The Caring Castle LLC
Quick Facts
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Contact Information
📞 (412) 884-2400Reviews
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About the Provider
Hours of Operation
- Monday6:30 AM - 6:00 PM
- Tuesday6:30 AM - 6:00 PM
- Wednesday6:30 AM - 6:00 PM
- Thursday6:30 AM - 6:00 PM
- Friday6:30 AM - 6:00 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
|---|---|---|---|
| 2026-08-19 | Renewal | 3270.102(a) - Clean and good repair | Needs Verification |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: In room #3 the orange lidded table contained 12 cracked magna tiles that were cracked with exposed small magnets 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The 12 cracked magna tiles in the orange lidded table in room #3 that were cracked and exposed small magnets were disposed of. |
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| 2026-08-19 | Renewal | 3270.103 - Small Toys and Objects | Needs Verification |
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Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: In room #1 the young toddler area contained a red and yellow soft climbing triangle that was worn with exposed foam accessible to children still placing objects in their mouth. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) In room #1 disposed of the red and yellow soft climbing triangle that was worn with exposed foam. |
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| 2026-08-19 | Renewal | 3270.107 - Refrigerator | Needs Verification |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: In room #3 the refrigerator temperature was 58 degrees Fahrenheit. In room #5 the refrigerator temperature was 53 degrees Fahrenheit. Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. |
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Provider Response: (Contact the State Licensing Office for more information.) Adjusted refrigerator temperatures to be sure the refrigerator side is 45 degrees or lower. |
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| 2026-08-19 | Renewal | 3270.123(a)(1) - Amount of fee | Needs Verification |
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Regulation: 3270.123(a)(1) Description: Amount of fee Noncompliance Area: Child #2 and 3's financial agreements did not include the amount of the fee to be charged per day or per week. Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. |
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Provider Response: (Contact the State Licensing Office for more information.) On child #2 and #3's financial agreements added in the amount of the fee to be charged per day. |
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| 2026-08-19 | Renewal | 3270.123(a)(3) - Services proceeded | Needs Verification |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: Child #1's most recent child service report is dated 10/22/25 which is more than 6 months ago. Child #2's most recent child service report is dated 10/29/25 which is more than 6 months ago. Child #3's most recent child service report is dated 8/29/24 which is more than 6 months ago. Child #4's most recent child service report is dated 11/12/25 which is more than 6 months apart. Child #5's most recent child service report is dated 10/17/25 which is more than 6 months ago. 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). |
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Provider Response: (Contact the State Licensing Office for more information.) Children #1, 2, 3, 4 and 5 did not have service reports updated before the 6 month update date. All of these service reports will be updated as well as any others in the file that are not current by 8/28/2026. |
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| 2026-08-19 | Renewal | 3270.123(a)(4) - Arrival/departure times | Needs Verification |
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Regulation: 3270.123(a)(4) Description: Arrival/departure times Noncompliance Area: Child #2's financial agreement did not contain the child's arrival and departure time. Correction Required: An agreement shall specify the child's arrival and departure times. |
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Provider Response: (Contact the State Licensing Office for more information.) On Child #2's financial agreement, the child's arrival and departure time were added. |
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| 2026-08-19 | Renewal | 3270.123(a)(6)/3270.182(2) - Admission date/Application, admission, withdrawal dates | Needs Verification |
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Regulation: 3270.123(a)(6)/3270.182(2) Description: Admission date/Application, admission, withdrawal dates Noncompliance Area: Child #2's financial agreement did not contain 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On child #2's financial agreement, the date of the child's admission was added. |
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| 2026-08-19 | Renewal | 3270.123(b)/3270.182(8) - Parent receives original/Copy of initial and subsequent agreements. Parent receives original. | Needs Verification |
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Regulation: 3270.123(b)/3270.182(8) Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original. Noncompliance Area: The financial agreements in child #1, 2, 3, 4, 5, and 6 files is the original agreement. Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. |
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Provider Response: (Contact the State Licensing Office for more information.) Copies will be made for our files of the financial agreements for children #1, 2, 3, 4, and 5. |
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| 2026-08-19 | Renewal | 3270.124(b)(2) - Physician name, address, phone | Needs Verification |
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Regulation: 3270.124(b)(2) Description: Physician name, address, phone Noncompliance Area: Child #5's emergency contact form did not contain the name 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Made sure there was a current physical in file and on the physician's information is on the emergency contact form for child #5 with the name of the child's physician and source of medical care, this includes the name, address and telephone number of the child's physician or source of medical care. |
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| 2026-08-19 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Needs Verification |
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Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: Child #1, 2, 4, and 5's files did not contain the enrolling parent's work address and phone number. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) Enrolling parent's work address and phone number were inserted into the Emergency Contact form for child #1, 2, 4 and 5's files. |
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| 2026-08-19 | Renewal | 3270.124(b)(5) - Information re: special needs | Needs Verification |
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Regulation: 3270.124(b)(5) Description: Information re: special needs Noncompliance Area: Child #1's file did not contain information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. |
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Provider Response: (Contact the State Licensing Office for more information.) The section on the form of child #1 needed to have N/A inserted to designate there were no longer special needs required for this child. |
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| 2026-08-19 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Needs Verification |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: Child #2, 4, and 5 files did not contain the address of the individuals designated by the parent to whom the child may be released. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) For child files #2, 4 and 5 add the address of individuals designated by parent to whom child may be released. Double check all files to make sure this is correct on those as well. |
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| 2026-08-19 | Renewal | 3270.124(c) - Each child care space | Needs Verification |
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Regulation: 3270.124(c) Description: Each child care space Noncompliance Area: In room #1 the emergency contact information was missing for two children that were receiving care in that childcare space. In room #5 the emergency contact information was missing for one child receiving care in that childcare space. At approximately 1115am in the outside space the staff member stated that they do not bring the children's emergency contact information with them when they go to the outside play space. Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency contact information was added to the binder in room #1 for two children and in room #5 for one child. There is a new emergency contact binder being prepared that will contain all the children in the Center. This one will be by the door to go out on the playground. |
