Shanny The Nanny Early Learning Center Llc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were five ripped mats with exposed foam in the OT room.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The garbage can use in the diapering area in the OT room lacked a garbage bag.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff #1 lacked verification of childcare experience. The file for staff #2 lacked proof of education.

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

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: The files for staff #1 and #2 lacked a disclosure statement .

Correction Required: 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff #2 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained a current NSOR clearance dated 3/19/26, that was obtained after staff #1 start date working with children.

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: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: There were Clorox wipes, Lysol bottle, hand body lotion, Vaseline and disinfecting spray on the YT food prepping area while serving breakfast.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.67(a)

Description: Trash removed once a day

Noncompliance Area: There was a filled garbage bag that appeared to be from the previous day outside the preschool room door, on the hallway.

Correction Required: Trash shall be removed from the facility at least once per day.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was an unlidded garbage can that contained trash contaminated by human secretions located in the playground.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a damaged ceiling tile in the pre -k 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.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: According to the Fire Drill Log the fire drill has not been conducted once every 60 days. The last fire drill was conducted on 11/1/25.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cracked plastic lid in one of the cubbies on the hallway. There were a ripped stuff animal and a cracked plastic bin in the Pre-K room. There was a broken Christmas tree toy in the sand box in the preschool room.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator thermometer in room 12 was 46 degrees.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for child #2 lacked the 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, on the Emergency contact form.

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.

Regulation: 3270.131(b)(2)/3270.131(e)(3)

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

Noncompliance Area: The file for child # 1 a preschooler contained a current health report dated 12/17/25. The report was obtained after 12 months the prior report was dated 10/9/24 . The file for child # 2 a preschooler lacked an updated health report. The previous health report was dated 6/26/24. The file for child # 3 a preschooler contained a current health report dated 10/24/25. The report was obtained after 12 months the prior report was dated 3/22/24 . The file for child # 4 a preschooler lacked an updated health report. The previous health report was dated 9/23/24. The file for child # 5 a preschooler contained a current health report dated 11/12/25. The report was obtained after 12 months the prior report was dated 11/9/23

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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Children #2 and 4 must be dismissed from care by close of business 12/19/25 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: The Albuterol Sulfate medication for child # 9 was expired. The medication expiration date was 10/25.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: The operator was not maintaining a medication log for a nonprescription medication , Neosporin for child #6. The operator was not maintaining a medication log for a nonprescription medication lotion for child #7. The operator was not maintaining a medication log for a nonprescription medication , Cera Ve Moisturizing lotion for child #8.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff #2 contained a current health assessment dated 11/7/25. It was not obtained within 24 months of the previous assessment dated 10/30/23. The file for staff #3 contained a current health assessment dated 11/11/24. It was not obtained within 24 months of the previous assessment dated 4/19/22. The file for staff #4 contained a current health assessment dated 11/14/25. It was not obtained within 24 months of the previous assessment dated 10/2/23.

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: 3270.163(b)

Description: Breakfast items from three groups

Noncompliance Area: On 12/19/25 during the renewal inspection the facility served the children French toast sticks and water. The breakfats lacked 2 items, Protein, milk or fruit.

Correction Required: Breakfast prepared at the facility for children of toddler age or older shall have at least one item from three of the following four food groups: dairy, protein, fruit and vegetable, grain.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff # 5 lacked 11 out of 12 required hours of annual childcare training, from 12/19/23 to 12/19/24.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for staff # 5 contained a current Pediatric First Aid and Pediatric CPR training dated 11/25-11/27. The training was not obtained prior to the expiration of the previous certificate dated 8/20/23-8/20/25.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff # 3 contained a current fire safety training certificate dated 11/10/25 the training pass one year. The Prior certificate was dated.9/10/24.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: On December 19 at 8:03 am staff #1 was alone caring for 2 YT and 4 OT In room 12.

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).

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid -kit in the preschool was missing 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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cracked clear bin in the preschool room. There was a cracked bin lid in the older toddler room.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the preschool refrigerator was 48°.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child # 2 lacked the address of the child's physician or source of medical care on the emergency contact form.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for child # 1 lacked the 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, on the Emergency contact form.

