All About Children Daycare Center

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Children were observed napping in the preschool classroom and there was not at least 2 feet of space on three sides of the rest equipment.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Ensure that there is 2 feet of space on three sides of resting equipment when in use. Notify all staff of this requirement and submit written verification of staff notification.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: On 2/28/24 during a renewal observation a 4 year old child with special needs was observed being restrained in a highchair. (child #1)

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. Highchairs cannot be used to restrict or confine a child's movement. Cease using the highchair to restrict the child's movement. Develop and submit written policies regarding the proper use of highchairs. Notify all facility staff persons of this policy. All facility staff must be trained in DHS approve supervision training to include the prohibition of retraining children. Submit verification of the notification and completed training for all staff persons.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility lacked written policies on shaken baby, abusive head trauma, and child maltreatment.

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. Develop and submit a copy of the facility's written policies on shaken baby, abusive head trauma, and child maltreatment. A written copy will be submitted.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional childcare office.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not include provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions, and lockdown procedures.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions, and lockdown procedures. Submit a written copy of the amended emergency plan.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: There was no written record of an emergency drill completed annually as specified in these regulations.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility Conduct and submit written verification that an emergency drill had been completed annually.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: There was no documentation indicating that the operator sent a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Send a copy of the emergency plan to the appropriate authorities as specified in this regulation. Submit written documentation of delivery.

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

Description: Fire safety - 1 yr.

Noncompliance Area: One staff person's record did not contain written verification of annual fire safety training. (#2)

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. Obtain and submit written verification of annual fire safety training for the identified staff persons.

Regulation: 3270.31(f)(1)

Description: Health and Safety Training - Prevention and control of infectious diseases

Noncompliance Area: One staff person's required CCDBG health and safety training was not completed within 90 days of employment. It was completed 8 months after initial date of hire.

Correction Required: Staff persons shall complete professional development in the prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements within 90 days of hire. Revise facility practices to ensure that the required CCDBG health and safety training is completed within 90 days of employment.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#1-hired 8/21/23 -hired more than 90 days and lacked mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a childcare position at the facility until the mandated training has been completed. Facility persons are required to complete mandated reporter training within 90 days of hire in accordance with CPSL and with Chapter 3490 (relating to protective services). Obtain and submit a copy of the completed mandated reporter training for the identified staff person. Ensure that mandated training is completed for all staff persons as required.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 2/28/24, at approximately 3:30pm, staff/child ratios were not in compliance in the following classrooms/areas: Staff person (#3) was observed caring for a group of 7 older toddlers/preschool age children (2-3 years) in classroom the older toddler classroom; Staff person (#4)was observed caring for 11 preschool age children (3 years to first day of K) in the preschool classroom. Staff person #3 and #4 verified the ages of the children. On 4/5/24, during a follow up visit, staff person (#4) was observed caring for 13 preschool age children (3 years to first day of K) in the preschool classroom.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. Ensure that staff/child ratios are maintained at all times. The legal entity must arrange for all facility staff to receive DHS approved ratio training to include mixed-age groupings. Submit written verification of the completed training for all facility staff.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 2/28/24, at approximately 3:30pm, staff/child ratios were not in compliance in the following classrooms/areas: Staff person (#3) was observed caring for a group of 7 older toddlers/preschool age children (2-3 years) in classroom the older toddler classroom; Staff person (#4)was observed caring for 11 preschool age children (3 years to first day of K) in the preschool classroom. Staff person #3 and #4 verified the ages of the children. On 4/5/24, during a follow up visit, staff person (#4) was observed caring for 13 preschool age children (3 years to first day of K) in the preschool classroom.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. Ensure that staff/child ratios are maintained at all times.