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| 2026-08-19 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Needs Verification |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: Child #1's two most recent update signatures for emergency contact information are dated 2/12/25 and 2/17/26 which is more than 6 months apart. Child #2's only update signature for emergency contact information is 3/18/26 which is more than 6 months after enrollment. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Children #1 and #2 emergency contact information have been updated. |
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| 2026-08-19 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Needs Verification |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: Child #5's initial health assessment was completed by the parent making it invalid. The next health assessment in the file is dated 12/1/25 which is more than 60 days after enrollment(See LIS Code Sheet). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Be very careful when reviewing children's health assessments and make sure the parents understand it is for the doctor to fill out, not them. |
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| 2026-08-19 | Renewal | 3270.133(3) - Name on bottle | Needs Verification |
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Regulation: 3270.133(3) Description: Name on bottle Noncompliance Area: The first aid kits in room #1 and #2 contained Triple Antibiotic Ointment that did not contain the name of the child for whom the medication is intended. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Triple Antibiotic Ointment was removed from first aid kits in room #1 and #2. |
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| 2026-08-19 | Renewal | 3270.133(6) - Written consent | Needs Verification |
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Regulation: 3270.133(6) Description: Written consent Noncompliance Area: The medication box contained 3 bottles of Children's Tylenol, 1 bottle of infant Tylenol, 1 tube of Orajel Cooling Gel for teething, and 1 bottle of Infants Mylicon. The facility was not able to provide written parental consent for administration for these medications. Correction Required: A parent shall provide written consent for administration of medication or a special diet. |
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Provider Response: (Contact the State Licensing Office for more information.) All medication in box was sent home with parents. |
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| 2026-08-19 | Renewal | 3270.134(a) - Child's hands washed | Needs Verification |
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Regulation: 3270.134(a) Description: Child's hands washed Noncompliance Area: At approximately 10am in room #1 the staff did not have the child wash their hands after diapering. Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. |
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Provider Response: (Contact the State Licensing Office for more information.) Remind staff that all children are required to wash their hands after diapering. |
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| 2026-08-19 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Needs Verification |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: The facility did not have a written policy addressing strategies for coping with a crying, fussing, or distraught child. The facility did not have a written policy addressing the prevention of child maltreatment. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Deborah Donaldson will create a written policy addressing strategies for coping with a crying, fussing or distraught child. This policy will address that conditions at the facility may not pose a threat to the health and safety of children. This policy will be added to the Emergency Plan along with our Shaken Baby Syndrome policy. |
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| 2026-08-19 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Needs Verification |
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Regulation: 3270.151(a)/3270.192(3) Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test Noncompliance Area: Staff #8's initial staff health assessment is dated 8/13/25 which is more than 12 months prior to date of hire(See LIS Code Sheet) making it invalid. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) They only started a week ago. They are now getting a new physical because it has been more than 12 months since their previous physical. |
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| 2026-08-19 | Renewal | 3270.152 - Adult Hygiene | Needs Verification |
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Regulation: 3270.152 Description: Adult Hygiene Noncompliance Area: At approximately 10am in room #1 in the young toddler area the staff person did not wash their hands after changing a child's diaper. Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person in room #1 was reminded to wash their hands after changing a diaper or toileting a child, as well as all other staff in the Center. |
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| 2026-08-19 | Renewal | 3270.171(a) - Pick-up and drop-off points | Needs Verification |
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Regulation: 3270.171(a) Description: Pick-up and drop-off points Noncompliance Area: The operator did not have proof of notifying their local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Created and mailed a Traffic Safety letter to Baldwin Police Department and Option Fire Department. Will place a copy of the letter in the Emergency Plan as well. |
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| 2026-08-19 | Renewal | 3270.181(c) - Emergency info/agreement updated 6 mos | Needs Verification |
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Regulation: 3270.181(c) Description: Emergency info/agreement updated 6 mos Noncompliance Area: Child #1's two most recent update signatures for the financial agreement is dated 2/12/25 and 2/17/26 which is more than 6 months apart. Child #2's only update signature for the financial agreement is 3/18/26 which is more than 6 months after enrollment. Child #3's two most recent update signatures for the financial agreement are date 9/22/24 and 2/3/26 which is more than 6 months apart. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Children #1, 2 and 3's financial agreements have been updated. These should be updated every 6 months. |
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| 2026-08-19 | Renewal | 3270.192(5) - Two written references | Needs Verification |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: Staff #8's file did not contain two written nonfamily references. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff has obtained two written nonfamily references. |
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| 2026-08-19 | Renewal | 3270.27(a)(3) - Contact when arises | Needs Verification |
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Regulation: 3270.27(a)(3) Description: Contact when arises Noncompliance Area: The facility's emergency plan did not contain a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. |
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Provider Response: (Contact the State Licensing Office for more information.) Our emergency plan and parent letter will be sure to address how parents will be contacted as soon as is reasonably as possible when an emergency situation arises. Make sure to indicate they will be first contacted by Brightwheel, but those who cannot be reached this way will also be texted and/or called until they are successfully communicated with. We will re-send this letter to parents indicating this specific procedure. If we cannot successfully reach the parent/guardian, we will initiate calls to the names listed as Emergency Contact as well. This will be sent out by Co-Director. |
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| 2026-08-19 | Renewal | 3270.27(a)(4) - Contact when ended | Needs Verification |
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Regulation: 3270.27(a)(4) Description: Contact when ended Noncompliance Area: The facility's emergency plan did not contain a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. |
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Provider Response: (Contact the State Licensing Office for more information.) In the Emergency Plan develop a method for facility persons to inform parents that the emergency has ended and provide instruction as to how parents can safely be reunited with their children. This will first include a message through Brightwheel, and if the parent/gaurdian doesn't respond, a text or phone call will be made until a parent/guardian is reached. If this is not successful, staff will go to the child's Emergency Contact list for additional names to contact. Also include this information in the Parent/Guardian's letter regarding communications with parents/guardians in the event of an emergency. This letter is provided at Enrollment and annually updated to all Parents/Guardians through Brightwheel. Co-Director will be handling this task. |
