BRIDGE 2 CREATIVE LEARNING CENTER LLC

Regulation: 3270.132(a)

Description: Contact parent/keep record

Noncompliance Area: Complaint investigation determined that Child #1 sustained a head injury at approximately 11:50 AM. The child's parent was not notified of the injury until approximately 5:30 PM when the child was picked up from care. Child #1 was subsequently taken to be medically evaluated by the parent for the injury.

Correction Required: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: An unannounced monitoring inspection was conducted on 1/6/2026. At that time, diaper-changing surfaces were observed to have cloth coverings. The director reported that each child has an individual cloth covering, which is stored in the child's bin and cleaned at the end of the day. The cloth coverings are not cleaned and sanitized after each use.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced monitoring inspection was conducted on 1/6/2026. At that time, files for all staff present during the inspection were reviewed. Staff Person #1 had documentation of American Heart Association (AHA) Adult First Aid/CPR, which is not an approved pediatric first aid/CPR curriculum. Staff Person #1 did not complete the required pediatric first aid/CPR training from a PQAS-approved instructor within 90 days of their date of hire (see LIS code sheet).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. 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.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During a renewal inspection on 9-26-25, there was not 2 feet of space on 3 sides of a crib that was in use in the Infant room.

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.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: There is no plastic lined, hands-free covered can for disposable diapers in the Infant room.

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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A bicycle circle in the outdoor play space had a seat that was cracked. There were a few exposed bolts on the gates to the outdoor play spaces.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in every child care space

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.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: There was an expired (9/2023) bottle of children's Tylenol in the preschool room.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: A bicycle circle in the outdoor play space had a small area of peeling paint.

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

Noncompliance Area: During a complaint investigation conducted on 11/26/19, staff person #1 advised that older toddlers play on the large outdoor play space. There is mulch on the large outdoor play space.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: During a complaint investigation conducted on 11/26/19, 77 children were observed in the Main Room, which has a capacity of 63. There were 35 school age children, 14 pre-k children, 10 preschool children, and 18 older toddlers

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: During a complaint investigation conducted on 9/6/19, cert rep observed Staff member #1 with nine children in her primary supervision group, which included older toddlers & preschool children.

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). The legal entity must arrange for all facility staff to receive minimum 2 hours, in-person, PQAS approved training regarding staff: child ratios. It does not matter if the PQAS approved training is through the regional Key. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: Staff person started at the facility on 3/1/19 and did not have a health assessment completed until 3/15/19. Staff person #3 started at the facility on 10/2/18 and did not have a health assessment until 10/4/19.

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: Staff person #1 has one written, non-family reference, and staff person #2 does not have any written, non-family references.

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: Staff person #1 started at the facility on 3/1/19. The child abuse clearance for staff person #1 is dated 3/5/19; the state police clearance for staff person #1 is dated 3/19/19, and the FBI clearance for staff person #1 is dated3/27/19. There is no proof that staff person #1 applied for her child abuse or state police clearances prior to starting at the facility, and there is no proof that she was fingerprinted for her FBI clearance prior to starting at the facility. Staff person #3 started at the facility on 10/2/19 and her child abuse clearance is dated 11/9/18. There is no proof that staff person #3 applied for her child abuse clearance prior to starting at the facility.

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: The agreement for Child #9 does not include a fee amount.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: The following children have attended the facility for more than 6 months and have not had a completed child service report since June 2017: Child #3, Child #4, Child #5, Child #6, Child #7, Child #8, Child #9, & Child #10.

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).

Noncompliance Area: Staff #2 started at the facility on 4/30/18 and has not had a health assessment. Staff #5 and Staff #6 started at the facility on 4/30/18 & have not had health 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.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: The emergency contact & fee agreement forms for Child #1 were last updated 6/17/17 for Child #1. The emergency contact form & fee agreement were last updated 9/1/16 for Child #2. The emergency contact form & fee agreement were last updated 6/22/17 for Child #3. The emergency contact form was last updated 9/7/16 and the fee agreement was last updated 8/10/16 for Child #4. The emergency contact form & fee agreement were last updated 6/22/17 for Child #5. The emergency contact form & fee agreement were last updated 6/17/17 for Child #7. The emergency contact form & fee agreement were last updated 6/19/17 for Child #8. and for Child #10.

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: There is no verification of education for Staff #1, Staff #2, Staff #3, Staff #4, Staff #5 or Staff #6

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Staff #4 does not have two written, non-family references.

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: Staff #5 and Staff #6 started at the facility on 4/30/18 and do not have FBI clearances or verification of fingerprinting for FBI clearances prior to starting at the facility,

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #5 and Facility Person #6 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 #5 & Facility Person #6 may not work in a child care position at the facility.

