Appletree Child Care And Learning Center

Regulation: 3270.62(c)/3270.76

Description: Space safe for large muscle activity/Building Surfaces

Noncompliance Area: During the inspection on 9/16/24, there were areas on the outdoor play space that had exposed concrete which could pose a hazard to the child in care. .

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water temperature in restrooms used by facility children on the first and second floor was 120 degrees when measured with a thermometer.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: At time of inspection, the parents of child #1-2 did not have required immunization of influenza or written exemption letter documented in their files.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: At time of inspection, staff person #1 did not have proof of negative TB screening documented in their record.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At time of inspection, staff person #1 did not have proof of updated health assessment documented in their record.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.31(e)(1)(ii)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: Staff person # 1 did not have proof of 12 hours of annual child care training documented in their record.

Correction Required: Training conducted by an entity that is licensed or certified professionally competent in the training topic is acceptable and may count toward the annual requirement for 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At time of inspection, staff person # 2 did not have proof of NSOR certificate documented in their record. Staff person #3 did not have proof of FBI clearance and staff person # 4 did not have proof of state police clearance documented in their files.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2-4-- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2-4-- may not work in a child care position at the facility.

Noncompliance Area: Staff person #1(hired 6/24/04) and staff person # 2 (hired 8/17/20) did not have a current health assessments documented in their record at time of inspection. Staff person #2 also did not have initial TB screening results completed and documented in her file.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: During time of inspection, the chairs being used in the preschool and young toddler room were very soiled and in need of cleaning. In addition, the swing chair located in the outdoor toddler play area was cracked and in need of repair or replacement.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: Staff person # 2 (hired 7/3/19) and staff person # 3 (hired 9/10/18) did not have required date of when negative TB screening was completed documented on their health assessments.

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.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: At time of inspection, staff person # 3,5,6,7 and 8 did not have 6 hours of annual child care training documented in their record.

Correction Required: A staff person shall obtain an annual minimum of 6 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.

Noncompliance Area: At time of inspection, staff person # 1 (hired 6/27/19) as an aide/lifeguard did not have proof of education level completed documented in their record.

Correction Required: An aide shall have attained one of the qualification levels specified in 3270.37(b)(1)-(3).A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: A staff person #1 is yelling at the children in her care.

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

Noncompliance Area: During inspection of the older toddler room there were 5 toy doll babies that were extremely soiled and in need of cleaning and/or replacement.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: During time of inspection, the rest equipment being used in the preschool room was not labeled for specific individual use as required.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: At time of review of facility emergency plan, the facility did not have an update plan for emergency shelter for when the neigboring school that was listed in emergency plan is not open for the summer months.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: During time of inspection, the cubbies used in both preschool areas of facility were not mounted to prevent the hazard of them from falling over. In addition, there was chipped paint on the toy shelf in the afterschool 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.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: During time of inspection, the director (staff person #1) was not present and I was told that he was out due to an appointment. I was also told by him via telephone that his time is divided between this facility and another site. There was no schedule posted in facility of the times that director can be reached at this facility. Therefore, I could not confirm that director is present at least 30 hours per week at this facility.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: During renewal inspection n 7/2/18, while reviewing children's files -Child # 1 whose enrollment date 12/2/13 emergency contact and agreement was last signed 6/27/7 and 5/25/18 -Child # 2 whose enrollment date 7/13/15 emergency contact and agreement was last signed 5/12/17 and 6/13/18 -Child # 4 whose enrollment date 2/3/16 emergency contact was last signed 5/4/17 and 5/10/18

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 informationA 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.

Noncompliance Area: During renewal inspection on 7/5/18, while reviewing children's files, Child # 5 whose enrollment date 9/27/17 id not have a health assessment in file

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 7/5/18, while reviewing staff files, the following did not have a physical and/or physical with TB in file Physical- Staff # 11 whose hire date 1/5/03 last health assessment was dated 6/16/16 Staff # 12 whose hire date 12/6/06 last health assessment was dated 3/6/16 Physical +TB- Staff # 17 whose hire date 5/22/18 did not have a physical with Tb in file Staff # 18 whose hire date 5/23/18 did not have a physical with TB in file Staff # 19 whose hire date 6/14/18 did not have a physical with TB in file Staff # 20 whose hire date 6/19/18 did not have a physical with TB in file Staff # 22 whose hire date 7/2/18 did not have a physical with TB in file

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: During renewal inspection on 7/5/18 while reviewing staff files , Staff # 21 listed as facility's lifeguard did not have documentation of age and address in file

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.A facility person's record shall include verification of age.

