Kindercare Learning Center/downtown

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: According to staff statements made during the investigation, several staff witnessed Facility Person #2 physically handle children in an aggressive or rough manner, including lifting children by one arm.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: SECOND CITATION; PREVIOUSLY CITED ON 2/18/26: There were two health assessments on file for child #1, a preschooler. One was not dated, and the other was dated more than 12 months prior. On 6/4/26 the only health assessment provided for child #3 was not dated.

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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: SECOND CITATION; PREVIOUSY CITED ON 2/18/26: The health assessment on file for Facility Person #4 indicated a communicable disease but did not provide further information.

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

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: On 6/4/26, the certification representative on-site at the facility requested to review the staff and children's files to verify implementation of previously submitted plans of correction for noncompliance relating to file regulations. Staff stated they were unable to present the documents as the key to the filing cabinet, which was shown to be locked, was not at the facility.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: SECOND CITATION; PREVIOUSLY CITED ON 2/18/26:Documentation of the most recent emergency plan training on file for Facility Person #1 indicates the training was completed more than 12 months prior.

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)(i)

Description: Age and Training

Noncompliance Area: SECOND CITATION; PREVIOUSLY CITED ON 2/18/26: The pediatric first aid & CPR training completed and documented on file for Facility Persons #2 was expired.

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.Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2 staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: SECOND CITATION; PREVIOUSLY CITED ON 2/18/26:There was no documentation of completion of approved pediatric first aid and CPR training on file for Facility Persons #3, employed at the facility for more than 90 days.

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, 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: SECOND CITATION; PREVIOUSLY CITED ON 2/18/26: The most recent criminal history and FBI clearances on file for Facility Person #2 were completed more than 60 months prior. There was no completed criminal history clearance on file for Facility Person #4. The NSOR clearance on file for Facility Person #4 was completed more than 60 months prior. There was no child abuse clearance, FBI clearance or proof of application for an FBI clearance or NSOR clearance on file for Facility Person #5. Previous plan of correction that was submitted and accepted indicates that these facility persons were removed from caring for children until the clearances were received. Facility Persons #2 and #4 were observed caring for children on 6/4/26.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #2, #4, and #5 may not work in a child care position at the facility without all completed clearances on file.

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

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

Noncompliance Area: SECOND CITATION; PREVIOUSLY CITED ON 2/18/26: Facility Person #6 was classified as an assistant group supervisor. The only documentation on file of education for Facility Person #6 was an international document with no U.S. equivalency on file, in addition to the documentation of at least 2 years of child care experience later obtained /submitted. Facility Person #5 was classified as an aide. The only documentation on file of education for Facility Person #5 was an international document with no U.S. equivalency on file. There was no documentation of child care experience on file for Facility Person #5. Facility Persons #4 and #7 were classified as assistant group supervisors with a high school diploma on file for each, but no documentation of child care experience.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: SECOND CITATION; PREVIOUSLY CITED ON 1/9/2026: According to statements made by several staff who were regularly present at the facility during the morning hours of operation, Facility Person #1 is often responsible for the care of 7-8 older toddlers in the Older Toddler room, for approximately 15-30 minutes during the 8:00 AM hour, exceeding the regulatory ratio of 1:6 older toddlers. According to statements made by several staff who were regularly present at the facility during the morning hours of operation, two staff are often responsible for the care of 12-14 young toddlers in the Toddler room, for approximately 15-30 minutes, primarily during the 8:00 AM hour, exceeding both regulatory ratio as well as maximum group size for this age group.

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. The required staff:child ratios must be maintained at all times.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 6/24/26 at approximately 9:05 AM in the Older Toddler Room, Facility Persons #1 and #3 were observed caring for one preschooler and 2 older toddlers for approximately 5 minutes.

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).

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The daily schedule posted in the Toddler 1 room did not indicate the times of day for the activities listed.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: There were no Department approved forms to provide information to the family about the child's growth and development completed in the last 6 months on file for children #1-#5. The forms on file used for this purpose, as per the staff statment, were not Department approved and completed more than 6 months prior.

