Jeannette Early Care & Education Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A cracked mirrored disk was observed in Classroom 202. The edges of the disk were observed to be sharp.

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

Description: Small Toys and Objects

Noncompliance Area: Spiral connecting toys with a diameter of less than 1 inch were observed in a play table bin in Classroom 204. It was reported that Young Toddlers receive care in the child care space.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for Child #2 lacked the arrival and departure times for the child.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreements for Children #1 and #2 lacked the admission date.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #1 lacked the telephone number of the physician.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #3 lacked the complete address for the release persons listed.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #1 lacked verification that the child had received their recommended MMR, Varicella and Hepatitis A vaccinations. A written exemption was not on file at the time of the inspection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment on file for Staff Person #1 lacked verification that they had been examined for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: The emergency contact form for Child #1 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #2 lacked one of their two written nonfamily references that attested to their suitability to serve as a facility person. The file presented for Facility Person #3 lacked two written, nonfamily references attesting to their suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Two pairs of adult scissors were observed in a cup on a low cabinet in Classroom 206. The scissors were accessible to school age children receiving care in the classroom.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file presented for Facility Person #3 lacked verification that they had received emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file presented for Facility Person #3 lacked a complete current and prior PA State Police and FBI Clearances, a current and prior PA Child Abuse Clearances and a prior NSOR Certificate. The file also lacked prior Mandated Reporter Training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Person #3 may not work at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file presented for Facility Person #3 lacked a signed disclosure statement, a complete current and prior PA State Police and FBI Clearances, a current and prior PA Child Abuse Clearances and a prior NSOR Certificate. The file also lacked prior Mandated Reporter Training.

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 at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A Glue Trap was observed in an unlocked cabinet under the sink in Classroom 207.Two containers of disinfecting wipes were observed under the open cabinet under the sink in Classroom 202. A container of Balmex Diaper Cream was observed in the open cabinet under the changing table in Classroom 204. The Glue Traps, Disinfecting wipes and Balmex diaper cream were all labeled Keep Out of Reach of Children.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: An unlabeled spray bottle containing a cleaning solution was observed in a cabinet in Classroom 203.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 9:30am, Children #1, #2, #3 and #4 were observed in the hallway with 3 therapists unrelated to the Legal Entity. A Staff person was not present during this time to provide supervision of the children. Written parental consents were not present giving permission for the children to be unsupervised with the therapists.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 9:30am, Children #1, #2, #3 and #4 were observed in the hallway with 3 therapists unrelated to the Legal Entity. A Staff person was not physically present with the children during this time. Written parental consents were not present giving permission for the children to be unsupervised with the therapists.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Classroom 206, one basket style bin was observed to be broken in a couple areas which caused potential pinch points.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: In Classroom 208, Staff Person #1 was observed to dispose of a soiled diaper by lifting the lid with their hand. The hands-free mechanism was not used to allow for appropriate disposal of the 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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In Classroom 204, one electrical outlet was observed to be missing a protective receptacle cover.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: One cracked bin, with two potential pinch points, was observed on a shelf accessible to children in Classroom 206. In the downstairs Gross Motor Room the coating on two foam blocks and a green ball were observed to be peeling off causing the foam to be exposed. The space is to be utilized by all age groups.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In Classroom 202, 14 preschoolers were observed to be receiving care. The mat chart in place only identified 8 assigned mats. Staff reported that all the children are present for naptime. This resulted in rest equipment not being labeled for use of a specific child for 6 of the children present.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In Classroom 202, two children were observed to be sleeping on rest equipment that had been spaced at least 2 feet apart, but a large pillow was observed between the rest equipment. This did not allow for free space to be present as intended.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #2 lacked the work address and telephone number for the enrolling parent.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for Children #1 and #2 lacked an initial health assessment within 60 days of enrollment at the facility. The initial health report for Child #1 was dated 94 days after starting. Child #2 has exceeded 60 days since their first day of enrollment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The file for Child #1, an older toddler, lacked an updated health report that had been completed within the last 12 months. The most recent health report was dated 6.3.24.

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.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for Child #1 lacked an immunization record for the child. A written exemption was not on file at the time of the inspection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 will be dismissed at the close of business on 7.17.25.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The tuberculosis screening on file for Staff Person #1 was not completed within 12 months of starting, or during the time of prior employment in a child care position. The tuberculosis screening was completed 414 days prior to starting at a child care facility.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: One unlabeled bottle was observed in the refrigerator in Classroom 208.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The parent signatures on the combined emergency contact/agreement form on file for Child #1 lacked a date to allow for verification that the parent had reviewed the form at least once every 6 months.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A loose crib sheet was observed on one of the cribs an infant was observed to be resting on in Classroom 208. The crib sheet provided by the parent was for a standard size crib, as opposed to the smaller crib present, resulting in the sheet not fitting properly to allow for the required tight fit.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The updates to the emergency plan training for Staff Person #2 exceeded 12 months between trainings dated 2.5.24 and 6.13.25.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff Person #3 lacked completion of annual fire safety training within 12 months of starting at the facility. The fire safety training was completed 450 days after starting at the facility.

