. Noncompliance Area: The files for child # 1 and 3 contained an original agreement form. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) An additional copy of the agreement was made and the parent was provided the original copy. |
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| 2024-10-02 | Renewal | 3270.124(b)(1) - Child's name, birth date | Compliant - Finalized |
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Regulation: 3270.124(b)(1) Description: Child's name, birth date Noncompliance Area: The file for child #3 lacked the child's birthday on the emergency contact form. Correction Required: Emergency contact information must include the name and birth date of the child. |
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Provider Response: (Contact the State Licensing Office for more information.) The child's birthdate was added to the emergency contact form. |
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| 2024-10-02 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: The file for child # 3 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) The parent completed the work information field of the emergency contact form |
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| 2024-10-02 | Renewal | 3270.124(b)(5) - Information re: special needs | Compliant - Finalized |
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Regulation: 3270.124(b)(5) Description: Information re: special needs Noncompliance Area: The file for child # 3 lacked the information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the Emergency contact form. Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. |
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Provider Response: (Contact the State Licensing Office for more information.) The parent completed the contact information field of the emergency contact form |
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| 2024-10-02 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The file for child # 3 lacked the address of the individual designated by the parent to whom the child may be released on the 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The parent completed the address field for emergency contact persons of the emergency contact form |
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| 2024-10-02 | Renewal | 3270.124(e) - Written emergency plan posted | Compliant - Finalized |
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Regulation: 3270.124(e) Description: Written emergency plan posted Noncompliance Area: The infant/toddler room lacked an emergency transportation plan. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) A copy of the transportation document was hung in the classroom |
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| 2024-10-02 | Renewal | 3270.131(a) - Health information | Compliant - Finalized |
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Regulation: 3270.131(a) Description: Health information Noncompliance Area: The file for child # 2 an old toddler contained a current health report that was provided after 60 days. The child was in care longer that 60 days without initial health report. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Child Health reports for child #2 was provided. |
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| 2024-10-02 | Renewal | 3270.133(7) - Medication log | Compliant - Finalized |
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Regulation: 3270.133(7) Description: Medication log Noncompliance Area: The operator was not maintaining a medication log for prescriptions medication, Albuterol for child # 4. Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. |
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Provider Response: (Contact the State Licensing Office for more information.) A medical form for child #4 albuterol prescripion was completed by the parent |
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| 2024-10-02 | Renewal | 3270.134(a) - Child's hands washed | Compliant - Finalized |
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Regulation: 3270.134(a) Description: Child's hands washed Noncompliance Area: Staff # 3 did not wash the child's hands after diapering. Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff washed the child's hands. Staff reviewed the posted potty changing steps. |
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| 2024-10-02 | Renewal | 3270.135(a)(3) - Disposable diapers | Compliant - Finalized |
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Regulation: 3270.135(a)(3) Description: Disposable diapers Noncompliance Area: Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can. Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. |
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Provider Response: (Contact the State Licensing Office for more information.) The soiled diaper was disgarded. |
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| 2024-10-02 | Renewal | 3270.161(d) - Potentially hazardous food refrigerated | Compliant - Finalized |
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Regulation: 3270.161(d) Description: Potentially hazardous food refrigerated Noncompliance Area: There was a lunchbox out of the refrigerator that contained cheese. The lunchbox was on a shelf by the refrigerator in the pre-K room. Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated. |
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Provider Response: (Contact the State Licensing Office for more information.) The cheese was put into the refirgerator and labeled with the child's name outside of the lunch box. |
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| 2024-10-02 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: There was a piece of wood with two exposed screws on the floor by the sink steps in the toddler room accessible to children. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) We removed the piece of wood from the classroom. and from child access. |
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| 2024-10-02 | Renewal | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: The file for staff #1 lacked documentation of current pediatric first-aid and pediatric CPR certification. The previous certification for staff #1 was dated 9/22/22 to 9/22/24. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 will enroll in a CPR/First-Aid course prior to returning from suspension, |
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| 2024-10-02 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff #2 contained a current NSOR clearance dated 12/7/23. Staff #2 date of hire was 12/5/23. The file lacked documentation of the NSOR clearance application prior working with children. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2 has obtained her NSOR clearance |
