Tia The Journey

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the renewal inspection on 12/18/25 child #1 was observed unsupervised outside the classroom with an outside provider.

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

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: During the renewal inspection on 12/18/25 the department did not gain immediate access to the facility. CR arrived approximately 9:33am and did not gain access until approximately 9:37am.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection on 1218/25 the file reviewed for staff person #4, staff person #5, and staff person #6 did not contain required Health & Safety training.

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

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: During the renewal inspection on 12/18/25 the file reviewed for staff person #3, staff person #5, staff person #6, Staff person #7, staff person #8, staff person #9, staff person #10, staff person #11, and staff person #12 contained online pediatric first aid/CPR certification and is not PQAS approved.

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During the renewal inspection on 12/18/25 the file reviewed for staff person #7 and staff person #8 did not contain required mandated reporter training.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During the renewal inspection on 12/18/25 staff person #1 was observed with (7) children with the youngest child being 1yo.

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: 3270.61(f)

Description: No business simultaneous use

Noncompliance Area: During the renewal inspection on 12/18/25 upstairs childcare space was observed being utilized as storage.

Correction Required: Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection on 12/18/25 disinfectant was observed in unlocked cabinet in the upstairs boy's bathroom. Liquid refresher was observed at the bottom of the steps leading to 2yo classroom. Aquaphor was observed sitting on counter in 4yo classroom. All items were 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.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: During the renewal inspection on 12/18/25 hot water in upstairs children's bathrooms exceeded 110° F.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 12/18/25 the first aid kit located in the infant room did not contain soap.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 12/18/25 chipping paint was observed throughout the facility. Damaged ceiling tiles in infant room needs to be replaced.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the unannounced monitoring on 04/01/25 staff person #1 left (5) young toddlers in the classroom unsupervised.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the unannounced monitoring on 04/01/25 staff person #3 hired (see code sheet) did not have a NSOR certificate, FBI clearance, criminal clearance or a child abuse clearance. Furthermore, staff person #3 was observed working unsupervised with (8) children.

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. Staff person #3 may not work in a childcare position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the unannounced monitoring on 04/01/25 staff person #2 was observed caring for (6) infants alone.

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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the unannounced monitoring on 04/01/25 missing electrical outlet covers were observed throughout the facility.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: During the renewal inspection on 12/17/24 the health assessment reviewed for child #1 was expired. Health assessment was dated 12/15/23.

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.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: During the renewal inspection on 12/17/24 the file reviewed for staff person #1 did not contain acceptable verification of education.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 12/17/24 there was a missing receptacle cover observed in infant room.

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

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During the renewal inspection on 12/07/23 the file reviewed for staff person #1, staff person #2, staff person #3, staff person #4, staff person #5, staff person #6 and staff person #7 did not contain health assessment.

Correction Required: An adult health assessment must include a physical examination. 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection on 12/07/23 the file reviewed for staff person #3 did not contain emergency plan at time of initial employment.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 12/07/23 the first aid kit in the Two's classroom was missing tweezers and soap, the first aid kit in the kindergarten classroom was missing tweezers and gloves, the first aid kit in the PreK room was missing tweezers.

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: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: One staff person's record did not contain a health assessment completed within 12 months prior to the date of hire. (#3)

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. Obtain and submit a current up-to-date health assessment for the identified staff persons. Ensure that staff health assessments are completed within the required timeframes as specified in this regulation.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two staff person's record did not contain the required CPSL hiring documents. (#1-FBI was more than 60 months- no updated FBI on file; mandated reporter training was more than 60 months old when updated) (#2- mandated reporter training was more than 60 months old when updated)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility until the FBI has been updated and completed. Mandated reporter training must be completed mandated within 90 days of hire and updated within 60 months as specified in the CPSL. Submit a copy of the completed FBI for the identified staff person. Ensure that all CPSL clearances are updated within 60 months as required. Ensure that the mandated reporter training is completed within 90 days of hire and updated within 60 months as specified in the CPSL.

Regulation: 3270.133(7)(iv)

Description: Amount to administer

Noncompliance Area: Prescription medication was administered to child #1 from 6/22/21-6/25/21 and the medication log did not list the amount of the medication administered.

Correction Required: A medication log shall include the amount of medication administered. Ensure that the medication log includes the amount of medication administered. Notify and retrain staff in proper completion of the medication log.

Noncompliance Area: The initial health report for an older toddler was dated more than 12 months prior to the first day of attendance at the facility. (#1)

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. Obtain and submit a current up-to-date health report for the indicated child. Ensure that initial health reports for young toddlers are completed and dated no more than 12 months prior to the first day of attendance.

Noncompliance Area: One staff person's records did not contain a health assessment completed within 12 months prior to the date of hire. (#1)

Correction Required: 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. Obtain and submit a current up-to-date health assessment for the identified staff persons. Ensure that staff health assessments are completed within the required timeframes as specified in this regulation.

Noncompliance Area: One staff person's record did not contain written verification of education and experience for their assistant group supervisor position. (#1)

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

Noncompliance Area: The baseboard near the basement bathroom was water damaged and in disrepair.

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. Make necessary repairs. Ensure that surfaces in the facility are kept in good repair.

Noncompliance Area: On 11/20/29, a child received emergency room treatment subsequent to sustaining an injury at the facility and the operator failed to notify the regional office within 24 hours of the emergency room treatment and mail a written report within 72 hours after the occurrence.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department. Ensure that incident reporting and notification is completed as required. Revise and submit written policies and procedures regarding incident reporting and notification in relation to emergency room treatment for children in care.

Noncompliance Area: Receptacle covers in front reception area that is accessible to children 5 years of age or younger lacked protective covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Place protective receptacle covers in the outlets and ensure that they remain there when the outlets are not in use.

Noncompliance Area: One child's emergency contact information did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released. (#1)

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. Obtain and submit a written copy of this missing information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Noncompliance Area: The indoor temperature was not at least 65 F as there was an issue between the gas company and the building landlord.

Correction Required: The indoor temperature shall be at least 65 F. Take necessary steps to ensure that the indoor temperature is at least 65 F throughout the facility. Children cannot return to care if the temperature is not at least 65 F. Submit written documentation to verify compliance.

Noncompliance Area: The refrigerator lacked an operable thermometer.

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. Obtain an operable thermometer and place it in the refrigerator.

Noncompliance Area: Two facility person's records did not contain a health assessment completed within 12 months prior to the date of hire. (#1 and #2)

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. Obtain and submit a current up-to-date health assessment for the identified staff persons. Ensure that health assessments are dated and completed within the required timeframes.

Noncompliance Area: Two staff person's record did not contain written verification of initial emergency plan training. (#1)

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. Obtain and submit written verification of initial emergency plan training for the identified staff person. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment and annually.

Noncompliance Area: Pillars in the basement older toddler classroom had pointed corners that presented a potential hazard to 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. Secure padding around the pillars to prevent them from posing a hazard.