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: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The admission date was not specified on the agreements on file for children #3 and #4.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for child #6 did not include the health insurance information.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms on file for children #5, #6 and #7 did not include the address and/or phone number of all 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: There were no emergency contact forms in the Toddler 1 room for 12 of the 15 children present in the room. There were no emergency contact forms in the Infant room for 5 of the 15 children present in the room.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The agreements for children #1 and #2 were not reviewed and updated by a parent in writing in the previous 6 months. The emergency contact forms for children #1, #2 and #5 were not reviewed and updated by a parent in writing in the previous 6 months. The most recent parental reviews of the emergency contact form on file for child #4 and the agreement on file for child #5 were completed more than 6 months after the previous respective parent reviews.

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: There were two health assessments on file for child #3, a preschooler. One was not dated, and the other was dated more than 12 months prior. The current health assessment on file for child #4, a preschooler, was completed more than 12 months after the previous health assessment on file.

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(3)

Description: Name on bottle

Noncompliance Area: There were sample packets of triple antibiotic ointment in first aid kits in the Infant, Toddler 1 and Preschool rooms, not labeled with a child's name for their individual use.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: The current health assessments on file for Facility Persons #1 and #6 were completed more than 24 months after the prior respective health assessments on file.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment on file for Facility Person #10 indicated a communicable disease but did not provide further information.

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

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: There were no feeding schedules from the parents of five infants enrolled at the facility.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There were no nonfamily written references on file for Facility Persons #3, #11 and #12.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The certificate of compliance posted at the facility was expired.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The most recent emergency drill was documented as completed in December 2024.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Documentation of the most recent emergency plan training on file for Facility Person #6 indicates the training was completed more than 12 months prior.

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)

Description: Age and Training

Noncompliance Area: There was documentation of 8.5 of the required 12 hours of annual child care training on file for Facility Person #6 completed during their most recent review period of December 2024-December 2025.

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

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The pediatric first aid & CPR training completed and documented on file for Facility Persons #6 and #7 was expired.

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. Until such time as the required training has been completed, staff persons #6 and #7 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #6 and #7, staff persons #6 and #7may not work in a child-care position at the facility.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: There was no documentation of completion of approved pediatric first aid and CPR training on file for Facility Persons #8 and #9, employed at the facility for more than 90 days.

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Until such time as the required training has been completed, staff person #8 and #9 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #8 and #9, staff persons #8 and #9 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The most recent mandated reporter training documented and on file for Facility Persons #7 and #13 was expired.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Until such time as the required training has been completed, staff persons #7 and #13 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #7 and #13, these staff may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The current child abuse clearance on file for Facility Person #4 was completed more than 60 months after the most recent child abuse on file. The current child abuse clearance and FBI clearances on file for Facility Person #5 was completed more than 60 months after the most recent child abuse on file. The most recent criminal history and FBI clearances on file for Facility Person #7 were completed more than 60 months prior. There was no completed criminal history clearance on file for Facility Person #10. The NSOR clearance on file for Facility Person #10 was completed more than 60 months prior. There was no child abuse clearance or signed disclosure statement on file for Facility Person #11. There was no child abuse clearance, FBI clearance or proof of application for an FBI clearance or NSOR clearance on file for Facility Person #12.

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 Persons #7, #10, #11 and $12 may not work in a child care position at the facility without all completed clearances on file..

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

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

Noncompliance Area: Facility Persons #1 and #6 were classified as assistant group supervisors. Facility Person #12 was classified as an aide. The only documentation on file of education for Facility Persons #1, #6 and #12 were international documents with no U.S. equivalency on file. There was no documentation of child care experience on file for Facility Person #1, #6 or #12. Facility Persons #2 and #10 were classified as assistant group supervisors with a high school diploma on file for each, but no documentation of child care experience.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent staff evaluation completed by the director and on file for Facility Person #6 was completed more than 12 months prior.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was glass cleaner on a shelf in reach of children in an unlocked cabinet in the Preschool room.

