Sunshine & Rainbows Day Care Center

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Individual interviews conducted on 4/1/26 through 5/11/26 corroborated allegations that child #1 & child #2 weren't able to partake in appropriate daily activities that were conducive to development of skills, social competence and self-esteem. This is due to the fact that child #1 & child #2 were made to sit in highchairs due to their behavior. Peers were also able to articulate that child #1 & child #2 were put in highchairs when they were misbehaving.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Individual interviews conducted on 4/1/26 through 5/11/26 corroborated allegations that child #1 & child #2 have been placed in highchairs for a period of time due to displaying disruptive behaviors such as running around during activities. Peers were also able to articulate that child #1 & child #2 were put in highchairs when they were misbehaving.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. TIERED LIS: 1. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. This portion shall have an immediate correction date. 2. The legal entity and all staff must participate an in-person training pertaining to Developmentally Appropriate Practices. This training must be completed outside of daycare hours. The trainer does not have to be PQAS approved. The training must be approved by OCDEL. The legal entity must also participate in ELRC's quality coach program regarding developmentally appropriate practices. The operator shall provide a date for when these training will be completed. 3. The Department will make no less than two unannounced visits over the next three months to ensure compliance with 3270.113(e). The correction date for this portion of the plan shall be a minimum of 3 months from the date the regional office accepts the plan of correction.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: During renewal inspection, staff files were reviewed. Staff #3 did not have Pediatric CPR training on file. Staff #4 did not complete an approved Pediatric CPR training. (See code sheets for dates of hire).

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. TIERED LIS: 1. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. 2. The legal entity must create a written policy regarding how the facility will keep track and obtain all necessary documentation including Pediatric CPR certificates. The legal entity will need sign, date, and have this policy readily assessable for requested access. This policy must be approved by DHS before implementation. The operator shall provide a date for when this policy will be completed and reviewed by all staff.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection, staff files were reviewed. Staff #1's previous NSOR is date for 7/23/2000, update was not obtained until 8/21/25. Staff #1's previous child abuse clearance is dated for 7/7/2020 and an update was not obtained until 11/13/25. Staff #1 was unable to obtain the appropriate clearances within the 60-month requirement. Staff #2's child abuse clearance is dated for 10/7/25. Staff #2 did not obtain the clearance prior to working with children. (See code sheet for date of hire).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). This portion shall have an immediate correction date. 2. The legal entity must attend existing provider orientation at any regional office location. The operator shall provide a date for when this training will be completed. 3. The legal entity must send in new staff files to the DHS northeast regional office for review. The correction date for this portion of the plan shall be a minimum of 3 months from the date the regional office approves.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: Continued Non-Compliance: On 5/12/25 a renewal inspection was conducted at the facility. Staff #1 had a previous health assessment dated for 1/12/23 on file from working at a previous facility. Staff #1 did not obtain an updated health assessment prior to working at the current facility. (See code sheet for date of hire). The facility's acceptable plan of correction indicated the correction would be implemented by (6/13/25). On 7/17/25 an unannounced inspection was conducted. Staff #1 had not obtained an updated health assessment and was seen working with children.

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.

Regulation: 3270.111(c)/3270.113(e)

Description: Promote development/Restraints prohibited

Noncompliance Area: On 6/16/25 interviews with staff and children were conducted concerning allegations that staff #1 forced child #1 onto their cot at nap time. These interviews corroborated allegations that staff #1 had pulled child #1 by the arm to put him on his cot. It was also confirmed that staff #1 told Child #1 that she would not let go of their arm unless they stayed on their cot. This was cited for on SIN-00268089.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. TIERED LIS: 1. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. This portion of the plan shall have an immediate correction date 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of in-person training regarding behavior management. If the training cannot be done in-person, it must at least be done with a live presenter to allow the staff to ask questions and interact. The legal entity must receive approval of training content from the Department prior to scheduling the training. The operator shall provide a date for when this training will be completed.

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: Individually Interviews conducted on 6/16/25 corroborated allegations that staff #1 & #2 have ridiculed children (embarrassing children for having accidents) and utilized harsh language (yelling at children). This was cited for on SIN-00268089.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: Based on interviews conducted as well as a review of the child sign in sheets, it was verified on 6/13/25 that staff #3 was in the infant room with 7 infants. This was cited for on SIN-00268089.

