Rainbows End Learning Center Inc
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About the Provider
Hours of Operation
- Monday6:30 AM - 6:00 PM
- Tuesday6:30 AM - 6:00 PM
- Wednesday6:30 AM - 6:00 PM
- Thursday6:30 AM - 6:00 PM
- Friday6:30 AM - 6:00 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
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| 2026-02-18 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: The initial health report on file for child #2 was dated more than 60 days after their first day in attendance. A current health report is now 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. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) The past due child health report was corrected and filed prior to the inspection date. |
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| 2026-02-18 | Renewal | 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports | Compliant - Finalized |
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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 file for child #1 contained consecutive health reports dated more than 12 months apart. The most recent health report on file is now current. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The child's past due health report was corrected and placed in the file prior to the inspection date. |
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| 2026-02-18 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The files for staff 1-5 contained invalid disclosure statements. The files lacked the most up to date version of the statement. (SEE LIS 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. Staff #4 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The correct disclosure statement was printed and signed by all staff listed in the citation. The new disclosures are now in the staff files. |
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| 2026-02-18 | Renewal | 3270.74 - Emergency Numbers Posted | Compliant - Finalized |
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Regulation: 3270.74 Description: Emergency Numbers Posted Noncompliance Area: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by the telephone in the young toddler room. Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency phone list was moved to a visible area located next to the classroom phone. |
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| 2025-10-07 | Self-Reported Non Compliance | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: On 10/02/25, Staff #1 and Staff #2 were present in the infant room with 4 children. At approximately 9AM, child #1 left the room through an unlatched gate and crawled approximately 17 feet down the hall before entering the staff break room. Child #1 was unsupervised for approximately 3-4 minutes before staff noticed he/she was not in the room and returned the child to the infant room. Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan must have an immediate correction date. 2. The legal entity will require all facility staff to participate in technical assistance visits provided by the ELRC regarding supervision and ratio in relation to room arrangement and staff positioning. The legal entity will ensure staff participate in a minimum of 3, in-person technical assistance visits provided by ELRC 4. The technical assistance visits must be completed within 4 months of the approval of this plan of correction. Upon completion of the visits, documentation will be provided to the OCDEL-DHS representative by email. The operator shall provide a date for when the technical assistance visits will be complete. 3. The Director must complete a supervision and ratio check in each classroom, at least 3 times per week and should be completed at different times of the day. The supervision and ratio checks must be documented on a form approved by the Department. The form must include the date and time of the check, the name of the staff conducting the check, the room name, the name of each staff in the room and the number and age of the children each staff is responsible for supervising. The legal entity will ensure the documentation is completed at the time of each check and is on file at the facility for the Department's review. The documented checks are to be completed for a period of three months from the date the form is approved by the Department. The correction date for this portion of the plan shall be at min 3 months from the date the RO approves the checklist. |
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Provider Response: (Contact the State Licensing Office for more information.) 1. 1/22/26 Children will be supervised at all times. Implemented 2/18/26 2. 5/22/26 The legal entity will ensure staff participate in a minimum of 3 in person technical assistance visits by ELRC 4 within 4 months. implemented 5/12/26 3. 4/22/26 The director will complete supervision and ratio checks at different times at least 3 times a week and document each one. The supervision and ratio checks will be documented on a form approved by the Department that includes the date and time of the check, the name of the staff conducting the check, the room name, the name of each staff in the room and the number and age of the children each staff is responsible for supervising. Implemented 4/22/26 |
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| 2025-10-07 | Self-Reported Non Compliance | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: On 10/02/25, Staff #1 and Staff #2 were present in the infant room with 4 children. At approximately 9AM, child #1 left the room through an unlatched gate and crawled approximately 17 feet down the hall before entering the staff break room. Child #1 was unsupervised for approximately 3-4 minutes before staff noticed he/she was not in the room and returned the child to the infant room. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The child was returned to the infant room. Supervision and ratio checks were completed that day in each room following the termination of staff 1 and staff 2. Staff were made aware of the situation and severity of the incident. Classrooms were each evaluated and some were rearranged to ensure that supervision and ratio could be monitored and maintained at all times. Children's pictures were taken to begin the process of developing the tag system. |
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| 2025-10-07 | Self-Reported Non Compliance | 3270.51 - Similar Age Level | Compliant - Finalized |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: On 10/02/25, Staff #1 and Staff #2 were present in the infant room with 4 children. At approximately 9AM, child #1 left the room through an unlatched gate and crawled approximately 17 feet down the hall before entering the staff break room. Child #1 was unsupervised for approximately 3-4 minutes before staff noticed he/she was not in the room and returned the child to the infant room. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff 1 and staff 2 were terminated due to not following supervision and ratio procedures. The child was returned to the infant room. The child was checked over and was free of bodily harm and injuries. The situation was explained to all other staff that were currently at the facility that day. The child parent was notified and given details to the incident and the reassurance that their child was safe. They were also made aware that the 2 staff involved (was not given names) were terminated. Supervision and ratios were discussed, and a refresher was given to staff by the director. Supervision and ratio checks were conducted. Families in the center were informed about the situation without being given details about the child or staff members names. |
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| 2025-09-09 | Allocated Unannounced Monitoring | 3270.106(f) - 2 feet apart | Compliant - Finalized |
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Regulation: 3270.106(f) Description: 2 feet apart Noncompliance Area: Cribs in use by children in the infant room lacked two feet of space on 3 sides. The sides were blocked by bouncy chairs and an adult rocking chair. Nap cots in use by children in the older toddler room lacked two feet of space on 3 sides. The cots were placed too close together. Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. |