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| 2024-10-02 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: There was an uncovered electrical outlet on the circle time wall in the preschool room accessible to children 5 years of age or younger. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) A cover was placed over the electrical outlet |
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| 2024-10-02 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: There was a hand sanitizer labeled " keep out of reach of children". accessible to children on the floor in the 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The hand sanitizer was removed from the floor and placed out of reach out the children |
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| 2024-10-02 | Renewal | 3270.67(d) - Contaminated trash in closed plastic-lined receptacle | Compliant - Finalized |
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Regulation: 3270.67(d) Description: Contaminated trash in closed plastic-lined receptacle Noncompliance Area: There was an open garbage can with contaminated by human secretions trash in pre-k room and one in the infant/toddler room. Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. |
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Provider Response: (Contact the State Licensing Office for more information.) The open garbage can was replaced with a covered trash bin in the pre-k and toddler room |
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| 2024-10-02 | Renewal | 3270.75(b) - Inaccessible to children | Compliant - Finalized |
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Regulation: 3270.75(b) Description: Inaccessible to children Noncompliance Area: The first -Aid kit in the preschool room was placed on the floor accessible to children. Correction Required: A first-aid kit must be inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) First Aid and the Emergency Bag was taken off the floor and placed in the proper place out of the reach of children. |
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| 2024-10-02 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: On the stairs leading to the second floor, there were 2 damaged stair covers causing a tripping hazard. The upstairs children bathroom window frame wallpaper was pulling off the wall. There was a ceiling light frame coming off the ceiling in the toddler room. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The damaged staircase covering were thrown away and replaced. The wallpaper around the upstairs bathroom window frame was glued and the window frame was tightened up. |
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| 2024-10-02 | Renewal | 3270.82(g) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.82(g) Description: Clean and good repair Noncompliance Area: The second toilet in the boy's bathroom was soiled. Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair. |
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Provider Response: (Contact the State Licensing Office for more information.) The second toilet in the boys restroom was properly cleaned from any soiling and the light fixtures have been secured. |
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| 2024-07-03 | Change in Location Capacity | Change in Location Capacity | Compliant - Finalized |
| 2024-01-04 | Unannounced Monitoring | Unannounced Monitoring | Compliant - Finalized |
| 2023-10-16 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: Observed Plastic Bags and Halloween Plastic Eyeballs that were labeled, "Choking Hazard" in the School Aged Classroom where Toddlers who are still placing items in their mouths were receiving care. Observed foam shapes with bite marks in the School Aged Classroom where the Toddlers who are still placing items in their mouths were receiving care. Observed Tulle Material tied to multiple cribs in the Infant Classroom. These items pose a choking hazard to the children who are still placing items in their mouths. Observed small glue sticks labeled, "Choking Hazard" in a low unlocked drawer in the Infant Classroom that were accessible to children who are still placing items in their mouths. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Plastic bags, eyeballs, glue sticks, foam blocks with indentation marks and missing pieces and tulle was disposed of. Glue sticks were placed out of reach of children. |
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| 2023-10-16 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The file for Child #2 contained a child service form that provides information to the family about the child's growth and development in the context of the services being provided that had not been updated in the previous 6 months. The files for Child #1 and #3 contained a child service form that provides information to the family about the child's growth and development in the context of the services being provided that is deemed unacceptable. 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). |
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Provider Response: (Contact the State Licensing Office for more information.) Development and Learning Reports from TSG (an acceptable child service report) was run for each child. |
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| 2023-10-16 | Renewal | 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission | Compliant - Finalized |
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Regulation: 3270.124(b)(4)/3270.182(3) Description: Written consent/Consent for emergency medical care required prior to admission Noncompliance Area: The Emergency Contact Form in the file for Child #2 lacked written consent signed by a parent for emergency medical care. Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) The parent signed the written consent box for emergency medical care. |
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| 2023-10-16 | Renewal | 3270.124(c) - Each child care space | Compliant - Finalized |
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Regulation: 3270.124(c) Description: Each child care space Noncompliance Area: The Emergency Contact information was not present in the Downstairs Classroom for Child #5. The child was present and receiving care in the room. The Emergency Contact information was not present in the Middle Room for the children who were present and receiving care in the room. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency contact form is now present in the classroom. |
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| 2023-10-16 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: The file for Child #1 contained an Emergency Contact Form that had not been updated within the last 6 months. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #1s emergency contact form has been updated by the parent. |
