Arielles World Daycare Center

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 05.03.23, the record reviewed for Staff person #1 did not have National Sex Offender Registry (NSOR) documentation.

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

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection on 05.03.23, the record reviewed for Staff person #1 did not have verification of education for the position of assistant group supervisor.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MAY 03, 2022, THE HEALTH ASSESSMENT REVIEWED FOR CHILD #1 DID NOT INCLUDE A STATEMENT THAT THE CHILD IS ABLE TO PARTICIPATE IN CHILD CARE AND APPEARS TO BE FREE FROM CONTAGIOUS OR COMMUNICABLE DISEASE.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MAY 03, 2022, THE RECORD REVIEWED FOR STAFF PERSON #1 DID NOT INCLUDE TWO WRITTEN, NONFAMILY REFERENCES FROM INDIVIDUALS ATTESTING TO STAFF PERSON'S SUITABILITY TO SERVE AS A FACILITY PERSON.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 03.22.22, IT WAS FOUNDED THAT STAFF PERSON #1 DID NOT KNOW HOW OR WHEN CHILD #1'S INJURY OCCURRED WHILE CHILD #1 WAS PARTICIPATING IN THE FACILITY PROGRAM.

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

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 03.22.22, IT WAS FOUNDED THAT THERE WAS NO RECORD OR REPORT DOCUMENTED BY STAFF PERSON #1, STAFF PERSON #2 AND STAFF PERSON #3, REGARDING CHILD#1'S INJURY OR ACCIDENT.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/19/20, THE OUTDOOR PLAY EQUIPMENT WAS DIRTY.

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 THE RENEWAL INSPECTION ON 2/19/20, THE FACILITY DID NOT SEND THEIR EMERGENCY PLAN TO THE COUNTY EMERGENCY MANAGEMENT AGENCY.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/25/19, THE OUTDOOR PLAY EQUIPMENT WAS DIRTY.

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 THE RENEWAL INSPECTION ON 2/25/19, ALL CHILDREN DO NOT HAVE AN INDIVIDUAL COT. THE DAY CHILDREN WERE USING THE SAME COTS AS THE NIGHT CHILDREN.

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: DURING THE RENEWAL INSPECTION ON 2/25/19, THE DAILY SCHEDULE DID NOT REPRESENT THE HOURS OF THE FACILITY. THE FACILITY HOURS ARE 5 AM TO 1 AM. SCHEDULE SAYS 5:30 A.M. TO 12 A.M.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/25/19, CHILD 3 AGREEMENT AND EMERGENCY CONTACT FORM WAS NOT UPDATED IN THE LAST SIX 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 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 THE RENEWAL INSPECTION ON 2/25/19, THE CHILDREN CUPS WERE NOT LABELED AT THE FACILITY

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/25/19, STAFF 4 FILE DID NOT CONTAIN VERIFICATION OF TWO NON FAMILY REFERENCE ON FILE. THE FILE CONTAINED ONE REFERENCE.

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 THE RENEWAL INSPECTION ON 2/25/19, STAFF 3 FILE DID NOT HAVE VERIFICATION OF BEING TRAINED ON EMERGENCY PLAN.

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 THE RENEWAL INSPECTION ON 2/25/19, THERE WAS ONE STAFF PRESENT WITH MORE THAN TWO CHILDREN.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 3/14/18, CHILD 2 AND 3 AGREEMENT FORM DID NOT STATE THE RELEASE PERSON. CONTINUE NON COMPLIANCE FROM SIN 00129178.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING INSPECTION ON 3/14/18, CHILD 1, 2, AND 3 AGREEMENT FORM HAS NOT BEEN UPDATED IN THE LAST SIX MONTHS. CONTINUE NON COMPLIANCE FROM SIN 00129178.

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 THE UNANNOUNCED INSPECTION ON 3/14/18, CHILD 1 FILE DID NOT CONTAIN VERIFICATION OF A PHYSICAL. CONTINUE NON COMPLIANCE FROM SIN 00129178.

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.

Noncompliance Area: DURING THE UNANNOUNCED MONITORING INSPECTION ON 3/14/18, THE FACILITY WAS OUT OF RATIO. ONE STAFF WAS IN THE BATHROOM WITH ONE CHILS AND THE OTHER STAFF WAS MONITORING 6 CHILDREN RANGING FROM INFANT TO PRESCHOOLER. CONTINUE NON COMPLIANCE FROM SIN 00129178.

