Magic Memories Collegeville

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Continued noncompliance from inspection dated 10/22/25: On 11/7/25, at time of unannounced inspection, two bottles observed in the young toddler room were not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: On 10/22/25, at time of renewal, Staff #1 was observed changing a diaper in the young toddler room. Upon completing the diapering, Staff #1 did not ensure child's hands were washed and did not wash their own hands.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 10/22/25, at time of renewal, two bottles observed in the kitchen refrigerator were not labeled with child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: On 10/22/25, at time of renewal, no evidence of annual notification to traffic safety authorities of the location of the facility and routes around the childcare facility was provided.

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: On 10/22/25, at time of renewal, no evidence that the facility sent a copy of the emergency plan to the local municipality and to county emergency management agency was provided.

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: 3270.66(a)/3270.75(b)

Description: Locked or inaccessible/Inaccessible to children

Noncompliance Area: On 10/22/25, at time of renewal, Clorox wipes were observed accessible to children on the sink located in the multipurpose room. A first aid kit was observed hanging from a hook accessible to children in the preschool room.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. A first-aid kit must be inaccessible to children.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: On 10/22/25, at time of renewal, the facility did not have proof of installation date of the facility's fire detection system as required by the Panic and Fire Act 82 of 2020.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Emergency contact for child 1 was missing information of who shall be contacted in an emergency.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The toilet in Monkeys did not flush.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: During renewal inspection certification rep reviewed fire drill log. The smoke alarm is not being tested every 30 days

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the renewal inspection, certification representative observed no protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The facility had embedded equipment in their play space which was embedded in mulch. The equipment (monkey bars) was not mounted over enough mulch to meet the requirements of the USCPSC, the mulch was less than 6 inches in depth.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During renewal inspection certification checked the refrigerator for a thermometer in the Fireflies room. The refrigerator was missing a 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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Child 2,3 and 4 were missing child service reports.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Emergency contact for child 1 was missing address and telephone number 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)(1)/3270.181(c)

Description: Infant: updated health report every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Health report for child 2 was expired on 8-10-23. Health report on file was dated 8-10-22..

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. 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.

Regulation: 3270.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Emergency contact for child 1 and 2 did not have signed parental consent for administration of medications or special dietary needs.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Date disseminated for staff 2 state police clearance for staff 2 was missing.

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. Facility Person #-2-- may not work in a child care position at the facility.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, it was observed that the annual emergency drills was not documented and on file at the facility.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 3 was missing 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.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During renewal inspection certification rep did not receive copy of emergency plan delivery.

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: 3270.36(b)(5)/3270.192(2)(iv)

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Experience for staff 1 needs to be verified.

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 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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During renewal inspection, certification rep observed the water temperature in Turtles and Giraffes classroom exceed 110° . The water temperature in Turtles classroom was at 114° and the water temperature in Giraffes classroom was at 113°.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During renewal inspection, certification rep observed missing handwashing signs above the toilets in the bathroom in Monkeys and Seahorses classroom

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: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE HEALTH ASSESSMENT FOR STAFF PERSON #1 DID NOT INCLUDE A STATMENT ANSWERED BY THE PHYSICIAN, REGARDING THE INDIVIDUAL'S SUITABILITY TO WORK IN CHILD CARE.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, A BOTTLE WAS OBSERVED IN THE INFANT ROOM AND IT WAS NOT LABELED FOR A SPECIFIC CHILD.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FILE FOR STAFF PERSON #2 CONTAINED ONE REFERENCE FROM A FAMILY MEMEBER, AND ONE NON-FAMILY REFERENCE.

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: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FILE FOR STAFF PERSON #1 DID NOT INLCUDE 2500 HOURS OF EXPERIENCE WITH CHILDREN TO QUALIFY FOR THE AGS POSITION BEING PERFORMED.