Correction Required: There were no infants in our program at the time of this inspection. the classroom held 2 young toddlers and 3 older toddlers the other 2 children on the attendance sheet were actually 3 yrs old and had begun the transition process to the preschool classroom and were not present in the classroom that day. The classroom was in compliance until the sixth child arrived and a staff person was late to work. The provider will continue to hire additional staff to ensure adequate staffing at all times. Should additional staff be unavailable or too costly provider will limit the number of children in the classroom to prevent this from occurring again. A meeting date of 8/8/2025 has been set to meet with our STARS manager to provide required continuing education to all staff. This training will be completed no later than 11/10/2025. I will form a policy addressing staff lateness and call offs and send to DHS for approval.

Regulation: 3270.111(c)/3270.113(e)

Description: Promote development/Restraints prohibited

Noncompliance Area: On 6/16/25 interviews with staff and children were conducted concerning allegations that staff #1 forced child #1 onto their cot at nap time. These interviews corroborated allegations that staff #1 had pulled child #1 by the arm to put him on his cot. It was also confirmed that staff #1 told Child #1 that she would not let go of their arm unless they stayed on their cot. This was cited for on SIN-00268089.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. TIERED LIS: 1. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. This portion of the plan shall have an immediate correction date 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of in-person training regarding behavior management. If the training cannot be done in-person, it must at least be done with a live presenter to allow the staff to ask questions and interact. The legal entity must receive approval of training content from the Department prior to scheduling the training. The operator shall provide a date for when this training will be completed.

Regulation: 3270.111(c)/3270.113(e)

Description: Promote development/Restraints prohibited

Noncompliance Area: On 6/16/25 interviews with staff and children were conducted concerning allegations that staff #1 forced child #1 onto their cot at nap time. These interviews corroborated allegations that staff #1 had pulled child #1 by the arm to put him on his cot. It was also confirmed that staff #1 told Child #1 that she would not let go of their arm unless they stayed on their cot.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. TIERED LIS: 1. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. This portion of the plan shall have an immediate correction date 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of in-person training regarding behavior management. If the training cannot be done in-person, it must at least be done with a live presenter to allow the staff to ask questions and interact. The legal entity must receive approval of training content from the Department prior to scheduling the training. The operator shall provide a date for when this training will be completed.

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: Individually Interviews conducted on 6/16/25 corroborated allegations that staff #1 & #2 have ridiculed children (embarrassing children for having accidents) and utilized harsh language (yelling at children). This was cited for on SIN-00268089.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children. TIERED LIS: 1. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. This portion of the plan shall have an immediate correction date 2. The legal entity must arrange for all facility staff to receive the two-hour training titled: Developmentally Appropriate Practices (DAP). The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed.

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: Individually Interviews conducted on 6/16/25 corroborated allegations that staff #1 & #2 have ridiculed children (embarrassing children for having accidents) and utilized harsh language (yelling at children).

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children. TIERED LIS: 1. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. This portion of the plan shall have an immediate correction date 2. The legal entity must arrange for all facility staff to receive the two-hour training titled: Developmentally Appropriate Practices (DAP). The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: Based on interviews conducted as well as a review of the child sign in sheets, it was verified on 6/13/25 that staff #3 was in the infant room with 7 infants. This was cited for on SIN-00268089.

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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision & ratio. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed. 3. The legal entity must create a ratio policy that includes how ratios will be maintained at all times including when staff call off or do not show up for work. This policy must be approved by the Department before implementation. Once approved the legal entity will discuss the policy with all staff and have each staff person sign off on the policy acknowledging that they understand their responsibilities. The Department will make no less than two unannounced visits over the next three months to ensure ratios are being maintained. The correction date for this portion of the plan shall be at minimum three months from the date the Regional Office approves the policy.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: Based on interviews conducted as well as a review of the child sign in sheets, it was verified on 6/13/25 that staff #3 was in the infant room with 7 infants.