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.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Two packages of Lysol wipes and one bottle of Adhesive Remover were observed in an unlocked cabinet near the entrance of Classroom 206. A "PocketBac" hand sanitizer was observed in the front pocket of a bookbag in a child's cubby. The Lysol wipes, Adhesive Remover and hand sanitizer could be accessible to school age children receiving care in the child care space. All items were labeled Keep Out of Reach of Children.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The bookbag containing the first aid kit was observed to be hanging from a hook in Classroom 206. It was observed that some of the school age children receiving care in the space could reach the bookbag, which made the first aid kit accessible.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the downstairs Gross Motor Room peeling paint was observed on the wall to the right of the entrance to the space. In the stairwell leading to the Gross Motor Room damaged plaster was observed on the wall above the stairs resulting in pieces of plaster to have fallen onto the stairs.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: A basketball hoop was observed in front of the door in the Indoor Gross Motor Space. This resulted in the egress being obstructed.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility exceeded 30 days between alarm testing on 4.7.25, 5.19.25, and 6.20.25.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The updates to the emergency contact and financial agreement form for Children #1 and #3 exceeded 6 months between updates dated 7.2023 and 4.2024.

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: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The most recent health reports on file for Child #2, a preschool age child, exceeded 12 months between examinations completed on 3.14.2022 and 7.29.2023.

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.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: The facility lacked written parental consent for administration of an Albuterol Inhaler intended for a child in care in Classroom 206.

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

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: In Classroom 107, Staff Person #1 was observed to change the diaper of a Toddler-age child and they did not ensure the child washed their hands prior to going to play with toys in the classroom. Staff Person #1 was also observed to get keys to open the cabinet where the toxics were kept and then open the cabinet prior to washing their own hands following the diaper change.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Staff Person #1 was observed to change a toddler and dispose of the soiled wipes used during diapering by lifting the lid to the garbage can with their hand. The hands-free foot pedal was not used as required.

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: The health assessments on file for Staff Person #4 exceeded 24 months between examinations on 3.1.2022 and 4.8.2024.

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: 3270.151(c)(2)(ii)

Description: Record include X-ray results and evaluation

Noncompliance Area: The file for Staff Person #3 lacked a copy of the chest x-ray to include an evaluation for chemoprophylaxis.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility lacked documentation that they had submitted their annual traffic letter to the local traffic safety authorities.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #1 lacked verification that they had been fingerprinted for their FBI clearance prior to starting at the facility. Staff Person #1 has exceeded 45 days in a child care taking position and a completed FBI was still not on file at the time of the inspection. The file for Staff Person #2 lacked an out of state Criminal History Check for a state they have resided in within the last 5 years prior to starting at the facility. The file for Staff Person #3 lacked a completed PA State Police Clearance at the time of the inspection. The PA State Police Clearance on file indicated it was "under review". The file for Staff Person #3 lacked a completed NSOR Certificate within 45 days of starting at the facility. The completed NSOR Certificate was dated 94 days after starting at the facility. The file for Staff Person #3 also lacked verification that they had requested their out of state Child Abuse and Neglect Registry for a state that they had resided in within 5 years of starting at the facility. The request for their out of state Criminal History was not on file prior to starting at the facility. The request for the out of state Criminal History was dated 98 days after starting and the completed clearance was dated 129 days after starting at the facility. Staff Person #3 has exceeded 45 days in a child care taking position but at the time of the inspection they have been a resident of Pennsylvania in excess of 5 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 and #2 may not work in a child care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility lacked verification that the facility is activating the interconnected smoke alarms every 30 days.

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

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The file for Child #2, a preschool age child, lacked an updated health report that had been completed within the last 12 months. The most recent health assessment on file was dated 3.14.22.

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.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for Child #1 lacked documentation that the child had received an annual influenza vaccination as recommended by the ACIP. A written exemption was not in the child's file at the time of the inspection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from the facility at the close of business on 7.19.23.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The emergency contact form for Child #1 lacked signed parental consent for administration of minor first aid by facility staff.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water at the sink in Classroom 202 was measured at 116.4° F. The hot water at the sink in Classroom 203 was measured at 116.8° F. The hot water at the sink in Classroom 201 was measured at 114.8° F.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff Person #1 lacked the required 1-hour health and safety training update.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: One cracked bin with a potential pinch point was observed in classroom #203.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 1:54pm Staff Person #1 and #2 were observed with 11 young school age children. Staff Person #2 identified being responsible for 4 children. Staff Person #1 was unsure which children she was assigned responsibility for as she was covering for another Staff on break and they did not leave their assignment tags. This left 7 children unassigned.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #1 lacked the completed address for the physician.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for Child #3 lacked the policy number for the health insurance

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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #1 and #2 lacked the complete addresses for the release persons listed.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health assessment on file for child #1 was not completed within 60 days of starting at the facility. The initial health assessment was completed 89 days after starting.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

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

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

Noncompliance Area: The health assessment on file for Child #2 lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The health assessment also lacked a statement that the child had received all age-appropriate screenings recommended by the AAP.

