G B T Kids Academy

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One facility person's record did not contain the required CPSL hiring documents (#1 NSOR more than 60 months old)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 cannot work in a childcare position at the facility until the required CPSL document (updated NSOR) has been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance document (NSOR) for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: The safety straps on the diaper changing table were missing and presented a hazard to the safety of children when being diaper changed.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Replace the straps or remove the diaper changing equipment.

Regulation: 3280.113(a)

Description: Supervised at all times

Noncompliance Area: A staff member failed to maintain proper supervision when they turned away to retrieve a glove, resulting in a child falling from the changing table. (staff #1)

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. TEIRED IS Children must be supervised at all times - 2/11/2026 The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training and submit written verification of the completed training. - 3/11/2026. The legal entity must arrange for all facility staff to receive diaper changing training. The legal entity must receive DHS approval of the training content prior to scheduling the training and submit written verification of the completed training. - 3/11/2026.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's current certificate of compliance was not posted in the facility

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Post the facility's current certificate of compliance in a conspicuous location used by parents.

Regulation: 3280.111(c)

Description: Promote development

Noncompliance Area: On 6/18/24, at approximately 4;00pm, daily activities did not promote the development of skills, social competence, and self-esteem as staff person #2 were observed in the vicinity of a group of older toddlers, preschoolers, and a school-age child with no interaction with them while they were all trying to play on one toy with children crying and screaming. Staff person #4 was observed talking sternly to the children; telling them to "stop it", "you know better'" and blaming the children for their behaviors. On 9/13/24, 1/24/25, 3/7/25, and 3/18/15 there was no written verification of the completed training. CONTINUING VIOLATION

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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding developmentally appropriate programming and activities for children (toddlers/preschool/school-age). The training must be hands on, DHS approved training. Submit written verification of the completed training for all facility staff.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #2, #3, #4, and #5) CONTINUING VIOLATION

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.123(a)(6)

Description: Admission date

Noncompliance Area: Several children's agreements did not specify the date of the child's admission. (#1, #2, #, #4, and #5) CONTINUING VIOLATION

Correction Required: An agreement shall specify the date of the child's admission. Specify the date of admission on the child's agreement and submit a copy of the properly completed agreement for verification of compliance. Ensure that all agreements include the date of the child's admission.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: One child's record did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months. (#5) CONTINUING VIOLATION

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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified child. Ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Regulation: 3280.182(3)/3280.182(5)

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

Noncompliance Area: One child's record did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#2) CONTINUING VIOLATION

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

Regulation: 3280.52(b)/3280.52(c)

Description: Similar age levels/Mixed age levels

Noncompliance Area: On 1/24/25 at approximately 2:30pm, one staff person (#1) was observed caring for a group of 6 infants (birth-12 months) young/older toddlers (1-2 years), and preschoolers (3 years to first day of entering Kindergarten). Staff person #2 was upstairs taking care of an administrative task. Staff persons (#1 and #2) verified the ages of the children in care. On 3/7/25 and 3/18/25, the required corrections were not completed. CONTNUING VIOLATION

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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The legal entity must arrange for all staff persons to complete ratio training. The facility must arrange for all facility staff to receive DHS approved training in proper staff/child ratios and in handling transitions including when a staff must leave the group to ensure ongoing compliance. The facility must develop and submit a written staffing plan including provisions for staff shortages including but not limited to call outs, scheduling, terminations, resignations and operational tasks that impact staffing and times of transition to ensure ongoing compliance. Submit a copy of the written staffing plan. Submit written verification of completed training and the staffing plan for all facility staff persons.

Regulation: 3280.111(c)

Description: Promote development

Noncompliance Area: On 6/18/24, at approximately 4;00pm, daily activities did not promote the development of skills, social competence, and self-esteem as staff person #2 were observed in the vicinity of a group of older toddlers, preschoolers, and a school-age child with no interaction with them while they were all trying to play on one toy with children crying and screaming. Staff person #4 was observed talking sternly to the children; telling them to "stop it", "you know better'" and blaming the children for their behaviors. On 9/13/24, 1/24/25, and 3/7/25 there was no written verification of the completed training. CONTINUING VIOLATION

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. Ensure that daily activities promote the development of skills, social competence, and self-esteem. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding developmentally appropriate programming and activities for children (toddlers/preschool/school-age). The training must be hands on, DHS approved training. Submit written verification of the completed training for all facility staff.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #2, #3, #4, and #5)

Correction Required: An agreement shall specify 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 at § 3280.124(f). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation.