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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision & ratio. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed. 3. The legal entity must create a ratio policy that includes how ratios will be maintained at all times including when staff call off or do not show up for work. This policy must be approved by the Department before implementation. Once approved the legal entity will discuss the policy with all staff and have each staff person sign off on the policy acknowledging that they understand their responsibilities. The Department will make no less than two unannounced visits over the next three months to ensure ratios are being maintained. The correction date for this portion of the plan shall be at minimum three months from the date the Regional Office approves the policy.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: During renewal inspection it was observed that Staff #3 had a previous health assessment dated for 1/12/23 on file from working at a previous facility. Staff #3 did not obtain an updated health assessment prior to working at the current facility. See code sheet for date of hire.

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.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During renewal inspection, it was observed that staff #1 did not have TB test results on file prior to working with children.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection, it was observed that Staff #2 did not have a second written reference on file.

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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During renewal inspection, it was observed that the facility did not have any documentation of completing an annual emergency drill. Last documented drill that was found was on 6/2/23.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: During renewal inspection, it was observed that staff #1 did not complete pediatric CPR training within 90 days of hire. (See code sheet for date of hire).

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. 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 must be supervised, when interacting with children at a minimum by, an (AGS or primary staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection, it was observed that Staff #1 did not have mandated reporter training on file. Also, during file reviews, it was observed that staff #3 did not have any updated clearances on file. The state police, child abuse, FBI and NSOR were expired. State police clearance was dated for 7/23/19, child abuse 7/30/19, FBI 1/14/20 and NSOR 1/27/20.

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. Facility Person #3 may not work in a child care position at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During renewal inspection, it was observed in the preschool room's first aid kit that tweezers were missing.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During an unannounced investigation, it was observed on the outdoor play space that a toy sink was cracked and not in good repair.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During unannounced visit, it was observed that the facilities BEO posting was outdated and displayed incorrect information.

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: During an unannounced investigation, it was observed that Child #1 did not have a financial agreement on file and Child #2's financial agreement was not updated within the past 6 months.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: During unannounced visit, it was observed that Staff #1 and #2 had not completed pediatric CPR within 90-days of hire. Staff #3 did not have a pediatric CPR certificate on file. See code sheet for dates of hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Until such time as the required training has been completed, staff person #1,2 & 3 must be supervised, when interacting with children, by a facility person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, 2, 3, staff person #1, 2, & 3 may not work in a child-care position at the facility

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During unannounced visit, it was observed that Staff #2 did not complete mandated reporter training within 90-days of hire. See code sheet for date of hire.

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

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: During an unannounced investigation, a picture was discussed with the operator that showed a bottle of carpet cleaner in the outdoor play space. Operator said she didn't know it was out there but removed it once it was brought to her attention.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.76/3270.102(c)

Description: Building Surfaces/Outdoor equip.- protective surfacing

Noncompliance Area: During an unannounced investigation, it was observed on the outdoor play space that the fencing along the facility that acts as a protective barrier was damaged. Thus, allowing children to either crawl under the fence or get injured by the damaged fence.

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. 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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: It was observed during nap time in the infant room that there was not 2 feet on three sides of a child's cot. There was no space to measure because the child was up against furniture on all sides of the cot.

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)(2)/3270.124(b)(7)

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

Noncompliance Area: Child #1's emergency contact sheet did not have the phone number of the child's physician. Child #4 did not have the release person's address on their emergency contact sheet.

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: 3270.131(b)(2)/3270.131(e)

Description: Toddler/preschool: updated health report every 12 months/ACIP recommended immunization record

Noncompliance Area: Child #3 did not have an updated health report on file. Child #2's vaccine chart was not attached to the health report within the file.

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. 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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #1 did not have a financial agreement on file. Child #3 and child #4 did not have an updated financial agreement on file. Child #3's agreement was dated for 11/1/23. Child #4's agreement was dated for 4/19/23.

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: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: Staff #1 did not have the qualifications to be listed as an assistant group supervisor. Staff has a bachelor's degree in biology/pre veterinarian and did not have 2 years of experience with children.

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

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: 7/20/23 to 8/23/23 indicates that fire alarm testing was not done within the 30 day requirement.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced the inspector reviewed the file for staff #1 (See LIS Code Sheet for date of hire) and noted that the staff was missing either proof of a Pa Child Abuse clearance or proof of having sent for the clearance as is required.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: While at the facility on 5/31/23 the inspector observed the file for staff person #4 and noted that this staff had a hiring TB screening conducted outside of initial employment rendering it out of date.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: While at the facility on 5/31/23 the inspector observed the file for staff person #1 and noted that this staff did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: While at the facility on 5/31/23 the inspector observed the file for staff persons #2, and # 3 and noted that both staff did not have an annual evaluation on file as is required every 12 months.

