Meadville Cooperative Preschool Inc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a blue basket holding construction toys that was cracked in Room 14/15.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: There was a chair in dramatic play in Room 14/15 that was wobbly and potentially unsafe.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for Child #4 does not include the child's arrival and departure times.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #2, with an enrollment date of 8.2725, which is more than 60 days ago, does not include an initial health report.

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(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The most recent health assessment on file for Child #1, who is a preschool age child, is dated 12.9.24, more than 12 months ago. The most recent health assessment on file for Child #3, who is a preschool age child, is dated 8.27.24, more than 12 months ago.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent immunization record on file for Child #1, who is a preschool-aged child, includes 2 of 3 Hepatitis B immunizations recommended by the ACIP for a child this age; 2 of 4 DTAP immunizations recommended by the ACIP for a child this age, 2 of 3 HIB immunizations recommended by the ACIP for a child this age, 1 of 4 Pneumococcal immunizations recommended by the ACIP for a child this age; 2 of 3 polio immunizations recommended by the ACIP for a child this age; 0 of 2 MMR Immunizations recommended by the ACIP for a child this age; 0 of 2 Varicella immunizations recommended by the ACIP for a child this age; and 0 of 2 Hepatitis A immunizations recommended by the ACIP for a child this age.

Correction Required: ·Child #1 must be dismissed from care by close of business on 1.8.25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.131(e)/3270.131(e)(3)

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: The file for Child #2, with an enrollment date of 8.27.25, more than 60 days ago, does not include the child's immunization record.

Correction Required: ·Child #2 must be dismissed from care by close of business on 1.8.26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: There was an Albuterol inhaler in Room 11/12/13, labeled for use by a specific child that expired on10.31.25 and was therefore not in accordance with the manufacturer's original label.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was an EpiPen labeled for use by a specific child in Room 1/2 which did not include written parental permission to administer.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #3 were dated 6.15.23 and 9.9.25, more than 24 months apart.

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)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 & Part 2.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff person #4, #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, #5, staff person #4, #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #1 includes NSOR certificates dated 11.19.19 and 9.15.25 more than 60 months apart. The file for Staff person #2 includes criminal history clearances dated 11.16.19 & 11.24.24; child abuse clearances dated 11.21.19 & 9.2.25; FBI clearances dated 11.15.19 & 8.30.25, and NSOR certificates dated 12.9.19 & 8.27.25, all more than 60 months apart. The file for Staff person #3 includes NSOR certificates dated 5.26.20 and 7.15.25 more than 60 months apart.

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 #6 may not work in a childcare position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In Rooms 9/10 and 11/12/13, there was a bottle of soapy water that was accessible to children.

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: 3270.66(b)

Description: Original container

Noncompliance Area: There were spray bottles in Room 1/2 and 9/10 that were not in the original bottle or labeled with the contents of the bottle.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kits in Rooms 1/2, 9/10, and 14/15 did not include 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: 3270.76

Description: Building Surfaces

Noncompliance Area: In Room 9/10, beside the filing cabinet, there was a section of baseboard that had pulled away from the wall and the duct tape used to reattach it was coming off, exposing rotted wood under the baseboard.

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: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: During the renewal inspection, the CR was informed by the Allegheny College Public Safety office that the fire detection system was not functioning; there was an issue with the panel. The officer informed the CR that they discovered this on 1.7.26 when they planned a fire drill. The childcare facility was not made aware that the fire detection system was not functioning.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Room 9/10 contained a cracked bin holding dominoes and another cracked bin holding dice.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #1 does not include the address for the child's pediatrician/source for 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #2 were dated 8.31.21 and 4.1.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #3 were dated 11.10.21 and 12.14.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #4 were dated 12.10.20 and 6.15.23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #15 were dated 8.25.22 and 12.30.24, more than 24 months apart.

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: 3270.151(c)(5)/3270.192(3)

Description: Physician/CRNP assessment/Health assessment, TB test

Noncompliance Area: The health assessment on file for Staff person #5 indicates that the staff person is not suitable to provide childcare with no additional information given.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. 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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: In Room 1/2 and Room 14/15, the certification representative observed children's lunchboxes containing potentially hazardous food, such as cheese, being kept in coolers until lunchtime and not being properly refrigerated.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The file for Child #1 does not include written parental permission for the facility to administer minor first aid procedures.

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(5)

Description: Two written references

Noncompliance Area: The file for Staff person #1, #6, #10, #11 does not include 2 written non-family references attesting to the staff person's suitability to work in childcare. The file for Staff person #9 includes 1 unrelated reference letter.

