See Saw Daycare

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: On 12/31/25 cert rep verified that a child had slept in a broken pack and play. At time of visit the broken equipment had been removed.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 4-9-25 during renewal inspection Certification Representative noticed that child #1 release person was missing an address for their designated release person.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: At the time fo the inspection the record of child #1 was lacking in a current valid health assessment.

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

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

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

Noncompliance Area: At the time of the inspection the records of staff persons #1 and #2 were lacking in the verification of childcare experience to qualify them for the position they hold at the facility.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On the date of the inspection in the cabinet beneath the sink on the first-floor room bathroom, there was toxic cleaning material accessible to the children in care. The closet in the kitchen which contains all of the toxic cleaning materials was unlocked, leaving the toxics accessible to the children in care.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: At the time of the inspection the records of child #1 and Child #2 were lacking health assessments.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of the inspection the record of staff person #1 was lacking a current valid health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: At the time of the inspection the first aide training completed by all staff was done completely online and with no in person training.

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

Regulation: 3270.31(f)(6)

Description: Health and Safety Training - Prevention of shaken baby syndrome

Noncompliance Area: At the time of the inspection the record of staff person #1 did not include proof of complete professional development in the prevention of shaken baby syndrome and abusive head trauma.

Correction Required: Staff persons shall complete professional development in the prevention of shaken baby syndrome and abusive head trauma within 90 days of hire.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: At the time of the inspection the fire drill was incomplete and there were corrections that were requested by the fire professionals during the annual inspection which could not be verified as completed.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of the inspection non compliance from the previous inspection continued. Staff person #1 did not report to have a primary care group, stating " . . . . we all just watch them all"

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.

Regulation: 3270.33(a)/3270.192(2)(iv)

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: At the time of the inspection the record of staff person #2 was lacking in any proof of educational level.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of the inspection neither staff person #2 nor Person #3 did report to have a primary care group. Staff person #3 stated " When there are only a few kids here, we all just watch them all"

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.

Regulation: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: At the time of the inspection the records of staff person #1 and #2 had no verification of child care experience included.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: At the time of the inspection the record of staff person #1 and staff person #2 had no 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.

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: 3270.192(4)

Description: CPSL information

Noncompliance Area: At the time of the inspection the record of staff person #1 had no proof of application for any of the following CPSL requirements: State Police, FBI, NSOR and Child Abuse clearance. The record of facility person #2 was lacking only in the NSOR clearance information.

Correction Required: 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 and facility person #2 may not work in a child care position at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection staff person #1 had no letters of reference, staff person #2 had no letters of reference and staff person #3 had one letter of reference.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection the emergency contact information for child #1 and Child #2 was not in the room where they were receiving care.

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

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: Provider did fail to produce the requested documents for the first part of the "blended model" renewal inspection.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records

Regulation: 3270.35(c)

Description: 45 or fewer children director/group sup 30hrs/wk

Noncompliance Area: Staff person #1 did state that "Director is only here in the afternoon's, maybe 20 hours a week"

Correction Required: In a facility in which 45 or fewer children are enrolled, a group supervisor or a director/group supervisor shall be employed by and be present at the facility site for a minimum of 30 hours per week.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During the physical site review staff person #2 did answer the door for the certification representative leaving staff person #3 in the main room on the first floor of the facility with a group of 8 children including a one year old child. When asked about the ratio requirement both staff person's #2 and #3 did verbalize an understanding of the violation.

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

Noncompliance Area: At the time of the inspection the emergency contact forms for the school aged children were being kept altogether, although the program takes place in two separate rooms.

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.

Noncompliance Area: At the time of the inspection the lone infant in care did not have a written statement from the parent giving the formula and feeding schedule for their infant.

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

Noncompliance Area: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified was not posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location at the time of the inspection.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The first-aid kit in the toddler space of child care on the first floor was accessible to children in care at the time of the inspection.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: During the course of the inspection the 61st day since the last fire drill did pass without a new fire drill taking place.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: At the time of the inspection the record of child #1 was lacking a signature on the financial agreement.

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

Noncompliance Area: At the time of the inspection the record of child #1 had an emergency contact form that had not been updated in more than 6 months.

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

Noncompliance Area: At the time of the inspection the record of staff person #1 (having served the facility for over 90 days) was lacking in the FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. Facility Person # 1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1 may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, on the first floor of the facility, in the infant room there were 8 infants in care with 2 staff and the supervisor overseeing and in the younger toddler room there were 8 two year old children with 2 staff providing care. one of the two staff from the toddler room did leave the other one with 8 children to answer the door, leaving her partner with an 8:1 ratio with one year old children.

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.

Noncompliance Area: At the time of the inspection staff person #1 and staff person #2 were not able to verbalize the names of the children in their care, nor did they express an understanding of the concept of 'primary care groups'

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: At the time of the inspection Staff person #4 was providing care for children at the facility and had no individual file at the facility.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: at the time of the inspection the record of staff person #3 was lacking in the two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: At the time of the inspection the records of staff persons # 2 and Staff person #3 were lacking in the verification of child care experience, education and training prior to service at the facility, that would serve as their qualifications for the positions they were performing

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.