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| 2026-08-19 | Renewal | 3270.27(a)(5) - Emergency plan | Needs Verification |
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Regulation: 3270.27(a)(5) Description: Emergency plan Noncompliance Area: The facility's emergency plan did not accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. |
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Provider Response: (Contact the State Licensing Office for more information.) Update Emergency Plan to accommodate for infants, toddlers, children with disabilities and children with chronic medical conditions. This was updated and included in the parent letter regarding the emergency plan. |
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| 2026-08-19 | Renewal | 3270.27(d) - Plan posted | Needs Verification |
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Regulation: 3270.27(d) Description: Plan posted Noncompliance Area: The emergency plan was not posted in a conspicuous location. Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location. |
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Provider Response: (Contact the State Licensing Office for more information.) On the bulletin board in the foyer in plain sight for the parents to see, a sign has been posted that Emergency Plan is available to review upon request. |
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| 2026-08-19 | Renewal | 3270.31(e) - Age and Training | Needs Verification |
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Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: Staff file #5 lacked 6 of the 12 hours of annual child care training required from 12/2024 to 12/2025. Staff file #5 contained 2 child care training hours dated 2/27/26 and 2 child care training hours dated 3/10/26 used for correction. Staff #5 is still lacking 2 child care training hours. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #5 completed the last 2 hours required for her training. A copy was placed in her file. |
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| 2026-08-19 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Needs Verification |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: Staff #7's file contained a Department of Education FBI clearance dated 7/16/24 which is not an acceptable DHS FBI Clearance. Staff #7's file did contain a receipt for DHS FBI clearance dated 5/8/26 and a DHS FBI clearance dated 5/8/26 which is after staff's date of hire(See LIS Code Sheet). Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) All new hires shall have an acceptable DHS FBI Clearance in their file on or before their date of hire. Department of Education FBI clearance will not be accepted. |
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| 2026-08-19 | Renewal | 3270.34(a)(6) - Staff evaluations | Needs Verification |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: Staff #1's file did not contain an annual staff evaluation it has been more than 12 months since date of hire(See LIS Code Sheet). Staff #2 and 3's most recent staff evaluation is dated 2/3/25 which is more than 12 months ago. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) Evaluations were done and given to staff, however, were not placed in the staff persons' files. These have been found and placed in the files of Staff 1, 2, and 3. These were given to staff by Co-Director. |
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| 2026-08-19 | Renewal | 3270.36(b)(5)/3270.192(2)(ii) - HS/GED + 2 yrs/Exp, educ., training prior to facility | Needs Verification |
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Regulation: 3270.36(b)(5)/3270.192(2)(ii) Description: HS/GED + 2 yrs/Exp, educ., training prior to facility Noncompliance Area: Staff #3's, identified as an assistant group supervision, file did not contain the verification of 2 years of child care experience and did not contain proof of high school education. Staff #4's, identified as an assistant group supervisor, file only contained proof of 1732 hours of child care experience. Staff #5, 6, 7, and 8's, identified as an assistant group supervisors, files did not contain proof of 2 years of verified 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #3 will only be classified as an Aide until she obtains 250 more hours of childcare experience. Her college transcripts are in file. Staff #4 has a total of 2,686 hours of childcare experience - 1,732 in her file rand 954 hours at our Center. Staff #s 5, 6, and 8 now have Employer Verification Forms in file. Staff #7 no longer works at the Center. |
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| 2026-08-19 | Renewal | 3270.37(c) - Aides supervised all times | Needs Verification |
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Regulation: 3270.37(c) Description: Aides supervised all times Noncompliance Area: At approximately 11 am Staff #1, that qualified as an Aide, was at the door to the outside play space with 15 preschool age children unsupervised. Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. |
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Provider Response: (Contact the State Licensing Office for more information.) When 2 teachers are escorting a large group of students to the playground (preschool), make sure the group stays closer together so that the teacher in the rear can still keep eyes on all the children. Try to stay within gated room or at least close enough so that the teacher in the rear can observe the whole group. Teachers need to communicate better for these types of scenarios and utilize the floater to help. This is especially important when one of the teachers is Aide status. |
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| 2026-08-19 | Renewal | 3270.51 - Similar Age Level | Needs Verification |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: At approximately 11am staff #1 was at the door to the outside play space with 15 preschool age children unsupervised. Staff #2 was outside room #2 with one preschool age child from approximately 11-11:07am. Staff #2 then joined Staff #1 at the door at approximately 11:07am. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Make sure when taking larger groups through the Center to the playground that group stays tighter together so that teacher in the rear of the group can see what is going on in the front of the group. Try to stay within a gated room or at least very close to the gate in the adjoining room. |
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| 2026-08-19 | Renewal | 3270.66(a) - Locked or inaccessible | Needs Verification |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: In room #3 the cabinet under the sink was not locked and it contained a bin of sunscreen and Awesome Cleaning Vinegar all which stated keep out of reach of children accessible to children. In the Kitchen in the corner lower cabinet that was unlocked was a bottle of Capitol CPA039 Latex Carpet Pad Adhesive which stated Keep Out of Reach Of Children accessible to 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. |
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Provider Response: (Contact the State Licensing Office for more information.) In room #3 a new lock was put on cabinet. In the kitchen a lock was placed on the lower cabinet in which Carpet Pad Adhesive was located. |
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| 2026-08-19 | Renewal | 3270.76 - Building Surfaces | Needs Verification |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: In room #3 the outlet plate under the right window was loose pulling away from the wall. In room #1 under the window next to the trampoline was an electrical outlet plate that was cracked and missing a corner of the plate exposing the inside of the electrical outlet. In room #3 behind the dryer was a stained ceiling tile. In the outside space the stairs on the wooden house were splintering. There was also splintering wood on "kitchen" surface. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Room #3 outlet and box in wall have been secured. Room #1 electric outlet plate was replaced. Tile above dryer will be replaced. Outside house has been sanded and repainted - steps done and inside kitchen specifically. |
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| 2026-08-19 | Renewal | 3270.77(a) - No peeling paint or plaster | Needs Verification |
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Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: In room #1 in the corner near the diaper table and near the gate was peeling paint. In room #2 behind the infant swing under the windows was peeling paint. In room #3 drywall tears were behind the eating area, and drywall damage behind rocking chair. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Room #1 in the corner near the diaper table and near the gate peeling paint, room #2 behind the infant swing under the windows peeling paint, and room #3 drywall tears behind the eating area and drywall damage behind rocking chair were all painted. Actually, painted the Center walls fully so no tears are present throughout. |