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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility does not have verification of the completion of an emergency drill within the last year.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The facility does not have documentation of the Emergency plan being reviewed annually.

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.

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #4 includes Emergency Plan training dated 1.24.22 and 1.21.25, more than 1 year apart. The file for Staff person #5 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet); the training was completed on 1.21.25. The file for Staff person #7 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet); the training was completed on 1.21.25. The file for Staff person #8, #12, #13 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet).

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 and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility does not have verification of having sent the emergency plan to the local municipality and 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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for Staff person #2, #3, #4 includes verification of First Aid/CPR training dated 8.7.24, after the expiration date of 5.31.24.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1, has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality. Staff person #5, #6, #7, #13 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum and the trainer has not provided documentation that they are PQAS-certified in that training curriculum). Staff person #10, has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality AND Pediatric First Aid/CPR. Staff person #11, #12 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1, #5, #6, #7, #10, #11, #12, #13 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, #5, #6, #7, #10, #11, #12, #13, staff person #1, #5, #6, #7, #10, #11 #12, #13 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #4 has not completed mandated reporter training within the last 60 months; the previously documented mandated reporter training on file is dated 9.26.18. Staff person #10, #12 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #4, #10, #12 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #4, #10, #12, staff person #4, #10, #12 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #6 does not contain a State police Criminal history clearance within 45 days of hire (See LIS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #6 does not contain documentation of application prior to date of hire for, or the completed New York child abuse clearance, or New York sex offender search within 45 days of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #10 does not contain a valid FBI clearance or NSOR certificate within 45 days of hire (See IS CODE SHEET). The file for staff person #10 also does not contain documentation of application prior to date of hire for, or the completed Connecticut child abuse clearance, or Connecticut sex offender search within 45 days of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #11 does not contain a valid NSOR certificate within 45 days of hire (See IS CODE SHEET).

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 #6, #10, #11 may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #4 includes criminal history clearances dated 9.19.18 and 1.2.24; child abuse clearances dated 9.26.18 and 1.2.24; and FBI clearances dated 9.20.18 and 1.25.24, all more than 60 months apart. The file for staff person #5 included an NSOR certificate dated more than 45 days after hire (See LIS Code Sheet) required for provisional hiring under the CPSL. The file for Staff person #14 includes criminal history clearances dated 7.30.18 and 9.12.23; child abuse clearances dated 8.27.18 and 2.21.25, more than 60 months apart.

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: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #5, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience. The file for Staff person #6, #10, #11, who is classified as an aide, does not include a high school diploma or a general educational development certificate; or a minimum of an 8th grade education and 2 years of experience with children. The file for staff person #7, classified as Director, does not include verification of a Bachelor's degree in Education or a related human services field and 1 year of experience with children; or a Bachelor's degree with 30 credits in education or a related human services field and 2 years of experience with children; or an Associate's degree in education or a related human services field and 3 years of experience with children; or an Associate's degree with 30 credits in education or a related human services field and 4 years of experience with children.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: There were cans of Equate shaving cream, labeled "Keep out of the reach of children", that staff reported was used to make puffy paint, in Room 1/2. There were cans of Barbasol shaving cream, labeled "Keep out of the reach of children", that staff reported was used for arts and crafts projects in Room 14/15.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in Room 14/15 did not include soap.

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: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files for children #1,#2, #3 and #4 contain the original agreement instead of a copy. According to staff interview, the parents were given a copy.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #1, who has been in attendance for greater than 60 days, is lacking a health report completed and signed by a physician.

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)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for child #3 contains a health report that includes a statement that the child is not able to participate in child care / does not appear to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff persons #1, #2 and #4 contain current health assessments that were conducted greater than 24 months after the previous health assessment. The files are now current. The file for staff person #3 is lacking a health assessment completed during the previous 24-month period.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter provided to parents has not been updated to include procedures for lockdown and how accommodations are made for children with special needs.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff person #2 contains previous mandated reporter training that expired prior to completion of current mandated reporter training. The training is now current.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: Observed in Room 12/13, located on the 2nd floor of the building, a window that was raised and not restricted from opening greater than 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: Observed that files #1-#6 contained the original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The files for child #3 and #4 contain emergency contact information that is lacking the health insurance coverage and policy number.

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(c)

Description: Each child care space

Noncompliance Area: Observed that emergency contact information was not available in the front room where 9 preschool children were observed receiving care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #5 is lacking a valid health report and has exceeded 60 days since the first day of attendance..

