Daniels Dynasty Child Care Center Inc

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the emergency contact and agreement forms of children to be reviewed and updated at least every 6 months. The following children's forms were not updated at least every 6 months: Child #1 (previous both forms 8/2025, no current) and Child #4 (previous both forms 9/26/25, no current).

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. 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: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. The fencing in the outdoor play area was not in good repair. As you enter the play area, the fence line to right had pole at the bottom of the fence that was no longer attached. The fence also had other areas that the fence had come lose from the poles. Also, at the poles at the bottom of the fence, screws were facing in towards the children's play area. These areas were identified and addressed with the director at the time of the inspection.

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: 3270.131(b)(1)/3270.181(c)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires young toddlers to have an updated health report in their file at least every 6 months. Child #5 had a health report in their file dated 7/1/24 and another dated 6/13/25. The file of child did not have an updated 6-month health report after 7/1/24 but received one on 6/13/25.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire of staff. Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire: pediatric first aid/CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10). Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: An unannounced inspection occurred at the facility. A physical site review as conducted. Staff #1 identified a group of 4-children that contained 1-infant and 3-toddlers. Staff #2 identified a group of 6-children that contained 1-toddler and 5-preschoolers. The group at large contained 13 children, which left 3 children unaccounted for in a supervision group. To maintain appropriate supervision, a third staff person would have been required.

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: 3270.52/3270.113(a)(2)

Description: Mixed Age Level/Supervision on and facility premises

Noncompliance Area: An unannounced inspection occurred at the facility. A physical site review was conducted. Staff #1 stated that Staff #3 stepped out to run an errand quick. This left Staff #1 and Staff #2 out of ratio for a period of 15-minutes. With Staff #1 and Staff #2 were 1-infant, 2-young toddlers, 2-older toddlers and 8-perschool children. This number of children would require a third staff person.

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 requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: On 1/14/25 a verification inspection occurred at the facility and at that inspection, the activity schedule was not posted in the classroom on the right.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: A renewal inspection occurred at the facility on 11/14/24. A physical site review was conducted. A mixed-aged group of children was viewed watching a movie and receiving care in the right classroom. Several of these children ranged in age from young toddler to preschool. These children were viewed strapped into infant rocker chairs and lower to the ground toddler chairs. These children were viewed attempting to get out of the chairs but were unable to because of the safety straps being used. A verification visit occurred at the facility on 1/14/25. Child #1 (preschool) was observed belted into a chair for a period of 30-minutes. Child #2 and #3 (both preschool age) were observed belted into chairs for a period of 1-hour. Child #4 (preschool) was observed belted into a high chair for a period of 1-hour and 30-minutes. These children were viewed in the right classroom watching 2-movies.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.112

Description: Infant/Toddler Stimulation

Noncompliance Area: On 1/14/25 a verification visit occurred at the facility. At that time, Child #5, who is an infant, was observed an infant seat for 25-minutes. Child #6, who is an infant, was also observed in an infant rocker for 35-minutes. These infants were not provided stimulation from staff as required by regulation.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A verification inspection occurred at the facility on 1/14/25. Upon arrival at the facility Staff #5 was the only staff present with a group of 15 children that ranged in ages from infant to preschool in the right room child care space for a period of 1-hour and 30-minutes. Staff #5 was observed leaving this child care space on numerous occasions to go into the middle/main room to answer the door, go to the office and to change children's diapers. Staff #5 also left this space to go to the left room child care space several times to grab children's snacks and drinks. During the time the children were left unsupervised, the children were observed physically fighting, arguing and sitting on top of each other.

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. 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. Children must be supervised at all times.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A verification inspection occurred at the facility on 1/14/25. Upon arrival at the facility Staff #5 was the only staff present with a group of 15 children that ranged in ages from infant to preschool in the right room child care space for a period of 1-hour and 30-minutes. Staff #5 was observed leaving this child care space on numerous occasions to go into the middle/main room to answer the door, go to the office and to change children's diapers. Staff #5 also left this space to go to the left room child care space several times to grab children's snacks and drinks. During the time the children were left unsupervised, the children were observed physically fighting, arguing and sitting on top of each other.