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).

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/8/18, CHILD 1 AND 3 AGREEMENT FORM DID NOT STATE THE DATE FEE TO BE PAID.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/8/18, CHILD 1,4 AND 5 AGREEMENT FORM DID NOT STATE THE RELEASE PERSONS.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/6/18, CHILD 1 AND 2 EMERGENCY CONTACT FORM WERE MISSING THE PHYSICIAN'S ADDRESS. CHILD 2 FORM WAS ALSO MISSING THE PHYSICIAN'S NAME, AND PHONE NUMBER.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/6/18, CHILD 2 EMERGENCY CONTACT FORM DID NOT STATE THE ENROLLING PARENT'S HOME ADDRESS.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/6/18, CHILD 1,2,3 AND 5 EMERGENCY CONTACT FORM DID NOT STATE RATHER THE CHILD HAD A DISABILITY.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/8/18, CHILD 1,2, AND 5 EMERGENCY CONTACT FORM DID NOT STATE THE MA COVERAGE NAME AND POLICY NUMBER. CHILD 3 FORM DID NOT STATE THE 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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/6/18, CHILD 1,4 AND 5 EMERGENCY CONTACT FORM DID NOT STATE THE RELEASE PERSON ADDRESS. CHILD 5 FORM ALSO DID NOT STATE THE RELEASE PERSON'S NMAE AND PHONE NUMBER.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/6/18, CHILD 1,2,4 AND 5 AGREEMENT FORM HAS NOT BEEN UPDATED IN THE LAST SIX MONTHS, CHILD 1,4 AND 5 EMERGENCY CONTACT FORM HAS NOT BEEN UPDATED IN THE LAST SIX 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 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 THE RENEWAL INSPECTION ON 2/6/18, CHILD 2 AND 3 FILE DID NOT HAVE VERIFICATION OF A PHYSICAL.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/6/18, CHILD 5 EMERGENCY CONTACT OFRM DID NOT HAVE A PARENTAL CONSDENT FOR EMERGENCY MEDICAL CARE,

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/6/18, CHILD 5 EMERGENCY CONTACT FORM DID NOT HAVE A CONSENT FOR SPECIAL DIET OR MEDS.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/8/18, CHILD 5 EMERGENCY CONTACT FORM DID NOT HAVE A CONSENT FOR MINOR FIRST AID.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/6/18, CHILD 5 EMERGENCY CONTACT FORM DID NOT HAVE A CONSENT FOR TRANSPORTATION, WALKING EXCURSIONS. CHILD 3,5 AND 5 FORM DID NOT HAVE CONSENT FOR WADING AND SWIMMING.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/6/18, THE EMERGENCY PLAN HAS NOT BEEN REVIEWED ANNUALLY.

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 THE RENEWAL INSPECTION, A COPY OF THE EMERGENCY PLAN HAS NOT BEEN SENT TO THE COUNTY EMERGENCY MANAGEMENT AGENCY.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/6/18, STAFF 1 AND 2 FILE DID NOT CONTAIN VERIFICATION OF 6 ANNUAL HOURS OF CHILD CARE TRAINING.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/6/18, STAFF 4 FILE DID NOT CONTAIN EDUCATION AND EXPERIENCE TO BE A GROUP SUPERVISOR.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at 3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/8/18, STAFF 3 WAS OUT OF RATIO, WHILE SUPRVISING SIX CHILDREN. SHE WAS SUPERVISING 1 YOUNG TODDLER, 4 OLDER TODDLERS, AND 1 PRESCHOOLER.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/6/18, THERE WAS A PROCTECTIVE RECEPTACLE COVER MISSING OFF OF ELECTRICAL SOCKET NEAR THE ROCKING CHAIR.

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

Noncompliance Area: DURING A RENEWAL INSPECTION CERTIFICATION REPRESENTATIVE REVIEWED ALL STAFF FILES; THERE WERE NO STAFF TRAINED IN FIRST AID AT THE FACILITY BETWEEN THE HOURS OF 10:30AM AND 10:50AM. STAFF #1 IS TRAINED IN FIRST AID AND WAS NOT AT THE FACILITY AT THE TIME.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.