Lenes Daily Child Care

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 01/08/26, during the renewal inspection, the file of staff person #2 did not contain an up to Child Abuse Clearance, their last Child Abuse Clearance was dated 07/02/2020. In addition, the file of staff person #4 did not contain a completed NSOR clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 and # 4 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. Facility Person #2 and #4 may not work in a child care position at the facility.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection conducted 12/9/2024, a child was observed sleeping in a crib that was not labeled for the use of that specific child.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During the renewal inspection conducted 12/9/2024, there was no daily activity schedule posted in the preschool teddy bear, basement childcare space.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection conducted 12/9/2024, the record reviewed for child #1 and #2 did not include a health assessment.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the renewal inspection conducted 12/9/2024 upon request there was no verification available for review to verify the facility notified their local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection conducted 12/9/2024, upon request there was no emergency drill log available for review to verify the facility conducts annual emergency drills.

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

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

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

Noncompliance Area: During the renewal inspection conducted 12/9/2024, upon request pediatric first aid and CPR was not available for review for staff #1. (See code sheet for hire date).

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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.61(a)

Description: Indoor space- small muscle

Noncompliance Area: During the renewal inspection conducted 12/9/2024, the preschool teddy bear room (basement childcare space) was observed being used for storage with cots, infant bouncy chairs, a crib and black filled trash bags.

Correction Required: A facility shall provide indoor child care space for individual and group small muscle activity.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection conducted 12/9/2024, an outlet in the preschool teddy bear, basement childcare space was missing protective receptacle covers.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection conducted 12/9/2024, tremendo cleaning solution and Lysol toilet bowl cleaning was observed under an unlocked sink in the preschool teddy bear, basement childcare space.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During the renewal inspection conducted 12/9/2024, the water temperature was tested throughout the facility bathrooms via a thermometer and read at 125° F.

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: During the renewal inspection conducted 12/9/2024, the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted by the telephone in the preschool teddy bear, basement childcare space.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During the renewal inspection conducted 12/9/2024, a first aid kit was not available for review in the preschool teddy bear, basement childcare space.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection conducted 12/9/2024, peeled paint was observed on the white wall next to the changing table in the koala bears first floor main childcare space. Chip paint was also observed on the white wall next to the bathroom in the teddy bear preschool, basement childcare space and also along the wall entering into the basement childcare space.

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

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: On 6/4/24 staff person #1 did not have Pediatric first aid and pediatric CPR from an approved curriculum.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: During an unannounced inspection on 06/23/23, Certification Representative observed a Plexi glass gate or room divider near the front of the facility. It was very easy to tip over by touch as it was not bolted to the floor.

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

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: During the complaint investigation on 06/23/23, the file was reviewed for child #1. An incident report was found for an incident that occurred on 06/14/23 but was dated 06/20/23. Certification Representative was informed by facility that the incident report was completed on 06/20/23 for the incident that occurred on 06/14/23.

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: 3270.72(b)

Description: Screened

Noncompliance Area: During an unannounced inspection on 06/23/23, Certification Representative observed a sick child sitting in the office waiting to be picked up. The window in the office was partially opened without a screen in place.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff person # 3 has a physical over 24 months old.

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: 3270.31(f)(10)/3270.192(2)(iii)

Description: Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

Noncompliance Area: Staff persons # 1, 2, & 4 do not have current pediatric first aid/CPR training in their record.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(g)

Description: Professional development certificate

Noncompliance Area: Staff person #4 completed the initial Health & Safety training on 9/27/2016.

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1, date of hire 10/4/21, does not have their NSOR clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 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.

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 9/27/21 there was an incident in which one child bit another child. Although an incident report was completed that day, the mother of the injured child refused to sign the incident report and left. Facility held the report thinking a parent signature is required. The report was provided to the parent on 9/29/21.

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.

Noncompliance Area: On 8/21/19, staff person #1 hit a child in the face because the child was spitting. This was captured on video and witnessed by staff person #2.

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

Noncompliance Area: Staff person #1, employed since 4/23/19, has a FBI clearance dated 10/4/18 with an incomplete rap sheet (not all pages were included) . She was observed working with children and is past the 90 day provisional period.

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

Noncompliance Area: While changing a diaper, staff person #1 laid the soiled diaper on the changing table and did not immediately discard it in the trash can.

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

Noncompliance Area: Two children's records did not contain a child service report in accordance with the regulation that had been completed within the past 6 months. (#1 and #2)

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). Complete and submit a current up-to-date child service report in accordance with this regulation for the indicated children. Ensure that all child service reports are completed every 6 months in accordance with this regulation. Revise and submit written policies and procedures regarding the completion of child service reports to ensure ongoing compliance.

Noncompliance Area: There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months.

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. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified.

Noncompliance Area: Surfaces in the facility were in need of cleaning and/or repair: the cubby in the basement school-age area was in need of cleaning; the outdoor carpet in the play yard was in need of repair or replacement.

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. Complete all cleaning and repairs as specified.

Noncompliance Area: On 4/3/17, at approximately 3:00pm, two staff persons (#1 and #2) were observed caring for a mixed-age group of 10 children-2 infants (birth -12 months) and 6 (older toddlers-two year olds) in the first floor child care space. Staff person #1 verified the ages of the 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. The required staff:child ratios must be maintained at all times. Ensure that staff/child ratios are maintained at all times.

Noncompliance Area: One childs emergency contact information did not include the health insurance coverage and policy number. (#1)

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. Obtain the health insurance policy number for the identified child. Ensure that all childrens records include the health insurance information as specified in this regulation.

Noncompliance Area: The sink in the upper level bathroom used by children was not at a proper height for the young toddlers and the step stool was not at a sufficient height to make it easily approachable.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps. Obtain a platform or steps at an appropriate height to make the sink more approachable for the young toddlers.