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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child # 1 a young toddler contained a current health report dated 10/23/04 that was not updated within 6 months. The previous report was dated 2/28/24. The file for child # 3 an older toddler contained a current health report dated 12/3/24 that was not updated within 6 months. The previous report was dated 9/6/23.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: There was a cough syrup in the preschool room that lacked the name of the child for whom the medication is intended.

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: 3270.133(7)

Description: Medication log

Noncompliance Area: The operator was not maintaining a medication log for a nonprescription medication, Neosporin for child #4.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma lacked the Child Maltreatment statement. The facility emergency plan lacked the updates regarding the Continuity of Operations requirements.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff #2 contained a current health assessment dated 11/11/24. It was not obtained within 24 months of the previous assessment dated 4/19/22.

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: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: The file for staff # 1 lacked the date when the TB test was applied or read.

Correction Required: 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)(4)(i)

Description: Age and Training

Noncompliance Area: The file for staff # 3 contained a current Pediatric First Aid and Pediatric CPR training dated 10/24. The training was not obtained prior to the expiration of the previous certificate dated 5/25/22-5/24.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.72(c)

Description: Good repair

Noncompliance Area: There was a damage window screen in the Pre -K room.

Correction Required: Screens shall be in good repair.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a cracked ceiling tyle with water damage in the young toddler 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.

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: In Room 9, there were three blue seats that were a part of the high toddler table that were in use that were missing the required seat straps.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact Form for Child #5 and #6 lacked 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: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for Child #3, a Preschooler, contained Health Reports that had been updated in an interval greater than 12 months.

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.

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The files for Child #1, #3, and #4 enrolled for more that 60 days at the facility, did not contain documentation of an influenzas vaccination as required based on the child's age as per the ACIP recommended schedule. The file for Child #2, enrolled for more that 60 days at the facility, did not contain documentation of a 4th dose of the DTAP vaccination as required based on the child's age as per the ACIP recommended schedule.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1, #2, #3, and #4 must be dismissed from care by close of business 12/5/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: There were no written instructions provided from the individual who prescribed the medicine for the medicine belonging to Child #7 at the facility.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: The medication for Child #4 stored at the facility lacked parental written consent.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff #5 lacked the Pennsylvania Health and Safety Update. Although Staff #8 had the Pennsylvania Health and Safety Update training at the time of the Renewal Inspection it was observed that Staff #8 had not completed the Pennsylvania Health and Safety Update by the compliance date of 12/30/22 as set forth in Announcement C-22-06.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff #5 lacked a Health Assessment conducted within the previous 12 months. The file for Staff #7 contained Health Assessments updated in a interval greater than 24 months.

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: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The Emergency Contact form for Child #3 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff #5 lacked 12 hours of annual childcare training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The last two fire safety trainings in the file for staff person #1 were dated more than 12 months apart.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Although the file for Staff #6 contained Pediatric First Aid and CPR it was observed that the current Pediatric First Aid and CPR was not obtained prior to the expiration of the previous training. Although the file for Staff # 8 contained Pediatric First Aid and CPR it was observed that Staff #8 did not obtain Pediatric First Aid and CPR within 90 days of hire. Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/CPR).

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #5 will have until 12/20/23 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Although Staff #8 had Mandated Reporter Training at the time of the Renewal Inspection it was observed that Staff #8 had not completed Mandated Reporter within 90 days of hire. The file for Staff #9 contained Mandated Reporter Trainings that were updated in an interval greater than 60 months.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #2 contained a Child Abuse clearance and FBI Clearance that were updated in an interval greater than 60 months.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff file #3 did not contain an evaluation completed within the previous 12 months.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: In Room 7 there were doors on the cabinets that were loose and hanging creating a pinching hazard for the children in care. In the outdoor play space there was a divot in the squishy surface that created a tripping hazard for the children in care.

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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child # 1 lacked a child service report within the 6 months of enrollment and after 10/31/22, the date of reinstatement of this regulation.

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).

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The Agreement for Child #3 and #5 lacked the date of the child's admission

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact Form for Child #1 lacked the telephone number of the child's physician.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form for Child #1 lacked the health insurance coverage policy number for the child.

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.

