Mind Builders Music And Science Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the outdoor play space, a rusty, flat metal plate, and a rusty, heavy metal chain were observed, as well as a rusty chair leg found in a metal ring that resembled a fire pit metal ring. A broken plastic children's climber that was geared to infants/toddlers was observed. A dome climber was observed with several large rocks under the dome, with rock diameters that ranged from roughly 3 inches to 8 inches. These rocks were sharp, and not smooth by nature. A large broken cooler that contained algae on the sides and with water inside, was also observed.

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: 3270.107

Description: Refrigerator

Noncompliance Area: On 6/11/26, a thermometer was missing in the refrigerator in Unit 2 (kitchen).

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 6/11/25 at 9:25 a.m., 20 school-age children were observed in Unit 2, and no adult staff were present in the classroom. The only two adults in the classroom were members from an outside agency. The children were unsupervised until 9:35 a.m., when Staff #1 arrived and began supervising children in this Unit. During this time, children were observed walking between the units unsupervised. When asked, Staff #3 was unable to identify the children in their group by name. On 7/8/26, children were observed walking from unit to unit and the staff they were assigned to, were not physically present with them in the spaces they walked through.

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. 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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan requires an immediate date of correction. 2.The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must ensure that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision during transition times and while in the outdoor play area. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his/her assigned group and be physically present with the children in his/her group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. The policies will also be updated to include that children are not moving from room to room without methods of communication between staff and that staff then become responsible for those children in their care. Both the updated supervision policies and new supervision procedures must be submitted to the Northeast Regional Office for approval prior to implementation. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on the policies and procedures and it must be documented in their files. This date of correction will be when all requirements have been met.

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: Agreements for children #1, #3, #4 and #5 were missing the fee to be charged and when the fee is to be paid information.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)/3270.123(a)(4)

Description: Signed /Arrival/departure times

Noncompliance Area: The agreement for Child #5 was not signed by the operator.The agreement for child #1 was missing the child's arrival and departure times.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the child's arrival and departure times.

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: The emergency contact forms for child files # 3 and #4 were missing parents work addresses and phone numbers. The emergency contact forms in child files #2, #3 and #4 were missing the release persons addresses.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for child #1 was missing health insurance information and the policy number. The emergency contact form for child #4 was missing 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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection on 7/8/26, the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in unit 4.

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: The emergency contacts (EC) and agreement (A) forms were not updated every 6 months as required by regulation for Children #1-#5 as follows by the last date of update: Child #1 (EC and A: 8/26/24), Child #2 (EC: 6/4/23; A: 11/3/23), Child #3 (EC and A: 6/10/25), Child #4 (EC and A: 6/2/25) and Child #5 (EC: 8/13/25).

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(a)/3270.131(d)(5)

Description: Health information/Immunization record

Noncompliance Area: Child #2 has received care at the facility since enrolling which was more than 60 days, and the file did not contain a health report. See the code sheet for the enrollment date.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility did not have a child maltreatment policy for review.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Announcement C-22-03: Updates to Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements states To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the inspection on 6/11/26, the following staff did not have appropriate pre-service trainings and were observed working unsupervised with children: Staff #3: Pediatric first-aid and CPR; Staff #5: Pediatric First-aid and CPR; Staff #6: Current first-aid/CPR. During the inspection on 7/8/26, Staff #8 was observed working unsupervised with children and had not yet completed the following pre-service training: Pediatric first-aid/CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff #3, 5, 6, and #8 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 available to supervise staff #3, 5, 6, and #8, staff #3, 5, 6 and #8 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan on file did not address volunteer emergency preparedness training and volunteers were observed working at the facility on 6/11/26 and 7/8/26.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Announcement C-22-04: The operator shall update the sections of their emergency plans that must address volunteer emergency preparedness training, practice drills, and continuity of operations.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff #3 had a health assessment and tuberculosis screening completed after the staff began working with children (See the code sheet for the date of hire and health assessment). Staff #6 did not participate in an updated health assessment as required by regulation every 24 months. Staff #6 was working in a child care role at the time of this inspection (See code sheet for date of previous and most recent health assessments). On 7/8/26, volunteer #10 did not have a health assessment and the results of the TB screening on file and was observed in a volunteer role at the time of the inspection.

