Kids Corner Llc

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

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

Noncompliance Area: An unannounced inspection occurred at the facility. A complaint inspection was conducted. Through interviews it was determined that Staff #1 left a group of school age children unsupervised for an undetermined about of time over Christmas break 2025. Staff #1 received a write-up for this incident as the director became aware on 6/1/26. Documentation was also reviewed that showed Staff #1 was written up for lack of proper supervision of an infant/toddler group on 6/1/26. Staff #1 also received warnings for lack of supervision on the following dates: 5/7/26 and 4/23/26. It was reported by the director that Staff #1 was fired 6/5/26 due to a lack of supervision.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. ((THIS PORTION OF THE PLAN SHALL HAVE AN IMMEIDATE CORRECTION DATE.)) 2. The legal entity must arrange for all facility staff to receive a minimum of three hours of in-person, PQAS-approved training, regarding supervision and appropriate ratios of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. To show proof of the training, the legal entity will submit the staff attendance/sign-in sheet to the Regional Office after completion of the training. ((THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS TRIANING WILL BE COMPLETED.))

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #2 was working at the facility at the time of this inspection, and the file of Staff #2 did not contain a health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #2 was not hired correctly per the CPSL. Staff #2 was hired using a volunteer state police clearance dated 1/24/26 and did not have on file an FBI clearance. The file of Staff #2 also did not include a completed disclosure statement. Staff #2 was working at the facility at the time of this inspection.

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. TIERED LIS: 1. Staff #2 may not work in a child care position with direct and routine contact with children at the facility. ((THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE.)) 2. The Director will create a method (i.e. tracking system) or policy for ensuring that, prior to working with children, clearances and disclosure statements are on file at the facility to ensure staff are hired correctly per the CPSL. The Director will submit this method or policy to the Northeast Regional Office for approval. Once approved, any staff who handle clearances and disclosure related paperwork must be trained on the approved method or policy, and this training must be documented and placed in their files. ((THE DIRECTOR WILL PROVIDE A DATE BY WHEN THIS WILL BE COMPLETED.))

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: An unannounced inspection occurred at the facility. A physical site review was conducted. In the upstairs large classroom, the cover to the baseboard heater had come off and exposed the heating element. In the upstairs small classroom, the floor near the window contained a hole in the flooring. These areas were addressed with the director at the time of this inspection.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. In the outdoor play area, a children's climber was observed. At the base of this climber, the metal stabilizer pieces between poles were observed to contain rust.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility on 11/20/25. A review of staff files was conducted. See the code sheet for the date of hire. Staff #1 was not hired correctly per the CPSL. Staff #1 did not obtain the child abuse clearance prior to working in child care. Staff #1 received a child abuse clearance on and dated for 6/12/25 which was after the hire date of this staff.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff 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. Staff Person #1 may not work in a child care position with direct and routine contact with children at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection occurred at the facility on 11/20/25. A physical site review was conducted. In the upstairs, preschool room, bingo markers were found and indicated the need to be kept out of reach of children. Children were observed receiving care in the room at the time of the inspection and these bingo markers were accessible to 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: A renewal inspection occurred at the facility on 11/20/25. A physical site review was conducted. In the upstairs preschool room, the first aid kit was found accessible to children. Were observed receiving care in this room at the time of this inspection.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: A complaint inspection was conducted at the facility. Interviews with staff were conducted, as well as a physical site review and a review of facility documents. Through staff interviews, it was determined that on 6/3/25, Staff #1 pulled Child #1 roughly by the arm and proceeded to push the child to the ground after Child #1 kicked staff.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE. 2.The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of 2 hours of PQAS-approved in person training regarding Behavior Management. The legal entity must receive DHS approval of the training content prior to scheduling the training. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS TRAINING WILL BE COMPLETED.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: A complaint inspection was conducted at the facility. Interviews with staff were conducted, as well as a physical site review and a review of facility documents. Through staff interviews and a review of facility documents, toddlers are being placed in pack-and-plays to restrict their movements during diaper changes.

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. TIERED LIS: 1. Children will not be restrained, and their movements will not be restricted at any time. THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE. 2. The facility will revise their diaper changing policy/procedures to indicate that pack-and-plays, or any other restraint devices such as highchairs, will not be used during diaper changes. This written policy will also include how children will be appropriately supervised, while offering free play during diaper changes. This policy will be submitted to the Northeast Regional Office for review and approval. Once approved, the policy will be discussed with staff. Staff will sign indicating their understanding of the policy and diaper changing procedures. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS POLICY WILL REVIEWED WITH STAFF.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted, as well as a physical site review. See the code sheet for the date of hire. Staff # 2 was observed to be caring for children unsupervised. Staff #2 has not completed the following pre- service training required prior to caring for children unsupervised: mandated health and safety training and mandated reporter training.