Regulation: 3280.123(a)(6)

Description: Admission date

Noncompliance Area: Several children's agreements did not specify the date of the child's admission. (#1, #2, #, #4, and #5)

Correction Required: An agreement shall specify the date of the child's admission. Specify the date of admission on the child's agreement and submit a copy of the properly completed agreement for verification of compliance. Ensure that all agreements include the date of the child's admission.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: One child's record did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months. (#5)

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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified child. Ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Regulation: 3280.182(3)/3280.182(5)

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

Noncompliance Area: One child's record did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#2)

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

Regulation: 3280.52(b)/3280.52(c)

Description: Similar age levels/Mixed age levels

Noncompliance Area: On 1/24/25 at approximately 2:30pm, one staff person (#1) was observed caring for a group of 6 infants (birth-12 months) young/older toddlers (1-2 years), and preschoolers (3 years to first day of entering Kindergarten). Staff person #2 was upstairs taking care of an administrative task. Staff persons (#1 and #2) verified the ages of the children in care. On 3/7/25, the required corrections were not completed.

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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The legal entity must arrange for all staff persons to complete ratio training. The facility must arrange for all facility staff to receive DHS approved training in proper staff/child ratios and in handling transitions including when a staff must leave the group to ensure ongoing compliance. The facility must develop and submit a written staffing plan including provisions for staff shortages including but not limited to call outs, scheduling, terminations, resignations and operational tasks that impact staffing and times of transition to ensure ongoing compliance. Submit a copy of the written staffing plan. Submit written verification of completed training and the staffing plan for all facility staff persons.

Regulation: 3280.111(c)

Description: Promote development

Noncompliance Area: On 6/18/24, at approximately 4;00pm, daily activities did not promote the development of skills, social competence, and self-esteem as staff person #2 were observed in the vicinity of a group of older toddlers, preschoolers, and a school-age child with no interaction with them while they were all trying to play on one toy with children crying and screaming. Staff person #4 was observed talking sternly to the children; telling them to "stop it", "you know better'" and blaming the children for their behaviors. On 9/13/24 and 1/24/25, there was no written verification of the completed training. CONTINUING VIOLATION

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. Ensure that daily activities promote the development of skills, social competence, and self-esteem. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding developmentally appropriate programming and activities for children (toddlers/preschool/school-age). The training must be hands on, DHS approved training. Submit written verification of the completed training for all facility staff.

Regulation: 3280.52(b)/3280.52(c)

Description: Similar age levels/Mixed age levels

Noncompliance Area: On 1/24/25 at approximately 2:30pm, one staff person (#1) was observed caring for a group of 6 infants (birth-12 months) young/older toddlers (1-2 years), and preschoolers (3 years to first day of entering Kindergarten). Staff person #2 was upstairs taking care of an administrative task. Staff persons (#1 and #2) verified the ages of the children in care.

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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The legal entity must arrange for all staff persons to complete ratio training. The facility must arrange for all facility staff to receive DHS approved training in proper staff/child ratios and in handling transitions including when a staff must leave the group to ensure ongoing compliance. The facility must develop and submit a written staffing plan including provisions for staff shortages including but not limited to call outs, scheduling, terminations, resignations and operational tasks that impact staffing and times of transition to ensure ongoing compliance. Submit a copy of the written staffing plan. Submit written verification of completed training and the staffing plan for all facility staff persons.

Regulation: 3280.111(c)

Description: Promote development

Noncompliance Area: On 6/18/24, at approximately 4;00pm, daily activities did not promote the development of skills, social competence, and self-esteem as staff person #2 were observed in the vicinity of a group of older toddlers, preschoolers, and a school-age child with no interaction with them while they were all trying to play on one toy with children crying and screaming. Staff person #4 was observed talking sternly to the children; telling them to "stop it", "you know better'" and blaming the children for their behaviors. On 9/13/24, there was no written verification of the completed training. CONTINUING VIOLATION

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. Ensure that daily activities promote the development of skills, social competence, and self-esteem. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding developmentally appropriate programming and activities for children (toddlers/preschool/school-age). The training must be hands on, DHS approved training. Submit written verification of the completed training for all facility staff.