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)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment on file for Staff #2 had a health assessment which indicated staff had a communicable disease, but additional information was not provided, as necessary. Staff #2 was observed working in child care at the time of the inspection.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: On 6/11/26, several lunches brought from home were observed in Unit 2 and Unit 3 and contained items that required refrigeration such as dairy and meat, but were not being stored in a refrigerator.

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

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The following children are enrolled and have received care at the facility, and the files were missing consent for emergency medical care and administration of minor first-aid procedures by staff: Child #1, #2, #3, #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. 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: Staff #3 only had 1 letter of written reference on file at the time of the inspection. Staff person #8 and volunteer #10 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

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)(1)/3270.27(e)

Description: Emergency plan/Letter to parents

Noncompliance Area: The letter provided to parents regarding emergency procedures was missing the lockdown procedures.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. 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: 3270.31(a)/3270.31(b)

Description: Age and Training/Staff person - 18 yrs.

Noncompliance Area: On 6/11/26, Individuals #6 and #7 were observed supervising a group of school-age children. Individuals #6 and #7 are under the age of 18 years old, and cannot qualify to be staff. No other staff were observed in the classroom.

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person. A staff person shall be 18 years of age or older.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff #6 was observed to be caring for children, but does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 12/2/25.

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. Until such time as the required pre- service trainings are completed, staff #6 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 #6, staff #6 may not work in a child-care position at the facility.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the inspection, staff person #9 did not complete fire safety training annually, as required. This is evidenced by the fire safety training date of 6/24/25.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #5 has not completed the following required pre-service training within 90 days of their date of hire: pediatric first aid and CPR. See code sheet for date of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)10. Until such time as the required pre- service trainings are completed, staff #5 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 available to supervise staff #5, staff #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: When reviewed during the renewal inspection on 6/11/26, the file for Staff #3 did not contain a completed NSOR clearance, or a signed/dated disclosure statement. Staff #3 was observed working unsupervised with children. The file for Staff #4 did not have the correct disclosure statement on file based on what was current when the staff was hired. The file for staff #5, staff #8 and volunteer #10 did not contain a signed/dated disclosure statement.

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. TIERED LIS: 1. Staff Person #3 may not work in a child care position with direct and routine contact with children at the facility. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). This portion of the plan requires an immediate date of correction. 2.The Legal Entity, Director or any facility persons responsible for new hire paperwork must register for and attend the Existing Provider Orientation presented by an OCDEL Regional office. This date of correction will be when the Existing Provider Orientation has been taken.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the inspection on 6/11/26, Staff #3 and #6 were observed caring for children. Both staff qualify as aides, but were working unsupervised by an appropriate qualified staff at the time of this inspection. During an inspection on 7/8/26, staff person #8, an aide, was observed working unsupervised in Unit 3 with eight older school age children. Staff person #8 was not supervised by an appropriate qualified staff at the time of this inspection.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: At approximately 9:25 a.m. on 6/11/26, a renewal inspection began and a supervision and ratio check was conducted. Unit 1 was observed to contain 15 preschool-aged children with Staff #4. At approximately 9:45 a.m., Unit 1 was observed to contain 16 preschool and school-age children with Staff #4. This number of children requires at least 2 staff persons at all times. Unit 2 was observed to contain 20 school-age children, but there were no childcare staff observed in Unit 2. The only two adults in the room were 2 outside service providers and not childcare staff. At 9:35, Staff #1 arrived and began caring for children in Unit 2, which then contained 18 school-age children. This number of children requires at least 2 staff persons at all times. Unit 3 was observed to contain between 27 and 36 school-age children with Staff #3, but children were also passing through to other rooms at this time. This number of children requires at least 3 staff persons present at all times. During the completion of the renewal inspection on 7/8/26, there were 15 young school age children in Unit 2 with staff person #1. This number and age of children require there to be two staff present at all times.