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

Regulation: 3270.123(a)(3)/3270.162(b)

Description: Services proceeded/Parents may provide

Noncompliance Area: While at the facility unannounced on 4/14/23 for the complaint investigation the inspector discussed the agreement form as well as meals provided with the director (staff #1) specific to lunches for children. The director indicated that there was a change to the agreement form and that the form itself had yet to be updated for the facility and parents.

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). Meals and snacks may be provided by the parent, upon agreement between the parent and the operator.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: While at the facility unannounced on 3/28/23 for the complaint investigation the inspector observed that the cribs and nap mats in the infant and toddler room were not two feet apart on three sides as is required. The inspector measured the spacings between the cribs and nap mats and found less than 18 inches between each.

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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: While at the facility on 3/28/23 the inspector observed three staff in the infant/toddler room and ten mixed aged infants/toddlers. Staff #2, #3, and #4 were in the infant/toddler room with ten children. When asked to identify the children in their groups staff #2 indicated child #2 was in their group. Staff #3 indicated that children #4, #6, and #9 were in their group. Staff #4 indicated that children #5 and #10 were in their group. This left four children unaccounted for: children #1, #3, #7 and #8 unaccounted for.

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. 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 facility will demonstrate their knowledge and ability to adequately supervise children at all times by developing and implementing a supervision policy that will focus on ensuring that each child is accounted for and seen, heard, assessed and able to be directed at all times. This supervision policy must be submitted to the Department prior to implementation for approval. Once approved by the Department the director will ensure that all current employees sign off on this policy as well as any new hires.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: While at the facility on 3/28/23 the inspector observed three staff in the infant/toddler room and ten mixed aged infants/toddlers. Staff #2, #3, and #4 were in the infant/toddler room with ten children. When asked to identify the children in their groups staff #2 indicated child #2 was in their group. Staff #3 indicated that children #4, #6, and #9 were in their group. Staff #4 indicated that children #5 and #10 were in their group. This left four children unaccounted for: children #1, #3, #7 and #8 unaccounted for.

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. Children must be supervised at all times. 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: 3270.161(a)

Description: Wholesome

Noncompliance Area: While at the facility unannounced on 3/28/23 for the complaint investigation the inspector observed evidence of rodents at the facility. The inspector observed rodent droppings in the pantry, on the floor and on the boxes of several food items. Staff were able to produce several pictures showing gnaw marks on food packaging.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.166(3)

Description: Disposable nursers or parents

Noncompliance Area: While at the facility unannounced on 3/28/23 for the complaint investigation the inspector was told by several staff that the facility does, in fact, handwash infant bottles and reuse these versus utilizing disposable nursers as the facility does not have a commercial grade dishwasher.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: While at the facility unannounced on 3/28/23 the inspector asked for access to the staff files and was told by staff that they did not have access to staff files when the director was not at the facility. The inspector requested files for the staff that were not able to be accessed and was told that staff #6 did not have a file as it had gone missing.

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

Regulation: 3270.21/3270.67(c)

Description: General Health and Safety/No insects or rodents

Noncompliance Area: While at the facility unannounced on 3/28/23 for the complaint investigation the inspector observed evidence of rodents at the facility. The inspector observed rodent droppings in the pantry, on the floor and on the boxes of several food items.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: While at the facility unannounced on 3/28/23 the inspector asked for access to the staff files and was told by staff that they did not have access to staff files when the director was not at the facility.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: While at the facility unannounced on 3/28/23 the inspector was informed by staff that the director (staff #1) consistently allows the infant/toddler room staff to leave the building for their breaks while stating they would observe the infants from the office, located in another room, leaving the infant room out of ratio.