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. Until such time as the required trainings have been completed, staff person #2 must be supervised, when interacting with children, by at least an AGS who has completed all required pre-service trainings. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted, as well as a physical site review. Staff #3 and Staff #5 were observed working in child care during this inspection and the files did not contain an initial health assessment or the results of a tuberculosis screening.

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. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted, as well as a physical site review. Staff #3 and Staff #5 were observed working in child care during this inspection and the files did not contain two letters of written reference regarding both staff's suitability to work in a child care role 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted, as well as a physical site review. See the code sheet for the date of hire. Staff #3 has not completed the following required pre- service training within 90 days of their date of hire: health and safety and pediatric FA/CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff #3 must be supervised, when interacting with children, by at least an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff #3, staff #3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted, as well as a physical site review. See the code sheet for the date of hire. Staff #3 has not completed mandated reporter training within 90 days of their date of hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff #3 must be supervised, when interacting with children, by at least an AGS who has completed all required pre-service trainings. If there are no staff person(s) available to supervise staff #3, staff #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: An unannounced inspection occurred at the facility. A review of staff files was conducted, as well as a physical site review. See the code sheet for the date of hire. Staff #5 was not hired correctly as a provisional hire. Staff #5 did not have a DHS FBI clearance, a PA state police clearance, PA child abuse clearance or an NSOR clearance on file at the time of the inspection. Staff #5 did not also have a signed and dated disclosure statement on file. Staff #5 was observed working in child care at the time of this inspection.

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 #5 may not work in a child care position with direct contact and routine interaction with children at the facility until all required clearances are complete and on file at the facility.

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

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

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted, as well as a physical site review. See the code sheet for the date of hire. Staff #3 and Staff #5 were observed working in childcare for a period of time during this inspection and the files did not contain proof of education. Staff #3 and #5 were unable to be appropriately qualified to working a child care role at the facility.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: An unannounced inspection occurred at the facility. A physical site review was conducted. Staff #5 was observed working with a group of 12 children: 1 preschool-age and 11 school-age children. This number of children would require at least two staff persons at all times.

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). TIERED LIS: 1. The required staff:child ratios must be maintained at all times. THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE LISTED AT THE END OF YOUR PLAN. 2. The facility will create a posting for each child care space that includes the age level definitions under 3270.4 and the staff:child ratio requirements under 3270.51. THIS PORTION OF THE PLAN SHALL PROVIDE A DATE FOR WHEN THIS REQUIREMENT WILL BE COMPLETED PROVIDED AT THE END OF YOUR PLAN.

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of birth. Regulation requires young toddlers to have an updated health report completed every 6 months. The following children did not have updated health reports completed every 6 months in their file: Child #3 and #4. Child #3 had the following health assessments: 5/10/23, 7/28/23 and 10/15/24. Child #4 had the following health assessments: 6/15/23, 3/22/24 and 6/18/24.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Regulation requires staff to complete health and safety topic trainings within 90 days of their hire date. The following staff did not complete health and safety topic training within 90 days of their hire date: Staff #1 and Staff #2. Staff #1 completed the training on 6/12/24. Staff #2 completed the training on 10/2/23.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff person #4 and staff person #5 were observed in the preschool classroom with a group of ten children. Staff person #5 was unable to specify which preschool children were assigned to them.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #4 (see code sheet for date of hire) has no documentation on file showing that they completed any of the required pre-service trainings. Staff #4 was observed to be working with an aide in the Preschool Room. Aides may not provide supervision to other staff, as they require supervision themselves.

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. Until such time as the required pre-service trainings are completed, staff person #4 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 person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire (see code sheet for date of hire): Health and Safety training. Staff person #1 only had documentation on file which showed that they completed the 6-hour Health and Safety Basics: Requirements for Certification on 7/19/2019. This training was only acceptable during the following time frame: 9/30/2016 - 6/30/2018.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 - 9) within 90 days of hire. Staff person #1 will have until 2/13/2024 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: Staff person #2, staff person #3, staff person #4, and staff person #5 only have documentation on file which qualifies them as aides. Staff person #2 and staff person #3 were observed supervising infants alone in the Infant Room. Staff person #4 and staff person #5 were observed supervising preschool aged children alone in the Preschool Room.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The pack n plays in the infant room are not labeled for individual use.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #1 is missing the parents work information.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Child #1 is missing an updated emergency contact and financial agreement.