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)/3270.131(e)

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: The files for children #3 and #6 are lacking verification of a flu vaccine and have attended for greater than 60 days.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff person #3 is lacking a current health assessment conducted during the previous 24 month period.

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(e)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for staff person #3 is lacking verification of 12 hours of child care training during the year 12/18/2021 to 12/18/2022.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files for staff persons #1 and #4 contain current mandated reporter training that was completed greater than 60 months after the previous training. The trainings are now current,

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2, provisional hire date (see LIS code sheet), is lacking a completed NSOR verification within 45 days of hire as required under 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. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: Observed that a first aid kit was not present in the Front Room where preschool children were observed receiving care.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The child file for Child #1 contained an emergency contact information form that lacked the health insurance policy number.

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: 3270.151(a)

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

Noncompliance Area: The staff file for Staff person #6 contained a current health assessment dated 12/13/21 which was updated more than 24 months from the previously dated 9/25/19 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 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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility lacked a means to provide parents of enrolled children a way to access the regulations in this chapter electronically.

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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Staff person #7 self reported that an emergency drill was conducted however the drill was not documented and on file at the facility.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The staff file for Staff person #1, who has a hire date of 8/31/21, contained Health and Safety training completed on 12/8/21 which was more than 90 days from date of hire.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:(1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children

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

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

Noncompliance Area: The staff file for Staff person #1, who has a hire date of 8/31/21 and Staff person #3, who has a hire date of 8/11/21, lacked pediatric first-aid and CPR within 90 days of hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The staff file for Staff person #2, lacked documentation of having applied for and received a State criminal history check, a State sex offender registry check, and a State child abuse and neglect registry check from the State in which they have resided in within the previous five years as required by the Child Protective Service Law (CPSL).

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff file for Staff person #5 contained a current staff evaluation dated 6/11/21 which was completed more than 12 months from the previously dated 5/29/20 staff evaluation. The staff file for Staff person #4 contained a current staff evaluation dated 6/1/21 which was completed more than 12 months from the previously dated 5/14/20 staff evaluation.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In Room 9/10, in the paint/light table area, an electrical outlet was observed to lack one protective cover.

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

Noncompliance Area: In the puzzle area of Room 11/12/13 a clear plastic bin used to hold puzzle pieces was observed to have a crack on one side of the bin, from the top to the bottom, allowing for a potential pinch point and causing the bin to not be in good repair.

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: The child file for Child #5 contained a financial agreement form that lacked the operators signature.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The child file for Child #5 contained a financial agreement form that lacked the date of child's admission.

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

Noncompliance Area: The child file for Child #5 contained an emergency contact information form that lacked the addresses and phone numbers of two of the individuals listed by the parent to whom the child may be released to.

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: The child file for Child #1, who is a preschooler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP. The child file for Child #2, who is a preschooler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 10/29/18. The child file for Child #4, who is a preschooler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 10/23/18. The child file for Child #5, who is a preschooler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 10/19/18.

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.

Noncompliance Area: The child file for Child #3 contained an emergency contact information form that was not reviewed and updated by the parent at least once in a 6 month period. The last two dates of review were 4/29/19 and 12/11/19.

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.

Noncompliance Area: In the art gallery area of Room 11/12/13 a window that is above the ground floor and opens directly up to the outdoors was observed to lack a modification to prevent the window from opening to 6 or fewer inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: The staff file for staff person #1 lacked a written evaluation every 12 months. The staff evaluations on file were dated Dec. 2016 and 5/12/18.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: The outdoor play space, which has embedded equipment, was observed to lack the 9 inches of mulch that is recommended by the United States Consumer Product Safety Commission.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: At approximately 9:40am in Room 11/12/13, two staff and 12 preschool aged children were observed. When staff were asked to identify and name the children for whom they were responsible for, staff person #3 identified and named 6 children and staff person #4 identified and named 5 children thus leaving one child unaccounted for. Staff were asked again to identify and name the children whom they were responsible for; Staff person #3 identified and named 6 children and Staff person #4 identified and named 5 children still leaving one child unaccounted for. Staff person #3 was able to identify the 7th child she was responsible for allowing for all 12 children to be accounted for.

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.

Noncompliance Area: The child file for child #6 contained a financial agreement form that lacked the arrival and departure times.

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

Noncompliance Area: The child file for child #6 contained a financial agreement form that lacked the child's admission date.