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. 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. The legal entity or director will develop a policy to ensure appropriate supervision and ratios are always maintained. The policy must include how supervision and ratios are maintained when a staff is working alone in a classroom and needs to leave the classroom for a period of time. This policy will be submitted to the Regional Office for review and, upon approval, will be reviewed with all staff employed at the facility, as well as all new hires. Staff will sign off that they have reviewed and understand these policies and this documentation will remain on file at the facility.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: A renewal inspection occurred at the facility on 11/14/24. A physical site review was conducted. A mixed-aged group of children was viewed watching a movie and receiving care in the right classroom. Several of these children ranged in age from young toddler to preschool. These children were viewed strapped into infant rocker chairs and lower to the ground toddler chairs. These children were viewed attempting to get out of the chairs but were unable to because of the safety straps being used. A verification visit occurred at the facility on 1/14/25. Child #1 (preschool) was observed belted into a chair for a period of 30-minutes. Child #2 and #3 (both preschool age) were observed belted into chairs for a period of 1-hour. Child #4 (preschool) was observed belted into a high chair for a period of 1-hour and 30-minutes. The files of these children were reviewed, and they did not contain a prescription for the use of adaptive equipment for children with special needs.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The legal entity must arrange for all facility staff at the time of this inspection to receive a minimum of two hours, in-person PQAS-approved training, regarding Developmentally Appropriate Practices. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: A renewal inspection occurred at the facility on 11/14/24. A physical site review was conducted. A mixed-aged group of children was viewed watching a movie and receiving care in the right classroom. Several of these children ranged in age from young toddler to preschool. These children were viewed strapped into infant rocker chairs and lower to the ground toddler chairs. These children were viewed attempting to get out of the chairs but were unable to because of the safety straps being used. A verification visit occurred at the facility on 1/14/25. Child #1 (preschool) was observed belted into a chair for a period of 30-minutes. Child #2 and #3 (both preschool age) were observed belted into chairs for a period of 1-hour. Child #4 (preschool) was observed belted into a high chair for a period of 1-hour and 30-minutes. The files of these children were reviewed, and they did not contain a prescription for the use of adaptive equipment for children with special needs.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. For a period of 3 months, the facility shall have no occurrences of restraining or restricting a child. The operator shall demonstrate compliance on unannounced visits over the next 3 months.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: A renewal inspection occurred at the facility on 11/14/24. A physical site review was conducted. A mixed-aged group of children was viewed watching a movie and receiving care in the right classroom. Several of these children ranged in age from young toddler to preschool. These children were viewed strapped into infant rocker chairs and lower to the ground toddler chairs. These children were viewed attempting to get out of the chairs but were unable to because of the safety straps being used. A verification visit occurred at the facility on 1/14/25. Child #1 (preschool) was observed belted into a chair for a period of 30-minutes. Child #2 and #3 (both preschool age) were observed belted into chairs for a period of 1-hour. Child #4 (preschool) was observed belted into a high chair for a period of 1-hour and 30-minutes. The files of these children were reviewed, and they did not contain a prescription for the use of adaptive equipment for children with special needs.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection occurred at the facility on 11/14/24. A review of staff files was conducted. Staff #6 is within 90 days of their date of hire, was working unsupervised with a group of children at nap time and did not have completed pediatric first aid/CPR. Regulation requires staff who are with 90 days of their hire date to be supervised by an appropriate staff until they complete the appropriate trainings. An acceptable plan of correction was received on 12/18/24. A verification inspection occurred on 1/14/25. Staff #6 still did not complete pediatric first aid/CPR and it was confirmed by Staff #5 that Staff #6 was continuing to work unsupervised with children.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10). Until such time as the required training has been completed, staff person #6 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 #6, staff person #6 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection occurred at the facility. At the time of the inspection, the facility did not provide for review a copy of the facility's continuity of operations plan. An acceptable plan of correction was received on 12/18/24. A verification inspection occurred at the facility on 1/14/25. A "concept of operations plan" was provided that did not meet the requirements for continuity of operations of OCDEL ANNOUNCEMENT C-22-04.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A verification inspection occurred at the facility on 1/14/25. Staff person #6 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)(10) within 90 days of hire. Staff person #6 will have until 1/30/25 to complete the required training. Until such time as the required training has been completed, staff person #6 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 #6, staff person #6 may not work in a child-care position at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: A verification inspection occurred at the facility on 1/14/25. Upon arrival at the facility Staff # 5 was the only staff present with a group of 15 children that ranged in ages from infant to preschool. The facility was observed not in compliance with staff:child ratios for at least period of 1 hour and 30 minutes. This amount of children would have required at least 2 staff persons.