Regulation: 3280.52(b)/3280.52(c)

Description: Similar age levels/Mixed age levels

Noncompliance Area: On 6/18/24 at approximately 4:00pm, two staff persons (#1 and #2) were observed caring for a group of 12 young/older toddlers (1-2 years), preschooler (3 years to first day of entering Kindergarten), and young/older school age children (K to 6th grade). Staff person #3 had left the facility to tend to another task. Staff persons (#1 and #2) verified the ages of the children in care. On 9/13/24, there was no written verification of the completed training. CONTINUING VIOLATION

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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The legal entity must arrange for all staff persons to complete ratio training. The facility must arrange for all facility staff to receive DHS approved training in proper staff/child ratios and in handling transitions including when a staff must leave the group to ensure ongoing compliance. Submit written verification of completed training for all facility staff persons.

Regulation: 3280.111(c)

Description: Promote development

Noncompliance Area: On 6/18/24, at approximately 4;00pm, daily activities did not promote the development of skills, social competence, and self-esteem as staff person #2 were observed in the vicinity of a group of older toddlers, preschoolers, and a school-age child with no interaction with them while they were all trying to play on one toy with children crying and screaming. Staff person #4 was observed talking sternly to the children; telling them to "stop it", "you know better'" and blaming the children for their behaviors.

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. Ensure that daily activities promote the development of skills, social competence, and self-esteem. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding developmentally appropriate programming and activities for children (toddlers/preschool/school-age). The training must be hands on, DHS approved training. Submit written verification of the completed training for all facility staff.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 6/18/24, the facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#3-hired 6/17/24- no completed CHILD ABUSE clearance)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility until the proper CHILD ABUSE clearance has been completed. Submit a copy of the completed CHILD ABUSE clearance for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3280.51

Description: Maximum Number of Children

Noncompliance Area: On 5/1/24 at approximately 2:45pm, a group of 16 young/older toddler, and preschool age children were observed being cared for in the facility that has a capacity for 11 children.

Correction Required: No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator. No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator. Ensure that the established capacity is not exceeded in accordance with 3280 regulations related to measurement and use of indoor childcare space. Develop a staffing and child transition plan to ensure that the established capacity is not exceeded during naptime and program time as specified in these regulations.

Regulation: 3280.52(b)/3280.52(c)

Description: Similar age levels/Mixed age levels

Noncompliance Area: On 6/18/24 at approximately 4:00pm, two staff persons (#1 and #2) were observed caring for a group of 12 young/older toddlers (1-2 years), preschooler (3 years to first day of entering Kindergarten), and young/older school age children (K to 6th grade). Staff person #3 had left the facility to tend to another task. Staff persons (#1 and #2) verified the ages of the children in care.

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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The required staff:child ratios must be maintained at all times. Ensure that the staff/child ratios are in compliance at all times.

Regulation: 3280.52(b)/3280.52(c)

Description: Similar age levels/Mixed age levels

Noncompliance Area: On 6/18/24 at approximately 4:00pm, two staff persons (#1 and #2) were observed caring for a group of 12 young/older toddlers (1-2 years), preschooler (3 years to first day of entering Kindergarten), and young/older school age children (K to 6th grade). Staff person #3 had left the facility to tend to another task. Staff persons (#1 and #2) verified the ages of the children in care.

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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The legal entity must arrange for all staff persons to complete ratio training. The facility must arrange for all facility staff to receive DHS approved training in proper staff/child ratios and in handling transitions including when a staff must leave the group to ensure ongoing compliance. Submit written verification of completed training for all facility staff persons.

Regulation: 3280.61(h)/3280.61(h)(1)(ii)

Description: Measurement and use of indoor child care space/Exceeding capacity of indoor place space

Noncompliance Area: On 5/1/24 at approximately 2:45pm, a group of 16 young/older toddler, and preschool age children were observed being cared for in the facility that has a capacity for 11 children. On 6/18/24, at approximately 4:00pm., a group of 12 young/older toddler, preschool, and school-age children were observed being cared for in the facility that has a capacity for 11 children. The children were not napping or in a program activity as specified in these regulations.

Correction Required: The capacity established for an indoor space may not be exceeded. At naptime, when toddler or preschool children are resting on rest equipment, the capacity may be exceeded for a period not longer than 2 1/2 consecutive hours, no more than twice in a program day. Ensure that the established capacity is not exceeded in accordance with 3280 regulations related to measurement and use of indoor childcare space. Develop a staffing and child transition plan to ensure that facility is compliant during naptime and program activity time as specified in these regulations. Submit a copy of the written staffing and transition plan.