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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was an unlidded trash can in the eating area of the Preschool/Pre-K room containing used cups, spoons, etc.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water temperature at the sink in the eating area of the Preschool/ Pre-K room was measured to reach 118° F

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 9:25 AM, Facility Persons #3 and #4 were observed caring for 10 young toddlers and an older toddler in the Young Toddler room. When asked to identify which children they were each supervising, Facility Person #3 claimed responsibility for 5 of the children. Then Facility Person #4 claimed responsibility for 5 children, including one child Facility Person #3 previously claimed in their group, resulting in two children not identified by either staff as assigned to either of them for supervision purposes.

Correction Required: 1. 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. THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE. 2..The legal entity shall ensure that all facility staff complete a supervision training. The training shall be submitted to the certification representative for approval prior to staff taking the training. The completed training shall be documented as per requirements in Chapter 3270.192 and submitted to the certification represented. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED 3. A hands-free tangible method for tracking the supervision of children shall be developed and implemented at all times by all staff while supervising children. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED 4.The operator shall develop and implement a supervision policy detailing facility procedures and processes to ensure regulatory compliance with supervision regulations. The policy shall include, but not be limited to, the following topics: supervision regulations and definition as per Chapter 3270, processes for completion of tasks outside of the classroom such as retrieving supplies and answering the door while maintaining supervision of children, supervision of children using the restroom, supervision of children during transitions between activities and spaces, and the use of a hands-free tangible method for tracking the supervision of children. The policy shall be submitted to the certification representative for approval. Once approval is received, the policy shall be shared with each facility person. Each facility person shall sign an acknowledgement of the policy, to be retained on file and submitted to the certification representative. The supervision policy shall be included in the staff handbook/resource material for staff. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED 5. The operator shall conduct three monthly meetings with all staff for a period of three consecutive calendar months. One agenda item at each meeting shall be related to the proper supervision of children, allowing staff to ask questions, discuss challenges, and provide and receive feedback regarding the supervision of children. The agenda topics, meeting date, and attendees for each meeting shall be documented, retained on file, and submitted to the certification representative after each meeting. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 9:20 AM, Facility Person #1 was observed caring for 15 preschoolers in the Pre-K room. Facility Person #2 , who answered the door to allow the certification representative entry to the facility, indicated that they were with the group, supervising children along with Facility Person #1, prior to leaving the group to answer the door. At approximately 9:25 AM, Facility Persons #3 and #4 were observed caring for 10 young toddlers and an older toddler in the Young Toddler room.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: CONTINUED NONCOMPLIANCE, PREVIOUSLY CITED ON 2/21/25 AND 5/29/25:: According to staff statements, Facility Person #1 has been observed on multiple occasions handling children roughly. Staff state Facility Person #1 yanks children abruptly by one or two arms to move them. The facility's acceptable plan of correction indicated that they had scheduled an in-person training with ELRC for all staff members on appropriate guidance of children and that documentation of the training would be kept in staff files as well as forwarded to our certification representative. The required documentation of completion of this training has not been submitted to the certification representative.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The legal entity shall ensure that all facility staff complete an in-person training regarding appropriate behavior guidance of children coordinated through the ELRC. Documentation of completion of the training to include the date of the training and the names of all attendees shall be retained on file at the facility as well as submitted to certification representative upon completion.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: CONTINUED NONCOMPLIANCE, PREVIOUSLY CITED ON 2/21/25 AND 5/29/25: According to staff statements, Facility Person #1 has been observed on multiple occasions handling children roughly. Staff state Facility Person #1 yanks children abruptly by one or two arms to move them. The facility's acceptable plan of correction indicated that the operator will develop a procedure for staff members to confidentially report concerns of inappropriate verbal and physical interactions as they relate to the supervision regulations including that it will be made clear to all staff that this does not take the place of mandated reporter responsibilities. The acceptable plan indicated that the procedure will be sent to the certification representative for review and approval. Once approved it would be reviewed by all teachers at a staff meeting and signed off on by all staff members after they review it. The acceptable plan indicated documentation of the acknowledgement will be forwarded to the certification representative along with any forms or templates used to demonstrate the manner in which each concern was addressed and evidence the procedure will be added to the staff handbook. The procedure was submitted to the certification representative, but the required documentation of review of the procedure with staff, forms or templates developed for tracking concerns reported, and evidence the procedure was added to the staff handbook have not been submitted.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The legal entity shall develop a written procedure for staff members to confidentially report concerns of inappropriate verbal and physical interactions as they relate to the Department's supervision regulations. It should be made clear that the process does not take the place of the responsibilities of a Mandated Reporter. Documentation shall be kept that demonstrates the manner in which each concern was addressed. The written procedure, any templates or logs that will be used to capture the above information shall be forwarded to the Certification Representative for review. Following confirmation of the review, the reporting procedure shall be presented to all staff members. Verification of completion will include copies of signed and dated acknowledgements for all staff, along with evidence that the new procedure has been added to the staff handbook. Documentation shall be forwarded to the certification representative upon completion and kept on file at the facility.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: SECOND CITATION; PREVIOUSLY CITED ON 2/21/25: According to staff statements, Facility Person #1 has been observed on multiple occasions handling children roughly. Staff state Facility Person #1 yanks children abruptly by one or two arms to move them.

