New Horizon Early Learning Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 11/14/25, at time of inspection, a cracked plastic tricycle seat containing sharp edges was observed on the outdoor play space.

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

Regulation: 3270.67(a)/3270.82(i)

Description: Trash removed once a day/Lidded waste receptacles

Noncompliance Area: On 11/14/25, at time of inspection, the two toilet areas were not equipped with a lidded waste receptacle. Additionally, the waste receptacles in each toilet area are not removed from the facility at least daily. (Director stated trash is removed from the toilet area on a weekly basis.)

Correction Required: Trash shall be removed from the facility at least once per day. A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.133(1)/3270.133(2)

Description: Original container/Written instructions

Noncompliance Area: On 11/14/24, at time of inspection, an EpiPen belonging to Child #1 was observed in a Ziplock bag. The EpiPen did not contain a prescription with the child's name, was not in the original box and did not contain written instructions.

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. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: On 11/14/24, at time of inspection, the outdoor play surface contained dead leaves and debris. The outdoor play equipment was dirty.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

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

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: On 11/7/23, at time of renewal inspection, Child #1, #2, #3, #4 and #5 have been enrolled in the facility for more than 60 days. Child #1, #2, #3, #4 and #5 immunization records do not include evidence of annual influenza vaccine as recommended by the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: On 11/723, during renewal inspection, Pick Up & Drop Off Procedures/Safe Routes were not posted in a conspicuous location in the child care facility.

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

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Fee agreement for child 1 and 2 did not specify the amount of the fee to be charged per day or per week.During renewal inspection certification rep reviewed children's file. Fee agreement for child 1 and 2 did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: During renewal inspection certification reviewed children's file. Fee agreement for child 1 and 2 did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Child 1 and were missing work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 1 and 2 were missing two hours of training

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: This is continued noncompliance from unannounced monitoring inspection on 10-12-22

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. 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: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During unannounced monitoring, certification rep verified that one facility persons is present in the facility with a mixed age group of than 5 children. Youngest child in the group is 1 year old

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. 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: During unannounced monitoring, certification rep verified that one facility persons is present in the facility when two or more children are in care

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)

Description: Supervised at all times

Noncompliance Area: Certification rep observed director on her cell phone while supervising children in the outdoor play space.

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.

Regulation: 3270.113(a)(2)

Description: Supervision on and facility premises

Noncompliance Area: During unannounced monitoring certification rep observed the young toddler classroom out of ratio. The teacher had 6 children. The youngest child was 1 year old

Correction Required: The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: During unannounced monitoring. certification rep arrived at the facility. Director was not on site. The director also wasn't on site during previous visits 5-13-22. Certification rep could not verify that director is present at the center 30 hours per week based on previous visit

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.113(a)(2)

Description: Supervision on and facility premises

Noncompliance Area: During unannounced monitoring certification rep observed the young toddler classroom out of ratio. The teacher had 6 children. The youngest child was 1 year old.

Correction Required: The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: During unannounced monitoring certification rep verified the child's diaper was not changed.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: During unannounced monitoring certification verified that there is one staff in the building that receives the children.

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: 3270.192(4)

Description: CPSL information

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 1 only has a receipt of the FBI on 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. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.102(a)/3270.102(c)

Description: Clean and good repair/Outdoor equip.- protective surfacing

Noncompliance Area: During renewal inspection, certification rep saw a ripped green chair in room 2 exposing the soft foamDuring the renewal inspection, certification representative observed no protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The facility had embedded equipment in their play space which was embedded in mulch. The equipment was not mounted over enough mulch to meet the requirements of the USCPSC, the mulch was less than 6 inches in depth.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During renewal inspection, certification rep reviewed children's file. Fee agreement for child 1 did not specify the date of the child's admission

Correction Required: An agreement shall specify the date of the child's admission.A child's record shall contain the dates of application, admission and withdrawal of the child.

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

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

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Child 1 was missing address of the individual designated by the parent to whom the child may be released. During renewal inspection certification rep reviewed children's file. Child 1 was missing the phone number 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.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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 1 physical expired 10-25-21.

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(4)

Description: CPSL information

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 2 only has a receipt of the FBI on 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. Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: On 10/1/20 at renewal inspection certification representative observed that the file of staff person # 1, hire date 8/16/20, had a TB test results on file that are more that 12 months old.

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: At the time of the inspection, the immunization records on file for child #2 and 4 were not up to date and did not include a letter of exemption from the parent explaining why the child was not up to date on immunizations.

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

Noncompliance Area: During renewal inspection, written plan of daily activities for school age children is not posted in Room #4.

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: During renewal inspection, file of staff person #2 didn't contain verification of initial health assessment (date of hire is 5/18/18).

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. 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: During renewal inspection, file of staff person #3 didn't contain verification of age.

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

Noncompliance Area: During renewal inspection, file of staff person #2 didn't contain verification of 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: During renewal inspection, file of staff person #2, hire date 5/18/18, did not contain verification of request for FBI clearance information.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 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 #2 may not work in a child care position at the facility.

Noncompliance Area: During renewal inspection observed staff person #1 was working alone in Room #2 and caring for 4 older toddlers and 1 preschooler. Staff person #1 file didn't contain verification of a minimum of 2 years child care 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.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.