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| 2023-10-16 | Renewal | 3270.131(b)(2)/3270.181(c) - Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.131(b)(2)/3270.181(c) Description: Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos Noncompliance Area: The file for Child #2, an Older Toddler, contained Health Reports that had been updated in an interval greater than 12 months. The file for Child #3, a Preschooler, lacked an updated health report within the last 12 months. The file for Child #4, an Older Toddler, contained a health report that lacked a date; therefore, it could not be determined if it was within the last 12 months. 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 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Updated health reports have been provided for child #2 and child #3 and we will ask parents to ensure that the form is filled out and dated. Updated health report was received for the child with a date provided by physician for Child #4. |
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| 2023-10-16 | Renewal | 3270.131(d)(5)/3270.131(e)(1) - Immunization record/Exemption documentation from parent/guardian | Compliant - Finalized |
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Regulation: 3270.131(d)(5)/3270.131(e)(1) Description: Immunization record/Exemption documentation from parent/guardian Noncompliance Area: The file for Child #4, enrolled for more that 60 days at the facility, did not contain documentation of a 2nd and 3rd dose of the DTAP vaccination, and an influenzas vaccination as required based on the child's age as per the ACIP recommended schedule. Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in childcare group settings). Child #4 must be dismissed from care by close of business 10/19/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. |
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Provider Response: (Contact the State Licensing Office for more information.) An updated copy of the child immunizations report which included the 2nd and 3rd dose of the DTAP and influenza vaccination was provided by the parent. |
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| 2023-10-16 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: Although Staff #2, #5, #6, and #7 had the Pennsylvania Health and Safety Updated training at the time of the Renewal Inspection it was observed that Staff #2, #5, #6, and #7 had not completed the Pennsylvania Health and Safety Updated by the compliance date of 12/30/22 as set forth in Announcement C-22-06. The file for Staff #8 lacked the Pennsylvania Health and Safey Updated training by the compliance date of 12/30/22 as set forth in Announcement C-22-06. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All Staff members completed the 2022 Health and Safety update. |
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| 2023-10-16 | Renewal | 3270.166(1) - Written statement | Compliant - Finalized |
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Regulation: 3270.166(1) Description: Written statement Noncompliance Area: The file for Child #6, an infant, lacked a written formula and feeding schedule obtained from the parent. Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent. |
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Provider Response: (Contact the State Licensing Office for more information.) The parent created a feeding schedule and signed the formula food program sheet and posted it in the classroom. |
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| 2023-10-16 | Renewal | 3270.182(5) - Consent for administration of minor first-aid required prior to admission | Compliant - Finalized |
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Regulation: 3270.182(5) Description: Consent for administration of minor first-aid required prior to admission Noncompliance Area: The Emergency Contact form for Child #2 lacked signed parental consent for administration of minor first-aid procedures by facility staff. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Parent for child #2 signed the line for allowing their child to receive minor first-aid procedures on the emergency contact form |
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| 2023-10-16 | Renewal | 3270.192(2)(iv) - Transcript, diploma and letters | Compliant - Finalized |
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Regulation: 3270.192(2)(iv) Description: Transcript, diploma and letters Noncompliance Area: The file for Staff #3 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member requested a copy of her high school diploma from archives. The School District requested from archive. The School District provided a letter with proof of qualification. |
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| 2023-10-16 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: The file for Staff #5 contained Emergency Plan trainings that were dated more than 12 months apart. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon initial employment during orientation, the employee will have emergency plan training. All employees have and will moving forward be trained annually in August. |
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| 2023-10-16 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: The file for Staff #5 contained Fire Safety Trainings that were dated more than 12 months apart. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff will receive fire safety training annually during the 1st week of September. |
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| 2023-10-16 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff Person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Basics). Although Staff Person #7 had Health and Safety Basic training at the time of Renewal Inspection, it was observed that Staff Person #7 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Basics). Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3 will have until 11/3/23 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff will be required to complete the health and safety training as part of orientation. All staff have Health and Safety training. |
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| 2023-10-16 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: Although Staff #4 had Mandated reporter Training at the time of the Renewal Inspection, it was observed that Staff #4 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) All staff will take mandated reporter training as a part of initial hire at orientation. Staff have current mandated reporter training. |