Correction Required: 1. A facility person may not use any form of physical punishment, including spanking a child. 2. The legal entity shall develop a written procedure for staff members to confidentially report concerns of inappropriate verbal and physical interactions as they relate to the Department's supervision regulations. It should be made clear that the process does not take the place of the responsibilities of a Mandated Reporter. Documentation shall be kept that demonstrates the manner in which each concern was addressed. The written procedure, any templates or logs that will be used to capture the above information shall be forwarded to the Certification Representative for review. Following confirmation of the review, the reporting procedure shall be presented to all staff members. Verification of completion will include copies of signed and dated acknowledgements for all staff, along with evidence that the new procedure has been added to the staff handbook. Documentation shall be forwarded to the certification representative upon completion and kept on file at the facility. 3. The legal entity shall ensure that all facility staff complete an in-person training regarding appropriate behavior guidance of children coordinated through the ELRC. Documentation of completion of the training to include the date of the training and the names of all attendees shall be retained on file at the facility as well as submitted to certification representative upon completion. 4. The facility director shall conduct an observation of staff-child interactions in each classroom/group and document each observation, weekly for a period of 8 weeks, then biweekly for a period of 6 weeks. The documentation format shall be submitted along with this plan of correction to the certification representative for approval prior to beginning the observations. Documentation of observations shall be retained on file at the facility, made available upon request to the certification representative, and submitted to the certification representative upon completion.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: SECOND CITATION; PREVIOUSLY CITED ON 2/21/25: According to staff statements, Facility Person #1 has been observed on multiple occasions using a harsh tone of voice with the children.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: There was no approved developmental assessment completed and a copy given to parents in the previous 6 months on file for children #1, #3, #5, and #6. The current assessment on file for child #2 was completed more than 6 months after the previous assessment on file.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The current agreement on file did not specify the arrival/departure times for child #3.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The current agreement on file for child #3 did not specify the release persons.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: Original agreements were on file for children #1-#9.

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

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: There were no emergency contact forms on file at the facility for children #4,#10, #11, #12, #13, #14, and #15,

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency .

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms on file for children #2, #3, #6 and #9 did not include the work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for child #9 did not include the health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms on file for children # 1, #3, and #7 did not include the addresses of all 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: There were no emergency contact forms in the eating area of the preschool/Pre-K room for the older toddlers eating lunch in that space.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The agreements on file for children #1-#6 and the emergency contact form on file for child #5 were not reviewed and updated by a parent in writing in the previous 6 months. The current emergency contact form on file for child #3 was reviewed and updated by a parent more than 6 months after the previous emergency contact form on file.

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(a)

Description: Health information

Noncompliance Area: The initial health assessment on file for child #5 was completed more than 60 days after their first day in care at the facility. The only health assessment on file for child #9, enrolled more than 60 days, was not dated.

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 current health assessment on file for child #1, a preschooler, was completed more than 12 months after the previous health assessment on file.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: There were no written feeding schedules from the parents of 3 of the infants enrolled.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.181(a)

Description: Each child

Noncompliance Area: There were no files at the facility for children # 10-#17.

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

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: There was no signed parental consent for emergency medical care for the child on file for children #4 and #10-#15.

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.

Regulation: 3270.182(5)

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

Noncompliance Area: There was no signed parental consent for administration of minor first-aid procedures by facility staff on file for children #4 and #10-#15.