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Provider Response: (Contact the State Licensing Office for more information.) Items were removed from around the crib area immediately to ensure there was 2 feet of space on 3 sides of cribs that were in use. |
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| 2025-09-09 | Complaints- Legal Location | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: The facility self-reported that on 8/22/25 at approximately 9:30AM staff #1 smacked the hand of child #1 while changing the child's diaper and said "No, that's not nice. We don't do that." Correction Required: TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to complete a training regarding managing challenging behaviors in the classroom. The training may be completed online or in-person and must be a minimum of 2 hours. The training must be completed within 3 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff was immediately put on suspension. An internal investigation took place and although the findings were unfounded, the director and HR manager felt that the employee needed terminated. The staff was not a good fit for the center. Physical discipline will not be used |
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| 2025-09-09 | Allocated Unannounced Monitoring | 3270.135(a)(3) - Disposable diapers | Compliant - Finalized |
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Regulation: 3270.135(a)(3) Description: Disposable diapers Noncompliance Area: The hands-free cans at the diapering tables in the YT and OT rooms were not functioning properly. The lids did not close on their own after opening causing staff to use their hand to close the lid. Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. |
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Provider Response: (Contact the State Licensing Office for more information.) Diaper cans were immediately removed from the classrooms and new functional diaper genies were installed. |
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| 2025-09-09 | Allocated Unannounced Monitoring | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for staff #1 contained a reference written by a family member (aunt). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The director fixed the file by writing a reference for the employee as a non-family member. |
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| 2025-09-09 | Allocated Unannounced Monitoring | 3270.27(a)(6) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: The facility lacked documentation of completing an emergency drill within the past 12 months. The most recent documentation was dated 3/20/24. Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) A new drill has been conducted, and documentation of the drill is available in the childcare center's state binder. |
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| 2025-09-09 | Allocated Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The files for facility persons #2, #3, and #4 contained disclosure statements which were not dated. 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, #3, and #4 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) New disclosure statements are being signed and dated from all volunteers that currently have one that is not dated prior to them returning to the classroom. These volunteers have not returned to the facilty. |
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| 2025-09-09 | Allocated Unannounced Monitoring | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: Two electrical outlets in the Pre-K room, accessible to children 5 years of age or younger, lacked protective covers. The outlets were located under the TV and on a power strip near the teacher's desk. The power strip was plugged into the wall outlet at the time of the observation, Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) Classrooms are inspected each morning prior to children entering the classroom to ensure all outlets are covered and no hazards are present. |
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| 2025-09-09 | Allocated Unannounced Monitoring | 3270.66(b) - Original container | Compliant - Finalized |
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Regulation: 3270.66(b) Description: Original container Noncompliance Area: An unlabled reusable spray bottle,containing blue cleaning liquid, was observed in the cabinet above the sink in the preschool room. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The cleaning bottle was immediately labeled where the former sharpie label had come off. |
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| 2025-09-09 | Allocated Unannounced Monitoring | 3270.67(c)/3270.76 - No insects or rodents/Building Surfaces | Compliant - Finalized |
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Regulation: 3270.67(c)/3270.76 Description: No insects or rodents/Building Surfaces Noncompliance Area: An active bee's nest was observed in the mulch in the outdoor play space. Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Maintenance was called on site where they dug the nest out of the ground and discarded, and the area where the nest was underground was then sprayed with bee killer. |
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| 2025-09-09 | Allocated Unannounced Monitoring | 3270.68(a) - No smoking areas | Compliant - Finalized |
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Regulation: 3270.68(a) Description: No smoking areas Noncompliance Area: Two cigarette butts were observed inside the fence of the mulched play ground, near the raised garden bed. Correction Required: Cigarettes, pipes or cigars may not be smoked in a child care space, a play space or a food preparation area when children are in care or when food is being prepared. |
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Provider Response: (Contact the State Licensing Office for more information.) Cigarette butts where immediately removed prior to any children entering the playground that day. |
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| 2025-09-09 | Allocated Unannounced Monitoring | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: One ceiling tile was missing in the Pre-K room. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Ceiling tile was immediately moved/slid back into place by the maintenance team. |
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| 2025-09-09 | Allocated Unannounced Monitoring | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: Crumbling plaster/drywall was observed inside the main entry, near the floor. Three areas of peeling paint were observed on the wall with the window in the older toddler room. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Maintenance is repairing the crumbling/damaged plaster on the wall by the entryway replacing it with metal plating that will prevent future issues. In the older toddler room, the wall was repainted and is free of peeling paint. |
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| 2025-09-09 | Allocated Unannounced Monitoring | 3270.82(i) - Lidded waste receptacles | Compliant - Finalized |
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Regulation: 3270.82(i) Description: Lidded waste receptacles Noncompliance Area: Restroom #2 in the Pre-K room lacked a lidded trash can. A lid was present in the restroom, however it was placed beside the trash can on the floor. Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle. |
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Provider Response: (Contact the State Licensing Office for more information.) A new garbage can was ordered immediately and the one without the lid was discarded. |
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| 2025-02-13 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: In the PS room, a broken clear plastic bin and a torn puppet exposing the inner foam filling were observed. In a storage area outside the Pre-K room, 2 nap mats were observed with split seems which exposed the inner foam filling. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The bin was immediately thrown away and the puppet was taken out of the children's play centers to either be repaired or thrown away. |
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| 2025-02-13 | Renewal | 3270.111(b) - Posted in group space | Compliant - Finalized |
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Regulation: 3270.111(b) Description: Posted in group space Noncompliance Area: The pre-k room lacked a posted written plan of daily activities. Correction Required: The written plan of daily activities shall be posted in the group space. |
