Sandra M Sawyers Group Day Care Home

Regulation: 3280.131(b)/3280.131(b)(1)

Description: Updated health reports/Infant: updated health report every 6 months

Noncompliance Area: It was observed that child #3 did not have health assessments on file every 6 mos. The last health assessment on file was dated 2/24/25.

Correction Required: The operator shall require the parent to provide an updated health report in accordance with the following schedules specified in §3280.131(b)(1-2) The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3280.131(b)/3280.131(b)(2)

Description: Updated health reports/Toddler/preschool: updated health report every 12 months

Noncompliance Area: It was observed that child #1 did not have health assessments on file every 12 mos. The health assessments on file were dated 9/10/24 and 5/4/26. It was observed that child #2 did not have health assessments on file every 12 mos. The last health assessment on file was dated 1/9/25.

Correction Required: The operator shall require the parent to provide an updated health report in accordance with the following schedules specified in §3280.131(b)(1-2) The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: It was observed that the file for staff person #1 did not contain two written non-family 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.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: It was observed that the file for staff person #2 had a state police clearance for a volunteer and not one for a childcare facility person. It was observed that the file for facility person #3 had an NSOR dated 5/6/20 and it was renewed on 10/20/25 causing a 167-day lapse.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a childcare position at the facility.

Regulation: 3280.62(a)

Description: Large muscle space provided

Noncompliance Area: It was observed that the facility did not have an indoor or outdoor play space to be used for large muscle activity.

Correction Required: A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: Upon inspection of children's files, it was found that for Child #1, the agreement form had been last reviewed/signed on 12.20.23. It was found that for Child #5, the agreement and emergency contact forms had both been last reviewed/signed on 4.11.25 and 9.1.24 which was beyond 6 months..

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3280.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: Upon inspection of personnel files, it was found that there were two missing pieces of fencing were in the outdoor play space. There were also missing barrier from pieces of wooden slats and building materials to the left of the play space.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 10/2024. Staff person #2 was observed to be caring for children unsupervised. Staff person #2 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 10/2024.

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 trainings are completed, staff persons #1 and staff person #2 - must be supervised, when interacting with children, by a (AGS, primary staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1 and staff person #2, staff person #1 and staff person #2 -- may not work in a childcare position at the facility.

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: The file for staff person #3 did not have a current pediatric first aid and CPR training certificate. This is evidenced by the previously documented pediatric first aid and CPR training had an expiration date of 10/2024.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff person # 1 contained a DHS -- FBI clearance dated 4.25.19. The file did not contain an update. The FBI clearance is no longer valid. The file for staff person #2 contained a child abuse clearance dated 4.13.19 and state police clearance dated 4.12.19 and FBI clearance dated 4.17.19. The file did not contain updates. The child abuse, state police, and FBI clearances are no longer valid.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and Facility #2 may not work in a childcare position at the facility until updated clearances are obtained.

Regulation: 3280.94(a)(1)/3280.95(b)

Description: Every 60 days/Staff responsibility

Noncompliance Area: It was observed that fire drills were not conducted at least once every 60 days. The documented fire drills at the facility occurred on 6.27.23, 8.25.23, 10.24.23, 12.27.23 (64 DAYS), 2.26.24 (61 days), 4.25.24. It was observed that smoke detection testing days were not conducted at least once every 30 days. The documented testing dates at the facility occurred on 6.23.23, 7.25.23(32days), 8.28.23 (34 days), 9.22.23, 10.24.23 (32days), 11.27.23 (34 days),12.28.23 (31 DAYS), 1.27.24, 2.28.24 (32 Days), 3.25.24, and 4.22.24.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: It was observed that a young toddler was sleeping in a rocker type bouncer (inappropriate rest equipment) during nap time. (CORRECTED ON SITE)

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator.