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 childcare experience, education and training prior to service at the facility.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION, PLASTIC BAGS WERE OBSERVED UNDER THE UNLOCKED CHANGING TABLE IN THE YOUNG TODDLER ROOM, AND THE BAGS WERE ACCESSIBLE TO CHILDREN. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION, THE EMERGENCY CONTACT FORM FOR CHILD #1 HAD NOT BEEN UPDATED/REVIEWED WITH A NEW SIGNATURE AND DATE WITHIN THE PAST 6 MONTHS. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION, MILK WAS OBSERVED ON THE COUNTER IN THE YOUNG TODDLER ROOM AND IN THE CAMP ROOM AND HAD NOT BEEN PLACED IN A REGRIGERATOR AFTER BEING USED.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION, A CHILD IN THE YOUNG TODDLER ROOM WAS OBSERVED GRABBING A SPRAY BOTTLE CONTAINING CLEANING MATERIALS OFF OF THE COUNTER. THIS IS CONTINUED NON-COMPLIANCE.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, PLASTIC BAGS WERE OBSERVED IN THE CHILDREN'S CUBBIES IN THE OLDER TODDLER ROOM AND UNDER THE UNLOCKED CHANGING TABLE IN THE YOUNG TODDLER ROOM, AND BOTH WERE ACCESSIBLE TO CHILDREN.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, UPON WALKING INTO THE ROOM, STAFF PERSON #2 WAS OBSERVED ON THE OTHER SIDE OF THE ACCORDIAN WALL TALKING WITH STAFF PERSON #7, LEAVING 10 PE-SCHOOL AND SCHOOL-AGED CHILDREN UNSUPERVISED. THIS IS CONTINUED NON-COMPLIANCE.

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. Children must be supervised at all times.

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, EMERGENCY INFORMATION FOR CHILD #2 AND #3 DID NOT INCLUDE THE HEALTH INSURANCE OR POLICY INFORMATION FOR THE CHILD. THE EMERGENCY INFORMATION FOR CHILD #2 DID NOT INCLUDE THE NAME, PHONE NUMBER OR ADDRESS OF THE CHILD'S PHYSICIAN. THIS IS CONTINUED NON-COMPLIANCE

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.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: 3270.124(c)

Description: Each child care space

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, THERE WAS NO EMERGENCY CONTACT INFORMATION IN THE INFANT ROOM FOR THE THREE CHILDREN RECEIVING CARE. IN THE SCHOOL AGE ROOM THERE WAS ONLY EMERGENCY INFORMATION FOR THREE OUT OF TEN CHILDREN RECEIVING CARE IN THE ROOM. IN THE PRESCHOOL ROOM THERE WAS ONLY EMERGNCY INFORMATION FOR THREE OUT OF THE EIGHT CHILDREN RECEIVING CARE IN THE ROOM. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(f)/3270.181(e)

Description: Updated every 6 months/Emergency master file updated

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, THE EMERGENCY CONTACT INFORMATION FOR CHILD #1, #2, #3, #4, #5, #6, #7, AND #8 HAD NOT BEEN UPDATED IN THE PRE-SCHOOL AND SCHOOL AGE ROOMS. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationIf emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, STAFF PERSON #4 AND #5 WERE OBSERVED TO BE CARING FOR CHILDREN UNSUPERVISED. STAFF PERSON #4 AND #5 HAVE NOT COMPLETED THE FOLLOWING PRE-SERVICE TRAINING UNDER 3270.31 (f) (1)-(10), AND HAVE NOT COMPLETED MANDATED REPORTER TRAINING UNDER 3270.32 (a), REQUIRED PRIOR TO CARING FOR CHILDREN UNSUPERVISED. THIS IS CONTINUED NON-COMPLIANCE.

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)/3270.151(c)(2)

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

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, STAFF PERSON #4 AND #5 DID NOT HAVE DOCUMENTATION ON FILE OF HAVING AN INITIAL HEALTH ASSESSMENT OR TB TEST RESULTS. THIS IS CONTINUED NON-COMPLIANCE.

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, STAFF PERSON #1 AND #2 DID NOT HAVE DOCUMENTATION ON FILE FOR A TB SCREENING. THIS IS CONTINUED NON-COMPLIANCE.

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.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, THE EMERGENCY INFORMATION FOR CHILD #2 DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE, OR FOR THE ADMINISTRATION OF FIRST AID PROCEDURES BY FACILITY STAFF. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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: 3270.192(5)

Description: Two written references

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, THE FILE FOR STAFF PERSON #2, #4, #5, AND #6 DID NOT INCLUDE TWO WRITTEN REFERENCES. THIS IS CONTINUED NON-COMPLIANCE.

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: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, INSPECTION SUMMARIES FROM THE PAST THREE VISITS, IN WHICH NON-COMPLIANCE ITEMS HAVE NOT BEEN CORRECTED, WERE NOT POSTED IN A CONSPICIOUS LOCATION AT THE FACILITY.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, STAFF PERSON #1, #3, #5 AND #6 DID NOT HAVE DOCUMENTATION OF RECEIVING EMERGENCY PLAN TRAINING FOR THIS LOCATION AT THE TIME OF HIRE. THIS IS CONTINUED NON-COMPLIANCE.