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| 2023-10-16 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for Staff #3 contained an FBI Clearance and State Police Clearance without the accompanying Rap Sheets, and therefore was not a complete clearance. 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. Facility Person #3 may not work at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Rap sheets (if applicable) will accompany all clearances for staff members. Facility person #3 will not work at facility until all required clearance documents are received. |
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| 2023-10-16 | Renewal | 3270.34(a)(6) - Staff evaluations | Compliant - Finalized |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: The file for Staff #1 contained a written evaluation that was conducted in an interval greater than 12 months. Although the files for Staff #5 and #7 contained a Staff Evaluation at the time of the Renewal Inspection, it was observed that Staff #5 and #7 lacked a written evaluation within the first year of hire. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) Written evaluations will be conducted for new hires after their 90-day probation period by management and placed in their file. Staff have current evaluations. |
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| 2023-10-16 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: Observed three outlets on a surge protector in the Infant Classroom that lacked protective receptacle covers. These outlets were accessible to children 5 years of age or younger. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) Protective receptacle covers were added to all outlet covers. |
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| 2023-10-16 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: Observed Lysol Spray and GNC Immune Defense Gummies in an unlocked cabinet in the Middle Classroom. Observed hand sanitizer on a low interior windowsill in the Middle Classroom. These toxics were all labeled "Keep out of Reach of Children" and accessible to the children in care. Observed Lysol Spray labeled "Keep out of Reach of Children" on a low shelf in an unlocked cabinet that made them accessible to the children in care in the School Aged Classroom where Toddlers were receiving care. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Lysol Spray, hand sanitizers, and GNC Immune Defense Gummies were moved and placed in a cabinet out of reach of the children. |
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| 2023-10-16 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: Observed a missing face plate on an accessible electrical outlet in the School Aged Classroom. Observed a ripped carpet seam that ran the length of the Downstairs Classroom and caused a tripping hazard to the children in care. In the Downstairs Classroom a knob was observed to be missing on a low cabinet which exposed the screw underneath creating a cutting 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Faceplate was placed on the electrical outlet. Ripped carpet was repaired and screw for door knob as removed. |
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| 2023-05-31 | Unannounced Monitoring | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: The files for staff #2, 3, 4 and 6 lack the one-hour health and safety update which was to be completed by 12/30/22. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All Staff that had not previously completed the one-hour health and safety course was required to complete it within 24 hours. |
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| 2023-05-31 | Unannounced Monitoring | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person # 5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour health and safety training. Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #5 will have 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person # 5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member #5 completed the 10 hour health and safety training. |
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| 2023-05-31 | Unannounced Monitoring | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person # 1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour health and safety training. There is now health and safety training on file and dated 2/20/23. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member #1 completed the 10 hour health and safety training once her file was reviewed. |
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| 2023-05-31 | Unannounced Monitoring | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have 15 days from POC requested date to complete the mandated reporter training. Until then, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member #1 completed the Mandated Reporter training |
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| 2023-05-05 | Complaints- Legal Location | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: Based on interviews, it was determined that there have been times in the past few months when staff leave child care spaces and their supervision groups to talk on their personal cell phones and are not supervising their assigned child care groups. During the investigation on 5.5.23, Staff #3 was observed to not be able to see, direct or assess three (3) of the five (5) children in her supervision group when they ran ahead of her and into the empty classroom for several seconds and staff was not physically present with the children. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We have implemented a cell phone policy for staff which includes repercussions up to and including dismissal. All staff will be taking a supervision pd to be completed by June 12. We have also submitted a request for custom training regarding supervision with Trying Together. Management will reinforce our policy of staff updating the whiteboards in each classroom which lists the children in which each staff is responsible for by randomly popping in and questioning staff members. |
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| 2023-05-05 | Complaints- Legal Location | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: Based on interviews, it was determined that there have been times in the past few months when staff leave child care spaces and their supervision groups to talk on their personal cell phones in the hallway and therefore, were not physically present with the children in their respective groups. During an unannounced visit on 5.5.23, when asked to identify supervision groups, Staff #1 was unable to identify which children she was to be supervising until the third attempt, and only when assisted by other staff. Staff #2 was only able to identify four (4) of the eight (8) children which she was to be supervising. During an unannounced visit on 5.5.23, Staff #3 was observed to not able to see, direct or assess three (3) of the five (5) children in her supervision group when they ran ahead of her and into the empty classroom for several seconds and staff was not physically present with the children. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We have implemented a cell phone policy for staff which includes repercussions up to and including dismissal. All staff will be taking a supervision pd to be completed by June 12. We have also submitted a request for custom training regarding supervision with Trying Together. Management will reinforce our policy of staff updating the whiteboards in each classroom which lists the children in which each staff is responsible for by performing. |
