SERENITY EARLY LEARNING CENTER 2

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of the inspection on 7/29/25 observed that staff person #1, who holds the qualification of an aide, was caring for children alone during nap time in the Preschool room and was not supervised by a staff person qualified at minimum as an assistant group supervisor.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the unannounced inspection on 7/11/25, emergency contact form of child # 2 was not present at preschool room where child #2 was receiving care. Emergency contact forms were not present in after school room for children #3, #4, #5, #6, #7, #8, #9, #10, #11, #12.

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: 3270.124(d)

Description: Excursions

Noncompliance Area: At the time of the unannounced inspection on 7/11/25, emergency contact forms specific to each child did not accompany the staff person (driver) during transportation of school age children to another location.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: At the time of the unannounced inspection on 7/11/25, the first-aid kit located in the van was missing a bottle of water, soap, scissors, tweezers, and tape while children were being transported to another location.

Correction Required: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.181(a)

Description: Each child

Noncompliance Area: Continued Non-compliance since 5/1/25. At the time of the unannounced inspection on 7/11/25, individual record for child #1 has not been established and provided for review.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3270.181(a)

Description: Each child

Noncompliance Area: At the time of the unannounced inspection on 7/11/25, individual records were not established for twelve school-age children who were present in the facility.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Continued non-compliance since 5/1/25. At the time of inspection on 7/11/2025, health assessment of staff person #2 did not include the results of initial and/or 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 unannounced inspection on 7/11/25, file of staff person #3 did not include a copy of the disclosure statement.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of unannounced inspection on 7/11/25, file of staff persons #3 and #4 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: At the time of the unannounced inspection on 7/11/25, three inspection summaries dated 2/25/202, 4/30/2025, and 5/1/2025, issued by the Department, were not posted in a conspicuous location used by parents.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: Continued Non-compliance since 1/28/25 and 2/25/25. At the time of the unannounced inspection on 7/11/25 at 7:09 AM observed staff person #1 with 4 children ranging in age from preschool to young school age. No other staff was present at the facility.

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

Regulation: 20.71(a)(7)

Description: Fraud or deceit in obtaining or attempting to obtain a certificate of compliance

Noncompliance Area: During the inspection conducted on 5/1/2025, the director submitted DHS-approved documentation used for tracking child supervision. Upon review of the documentation, the following discrepancies were identified: - Staff Person #2 was recorded as present and supervising children on 4/25/2025 from 12 PM to 5:30 PM in Preschool room. However, records and staff confirmation indicate that Staff Person #2 left the facility at 2:00 PM and was not supervising children for the remainder of the day. - Staff Person #3 was listed as supervising children in the Toddler Room from 1:30 PM to 2:30 PM. However, it was determined that during nap time, Staff Person #3 was not present in the Toddler Room and was not actively supervising the children.

Correction Required: The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the inspection on 5/6/25 video footage from 5/1/25 was reviewed. On the video footage from 5/1/25 from 6 AM to 7:40 AM, staff person #1, whose file did not include health and safety training as well as Pediatric First aid and CPR training, was observed caring for children without being supervised by an assistant group supervisor, who has completed the required trainings.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the inspection on 5/1/2025, file of staff person #1 did not include staff 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: 3270.181(a)

Description: Each child

Noncompliance Area: During the inspection on 5/1/2025, individual records for Child #1 and Child #2 had not been established and provided for review.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3270.31(f)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: During the inspection conducted on 5/6/2025, file of staff person #1 did not include health and safety training as well as Pediatric First Aid and CPR training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. All staff persons shall complete the professional development under subsection (f). Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children by an assistant group supervisor, who has completed the required training related to this citation. If there are no staff person's available to supervise, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the inspection on 5/1/2025, video footage from 4/25/2025 was reviewed. It was observed that Staff Person #4, who holds the qualification of an aide, was caring for children alone during nap time in the Toddler Room and was not supervised by a staff person qualified at minimum as an assistant group supervisor.

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

Regulation: 3270.55(a)/3270.113(a)(2)

Description: Toddler and preschool children/Supervision on and facility premises

Noncompliance Area: During the inspection on 5/1/2025, video footage from 4/25/2025 was reviewed. The footage of a nap time in Toddler room showed at least 14 children, ranging in age from young toddlers to preschoolers, with staff person #1. One child, identifiable by a red shirt, was seen leaving the room without supervision. Older school age child #4 was walking in the facility without being supervised. Additional footage from the office area on 4/25/2025 showed Child #1 and Child #2 leaving the office area without staff supervision. The staff present in the office could not see, hear, or assess the children's movements. Furthermore, during the complaint investigation, it was reported that Child #3 did exited the building unsupervised and went to the facility's outdoor gated play space without being seen by Staff Person #1 or Staff Person #2. Both staff were unaware of Child #3's whereabouts until they observed the child outside attempting to squeeze between the poles of the playground gate.

Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of unannounced inspection on 4/25/25, files of children #1 and #2 did not include child service report on the Department's approved form that provides information to the family about the child's growth and development. Non complaint since 2/27/25.

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).

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: At the time of unannounced inspection on 4/25/25, files of children #1 and #3 did not include an initial health report within 60 days of enrollment. Non complaint since 2/27/25.

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(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: At the time of unannounced inspection on 4/25/25, health report of staff person #1 did not include the results of initial tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: At the time of unannounced inspection on 4/25/25, health report of staff person #1 did not include an examination for communicable diseases and 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.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: At the time of unannounced inspection on 4/25/25, the door to Mechanical room with HVAC and water heater was not locked and accessible to children. Mechanical room is located in the main hallway children use to enter their classrooms. Non complaint since 2/27/25.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: At the time of unannounced inspection on 4/25/25 observed old carpet and buggy stroller obstructing exit door located near the bathroom and Preschool room.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: At the time of renewal inspection observed ripped changing table mat with foam exposed in Infant/toddler room.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of the inspection on 2/25/25 observed staff person #1 leaving children unattended in the office area to open the side door. Staff person #1 is not able to see, hear or assess children during the trips to open the door. On 2/27/25 observed child #1 being alone on the cot in Infant/Toddler Room. No staff present. Facility was cited for supervision on 12/17/24 and 1/30/25.

Correction Required: Children must be supervised at all times.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of the inspection on 2/25/25 observed staff person #1 leaving children unattended in the office area to open the side door. Staff person #1 is not able to see, hear or assess children during the trips to open the door. On 2/27/25 observed child #1 being alone on the cot in Infant/Toddler Room. No staff present. Facility was cited for supervision on 12/17/24 and 1/30/25.

Correction Required: The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of the inspection on 2/25/25 observed staff person #1 leaving children unattended in the office area to open the side door. Staff person #1 is not able to see, hear or assess children during the trips to open the door. On 2/27/25 observed child #1 being alone on the cot in Infant/Toddler Room. No staff present. Facility was cited for supervision on 12/17/24 and 1/30/25.

Correction Required: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Continued Non-compliance from 12/17/24 and 1/30/25. On 2/27/25 observed child #1 being alone on the cot in the Infant/Toddler Room. No staff present.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of renewal inspection, files of children #3, #4, and #6 did not include child service report on the Department's approved form that provides information to the family about the child's growth and development.

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).

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: At the time of renewal inspection, agreements of children #3 and #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.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: At the time of renewal inspection, emergency contact information of child #4 did not include the address and telephone number of the child's physician or source of medical care. Emergency contact form of child #5 did not include the address of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(4)

Description: Written consent

Noncompliance Area: At the time of renewal inspection, emergency contact form of child #3 did not include the work address and phone number of the enrolling parent.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: At the time of renewal inspection, emergency contact information did not include information on the child #3, #4, and #5 special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

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.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: At the time of renewal inspection, emergency contact information of child #3 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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

Regulation: 3270.124(c)/3270.181(e)

Description: Each child care space/Emergency master file updated

Noncompliance Area: At the time of renewal inspection, emergency contact information was present only for child #1 in Preschool room. Emergency contact forms were not present for other 13 children. Emergency contact form of child #1 was last updated on 12/22/23.

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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: At the time of renewal inspection, agreements and emergency contact information of children #2, #3, #4, and #6 were not updated every 6 months as required. Emergency contact form and agreement for child #2 were reviewed and signed by parent on 7/9/24, for child #3 on 6/17/24, for child #4 on 5/3024, for child #6 on 5/17/24.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: At the time of renewal inspection, file of child #3 and #5 did not include an initial health report within 60 days of enrollment.

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: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: At the time of renewal inspection, file of child #2 did not include an updated health report required at least every 12 months. Child health report on file was from 9/20/23.

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.

Regulation: 3270.131(d)(5)/3270.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: At the time of renewal inspection, immunization record of child #6 did not include MMR, Varicella, and Hepatitis A immunization recommended by ACIP. Two doses of Hepatitis B, one dose of DTAP, and one dose of Pneumococcal were missing. A letter of exemption was not observed in the file of child #6.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of 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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Continued Non-Compliance since 12/13/25. At the time of renewal inspection, file of staff person #1 did not include an initial health assessment conducted within 12 months prior to providing initial service in a child care setting.

