Be Safe Program

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: At the time of the inspection, the Avi-Q present for child #6 did not contain a label specifying that child #6 is who the medication is intended for.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: At the time of the inspection, the health assessment on file for staff person #2 was not updated every 24 months, as required. This is evidenced by the current health assessment on file dated 11/13/25 and the previous health assessment dated 10/26/23.

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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of the inspection, staff persons #4 and #9 were not trained in the emergency plan within 90 days of hire. This is evidenced by the emergency plan training on file dated 11/10/25 (see LIS Code sheet for dates of hire).

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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the inspection, the fire safety training for staff person #1 was not updated annually, as required. This is evidenced by the current fire safety training date of 11/11/25 and the previous fire safety training date of 10/30/24.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the inspection, staff persons #6 and #9 have completed mandated reporter training within 90 days of their date of hire (see LIS code sheet), however the mandated reporter training is not intended for an appropriate target audience.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #6 and staff person #9 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 #6 and staff person #9, staff person #6 and staff person #9 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, the child abuse clearance on file for staff person #2 was not updated every 60 months prior to the current clearance's expiration. This is evidenced by the current child abuse clearance dated 10/15/25 and the previous child abuse clearance dated 6/23/20. Staff person #1 acknowledged that staff person #2 did have routine interaction and direct contact with children while not having a current child abuse clearance on file.

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. Clearances will be updated every 60 months prior to the current clearance's expiration date.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: As of the inspection on 12/3/24, the emergency contact form for child #2 and child #8 did not include the address of the individual designated by the parent to whom the child may be released.

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.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in any 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the inspection on 12/3/24, the emergency plan did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

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. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: As of the inspection on 12/3/24, staff persons #1, #5 and #6 did not have an updated health assessment every 24 months as required. This is evidenced by the current health assessments on file dated 10/26/23, 10/22/24 and 10/26/23, respectively. The previous health assessment on file was dated 3/26/21, 4/18/22 and 9/30/21, respectively. Staff person #2 did not receive a health assessment and Tb screening on file at initial hire. This is evidenced by the health assessment and TB screening dated 8/21/23 (see LIS code sheet for date of hire).

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. 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.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: As of the inspection on 12/3/24, staff person #1 did not have a transcript to accompany the Bachelor of Art degree on file.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: As of the inspection on 12/3/24, the trash cans in the modular room did not contain lids and had tissues that had been contaminated by human secretions.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: At the time of the inspection, the water in the modular room measured 112° F.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: STAFF #1 completed pediatric first aid and CPR on 4/17/23. The curriculum is not OCDEL approved and the trainer is not PQAS-certified. STAFF #1 had a certificate dated 10/24/22 that was an approved curriculum; however, it is a hybrid training and STAFF #1 only completed the online portion.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of STAFF #2 (see code sheet) does not contain completed child abuse history information required under the CPSL and does not contain a copy of a request for child abuse history clearance required for provisional hiring under the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). STAFF #2 may not work in a childcare position at the facility until clearance is received. 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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During renewal inspection on 12/12/22 cert rep reviewed several children's files. CHILD # 1, 2, 3, 4, 5, 6, 7, 8, 9 financial agreements did not include release person's names.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During renewal inspection on 12/12/22 cert rep reviewed several children's files. CHILD # 1, 2, 3, 4, 8, 9 emergency contact forms did not include enrolling parent's work address and phone number. CHILD # 5, 6, 7 emergency contact form did not include enrolling parent's work phone number.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During renewal inspection on 12/12/22 there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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 childcare space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During renewal inspection on 12/12/22 cert rep asked provider to see notification to local traffic safety authorities of the program's use of vehicular and pedestrian routes around the facility. Provider did not have the notification.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During renewal inspection on 12/12/22 there was no documentation that the facility emergency plan was sent to local and county emergency management agencies.

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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During renewal inspection on 12/12/22 cert rep reviewed all staff files. The file of STAFF # 2 (see code sheet for start date) contains child abuse and criminal history clearances obtained more than 5 years ago.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During renewal inspection on 12/12/22 cert rep reviewed all staff files. STAFF #1 last evaluation was dated 12/2/21. This is more than 1 year ago.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During renewal inspection on 12/12/22 cert rep reviewed fire drill log. Last fire drill documented on the fire drill log was 9/30/22. This is more than 60 days ago.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: During renewal inspection on 12/13/21 cert rep reviewed several children's files. CHILD # ! had a health assessment dated 8/25/21 in file. There were no immunization records or letter of exemption from immunization in file.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During renewal inspection on 12/13/21 cert rep reviewed several staff files. STAFF # 1 (start date 10/4/21) had all clearances; however, the state police clearance and child abuse clearance were for VOLUNTEER PURPOSE instead of EMPLOYMENT PURPOSE. STAFF # 2 had a state police clearance dated 8/8/15 which was more than 60 months old. STAFF # 2 had a letter stating that they applied for the FBI clearance on 12/14/19, but the FBI verification letter was not in file. STAFF # 2 date of Mandated Reporter training was 3/6/16 which is more than 60 months ago.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -1 and 2 may not work in a child care position at the facility.

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: During announced inspection to measure additional space for program on 10/25/21, cert rep observed debris left behind from recent construction in the building. There were 2 windows leaning against the wall outside of the classroom and a piece of cable wire, broken concrete pieces and wood debris. This is in an outdoor area next to where the children play and is totally accessible to the children.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.