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Provider Response: (Contact the State Licensing Office for more information.) The schedule was posted the same day as the inspector's visit. |
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| 2025-02-13 | Renewal | 3270.133(3) - Name on bottle | Compliant - Finalized |
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Regulation: 3270.133(3) Description: Name on bottle Noncompliance Area: Antibiotic ointment and bee sting packets which were not labeled for specific children, were observed in the first aid kit in the infant room. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The creams were removed from the bags immediately. |
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| 2025-02-13 | Renewal | 3270.166(3) - Disposable nursers or parents | Compliant - Finalized |
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Regulation: 3270.166(3) Description: Disposable nursers or parents Noncompliance Area: Infant bottles maintained at the facility were not being washed in a commercial dishwasher. Based on statements made by staff, the bottles were handwashed in a bleach solution. Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The bottles were taken to the kitchen and ran through the commercial dishwasher after each use immediately after staff were notified that this was necessary to sterilize the bottles. |
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| 2025-02-13 | Renewal | 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii) Description: Fire safety - 1 yr./Exp, educ., training at facility Noncompliance Area: The file for staff #1 contained consecutive fire safety training documentation dated more than 12 months apart; 11/20/23 and 12/13/24. 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The new training certificate was in the file and completed on 12/13/24. |
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| 2025-02-13 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: Two electric outlets on a power strip lacked protective covers in the Pre-K room. The power strip was plugged in and was accessible to children 5 years of age or younger. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) The outlets were covered before the inspector left the classroom that day. |
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| 2025-02-13 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: Two wet-mops with attached cleaning solution bottles were accessible to children in the Pre-K restroom and outside the restroom door. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Solution was locked up same day and out of reach of children. |
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| 2025-02-13 | Renewal | 3270.75(b) - Inaccessible to children | Compliant - Finalized |
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Regulation: 3270.75(b) Description: Inaccessible to children Noncompliance Area: The first aid kit in the Pre-K room was accessible to children in the emergency backpack sitting on a shelf near the door. Correction Required: A first-aid kit must be inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency bag was moved to a high location where child are not able to reach it as soon as the inspector pointed it out. |
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| 2024-12-17 | Complaints- Legal Location | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: **On 12/10/24, at approximately 3:40PM, 4 young school agers, children #1-4, were alone and unsupervised in the facility's parking lot for approximately 5 minutes after exiting the school bus. Correction Required: **The operator will create a system that visually identifies the staff assigned bus duty for each day. The system must be submitted and approved by the department prior to implementation. Once approved, the operator must utilize this system for 2 months following approval of this plan. |
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Provider Response: (Contact the State Licensing Office for more information.) The weekly staff schedule became even more detailed than before to allow the staff responsible for the bus/van to know what run they have, the time it arrives, and the child/ren that will get off the bus/van. |
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| 2024-12-17 | Complaints- Legal Location | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: On 12/10/24, at approximately 3:40PM, 4 young school agers, children #1-4, were alone and unsupervised in the facility's parking lot for approximately 5 minutes after exiting the school bus. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Children were brought into the building and checked over by staff immediately to learning the children were unsupervised. Children were taken into the Pre-K classroom and monitored by a staff in a 1:10 ratio until they were picked up by a parent/family member. |
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| 2024-12-17 | Complaints- Legal Location | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: On 12/10/24, at approximately 3:40PM, 4 young school agers, children #1-4, were alone and unsupervised in the facility's parking lot for approximately 5 minutes after exiting the school bus. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff were each assigned specific children that they were responsible for. Upon entering the classroom, the staff in the Pre-K classroom became responsible for the school agers entering with the preschool aged children where a 1:10 ratio was maintained. |
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| 2024-12-17 | Complaints- Legal Location | 3270.182(7) - Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file | Compliant - Finalized |
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Regulation: 3270.182(7) Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file Noncompliance Area: Following an incident on 12/05/24, involving child #5, the incident report was not given to the parent on the same day as the incident. This is evidenced by the report stating the incident occurred on 12/05/24 and the parent's signature indicating receipt being date 12/06/24. Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. |
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Provider Response: (Contact the State Licensing Office for more information.) The incident report for the child was given to the family the next day. Additional training was given to all staff members on the importance of distributing the reports the same day as the incident whether in person, via email, etc. so that the parent has access to the report. |
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| 2024-12-17 | Complaints- Legal Location | 3270.51 - Similar Age Level | Compliant - Finalized |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: On 12/10/24, at approximately 3:40PM, 4 young school agers, children #1-4, were alone and unsupervised in the facility's parking lot for approximately 5 minutes after exiting the school bus. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Ratio was fixed immediately following the children entering the building with a staff member. The staff checked the children over, and they were unharmed. The children joined into our Pre-K classroom where the ratio 1:10 was maintained due to having preschool age children in the classroom. |
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| 2024-12-17 | Complaints- Legal Location | 3270.51 - Similar Age Level | Compliant - Finalized |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: *On 12/10/24, at approximately 3:40PM, 4 young school agers, children #1-4, were alone and unsupervised in the facility's parking lot for approximately 5 minutes after exiting the school bus. Correction Required: *The legal entity will conduct mandatory staff meetings at least once per month for a period of 2 months following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last year, as well as, the Department of Human Services' regulations related to staff:child ratios and supervision of children. An agenda will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to OCDEL-DHS representatives upon request. |
