Macy Johnston

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: On 2/12/26, during the renewal inspection, children # 1, #5, #6, and #7 did not have evidence of a child service report in the individual child records.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 2/12/26. during the renewal inspection, child #2 did not have evidence of 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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: On 2/12/26, during the renewal inspection, children # 3, #4, and #6 did not have evidence of an updated emergency contact form and agreement form in the individual child records.

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: On 2/12/26 during the renewal inspection. Children # 3, #6, and #7 did not have evidence of an updated health assessment in the child's individual records.

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: 3270.111(a)

Description: Written plan

Noncompliance Area: On 3/3/25, during the renewal inspection, certification rep did not observe a posted daily activities schedule posted in room 2.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: On 3/3/25, during the renewal inspection, certification rep did not observe a posted 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 childcare space room 2.

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: On 3/3/25, during the renewal inspection, child #1 did not have evidence of an updated emergency contact form and the agreement form in the child's records

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: On 2-28-2025 during an unannounced visit, staff person #3 left 6 children unsupervised in the bathroom.

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. TIERED LIS: Children must be supervised at all times. 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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 2-28-2025 during an unannounced visit, staff person #1 left staff person #2 out of ratio with 10 children in care, the youngest being 2 yrs old. Continued noncompliance from an unannounced visit on 1-17-2025.

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 1-17-2025 during an unannounced visit, the toys (doll houses, toy kitchen sets, riding equipment, etc.) in the indoor play space were dirty.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 1-17-2025 during an unannounced visit, staff person #2 did not have any of the required clearances (State Police, Child Abuse, FBI, NSOR and Disclosure Statement) on file.

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 Person #2--- may not work in a childcare position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 1-17-2025 during an unannounced visit, staff person #1 was left out of ratio with 7 one-year old children in care.

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: 3270.62(c)

Description: Space safe for large muscle activity

Noncompliance Area: On 1-17-2025 during an unannounced visit, there were tables stacked on top of each other in the indoor play space.

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 1-17-2025 during an unannounced visit, there were multiple protective receptacle covers missing throughout the facility in the indoor play space, main large room and on the stage area.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: On 1-17-2025 during an unannounced visit, the trash can in the main room was not lidded and contained tissues/napkins, and gloves.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 1-17-2025 during an unannounced visit, the pink walls in the main room and indoor play space were dirty. A ceiling tile was missing as well as other ceiling tiles were stained in the children's bathroom.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: On 1-17-2025 during an unannounced visit, the sink in the children's bathroom was out of order, covered with a trash bag around the sink and a trash can lined with a trash bag was underneath it.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 3/14/24, during the renewal inspection, certification rep. observed a horse riding toy that was rusted.

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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: On 3/14/24, during the renewal inspection, child #1,#2,#3,#4,and #5 did not have have evidence of the required child service report in the individual child records.

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: On 3/14/24, during the renewal inspection, child #1 did not have the specific date of the child's admission on the agreement form.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: On 3/14/24, during the renewal inspection, the emergency contact, for child #5, did not include the address of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(4)

Description: Written consent

Noncompliance Area: On 3/14/24, during the renewal inspection, the emergency contact did not have written consent signed by a parent for emergency medical care for child #4 and child #5

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 3/14/24, during the renewal inspection, child #1 did not have evidence of the emergency contacts address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: On 3/14/24, during the renewal inspection, child # 1and #3, had no evidence of a initial health report no later than 60 days following the first day of attendance at the facility.

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: On 3/14/24, during the renewal inspection, child # 2, had no evidence of a updated health report at least every 12 months for an older toddler or preschool child.

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: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: On 3/14/24, during the renewal inspection, child #4 did not have evidence of immunization for the individual child in the child record.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On 3/14/24, during the renewal inspection, child # 2, #4, and #5 had no evidence of parental review and update of 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 emergency contact and agreement form.

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: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: On 3/14/24, during the renewal inspection, there was no evidence of parental consent for emergency medical care for the child. Written consent is required prior to admission on the emergency contact form for child #4 and #5.

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: On 3/14/24, during the renewal inspection, there was no evidence of parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission on emergency contact form for child# 3, #4, and #5.

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: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: On 3/14/24, during the renewal inspection, child # 3 had no evidence of parental consent for transportation, walking excursions, swimming and wading on the emergency contact form..

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: On 3/14/24, during the renewal inspection, staff person #1 and #2 did not have evidence of the annual minimum of 12 clock hours of child care training in their individual staff records.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On 3/14/24, during the renewal inspection, staff person #2 did not have evidence of the health and safety training in the staff persons records.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: On 3/14/24, during the renewal inspection, there was no evidence of a updated staff evaluation for staff person #1 and staff person #2.

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: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: On 3/14/24, during the renewal inspection, the identified director staff person #3 stated her hours were 8am-5pm at multiple locations throughout the day as needed. Certification rep. could not verify documentation of a qualified director who was employed by the facility and present at the facility for a minimum of 30 hours per week,

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.36(b)(1)

Description: HS/GED + 30 credits

Noncompliance Area: On 3/14/24, during the renewal inspection, staff person #2 did not have evidence of their education in their individual staff records.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On 3/14/24, during the renewal inspection, certification rep observed chipping paint in the gross motor classroom.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the inspection on 4/14/2023, the operator did not provide documentation of annual notification to the local traffic safety authority.

Correction Required: An operator must 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 child care facility.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During the review of Staff Person #1 file on 4/14/2023, documentation of education was missing.

Correction Required: A facility person's record must include verification of childcare experience, education and training prior to service at the facility.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the inspection on 4/14/2023, the emergency plan reviewed did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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