Little Rascals Llc

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the inspection, the agreement for Child #2 and Child #3, did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the inspection, the emergency contact for Child#1, Child #2 and Child #4 did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

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: During the inspection, the emergency contact for Child #1 and Child #2 did not include the address 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During the inspection, the file for Child #2, Child #3 and Child #4 did not contain an initial health report within 60 days and there were no subsequent health reports on file.

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(d)(5)

Description: Immunization record

Noncompliance Area: During the inspection, the immunization record for Child #3 did not include a rotavirus vaccine as recommended by the ACIP. A statement of exemption from the child's parent or guardian was not on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.14/3270.27(c)

Description: Pertinent Laws & Regulations/Training regarding plan

Noncompliance Area: During the inspection, there was no documentation on file showing that Staff #1, #3 and #4 had received emergency plan training at the time of initial employment or any time thereafter.

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. 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: 3270.151(a)

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

Noncompliance Area: During the inspection, the file for Staff #2 and Staff #3 did not contain a health assessment within 12 months prior to providing initial service in the childcare setting.

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During the inspection, the file for Staff #3 did not contain tuberculosis screening by the Mantoux method at initial employment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: During the inspection, the file for Child #2 and Child #4 did not contain signed parental consent for emergency medical care for the child.

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: During the inspection, the file for Child #2 and Child #4 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: During the inspection, the file for Staff #2 did not contain verification of childcare experience needed to determine the position for which Staff #2 is qualified.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the inspection, the file for Staff #2 did not contain any written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for Staff #3 contained only one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: During the inspection, Staff #3 had not completed the following preservice training within 90 days of hire: Pediatric First Aid and CPR.

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection, the file for Staff #2, who was past the provisional hire period, did not contain a DHS FBI Clearance nor the NSOR Certificate. The file for Staff #3, who was past the provisional hire period, did not contain the NSOR Certificate and did not contain a copy of a request for the NSOR certificate.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #2 and #3 may not work in a childcare 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. Staff Person #2 and #3 may not work in a childcare position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the inspection, broken tiles were observed at the top of ramp, outside kitchen area and in between the school-age room and playroom.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: While a group of toddlers and preschoolers were outside in the play yard with Staff #1 and Staff #2, Child #1 walked back into the building. The child was not left unsupervised as Staff #3 saw Child #1 when they walked inside and took the child to the owner. Staff #1 and Staff #2 were not aware that the child went back inside. Neither Staff #1 nor Staff #2 was assigned the responsibility for supervision of specific children at that time.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: During the inspection, it was verified through staff interviews and record review that Staff #1 uses a weighted vest on Child #1 without having obtained written instructions from the child's physician or an IEP.

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: During the inspection, it was verified through staff interviews that Staff #1 has been strapping Child #1 into a wagon for discipline purposes.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: During the initial inspection, the hot water heater room, near the children's bathroom, was unlocked and accessible to children.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the initial inspection, the emergency plan had not been sent to the local municipality or the county emergency management agency.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the initial inspection, the State Police Clearance, Child Abuse Clearance and DHS FBI Clearance, for Staff #1, had expired and had not been updated within 60 months as required under the CPSL. The Child Abuse Clearance, DHS FBI Clearance and Mandated Reporter Training, for Staff #2, had expired and had not been updated within 60 months as required under the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #1 and #2 may not work in a childcare 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. Staff Person #1 and #2 may not work in a childcare position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the initial inspection, cleaning materials and other toxic materials were observed in an unlocked closet accessible to children near the children's bathroom. Toxic materials included bleach, degreaser, paint and stain/polyurethane.

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 initial inspection, the hot water temperature was 119° F in children's bathroom #1 and 115° F in children's bathroom #2.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the initial inspection, the first aid kit in both the preschool and toddler rooms did not contain soap and tweezers.

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: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During the initial inspection, evacuation routes were not posted in a conspicuous location in the facility.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure evacuation routes are posted in a conspicuous location on each floor of the facility.