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: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: A verification inspection occurred at the facility on 1/14/25. Upon arrival at the facility Staff #5 was the only staff present with a group of 15 children that ranged in ages from infant to preschool. At least two staff persons must be present at the facility, as two or more children are physically observed in care.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: A verification inspection occurred at the facility on 1/14/25. Upon arrival at the facility Staff #5 was the only staff present with a group of 15 children that ranged in ages from infant to preschool. At least two staff persons must be present at the facility, as two or more children are physically observed in care.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. The legal entity or director will develop a policy to ensure appropriate supervision and ratios are always maintained when unforeseen circumstances arrive such as staff calling off, staff running late or needing to leave early unexpectedly. This policy will be submitted to the Regional Office for review and, upon approval, will be reviewed with all staff employed at the facility, as well as all new hires. Staff will sign off that they have reviewed and understand these policies and this documentation will remain on file at the facility.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Regulation requires a written plan of daily activities and routines for each group of children. The right classroom did not have a plan of activities and routines in the class at the time of the inspection.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. A mixed-aged group of children was viewed watching a movie and receiving care in the right classroom. Several of these children ranged in age from young toddler to preschool. These children were viewed strapped into infant rocker chairs and lower to the ground toddler chairs. These children were viewed attempting to get out of the chairs but were unable to because of the safety straps being used.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires a child to have a child service report completed on them every 6 months. The follow children's files did not have a child service report completed every 6 months as required by regulation: Child #1 (pervious 11/27/23, current 6/5/24), Child #2 (previous 11/22/23, current 5/30/24), Child #3 (pervious 11/22/23, current 5/30/24), Child #4 (previous 11/27/23, current 5/21/24) and Child #5 (previous 1/27/23, current 5/21/24).

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(c)

Description: Each child care space

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Children were observed receiving care in the left, middle and right classrooms. These classrooms did not contain a copy of the children's emergency contact forms.

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(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the emergency contact and agreement forms of children to be reviewed at least every 6 months. The follow children's forms were not updated every 6 months: Child #1 agreement and emergency contact (previous 10/13/23, current 6/5/24), Child #2 emergency contact (previous 10/12/23, current 5/30/24) and agreement (previous 10/12/23, no current), Child #3 emergency contact and agreement (previous 10/12/23, current 5/21/24), Child #4 emergency contact and agreement (previous 10/12/23, current 5/21/24) and Child #5 emergency contact and agreement (previous 10/12/23, current 5/21/24).

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. 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: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. A child's diaper change was observed. After the change, staff did ensure the child's hands were washed and staff did not wash their 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: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. A diaper change was observed. After the diaper change, staff did not clean the diaper changing surface.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff #6 is within 90 days of their date of hire, was working unsupervised with a group of children at nap time and did not have completed pediatric first aid/CPR. Regulation requires staff who are with 90 days of their hire date to be supervised by an appropriate staff until they complete the appropriate trainings.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10). Until such time as the required training has been completed, staff person #6 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 #6, staff person #6 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection occurred at the facility. At the time of the inspection, the facility did not provide for review a copy of the facility's continuity of operations plan.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in an updated health assessment every 24 months. Staff #2 did not participate in a health assessment at least every 24 months (previous 8/16/21, current 11/1/23).

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. 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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. In the kitchen, a lunchbox was found that contained dairy and meat. A bottle with chocolate milk was also found. This lunchbox and bottle of chocolate milk was not refrigerated as required by regulation.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff #6 was hired correctly regarding clearances and the CPSL, however, Staff #6 was left unsupervised to provide child care to a group of napping children at the time of the inspection and the file was missing the NSOR clearance. The CPSL requires provisionally hired staff to be supervised until all appropriate clearances are received.

