Little Treasures Pre-School & Child Care

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the investigation, it was verified through staff interviews that Staff # 1 spends significant time out of the classroom leaving co-teacher out of ratio.

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: During the investigation, it was verified that on 12/30/24 Child #1 tipped a bouncer chair and fell hitting forehead on the floor causing a bump on the forehead. Staff #1 did not complete the injury report until 12/31/24 and it was given to the parent on 1/2/25.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During the renewal inspection, the emergency contact and agreement for Child #1, Child #2 and Child #3, were dated March 2023 and were not updated until December 2023.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the inspection, it was verified that Child #1 was engaging in inappropriate conversations with other children in the Little Tykes Playhouse. Staff #1 and Staff #2 did not directly hear or see what was happening inside the playhouse but were told by several children. A subsequent investigation, by an outside agency, determined through interviews that inappropriate touching also occurred.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the inspection, it was verified that Child #1 was engaging in inappropriate conversations with other children in the Little Tykes Playhouse. Staff #1 and Staff #2 did not directly hear or see what was happening inside the playhouse but were told by several children. A subsequent investigation, by an outside agency, determined through interviews that inappropriate touching also occurred.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the renewal inspection, the posted certificate of compliance had expired on 7/10/22 and the current certificate was not posted.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection, Staff #1, #2, #3, #4, #5, #6, #7, #8, #10, #11, #12, #13, #14, #15, #16 and #17 had acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer had not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list or receive pediatric first aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, the file for Staff #9 contained a request form only and did not contain the response for criminal record check as required under the CPSL.

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.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: During the inspection, the immunizations for Child #1 were not up to date per the recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Child #1 must be dismissed from care by close of business 2/16/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.151(a)

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

Noncompliance Area: During the renewal inspection, the health assessment for Staff #2 was dated 2/22/22 which was more than 24 months from the previous health assessment dated 7/10/19.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection, the file for Staff #1 contained documentation of pre-service training dated 3/8/22 which was not within 90 days of hire.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.183(b)

Description: No information disclosed

Noncompliance Area: Staff #1 posted pictures of her child on Facebook that included pictures of other children in the center without permission from their parents.

Correction Required: A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.