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Provider Response: (Contact the State Licensing Office for more information.) The director held small group and individual meeting times with all staff the following day to discuss the importance of maintaining ratio, follow directions given by the director/supervisor, and knowing exactly what is expected to prevent ever putting another child at risk for harm. Staff meetings will be held monthly by the director where all employees must attend. |
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| 2024-12-17 | Unannounced Monitoring | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: An open bag of rock salt, labeled keep out of reach of children, was observed near the entrance door of the facility. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) On 12/17/24, the open bag of rock salt was immediately moved to a locked area away from and inaccessible to all children. |
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| 2024-12-17 | Unannounced Monitoring | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: Multiple bumps and waves, which created a tripping hazard, were observed on an area rug in the Pre-K room. Staff in the room stated they were aware of the problem, but it had not yet been corrected by maintenance. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On 12/17/24, the rug was removed from the classroom and discarded. |
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| 2024-07-10 | Complaints- Legal Location | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: In the play area of the infant room, a large area rug was observed to have significant staining and evidence of dried soiling. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The rugs were taken out immediately by the director. New replacement rugs were ordered and placed in the room the day they arrived. |
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| 2024-06-03 | Complaints- Legal Location | 3270.137 - Children with Symptoms of Disease | Compliant - Finalized |
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Regulation: 3270.137 Description: Children with Symptoms of Disease Noncompliance Area: Based on a review of children's files, child #1 and child #2, who were excluded from care due to displaying symptoms of a communicable infection, did not have notification on file from a physician or a CRNP that the child was no longer considered a threat to the health of others prior to returning to care. Correction Required: An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases). |
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Provider Response: (Contact the State Licensing Office for more information.) Child number 1 was no longer enrolled at the time of visit. The director presented an excuse for child number 2 the same day as the visit. |
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| 2024-03-14 | Complaints- Legal Location | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: On 3/07/24 at approximately 3:50PM 6 young school age children, child #1-#6, were alone in the parking lot for approximately 5-10 minutes after exiting the school bus. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On 3/7/24, a Pathways employee (non day care staff) saw the children unattended and escorted them into the building. Upon their entrance, the Director checked that all expected children were accounted for and ensured no harm had occurred. |
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| 2024-03-14 | Complaints- Legal Location | 3270.51 - Similar Age Level | Compliant - Finalized |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: On 3/07/24 at approximately 3:50PM 6 young school age children, child #1-#6, were alone in the parking lot for approximately 5 to 10 minutes after exiting the school bus. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On 3/7/24, a Pathways (non day care staff) saw the children unattended and escorted them into the building. Upon their entrance, the Director checked that all expected children were accounted for and ensured no harm had occurred. The director made sure that ratio was maintained, and children were all supervised. |
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| 2024-02-23 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: The following equipment hazards were observed; a broken hard plastic top on a magnetic toy in PS3, a cracked bin which created a pinch point on the OT room, an area of sharp broken plastic on a support beam of a exercise bouncer in the infant room,. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On 2/23/24, upon discovery, the broken toy and cracked bin were removed from the classrooms. A piece of protective tape was placed over the sharp plastic piece in the infant room. |
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| 2024-02-23 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: A piece of thin blue plastic, approximately 2 inches by 1 inch, was observed in the seat of a swing in the infant room. The plastic piece appeared to be from a grocery bag. Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. |
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Provider Response: (Contact the State Licensing Office for more information.) On 2/23/24, upon discovery, the plastic piece was discarded. |
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| 2024-02-23 | Renewal | 3270.106(f) - 2 feet apart | Compliant - Finalized |
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Regulation: 3270.106(f) Description: 2 feet apart Noncompliance Area: A crib in use by a child in the infant room lacked 2 feet of space on three sides. One side was blocked by an infant carrier. Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. |
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Provider Response: (Contact the State Licensing Office for more information.) On 2/23/24, upon discovery, the Assistant Group Supervisor cleared 2 feet of space the area on 3 sides of the crib. |
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| 2024-02-23 | Renewal | 3270.107 - Refrigerator | Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: Multiple soiled brown sticky areas were observed inside the refrigerator in the infant room. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The refrigerator was cleaned on 2/27/24. |
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| 2024-02-23 | Renewal | 3270.123(a) - Signed | Compliant - Finalized |
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Regulation: 3270.123(a) Description: Signed Noncompliance Area: The agreements for child #1 and #2 were not signed by the operator. Correction Required: An agreement shall be signed by the operator and the parent. |
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Provider Response: (Contact the State Licensing Office for more information.) The agreements were signed by the operator on 3/7/24. |
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| 2024-02-23 | Renewal | 3270.123(a)(1) - Amount of fee | Compliant - Finalized |
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Regulation: 3270.123(a)(1) Description: Amount of fee Noncompliance Area: Th agreement for child #1 did not specify the amount of the fee to be charged per day or per week. Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. |
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Provider Response: (Contact the State Licensing Office for more information.) The weekly copay was added to the agreement on 3/7/24. |
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| 2024-02-23 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The file for child #3 lacked a service report shared with the parent in the past 6 months. The file for child #1 enrolled since 5/30/23 contained an initial service report dated more than 6 months after their enrollment, but is now current. Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). |
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Provider Response: (Contact the State Licensing Office for more information.) The documentation of the parent receiving and declining a conference was found in child #3's classroom and has now been added to their file in the classroom. It had been identified that child #1's was missing and it was completed as quickly as possible. |
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| 2024-02-23 | Renewal | 3270.123(a)(6) - Admission date | Compliant - Finalized |
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Regulation: 3270.123(a)(6) Description: Admission date Noncompliance Area: The agreement for child #1 did not specify the date of the child's admission. Correction Required: An agreement shall specify the date of the child's admission. |