Noncompliance Area: There is peeling paint on the wall opposite the entrance in the 3 year old room.

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

Noncompliance Area: A COMPLAINT INVESTIGATION WAS CONDUCTED ON 3/6/18. CERT REP OBSERVED A VIDEO OF STAFF #1 PICKING UP CHILD #1 BY THE ARMS & SLAMMING HIM TO THE GROUND. ONCE HE WAS ON THE GROUND, STAFF #1 GRABBED CHILD #1 BY THE ANKLES & PULLLED HIM ABOUT A FOOT TOWARDS HER. AT THAT POINT, STAFF #1 PICKED CHILD #1 AND PUT HIM ON A CHAIR IN A ROUGH MANNER & PUSHED THE CHAIR INTO THE TABLE.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. NO FORM OF PHYSICAL PUNISHMENT WILL BE USED AT ANY TIME. ALL STAFF WILL RECEIVE TRAINING ON POSITIVE REDIRECTION & DISCIPLINE TECHNIQUES, INCLUDING HOW TO ADDRESS CHALLENGING BEHAVIORS OF CHILDREN.THE LEGAL ENTITY MUST ARRANGE FOR ALL FACILITY STAFF TO RECEIVE A MINIMUM OF TWO HOURS OF IN-PERSON PQAS APPROVED TRAINING ON POSITIVE REDIRECTION & DISCIPLINE TECHNIQUES, INCLUDING HOW TO ADDRESS CHALLENGING BEHAVIORS OF CHILDREN. IT DOES NOT MATTER IF THE APPROVED PQAS APPROVED TRAINING IS THROUGH THE REGIONAL KEY. THE LEGAL ENTITY MUST RECEIVE DHS APPROVAL OF THE TRAINING CONTENT PRIOR TO SCHEDULING THE TRAINING.

Noncompliance Area: A COMPLAINT INVESTIGATION WAS CONDUCTED ON 3/6/18. CERT REP OBSERVED A VIDEO OF STAFF #1 PICKING UP CHILD #1 BY THE ARMS & SLAMMING HIM TO THE GROUND. ONCE HE WAS ON THE GROUND, STAFF #1 GRABBED CHILD #1 BY THE ANKLES & PULLLED HIM ABOUT A FOOT TOWARDS HER. AT THAT POINT, STAFF #1 PICKED CHILD #1 AND PUT HIM ON A CHAIR IN A ROUGH MANNER & PUSHED THE CHAIR INTO THE TABLE.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: There were 2 albuterol inhalers in the medication box that were in a plastic sandwhich bag, not in their original box with a prescription label.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Noncompliance Area: Facility persons # 1 and 8 have been working in direct care positions at the facility and do not have health assessments on 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: There was no written verification of emergency plan training for any staff for 2017. Staff that have been hired in June 2017 and have been working longer than 1 weeek have not had emergency plan training.

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: There was no verification that staff had firesafety training.

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.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: Staff person #1 did not have clearances on file and did not have proof clearances were requested. Staff person #8 did not have a child abuse history clearance and did not have proof that it was requested. Staff persons 2,3,4,6, and 7 did not have proof of mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and 8 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 #1 and 8- may not work in a child care position at the facility.

Noncompliance Area: On May 4, 2017 , upon arrival at approximately 7:20 AM, I observed staff person 1 in the infant room with 2 infants and 3 young toddlers. Staff 2 and 3 were in the larger room with 24 children,at least were 2 older toddler toddlers, and at least 3 were preschool aged. At 7:45 there were 25 chidren including at least 2 preschool aged children with staff 2 and 3. 8 children, 2 infants and 5 young toddlers with staff 1 and 14 children including at least 1 young and 3 older toddlers with staff 4. Children continued arriving, and being moved from group to group to try to balance out ratios. At approximately 8:05 AM there were 2 staff with 8 infants and young toddlers. 1 staff with 5 young toddlers, 1 staff with 15 young school age and 2 preschool and 1 staff with 13 young school aged. 2 staff had a group of 16, 2 were older toddlers and 14 were preschool aged. At approximately 8:22 AM, 29 school aged children left for school. At appoximately 8:25 AM the groups were, staff 2 had 10 preschool aged, staff 5 had 7 older toddlers, staff 6 had 7 preschool and 1 older toddler, staff 7 had 1 older toddler and 6 preschool aged and staff 4 had 5 young toddlers. Finally around 9:00, another staff arrived, children were again moved around and all groups were in ratio when I left at approximately 9:15 AM.

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).

Noncompliance Area: The first-aid kits were missing scissors and rubber gloves.

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.