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)(i)/3270.31(f)(10)

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

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, THE FILE FOR STAFF PERSON #3 DID NOT CONTAIN PEDIATRIC FIRST AID AND PEDIATRIC CPR COMPLETED USING AN ACCEPTABLE TRAINING CURRICULUM FROM A PQAS CERTIFIED TRAINER. THIS IS CONTINUED NON-COMPLIANCE.

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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22,THE FILES FOR STAFF PERSON #2, #4, AND #5 DID NOT CONTAIN COMPLETE CRIMINAL HISTORY INFORMATION AS REQUIRED BY THE CPSL. STAFF PERSON #2 (WHO IS PAST THE PROVISIONAL HIRE PERIOD) WAS OBSERVED WORKING ALONE WITH A TOTAL OF TEN PRE-SCHOOL AND SCHOOL AGE CHILDREN AND THE FILE FOR STAFF PERSON #2 DID NOT CONTAIN A COMPLETE FBI CLEARANCE-ONLY A RECEIPT DATED 6/15/22. STAFF PERSON #4 WAS OBSERVED WORKING ALONE WITH FIVE YOUNG TODDLERS AND THE FILE FOR STAFF PERSON #4 DID NOT CONTIAN A COMPLETE FBI CLEARANCE OR A NSOR VERIFICATION CERTIFICATE. STAFF PERSON #5 WAS OBSERVED WORKING ALONE WITH A TOTAL OF THREE INFANTS AND YOUNG TODDLERS AND THE FILE FOR STAFF PERSON #5 DID NOT CONTAIN A CHILD ABUSE APPLICATION OR COMPLETE CLEARANCE. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2, #4, AND #5 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, THE FILE FOR STAFF PERSON #2 DID NOT CONTAIN ANY EDUCATION TO QUALIFY FOR A POSITION AT THE FACILITY. THE FILE FOR STAFF PERSON #4 DID NOT CONTAIN ANY EDUCATION OR EXPERIENCE TO QUALIFY FOR A POSITION AT THE FACILITY. THIS IS CONTINUED NON-COMPLIANCE.

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

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, THE FILE FOR STAFF PERSON #5, WHO WAS OBSERVED WORKING ALONE, DID NOT CONTAIN 2500 HOURS OF EXPERIENCE WITH CHILDREN TO QUALIFY FOR THE AGS POSITION BEING PERFORMED.

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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, TWO UNSUSED OUTETS WERE OBSERVED IN THE PRE-SCHOOL ROOM THAT DID NOT HAVE PROTECTIVE COVERS IN THEM. THIS IS CONTINUED NON-COMPLIANCE.

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, THE REQUIRED EMERGENCY PHONE NUMBERS WERE NOT POSTED BY THE PHONE IN THE PRE-SCHOOL ROOM.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, THE FIRST AID KIT WAS OBSERVED HANGING IN THE CUBBIES IN THE PRE-SCHOOL ROOM AND WAS ACCESSIBLE TO CHILDREN. THIS IS CONTINUED NON-COMPLIANCE.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 7/13/22, THE FOLLOWING PHYSICAL SITE OBSERVATION WERE MADE: THE WALL BY THE TABLE IN THE OLDER TODDLER ROOM WAS VISIBLY DIRTY WITH CRAYON AND PAINT MARKS, THE STEP STOOLS IN THE TODDLER BATHROOM WERE VISIBLE DIRTY WITH PAINT AND DIRT, THE CEILING VENT AND THE WALL BY THE AIR CONDITIONER IN THE SCHOOL AGE/CAMP ROOM WAS VISIBLY DIRTY. THIS IS CONTINUED NON-COMPLIANCE.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 6/3/22, IT WAS OBSERVED THAT STAFF PERSON #1 DID NOT ENSURE CHILDREN'S HANDS WERE WASHED AFTER CHANGING THE DIAPERS OF TWO CHILDREN.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 6/3/22, STAFF PERSON #2 WAS OBSERVED WORKING ALONE WITH 10 PRE-SCHOOL/PRE-K AGED CHILDREN, AND DID NOT HAVE VERIFICATION OF COMPLETING ALL THE REQUIRED HEALTH AND SAFETY TRAINING TOPICS REQUIRED UNDER 3270.31(f) (1-9)

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)/3270.151(c)(2)

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

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 6/3/22, THE FILE FOR STAFF PERSON #2 AND #3 DID NOT CONTAIN A HEALTH ASSESSMENT OR TB TEST RESULTS.