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. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). TIERED LIS: 1. The required staff:child ratios must be maintained at all times. This portion of the plan requires an immediate date of correction. 2.) The legal entity must arrange for all facility staff who are hired by the date of the training to receive a minimum of three hours of PQAS-approved in-person training regarding ratios and supervision of children. This training must be completed as an in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training. This date of correction will be when all facility persons complete the training.

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: During the renewal inspection on 6/11/26, at least 27 children were observed receiving care in Unit 3, which only measures for 15 children.

Correction Required: The capacity established for an indoor space may not be exceeded except in situations described in § 3270.61(h)(1-3) Tiered LIS: 1.) The capacity established for an indoor space may not be exceeded except in situations described in § 3270.61(h)(1-3). This portion of the plan requires an immediate date of correction. 2.) The legal entity will post the capacity for each classroom in the respective classroom space. This date of correction will be when this requirement has been met.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: At the time of the inspection on 7/8/26, protective receptacle covers were missing from the electrical outlets in Unit 1 where children 5 years of age and younger were present.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Cleaning materials were found accessible in the bathroom of Unit 1 and 3 on 6/11/26. Children were observed using these bathrooms at the time of this inspection.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: On 6/11/26, in Unit 2 and 4, the first aid kits were missing scissors.

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: 3270.76/3270.82(g)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: During the inspection on 6/11/26, the fencing in the outdoor play area was observed to be unattached to both poles that run up/down and left/right in several areas. The fence was easily shaken, and created areas where children could get out. This play area is adjacent to a busy road and highway. During the inspection on 7/8/26, the ceiling tiles located in Unit 3 were falling off the brackets. The sink in Unit 1 was clogged with paint as per staff person #4, and water was sitting in the sink basin.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #1 has not completed the following required pre-service training was within 90 days of their date of hire but was observed to be working unsupervised: pediatric first aid/CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 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 #1, staff #1 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: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The CPSL and regulation requires all applicable out of state clearances to be on file prior to staff working in a child care role at the facility. The file of Staff #1 indicated the need for out of state clearances. Staff #1 was observed in a child care role at the facility, the director was unable to provide for review the out of state clearances required for Staff #1. Staff #1 was working unsupervised with a group of children at the time of this inspection and was not hired correctly as a provisional hire per the CPSL and regulation.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #1 may not work in a child care position with direct and routine contact with children at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #1 only qualified as an aide. Staff #1 was observed working unsupervised with a group of children at the time of this inspection.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.133(1)/3270.133(3)

Description: Original container/Name on bottle

Noncompliance Area: An inspection was conducted at the facility on 6/23/25. A physical site review was conducted. An inhaler was found at the facility that was not received in its original container and was not labeled for the child the inhaler was intended for. The inhaler was found in the office and staff were unsure of who the inhaler belonged to. Staff did indicate that children attend the facility that require inhalers.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the agreement forms if children to be signed by the operator. The agreement forms of Child #2, #3, #4 and #5 were missing the operator's signature.