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| 2023-05-05 | Complaints- Legal Location | 3270.52 - Mixed Age Level | Compliant - Finalized |
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Regulation: 3270.52 Description: Mixed Age Level Noncompliance Area: Based on interviews, it was determined that there have been times in the past few months when staff have been on their personal cell phones, stepping out of the rooms, while supervising children and leaving other staff out-of-ratio. 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). |
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Provider Response: (Contact the State Licensing Office for more information.) We have implemented a cell phone policy for our staff. We have purchased tablets for staff members to enter data through our Brightwheel app so that personal phones do not have to be used for this purpose in the classrooms. We also provided each classroom with a walkie talkie to be used for internal communication throughout the day. |
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| 2022-10-20 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: There were multiple rest mats in the preschool room that had tears that exposed the stuffing inside. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The restmats were disposed of |
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| 2022-10-20 | Renewal | 3270.123(a)(4) - Arrival/departure times | Compliant - Finalized |
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Regulation: 3270.123(a)(4) Description: Arrival/departure times Noncompliance Area: The file for child #1 had an agreement that lacked the child's arrival and departure times. Correction Required: An agreement shall specify the child's arrival and departure times. |
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Provider Response: (Contact the State Licensing Office for more information.) The arrival and departure time was added to child #1 agreement |
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| 2022-10-20 | Renewal | 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(b)(2)/3270.182(1) Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Noncompliance Area: The file for child #2, a preschooler, lacked a current health assessment updated within the last 12 months. 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 child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) The parent was given a new health assessment form to have her doctor complete. |
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| 2022-10-20 | Renewal | 3270.131(e)(1)/3270.182(1) - Exemption documentation from parent/guardian/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(e)(1)/3270.182(1) Description: Exemption documentation from parent/guardian/Initial and subsequent health reports Noncompliance Area: The file for child #2, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) The parent of child #2 sent a letter stating that she does not allow her daughter to have the influenza vaccine given. |
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| 2022-10-20 | Renewal | 3270.134(a) - Child's hands washed | Compliant - Finalized |
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Regulation: 3270.134(a) Description: Child's hands washed Noncompliance Area: In the infant/toddler room, the staff stated that the 2 year olds that are still wearing diapers have their diapers changed at the changing table in the room, and the children do not have a nearby sink to wash their hands after being diapered. Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. |
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Provider Response: (Contact the State Licensing Office for more information.) A portable sink was moved nearby the changing table. The 2 year old children that are able to wash their hands are now washing their hands at the sink after diapering. |
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| 2022-10-20 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: Staff person #8 was observed to be caring for children unsupervised. Staff person #8 has not completed the following pre-service trainings required prior to caring for children unsupervised: Mandated reporter training, Pediatric first-aid/CPR training from a PQAS approved trainer, and Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #10 was observed to be caring for children unsupervised. Staff person #10 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training in the topics of 3270.31(f)(1-9). 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. Until such time as the required pre-service trainings are completed, staff person #8 and #10 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #8 and #10, staff person #8 and #10 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #8 has now completed mandated reporter, pediatric first-aid/CPR training from a PQAS certified trainer. Staff persons #8 and #10 have both completed Health and Safety training. |
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| 2022-10-20 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: The facility had a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment that did not address the recognition of potential signs and symptoms of shaken baby syndrome and the prevention and identification of child maltreatment as required to comply with 45 CFR 98.41(a)(1)(vi). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We've added the recognition of potential signs and symptoms of shaken baby syndrome and the prevention and identification of child maltreatment to our policy to comply with 45 CFR 98.41(a)(1)(vi). |
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| 2022-10-20 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The files for staff person #3 and #6 lacked a current health assessment completed within the last 24 months. The files for staff person #4 and #5 had a health assessment that exceeded 24 months between assessments. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Both employee #3 and #6 have scheduled doctor appointments to have form completed and should have submitted by 12/15/2022. Employees #4 and #5 have updated health assessments. |
