Dz Kidz Inc

Noncompliance Area: The embedded equipment in the preschool/school age play space lacked 3 of the required 6 inches of rubber mulch.

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.

Noncompliance Area: The emergency contact information on file for child #1 lacks a health insurance policy number and the addresses of all release persons. The emergency contact information on file for child #2 lacks the name of the health insurance coverage and policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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.

Noncompliance Area: The file for child #3 lacks verification that ongoing vaccines are in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Observed one bottle of Ibuprofen, two bottles of Acetaminophen, and one bottle of Antihistamine for child #4, one bottle of Ibuprofen for child #5, and one bottle of cough syrup for child #6. Parental permission to administer was not present.

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

Noncompliance Area: There was more than 24 months between the previous and most current and updated health assessment on file for staff #3.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: In the preschool/school age play space, observed a five foot basketball hoop. The base of the basketball hoop contains a basin for sand/water so that it doesn't topple over on the children. There was nothing in the basin.

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

Noncompliance Area: There was more than 12 months between the previous and most current fire safety trainings on file for staff #2 and 3. Trainings for both staff were completed on 4/18/19 and 5/15/20.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #1 lacks 3 of the required 6 annual hours of child care training and was due in the file prior to regulatory suspension date of 3/6/2020.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: There was more than 60 months between the previous and most current mandated reporter trainings on file for staff #2. Mandated reporter training was completed on 1/19/15 and 10/14/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #3 lacks a National Sex Offender Registry certificate by 7/1/2020. There is no NSOR on file.

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

Noncompliance Area: There was more than 12 months between the previous and most current staff evaluations on file for staff #3. Staff evaluation dates are 5/1/19 and 8/23/20.

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

Noncompliance Area: In the Preschool age child care space, observed two containers of Lysol Sanitizing wipes and one container of hand sanitizing wipes beside the front door on the sign-in desk. These were accessible to the children in care and were labeled as, "Keep out of reach of 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.

Noncompliance Area: The Infant room first aid kit lacked gloves.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: Observed peeling paint on the outside of the front door along the window pane.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: The most current emergency contact information on file for child #1 lacks a health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: In the infant and toddler room, observed that there was no emergency contact information in the child care space for any of the children in 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.

Noncompliance Area: The most current health assessment on file for child #3, who is a young toddler, was not conducted within the past 6 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child's record shall contain initial and subsequent health reports.

Noncompliance Area: The most current immunization record on file for child #3 lacks 1 Hep B, 2 DTAP, 1 Polio, 2 Pneumoccocal, 1 MMR, 1 Rotavirus, and 2 Hep A vaccinations as recommended by the ACIP. There is no record of a flu shot on file for child #3 which was conducted within the past 12 months. There is no record of a flu shot on file for child #2 which was conducted within the past 12 months.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Observed Gas Drops for child #4. The facility lacked written consent for administration from parent.

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

Noncompliance Area: There was more than 24 months between the most current and updated health assessment and the previous health assessment on file for staff #2.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.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.

Noncompliance Area: There was more than six months between reviews of the emergency contact information on file for child #1 and #3. #1's reviews were 7-19-18 and then 7-9-19. #3's reviews were 7-19-18 and then 7-10-19.

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.

Noncompliance Area: Based on review of child files, the parent was not receiving the original fee agreement.

Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: The file for staff #1 lacks 3 hours of child care training for the current year.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: In the infant room, observed a pack n play which was blocking one of the doors.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: In the preschool and school age outside play space, observed an embedded blue bounce car, embedded teeter totter, and embedded climbing apparatus with tunnel and slide which had three inches of wooden mulch. Nine inches of wooden mulch is recommended by the United States Consumer Product Safety Commission.

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.

Noncompliance Area: In the infant room, observed two cribs with children sleeping in them which lacked 2 feet of space on three sides. In the toddler room, observed two rest mats with children sleeping on them, which lacked 2 feet of space on three sides. In the preschool room, observed two rest mats with children sleeping on them, which lacked 2 feet of space on three sides.

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.

Noncompliance Area: In the infant room, observed an infant's bottle which lacked a label with the child's name.

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

Noncompliance Area: The file for staff #1 lacks one written, nonfamily 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

Noncompliance Area: The file for staff #1, who holds the title of assistant group supervisor, lacks verification of 2 years of experience with children. There is a high school diploma on file.

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.

Noncompliance Area: On the back deck which leads to the outside play space, observed toxic ice melt which was accessible to the 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.

Noncompliance Area: The files for children #1, 2, 3, 4, and 5 lacked a child service report within the past 6 months. The last child service reports dates were as follows: Child #1 = 06-09-2018, Child #2 = 06-11-2018, Child #3 = 06-10-2018, Child #4 = 06-04-2018 and Child #5 = 06-08-2018.

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).

Noncompliance Area: The emergency contact information on file for child #1 and #3 lacked the address of all release persons. The emergency contact information on file for child #4 lacked a phone number of one of the release persons.

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.

Noncompliance Area: The file for child #3, who is of preschool age, lacked a current and updated health assessment within the past 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: There was more than 24 months between the previous health assessment and the most current and updated health assessment on file for staff #1 and #2.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.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.

Noncompliance Area: In the facility refrigerator, observed two infant bottles which were not labeled with a child's name.

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

Noncompliance Area: The files for staff #1 and #2 lack 6 hours of clock hour training for the current year.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: In the preschool room, where children 5 years of age and younger were in care, observed an accessible outlet under the window area which lacked a protective receptacle cover.