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 required staff: child ratios must be maintained at all times. The legal entity will ensure that ratios for each age group are posted in each room to ensure that ratio is met at all times.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: While at the facility unannounced on 3/28/23 the inspector was informed by staff that the director (staff #1) consistently allows the infant/toddler room staff to leave the building for their breaks while stating they would observe the infants from the office, located in another room, leaving the infant room out of ratio.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: While at the facility unannounced on 3/28/23 the inspector observed caps of a white powder in the pantry that was explained as mouse poison.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: While at the facility unannounced on 3/28/23 the inspector observed several of the ceiling tiles had signs of water damage.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: While at the facility unannounced on 3/28/23 the inspector observed that one of the toilets was blocked off from use. When asked the staff indicated that the toilet had been broken for several weeks at present.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.151(c)(3)/3270.151(c)(4)

Description: Exam communicable disease/Information re: medical problems

Noncompliance Area: While at the facility unannounced on 6/2/22 for the renewal inspection the inspector reviewed the file for staff #3 and noted that this staff did not have a health assessment that includes an examination for communicable diseases and the results of that examination as well as information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

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 information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: While at the facility unannounced on 6/2/22 for the renewal inspection the inspector reviewed the file for staff #1 and staff #4 and noted both files were missing proof of education as is required.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: While at the facility unannounced on 6/2/22 for the renewal inspection the inspector reviewed the file for staff #2 and noted that this staff has been employed over 90 days and still does not have pediatric first aid and pediatric cardiopulmonary resuscitation as is required.

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

Noncompliance Area: The onsite portion of the inspection occurred at the facility on 7/29/20 and a review of staff files was conducted. Staff file # 5 had a health assessment dated for 10/24/17. Staff # 5 did not participate in another health assessment until 7/6/20. This health assessment was not updated every 24 months per regulation.

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: A renewal inspection occurred at the facility and a review of staff files was conducted. The Child Protective Services Law(CPSL) was revised to include the requirement for the National Sex Offender Registry(NSOR) clearance effective 9/30/2019. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain this clearance. The following staff have been employed at the center before 9/30/19. Staff # 1 did not obtain the NSOR clearance until 7/23/20 and Staff # 4 did not receive the NSOR clearance until 7/23/20. Staff # 1, and Staff # 4 were working with children during this inspection. The CPSL also requires clearances and mandated reporter training to be updated every 60 months. Staff # 1 had a state police clearance dated for 3/16/15 and was not updated until 5/1/20; a child abuse clearance dated for 4/9/15 and was not updated until 7/7/20; and an FBI clearance dated for 4/1/15 and was not updated until 7/13/20. Staff # 2 had a state police clearance dated for 3/16/15 and was not updated until 5/1/20; a child abuse clearance dated for 4/9/15 and was not updated until 5/1/20; and mandated reporter training dated for 3/2/15 and was not updated until 3/21/20. Staff # 3 had a state police clearance dated for 3/16/16 and was not updated until 5/1/20; and mandated reporter training that was dated for 2/2/15 and was not updated until 4/1/20. Staff # 2, and # 3 were working during this inspection. Staff # 6 had a provisional hire date of 9/30/19 and this file did not contain a child abuse clearance until 7/29/20. Staff #6 had worked after the provisional hire period without the file containing the completed child abuse clearance. Staff # 6 was working during this inspection.

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.

Noncompliance Area: On 5/8/19, a renewal inspection occurred. At that time child files were reviewed. Child file # 1 had a date of enrollment of 9/5/18 and the file was missing an initial health report. Child file # 2 had a date of enrollment of 9/1/17 and the file did not include an initial health report dated until 8/29/18. Child file # 3 had a date of enrollment of 9/5/18 and the file was missing an initial health report.

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

Noncompliance Area: On 5/8/19, a renewal inspection occurred. At that time a review of children's files occurred. Child file # 3 had a date of enrollment of 9/5/18 and the file did not contain a review of the child's immunizations until 4/30/19.

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

Noncompliance Area: On 5/8/19, a renewal inspection occurred. At that time a review of children's files was conducted. Child file # 2 has a not had a statement that age-appropriate screenings recommended by the AAP have been reviewed since the last immunization record dated 8/23/17.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Noncompliance Area: On 5/8/19, a renewal inspection occurred. At that time a review of staff files was conducted. Staff file # 1 had a date of hire of 9/21/18 and the file did not contain a health assessment conducted until 2/5/19. This health assessment was not completed prior to Staff # 1 working with children. Staff # 1 was working with children on the date of this inspection.