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Provider Response: (Contact the State Licensing Office for more information.) On 3/7/24, the admission date was added to the agreement. |
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| 2024-02-23 | Renewal | 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission | Compliant - Finalized |
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Regulation: 3270.124(b)(4)/3270.182(3) Description: Written consent/Consent for emergency medical care required prior to admission Noncompliance Area: The file for child #5 did not include written consent signed by a parent for emergency medical care. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The signature was obtained on 3/7/24. |
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| 2024-02-23 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The emergency contact form for child #4 did not include the address of the individual designated by the parent to whom the child may be released. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) The form was updated with the address on 3/7/24. |
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| 2024-02-23 | Renewal | 3270.124(c) - Each child care space | Compliant - Finalized |
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Regulation: 3270.124(c) Description: Each child care space Noncompliance Area: Emergency contact information for child #4 was not present in the room where the child was 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Once the form was updated with address of a pick up person (see previous violation), the form was copied and provided to the classroom the individual is in. |
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| 2024-02-23 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: The file for child #3 contained an agreement and an emergency contact form that have not been reviewed and signed by a parent in the past 6 months. The file for child #1 contained updates to the emergency contact form and agreement dated more than 6 months apart, but are now current. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) A new agreement and emergency contact form had been sent home for child #3 in January 2024, but has not yet been returned. A letter is being sent home on 3/7/24 with these forms again, explaining the requirement of them being returned. It had been identified that child #1's forms were out of date and corrected as soon as possible. |
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| 2024-02-23 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: The file for child #4, enrolled for more than 60 days, did not include a 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The health report was completed and obtained on 3/7/24. |
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| 2024-02-23 | Renewal | 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports | Compliant - Finalized |
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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 file for child #3 contained consecutive health reports dated more than 12 months apart. The most recent health report on file is now current. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon discovery of the lateness, a new health report was obtained as quickly as possible. |
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| 2024-02-23 | Renewal | 3270.133(1) - Original container | Compliant - Finalized |
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Regulation: 3270.133(1) Description: Original container Noncompliance Area: Homemade diaper cream, labeled by the parent as a mix of A&D ointment and Lotrimin, was observed in the infant and older toddler rooms. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On 2/23/24, upon discovery, the mixture was removed from the classrooms. |
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| 2024-02-23 | Renewal | 3270.133(3) - Name on bottle | Compliant - Finalized |
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Regulation: 3270.133(3) Description: Name on bottle Noncompliance Area: The first aid kit in the YT room included the following medications which were not labeled for a specific child; Benadryl, Neosporin, burn cream, Tylenol, Neomycin Antibiotic cream and sting relief. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On 2/23/24, upon discovery, the medications were removed from the classroom. |
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| 2024-02-23 | Renewal | 3270.133(5) - Original label | Compliant - Finalized |
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Regulation: 3270.133(5) Description: Original label Noncompliance Area: An expired Epi Pen was observed in the OT room. The pen was labeled with an expiration date of Dec 2023. Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. |
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Provider Response: (Contact the State Licensing Office for more information.) On 2/23/24, the mother of the child requiring the Epi Pen was notified of the expiration date. The mother provided the facility with a current Epi Pen. |
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| 2024-02-23 | Renewal | 3270.133(6) - Written consent | Compliant - Finalized |
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Regulation: 3270.133(6) Description: Written consent Noncompliance Area: The following medication observed in the infant room lacked written parental consent for administration; Motrin intended for child #6 and Acetaminophen intended for child #7. Correction Required: A parent shall provide written consent for administration of medication or a special diet. |
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Provider Response: (Contact the State Licensing Office for more information.) The medications were removed from the classroom on 2/23/24 upon discovery. |
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| 2024-02-23 | Renewal | 3270.133(7)(iv) - Amount to administer | Compliant - Finalized |
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Regulation: 3270.133(7)(iv) Description: Amount to administer Noncompliance Area: The medication log in the infant room indicated child #6 received medication on 2/09/24, however the log did not include the time of administration, the amount given, or the initials of the staff person who administered the medication. Correction Required: A medication log shall include the amount of medication administered. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff were immediately reminded of the documentation requirements around medications. |
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| 2024-02-23 | Renewal | 3270.133(7)(vi) - Time of administration | Compliant - Finalized |
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Regulation: 3270.133(7)(vi) Description: Time of administration Noncompliance Area: The medication log in the infant room indicated child #6 received medication on 2/09/24, however the log did not include the time of administration, the amount given, or the initials of the staff person who administered the medication. Correction Required: A medication log shall include the time of administration. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff were immediately retrained on the documentation requirements around medications. |
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| 2024-02-23 | Renewal | 3270.133(7)(vii) - Staff initials | Compliant - Finalized |
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Regulation: 3270.133(7)(vii) Description: Staff initials Noncompliance Area: The medication log in the infant room indicated child #6 received medication on 2/09/24, however the log did not include the time of administration, the amount given, or the initials of the staff person who administered the medication. Correction Required: A medication log shall include the initials of the staff person who administered the medication. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff were immediately reminded of the documentation requirements around medications. |
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| 2024-02-23 | Renewal | 3270.151(c)(3)/3270.151(c)(5) - Exam communicable disease/Physician/CRNP assessment | Compliant - Finalized |