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

Noncompliance Area: In the preschool room, in a child's open back pack which was accessible to the children in care, observed Babyanics hand sanitizer which was labeled as, "Keep out of reach of 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.

Noncompliance Area: On 07/27/2018, at approximately 12:00 PM, observed 6 children in the infant room which has a capacity of 4, 10 children in the toddler room which has a capacity of 7, and 15 children in the preschool room which has a capacity of 15.

Correction Required: ** The legal entity must maintain at the facility documentation in a format approved by DPW proving that the facility is maintaining each room's capacity. e.g., a checklist. The legal entity will confirm continuing compliance by maintaining a record of the documentation at the facility for a period of three months after the form has been approved. The forms will be made available to the Regional Office of Child Development and Early Learning staff for review during unannounced visits. Verification of compliance with capacity will be completed by more than one on site visit at the facility over a three month period of time.

Noncompliance Area: On 07/27/2018, at approximately 12:00 PM, observed 31 children in the childcare facility which has a total capacity of 26.

Correction Required: The total number of children receiving child day care services at the facility at any one time may not exceed the facility's maximum capacity.

Noncompliance Area: Observed an infant sleeping in a pack-n-play. There was not 2 feet of space on three sides.

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.

Noncompliance Area: Observed an infant sleeping in a pack-n-play. The pack-n-play contained a stuffed animal in it and one hanging on the side.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: Observed a 6 month old sleeping on his/her stomach. Based on a conversation with staff, when the infant is laid down, he/she is placed on his/her stomach.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The file for child #2, who is a young toddler, lacks an updated health assessment within the past 6 months.

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 child's record shall contain initial and subsequent health reports.

Noncompliance Area: The most current and updated health assessment on file for child #1 lacks the statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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.

Noncompliance Area: The file for staff #3 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting. There is now a current health assessment on file.

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.

Noncompliance Area: The most current health assessment on file for staff #1 lacks a signature by a physician, physician's assistant or CRNP and the individual's professional title.

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

Noncompliance Area: The file for staff #3 lacked a tuberculosis screening by the Mantoux method at initial employment. There is now a TB test on file.

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 .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.

Noncompliance Area: The most current health assessment on file for staff #1 lacks an examination for communicable diseases and the results of that examination and the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: The file for staff #2 lacks 3 of the 6 annual clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #1, with hire date of 08-28-2017, lacks an FBI clearance. The file for staff #4, with hire date of 05-01-2018 lacked a request for a child abuse clearance on or before initial date in a child care position. There is a Child Abuse Clearance on file and dated 05-22-2018.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 -- 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.

Noncompliance Area: On 05/30/2018, at approximately 10:45 AM, observed 8 children in the infant room which has a capacity of 4, 11 children in the toddler room which has a capacity of 7, and 26 children in the preschool room which has a capacity of 15.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Noncompliance Area: On 05-30-2018, at approximately 10:45 AM, observed 45 children in the childcare facility which has a total capacity of 26.

Correction Required: The total number of children receiving child day care services at the facility at any one time may not exceed the facility's maximum capacity.

Noncompliance Area: On 04/10/2018, at approximately 9:20 AM, observed staff #1 alone in the infant room and providing care to five infants.

Correction Required: *When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Noncompliance Area: The file for staff #1, with hire date of 10-09-2017, lacks verification of Mandated Reporter training within 90 days of hire. There is no Mandated Reporter training on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #1, with hire date of 10-09-2017, lacks an FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1-- 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.

Noncompliance Area: The file for staff #1, who holds the title of assistant group supervisor, lacks verification of 30 credit hours from an accredited college in early childhood education, child development, special education, elementary education, or the human services field. The file for staff #2, who holds the title of assistant group supervisor, contains 1732 of the 2500 hours of required child care experience. Staff #2 has a high school diploma on file.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: On 02-26-2017, at approximately 10:00 AM and in the front child care room, observed staff #2 alone and caring for 8 children. There were six preschoolers and two older toddlers present in staff #2's group.

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).

Noncompliance Area: The mounted teeter totter carousel in the outdoor play area lacked the appropriate depth of nine inches of loose-fill recommended by the U.S. Consumer Product Safety Commission.

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.

Noncompliance Area: Four rest mats, labeled #3, #11, #18 and #24, were torn at the bottom, exposing the inner plastic bag and foam lining, creating a choking hazard for children who are still placing objects in their mouths.

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.

Noncompliance Area: On the day of the renewal inspection, Child #4 and #5, both infants, were sleeping in baby carriers, and not in the sleeping position recommended by the American Academy of Pediatrics.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The emergency contact form in the file for Child #2 did not include the addresses for the release persons designated by the parent.

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.

Noncompliance Area: The initial health assessment in the file for Child #2 was not obtained within the first 60 days of enrollment at the facility. The most recent health assessment in the file for Child #2 is current.

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.

Noncompliance Area: The most recent health report in the file for Child #1, a preschool child, is not current. The last two health reports in the file for Child #3 exceeded 12 months between reports. The most recent health report in the file for Child #3 is current.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child`s record shall contain initial and subsequent health reports.

Noncompliance Area: Each infant and young toddler had their own individually labeled tube of diaper rash ointment. The facility did not have written parental consent for the administration of diaper rash ointments.

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

Noncompliance Area: The initial health assessments in the files for Staff Person #2 and Staff Person #3 were dated after their employment date in child care. The health assessments for Staff Person #2 and #3 are current.

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.

Noncompliance Area: The file for Staff Person #1, hired as an assistant group supervisor, with a start date of 11/5/16, did not include documentation of a high school diploma.

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.