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

Regulation: 3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The written medical exemption on file for Child #2 lacked a date. The written exemption on file for Child #4 lacked a signature and the date.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: A lunchbox containing ham cubes was observed on a shelf in Classroom 201.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: Documentation that the plan had been sent to the county emergency management agency was not on file at the time of the inspection.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in Classroom #207 was missing gauze.

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: The file for child #2 and child #3 contains initial health reports dated more than 60 days following the child's first day of attendance at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: The file for child #1 lacks verification of current Pneumococcal and Influenza immunizations administered in accordance with the schedule recommended by the ACIP. The file for child #2 and child #4 lacks verification of current influenza immunizations administered in accordance with the schedule recommended by the ACIP. The file for child #3 lacks verification of current DTAP and Influenza immunizations administered in accordance with the schedule recommended by the ACIP. The file for child #5 lacks verification of current Influenza and Hepatitis A immunizations administered in accordance with the schedule recommended by the ACIP.

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

Noncompliance Area: Observed damaged plaster on the inside wall in the indoor gross motor 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: The file for staff person #1 contains a health assessment which lacks the medical provider's assessment of the person's suitability to provide child care.

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

Noncompliance Area: The file for staff person #1 lacks two written, non-family references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: The file for staff person #2 and #3 lacks verification of emergency plan training completed at the time of initial employment.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: The file for staff person #2 contains an FBI clearance obtained for Department of Education purposes.

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 until a valid FBI clearance is on file at the facility.

Noncompliance Area: The file for staff person #2, a staff person who is identified and performing the role of an assistant group supervisor, lacks verification of an educational transcript to qualify for the position.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The file for child #1 and child #4 contains emergency contact information which lacks the complete address of the child's medical provider.

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

Noncompliance Area: The file for child #4 contains emergency contact information which lacks the complete work address of the enrolling parent.

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

Noncompliance Area: The file for child #4 contains emergency contact information which lacks the complete address of the parent-designated release person.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: The file for child #1 lacks an initial health report. Child #1 has been in attendance at the facility more than 60 days.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: The initial health report on file for child #5 lacks the date that the report was completed.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

Noncompliance Area: The health report on file for child #2 lacks a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: The file for child #1, child #2, child #3 and child #4 lacks written verification of the flu vaccine administered in accordance with the schedule recommended by the ACIP.

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

Noncompliance Area: The file for staff person #1 contains a health assessment which lacks the results of an examination for communicable disease.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: The file for staff person #2 lacks verification of a current FBI clearance. Staff person #2 has been employed at the facility for more than 90 days.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: Observed a bottle of water conditioner labeled 'keep out of the reach of children' in an accessible unlocked drawer in Room 11.

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

Noncompliance Area: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted near the telephone in room 11.

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

Noncompliance Area: Observed peeling paint along the far back wall in Room 12.

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

Noncompliance Area: Observed an inaccessible unlabeled bottle of blue liquid in Room 15.

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.

Noncompliance Area: Observed water-damaged ceiling tiles in the Pre-K counts classroom. Observed an unattached, accessible blind cord beside the far right window in the infant/toddler gross motor space which poses a strangulation hazard.

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: The file for child #1 contains emergency contact information which lacks the complete address of the parent-designated release person.

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: Room 15 lacks a posted emergency transportation plan.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: Observed an inaccessible tube of prescription Mupirocin ointment in the infant/toddler room which was not labeled with the name of the child for whom the medication is intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: The health assessment on file for staff person #1 lacks the professional title of the medical professional who completed the assessment.

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

Noncompliance Area: The file for staff person #2 lacks verification of six hours of child care training in the most recently completed service year.

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

Noncompliance Area: The file for staff person #1 contains an expired child abuse clearance. Staff person #1 is currently employed in a child care taking position.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #1 may not work in a child care position at the facility until a valid child abuse clearance is on file at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The most recent staff evaluation on file for staff person #2 and staff person #3 is dated more than 12 months ago.

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

Noncompliance Area: The file for staff person #1, who is currently performing the role of an assistant group supervisor, lacks acceptable verification of education attained prior to service at the facility to meet the educational requirement of an assistant group supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Observed an Epi-Pen which lacks a corresponding medication log.

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

Noncompliance Area: Observed accessible blind cords in the indoor gross motor space which pose a strangulation hazard.

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: According to a witness statement, staff person #1 acted in a potentially dangerous manner while engaging in physical play with a young toddler.

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.