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| 2026-08-19 | Renewal | 3270.82(e) - Toilet and sinks proper height | Needs Verification |
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Regulation: 3270.82(e) Description: Toilet and sinks proper height Noncompliance Area: In room #1 in the young toddler area a staff member held a child up to the sink to wash their hands. Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps. |
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Provider Response: (Contact the State Licensing Office for more information.) We ordered step stools for each sink/handwashing area in the Center. They arrived 8/24/2026. Staff will encourage children to use the stepstool to wash their hands. Staff will assist as need be. |
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| 2026-08-19 | Renewal | 3270.82(h) - Handwashing signs | Needs Verification |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: In room #5 in the connected bathroom there was no handwashing sign near the toilet. Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Place a handwashing sign near the toilet in room #5's connected bathroom. |
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| 2026-08-19 | Renewal | 3270.91(a) - Stairs, exits, etc. unobstructed | Needs Verification |
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Regulation: 3270.91(a) Description: Stairs, exits, etc. unobstructed Noncompliance Area: In Room #3 when the emergency exit door was opened the path to the next emergency door was blocked by a mop and bin of toys. Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. |
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Provider Response: (Contact the State Licensing Office for more information.) In the Room #3 door opening to the emergency exit door a mop and bin of toys blocked the emergency door. These were removed to provide clear access to the Emergency exit door. |
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| 2026-08-19 | Renewal | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Needs Verification |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: The fire extinguisher in the kitchen stated Low Recharge. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Took fire extinguishers to be checked and re-tagged. The one that was Low Recharge was inspected and re-filled and ok'd for use. |
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| 2026-05-15 | Unannounced Monitoring | 3270.61(c) - 40 square feet wall-to-wall | Compliant - Finalized |
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Regulation: 3270.61(c) Description: 40 square feet wall-to-wall Noncompliance Area: CONTINUED NON-COMPLIANCE: On 1/22/26 an unannounced inspection was conducted at the facility. On 1/22/26 at approximately 9:30 am, the following ratio violations were observed: 12 children in Room #3 which has a capacity of 11; 6 children in Room #4 which has a capacity of 5; and 8 children in Room #5, which has a capacity of 6. The facility's acceptable plan of correction indicated the correction would be implemented by 1/22/26. On 2/25/26, at 9:30am, an unannounced complaint inspection was conducted. Certification representative observed 17 children in the New Room #3 which has a capacity of 16. On 5/15/2026 at approximately 10:10am, an unannounced monitoring inspection was conducted. Certification representative observed 5 children in the infant room (room 2) with two staff. Room 2 has a capacity of 4. Correction Required: TIERED LIS: 1)Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40. This portion of the plan shall have an immediate correction date. 2) The Legal Entity will post the total capacity of the room in each individual child care space in a conspicuous location. The operator shall provide a date for when this will be completed. 3) The legal entity will create a written policy for maintaining capacity in each child care space. At a minimum, the policy needs to include a procedure for maintaining the capacity in each room and how staff will notify the director if they are going over capacity. The policy will be reviewed by each staff person and each staff person will need to sign an acknowledgement that they have read the policy. The acknowledgements will be submitted to the Regional Office for review. The operator shall provide a date for when this will be completed. 4) The legal entity will conduct mandatory staff meetings at least once a month for a period of 2 months following the approval of this plan. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last year as well as review and discuss the Depart of Human Services' regulation relating to room capacity. An agenda will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. Each staff person will sign an attendance sheet next to their printed name. The staff meeting agendas and logs will be submitted to the Department within 5 days of the meeting. The operator shall provide a date for when this will be completed. |
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Provider Response: (Contact the State Licensing Office for more information.) TIERED LIS: 1)Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40. This portion of the plan has been completed and understood May 15, 2026. 2) The Legal Entity will post the total capacity of the room in each individual child care space in a conspicuous location. This has been completed May 15, 2026. 3) The legal entity will create a written policy for maintaining capacity in each child care space. At a minimum, the policy needs to include a procedure for maintaining the capacity in each room and how staff will notify the director if they are going over capacity. The policy will be reviewed by each staff person and each staff person will need to sign an acknowledgement that they have read the policy. The acknowledgements will be submitted to the Regional Office for review. The operator shall provide a date for when this will be completed. A written policy has been created to maintain capacity in each childcare space. The written policy has been created and all staff have signed the new policy as of 6/5/26. 4) The legal entity will conduct mandatory staff meetings at least once a month for a period of 2 months following the approval of this plan. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last year as well as review and discuss the Depart of Human Services' regulation relating to room capacity. An agenda will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. Each staff person will sign an attendance sheet next to their printed name. The staff meeting agendas and logs will be submitted to the Department within 5 days of the meeting. The first of these two meetings will be July 10, the second August 7, 2026. |
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| 2026-04-02 | Unannounced Monitoring | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 health report and TB screening results on file for Staff #1 were obtained after Staff #1 started working in a child care position. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) A health report and TB screening result should be provided before staff begins working in the facility. |
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| 2026-04-02 | Unannounced Monitoring | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The files for Staff #1 and Staff #2 lacked 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff file for Staff #1 now contains (or will contain) two written, nonfamily references attesting to their suitability to serve as a facility person. The staff file for Staff #2 now contains (or will contain) two written, nonfamily references attesting to their suitability to serve as a facility person. |
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| 2026-04-02 | Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for Staff #2 (See LIS Code Sheet) lacked the required out of state clearances. The file for Staff #4 (See LIS Code Sheet) lacked a current NSOR certificate. The most recent NSOR certificate on file was dated 12/8/20 which was obtained more than 60 months ago. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #2 and #4 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Obtain out of state clearances for Staff #2. Even though she lived out of state as a minor, that state's clearances are required. NSOR clearance will be updated as well. |
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| 2026-04-02 | Unannounced Monitoring | 3270.35(b)/3270.192(2)(ii) - Group sup qualifications/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.35(b)/3270.192(2)(ii) Description: Group sup qualifications/Exp, educ., training prior to facility Noncompliance Area: The file for Staff #4, identified as a group supervisor, lacked documentation of child care experience, education and training prior to service at the facility. Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The file for Staff #4 now contains documentation verifying childcare experience, education, and training qualifying them as a group supervisor. |
