Little Treasure Of Our Future

Regulation: 3290.131(e)(1)/3290.131(e)(2)(i)

Description: Parent written verification from Doctor./Religious belief/strong personal objection

Noncompliance Area: The record for facility child #2 did not include verification of all vaccines as required. Facility child #2 was missing a DTAP, Pneumococcal and influenza vaccines.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: There was not verification that the emergency contact form for facility child #3 was reviewed at least every 6 months. The signature and dates on the form were 1-12-23 & 1-12-24.

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

Regulation: 3290.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The fire drill log did not list the hypothetical location of the fire. The meeting place was documented on the log and not the hypothetical location so it could not be determeined that the locations are rotated around the facility for each drill.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection conducted on 1/12/2023 observed a pack and play was not labeled with the child's name. Corrected on site 1/12/2023.

Correction Required: (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.124(e)

Description: Updated every 6 months

Noncompliance Area: During the renewal inspection conducted on 1/12/2023 observed child #3's emergency contact information was not updated in the 6-month period. Last update on file 3/23/2022.

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.

Regulation: 3290.131(d)(5)/3290.131(e)(1)

Description: Immunization record/Parent written verification from Doctor.

Noncompliance Area: During the renewal inspection conducted on 1/12/2023 observed child #1, #2 and #3's health report did not include up to date influenza vaccines. Last dates of influenza vaccines were from 12/11/2020, 12/10/2021 and 1/30/2019.

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

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection conducted on 1/12/2023 observed the facility's emergency plan did not provide for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: During the renewal inspection conducted on 1/12/2023 observed the operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality and to 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: 3290.31(i)

Description: Verification of professional development shall be kept in facility person's file

Noncompliance Area: During the renewal inspection conducted on 1/12/2023 observed staff person #1 did not have verification on file of the CCDBG Health and Safety professional development.

Correction Required: All staff persons shall complete the professional development under subsection (g). Documentation of the completion of training shall be kept in the facility person's file or maintained in an electronic system as designated by the Department.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During the renewal inspection conducted on 1/12/2023 observed evacuation routes were not posted on the first and second floor.

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

Regulation: 3290.151(c)(4)

Description: Information re: medical problems

Noncompliance Area: During the renewal inspection conducted on 1/13/2022 observed staff person #1's health assessment question number three was not answered on whether the staff person is suitable to work in childcare.

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

Noncompliance Area: During the renewal inspection conducted on 2/7/2020 observed child #1's emergency contact information 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.

Noncompliance Area: During the renewal inspection conducted on 2/7/2020 observed child #1 and #2's records did not contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff.

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

Noncompliance Area: During the renewal inspection conducted on 2/7/2020 observed the bathroom wall and wall in the childcare space had damaged plaster.

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

Noncompliance Area: Observed high chair did not have T-shaped safety strap.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: Observed child #1, #2, #3, #4 and #5 agreements did not specify the child's arrival and departure times.

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

Noncompliance Area: Observed child #1's emergency contact information did not include the release person's address.

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

Noncompliance Area: Observed child #4 and #5's record did not contain signed parental consent for emergency medical care for the child.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: Observed child #4's record did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Noncompliance Area: Observed electrical outlet accessible to children did not have a protective receptacle cover.

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

Noncompliance Area: ON MARCH 19, 2018 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT THE FAMILIES OF CHILD # 1, # 2 AND # 3 RECEIVED GROWTH AND DEVELOPMENT INFORMATION ABOUT THE CHILD WITHIN A 6-MONTH PERIOD.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: ON MARCH 19, 2018 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 1 RECEIVED TRAINING REGARDING THE EMERGENCY PLAN WITHIN A 12-MONTH PERIOD.

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.

Noncompliance Area: ON MARCH 19, 2018 DURING THE RENEWAL INSPECTION, THERE WERE 6 CHILDREN PRESENT AT THE FACILITY. THERE WERE 5 OLDER TODDLER AGE CHILDREN AND ONE INFANT CHILD.

Correction Required: The operator may provide care to no more than five related and unrelated infants and toddlers at any one time. No more than two related and unrelated infants may receive care at any one time. If one infant is in care, four toddlers are permitted.

Noncompliance Area: During the renewal inspection on 3/9/2017, there was a wooden toy sink observed in the childcare space with a cracked plastic tub used as a sink.

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.

Noncompliance Area: During the renewal inspection of 3/9/2017 there were two pack and plays not labeled for use of a 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.

Noncompliance Area: During the renewal inspection on 3/9/2017, the files of all children were missing the name of the designated release persons on the agreement form.

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

Noncompliance Area: During the renewal inspection of 3/9/2017, the files of all children were missing the admission or start date of the child.

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

Noncompliance Area: During the renewal inspection on 3/9/2017, the files of all children were missing the address information for the release persons.

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

Noncompliance Area: During the renewal inspection on 3/9/2017, the files of staff number 2 and number 3 were missing a current health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility.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.

Noncompliance Area: During the renewal inspection on 3/9/2017, there were bottles or sip cups observed without labels.

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

Noncompliance Area: During the renewal inspection on 3/9/2017, the files of staff #1 and #2 did not include proof of six hours of child care training.

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

Noncompliance Area: During the renewal inspection on 3/9/2017, the file of staff number 2 missing a Child Abuse Clearance. The file of staff number 3 was missing all clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 Person #--- may not work in a child care position at the facility.

Noncompliance Area: During the renewal inspection on 3/9/2017, the bathroom wall was observed with peeling paint and cracked plaster.

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