Noncompliance Area: During renewal inspection on 7/5/18, while reviewing staff files, the following staff did not have references in file - Staff # 16,17,18,19,20,21,22

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: During renewal inspection on 7/5/18, while reviewing staff files, the following staff did not have documentation of emergency plan training in file -Staff # 15,17,18,19,21,22 -While doing a walk through of the facility Cert Rep asked Staff # 16 the relocation site for the facility,and staff # 16 did not know where to relocate in case of an emergency

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.

Noncompliance Area: During renewal inspection on 7/5/18, while reviewing staff files, Staff # 14 whose hire date 5/15/17 fire safety training was dated 3/13/12 in file

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.

Noncompliance Area: During renewal inspection on 7/5/18, while reviewing staff files, the following staff were missing the following clearances State Police- Staff # 6 whose hire date 6/11/18 had a volunteer clearance dated 5/8/18 Child Abuse- Staff # 14 whose hire date 5/15/17 had a volunteer clearance dated 7/14/16 FBI- Staff # 15 whose hire date 9/18/17 had a clearance dated 10/22/12 Staff # 21 listed as facility's lifeguard did not have FBI clearance in file Mandated Reporter Training- Staff # 21 listed as facility's lifeguard did not have mandated reporter training in file

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

Noncompliance Area: During renewal inspection on 7/5/18, while reviewing staff files, the following staff did not have verification of experience and/or documentation of qualification in file -Staff # 6 whose hire date 6/11/18 did not verification of experience to qualify as an AGS Staff # 14 whose hire date 5/15/17 did not have verification of experience to qualify as an AGS Staff# 15 whose hire date 9/18/17 did not have verification of experience to qualify as an AGS The following did not have documentation of qualification - Staff # 17 whose hire date 5/22/18 did not have documentation of qualification in file Staff # 20 whose hire date 6/19/18 did not have documentation of qualification in file Staff # 22 whose hire date 7/2/18 did not have documentation of qualification in file

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: DURING RENEWAL INSPECTION ON 8/2/17, WHILE REVIEWING CHILDREN'S FILES, CHILD # 2 DID NOT HAVE A START DATE ON THE AGREEMENT FORM

Correction Required: An agreement shall specify the date of the child`s admission.

Noncompliance Area: DURING RENEWAL INSPECTION ON 8/2/17, WHILE REVIEWING CHILDREN'S FILES, CHILD # 2 DID NOT HAVE A POLICY # LISTED ON EMERGENCY CONTACT

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: DURING RENEWAL INSPECTION ON 8/2/17, WHILE REVIEWING CHILDRENS FILES, CHILD # 3 LAST HEALTH ASSESSMENT WAS DATED 5/25/16

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 8/2/17, WHILE REVIEWING STAFF FILES, STAFF # 16 AND 21 DID NOT HAVE A CURRENT HEALTH ASSESSMENT IN FILE

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person`s record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: DURING RENEWAL INSPECTION ON 8/2/17, WHILE REVIEWING CHILDREN'S FILES, CHILD # 5'S EMERGENCY CONTACT DID NOT HAVE PARENTAL SIGNATURE FOR EMERGENCY MEDICAL CARE AND ADMIN OF MINOR FIRST AID

Correction Required: A child`s record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 8/2/17, WHILE REVIEWING STAFF FILES STAFF # 14 HAD 1 REFERENCE IN FILE, AND STAFF # 20 DID NOT AHVE 2 REFERENCES IN FILE

Correction Required: A facility person`s record shall include two written, nonfamily references from individuals attesting to the person`s suitability to serve as a facility person

Noncompliance Area: DURING RENEWAL INSPECTION ON 8/2/17, WHILE DOING A WALK THROUGH OF THE FACILITY, CERT REP DID NOT SEE A METHOD OF CONTACTING PARENTS AT THE ONSET OF THE EMERGENCY, AND AT THE END OF THE EMERGENCY.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: DURING RENEWAL INSPECTION ON 8/2/17, WHILE DOING A WALK THROUGH OF THE FACILITY, CERT REP ASKED THE FOLLOWING STAFF THE SHELTER AWAY LOCATION AND THEY DID NOT KNOW IT; STAFF # 1, 5, 19,

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: DURING RENEWAL INSPECTION ON 8/2/17, STAFF # 1 WHOSE HIRE DATE 9/10/06, AND STAFF # 15 WHOSE HIRE DATE 2/14/06 DID NOT HAVE DOCUMENTATION OF CURRENT FIRE SAFETY TRAINING IN FILE.