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Regulation: 3270.151(c)(3)/3270.151(c)(5) Description: Exam communicable disease/Physician/CRNP assessment Noncompliance Area: The file for staff #7 contained a health assessment which lacked the results of an examination for communicable diseases and lacked a statement of the physician's or CRNP's assessment of the person's suitability to provide child care. Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member #7 is no longer performing duties in the day care facility and has returned to their office in a separate building. |
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| 2024-02-23 | Renewal | 3270.182(5) - Consent for administration of minor first-aid required prior to admission | Compliant - Finalized |
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Regulation: 3270.182(5) Description: Consent for administration of minor first-aid required prior to admission Noncompliance Area: The file for child #5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On 3/7/24, the form was signed in this area by the parent |
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| 2024-02-23 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for staff #7 lacked written references. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #7 is no longer working in the daycare and has resumed their other work position in another building within the agency. |
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| 2024-02-23 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: A loose crib sheet was observed in the infant room while the crib was in use by an infant. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) On 2/23/24, the sheet was removed and returned to the parent of the infant. A new sheet that fits tighter was placed on the mattress. |
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| 2024-02-23 | Renewal | 3270.27(c)/3270.192(2)(iii) - Training regarding plan/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.27(c)/3270.192(2)(iii) Description: Training regarding plan/Exp, educ., training at facility Noncompliance Area: The files for staff #2 and #3 contained documentation of completing emergency plan training more than 12 months apart. The trainings were dated September 2022 and January 2024. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon the departure of the previous director, the SVP of Program Operations audited the staff training files and had staff members complete the outstanding trainings as soon as possible. |
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| 2024-02-23 | Renewal | 3270.27(e) - Letter to parents | Compliant - Finalized |
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Regulation: 3270.27(e) Description: Letter to parents Noncompliance Area: The letter for parents explaining the emergency procedures did not include details regarding accommodations for infants and toddlers. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On 3/1/24, the SVP of Program Operations updated the letter to include the information from the plan on procedures regarding accommodations for infants and toddlers. |
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| 2024-02-23 | Renewal | 3270.27(f) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(f) Description: Emergency plan Noncompliance Area: The operator lacked documentation of submitting the emergency plan to the local and county EMA. Changes were made to the plan in May 2023. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The plan was submitted to the local municipality and county EMA on 3/7/24 via USPS. |
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| 2024-02-23 | Renewal | 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(2)(iii) Description: Comply with CPSL/Exp, educ., training at facility Noncompliance Area: The file for staff #5 contained mandated reporter training completed more than 90 days after their first day working with children. (SEE LIS 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 verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon the previous Director's departure, the SVP of Program Operations audited the staff training records, where it was discovered that this training had not been completed. It was then completed as soon as possible. |
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| 2024-02-23 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff #6 contained an application for an NSOR clearance dated 1/24/24 which is after their first day in a child care position. The completed clearance is now on file. The file for facility persons #8, #9, and #10, observed having direct contact with children, lacked NSOR clearances and lacked NSOR applications. The files for facility persons #8 and #9 contained incomplete state police clearances. The clearances did not have a dissemination date. The files for facility persons #8, #9, and #10 contained disclosure statements which were not dated and/or signed by a witness. 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 #8, #9, and #10 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) As soon as the timeframe for the results to be in had come up, the HR Department suspended this staff member until the results were received. Facility persons will not be onsite until the missing clearances and complete disclosure statements are on file. |
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| 2024-02-23 | Renewal | 3270.33(a)/3270.192(2)(ii) - Each staff person meets quals/Exp, educ., training prior to facility | Compliant - Finalized |
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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 #6, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualifications required for the position. The file for staff #7, who based on statements has performed the duties of an assistant group supervisor, did not contain documentation of the qualifications required for the position. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #6 is no longer employed with the facility as of 3/4/24. Staff #7 is no longer performing duties of an assistant group supervisor as of 2/26/24 and is no longer working in the child care program as of 2/28/24. |
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| 2024-02-23 | Renewal | 3270.34(a)(6) - Staff evaluations | Compliant - Finalized |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: The files for staff #1, #2, #3, and #4 contained consecutive evaluations dated more than 12 months apart. Current evaluations are now on file. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon departure of the previous Director, the SVP of Program Operations audited the staff files and determined the staff evaluations due in July 2023 were not completed and then completed them as soon as possible. |
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| 2024-02-23 | Renewal | 3270.66(b) - Original container | Compliant - Finalized |
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Regulation: 3270.66(b) Description: Original container Noncompliance Area: A reusable spray bottle observed in the OT room was not labeled with the contents. Based on statements made by staff, the bottle contained Mr. Clean. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon discovery, the assistant group supervisor corrected this error. |
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| 2024-02-23 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Regulation: 3270.75(c) Description: Has all items Noncompliance Area: The first aid kit in the infant room lacked gloves 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On 2/23/24, a complete First Aid Kit was added to the infant room. |
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| 2024-02-23 | Renewal | 3270.82(g) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.82(g) Description: Clean and good repair Noncompliance Area: A toilet seat in the Pre-K Counts restroom was not fully secured to the toilet. Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair. |
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Provider Response: (Contact the State Licensing Office for more information.) On 2/23/24, the toilet seat was tightened so it was secure on the toilet. |
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| 2024-01-31 | Unannounced Monitoring | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: Staff person #1was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/Pediatric 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, 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Once it was observed that the First Aid/CPR card was not physically in the staff member's file, it was obtained from the staff. It was issued 8/18/22 and the expiration date is 8/18/24. This was then emailed to the inspector on 1/31/24 who confirmed it is acceptable and meets the requirements. |
