Hopwood Child Care Llc

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Cots and mats in use by children in building 2 were not labeled for use by specific children. The blankets being used were clearly labeled; however, the equipment itself was 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A written plan of daily activities was not posted in Room 1.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff #2 and #4 contained consecutive health assessments dated more than 24 months apart. The most recent health assessments on file for both staff are now current. The file for staff #3 contained a TB test reading conducted after their first day with children.

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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: The posted notification did not identify safe vehicular routes and walkways.

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

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The file for staff #1 contained documentation of completing fire safety training more than 12 months apart; 5/29/25 and 6/19/26. Current training is now on file.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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.

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: Two hydrangea plants were observed in the preschool outdoor play space. The plants were accessible to children and are considered toxic.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A tissue, which appeared to be contaminated by human secretions, was observed in an unlined, unlidded can in Room 1.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Three protruding bolts were observed at the bases of toilets located in Building 1. A white PVC pipe was observed protruding from the ground in the outdoor play space connected to Building 1. A section of sharp metal was observed on the siding of building 1 which is accessible to children from the Preschool outdoor play space.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Two toilets in Building 3 lacked posted handwashing signs.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: On 5/19/26 at 4:16 PM, staff #1 placed child #1 in a chair with an attached tray after child #1 hit other children. During the time child #1 was in the tray chair, staff allowed the child to take a restroom break and provided the child with a toy. Child #1 was then returned to the tray chair, where the total time spent in the tray chair was approximately 34 minutes.

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: 3270.111(c)

Description: Promote development

Noncompliance Area: Based on statements made by staff during the investigation, on 12/11/25, staff #2 observed child #1 strike child #2. Staff #2 then took the hand of child #2 and used it to strike child #1 on the hand.

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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on statements made by staff during the investigation, on 12/11/25, staff #2 observed child #1 strike child #2. Staff #2 then took the hand of child #2 and used it to strike child #1 on the hand. Based on statements made by staff and video footage viewed during the investigation, on 12/11/25, staff #1 used a disc shaped foam pillow to strike child #3 on the head when child #3 would not remain seated on the pillow during circle time.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Based on statements made by staff on 10/02/25 child #1 fell while in care and may have bit his tongue. An incident report was not written.

Correction Required: A child's record shall 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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Several cracks, creating pinch points, were observed on a green plastic storage bin containing blocks in the outdoor preschool play space.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: Spilled brown liquid was observed in the bottom of the refrigerator in Building 2 Room 2, Nido 2.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #3 did not include documentation that the most recent child service report, completed by staff in March 2025, was shared with the parents.

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(f)/3270.181(c)

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

Noncompliance Area: The emergency contact information and agreements for child #1, #2, and #4 were not reviewed by the parent within a 6-month period. Current parental reviews are now on file. The emergency contact information and agreement for child #5 have not been reviewed and signed by the parent in over 6 months. The most recent review was dated 3/03/24.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's policy for Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment lacked examples of the symptoms or signs of shaken baby syndrome, abusive head trauma, and general 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.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A jaw-style staple remover was accessible to children in an unlocked desk drawer in Building 2 Room 2, Scuola 2.

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

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The file for staff #1 contained documentation of consecutive fire safety trainings completed more than 12 months apart; 5/10/24 and 6/23/25.

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.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A can of spray room deodorizer, labeled keep out of reach of children was accessible to children on a low shelf in the preschool restroom in Building 3. The storage cabinet was not locked.

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)

Description: Original container

Noncompliance Area: An unlabeled reusable spray bottle containing bleach solution was observed in Building 3 Room 3., Scuola 3.

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.

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: Morning glory was observed growing on the fence in the outdoor play space. The plant was located in one area of the garden and in the corner of the young toddler play space. Boxwood branches were observed protruding into the older toddler play space. The shrubs are planted outside the fence.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The outer panel of the restroom door was observed to be separating from the inner core near the bottom creating a pinch point in Building 2 Room 1, Nido 1. A portion of damaged metal trim with sharp edges was observed under a window, at ground level, in the outdoor preschool play space.

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: 3270.101(a)

Description: Age appropriate

Noncompliance Area: An Ace Flyer Teeter Totter was observed in the play space used by toddlers. Based on statements made by staff, the play equipment has been in use for over a year. The manufacturer's instructions state the equipment is not suitable for use by children under 3 years of age. A set of suction cup toys in Picolo 3 was labeled not for use by children under 6 years old.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Sharp plastic was observed on a sensory cube in Room 2 of Building 1 and a wall mounted activity board in the EHS room in Building 2.