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: On 5/8/19, a renewal inspection occurred. At that time a review of staff files was conducted. Staff file # 3 only contained one letter of written reference. The file was missing one letter of written references as required per regulation. Staff # 3 was working with children on the date of this inspection.

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: On 5/8/19, a renewal inspection occurred. At that time a review of staff files was conducted. Staff file # 2 had a date of hire of 11/7/18 and this staff did not complete the mandated reporter training until 3/12/19. This mandated reporter training was not completed within 90 days of the staff's hire date per regulation.

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.

Noncompliance Area: On the date of this inspection, a review of child files was conducted. Child # 1 has a date of birth of 8/31/16 (young toddler). Child file # 1 had a health report dated 6/28/17 but was missing the 6-month updated 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.

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of 6/5/17 but staff # 1 did not complete mandated reporter training until 11/30/17, which was over the initial 90 days of employment with this facility. Staff file # 3 had a date of hire of 10/27/17 but staff # 3 did not complete mandated reporter training until 4/4/18, which was over the initial 90 days of employment with this facility. Staff file # 2 had a hire date of 11/17/17 but staff # 2 did not complete mandated reporter training until 2/26/18, which was over the initial 90 days of employment with this facility. Staff file # 2 was also missing a completed FBI clearance. Staff # 2 was not hired correctly as a provisional hire as the file was missing documentation that the staff had submitted the fingerprints for the FBI clearance. Staff # 2 was working in ratio with children at the time of this inspection.

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. Facility Person #2 may not work in a child care position at the facility.

Noncompliance Area: On the date of this inspection, a physical site review was conducted of the facility. In the 3-4 year old classroom closet a Swiffer wet jet mop was found with cleaning solution in it and accessible to children. The gate was not up blocking entrance to the kitchen and the kitchen door was left open to the children in the 3-4 year old classroom. In the kitchen under the sink and in the kitchen closet cleaning materials were stored accessible to children. In the desk in the preschool classroom, accessible to children was lotion and batteries. Also in the preschool room was a pink back pack that contained hand sanitizer. All items found indicated keeping 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.

Noncompliance Area: On the date of this inspection, a physical site review of the facility was conducted. Staff # 3 was observed cooking in the kitchen and the stove was on preparing food for lunch. The kitchen door was open and there was no child gate in use restricting the toddlers in the adjacent room from entering the kitchen. This Inspector asked Staff # 3 if when cooking is the gate and kitchen door left open. Staff # 3 indicated yes.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: THE BROWN WATER STAND IN THE PRESCHOOL 2 ROOM HAS SHARP POINTS ON THE INSIDE DOORS OF THE STAND ACCESSIBLE TO THE CHILDREN. THE HOOP ON LITTLE TYKES BASKETBALL HOOP IN THE INFANT/TODDLER OUTDOOR PLAY SPACE IS TORN IN MULTIPLE SPOTS. THE COVER FOR THE LARGE SAND BOX IN THE OUTDOOR SCHOOL AGE PLAY SPACE IS TORN IN MULTIPLE SPOTS.

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.

Noncompliance Area: THERE IS A BOX OF LATEX GLOVES IN A CHILDS CUBBY ACCESSIBLE TO THE CHILDREN. THERE ARE THUMB TACKS ON A SHELF ACCESSIBLE TO THE CHILDREN. THERE IS A HAIR TIE LESS THAN 1 INCH IN DIAMETER IN THE OUTDOOR INFANT/TODDLER PLAY SPACE ACCESSIBLE TO THE CHILDREN.

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.

Noncompliance Area: THERE IS NO FEE AMOUNT FOR CHILD # 1 IN THE CHILD'S FEE AGREEMENT.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: THERE IS AN EXPIRED PRESCRIPTION FOR CHILD # 3 FOR THE CHILD'S OPTICHAMBER DIAMOND VHC. THE PRESCRIPTION EXPIRED 6/24/16. THERE IS A EXPIRED PRESCRIPTION FOR CHILD # 4'S INHALER. IT EXPIRED 6/2/17.

Correction Required: 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.

Noncompliance Area: THERE IS UNLABELED CHILDREN'S IBUPROFREN, CHILDREN'S MOTRIN, INFANT COUGH SYRUP AND TUMS IN THE INFANT/TODDLER ROOM MEDICATION CLOSET AND MEDICATION BOX. A CONSENT FORM TO BE USED BY PARENTS DOES NOT NAME THESE SPECIFIC MEDICATIONS FOR THE FACILITY TO USE.