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: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: Facility person #1 & 4 are missing proof of education.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Facility person #2 & 3 are missing proof of 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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility person #3 does not have an NSOR clearance on file. Facility person #1 has not completed the required mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The facility person will be given 15 additional days to complete the training and staff cannot be unsupervised. Training must be completed by 12/6/23. Supervision must be provided by an AGS, primary staff person or higher who has completed the mandated reporter training.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Handwashing signs are missing in both upstairs bathrooms.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person # 1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 7/28/23

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. Staff person # 1 shall have until 10/14/23 to complete the Pediatric first-aid/CPR training. Until such time as the required trainings are completed, staff person # 1 must be supervised, when interacting with children, by a AGS, primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person # 1, staff person # 1 may not work in a child care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons # 1 and 2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour health and safety.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff persons # 1 and 3 will have until 10/14/23 to complete the required training. Until such time as the required training has been completed, staff persons # 1 and 2 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 persons # 1 and 2, staff persons # 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: Fire alarm tests were not completed at least once every 30 days as required by Act 62. This is evidenced by the fire alarm test logs with dates of test including 11/3/22, 12/7/22, 1/5/23, 2/7/23, 3/17/23, 4/3/23, 5/18/23, 6/15/23, 7/25/23, 8/17/23, and 9/27/23.

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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact from on file for child # 2 does not have the address for the release persons.

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

Regulation: 3270.131(d)(1)/3270.131(d)(7)

Description: Child's health history/Free from contagious/communicable disease

Noncompliance Area: The health assessment on file for child # 1 does not include health history or a statement that they are free to participate in childcare.

Correction Required: A health report shall include a review of the child's health history. 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.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During the renewal inspection, cert rep observed staff person # 1 change a child's diaper and not wash the child's hands after.

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

Regulation: 3270.151(c)(3)/3270.151(c)(4)

Description: Exam communicable disease/Information re: medical problems

Noncompliance Area: The health assessment on file for staff person # 1 does not include as assessment to show they are free from communicable diseases or a statement that they are able to provide childcare.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact forms and financial agreements on file for children # 3 and 4 were last reviewed by the parent in December 2021. The emergency contact form and financial agreement on file for child # 2 was last reviewed by the parent in March, 2022.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff person # 2 did not receive a written evaluation every 12 months. Staff evaluations in the fire were dated 3/11/21 and 10/11/22.

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: 3270.113(d)

Description: No harsh language

Noncompliance Area: During a complaint investigation on 8/16/22, staff person # 1 admitted on 8/11/22, they heard staff person # 2 become frustrated with child #1 and told them to shut up. Staff person # 2 admitted to becoming frustrated with child # 1, but could not remember exactly what they said to the child.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children. All staff will attend 3 hour in person training to learn appropriate discipline and ways to manage difficult behavior. The certification rep will make a referral to the Regional Key for this training.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: During a complaint investigation on 8/16/22, staff person # 1 admitted on 8/11/22, they heard staff person # 2 become frustrated with child #1 and told them to shut up. Staff person # 2 admitted to becoming frustrated with child # 1, but could not remember exactly what they said to the child.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: During a complaint investigation on 8/16/22, staff person # 1 admitted on 8/11/22, they heard staff person # 2 become frustrated with child #1 and told them to shut up. Staff person # 2 admitted to becoming frustrated with child # 1, but could not remember exactly what they said to the child.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children. The legal entity will develop a discipline policy for staff to deal with difficult behaviors. The policy will be submitted to the regional office for approval and upon approval all staff will review and sign acknowledgement of the policy.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire Pediatric First Aid/CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 9/6/22 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.61(c)

Description: 40 square feet wall-to-wall

Noncompliance Area: On 8/16/22, staff admitted to using a chair in the pantry as a quiet area to give a child to calm down. The pantry is not part of the measured child care space.

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

Regulation: 3270.61(c)

Description: 40 square feet wall-to-wall

Noncompliance Area: During a complaint investigation on 1/26/2022, staff admitted that they have taken the preschool children to an unlicensed classroom on the second floor.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: During an unannounced complaint investigation, certification rep observed the fire alarm test log to be out of compliance. The last monthly alarm test date documented was 11/29/2021.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The file for Child # 1 does not have written consent on file for the administration of minor first-aid procedures.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: There are no written non-family references on file for staff person # 1.

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: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The emergency plan on file at the facility is dated 8/5/19. There is no documentation that the emergency plan was reviewed annually by the director.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff person # 1 was hired on 9/20/2021. There is no documentation on file that they were trained in emergency plan procedures. Staff person # 2 was hired on 6/28/21 and did not receive emergency plan training until 8/13/21.

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. Staff shall be trained within one week of initial employment and within one week of any plan updates.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff persons # 3, 4, and 5 did not participate in annual fire safety training. Staff person # 3 was last trained in fire safety on 7/8/20. Staff person # 4 was last trained in fire safety on 10/22/20. Staff person # 5 was last trained in fire safety on 7/11/20.

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.