Regulation: 3280.192(3)

Description: Health assessment, TB test

Noncompliance Area: The file for facility person #1 did not contain a health assessment.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Facility Person #1 did not contain a FBI Clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: It was observed on 8/31/2020 in the outdoor play space that there was a portable canopy structure down close to the ground that was not being utilized properly according to the manufacturer's instructions.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The following hazards accessible to children in the back yard where the children enter the facility were also observed on 8/31/2020: a pile of debris, which includes tree branches, sharp pieces of metal, a discarded lawn mower, a discarded vehicle battery, sharp pieces of chain link fencing and a trailer with splintering wood, debris and large pieces of rocks in the parking area; unlidded trashcans containing garbage; splintering pieces of wood and plywood throughout the area; rusting and torn chairs on porch and in grassy area; recycle bin with splintering boards; a pile of pavers and rocks near the tree; a section of white fencing with broken slats leaning against a black trashcan; unlidded blue barrel containing water; multiple pieces of sharp white metal containing electrical outlets; black webbed strap hanging from the porch banister; unstable projector crate; broken cooler with rusting metal objects.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.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.

Noncompliance Area: It was observed on 8/31/2020 that there were bags of charcoal briquettes and de-icer crytals accessible to children at the porch area.

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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: It was observed on 7/29/2020 both sides of the walkway leading to the entrance of the child care facility had numerous pieces of metal and other discarded objects that were accessible to children which pose hazards to children. Continued deficiency: It was observed on 8/31/2020 that both sides of the walkway leading to the entrance of the child care facility still contained numerous pieces of metal and other discarded objects that were accessible to children.

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.

Noncompliance Area: The agreement for child #4 does not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: Emergency contact information for child #4 does not include the work address and telephone number of the enrolling parent.

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

Noncompliance Area: The facility did not require the parent of child #1, #2 and #3 to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department or a written statement of exemption from immunization for religious belief or strong personal objection equated to a religious belief for the influenza immunization that is recommended by the ACIP.

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.Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: The operator is not in compliance with the CPSL as staff person #1 has mandated reporter training dated 4/24/2015, which is longer than 60 months and is no longer valid. The operator is not in compliance with the CPSL as staff person #2 has mandated reporter training dated 5/14/2015, which is longer than 60 months and is no longer valid. The operator is not in compliance with the CPSL as HHM #3 has not obtained a DHS FBI clearance or NSOR verification.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The provider stated that she has not been taking the children outside on a daily basis because the outdoor play space needs to be cleaned up. It was observed on 7/29/2020 the designated outdoor play space had numerous branches, weeds, dirt and debris throughout the play space, posing a hazard to children and unsafe for large muscle activity.

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity. Weather permitting, children shall be taken out doors daily.

Noncompliance Area: It was observed on 7/29/2020 the outside walkway near the stairs that lead to the entrance of the child care facility had numerous pavers stacked on top of the concrete walkway which pose a tripping hazard.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Noncompliance Area: It was observed on 7/29/2020 a plastic container of Motor Oil, which is a toxic material was on the ground beside the walkway children use to gain entrance to the child care facility and therefore was accessible to children,

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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: It was observed on 7/29/2020 a metal chair in the outdoor play space was not in good repair as it was rusted and flaking. It was observed on 7/29/2020 both sides of the walkway leading to the entrance of the child care facility had numerous pieces of metal and other discarded objects that were accessible to children which pose hazards to children.

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.

Noncompliance Area: It was observed five (5) small play animals with a diameter of less than 1 inch were accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE)

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.

Noncompliance Area: Emergency contact information for child #1 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Noncompliance Area: The health report for child #1 was not signed by a physician, physician's assistant or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: A written statement giving the formula and feeding schedule child #2 (DOB 10/16/2018) was not obtained from the parent.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: Written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: The first-aid kit did not contain soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: Provider could not verify compliance with motor vehicle liability to transport children to and from school.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: Pink nail polish found in area in childcare accessible to children.

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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Ground surface to the playground is unsafe. Small parts and pieces of debris and ground overgrowth. Makes it difficult to views hazards on ground surface of the playground. Small glass piece found. Play space has a number of significantly damaged and not well maintained pieces of large play equipment. Embedded swing on the playground did not have acceptable loose-fill or protective surfaces.

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

Noncompliance Area: Flooring appeared to lack regular sweeping. Small parts and pieces of plastic and hair accessories found near edges. Small pieces of plastic and hair accessories found less than 1 inch in diameter.

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. 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.