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: One child's agreements that did not specify the persons designated by a parent to whom the child may be released. (#3)

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. Update the agreement to specify the persons designated by a parent to whom the child may be released. Submit a copy of the updated agreement.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: Emergency contact information in several children's records were not being updated every 6 months. (#2, #3, #4 and #5)

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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facilities written policies on shaken baby abusive head trauma and child maltreatment did not include the identification and prevention of child maltreatment.

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. Revise and submit the facilities policies to include the identification and prevention of child maltreatment.

Regulation: 3280.182(3)/3280.182(5)

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

Noncompliance Area: One child's record did not contain written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission. (#2)

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission for the indicated children. Ensure that this information is in all children's records.

Regulation: 3280.26(a)(1)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for shelter of children during an emergency including lock down procedures.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. Amend the facility emergency plan to include lock down procedures. Submit a written copy of the amended emergency plan.

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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. Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Submit a written copy of the amended emergency plan.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#2-hired 5/8/23- CHILD ABUSE is for a volunteer and not a staff person)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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. Facility Person #2 cannot work in a childcare position at the facility until the proper CHILD ABUSE clearance has been completed. Submit a copy of the completed CHILD ABUSE clearance for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3280.51

Description: Maximum Number of Children

Noncompliance Area: On 5/1/24 at approximately 2:45pm, a group of 16 young/older toddler, and preschool age children were observed being cared for in the facility that has a capacity for 11 children.

Correction Required: No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator. Ensure that the established capacity is not exceeded in accordance with 3280 regulations related to measurement and use of indoor childcare space. Develop a staffing and child transition plan to ensure that the established capacity is not exceeded during naptime and program time as specified in these regulations.

Regulation: 3280.61(h)/3280.61(h)(1)(ii)

Description: Measurement and use of indoor child care space/Exceeding capacity of indoor place space

Noncompliance Area: On 5/1/24 at approximately 2:45pm, a group of 16 young/older toddler, and preschool age children were observed being cared for in the facility that has a capacity for 11 children. The children were not napping or in a program activity as specified in these regulations

Correction Required: The capacity established for an indoor space may not be exceeded. At naptime, when toddler or preschool children are resting on rest equipment, the capacity may be exceeded for a period not longer than 2 1/2 consecutive hours, no more than twice in a program day. Ensure that the established capacity is not exceeded in accordance with 3280 regulations related to measurement and use of indoor childcare space. Develop a staffing and child transition plan to ensure that the established capacity is not exceeded during naptime and program time as specified in these regulations.

Regulation: 3280.94(a)(9)

Description: Written record

Noncompliance Area: The fire drill record for 4/17/23 did not contain the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. Ensure that all fire drill records to include this information. Submit a copy of completed fire drills that contains the names of the participating facility persons.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: On 5/1/24, the facility fire detection system was accessible and not able to be tested.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.Ensure that the director or designee knows how to activate the fire detection system for testing. Ensure that the fire detection system is tested every 30 days, documented in writing and retained with the fire drill log.

Regulation: 3280.52(b)/3280.52(c)

Description: Similar age levels/Mixed age levels

Noncompliance Area: On 12/1/23, at approximately 3:00pm, two staff persons were observed caring for a group of 18 young/older toddlers (1-2 years), preschooler (3 years to first day of entering Kindergarten), and young/older school age children (K to 6th grade). Both staff persons verified the ages of the children in care. (staff # 1 and #2)

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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group. 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 at §3280.52(b). The required staff:child ratios must be maintained at all times. Ensure that the staff/child ratios are in compliance at all times.

Regulation: 3280.52(b)/3280.52(c)

Description: Similar age levels/Mixed age levels

Noncompliance Area: On 12/1/23, at approximately 3:00pm, two staff persons were observed caring for a group of 18 young/older toddlers (1-2 years), preschooler (3 years to first day of entering Kindergarten), and young/older school age children (K to 6th grade). Both staff persons verified the ages of the children in care. (staff # 1 and #2)

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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group. 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 at §3280.52(b). The required staff:child ratios must be maintained at all times. Develop a staffing and child transition plan that includes nap arrangements to ensure that staff/child ratios are maintained at all times.