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

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Agreement forms are required to have listed the fee for the family to be charged and the date for when the fee is to be paid. The files of Child #2 and #3 were missing the fee amount and the date for when the fee is to be paid. The files of Child #3 and #4 were missing the fee for the family to be charged.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the children's agreement form to contain the child's arrival and departure times. The files of Child #4 and #5 did not contain the children's arrival or departure times.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires children's files to contain consent for emergency medical care. The following children's files were missing consent for emergency medical care: Child #1, #2, #3, #4 and #5.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires health insurance information to be included in the children's file. Child files #1, #2 and #3 were missing 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Emergency contain information for the release person listed in the children's files must contain the name, address and telephone number of that person. The files of Child #4 and #5 were missing 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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires children's emergency contact and agreement forms to be updated at least every 6-month period. The following children's emergency contact and agreement forms were not updated every 6-month period: Child #1(emergency contact and agreement forms previous 9/11/24, no current), Child #2 (emergency contact and agreement forms previous 4/8/24, current 7/8/25), Child #3 (emergency contact and agreement forms previous 4/8/24, current 4/8/25), Child #4 (emergency contact and agreement forms previous 1/16/24, current 6/3/25) and Child #5 emergency contact and agreement forms previous 1/16/24, current 6/3/25).

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 and #2 did not receive a heath assessment prior to working in child care as required by regulation. Staff #1 received a health assessment on 10/9/24. Staff #2 received a health assessment on 6/26/25.

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)(2)

Description: Mantoux TB

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 did not receive a TB screening prior to working in child care as required by regulation. Staff #1 did not receive a TB screening until 10/7/24.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.182(5)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires consent for first aid procedures by staff in the children's files. The following children's files were missing consent for first aid procedures by staff: Child #1, #2, #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: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires transportation consent for children if children are being transported. The facility indicates children are taken on trips and the file for Child #1 did not contain consent for transportation.

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: A renewal inspection occurred at the facility. A review of staff files was conducted. At the time of the inspection, Staff #3 was unable to provide documentation that they completed 12 hours of annual child care training.

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

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. At the time of the inspection, Staff #3 was unable to provide documentation that they completed annual fire safety training. Staff #3 has not participated in fire safety training since 10/31/23.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #1 has not completed the following required pre-service training within 90 days of their date of hire: health and safety training.

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 #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire of staff. Staff #1 has not completed the mandated reporter training within 90 days of their date of hire. Staff #1 did not complete mandated reporter training until 10/9/24.

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 #1 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 person(s) available to supervise staff person #1, staff person #1 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: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 was not hired correctly per the CPSL. Staff #1 did not have on file a state police clearance, an FBI clearance or an NSOR clearance on file prior to working in a child care role at the facility.

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 #1 may not work in a child care position with direct contact with children at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. A first aid kit was not in Unit #1. The first aid kits in Unit #3 and Unit #4 were missing 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: A renewal inspection occurred at the facility. A physical site review as conducted. In the bathroom of Unit #2 a ceiling tile missing in the ceiling and was found on the floor. In Unit #3 the bathroom door was broken and no longer attached to all hinges.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: A renewal inspection was conducted at the facility. A physical site review was conducted. In Unit #1, a cubby was observed blocking a door that was labeled as an exit from the facility. Per regulation, exits are to remain obstructed.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.31(a)/3270.31(b)

Description: Age and Training/Staff person - 18 yrs.

Noncompliance Area: A renewal inspection occurred at the facility. A physical site and staff file review was conducted at the facility. Individual #1 was left alone to supervise a group of 8 school age children. Individual #1 is 15 years old and does not meet the age requirements to be a volunteer or staff person.

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person. A staff person shall be 18 years of age or older.

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review as conducted. Rodent feces was found throughout the facility.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Regulation requires lidded waste receptacles in the sink areas. Garbage cans were not lidded in the bathroom sink areas.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: A renewal inspection was conducted at the facility. A physical site review as conducted. In Unit 1, a freezer was found blocking the exit door.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: There is no daily schedule posted in the childcare space.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact form for Child #1 has not been updated since 5/2/21. The fee agreement for Child #1 has not been updated since 11/8/19. The agreement for Child #2 has not been updated since 1/10/22. The emergency contact form for Child #3 has no date. The fee agreement for Child #3 has not been updated since 9/1/22.

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)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: There is no signed parental consent for emergency medical care or administration of minor first-aid procedures for Child #2.

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.