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: 3270.191

Description: Individual Records

Noncompliance Area: There was no record at the facility for Facility Person #13.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There were no nonfamily written references on file for Facility Persons #1, #2, #3, #4, #5. #7, #8 , #9 and #10,

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: There were sharp (adult) scissors in an unlocked drawer in reach of children in the kitchen/eating area of the preschool/Pre-K room.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The most recent emergency drill was documented as conducted on 12/10/24, more than 12 months after the prior drill documented as conducted on 9/28/23.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: There was no documentation of emergency plan training on file for Facility Person 7, employed at the facility more than 90 days.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to the parents explaining the emergency plan does not address all requirements under 3270.27(a).

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures in subsection (a). 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)

Description: Age and Training

Noncompliance Area: The current first aid training documented and on file for Facility Person #12 was completed after the expiration of the prior first aid training documented and on file for Facility Person #12.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: There were no NSOR clearances on file for Facility Persons #1, #2, and #3.The criminal history clearance on file for Facility Person #7 was incomplete as the format in which it was printed does not show the entire clearance. The disclosure statement on file for Facility Person #6 was not signed by a witness. There was no signed disclosure statement on file for Facility Person #8, observed caring for children unsupervised on 5/29/25.There was no child abuse clearance on file for Facility Person #11.There was no staff file at the facility for Facility Person #13. The most recent child abuse, FBI, and NSOR clearances reviewed and on file for Facility Person #13 were more than 60 months old.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.Facility Persons #1, #2, #3, #6. #7, #8, #11 and #13 must removed from a child care position until they have all completed clearances/signed disclosure statements on file.

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

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

Noncompliance Area: Facility Persons #4 and #8 were classified as aides. The documentation of the required education for the classification on file for Facility Persons #4 and #8 were foreign degrees/diplomas without documentation of the U.S. educational equivalencies from an approved agency. Facility Persons #5 and #12 were classified as assistant group supervisors based on completion of high school and 2 years of child care experience. There was less than 2 years (2500 hours) of documented child care experience on file for Facility Persons #5 and #12. Facility Person #6 was classified as an assistant group supervisor based on completion of 15 credits in human services and 1 year of child care experience. There was less than 15 credits in human services documented and on file for Facility Person #6.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the preschool/Pre-K room, on the Pre-K side, there was deodorant labeled "keep out of reach of children," in an unlocked drawer in 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(c)

Description: Has all items

Noncompliance Area: There was a first aid kit in the older toddler room without soap. There was a second first aid kit in the older toddler room without soap and tweezers. There was no soap in the first aid kit in the infant room.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There were no handwashing signs at the changing area, or at a low sink in the older toddler room.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Continued Non-Compliance: On 2/21/25 a complaint investigation was conducted at the facility. Staff person #5 had not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR. The facility's acceptable plan of correction indicated the correction would be implemented by (4/1/25). On (5/1/25) an unannounced inspection was conducted. Staff person #5 still has not completed the following required pre- service training: Pediatric First Aid and CPR

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: The operator self-reported that on 3/28/25, at approximately 4:40 PM, Facility Persons #1 and #2 were supervising children in the 2's room, including Child #1, an older toddler. They walked the children they were supervising from the 2's room, through the Pre-K room, and into the Toddler 1 room. Shortly after this occurred, a parent of another enrolled child entered the facility with Child #1, who they say they found outside of the entrance to the facility. Staff state they suspect the child followed a parent who was picking up their child out of facility. Staff estimate the Child #1 was away from their group for approximately 2-3 minutes.