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: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 6/3/22, SOME EMERGENCY CONTACTS OBSERVED IN THE PS/PK ROOM HAD NOT BEEN UPDATED WITH A NEW SIGNATURE AND DATE WITHIN THE PAST 6 MONTHS.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 6/3/22, STAFF PERSON #4, IDENTIFIED AS AN ADMINISTRATOR WITHIN THE COMPANY WHO IS NOT RESPONSIBLE FOR DIRECTLY SUPERVISING CHILDREN, WAS OBSERVED IN AND OUT OF CLASSROOMS TRYING TO HELP MANAGE STAFF:CHILD RATIOS, AND DID NOT HAVE A FILE ON SITE.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 6/3/22, THE FILE FOR STAFF PERSON #2 DID NOT INCLUDE 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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 6/3/22, STAFF PERSON #3 AND #5 DID NOT HAVE DOCUMENTATION OF RECEIVING EMERGENCY PLAN TRAINING FOR THIS SITE LOCATION, ONLY FOR ANOTHER SITE LOCATION WITHIN THE COMPANY.

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)(i)

Description: Age and Training

Noncompliance Area: AT TIME OF UNANNONCED INSPECTION ON 6/3/22, THE FILE FOR STAFF PERSON #1 HAD AN EXPIRED PEDIATRIC FIRST AID CPR CERTIFICATION, AND STAFF PERSON #3 DID NOT HAVE PEDIATRIC FIRST AID AND CPR COMPLETED USING AN ACCEPTABLE TRAINING CURRICULUM FROM A PQAS CERTIFIED TRAINER.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 6/3/22, STAFF PERSON #2, AND #3 DID NOT HAVE COMPLETE CRIMINAL HISTORY INFORMATION ON FILE AS REQUIRED BY THE CPSL. STAFF PERSON #2, WHO IS PAST THE 45 DAY PROVISIONAL HIRE PERIOD, AND WAS OBSERVED WORKING ALONE WITH10 PRE-SCHOOL/PRE-K AGED CHILDREN, DID NOT HAVE A COMPLETE FBI CLEARANCE, OR A COMPLETE NSOR VERIFICATION CERTIFICATE, ONLY APPLICATIONS/RECEIPTS FOR THE CLEARANCES WERE ON FILE. STAFF PERSON #2 ALSO DID NOT HAVE A CERTIFICATE ON FILE FOR COMPLETING MANDATED REPORTER TRAINING. STAFF PERSON #3 HAD A MANDATED REPORTER CERTIFICATE ON FILE, BUT IT HAD NO NAME OR DATE ON IT.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 AND #3 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.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 6/3/22, THE FILE FOR STAFF PERSON #2 DID NOT INCLUDE ANY DOCUMENTATION OF EDUCATION OR EXPERIENCE TO QUALIFY FOR A POSITION AT THE FACILITY.

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

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 6/3/22, THE FILE FOR STAFF PERSON #3 CONTAINED AN AA DEGREE IN AN UNRELATED FIELD WITH NO TRANSCRIPTS AVAILABLE. STAFF PERSON #3 DID NOT HAVE DOCUMENTATION OF 2500 HOURS OF EXPERIENCE WITH CHILDREN TO QUALIFY FOR AN AGS POSITION.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 6/3/22, THE FIRST AID KIT IN THE PS/PK ROOM WAS OBSERVED ON THE FLOOR AND WAS ACCESSIBLE TO CHILDREN.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: AT TIME OF UNANNOUNCED INSPECTION ON 6/3/22, THE WALL BY THE TABLES IN THE OLDER TODDLER ROOM WAS OBSERVED TO BE VISIBLY DIRTY WITH PAINT AND CRAYON MARKS.

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: AT TIME OF COMPLAINT INVESTIGATION ON 6/3/22, STAFF PERSON #3 ACKNOWLEDGED, AND VIDEO FOOTAGE SUBMITTED AT TIME OF THE COMPLAINT SHOWS THAT CHILD #1 WAS LEFT OUTSIDE, UNSUPERVISED FOR 5 MINUTES ON 5/20/22, WHILE WAITING ON THE PORCH TO ENTER THE FACILITY, AFTER GETTING DROPPED OFF FROM SCHOOL BY THE SCHOOL BUS.