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| 2022-10-20 | Renewal | 3270.151(c)(2) - Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(c)(2) Description: Mantoux TB Noncompliance Area: The file for staff person #2 had a tuberculosis screening by the Mantoux method that was dated over a year prior to initial employment and requires a current tuberculosis screening by the Mantoux method. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2 received an updated tuberculosis screening |
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| 2022-10-20 | Renewal | 3270.152 - Adult Hygiene | Compliant - Finalized |
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Regulation: 3270.152 Description: Adult Hygiene Noncompliance Area: In the infant/toddler room, staff person #2 was observed changing a 1 year olds diaper at the changing table in the room, and then using hand sanitizer afterwards. The staff person did not wash their hands after diapering the child, and a sink was not located near the changing table to wash their hands after diapering the child. Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. |
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Provider Response: (Contact the State Licensing Office for more information.) A portable sink was moved into the area near the changing table. Staff are now utilizing the sink to wash their hands before meals and snacks, and after toileting and after diapering a child. |
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| 2022-10-20 | Renewal | 3270.166(4) - Bottles labeled | Compliant - Finalized |
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Regulation: 3270.166(4) Description: Bottles labeled Noncompliance Area: In the infant/toddler room, there were 2 bottles in the refrigerator for an infant in the room that were not labeled with the child's name. Correction Required: Disposable nursers and bottles shall be labeled with the child's name. |
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Provider Response: (Contact the State Licensing Office for more information.) The 2 bottles were labeled. |
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| 2022-10-20 | Renewal | 3270.31(e)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)/3270.192(2)(iii) Description: Age and Training/Exp, educ., training at facility Noncompliance Area: The file for staff person #1 lacked 8 annual hours of child care training completed within the last year. The file for staff person #4 lacked 6 annual hours of child care training completed within the last year. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff # 1 and Staff #4 completed the annual hours of PD |
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| 2022-10-20 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Acceptable Health and Safety Training in the topics of 3270.31(f)(1-9). Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff person #2 and #6 will have until 11-29-22 to complete the required training. Until such time as the required training has been completed, staff person #2 and #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2 and #6, staff person #2 and #6 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff persons #2 and #6 have now completed Health and Safety Training revised version. |
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| 2022-10-20 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: Staff person #6 had not completed mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 1-12-17 and 10-5-22. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #6 has completed mandated reporter training. |
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| 2022-10-20 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #7 lacked an FBI clearance and had an NSOR verification certificate that was dated after their start date and did not have verification of application for the FBI clearance or the NSOR verification certificate at their start date to be a provisional hire. (See LIS CODE SHEET) The file for staff person #2 had a disclosure statement that was not signed by the staff person. 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. Staff Person #7 may not work at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #7 has FBI Clearance and NSOR verification certificates. The FBI clearance for staff person #7 was misplaced at the time of inspection and was placed in the file immediately. Staff person #2 has a signed disclosure statement on file. |
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| 2022-10-20 | Renewal | 3270.34(a)(6) - Staff evaluations | Compliant - Finalized |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: The file for staff person #4 lacked a current staff evaluation completed within the last 12 months. The files for staff person #1 and #3 had a staff evaluation that exceeded 12 months between evaluations. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) Evaluations for staff #1, #3, and #4 were completed. |
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| 2022-10-20 | Renewal | 3270.37(b)(1)/3270.192(2)(ii) - HS/GED/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.37(b)(1)/3270.192(2)(ii) Description: HS/GED/Exp, educ., training prior to facility Noncompliance Area: The file for staff person #9, functioning as an aide, lacked verification of education to qualify as an aide. Correction Required: An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #9 has provided a copy of her high school diploma. |
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| 2022-10-20 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: In the large bathroom on the main floor, there were 2 containers of Disinfex Multi-purpose Wipes labeled "Keep out of reach of children" that were in an unlocked cabinet under the sink and were accessible to children. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Disinfex Multi-purpose wipes were moved from unlocked cabinet under the sink. |
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| 2022-10-20 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Regulation: 3270.75(c) Description: Has all items Noncompliance Area: The first-aid kit in the infant/toddler room lacked sterile gauze pads. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Gauze pads were added to the first-aid kit. |
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| 2022-10-20 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: In the middle room, there were 2 screws protruding out from the right wall near the doorway leading to the downstairs that were a potential 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The screws were removed from the wall and puddy was put into the holes. |
