Miracle Love Academy

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: At the time of the inspection, a child (age infant) was laying on their belly sleeping. Staff 1 stated that the child did not roll over.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: At the time of the inspection, Child 1 did not have a physical on file.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: At the time of the inspection, child 2 did not have an updated shot record.

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.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of the inspection, Staff 1 stated that Staff 1 saw a mark on the child's hand but Staff 1and Staff 2 could not state how that mark was obtained. At the time of the inspection, Cert reps observed a child walk out from the far back room (by the kitchen area) through a door dividing the far back area and the infant area, through the infant area, through a half door, into the middle area by himself, out of the sight of the staff.

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.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection, it was stated by Staff 1 that Staff 1 did not have access to Child 1's emergency contact information when the children were outside.

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: 3270.52/3270.113(a)(2)

Description: Mixed Age Level/Supervision on and facility premises

Noncompliance Area: At the time of the inspection, Staff 1 was alone with 1 young toddler, 1 older toddler, and 6 Pre-school age children.

Correction Required: 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). The required staff:child ratios must be maintained at all times.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: At the time of the inspection, Staff 1 was alone in the facility with 1 young toddler, 1 older toddler, and 6 Pre-school age children.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: At the time of the inspection, the first aid kit in the last area of the large room was missing 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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: It was observed on 09/17/24 Staff #1 was unable to give critical oversight to all of the children due to the activity of the children in the room. 2 children were moving a shelf that looked to be separating the classroom area from the hallway. The two children then climbed on a landing of the window area using a chair by the shelf. Staff #1 went into the hallway/desk area to get the children. The two children continually moved away from the staff to prevent getting caught. 3 children remained sleeping in the classroom area behind the row of shelves preventing the staff from seeing and assessing the children while they slept.

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.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: At the time of the inspection, the tables and floors were not cleaned and had food left on it.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of the inspection, CR observed 3 infants in cribs and 1 preschooler sleeping on a matt in the back area of the front room, not supervised (no staff was present in that area).

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.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: During the inspection, it was observed that 2 pre-school age children were in highchairs from at least 12:44 to 1:14.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.151(a)

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

Noncompliance Area: At the time of the inspection, Staff 1 did not have a health assessment on file.

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: 3270.52/3270.113(a)(2)

Description: Mixed Age Level/Supervision on and facility premises

Noncompliance Area: At the time of the inspection, in the front area CR counted 8 children the youngest one was a young toddler.

Correction Required: 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).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection, one of the toy selves had a hole in the back, top left side of the shelf.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: At the time of the inspection, chipped/peeling paint was observed on the green wall across from the bathroom/office area, and on the corner of the purple bathroom wall the metal edging was separated from the dry wall.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff 1 did not have proof of an acceptable Pediatric CPR training.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.31(h)

Description: Health and Safety Training

Noncompliance Area: Staff 2 did not have proof of the 1-hour health and safety update training on file at the time of the inspection.

Correction Required: All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff 2 did not have a current Mandated Reporter training (the one on file was dated 6/12/18).

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Staff 1 passed an infant to staff 2 to hold causing staff 2 to be out of ratio (8 preschoolers and 1 infant).

Correction Required: 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).

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

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

Noncompliance Area: During renewal inspection certification rep reviewed child #1 record and observed signed consent by a parent for emergency medical care is missing on the emergency contact form.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection certification rep reviewed the emergency plan and observed the "continuity of operations" section is missing in the emergency plan.

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.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During the renewal inspection certification rep reviewed staff #1, and #3 record and observed the record did not 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. Staff #2 record did not include a written report of initial and subsequent health assessments.

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. 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: 3270.182(6)

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

Noncompliance Area: During the renewal inspection certification rep reviewed child#1 record and observed signed parental consent for transportation, walking excursions, swimming and wading missing on the emergency contact form.

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

Regulation: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: During the renewal inspection certification rep reviewed staff records and observed staff #1, #2, #3, #4, #5 and #6 are missing verification of experience in their record. Staff #1 and #2 are missing level of education on record.

Correction Required: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection certification rep observed staff #1 record and observed the record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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(a)(4)

Description: Emergency plan/Contact when ended

Noncompliance Area: Certification rep reviewed emergency plan and observed emergency plan did not contain shelter in place at the facility and shelter at locations away from the facility premises and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

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 facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During renewal inspection certification rep reviewed staff records and observed staff #1, #2, #3, #4, #5 and #6 did not have on record training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection certification rep reviewed staff #1, #2 and staff #3 record and observed: Staff #1 record was missing a State Police Criminal clearance, FBI clearance, NSOR clearance and a child abuse clearance in record date of hire: 5/11/23. Staff #2 State Police Criminal clearance is for volunteer purposes not for employment purpose; date of hire: 4/17/23. Staff #3 record was missing NSOR clearance and FBI clearance in record date of hire: 5/1/23.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During renewal inspection provider did not have on record a fire drill log that contained a written record of fire drills conducted every 6o days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.