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. Children must be supervised at all times. The legal entity must maintain documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by maintaining copies of the documentation at the facility. Documentation will be made available to certification rep during any visit to the facility. Facility will continue supervision monitoring on a daily basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: AT TIME OF COMPLAINT INVESTIGATION ON 6/3/22, STAFF PERSON #3 ACKNOWLEDGED, AND VIDEO FOOTAGE SUBMITTED AT TIME OF THE COMPLAINT SHOWS THAT CHILD #1 WAS LEFT OUTSIDE, UNSUPERVISED FOR 5 MINUTES ON 5/20/22, WHILE WAITING ON THE PORCH TO ENTER THE FACILITY, AFTER GETTING DROPPED OFF FROM SCHOOL BY THE SCHOOL BUS.

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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training through the regional key regarding supervision. The Southeast Regional Office will make the training referral to the appropriate ELRC. Training content will be approved by the Southeast Regional Office. Documentation will be submitted to the Southeast Regional Office by the trainer, and will show all staff participated in the required training.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: AT TIME OF COMPLAINT INVESTIGATION ON 6/3/22, STAFF PERSON #3 ACKNOWLEDGED, AND VIDEO FOOTAGE SUBMITTED AT TIME OF THE COMPLAINT SHOWS THAT CHILD #1 WAS LEFT OUTSIDE, UNSUPERVISED FOR 5 MINUTES ON 5/20/22, WHILE WAITING ON THE PORCH TO ENTER THE FACILITY, AFTER GETTING DROPPED OFF FROM SCHOOL BY THE SCHOOL BUS.

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. Children must be supervised at all times.

Regulation: 3270.163(b)

Description: Breakfast items from three groups

Noncompliance Area: AT TIME OF COMPLAINT INVESTIGATION ON 6/3/22, IT WAS OBSERVED THAT BREAKFAST IN THE OLDER TODDLER ROOM CONSISTED OF CORNBREAD, JELLY, AND MILK OR WATER, AND THEREFORE DID NOT INCLUDE ALL OF THE REQUIRED COMPONENTS.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: AT TIME OF COMPLAINT INVESTIGATION ON 6/3/22, IT WAS OBSERVED VIA PRE-RECORDED VIDEO, THAT THE FACILITY WAS OUT OF RATIO ON 6/2/22, AT APPROXIMATELY 7:52 AM. VIDEO FOOTAGE SHOWED STAFF PERSON #1 AND STAFF PERSON #2 WORKING IN THE DUCKIES CLASSROOM WITH 11 CHILDREN, WHOSE AGES RANGED FROM YOUNG TODDLER TO PRE-SCHOOL

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 required staff:child ratios must be maintained at all times. The legal entity must submit documentation, in a format approved by DHS, proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will keep these tracking sheets at the facility to be viewed by certification rep during each monthly visit, for a period of three months

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: AT TIME OF COMPLAINT INVESTIGATION ON 6/3/22, IT WAS OBSERVED VIA PRE-RECORDED VIDEO, THAT THE FACILITY WAS OUT OF RATIO ON 6/2/22, AT APPROXIMATELY 7:52 AM. VIDEO FOOTAGE SHOWED STAFF PERSON #1 AND STAFF PERSON #2 WORKING IN THE DUCKIES CLASSROOM WITH 11 CHILDREN, WHOSE AGES RANGED FROM YOUNG TODDLER TO PRE-SCHOOL.

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 required staff:child ratios must be maintained at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training through the regional key, regarding maintaining staff:child ratios. The Southeast Regional Office will make the training referral to the appropriate ELRC. Training Content will be approved by the Southeast Regional Office. Documentation will be submitted to the Southeast Regional Office by the trainer, and will show all staff participated in the required training.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: AT TIME OF COMPLAINT INVESTIGATION ON 6/3/22, IT WAS OBSERVED VIA PRE-RECORDED VIDEO, THAT THE FACILITY WAS OUT OF RATIO ON 6/2/22, AT APPROXIMATELY 7:52 AM. VIDEO FOOTAGE SHOWED STAFF PERSON #1 AND STAFF PERSON #2 WORKING IN THE DUCKIES CLASSROOM WITH 11 CHILDREN, WHOSE AGES RANGED FROM YOUNG TODDLER TO PRE-SCHOOL.