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| 2024-01-31 | Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #1 lacked a PA Child Abuse clearance; documentation of application for a PA Criminal History clearance; documentation of application for the NSOR certificate; and lacked a signed Disclosure Statement prior to the date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #2 lacked documentation of application for a PA Criminal History clearance prior to the date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #3 lacked a PA Child Abuse clearance; a complete PA Child Abuse Clearance or complete FBI clearance; proof of applying for a Criminal History clearance or obtaining FBI fingerprints; and lacked documentation of application for the NSOR certificate, (See LIS CODE SHEET), all required for provisional hiring under the CPSL. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #2, #3 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) As soon as it was discovered Staff person #1 & #2's documents were not filed in the office, they were obtained from the Human Resources Department, emailed to the inspector, and filed in the Director's office on 1/31/24. Staff person #3's clearances were also obtained from HR, emailed to the inspector, and filed on 1/31/24. There was one item missing from staff person #3 and this staff member was removed from their normal job duties until it was received on 2/12/24. |
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| 2024-01-31 | Unannounced Monitoring | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: During a complaint investigation on 1.31.24, the fire alarm 30-day test log was reviewed and included test dates of 11.3.23-12.11.23 and 12.11.23-1.12.24, more than 30 days apart. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Following the inspection, the interim Director reviewed the log to determine when the next test needed completed by and then completed it within the required timeframes (the next one was completed on 3/3/24). |
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| 2023-11-09 | Complaints- Legal Location | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: Based on staff interviews, it was determined that Staff Person #1 used physical discipline when they were observed grabbling child #1 by the wrists and "tossing" child #1 into a classroom causing child #1 to lose their balance and land on the floor. Correction Required: A facility person may not use any form of physical punishment, including spanking a child. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff resigned from the facility effective November 1, 2023. |
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| 2023-05-05 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: A wooden bench in the outdoor play space has splintering and rotting wood on the left end of the back rest. The bench also has an unsecured support partially attached to the back leaving sharp wood screws exposed and accessible. A wrist scarf with multiple holes and a table with loose legs creating pinch point were observed in the older toddler room. The seat belts of 1 seat in a 6-seat red stroller were cut and no longer functional. A loose hook with one partially attached screw was observed in the dramatic play storage unit. The second screw from the hook was observed in the bottom of the storage unit mixed with the play clothes. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The wooden bench has been replaced with all new wood. The bench now has a secured support with no sharp wood screws exposed or accessible. The wrist scarfs were thrown away in the trash during inspection. The 6-seat red stroller was removed from the daycare area during inspection. The screw and hook were removed during inspection. |
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| 2023-05-05 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The files for children #1-#4 contained service reports which were not updated by the reinstatement date set forth in Announcement C-21-09. Current service reports are now on file. Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). |
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Provider Response: (Contact the State Licensing Office for more information.) The violation occurred prior to the start of the new director. The files are now current. |
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| 2023-05-05 | Renewal | 3270.123(a)(5) - Designated release persons | Compliant - Finalized |
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Regulation: 3270.123(a)(5) Description: Designated release persons Noncompliance Area: The agreement for child #4 did not specify the persons designated by a parent to whom the child may be released. Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) The director wrote "see emergency contact form" in the designated area during inspection to correct the violation. |
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| 2023-05-05 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: The emergency contact information and agreements for children #1, #2, #4, and #5 were not updated by the parents within 6 months. Current documents are now on file. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The violation occurred prior to the new director. The files are now current. |
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| 2023-05-05 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: The file for child #5 contained an initial health report conducted 81 days after their first day of attendance at the facility. The health report on file is now current. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Violation occurred prior to the new director. The files are now current and up to date. |
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| 2023-05-05 | Renewal | 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy | Compliant - Finalized |
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Regulation: 3270.131(d)(5)/3270.131(e)(3) Description: Immunization record/Dismissal policy Noncompliance Area: The file for child #1 contained an immunization record which lacked documentation of receiving the influenza vaccine any time after 12/01/21. The file for child #2 contained an immunization record which lacked documentation of receiving the influenza vaccine any time after 11/17/21.The file for child #3 contained an immunization record which lacked documentation of receiving the influenza vaccine any time after 6/30/20. The file for child #4 contained an immunization record which lacked documentation of receiving the influenza vaccine at any time. Written exemptions were not on file for these 4 children. Children #1 and #4 have documentation from a doctor's office of upcoming appointments. Children #2 and #3 must be dismissed from care until the files are compliant. Correction Required: 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). |
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Provider Response: (Contact the State Licensing Office for more information.) The director sent out information for all the parents to either provide documentation of receiving the flu shot or a written exemption paper to keep in the child's file. Children were dismissed from care until director received documents. Documentation was filled out the following day from the parents and the files are now current. |
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| 2023-05-05 | Renewal | 3270.133(3)/3270.133(6) - Name on bottle/Written consent | Compliant - Finalized |
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Regulation: 3270.133(3)/3270.133(6) Description: Name on bottle/Written consent Noncompliance Area: The following medications were observed in the first ail kit in the young toddler room; Neosporin, Extra Strength Benadryl, and 2 packets of Tylenol. The medications were not labeled for a specific child and written consent was not on file. Correction Required: 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. A parent shall provide written consent for administration of medication or a special diet. |