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.

Regulation: 3270.103/3270.104(a)

Description: Small Toys and Objects/Clean, good repair, proper size

Noncompliance Area: A torn corner which exposed the inner foam filling was observed on an adult chair in Room 2 of Building 1.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for children #1 and #2 did not include complete work addresses for the enrolling parent. The emergency contact information for child #2 was also missing a complete home address for the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff #8 contained results of a screening for TB dated 9/26/22, which is more than 12 months prior to initial employment. (SEE LIS CODE SHEET)

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.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Standing water was observed in 4 tires on the preschool playground.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility's letter for parents explaining the emergency procedures did not include details regarding the accommodations for infants and toddlers.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: Staff #4 did not renew their certification in pediatric first aid and pediatric CPR on or before the expiration of the most current certification. The previous certification was dated 1/18/22 and was renewed on 4/11/24. Current training is now on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The file for staff #1 contained documentation of consecutive fire safety trainings completed more than 12 months apart; 10/25/22 and 11/03/23.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR and First Aid from an approved source. The certification on file was BLS.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.. Staff person #3 will have until 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person #3 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 #3, then staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for staff #5,#6, and #7, all employed over 45 days, contained incomplete state police clearances. All three clearances lacked a dissemination date. (See LIS code sheet)

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

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

Noncompliance Area: The files for staff #2 and #6, both designated as assistant group supervisors on the staff data sheet, did not contain documentation of the qualifications required for the position.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Two loose nails were observed where the first aid kit was hanging in Room 3 of Building 1. One nail fell to the floor when the kit was removed to check its contents.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted in the diapering area in Room 2 of Building 1.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The facility lacked an emergency contact forms for child #1, child #2 and child #3 in the child care space where they were receiving care.

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

Regulation: 3270.133(1)/3270.133(2)

Description: Original container/Written instructions

Noncompliance Area: The facility had an Aovi Q for child #4 that lacked the original prescription label for the medication.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: The facility had an expired EPI Pen for child #5.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The operator lacked updated sections in their emergency plan that addresses the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff file #1 contained a copy of the request for the NSOR Verification form but lacked the valid NSOR Verification form in the file within 45 days of hire. (See LIS CODE SHEET)

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. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The infant room lacked soap and sterile gauze pads in the first aid kit.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 4/5/23, Staff person #1 was in the outdoor playground with 6 older toddlers. When staff #1 was transitioning the children back to the classroom, Child #1, remained outside in the playground, unsupervised for 1 to 3 minutes. When Staff person #2 was notified that the child was alone on the playground she immediately left the classroom to retrieve the child. Staff person #3 remained in the classroom with more than 5 young toddlers.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 4/5/23, Staff person #1 was in the outdoor playground with 6 older toddlers. When staff #1 was transitioning the children back to the classroom, Child #1, remained outside in the playground, unsupervised for 1 to 3 minutes. When Staff person #2 was notified that the child was alone on the playground she immediately left the classroom to retrieve the child. Staff person #3 remained in the classroom with more than 5 young toddlers.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #2 lacked copies of the North Carolina State Criminal History Check, State Sex Offender Registry Check and State Child Abuse and Neglect Registry Check where the staff person has resided within the past 5 years.

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. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 4/5/23, Staff person #1 was in the outdoor playground with 6 older toddlers. When staff #1 was transitioning the children back to the classroom, Child #1, remained outside in the playground, unsupervised for 1 to 3 minutes. When Staff person #2 was notified that the child was alone on the playground she immediately left the classroom to retrieve the child. Staff person #3 remained in the classroom with more than 5 young toddlers.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: Child file #1 and #2 lacked an initial health assessment received within 60 days of the first day of attendance at the facility. (See LIS CODE SHEET)

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Child files #1, #2, and #3 lacked documentation of influenza vaccination in accordance of 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.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Staff was observed lifting the lid of the diaper can with hand and not using the hands free pedal to dispose of a soiled diaper.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff file #3 contained health assessments dated 12/2/19 and 8/1/22 which was more than 24 months as required.

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(5)

Description: Six-months-old held

Noncompliance Area: A five month old infant was observed drinking a bottle without being held by a staff person.