Noncompliance Area: At the time of the inspection at least 3 of the the rest equipment mat's in room 7 were torn and had exposed foam.

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. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: At the time of the inspection the school age room was lacking in a binder for emergency contact information.

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.

Noncompliance Area: At the time of the inspection the record of child #1 was lacking in a current and valid health assessment

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.

Noncompliance Area: At the time of the inspection the record of child #2 was lacking in the consents required prior to admission.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: At the time of the inspection the emergency plan had no proof of an annual update.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: At the time of the inspection the record of staff person #1 was lacking the current year's 6 hours of child care CEU's

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: At the time of the inspection the file of staff person #4, identified as the director, was lacking in proof of education.

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 director shall have attained one of the following qualification levels specified at 3270.34(b)(1) - (4).

Noncompliance Area: At the time of the inspection the record of staff member #2 , identified as an AGS, was lacking the proof of completion of educational requirements.

Correction Required: An aide shall have attained one of the qualification levels specified in 3270.37(b)(1)-(3).An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Noncompliance Area: At the time of the inspection staff member #3 , identified as an aide, was supervising a group of children on their own.

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

Noncompliance Area: At the time of the inspection the infant room had 2 staff and 8 children (all infants) one staff did take a child to the bathroom and left the other with a group of 7 infants.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: At the time of the inspection child #1 was not being supervised by a member of the staff of the facility.

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.

Noncompliance Area: Refrigerator located in classroom 1 thermometer failed to be at 45 F or below. Thermometer in refrigerator read at 50 F.

Correction Required: The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: Facility failed to have written daily schedule posted in afterschool classroom 3.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

Noncompliance Area: Children's files reviewed, child 5 fee agreement failed to state designated release person and child 1 emergency contact failed to state release person's address.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: In review for children's file, child 7 emergency contact was missing physician's or medial care provider's name, address and telephone number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: In review of children's file, child 5 and 6 emergency contact was missing health insurance coverage and policy number information.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: Children's files reviewed and child 2 and 5 emergency contact and fee agreement failed to be updated within 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.

Noncompliance Area: Child 3 and 5, both preschool age, failed to have updated health report completed within the last 12 months. Child 3 last health report was completed on 03/07/17 and child 5 health report was last completed on 08/10/16.

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.

Noncompliance Area: Staff persons 3, 4, 6 and 8 failed to have current health assessment form on file which has been completed within the last 24 months. Staff person 7 failed to have health assessment conducted within 12 months prior to initial start date of 04/30/18.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: Staff person 5 health assessment form failed to include results of TB test.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: Children's records reviewed and failed to contain signed parental consent for transportation, walking excursions, swimming and wading.

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

Noncompliance Area: Staff persons 1, 2 and 7 failed to have verification of education such as high school diploma, degree or transcripts and US evaluation of a foreign diploma/degree located in file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: Provisional employee, staff persons 7, failed to have copy of child abuse receipt located in file. Staff person 9 failed to have suitable FBI clearance located in file.

Correction Required: 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: During renewal inspection, cert rep notice that emergency plan posted, on file in office and plan in which staff were trained in all had different shelter away locations.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: Staff persons 3, 7 and 8 had not been trained on the facility's emergency plan at the time of inspection.

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.

Noncompliance Area: During renewal inspection, facility owner/director informed certification rep that the facility has approximately 66 children enrolled. Facility failed to have an additional group supervisor on staff as required when caring for more than 45 children.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Noncompliance Area: Electrical outlet in room 5 did not contain protective receptacle covers. This room serves children that are age five and younger.

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

Noncompliance Area: First-aid kit located in room 2 was missing tweezers.

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

Noncompliance Area: During renewal inspection, cert rep notice a table with broken legs located in outdoor play space which may cause harm to children playing in area and carpet in afterschool classroom 3 had rips and tears causing a tripping hazard for 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: During inspection, cert rep notice peeling paint on walls in classrooms 2, 7 and 9.

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

Noncompliance Area: Facility failed to have hand washing sign posted by sink in classroom 1 and bathroom located near classroom, stating when a child and staff person must wash their hands.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: During inspection certification representative observed that a child's hands were not washed after diapering in the older toddler classroom. Diapering procedure to be reveiwed.

Correction Required: A staff person shall ensure that a child`s hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: During inspection certification representative observed that the first-aid kit in the older toddler classroom was missing gloves

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

Noncompliance Area: During inspection certification representative observed that the boys bathroom located on the second floor has a rusted stall partician.

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: During inspection certification representative observed that the snack room located on the second floor has a exposed plaster.

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

Noncompliance Area: During inspection certification representative observed that all the lidded waste receptacles were not working causing the staff to use their hands

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