Sunshine KIds

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the Preschool Room there were foam blocks observed that had bite marks in them causing a choking hazard.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 contained two mandated reporter trainings that were more than 60 months apart.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A stuffed animal with removable eyes that were less than 1 inch in diameter and labeled for children ages 3 and up was observed in the younger toddler area of the infant/toddler room, accessible to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The mats in the older toddler area of the preschool room were not being used by the specific children for which they were labeled.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: There were three mats in the preschool room that were observed to have less than 2 feet of space on three sides of them while they were in use.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for child #1 did not include the work telephone number of the enrolling parent.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff #2 did not ensure a child's hands were washed after being diapered.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The record for staff #1 included a current health assessment dated more than 24 months following the date of their previous 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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan was not sent to the local municipality.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A Casa Lily plant, which was identified as being toxic to humans, and an open bag of garden soil, which was labeled keep out of the reach of children, were observed sitting on the ground by the outdoor walkway, accessible to children in care.

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

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: A Pothos plant, which was identified as being toxic to humans, was observed in the preschool room.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A parent of child #1 did not review their emergency contact information at least once in a 6-month period between 7/26 2023 to 2/12/2024.

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(b)(2)/3270.182(1)

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

Noncompliance Area: The record for child #2, a preschool child, lacked a current health report.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the identification and prevention of child maltreatment, as per Announcement C-22-03.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: A parent of child #1 did not review their financial agreement at least once in a 6-month period between 7/26/2023 to 2/12/2024.

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.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility's parent letter did not explain their lockdown procedure and how they plan to provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 completed CCDGB health and safety training on 11/30/2023, more than 90 days following first day working in child care. Staff person #2 completed CCDGB health and safety training on 7/13/2023, more than 90 days following first day working in child care.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The ends of a sharp metal cable were protruding from a gate at the end of the outside walkway leading to the parking lot/outdoor play space, accessible and posing a potential hazard for children in care.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The record for child #1, #2, and #3 contained information provided to the family about the child's growth and development on the Department's approved form but it was not dated so compliance with the requirement to provide this information to the family in accordance with the updates regarding emergency contact information in §3270.124(f) (relating to emergency contact information) was unable to be determined.

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(b)(2)/3270.182(1)

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

Noncompliance Area: The record for child #4 lacked a current health report.

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(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The record for child #2, a younger toddler, contained an updated health report that was dated more than 6 months following the date of the previous health report.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA 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: The record for child #1, an older toddler, contained a health report that had not been updated in more than 12 months.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The record for staff #2 included results of a TB test conducted more than 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: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The record for staff #1 included verification of mandated reporter training completed on 2/24/2022, more than 90 days following the outset of service at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Hand sanitizer labeled keep out of the reach of children was observed hanging from a cabinet in the preschool room, accessible to children in care..

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Trash that was possibly contaminated by human secretions (nasal tissues) was contained in receptacles that were not closed/plastic-lined by the sink in the preschool room and in the bathroom used by the toddlers.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Per staff statements, on 9/16/21, staff #1 & 2 were supervising 13 children, 12 preschool aged children and one young school age child, in the outdoor fenced play space. Between the two staff they had only identified 12 children in their combined supervisory groups. At approximately 12:30 pm, when the groups left the play space, child #1 remained on the play space unsupervised for approximately 3 minutes while the staff and other children returned to the child care building.

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)(1)

Description: Staff assigned to specific children

Noncompliance Area: ***Per staff statements, on 9/16/21, staff #1 & 2 were supervising 13 children, 12 preschool aged children and one young school age child, in the outdoor fenced play space. Between the two staff they had only identified 12 children in their combined supervisory groups. At approximately 12:30 pm, when the groups left the play space, child #1 remained on the play space unsupervised for approximately 3 minutes while the staff and other children returned to the child care building.

Correction Required: ***For a period of 6 months the director and/or an identified staff will conduct staff supervision/ratio checks of each supervision group twice a week. The checks will be conducted at various times and should include classroom, nap, gross motor, outdoor and transportation times. The checks will be documented on a log approved by the Department and will be available for review on site or by fax/scan when requested by the Department.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: **Per staff statements, on 9/16/21, staff #1 & 2 were supervising 13 children, 12 preschool aged children and one young school age child, in the outdoor fenced play space. Between the two staff they had only identified 12 children in their combined supervisory groups. At approximately 12:30 pm, when the groups left the play space, child #1 remained on the play space unsupervised for approximately 3 minutes while the staff and other children returned to the child care building.

Correction Required: **Each staff assigned children will utilize a tangible system to identify the children assigned in their group at any given time.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: *Per staff statements, on 9/16/21, staff #1 & 2 were supervising 13 children, 12 preschool aged children and one young school age child, in the outdoor fenced play space. Between the two staff they had only identified 12 children in their combined supervisory groups. At approximately 12:30 pm, when the groups left the play space, child #1 remained on the play space unsupervised for approximately 3 minutes while the staff and other children returned to the child care building.

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. The Legal Entity will create and utilize a system to track the total number of children in care at any given time.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Per staff statements, on 9/16/21, staff #1 & 2 were supervising 13 children, 12 preschool aged children and one young school age child, in the outdoor fenced play space. Between the two staff they had only identified 12 children in their combined supervisory groups. At approximately 12:30 pm, when the groups left the play space, child #1 remained on the play space unsupervised for approximately 3 minutes while the staff and other children returned to the child care building.

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: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: On 8/27/21, Child #1 was bitten by another child in the classroom. The staff verbally notified Child #1's parent of the incident but failed to create a written report for the parent, facility and child's file.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.