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Provider Response: (Contact the State Licensing Office for more information.) The medication was removed from the 1st aid kit during inspection. |
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| 2023-05-05 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: Staff #2 has not completed the 1-hour Pennsylvania Health and Safety Training update. Completion was required by 12/30/22 as stated in Announcement C-22-06. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2 has will have completed the 1-hour Pennsylvania Health and Safety Training update prior to her return from FMLA. |
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| 2023-05-05 | Renewal | 3270.27(a)(6) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: Documentation of annual emergency drills was not presented for review at renewal. Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Documentation of the annual emergency drill is now in the licensing binder. A copy of the drill has been sent to the inspector on 5/12/2023. |
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| 2023-05-05 | Renewal | 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii) Description: Fire safety - 1 yr./Exp, educ., training at facility Noncompliance Area: The file for staff #1 contained fire safety training certificates dated 7/18/20 and 6/25/22. A certificate for 2021 was not on file during the inspection. 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The file for staff #1 now does contain fire safety training certificates dated 2021. |
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| 2023-05-05 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: An extension cord outside the front entrance lacked protective covers. An electrical outlet and a power strip in the Pre-K Counts room also lacked protective covers. Both the wall outlet and the power strip were equipped with built in covers, however both were set to the open position during the inspection. All three outlets were accessible to children 5 years of age or younger. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) The director corrected the violation while the inspector was present on 5/12/2023. |
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| 2023-05-05 | Renewal | 3270.67(a) - Trash removed once a day | Compliant - Finalized |
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Regulation: 3270.67(a) Description: Trash removed once a day Noncompliance Area: Soiled diapers were observed in the trash can in the infant room. Based on statements made by staff, the infant room has not been in use for at least a week. Correction Required: Trash shall be removed from the facility at least once per day. |
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Provider Response: (Contact the State Licensing Office for more information.) The trash was removed, and the violation was corrected during the inspection on 5/12/2023. |
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| 2023-05-05 | Renewal | 3270.74 - Emergency Numbers Posted | Compliant - Finalized |
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Regulation: 3270.74 Description: Emergency Numbers Posted Noncompliance Area: Emergency phone numbers were not posted at the phone in the young toddler room. Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Director corrected the violation during the inspection on 5/12/2023 by posting the numbers. |
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| 2023-05-05 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: A protruding screw was observed on one of the support pieces at the base of play ground fence near the storage shed. The support pieces are normally covered by plastic caps. The cap was not in place during the inspection leaving the protruding screw accessible. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The cap is now in place leaving the protruding screw inaccessible. |
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| 2023-05-05 | Renewal | 3270.91(a) - Stairs, exits, etc. unobstructed | Compliant - Finalized |
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Regulation: 3270.91(a) Description: Stairs, exits, etc. unobstructed Noncompliance Area: The rear emergency exit in the Pre K Counts room does not open freely. The door requires substantial weight to be pushed against it before it will open. Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. |
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Provider Response: (Contact the State Licensing Office for more information.) Maintenace crew fixed the emergency exit door to be able to open freely. A video of the fixed door was sent to the inspector on 5/8/2023. |
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| 2023-05-05 | Renewal | 3270.94(a)(4) - Hypothetical locations | Compliant - Finalized |
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Regulation: 3270.94(a)(4) Description: Hypothetical locations Noncompliance Area: The fire drill documented on 2/06/23 did not include a hypothetical location. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. |
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Provider Response: (Contact the State Licensing Office for more information.) The fire drill on 2/6/23 has the hypothetical location for the ATF door. The document is now current and on file in the licensing binder in the director's office. |
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| 2023-05-05 | Renewal | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: Th facility previously completed an attestation in lieu of the proof of purchase for the fire alarm system. This was noted in 2021. This attestation (or proof of original installation/proof of purchase) was not presented for review at the renewal inspection. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The attestation will be completed by May 26th, 2023. |
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| 2022-12-12 | Unannounced Monitoring | 3270.123(a)(6) - Admission date | Compliant - Finalized |
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Regulation: 3270.123(a)(6) Description: Admission date Noncompliance Area: The files for child #3 contained agreements which did not specify the date of the child's admission. PREVIOUSLY CITED ON SIN-00213289 Correction Required: An agreement shall specify the date of the child's admission. |
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Provider Response: (Contact the State Licensing Office for more information.) All agreements will be renewed and updated with an admission date for all children enrolled in the center. |
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| 2022-12-12 | Unannounced Monitoring | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The file for child #2 contained emergency contact information which did not include the address of the individuals designated by the parent to whom the child may be released. PREVIOUSLY CITED ON SIN-00213289. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All emergency contacts will be renewed and updated with an admission date for all children enrolled in the center. |
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| 2022-12-12 | Unannounced Monitoring | 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports | Compliant - Finalized |
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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 files for children #1, 2, 3, and 6 contained health reports which have not been updated on over 12 months. PREVIOUSLY CITED ON SIN-00213289. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will work with families to receive all updated health records needed to complete the files. |
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| 2022-12-12 | Unannounced Monitoring | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Regulation: 3270.131(e)(1) Description: Exemption documentation from parent/guardian Noncompliance Area: The files for children #1, 2, 3, and 5 contained immunization records which did not include verification of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. Written exemptions were not on file. PREVIOUSLY CITED ON SIN-00213289. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Documentation of receiving the vaccine or an exemption, if applicable, will be obtained. The director will send home a form to all families about the vaccine and if their children has or will be receiving one. |
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