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 8/2/17, THE FOLLOWING STAFF DID NOT HAVE THE LISTED CLEARANCES : FBI- STAFF # 4- HIRE DATE 4/24/17, MANDATED REPORTER TRAINING- STAFF # 4

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

Noncompliance Area: DURING RENEWAL INSPECTION ON 8/2/17, WHILE REVIEWING STAFF FILES, STAFF # 14 DID NOT QUALIFY TO BE AN AGS, AND STAFF # 4 VERIFICATION OF EXPERIENCE IS NEEDED. STAFF # 16, 19, DID NOT HAVE PROOF OF A HSD IN FILE.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: ON 3/17/17 CHILD # 1 WAS IN THE INFANT ROOM CLASSROOM WITH STAFF# 1, WHEN CHILD # 1'S RIGHT PINKY FINGER GOT CUT, BECAUSE IT GOT STUCK IN THE PEDAL OF THE METAL TRASH CAN. CHILD # 1 WAS TAKEN TO THE EMERGENCY ROOM FOR TREATMENT. CHILD # 1 WAS THE ONLY CHILD PRESENT IN THE CLASSROOM AND NOT BEING PROPERLY SUPERVISED.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Noncompliance Area: ON 3/17/17 CHILD # 1 WAS ALONE IN THE INFANT ROOM CLASSROOM WITH STAFF# 1, WHEN CHILD # 1'S RIGHT PINKY FINGER GOT CUT, WHEN IT GOT STUCK IN THE PEDAL OF THE TRASH CAN. CHILD # 1 WAS TAKEN TO THE EMERGENCY ROOM, AND THE INCIDENT WAS NEVER REPORTED TO THE REGIONAL OFFICE.

Correction Required: The operator shall immediately notify a child`s parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Noncompliance Area: DURING ALLOCATED UNANNOUNCED MONITIRING ON 2/22/17 STAFF # 1 WHOSE START DATE WAS 2/1/17 DID NOT HAVE DOCUMENTATION OF HEALTH ASSESSMENT AND TB IN FILE.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person`s record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Staff # 1 may not return work without documentation

Noncompliance Area: DURING ALLOCATED UNANNOUNCED MONITORING ON 2/22/17 STAFF # 1 WHOSE START DATE WAS 2/1/17 DID NOT HAVE DOCUMENTTION OF ADDREES AND AGE IN FILE

Correction Required: A facility person`s record shall include the name, address and telephone number of the facility person.A facility person`s record shall include verification of age.

Noncompliance Area: DURING ALLOCATED UNANNOUNCED MONITORING ON 2/22/17, STAFF # 1 WHOSE START DATE WAS 2/1/17, DID NOT HAVE DOCUMENTATION OF QUALIFICATION IN FILE

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.

Noncompliance Area: DUIRNG ALLOCATED UNANNOUNCED MONITORING ON 2/22/17 STAFF # 1 WHOSE START DATE WAS 2/1/17, DID NOT HAVE 2 NONFAMILY WRITTEN REFERENCES IN FILE

Correction Required: A facility person`s record shall include two written, nonfamily references from individuals attesting to the person`s suitability to serve as a facility person

Noncompliance Area: DURING ALLOCATED UNANNOUNCED MOONITORING ON 2/22/17, STAFF #1 WHOSE HIRE DATE WAS 2/1/17 DID NOT HAVE DOCUMENTATION OF EMERGENCY PLAN TRAINING IN FILE.

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.

Noncompliance Area: DURING ALLOCATED UNANNOUNCED MONITORING ON 2/22/17, STAFF #2 LISTED AS ASSISTANT DIRECTOR NEEDED 6 CREDIT HOURS TO QUALIFY AS DIRECTOR.

Correction Required: A director shall have attained one of the following qualification levels specified at 3270.34(b)(1) - (4).

Noncompliance Area: DURING ALLOCATED UNANNOUNCED MONITORING ON 2/22/17 STAFF # 1 WHOSE START DATE WAS 2/1/17 DID NOT HAVE VERIFICATION OF PRIOR EXPERIENCE IN FILE

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.