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| 2022-10-20 | Renewal | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: In the preschool room, there were multiple cabinets on the left wall that had purple paint peeling in multiple areas near the handles on the cabinet doors. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Cabinets were repainted and contact paper was placed near the handles. |
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| 2022-10-20 | Renewal | 3270.82(j) - Running water - diapering | Compliant - Finalized |
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Regulation: 3270.82(j) Description: Running water - diapering Noncompliance Area: The infant/toddler room lacked a source of running water for handwashing near the changing table to wash hands after diapering. Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day. |
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Provider Response: (Contact the State Licensing Office for more information.) A portable sink was moved into the area near the changing table |
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| 2022-10-20 | Renewal | 3270.94(a)(1) - Every 60 days | Compliant - Finalized |
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Regulation: 3270.94(a)(1) Description: Every 60 days Noncompliance Area: According to the fire drill log, a fire drill was not conducted at least once every 60 days between 1-6-22 to 3-10-22 and 5-9-22 to 7-11-22. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. |
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Provider Response: (Contact the State Licensing Office for more information.) A staff member was put in charge of making sure all fire drills are conducted every 45 days |
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| 2022-04-14 | Complaints- Legal Location | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: At 10:04 am in the infant/toddler room with a total of 13 children in the room, staff person #1 named 4 older toddlers in their group, staff person #2 named 4 children in their group, including 2 preschoolers and 2 older toddlers, and staff person #3 named 4 children in their group, including 3 young toddlers and 1 infant, resulting in 12 out of 13 children being named in a group and 1 child not being named in a group. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We have placed visual posters in each classroom. As staff members enter the classroom first thing in the morning, they are to write their name on the board. As children enter their names are placed next to a staff member. At the cut off of 9:30am, management goes into each class to review the list to make sure each child is accounted for and assigned to a staff member. If for any reason a child comes after 9:30, management is responsible to make sure the child is assigned to a staff member Another count is done after children play outside. Names are removed as children and staff leave. Lists are then rearranged accordingly. |
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| 2021-10-15 | Renewal | 3270.107 - Refrigerator | Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: In the school-age room, the refrigerator door was not closed completely due to milk containers preventing the door from closing resulting in multiple containers of milk being visibly warm and the digital thermometer reading 72° F. In the infant/toddler room, the refrigerator that stores food for the children had a thermometer that was not functioning. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Threw away all content from the refrigerator. Unplugged to reset. Plugged back in to ensure not broken and reset back to correct temperature. |
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| 2021-10-15 | Renewal | 3270.111(b) - Posted in group space | Compliant - Finalized |
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Regulation: 3270.111(b) Description: Posted in group space Noncompliance Area: The daily activity schedule was not posted in the middle room. Correction Required: The written plan of daily activities shall be posted in the group space. |
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Provider Response: (Contact the State Licensing Office for more information.) Copy of schedules for all classrooms was posted in middle room. This will cover the room in the event any age group uses this space. |
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| 2021-10-15 | Renewal | 3270.123(a) - Signed | Compliant - Finalized |
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Regulation: 3270.123(a) Description: Signed Noncompliance Area: The file for child #1 had an agreement that lacked the operator's signature. Correction Required: An agreement shall be signed by the operator and the parent. |
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Provider Response: (Contact the State Licensing Office for more information.) Operator signed agreement. |
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| 2021-10-15 | Renewal | 3270.123(a)(6) - Admission date | Compliant - Finalized |
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Regulation: 3270.123(a)(6) Description: Admission date Noncompliance Area: The file for child #2 had an agreement that lacked the child's admission date. Correction Required: An agreement shall specify the date of the child's admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Child admission date was added. |
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| 2021-10-15 | Renewal | 3270.124(b)(6) - Insurance coverage information | Compliant - Finalized |
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Regulation: 3270.124(b)(6) Description: Insurance coverage information Noncompliance Area: The file for child #3 had an emergency contact form that lacked the 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Health Insurance policy number was added to emergency contact form. |
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| 2021-10-15 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The file for child #3 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Address was added to emergency contact form. |
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| 2021-10-15 | Renewal | 3270.133(5) - Original label | Compliant - Finalized |
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Regulation: 3270.133(5) Description: Original label Noncompliance Area: In the office, there were Albuterol and 2 EpiPens for child #4 that were expired. Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. |
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Provider Response: (Contact the State Licensing Office for more information.) Expired Epipens and albuterol were given back to parent. |
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