Correction Required: 1. 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. 2. The legal entity shall ensure that all facility staff complete an in-person supervision training, coordinated through the ELRC, that include a component relating to supervision during times of transition. Training documentation must be retained on file that includes the date of the training and the names of the attendees. 3.The legal entity shall ensure facility staff complete a supervision technical assistance program coordinated through the ELRC. The program shall focus on supervision of children during times of transition. Documentation of the completion of the technical assistance program shall be retained on file.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: The operator self-reported that on 3/28/25, at approximately 4:40 PM, Facility Persons #1 and #2 were supervising children in the 2's room, including Child #1, an older toddler. They walked the children they were supervising from the 2's room, through the Pre-K room, and into the Toddler 1 room. Shortly after this occurred, a parent of another enrolled child entered the facility with Child #1, who they say they found outside of the entrance to the facility. Staff state they suspect the child followed a parent who was picking up their child out of facility. Staff estimate the Child #1 was away from their group for approximately 2-3 minutes.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: SECOND CITATION, PREVOUSLY CITED ON 3/18/25: The operator self-reported that on 3/28/25, at approximately 4:40 PM, Facility Persons #1 and #2 were supervising children in the 2's room, including Child #1, an older toddler. They walked the children they were supervising from the 2's room, through the Pre-K room, and into the Toddler 1 room. Shortly after this occurred, a parent of another enrolled child entered the facility with Child #1, who they say they found outside of the entrance to the facility. Staff state they suspect the child followed a parent who was picking up their child out of facility. Staff estimate the Child #1 was away from their group for approximately 2-3 minutes.

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: 3270.55(a)

Description: Toddler and preschool children

Noncompliance Area: At approximately 12:15 PM, Facility Person #1 was supervising 11 young toddlers in the Toddler 1 room as they were napping.

Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: SECOND CITATION, PREVIOUSLY CITED ON 2/21/25: The last fire drill documented was completed on 12/10/24.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 10:35 AM while assessing supervision and ratio, Staff Person #1 named and identified 11 preschool aged children in their group which made them have a ratio of 1:11 (one staff to11 preschool aged children).

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: 3270.182(7)

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

Noncompliance Area: On 3/3/25 child #1 fell and hit their head. Staff #1 wrote an accident report for the fall. The report was not given to child #1's parent on the day of the incident.

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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Per multiple staff statements, Staff #1 was observed during naptime, grab a child by the arms and roughly tossed the child back down on their cot causing the child to become injured with a split lip.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Per multiple staff statements, Staff #2 has been observed to harshly yell at the children in their care on an ongoing basis. It was observed by multiple staff that during the week of 2/10/25-2/14/25 staff #2 yelled so harshly at a child that the child hid in the bathroom, was shaking, and would not come out until another staff arrived and staff #2 left.

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

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff person #2, 3, 4 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 9/2024. Documentation of updated Pediatric first aid and CPR training is not 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. Until such time as the required training has been completed, staff person #2, 3, and 4 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, 3, and 4, staff person #2, 3, and 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 and 5 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1 and 5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1 and 5, staff person #1 and 5 may not work in a child-care position at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log contained the following dates 4/29/24-11/19/24 which are more than 60 days apart, and the last drill documented was done 12/10/24 which was more than 60 days ago.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: In the young toddler room, multiple foam blocks with bite marks and small pieces missing were observed to be accessible to children on the toy shelves.

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. 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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: A crib in use by an infant did not have the required 2 feet of space on three sides. One side of the crib was blocked by an adult rocking chair.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The two refrigerators in Room 5, added during the inspection, did not have thermometers.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: Room 5, added during the inspection, did not have a posted written plan of daily activities.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement for child #2 was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for child #2 did not specify the amount of the fee to be charged.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #2 and #3 contained child service reports which were not dated by the parent, therefore compliance could not be determined. The file for child #6 contained a late child service report, however the report is now current.

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: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreements for children #2 and #4 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for child #6 did not include the enrolling parent's work address or work phone number.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for child #6 did not include the health insurance policy number for the child.

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 #6 did not include the phone number of the individual designated by the parent to whom the child may be released.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information for child #7 was not present in the infant room where the child was observed in care.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: Room 5, added during the inspection, did not have a posted medical 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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files for children #2, #3, and #5 contained emergency contact information and agreements which were not updated within the required 6-month period. The file for child #6 contained emergency contact information and an agreement dated after their first day in attendance. Both documents for children #2, #3, #5, and #6 are now current.

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(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The files for children #1 and #6 contained initial health reports dated more than 60 days after their first day in attendance.

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(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for child #2 lacks a current health report. The most recent report on file is not dated, therefore compliance could not be determined. The file for child #3 contained consecutive health reports dated more than 12 months apart, but is now current.

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