Begin With Us Child Care And Preschool

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The facility was observed to have a cracked/broken plastic play cup in the beach room. A broken plastic steppingstone was observed in the facility's outside play area.

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

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: The facility was observed to lack a posting of evacuation routes on the 2nd floor of the facility.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The facility was observed to lack a hand washing sign at toilet #2 in the Greenhouse room.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The FBI clearance on file for Staff #1 was observed to be greater than 60 months. This is evidenced by 5/17/18 to 6/15/23.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 3/16/22 observed rest equipment not labeled for the use of a specific child in the following classrooms: Playhouse; Beach House; and Green House.

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.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The file of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained health reports dated 1/19/21 and 2/16/22.

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.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on interviews, Staff #1 dragged a child across the room by the wrist, grabbed a child by the shoulders and yelled in the child's face, and pulled a child to the table by the bicep.

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

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Based on interviews, Staff #1 singled out children by calling them derogatory names. Based on interviews, Staff #1 also called children evil child, brat, baby, and jerk.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Based on interviews, Staff #1 yelled at children loudly enough to be heard throughout the building.

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

Regulation: 3270.162(c)

Description: Not withheld as discipline

Noncompliance Area: Based on staff interviews, Staff #1 withheld documented special dietary needs from Child #1 at lunch time until Child #1 ate at least a few bites of food.

Correction Required: Food may not be withheld from a child for purposes of discipline.

Noncompliance Area: The file of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained a current health report dated 11/21/19 with a previous one dated 10/11/18.

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.

Noncompliance Area: The hot water temperature for the classroom sink used by children in Playhouse was 115 degrees. The hot water temperature for the bathroom sink in Playhouse was 116 degrees. The hot water temperature for the classroom sink used by children in Beach House was 115 degrees. The hot water temperature for the the bathroom sink in Beach House was 112 degrees.

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

Noncompliance Area: Facility persons #1 and #2 have been named as a perpetrator in an indicated report of child abuse.

Correction Required: A facility person who has been named as perpetrator in a founded/an indicated report of child abuse may not be present in the facility.

Noncompliance Area: Observed a frayed dinosaur rug in the shared space in the Greenhouse. Observed a book case containing science materials with pieces missing on the trim creating rough edges in the Greenhouse. Observed a frayed area rug of the United States in the Greenhouse. Observed a cracked bin containing musical instruments creating rough edges and pinch points in the Beach House. Observed peg boards with bite marks and pieces missing in the Playhouse.

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: At approximately 1:50 PM Certification Staff observed two children using only blankets as rest equipment in the Greenhouse. At approximately 2:00 PM Certification Staff observed two children using only blankets as rest equipment in the Playhouse.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Noncompliance Area: Observed children sleeping on rest equipment in both Greenhouse and Playhouse which lacked 2 feet of space on three sides. Observed approximately 1 foot of space between 2 children in Greenhouse. Observed approximately 6 inches of space between 2 children in Playhouse.

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.

Noncompliance Area: At approximately 1:50 PM Certification Staff observed one child lying between a children's sofa and a desk in the Greenhouse which did not allow facility staff to see, hear, direct, or assess the child.

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.

Noncompliance Area: The files of Children #1, #2, #3, #4, and #5 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

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.

Noncompliance Area: The file of Staff #1 lacked a valid FBI clearance so was removed from care that day.

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.

Noncompliance Area: Observed Assured Hand Sanitizer which indicates "keep out of the reach of children" in a back pack behind the book shelf in the Playhouse which was 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.

Noncompliance Area: The first-aid kit in the Playhouse lacked tape.

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.

Noncompliance Area: Observed cracked Magna-Tiles in the Green House. Observed a cracked bin containing Crayola Markers creating rough edges in the Green House.

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: The file of Child #2 lacked the date of the child's admission on the agreement.

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

Noncompliance Area: The file of Child #1 lacked the health insurance policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.

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: The file of Child #6 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #6 had a start date of 8/28/17 with a health report dated 12/12/17.

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: The file of Child #4 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #4 contained a health report dated 11/11/16.

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.

Noncompliance Area: The file of Staff #2 lacked a health assessment which included an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: Observed a pair of adult scissors on the top shelf of the stand located by the Staff Bathroom which were accessible to children.

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

Noncompliance Area: The file of Staff #1 contained a copy of an Associate's Degree but lacked documentation of 30 credit hours in early childhood education, child development, special education, elementary education or the human services field.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. 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: Observed splintering wood on the gazebo posts.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: Observed peeling paint on the right corner of the building where the fence begins.

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

Noncompliance Area: Observed a piano with peeling laminate with rough edges on the right side in the entrance way. Observed a foam seat with worn, frayed edges in the Playhouse Room. Observed mats on the metal rack in the TV room that were worn or torn with frayed edges and exposed foam. Observed a mat attached to a tunnel with worn, frayed spots and a caterpillar tunnel with approximately a foot tear at the metal ring on the bottom shelf of the metal rack located in the TV area. Observed a green foam chair in the book area with worn, frayed spots in the Beach House room. Observed a cracked orange bin containing water colors with a sharp edge in the Greenhouse Room. Observed a cracked orange bin labeled yarn and string with a sharp edge in the Greenhouse room. Observed 2 cracked dump trucks in the sand box in the outdoor play space. Observed blue cubbies containing coats and rest equipment in the Playhouse, Beach House, and Greenhouse which were not anchored creating a tip hazard. Observed a light wood cubby containing coats and rest equipment in the Greenhouse which was not anchored creating a tip hazard. Observed play refrigerators and hutches in the Playhouse and Beach House which were not anchored creating a tip hazard. Observed a TV which was not mounted to the stand creating a tip hazard; the TV was also only about halfway on the stand.

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: The climber on the outdoor play space lacked the protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission.

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

Noncompliance Area: The file of Child #2 lacked a health assessment within 60 days following the first day of attendance at the facility.

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: The file for Child #5 lacked a health assessment updated every year.

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.

Noncompliance Area: The facility lacked a posting of the following week's menu. The only menu posted was the current week.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: The files for Children #1, #2, #3, #4, #5, and #6 lacked a reviewed and updated financial agreement form which should have been reviewed at least once in a 6-month period.

Correction Required: 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.

Noncompliance Area: The file for Staff #1 lacked two written, nonfamily references from individuals attesting to the 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

Noncompliance Area: The file for Staff #1 lacked an FBI Clearance. Staff #1's employment date in child care was 9/6/16.

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 #1 may not work in a child care position at the facility.

Noncompliance Area: The file for Staff #3 who was identified as an assistant group supervisor lacked documentation of 2 years experience to qualify for the position.

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 following the outset of service at the facility.

Noncompliance Area: Observed a first-aid kit in the red cupboard in the TV area which was accessible to children in care at the facility.

Correction Required: A first-aid kit must be inaccessible to children.