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 required staff:child ratios must be maintained at all times.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, AN ADULT SIZED, MAROON CHAIR OBSERVED IN THE PRE-SCHOOL/SCHOOL AGED ROOM HAD RIPPED FABRIC ON THE SEAT AND EXPOSED FOAM.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, STAFF PERSON #3 AND #4 HAD NOT ESTABLISHED SUPERVISION GROUPS FOR THE 18 PRE-SCHOOL AND SCHOOL AGED CHILDREN IN THE ROOM, AND THEREFORE COULD NOT IDENTIFY THE CHILDREN ASSIGNED TO THEM.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FILE FOR CHILD #5 DID NOT INCLUDE AN AGREEMENT.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE AGREEMENTS FOR CHILD #1 AND #2 WERE MISSING THE ARRIVAL AND DEPARTURN TIMES FOR THE CHILD.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE AGREEMENTS ON FILE FOR CHILD #1, #2, #3 AND #4 WERE THE ORIGINAL AGREEMENTS, NOT A COPY OF THE AGREEMENT.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(1)/3270.124(b)(2)

Description: Child's name, birth date/Physician name, address, phone

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM FOR CHILD #5 DID NOT INCLUDE THE CHILD'S NAME AND BIRTHDATE, AND IT DID NOT INCUDE THE NAME, ADDRESS, OR TELEPHONE NUMBER FOR THE CHILD'S MEDICAL CARE PROVIDER.

Correction Required: Emergency contact information must include the name and birth date of the child. 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)(7)

Description: Name/address/phone release person

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE EMERGENCY CONTACT FORMS FOR CHILD #2 AND #4 DID NOT INCLUDE THE ADDRESS AND PHONE NUMBER OF THE INDIVIDUALS 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(c)

Description: Each child care space

Noncompliance Area: AT TIME OF RENEWAL INSPECTION , AN EMERGENCY CONTACT FORM FOR CHILD #2 WAS NOT PRESENT INTHE CHILD CARE SPACE WHERE THE CHILD WAS RECEIVING CARE.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE EMERGENCY INFORMATION FOR CHILD #4 AND #5 HAD NOT BEEN REVIEWED WITH A NEW SIGNATUR AND DATE WITHIN THE PAST 6 MONTHS. EMERGENCY INFORMATION FOR CHILD #4 LAST UPDATED 11/18/21, AND FOR CHILD #5 LAST UPDATE WAS 5/27/21.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Regulation: 3270.131(d)(7)/3270.131(d)(8)

Description: Free from contagious/communicable disease/Age appropriate screenings complete

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE HEALTH REPORT FOR CHILD #2 AND #3 DID NOT HAVE ALL REQUIRED QUESTIONS ANSWERED BY THE DOCTOR REGARDING IF THE CHILD IS ABLE TO PARTICIPATE IN CARE AND FREE FROM COMMUNICABLE DISEASES, AND IF ALL AGE APPROPRIATE SCREENINGS WERE CONDUCTED.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, IT WAS OBSERVED THAT STAFF PERSON #5 DID NOT WASH HIS/HER HANDS, AND DID NOT WASH THE CHILD'S HANDS, PRIOR TO FEEDING THE CHILD A BOTTLE.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FACILITY HAD NOT DEVELOPED POLICIES REGARDING SHAKEN BABY SYNDROME/ABUSIVE HEAD TRAUMA, CHILD MALTREATMENT, OR STRATEGIES FOR COPING WITH A CRYING, FUSSING OR DISTRAUGHT CHILD, AS REQUIRED UNDER FEDERAL REGULATION 45 CFR 98.41(a)(1)(vi).

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, A BOTTLE PREPARED AT HOME, WAS OBSERVED IN A CUBBY IN THE YOUNG TODDLER ROOM, AND HAD NOT BEEN REFRIGERATED.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, A BOTTLE IN THE REFRIGERATOR IN THE INFANT ROOM WAS NOT LABELED WITH THE CHILD'S NAME.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FILE FOR CHILD #3 DID NOT INCLUDE SIGNED PARETNAL CONSENT FOR EMERGENCY MEDICAL CARE, OR FOR THE ADMINISTRATION OF MINOR FIRST AID PROCDEURES BY FACILITY STAFF.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FILE FOR STAFF PERSON #3 DID NOT INCLUDE 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