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| 2026-02-25 | Complaints- Legal Location | 3270.51 - Similar Age Level | Compliant - Finalized |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: Continued Non-Compliance: On 1/22/26 the following ratio violations were observed in the Main Room at approximately 9:30 am: Staff #1 was responsible for 6 young toddlers; Staff #2 was responsible for 6 young toddlers; and Staff #3 was responsible for 7 infants. In Room #3 at 9:40 am, Staff #4 was responsible for 12 preschoolers. The facility's acceptable plan of correction indicated that when children are grouped in similar age levels, the younger age determines the ratio. Staff to child ratios would be in compliance by 1/22/26. On 2/25/26 an unannounced complaint inspection was conducted. The following ratio violations were observed in the Main room. At 9:20am, certification representative observed 8 older toddlers in the care of staff #6. On 2/25/26 at 9:20am, certification representative observed 5 infants in the care of staff #3. Correction Required: TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity will hold monthly staff meetings for a period of three months from the acceptance of the plan of correction. All facility staff are required to attend the monthly staff meetings. The following topics must be covered over the course of the three staff meetings: supervision, ratio and capacity regulations and a review of all violations cited within the past 12 months. The legal entity will document each staff meeting by creating a dated agenda, including the specific topics reviewed and a dated attendance log, signed by each staff who attended the staff meeting. A copy of the dated agenda and attendance log will be provided to the OCDEL-DHS representative by email within one week after each staff meeting. The correction date for this portion of the plan shall be at min 3 months from the date of this plan of correction. 3. The legal entity will require all leadership staff, including the operator, director, assistant director, to participate in technical assistance visits provided by the ELRC, regarding the leadership's role in supporting staff compliance with ratio and supervision. The legal entity will complete a minimum of 3, in-person technical assistance visits provided by ELRC 5. The technical assistance visits must be completed within 4 months of the approval of this plan of correction. Upon completion of the visits, documentation will be provided to the OCDEL-DHS representative by email. The correction date for this portion of the plan shall be at min 4 months from the date of this plan of correction. |
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Provider Response: (Contact the State Licensing Office for more information.) 1. 2/26/26 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. This has been corrected as of 2/26/2026. 2. 6/23/26 The legal entity will hold monthly staff meetings for a period of three months from the acceptance of the plan of correction. All facility staff are required to attend the monthly staff meetings. The following topics must be covered over the course of the three staff meetings: supervision, ratio and capacity regulations and a review of all violations cited within the past 12 months. The legal entity will document each staff meeting by creating a dated agenda, including the specific topics reviewed and a dated attendance log, signed by each staff who attended the staff meeting. A copy of the dated agenda and attendance log will be provided to the OCDEL-DHS representative by email within one week after each staff meeting. These 3 monthly meetings will be held no later than June 23, 2026. 3. 7/23/26 The legal entity will require all leadership staff, including the operator, director, assistant director, to participate in technical assistance visits provided by the ELRC, regarding the leadership's role in supporting staff compliance with ratio and supervision. The legal entity will complete a minimum of 3, in-person technical assistance visits provided by ELRC 5. The technical assistance visits will be completed no later than July 23, 2026. Upon completion of the visits, documentation will be provided to the OCDEL-DHS representative by email. |
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| 2026-02-25 | Complaints- Legal Location | 3270.52 - Mixed Age Level | Compliant - Finalized |
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Regulation: 3270.52 Description: Mixed Age Level Noncompliance Area: On 2/25/26 at 9:20am, certification representative observed 5 young toddlers and 1 older toddler in the care of staff #8. 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). |
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Provider Response: (Contact the State Licensing Office for more information.) 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). In this case since there were young toddlers the ratio was determined by that age group or 1:5 staff to child ratio. There was one additional older toddler in the group, however the ratio should have been determined by the young toddler group. |
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| 2026-02-25 | Unannounced Monitoring | 3270.61(c) - 40 square feet wall-to-wall | Non Compliant - Finalized |
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Regulation: 3270.61(c) Description: 40 square feet wall-to-wall Noncompliance Area: Continued Non-Compliance: On 1/22/26 an unannounced inspection was conducted at the facility. On 1/22/26 at approximately 9:30 am, the following ratio violations were observed: 12 children in Room #3 which has a capacity of 11; 6 children in Room #4 which has a capacity of 5; and 8 children in Room #5, which has a capacity of 6. The facility's acceptable plan of correction indicated the correction would be implemented by 1/22/26. On 2/25/26, at 9:30am, an unannounced complaint inspection was conducted. Certification representative observed 17 children in the New Room #3 which has a capacity of 16. Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40. |
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Provider Response: (Contact the State Licensing Office for more information.) Be sure that only the allowable number of children are in a space per measurement of 40 sq. ft. per child. |
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| 2026-01-22 | Unannounced Monitoring | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Non Compliant - Finalized |
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Regulation: 3270.151(a)/3270.192(3) Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test Noncompliance Area: Facility Person #5, identified as a Volunteer, was observed working in Room #3 with 12 children. Facility Person #5 lacked a valid 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility Person #5 needs to provide a valid health care assessment. She emailed her health assessment/tb to us 1/27/26. |
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| 2026-01-22 | Unannounced Monitoring | 3270.191 - Individual Records | Non Compliant - Finalized |
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Regulation: 3270.191 Description: Individual Records Noncompliance Area: Facility Person #5, identified as a Volunteer, was observed working in Room #3 with 12 children. Facility Person #5 lacked an individual record/file. Correction Required: An individual record is required for each facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Created a file for Facility Person #5. All documents were collected for her file, however, still waiting on her NSOR clearance. |
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| 2026-01-22 | Unannounced Monitoring | 3270.192(5) - Two written references | Non Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: Facility Person #5, identified as a Volunteer, was observed working in Room #3 with 12 children. Facility Person #5 lacked 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Make sure 2 letters of reference are included in Facility Person #5 file. All staff, even Volunteers are required to have 2 letters of reference in their file. Aujuwa emailed them to us 1-26-26. |
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| 2026-01-22 | Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Non Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: Staff #4 and Facility Person #5, identified as a Volunteer, were observed working in Room #3 with 12 preschool aged children. Facility Person #5 lacked a PA Criminal History, Child Abuse Clearance, NSOR, FBI clearance and a disclosure statement. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #5 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Do not allow a Volunteer to be counted as a teacher in ratio. Facility Person #5 is excluded from any position at the Center until her file is complete. |