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: 3270.182(3)/3270.182(5)

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

Noncompliance Area: At the time of renewal inspection, a record of child #4 didn't contain signed parental consent for emergency medical care for the child and consent for administration of minor first-aid procedures by facility staff. Both consents are 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.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: At the time of renewal inspection observed fire extinguisher on the kids table in Toddler room. Fire extinguisher was accessible to children. The door to Mechanical room with HVAC and water heater was not locked and accessible to children. Mechanical room is located in the main hallway children use to enter their classrooms.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection observed that emergency drill was not conducted annually. Last written documentation of emergency drill is from 1/31/24.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Continued Non-compliance since 01/30/25. At the time of the inspection on 2/25/25 observed staff person #1 being alone with 12 children ranging in age from preschool to young toddlers at around 7:30 AM in the Office area.

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

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: Continued Non-compliance since 1/28/25. At the time of unannounced monitoring inspection on 2/25/25 observed staff person #1 with 12 children ranging in age from preschool to young school age. No other staff was present at the facility.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: At the time of renewal inspection observed that a first aid kit in Preschool room didn't contain medical tape.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of renewal inspection observed that the vent on the ceiling located near Toddler room is dusted and in need of cleaning.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: At the time of renewal inspection observed spots of peeling paint in the Toddler room near the door, orange chairs and a black stroller.

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

Regulation: 3270.78

Description: Lighting

Noncompliance Area: At the time of renewal inspection observed that light in the hallway near Toddler room is not working.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of renewal inspection, verification that fire drill is conducted at least every 60 days was not observed. The last fire drill logged on file was dated 12/3/2024.

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

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: Continued Non-Compliance from 1/30/25 unannounced monitoring inspection. During renewal inspection, observed from written log that hypothetical locations of the fire still are not rotated around the facility for each drill. The hypothetical location continuous to be noted as "Houseman Rec".

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of the inspection on 1/30/25 observed multiple times school age-children walking in the facility unsupervised from preschool room to the office. Staff #1 and #2 were not physically present with school age children when they were coming to the office. Non-complaint since 12/17/24.

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: 3270.151(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 unannounced inspection on 1/30/25, file of staff persons #4 did not include an initial health assessment with TB results. Health assessment on file was from 2/25/21 and TB test was from 8/4/21. Non-complaint since 12/13/24.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of unannounced inspection on 1/30/25, files of staff persons #1, #2 and #3 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Files of staff person #1 and #2 included only 1 non-family reference. File of facility person #1, who was transporting children to school on 1/30/25 did not include references at all. Non-complaint since 12/13/24.

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: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: At the time of unannounced inspection on 1/30/25, files of staff person #1 did not include verification of education and experience required for a position of an assistant group supervisor and is required prior to service at the facility. Non-complaint since 12/13/24.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At the time of the inspection on 1/30/25 observed staff person #2 being alone with 11 preschool children in Preschool room. Non-complaint since 12/17/24.

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of the inspection on 1/30/25 observed staff person #3 being alone with 9 children ranging in age from young toddlers to older school age.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: At the time of unannounced inspection on 1/30/25 observed unlidded waste receptacle in the bathroom near the sinks. Non-complaint since 12/13/24.

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

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: At the time of unannounced inspection on 1/30/25, the hypothetical locations of the fire are not rotated around the facility for each drill such that the hypothetical location was the same for consecutive drills.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the inspection on 1/28/25 observed staff person #1 caring for 4 children unsupervised at around 7 am. Staff person #1 had not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training and Pediatric First aid and CPR. The facility's acceptable plan of correction indicated the correction would be implemented on 1/13/25. On 1/28/25 an unannounced inspection was conducted. Staff person #1 still has not completed the following preservice training required prior to caring for children unsupervised: Health and safety training and Pediatric First aid and CPR. On 1/30/25 staff persons #3, #4, and #5 were working unsupervised. Staff person #3 did not completed Pediatric First aid and CPR training, file of staff person #4 did not include health and safety training, file of staff person #5 did not include Pediatric First aid and CPR as well as one hour health and safety training required by OCDEL within the prescribed timeframe which is by December 30, 2022. Non-complaint since 12/13/24.

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 required pre-service trainings are completed, staff person #1, #3, #4, and #5 must be supervised, when interacting with children, by an assistant group supervisor who has completed the required training related to this citation. If there are no staff person available to supervise staff person #1, #3, #4, and #5 staff person #1, #3, #4, and #5 may not work in a child-care position at the facility.