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The file for Child #1 lacked an initial health report within 60 days of attendance.

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for Child #3, a preschooler, contained two health reports that were dated more than 12 months apart. The file for Child #4, a preschooler, lacked an updated health report within the previous 12 months.

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.

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

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: The file for Child #4 contained a health report which did not include a review of the child's immunized status.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The health reports for the following children lacked verification of ongoing vaccines in accordance with the schedule recommended by the ACIP. The report for Child #2 lacked an influenza vaccination. The report for Child #4 lacked a 4th dose of the pneumococcal vaccine.

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.

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: There was no prescription for the Epi-Pen belonging to Child #7.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: The medication for Child #6 and #8 lacked written parental consent.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: The file for Child #1 lacked an initial health report within 60 days of attendance.

Correction Required: A child's record shall contain initial and subsequent health reports.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The file for Staff # 1 and #8, lacked acceptable verification of experience and education or training. Staff #1 and #8 were present on the day of inspection acting as an AGS.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Saff #7, lacked two written, nonfamily references from individuals attesting to the 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: 3270.21

Description: General Health and Safety

Noncompliance Area: Located in Room 6 were sharp teacher scissors and a stapler on the desk that were accessible and posing a threat to the children in care. Located in Room 8 was an accessible unlocked drawer that contained push pins creating a protrusion hazard to the children in care.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff #6, lacked documentation for 2 hours of the required 12 hours of annual childcare training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff #4 (See LIS CODE Sheet) contained Fire Safety trainings that were dated more than 12 months apart.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2, #5, and #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Basics). Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/CPR).

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2, #5, and #7 will have until 12/22/22 to complete the required training. Until such time as the required training has been completed, staff person #2, #5, and #7 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, #5, and #7, staff persons #2, #5, and #7 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #4 and #7 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #4 and #7 will have until 12/22/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #4 and #7 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #4 and #7, staff persons #4 and #7 may not work in a child-care position at the facility.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit located in Room 12 was hanging on a lower hook that was accessible to the children in care.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The second stall in the main children's bathroom lacked a hand washing sign posted at the toilet.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information in the file for child #2 did not include a work phone number for the child's mother.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information in the file for child #2 did not include addresses for the 3 release persons. The emergency contact information in the file for child #3 did not include either a city or zip code for the 3 release persons and no address number for one of the individuals..

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: 3270.133(2)

Description: Written instructions

Noncompliance Area: There was no prescription for the epi-pen belonging to child #4.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.151(a)

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

Noncompliance Area: The last two health assessments in the file for staff person #6 were dated more than 24 months apart.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The first-aid and CPR trainings in the file for the following staff did not specify that the training was pediatric; only that it was "infant/child:" #2, #3, #4, #5, #6, #8 and #9.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The last two fire safety trainings in the file for staff person #2' #3, #5, #6, #8 and #9 were dated more than 12 months apart. The only fire safety training in the file for staff person #5 was dated more than 12 months after they began working with children.

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: 3270.31(h)

Description: Health and Safety Training

Noncompliance Area: The health and safety training on topics #1 through #9 in the file for staff person #1, as required by regulation 31f, was dated after 6/17/21. Staff person #1 was hired before 12/19/20.

Correction Required: All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The last 2 Mandated Reporter trainings in the file for staff person #2 were dated more than 60 months apart.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: The last 2 state police, child abuse and FBI clearances in the file for staff person #2 and #3 were dated more than 60 months apart. Both staff continued to work with children with expired clearances. The disclosure statement in the file for staff person #7 was not dated and could not be verified timely. Based on review of the file for staff person #10, hired November 2021, and on conversation with the staff person and the operator, staff person #10 had lived out of state within the last 5 years and there were no out of state clearances for the individual.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on review of the facility's fire drill log, two consecutive drills were conducted on 6/18/21 and 8/18/21, which is 61 days apart.

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: 3270.94(a)(2)

Description: Different times of day

Noncompliance Area: Based on review of the facility's fire drill log, all 6 drills conducted between 12/28/20 and 10/15/21 were conducted between 9:15 am and 11:30 am.

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 different times of the day or night, or both, if applicable.

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The facility's fire drill log specified the exits used during the drills, not the "hypothetical location."

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.