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| 2026-01-22 | Unannounced Monitoring | 3270.51 - Similar Age Level | Non Compliant - Finalized |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: On 1/22/26 the following ratio violations were observed in the Main Room at approximately 9:30 am: Staff #1 was responsible for 6 young toddlers; Staff #2 was responsible for 6 young toddlers; and Staff #3 was responsible for 7 infants. In Room #3 at 9:40 am, Staff #4 was responsible for 12 preschoolers. Correction Required: TIERED PLAN OF CORRECTION: 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to complete a training regarding Ratio and Supervision. The training must be offered by ELRC 5, in-person and a minimum of 2 hours. The training must be completed within 2 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete. 3. The legal entity shall create a document that includes the following: Room Name; Room Capacity; staff:child ratios 3270.51, 3270.52. The legal entity will post the document in a conspicuous location in each child care room and space. The document must be approved by the Department prior to posting. The document must be posted within 2 months of the approval of this plan of correction. The operator shall provide a date for when this training will be complete. |
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Provider Response: (Contact the State Licensing Office for more information.) 1. 1/22/26 When children are grouped in similar age levels, the younger age determines the ratio. 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 children 1:15 with a maximum group of 30. Corrected 1-22-2026 (Not Implemented 2/25/26) 2. 3/29/26 All staff persons at the facility will complete a training regarding Ratio and Supervision. This will be given by an ELRC-5 staff person, a minimum of two hours. Approval of the training will be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. This training will count towards the mandatory 12 training hours required by the Department. Operator will provide a date for when this training will be complete. (Implemented 2/27/26) 3. 3/29/26 Legal entity shall create a document that includes the following: Room Name; Room Capacity; staff:child ratios 3270.52, 3270.52. The legal entity will post the document in a conspicuous location in each child care room and space. The document must be approved by the department prior to posting. The document must be posted within 2 months of the approval of this plan of correction. The operator shall provide a date for when this training will be complete. (Implemented 2/25/26) |
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| 2026-01-22 | Unannounced Monitoring | 3270.61(c) - 40 square feet wall-to-wall | Non Compliant - Finalized |
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Regulation: 3270.61(c) Description: 40 square feet wall-to-wall Noncompliance Area: On 1/22/26 at approximately 9:30 am, the following ratio violations were observed: 12 children in Room #3 which has a capacity of 11; 6 children in Room #4 which has a capacity of 5; and 8 children in Room #5, which has a capacity of 6. Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40. |
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Provider Response: (Contact the State Licensing Office for more information.) Make sure all rooms follow the specific allowed children per measurement. Room #3 should have no more than 11; Room #4 should have no more than 6; and Room #3 should have no more than 5. |
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| 2025-12-04 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: Observed an adult chair in the YT area in the main room with exposed foam that was accessible to YT aged children (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. |
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Provider Response: (Contact the State Licensing Office for more information.) Repair chair cover in YT room - bought new cover for chair. |
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| 2025-12-04 | Renewal | 3270.104(a) - Clean, good repair, proper size | Compliant - Finalized |
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Regulation: 3270.104(a) Description: Clean, good repair, proper size Noncompliance Area: Observed an unstable shelf in the Main Room in the OT area. Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. |
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Provider Response: (Contact the State Licensing Office for more information.) Attached shelf to wall in Main Room - OT area. |
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| 2025-12-04 | Renewal | 3270.106(a) - Clean, age appropriate | Compliant - Finalized |
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Regulation: 3270.106(a) Description: Clean, age appropriate Noncompliance Area: The cribs used for the children were not labeled for the use of a specific child and used only by the specified child. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Labeled cribs with numbers and assigned numbers to children on white board as they changed. |
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| 2025-12-04 | Renewal | 3270.123(a) - Signed | Compliant - Finalized |
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Regulation: 3270.123(a) Description: Signed Noncompliance Area: The agreement in the file for child #2 was not signed by the operator. Correction Required: An agreement shall be signed by the operator and the parent. |
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Provider Response: (Contact the State Licensing Office for more information.) Signed agreement in the file for child #2 by the operator. |
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| 2025-12-04 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: The file for child #2 lacks the work address of the enrolling parent. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) Added the work address on the emergency contact form of the enrolling parent for child #2. |
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| 2025-12-04 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: The file for child #1 contains an initial health report that was obtained after 60 days following the first day of attendance at the facility. It was due 10/2025 and obtained 11/2025. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Made sure administrative staff are aware that upon registration, parents must provide a child initial health report within 60 days of first day of attendance. |
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| 2025-12-04 | Renewal | 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports | Compliant - Finalized |
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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 file for child #1 contains a health assessment that was obtained late. It was due 8/2025 and obtained 11/2025. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Indicate to parent that child's health assessment must be turned in timely going forward. |
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| 2025-12-04 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 following staff files contain health assessments that were updated late: #2 due 12/2024 and obtained 2/2025; #3 due 10/2025 and obtained 11/2025; #4 due 12/2024 and obtained 1/2025; #5 due 11/9/2025 and obtained 11/14/2025; #6 due 11/19/2025 and obtained 11/20/2025. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Remind all staff that physicals must be done when due. Otherwise they will have to be excluded from the Center until this is accomplished. |
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| 2025-12-04 | Renewal | 3270.161(d) - Potentially hazardous food refrigerated | Compliant - Finalized |
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Regulation: 3270.161(d) Description: Potentially hazardous food refrigerated Noncompliance Area: Observed yogurt and a lunchable (lunch meat) labeled "refrigerate" in a lunch bag that was not refrigerated in room 11. Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated. |
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Provider Response: (Contact the State Licensing Office for more information.) Placed lunchable [and yogurt] in refrigerator. |
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| 2025-12-04 | Renewal | 3270.166(4) - Bottles labeled | Compliant - Finalized |
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Regulation: 3270.166(4) Description: Bottles labeled Noncompliance Area: Observed 4 baby bottles that were not labeled with a child's name. Correction Required: Disposable nursers and bottles shall be labeled with the child's name. |
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Provider Response: (Contact the State Licensing Office for more information.) Made sure all baby bottles are labeled. |
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| 2025-12-04 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for staff #1 lacks one written, nonfamily reference 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member #1 was told she had to turn in her second written non-family reference. |