Regulation: 3280.61(h)

Description: Measurement and use of indoor child care space

Noncompliance Area: On 12/1/23, at approximately 3:00pm, a group of 18 young/older toddler, preschool and school-age children were observed being cared for in the facility that has a capacity for 11 children. The children were not napping or in a program activity as specified in these regulations

Correction Required: The capacity established for an indoor space may not be exceeded. Ensure that the established capacity is not exceeded in accordance with 3280 regulations related to measurement and use of indoor childcare space. Develop a staffing and child transition plan to ensure that facility is compliant during naptime and program activity time as specified in these regulations.

Regulation: 3280.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During renewal inspection, cert rep observed missing evacuation route posting at the facility.

Correction Required: The primary staff person 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.

Noncompliance Area: During renewal inspection cert rep observed out of date health assessment in the file of Staff 4.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: During renewal inspection cert rep observed out of date mandated reporter training in the files of Staff 2 and Staff 4,

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

Noncompliance Area: During renewal inspection on 5/30/19, cert rep observed out of date parental signatures on the emergency contact form for Child 1.

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

Noncompliance Area: During renewal inspection on 5/30/19, cert rep observed out of date health assessment forms for Child 1 and Child 2.

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

Noncompliance Area: During renewal inspection on 5/30/19, cert rep observed out of date health assessment for Child 3.

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.

Noncompliance Area: During renewal inspection on 5/30/19, cert rep observed out of date parental signatures on the emergency contact and agreement forms for Child 3.

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: On 7/23/18, at 12:15 pm, staff person #1 was observed alone in the group facility with 8 napping children; 1 infant (8 months old), 1 young toddler, 5 older toddlers, and 1 preschooler. The ratio is 1 to 4 because of the infant. Staff person #2 had left the building to run an errand. Both staff were confused and thought napping ratios applied to group (only center) and incorrectly thought the second staff person could leave the facility and not just the room.

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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. The required staff:child ratios must be maintained at all times. 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 at 3280.52(b). The required staff:child ratios must be maintained at all times.

Noncompliance Area: Facility stated they did a same day incident report for an incident on 6/27/18 but the report provided is dated 6/28/18.

Correction Required: A child's record must contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: On 7/3/18, around 10:25 am, 14 children were observed in the facility which has a measured capacity of 10.

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: There was no thermometer in the refrigerator.

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.

Noncompliance Area: One of the pillows on a children's bench had a tear and stuffing was coming out, presenting a choking hazard.

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

Noncompliance Area: Children # 2 & 4 have been enrolled 6 months and do not have child service reports completed.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form (Child Service Report) 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 at 3280.124(f).

Noncompliance Area: Multiple children's records were missing admission date.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: Children # 1 & 3 were missing complete medical insurance information.

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: Children # 3 & 5 are missing release person's address on their emergency contact info.

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: A staff person changed a toddler's diaper but did not wash the child's 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.

Noncompliance Area: When facility was opened, a waiver was obtained to allow part of the room to be used as indoor large muscle space. It was made safe by cubbies placed across the room. The cubbies have been removed and low shelves are in place, which are easy for a child to throw a ball over. Today children were observed occupying the space for over an hour and they were involved in child care activities, not large muscle. There were many small toys in the space. There were also multiple high chairs in the space. It is not safe for large muscle activity.

Correction Required: Indoor child care space may not be used simultaneously as play space. Outdoor or indoor play space shall be safe for large muscle activity.

Noncompliance Area: There is peeling paint, holes in the wall, peeling plaster throughout the facility.

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

Noncompliance Area: Facility did not have a fire drill log on site.

Correction Required: A fire drill shall be held at least every 60 days. Staff persons, volunteers and children in attendance shall participate in the fire drill and shall exit the facility, weather permitting.A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: Facility does not have written, posted daily activity schedule.

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. The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: Child #1, who operator says started last week, has absolutely no paperwork or file at the facility.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: Staff person #2 does not have two 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

Noncompliance Area: Staff person #1 does not have verification in her record of 6 hours of refresher 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: Staff person #1 does meet the education requirements to be a primary staff person. However, she was hired on 10/3/16 as a provisional employee. She did sign a disclosure, but her clearances are not in her record. On 12/2/16, she was observed alone at the group facility with 6 children; 2 older toddlers, 2 preschool, 2 school age by Certification Representative D. French. On 1/13/17, she was observed alone at the facility with 2 children by Certification Representative S. Hewitt and her FBI clearance is still not on file at the facility. This is continued non-compliance.

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