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

Noncompliance Area: The child file for child #2 lacked a financial agreement form.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The child file for child #2 lacked an emergency contact information form.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: The staff file for staff person #2 contained a health assessment dated 10/6/16 which was conducted more than 24 months from the previously dated health assessment of 8/1/14.

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.

Noncompliance Area: The child file for child #1, who has an enrollment date of 9/5/17, contained an emergency contact information and financial agreement form that were not reviewed and updated by the parent at least once in a 6 month period. The dates of review are 8/21/17 and 3/8/18. The child file for child #3, who has an enrollment date of 9/5/17, contained an emergency contact information and financial agreement form that were not reviewed and updated by the parent at least once in a 6 month period. The dates of review are 8/28/17 and 3/9/18. The child file for child #4, who has an enrollment date of 9/5/17, contained an emergency contact information and financial agreement form that were not reviewed and updated by the parent at least once in a 6 month period. The dates of review are 8/1/17 and 3/9/18. The child file for child #5, who has an enrollment date of 9/5/17, contained an emergency contact information and financial agreement form that were not reviewed and updated by the parent at least once in a 6 month period. The dates of review are 8/16/17 and 3/13/18.

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.

Noncompliance Area: The child file for child #1 contains an emergency contact information form that lacked signed parental consent for emergency medical care; only initials were provide.

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.

Noncompliance Area: The child file for child #1 contains an emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures by facility staff; only initials were provide.

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.

Noncompliance Area: The child file for child #1 contains an emergency contact information form that lacked signed parental consent for transportation and walking excursions; only initials were provide.

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

Noncompliance Area: The staff file for staff person #1, who has a start date working with children of 9/6/16, contained mandated reporter training dated 5/1/17, which was not completed within 90 days of hire.

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.

Noncompliance Area: The staff file for staff person #5 lacked a written staff evaluation every 12 months. The last evaluation on file is dated May 2016.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: In the Front Rm 3, the first-aid kit was observed to lack scissors 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.

Noncompliance Area: During an investigation of self-reported noncompliance it was verified on 4/9/18 by staff person #1 that staff person #1 became aware on 3/28/18 that child #1 was taken, by his parents, to the emergency room for medical treatment for an injury that he sustained while in care at the facility. During the investigation, it was also verified on 4/9/18 by staff person #1 that the regional office was not notified until 4/3/18 due to the facility being closed from 3/29/18 to 4/2/18 for Easter break.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Noncompliance Area: During an investigation of self-reported noncompliance it was verified on 4/9/18 by staff person #1 that staff person #1 became aware on 3/28/18 that child #1 was taken, by his parents, to the emergency room for medical treatment for an injury that he sustained while in care at the facility. During the investigation, it was also verified on 4/9/18 by staff person #1 that the regional office was not sent a written report until 4/3/18 due to the facility being closed from 3/29/18 to 4/2/18 for Easter break.

Correction Required: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department

Noncompliance Area: At approximately 10:30am in Room 1/2, two staff and thirteen preschool aged children were observed utilizing the room which has an established capacity of 12 resulting in the room being over capacity by 1 child.

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: The staff file for staff person #1, who has a start date of 9/25/17, contained a health assessment and tuberculosis screening that were not conducted within 12 months prior to providing initial services in a child care setting. The date of the health assessment and tuberculosis screening on file was 10/5/17.

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. 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.

Noncompliance Area: The facility emergency plan did not provide for a shelter in place at the facility.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Noncompliance Area: The facility emergency plan did not provide for the evacuation of children from the facility in the event of an emergency.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3270.94 (f) and (g) (relating to fire drills).

Noncompliance Area: In Room 2 a bottle of white out labeled "Keep Away from Children" was observed to be in the top right drawer of the blue dresser which was unlocked and accessible to the children. In the hallway in one of the child cubbies located to the right of Room 14 a 1 oz travel sized bottle of hand sanitizer was observed to be attached to the outside of a child's book bag which was accessible to the children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: The outdoor play space, which has embedded equipment, lacked 9" of acceptable fill. Area had from 1/2" to 1" of pea gravel as a fill material.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: There was not a daily activity schedule posted in the 4/5 year old room, room # 12/13.

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

Noncompliance Area: The files for Child #2, #3, and #4 included emergency contact forms that lacked the addresses for persons to whom the child can 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: File for Child #1 included an emergency contact form that lacked parental signature giving consent for care and/or first aid.

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.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.

Noncompliance Area: An unlabeled cleaning bottle was observed in the kitchen closet.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.