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: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to have completed on them an annual written evaluation. Staff #2 did not have documentation of an annual written evaluation completed on them in their file at the time of the inspection.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. In the middle room, the following toxics were found accessible to children. These items indicated the need to be kept out of reach of children. Children were observed receiving care in this room. -2 diaper rash creams -Clorox wipes -Lysol spray and clearner -Ozium air sanitizer -Lysol air sanitizer -Bar keepers friend soft cleaner -Cleaning bucket with dirty water and cleaning material

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: 3270.66(b)/3270.161(a)

Description: Original container/Wholesome

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. In kitchen area, the following items were found stored next to each other: Clorox cleaner/bleach and Dove hand sanitizer were next to Gogo squeezes and Motts squeezes

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces. Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire drill log was conducted. Regulation requires fire drills to be conducted at least every 60 days. The following drills did not occur at least every 60 days: 1/23/24-3/26/24 3/26/24-5/30/24 5/30/24-7/31/24.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: CHILD #1, 2, 3, 4, 5 did not have updated approved forms/Child Service Reports to provide information to the family about the child's growth and development. CHILD #1, 2, 4, 5 (see code sheet for enrollment dates) Child Service Reports were dated 1/31/23. CHILD #3 (see code sheet for enrollment date) did not have a Child Service Report.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During renewal inspection on 11/21/23 cert rep observed a diaper change. STAFF #1 did not wash child's hands after the diaper change.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: STAFF #3 (see code sheet) had 11 hours of annual childcare training.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 11/21/23, STAFF #2 (who was formerly a volunteer, but is now an employee) had a volunteer PA State Police clearance dated 1/11/22 in file.

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

Regulation: 3270.94(a)(1)/3270.95(b)

Description: Every 60 days/Director or designated staff person ensure compliance

Noncompliance Area: During renewal inspection on 11/21/23, Cert Rep reviewed the facility fire drill log. The last fire drill was done on 9/28/23. Prior to that the dates were 6/13/23 and 3/10/23. Owner stated that they are done every 90 days and always have been doing them every 90 days.

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

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: During inspection on 11/18/22 observed an infant in a hair chair without a T shaped strap.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During inspection on 11/18/22 observed two cribs in use that were not labeled.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: On 11/18/22 observed 3 cribs in use without the two feet of space.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Child number 5 does not have a record of physician or medical care.

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(f)

Description: Updated every 6 months

Noncompliance Area: Emergency contact information is not updated for child #6.

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(a)

Description: Health information

Noncompliance Area: Child #5 and 6 do not have a record of initial health report.

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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Children # 2,3, & 6 do not have updated health assessments.

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: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: Children # 2,3,5 &6 do not have signed assessments.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: Child #2 does not have a record of MMR, Varicella and Hep A immunization.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.151(a)

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

Noncompliance Area: During inspection on 11/18/22 observed per file review that facility person #2 does not have a record of a health assessment.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During inspection on 11/18/22 Observed two infants' bottles that were not labeled.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #2 and 6 do not have updated agreements.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: Child #5 does not have a record of emergency medical consents.

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.

Regulation: 3270.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: Children #2,3,5, & 6 do not have a record of special diet needs.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #--3- has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(10), 3280.31(f) (10), or 3290.31(g)(10) within 90 days of hire. Staff person #-3-- must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Citing for receiving pediatric first aid/CPR after 4/29/2022 in an approved curriculum but the trainer is not PQAS certified: Staff person #-1- has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f) ) within 90 days of hire. Staff person #-1- must receive pediatric first aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff person #-1- 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 #-1-, staff person #-1- may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Pe inspection on 11/18/22 facility person #2 start date as a volunteer 3/4/22 does not have a record on file of a child abuse clearance and FBI clearance.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During inspection on 11/18/22 observed a group 2 infants and 6 pre-school children. The two infants were assigned to facility person #2 a volunteer. The 6 pre-school children were assigned to staff number 1.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: During inspection on11/18/22 observed a first aid kit that 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: 3270.163(a)(1)

Description: Dairy

Noncompliance Area: During inspection on 2/8/22 observed lunch time at the facility and a dairy product was not provided.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

Regulation: 3270.165

Description: Menus

Noncompliance Area: During inspection on 2/8/22 it was revealed that the operator is not posting a menu.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: During inspection on 2/8/22 pick up and drop off routes were not posted.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan does not provide accommodations for infants.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During inspection on 2/8/22 observed that the evacuation route was not posted.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.