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: The facility lacked posting of safe routes at the facility in a conspicuous location.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff file #3 contained documentation of 9 hours of child care training completed between 12/19/20-12/19/21.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff file #2 contained a volunteer Child Abuse Clearance dated 6/14/21 in the 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 a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff files #1 and #3 contained written staff evaluations that were completed on 6/8/21 but lacked an updated staff evaluation every 12 months as required.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the toddler room lacked sterile gauze pads and the first aid kit in the preschool room lacked disposable, nonporous 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: On 11/9/20, at approximately 8:45 AM, four staff were observed within 6 feet of children in the outdoor play space while not wearing face coverings over their noses and/or mouths as required.

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

Noncompliance Area: Based on statements made by staff, a child was placed on a changing table where residual disinfecting bleach solution was present.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Noncompliance Area: A recalled Bumbo seat which lacked safety straps was observed in the infant area.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Noncompliance Area: The file for child #1 contained an immunization record which lacked documentation of having received the influenza vaccine 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: The files for staff #1 and #4 contained initial health assessments obtained after their first day in child care positions. The health assessments on file for both staff are now 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.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 file for staff #2, with a start date of 12/3/19, contained clearances obtained after their first day in a child care position; the child abuse clearance was obtained on 6/1/20 and the NSOR certificate was obtained on 12/17/19.

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.

Noncompliance Area: The file for staff #3, designated as an assistant group supervisor, lacked 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.

Noncompliance Area: At 10:05 AM, staff #5 was observed walking out of the toddler room and into the adjoining preschool room to retrieve supplies. This left staff #1 alone, supervising 10 children; 7 older toddlers and 3 young toddlers.

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 following cleaning and toxic materials were observed to be accessible to children on the day of the inspection; sun block, Lysol wipes, and hand sanitizer in an unlocked cabinet under the counter in the preschool room, Lysol wipes in a free standing supply cabinet in the preschool room, and multiple cleaning and disinfecting supplies in an unlocked closet in the main entry way.

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: A protruding screw, accessible to children, was observed on the lower part of the rain gutter near the front door of 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.

Noncompliance Area: Peeling paint, accessible to children, was observed on the sign post in the outdoor play space.

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

Noncompliance Area: Beanbag chairs were observed in the Infant and Toddler areas in Classroom #3.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Noncompliance Area: An infant was observed to be sleeping on a bean bag chair in the Infant area in Classroom #3. The Infant was reported to be sleeping for approximately 20 minutes.

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: Original agreements were observed to be maintained on file at the facility.

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

Noncompliance Area: The file for facility person #1 and #2 lacked an initial health assessment within 12 months prior to starting in a child care taking position. The file for facility person #3 lacked an initial 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.

Noncompliance Area: The file for Facility Person #2 lacked tuberculosis screening within 12 months prior to starting in a child care taking position. The file for Facility Person #3 lacked a tuberculosis screening.

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.

Noncompliance Area: Lunch boxes containing lunch meat sandwiches and dairy products needing refrigeration were observed on the floor in Classroom #1.

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

Noncompliance Area: An individual file was not present for Facility Person #3 who reported being responsible for 2 young and 3 older toddlers.

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

Noncompliance Area: Due to a lack of file for Facility Person #3 a lack of name, address and telephone number and verification of age was also missing for Facility Person #3.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

Noncompliance Area: Due to a lack of a file for Facility Person #3 a lack of verification of child care experience, education and training was also missing.

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

Noncompliance Area: Due to a lack of a file for Facility Person #3 they were also missing two written, nonfamily references that attested to their suitability to serve as a facility person. The references on file for Facility Person #4 did not recommend them for a position at the facility.

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 Facility Person #3, who identified being responsible for a group of 2 young and 3 older toddlers, lacked CPSL clearance requests and completed clearance information, including a signed disclosure statement, a state police, a PA child abuse and an FBI clearance.

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. Facility Person #3 may not work in a child care position at the facility.

Noncompliance Area: At the time of the Inspection Four of the Seven staff were qualified at an Aide level. This exceeded 50%.

Correction Required: At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

Noncompliance Area: The file for Facility Person #3 lacked verification of experience to qualify them for the position they were to be performing.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: The health assessment on file for Facility #2 lacked information that they had been examined for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care. The health assessment on file for Facility Person #3 lacked information related to an examination for communicable diseases.

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: The file for Facility Person #1 and #2 lacked signed disclosure statements. The file for Facility Person #2 lacked a FBI clearance that had been completed for DHS purposes. The FBI clearance on file for for DOE purposes.

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

Noncompliance Area: Hand washing signs were missing from the toilets in Classroom #3.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.