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| 2025-12-04 | Renewal | 3270.34(b)(3)/3270.192(2)(ii) - Associate's + 3 yrs/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.34(b)(3)/3270.192(2)(ii) Description: Associate's + 3 yrs/Exp, educ., training prior to facility Noncompliance Area: The file for staff #2 lacks verification of an associate's degree to qualify staff as staff's designated position. Correction Required: A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The diploma for [staff #2's] Associate's Degree is now in [staff's] file. |
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| 2025-12-04 | Renewal | 3270.37(c) - Aides supervised all times | Compliant - Finalized |
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Regulation: 3270.37(c) Description: Aides supervised all times Noncompliance Area: Observed staff person #1 escorting/supervising children to the restroom alone. Staff #1 is qualified as an aide. Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. TIERED LIS 1. Aides must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The facility shall have all current aids sign a statement acknowledging that they cannot be alone with children & non-aides (all other staff) sign a statement acknowledging that they cannot leave children alone with an aid. The statement should include what to do instead. All staff shall continue to sign the corresponding documents at hire. |
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Provider Response: (Contact the State Licensing Office for more information.) 1. Prohibit staff members of Aide status to escort children to the bathroom alone. In general, Aide must be supervised all times. (initiated as of 12/4/2025) 2. The facility shall have all current aides sign a statement acknowledging that they cannot be alone with children & non-aides (all other staff) sign a statement acknowledging that they cannot leave children alone with an aide. The statement should include what to do instead. All staff shall continue to sign the corresponding documents at hire. (initiated 1/20/2026), [will be completed by 1/23/26] |
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| 2025-12-04 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: Observed uncovered outlets on the light strand on the Christmas tree and in the power strip at the refrigerator in room 11. Children under 5 years of age had access the these areas. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) Placed protective receptacle covers on the light strand on Christmas tree and in the power strip at the refrigerator in room 11. |
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| 2025-12-04 | Renewal | 3270.72(d) - Above ground window opening restricted to 6" | Compliant - Finalized |
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Regulation: 3270.72(d) Description: Above ground window opening restricted to 6" Noncompliance Area: Several windows in the Main Room above the ground floor that open directly to the outdoors and are accessible to children were not adequately modified or adapted to limit the opening to 6 or fewer inches. The device used to restrict the windows was not working properly. Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches. |
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Provider Response: (Contact the State Licensing Office for more information.) Added modification to windows in Main room above ground floor to limit opening to 6 or fewer inches. |
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| 2025-12-04 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: The OT diapering area and the diapering are in the main room near the infants lacked a handwashing sign. Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Placed handwashing signs in the OT diapering area and in the main room near the infants' area. |
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| 2025-05-21 | Unannounced Monitoring | 3270.106(f) - 2 feet apart | Compliant - Finalized |
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Regulation: 3270.106(f) Description: 2 feet apart Noncompliance Area: Observed 6 children using rest equipment at naptime in room #4 that was not at least 2 feet of space on three sides of a bed, cot, crib or other rest equipment while the equipment was 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Provide at least 2 feet of space on three sides of a cot in all rooms during naptime. |
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| 2025-05-21 | Complaints- Legal Location | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: On 5/21/25 at 12:45pm, 3 PS children and 3 OT children were observed to be in care and napping. The room was very dark and the children could not be seen adequately. The room had no natural light or artificial light at naptime. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Purchase brighter lights to illuminate the room during naptime. |
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| 2025-05-21 | Unannounced Monitoring | 3270.37(c) - Aides supervised all times | Compliant - Finalized |
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Regulation: 3270.37(c) Description: Aides supervised all times Noncompliance Area: Observed staff #1 and #2 identified as aides supervising 6 children at naptime in room #4 without the supervision of a staff person qualified at minimum as an assistant group supervisor. Observed staff #3 identified as aide supervising 3 children at without the supervision of a staff person qualified at minimum as an assistant group supervisor in the infant room intermittently throughout the investigation. Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. |
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Provider Response: (Contact the State Licensing Office for more information.) Make sure staff is qualified as assistant group supervisor before being alone with a group of children. |
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| 2024-12-05 | Renewal | 3270.124(c) - Each child care space | Compliant - Finalized |
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Regulation: 3270.124(c) Description: Each child care space Noncompliance Area: Emergency contact information was not present in the infant room for the children receiving care in that space. Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. |
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Provider Response: (Contact the State Licensing Office for more information.) Moved Emergency Binder to room where children were located. |
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| 2024-12-05 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 file for staff #2 lacks a current health assessment. The health assessment was due 8/2024. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Have staff person turn in completed physical. |
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| 2024-12-05 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 file for staff #3 contains a health assessment that was obtained late. It was due 2/2024 and obtained 10/2024. The file for staff #7 contains a health assessment that was obtained late. It was due 10/21/2024 and obtained 11/1/2024. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Make sure staff physicals are completed on time including renewals. |
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| 2024-12-05 | Renewal | 3270.166(4) - Bottles labeled | Compliant - Finalized |
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Regulation: 3270.166(4) Description: Bottles labeled Noncompliance Area: Observed one unlabeled baby bottle in the toddler room. Correction Required: Disposable nursers and bottles shall be labeled with the child's name. |
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Provider Response: (Contact the State Licensing Office for more information.) Labeled bottle. |
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| 2024-12-05 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: Observed loose crib sheets on the cribs in the infant room. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) Keep only tightly fitted sheets on the crib mattresses. |
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| 2024-12-05 | Renewal | 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii) Description: Fire safety - 1 yr./Exp, educ., training at facility Noncompliance Area: The files for staff #2, #4, #5, and #6 lack annual fire safety training. It was due 9/2024. Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Fire Safety training was done at the Center with Option Fire Dept. |
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| 2024-12-05 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff #7 contains a criminal clearance that was updated late. It was due 8/11/2024 and obtained 8/12/2024. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Remind staff earlier to renew expiring clearances. |