Regulation: 3270.27(a)(4)/3270.27(a)(5)

Description: Contact when ended/Emergency plan

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FACILITY'S EMERGENCY PLAN DID NOT CLEARLY STATE THAT PARENTS WILL BE NOTIFIED AT THE CONCLUSION OF ANY EMERGENCY, AND HOW THEY WILL BE NOTIFIED, AS TO WHERE AND WHEN TO BE REUNITED WITH THEIR CHILD(REN). THE FACILITY'S EMERGENCY PLAN ALSO DID NOT CLEARLY STATE HOW INFANTS AND TODDLERS (NON-WALKERS) WILL BE ACCOMMODATED DURING AN EMERGENCY.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, AN EMERGENCY DRILL HAD NOT BEEN CONDUCTED AND DOCUMENTED WITHIN THE PAST YEAR.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FACILITY'S EMERGENCY PLAN HAD NOT BEEN REVIEWED IN THE PAST YEAR AND INCLUDED NAMES AND PERSONS NO LONGER EMPLOYED AT THE LOCATION. LAST DATE OF REVIEW OF PLAN WAS 6/6/21.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, DOCUMENTATION THAT THE EMERGENCY PLAN HAD BEEN SENT TO THE LOCAL MUNICIPALITY AND TO THE COUNTY EMERGENCY MANAGEMENT AGENCY WAS NOT ON FILE AT THE FACILITY.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FILE FOR STAFF PERSON #1 CONTAINED PEDIATRIC FIRST AID AND CPR CERTIFICATION THAT EXPIRED AS OF 2/28/22.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FILE FOR STAFF PERSON #4 DID NOT INCLUDE COMPLETE CRIMINAL HISTORY INFORMAITON AS REQUIRED UNDER THE CPSL. STAFF PERSON #4 DID NOT HAVE A COMPLETE FBI CLEARANCE ON FILE, ONLY THE REGISTRATION CONFIRMATION TO BE FINGERPRINTED WAS ON FILE. STAFF PERSON #4 IS PAST THE PROVISIONAL HIRE PERIOD, AND WAS OBSERVED WORKING WITH STAFF PERSON #3 WITH 18 CHILDREN, AGES PRE-SCHOOL TO SCHOOL AGE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4 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 #--- may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, STAFF PERSON #1 AND #2 DID NOT HAVE A WRITTEN STAFF EVALUATION COMPLETED WITHIN THE PAST 12 MONTHS. LAST STAFF EVALUATIONS WERE COMPLETED IN JUNE AND JULY OF 2020.

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: 3270.36(b)(4)/3270.192(2)(ii)

Description: HS/GED + postsecondary/Exp, educ., training prior to facility

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FILE FOR STAFF PERSON #3 DID NOT INCLUDE 2500 HOURS OF EXPERIENCE WITH CHILDREN IN ORDER TO QUALIFY FOR THE AGS POSITION BEING PERFORMED.

Correction Required: An assistant group supervisor shall have a high school diploma or a general education development certificate and have completed a post-secondary training curriculum described in §3270.31(c).A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, AN UNUSED OUTLET IN THE PRE-SCHOOL/SCHOOL AGE ROOM DID NOT HAVE A PROTECTIVE COVER IN IT.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, SUNSCREEN AND SANITIZER WERE OBSERVED IN THE PRE-SCHOOL/SCHOOL AGE CLASSROOM AND 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: 3270.76

Description: Building Surfaces

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FOLLOWING PHYSICAL SITE ITEMS WERE OBSERVED: IN THE PRE-SCHOOL/SCHOOL AGE ROOM THE WALL BY THE SECOND SINK WAS VISIBLY DIRTY, THE WALL BY THE COTS WAS VISIBLY DIRTY AND HAD CRAYON MARKS, THE TOILET PAPER HOLDER IN THE BATHROOM WAS BROKEN. IN THE YOUNG TODDLER ROOM, THE WALL VENT WAS MISSING A SCREW AND WAS NOT COMPLETELY SCREWED INTO THE WALL, ALLOWING CHILDREN TO GET PINCHED OR PULL IT FROM THE WALL. THE STEP STOOLS AND THE CABINETS UNDER THE SINK IN THE YOUNG TODDLER/OLDER TODDLER BATHROM WERE VISIBLY DIRTY WITH PAINT AND DIRT AND IN NEED OF BEING CLEANED.

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.