Regulation: 3270.176(a)

Description: Insured

Noncompliance Area: At the time of the inspection on 1/28/25, provider did not provide insurance card for 2016 Ford Transit, license plate MST2474. Non-complaint since 12/13/24.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Regulation: 3270.176(f)

Description: Prohibition using an 11-15 passenger vans

Noncompliance Area: At the time of the inspection on 1/28/25 observed that children were transported to school in a 15 seats Ford T-350 Transit van with license plate MST2474. Fifteen seats van and cannot be used to transport children. Non-complaint since 12/13/24.

Correction Required: In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection on 1/28/25, file of staff person #1, whose provisional hire period ended on 12/19/24, did not include DHS required FBI clearance, child abuse clearance from Florida, where staff resided within the last 5 years. Staff person #1 was observed working alone with 4 children. File of staff person #2, who was driving children to school on 1/28/25, did not have current PA State police clearance, PA child abuse clearance and DHS required FBI clearance. Staff was observed being alone with 10 school age children in the van, license plate MST 2474 at around 7 am. Non-complaint since 12/13/24.

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 Person #1 may not work in a childcare position at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of the inspection on 1/28/25 observed staff person #1, who is an aide, was working alone with children in the office area and not being supervised by a staff person qualified at minimum as an assistant group supervisor. Non-complaint since 12/13/24.

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

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: At the time of the inspection on 1/28/25 observed staff person #1 caring for 4 children unsupervised at around 7 am in the office area. No other staff was present at the facility.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of the inspection on 12/17/24 observed person #1, who is considered a child, being with child #1 alone in the office area. Another staff member was in the kitchen located near the office but was not physically present and was not able to see them.

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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: At the time of the inspection on 12/17/24 observed video footage of staff person #4, being rough with child #2 on 11/14/24. Administration provided a written record of conversation with staff person #4, who "appeared to be too rough while handling the children".

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.31(a)

Description: Age and Training

Noncompliance Area: At the time of the inspection on 12/17/24, upon entering the facility, observed person #1 helping in the facility as a volunteer. Person #1 is not 16 years of age and cannot be a volunteer.

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

Regulation: 3270.52/3270.113(a)(2)

Description: Mixed Age Level/Supervision on and facility premises

Noncompliance Area: At the time of the inspection on 12/17/24 observed staff person #2 leaving staff person #3 out of ratio with 13 preschoolers and person #1 who is considered an older school age child in Preschool room. Staff person #3 was not able to supervise children, who were in the area around the corner of Preschool room.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

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 allocated unannounced inspection on 12/13/24, files of staff persons #1, #2, #3 did not include an initial health assessment with TB results.

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: 3270.191

Description: Individual Records

Noncompliance Area: At the time of allocated unannounced inspection on 12/13/24, facility person #4 did not have an individual record.

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

Regulation: 3270.192(2)(i)

Description: Age

Noncompliance Area: At the time of allocated unannounced inspection on 12/13/24, file of staff persons #3 and #5 did not include verification of age.

Correction Required: A facility person's record shall include verification of age.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of allocated unannounced inspection on 12/13/24, files of staff persons #1, #2, #3 and #5 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: At the time of allocated unannounced inspection on 12/13/24, files of staff person #1, #3, #5 did not include verification of education or experience required for a position of an assistant group supervisor and is required prior to service at the facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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: At the time of the allocated unannounced inspection on 12/13/24, toxic laundry detergent and disinfecting spray were observed in under the sink cabinet in the bathroom and were accessible to children posing a potential hazard. The label on laundry detergent and disinfecting spray stated, " Keep out of reach of children".

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: At the time of allocated unannounced inspection on 12/13/24 observed peeling paint near the shelves in Preschool room.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: At the time of allocated unannounced inspection on 12/13/24 observed unlidded waste receptacle in the bathroom near the sinks.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: At the time of allocated unannounced inspection on 12/13/24 observed that exit was obstructed with bins and stroller.

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

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: At the time of allocated unannounced inspection on 12/13/24, fire drill log was not provided for review.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.124(d)

Description: Excursions

Noncompliance Area: At the time of the inspection on 12/13/24, emergency contact forms were not observed in the vans for children who were transported to school.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the inspection on 12/13/24 observed that staff person #2, who is a provisional hire, and staff person #1, who is not a provisional hire, were observed to be caring for children unsupervised. Staff person #1 and #2 were the only persons in the facility at 7:20 AM. Staff person #4, who is a provisional hire, was observed to be caring for children in Infant/Toddler room at around 10AM without being supervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training and mandated reporter trainings. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training and Pediatric First aid and CPR. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training.