Correction Required: 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: THERE IS NO HANDS FREE LIDDED CAN IN THE DIAPERING AREA OF THE INFANT/TODDLER ROOM.

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: STAFF MEMBER #1 HAS A HEALTH ASSESSMENT ON FILE THAT DOES NOT DISCLOSE THE INDIVIDUALS PROFESSIONAL TITLE WHO DID THE ASSESSMENT.

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: THERE ARE MULTIPLE FOOD ITEMS IN THE KITCHEN PANTRY AND KITCHEN REFRIGERATOR THAT ARE EXPIRED AND NOT SAFE FOR HUMAN CONSUMPTION. TO NAME A FEW YOGURTS THAT EXPIRED 9/28/16 WITH MOLD ON THE OUTSIDE OF THE BOX, BREAD THAT EXPIRED 5/30/17, 10 BOXES OF CEREAL THAT EXPIRED IN JANUARY 2017, NUMEROUS JARS OF MAYO , TUNA AND CHICKEN BROTH THAT EXPIRED MORE THAN A YEAR AGO. THERE IS PULLED PORK ON A FOOD CART COVERED WITH A PAPERTOWEL AND PASTA SALAD IN A LARGE BOWL UNCOVERED ON THE KITCHEN COUNTER NOT REFRIGERATED.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption. Potentially hazardous food brought from the child`s home or provided by the facility shall be refrigerated.

Noncompliance Area: THE EMERGENCY CONTACT FORM FOR CHILD # 2 WAS NOT UPDATED IN OVER 6 MONTHS FROM 5/11/16 TO 1/6/17.

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: STAFF PERSON # 2 HIRED 6/5/17 HAS NO PROOF OF EDUCATION OR EXPERIENCE IN FILE.

Correction Required: A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: STAFF PERSON # 3 HIRED 7/29/16, DID NOT HAVE EMERGENCY PLAN TRAINING UNTIL 5/9/17.

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: THERE IS BATHROOM DISENFECTANT ON A SHELF IN THE CHILDREN'S BATHROOM ACCESSIBLE TO THE CHILDREN. THERE IS TOXIC ELMERS RUBBER CEMENT THAT STATES "KEEP OPUT OF REACH OF CHILDREN" IN AN UNLOCKED CABINET IN THE PRESCHOOL ROOM ACCESSIBLE TO THE CHILDREN. THERE IS TOXIC LIN STARCH IN A UNLOCKED CABINET OF THE PRESCHOOL 2 CLASSROOM. THERE IS A TOXIC AIR FRESHNER ON A SHELF IN THE INFANT/TODDLER CLASS ACCESSIBLE TO THE 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.

Noncompliance Area: THE KITCHEN DOOR DOES NOT CLOSE OR LOCK PROPERLY ALLOWING THE STOVE THAT HAS NO GUARDS AND EXCEEDS 110 DEGREES ACCESSIBLE TO THE CHILDREN.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: THE TRAVEL OUTDOOR FIRST AID KIT IN THE SCHOOL AGE ROOM IS ACCESSIBLE TO THE CHILDREN.

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

Noncompliance Area: THE OUTDOOR FIRST AID KIT FOR THE INFANT/TODDLER CLASS HAS NO WATER.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3270.75(c).

Noncompliance Area: STAFF MEMBER # 1 DID NOT ALLOW CHILD # 1 OR CHILD # 2 TO GET ICE CREAM DURING A GROUP EXCURSION FOR ICE CREAM DUE TO THEIR BEHAVIORS. ALL OF THE OTHER CHILDREN AND STAFF HAD ICE CREAM.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child`s family and may not specifically aim to degrade the child or the child`s family.

Noncompliance Area: STAFF MEMBER # 1 DID NOT ALLOW CHILD # 1 OR CHILD # 2 TO GET ICE CREAM DURING A GROUP EXCURSION FOR ICE CREAM DUE TO THEIR BEHAVIORS. ALL OF THE OTHER CHILDREN AND STAFF HAD ICE CREAM.

Correction Required: Food may not be withheld from a child for purposes of discipline.