Shake Rattle And Roll

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: At the time of the Renewal Inspection conducted on 05/21/2026, the water in the bathroom sink designated for use by the children, reached a temperature of 140° F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

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

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

Noncompliance Area: At the time of the Renewal Inspection conducted on 05/21/2025, the emergency contact on file for Child #1 did not contain signed parental consent for emergency medical care for the child.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of the Renewal Inspection conducted on 05/21/2025, the provider could not verify that the local traffic safety authority had been notified annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the facility.

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: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At the time of the Renewal Inspection conducted on 05/21/2025, the emergency contact form on file for Child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the Renewal Inspection conducted on 05/21/2025, the file for Staff Person #1, hired 03/14/2019 did not contain a DHS FBI Clearance. The file for Staff Person #2, hired 08/2022, contained an incomplete DHS FBI Clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person #1 and Staff Person #2 may not work in a child care position at the facility. A staff 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 and Staff Person #2 may not work in a child care position at the facility.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On 2-8-23 an argument and fight ensued in and outside of the childcare center by former employee, staff person # 1 and involved staff persons # 2 and # 3.

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

Noncompliance Area: On 9/24/20 at renewal inspection certification representative observed that the file of staff person # 1, hire date 7/30/08, did not contain an NSOR verification as required by the CPSL.

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

Noncompliance Area: On 5/13/19 at renewal inspection certification representative observed that the immunization record for child # 1 reflected that the child has had 2 of the 3 required hep B vaccines, 1 of the 2 required hep A vaccines and no flu shot had been administered since 12/22/16. Child # 2 has had 1 of the recommended 3 hep B vaccines and no flu shots. Child # 3 has not had a flu shot since 12/13/17.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: On 5/13/19 at renewal inspection certification representative observed that the file of staff person # 1 did not contain verification of the dates that the TB test was given and read.

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.

Noncompliance Area: On 5/13/19 at renewal inspection certification representative observed that the file of staff person # 2, identified as an AGS, contained verification of 1 year of experience.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: On 5/13/19 at renewal inspection certification representative observed chipped plaster in the young toddler area by the door to the playground and next to the portable sink.

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

Noncompliance Area: AT THE TIME OF INSPECTION THE HIGH CHAIRS DID NOT HAVE T-SHAPED SAFETY STRAPS.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: AT THE TIME OF INSPECTION THE FEE AGREEMENT BELONGING TO CHILD #1 DID NOT CONTAIN THE DATE OF ADMISSION.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSON #1 DID NOT HAVE A 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.

Noncompliance Area: AT THE TIME OF INSPECTION THE HEALTH ASSESSMENT FOR STAFF PERSON #3 WAS NOT SIGNED BY A PHYSICIAN, PHYSICIAN ASSISSTANT OR CRNP.

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

Noncompliance Area: AT THE TIME OF INSPECTION THE EMERGENCY CONTACT INFORMATION AND FINANCIAL AGREEMENTS FOR CHILDREN # 1 AND 2 WERE NOT UPDATED AT LEAST ONCE IN A 6-MONTH PERIOD.

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 INSPECTION FACILITY PERSON #4 DID NOT HAVE TWO LETTERS OF REFERENCES.

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

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSONS # 4,7,8 AND 9 DID NOT HAVE VERIFICATION OF EMERGNECY PLAN TRAINING.

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: AT THE TIME OF INSPECTION STAFF PERSONS # 2 AND 5 DID NOT HAVE AT LEAST 6 HOURS OF CHILD CARE TRAINING.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSONS # 5 AND 6 DID NOT HAVE FIRESAFETY TRAINING.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSON #4 DID NOT HAVE MANDATED REPORTER TRAINING.

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

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSON # 9 DID NOT HAVE A WRITTEN EVALUATION.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSON # 4 DID NOT HAVE VERICATION OF EDUCATION.

Correction Required: An aide shall have a high school diploma or a general educational development certificate.

Noncompliance Area: AT THE TIME OF INSPECTION THE OUTLET IN THE PRESCHOOL AREA WAS NOT COVERED.

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

Noncompliance Area: AT THE TIME OF INSPECTION THE SECOND BATHROOM IN THE BACK HAD A HOLE IN THE WALL AND THE OUTDOOR PLAY AREA WAS NOT CLEAN.

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: AT THE TIME OF INSPECTION CERTIFICATION REPRESENATIVE OBSERVED THE HIGH CHAIRS WITH NO T-SHAPED SAFETY STRAPS.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: AT THE TIME OF INSPECTION CHILD #1'S EMERGENCY CONTACT FORM DID NOT INCLUDE THE CHILD'S SPECIAL NEEDS INFORMATION OR HEALTH INSURANCE POLICY NUMBER.

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.

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED CHILD #1'S MEDICATION WAS NOT IN ITS ORIGINAL CONTAINER WITH THE MEIDCATION LABEL AND THE CHILD'S NAME.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: AT THE TIME OF INSPECTION THE HANDS-FREE TRASH CAN IN THE BATHROOM WAS NOT WORKING.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSONS # 2,3,4,5,6,7 AND 8 DID NOT HAVE VERIFICATION OF EMERGENCY PLAN TRAINING.

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 INSPECTION FACILITY PERSON #9 DID NOT HAVE A REQUEST FOR CHILD ABUSE, CRIMINAL OR FBI HISTORY INFORMATION AS REQUIRED UNDER THE CPSL.

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

Noncompliance Area: AT THE TIME OF INSPECTION THE DIRECTOR DID NOT HAVE WRITTEN EVALUATIONS FOR STAFF PERSONS # 1,3,4,5,6,7 AND 8.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVERED STAFF PERSON #7 WORKING ALONE WITH 5 INFANTS IN THE INFANT ROOM FOR AT LEAST 5 MINUTES.

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 INSPECTION CERITFICATION REPRESENTATIVE OBSERVERED THE WHITE WALL LEADING INTO THE INFANT ROOM WAS NOT CLEAN.

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: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED PEELED PAINT IN THE INFANT ROOM ON THE ORANGE, WHITE AND GREEN WALLS. THERE WAS ALSO PEELED PAINT IN THE 3 YEAR OLD AREA ON THE RED WALL; THE PRESCHOOL AREA ON THE GREEN WALL AND THE KITCHEN AREA ON THE ORANGE WALL.

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

Noncompliance Area: AT THE TIMEOF INSPECTION THERE WAS NO VERIFICATION OF FIRE DRILLS.

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 INSPECTION THE OUTDOOR PLAY SPACE SURFACES WERE NOT CLEAN.

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: AT THE TIME OF INSPECTION THE OUTDOOR PLAY SPACE SURFACES WERE NOT CLEAN.

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: AT THE TIME OF INSPECTION THERE WAS PEELED PAINT IN THE MAIN CHILD CARE SPACE.

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

Noncompliance Area: AT THE TIME OF INSPECTION THERE WAS PEELED PAINT IN THE MAIN CHILD CARE SPACE.

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