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, #2, and #4 must be supervised, when interacting with children by an assistant group supervisor, who has completed the required training related to this citation. If there are no staff person's available to supervise, staff person #1, #2 and #4 may not work in a child-care position at the facility.

Regulation: 3270.173(c)

Description: If school-age, then driver in ratio

Noncompliance Area: At the time of the inspection on 12/13/24 observed staff person #3 being in the van with 14 children ranging in age from young to older school age.

Correction Required: When school-age children are transported, the driver may be considered part of the staff-child ratio required in §3270.51. Additional staff has to be present in the van if 14 children ranging in age from young to older school age are present in the van

Regulation: 3270.175(a)

Description: Age appropriate restraints

Noncompliance Area: At the time of the inspection on 12/13/24, a child who is attending Kindergarten, was being transported in the van with staff person #3 and was not buckled up.

Correction Required: A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

Regulation: 3270.176(a)

Description: Insured

Noncompliance Area: At the time of the inspection on 12/13/24 observed that insurance cards located in 2016 Ford T-350 Transit W and 2017 Ford T-350 Transit V expired on 7/1/24.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Regulation: 3270.176(f)

Description: Prohibition using an 11-15 passenger vans

Noncompliance Area: At the time of the inspection on 12/13/24 observed that children were transported to school in 2016 Ford T-350 Transit W and 2017 Ford T-350 Transit V. Both vans are 15 seats van and cannot be used to transport children.

Correction Required: In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van.

Regulation: 3270.177(b)

Description: During boarding and exiting

Noncompliance Area: At the time of the inspection on 12/13/24 observed that staff person #3, were seating on the driver seat in the van and did not remain outside of the vehicle to supervise boarding.

Correction Required: Children shall be supervised during boarding and exiting vehicles by an adult who remains outside the vehicle.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection on 12/13/24, file of staff person #1, whose provisional hire period ended on 11/26/24, did not include PA state police, PA child abuse, FBI clearance, NSOR certificate, Disclosure Statement, child abuse from Florida, where staff resided within the last 5 years. Staff person #2, who is a provisional hire, was working unsupervised. File of staff person #2 did not include receipt that staff person #2 applied for FBI fingerprints and child abuse from Florida where staff resided within the next 5 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person # 1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #1 may not work in a child care position at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of the inspection on 12/13/24 observed staff person #2 was working alone with children in Infant/Toddler room and not being supervised by a staff person qualified at minimum as an assistant group supervisor.

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

Regulation: 3270.52/3270.113(a)(2)

Description: Mixed Age Level/Supervision on and facility premises

Noncompliance Area: At the time of the inspection on 12/13/24 at around 7:20 observed 19 young and older school-age children being alone in school age-area watching TV and not being supervised. Staff #1 and #2 was not able to see, hear, direct and assess the activity of the children since both staff were in the office.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced monitoring inspection on 5/7/24, non-compliance continues from renewal inspection dated 3/4/24 and 4/2/24. File of staff persons #1 does not include child abuse and neglect registry check from the state of New Jersey in which staff person #1 resides.

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 Person # 1 must be removed from child care position by close of business. NJ child abuse clearance must be obtained before staff person #1 may resume a child care position.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: At the time of unannounced monitoring inspection on 4/18/24, an adult health examination of staff person #1 did not include answer to question #2 regarding an examination for communicable diseases and the results of that examination.

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

Regulation: 3270.124(b)(2)/3270.124(b)(7)

Description: Physician name, address, phone/Name/address/phone release person

Noncompliance Area: During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. Emergency contact information of child #1 did not include the name, address and phone number of the child's physician or source of medical care. Emergency contact form of child #2 did not include release persons address.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(b)(5)/3270.124(b)(6)

Description: Information re: special needs/Insurance coverage information

Noncompliance Area: During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. Emergency contact information did not include information on the child #1 special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation as well as health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. Emergency contact information were not present in a child care space were children 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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in every child care space.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. A policy and procedure to identify the potential signs identification of child maltreatment were not observed. In addition, the emergency plan did not contain a statement regarding volunteers participating in emergency plan training and emergency drills, continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. File of staff persons #1 does not include initial staff health assessment with TB results.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. Information regarding the location of the facility and use of pedestrian and vehicular routes around the facility was not prepared and sent to the local traffic safety authorities.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. Written verification that staff person #2 received training regarding the emergency plan at the time of initial employment was not observed.

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.