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| 2024-12-05 | Renewal | 3270.36(b)(5)/3270.192(2)(ii) - HS/GED + 2 yrs/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.36(b)(5)/3270.192(2)(ii) Description: HS/GED + 2 yrs/Exp, educ., training prior to facility Noncompliance Area: The file for staff #4 lacks verification of experience (2500 hours) to qualify staff as an AGS. At the previous renewal, staff qualified as an aide. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Verified staff had enough experience to be classified as an AGS. |
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| 2024-12-05 | Renewal | 3270.37(c) - Aides supervised all times | Compliant - Finalized |
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Regulation: 3270.37(c) Description: Aides supervised all times Noncompliance Area: Observed staff #1 alone in room #4 at 12:30pm caring for children when the other staff left staff #1 alone with the children in the room at naptime. Staff #1 is qualified as aide. Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. |
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Provider Response: (Contact the State Licensing Office for more information.) Until staff reaches AGS level make sure she is not with children alone. |
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| 2024-12-05 | Renewal | 3270.52 - Mixed Age Level | Compliant - Finalized |
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Regulation: 3270.52 Description: Mixed Age Level Noncompliance Area: At 11:30am on 12/5/24, 2 young toddlers and 4 older toddlers were observed in the care of one staff person in the toddler room. The ratio should have been one staff person to a maximum of 5 children. 6 children were observed to be in the care of one staff. At 12:45pm on 12/5/24, 3 infants and 2 young school aged children were in the care of one staff person in the infant room. The ratio should have been one staff person to a maximum of 4 children. 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). |
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Provider Response: (Contact the State Licensing Office for more information.) Moved children to create proper ratio. |
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| 2024-12-05 | Renewal | 3270.61(c)/3270.61(h) - 40 square feet wall-to-wall/Exceeding Capacity | Compliant - Finalized |
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Regulation: 3270.61(c)/3270.61(h) Description: 40 square feet wall-to-wall/Exceeding Capacity Noncompliance Area: At 12:45pm on 12/5/24, 5 children were observed in care in the infant room that measures for a maximum of 4 children. Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40. The capacity established for an indoor space may not be exceeded. |
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Provider Response: (Contact the State Licensing Office for more information.) Moved one child out of the room. |
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| 2024-12-05 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: Observed cleaning products in a portable sink cabinet in the toddler room that were accessible to children due to a malfunctioning child safety latch. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Fixed latch on sink cabinet. |
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| 2024-12-05 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Regulation: 3270.75(c) Description: Has all items Noncompliance Area: The first aid kit in the toddler room lacked band aids. The first aid kit in room #4 lacked soap and gauze. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Added bandaids to toddler first aid kit. Added soap and gauze to first aid kit in room #4. |
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| 2024-12-05 | Renewal | 3270.92(a) - No portable space heaters | Compliant - Finalized |
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Regulation: 3270.92(a) Description: No portable space heaters Noncompliance Area: A portable space heater was present in the infant room. The heater was not observed in use at the time of the inspection. Correction Required: Portable space heaters are not permitted. |
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Provider Response: (Contact the State Licensing Office for more information.) Removed space heater from infant room. |
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| 2024-07-25 | Allocated Unannounced Monitoring | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid and cpr and 10 hour health and safety training. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Savauna has completed her CPR and first aid training and her 10 hour health and safety training. |
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| 2024-07-25 | Allocated Unannounced Monitoring | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 files for staff #1 and #2 lack a health assessment and TB test conducted within 12 months prior to providing initial service in a child care setting. Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Savauna's health assessment and t/b were conducted on 8/15/24. She was on vacation through 8/12/24 and saw her dr as soon as she returned. Nicole Kinavey is not working with us since 7/25/24 and knows upon return she must supply me her new physical upon hire. |
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| 2024-07-25 | Allocated Unannounced Monitoring | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for staff #2 lacks 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Nicole Kinavey is no longer with us at the Center. Upon her return, she knows she must supply 2 letters of reference. |
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| 2024-07-25 | Allocated Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The files for staff #1 and #2 contain clearances that were obtained late (after initial service in the child care setting). The NSOR, child abuse, criminal and FBI clearances were all late for staff #1. The criminal was late for #2, the wrong FBI clearance was applied for, the NSOR was applied for late if staff #2 was properly provisionally hired, however, the provisional hire process was improperly done therefore, staff #2 is not on a provisional hire status. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 2 may not work in a child care position at the facility until all 4 complete clearances are on file 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Before new staff even start in the Center, all 4 clearances shall be obtained, and FBI disclosure statement signed and all in file. Make sure proper FBI clearance is obtained. |
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| 2024-07-25 | Allocated Unannounced Monitoring | 3270.35(b)(1)/3270.192(2)(ii) - Bachelor's/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.35(b)(1)/3270.192(2)(ii) Description: Bachelor's/Exp, educ., training prior to facility Noncompliance Area: The file for staff #2 lacks verification of a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Before N. Kinavey is employed the Center, she will provide proof of her degree. She has not been in the Center since 7/25/24. |
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| 2024-07-25 | Allocated Unannounced Monitoring | 3270.36(b)(5)/3270.192(2)(ii) - HS/GED + 2 yrs/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.36(b)(5)/3270.192(2)(ii) Description: HS/GED + 2 yrs/Exp, educ., training prior to facility Noncompliance Area: The file for staff #1 lacks verification of 2 years 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Savauna is considered Aide status until she has acquired 2 years of experience with children. She is not there yet, so would not be classified as an assistant group supervisor. |
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| 2023-12-12 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: Observed a damaged step stool and a damaged potty seat int he restroom that was intended for use by the children. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Toilet seat and step stool have been replaced. |
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| 2023-12-12 | Renewal | 3270.133(2) - Written instructions | Compliant - Finalized |
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Regulation: 3270.133(2) Description: Written instructions Noncompliance Area: Observed an inhaler that was intended for use by a child without the written instructions from the individual who prescribed the medicine in the facility's medicine box. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Parent provided written instructions by the doctor and they are kept with the inhaler. |
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| 2023-12-12 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 file for staff #11 lacks a health assessment that was due 11/2023. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #11 shall provide an updated physical. |
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| 2023-12-12 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 files for staff #2, #4, #5, and #10 contain late health assessments. #2 due 10/2023 and obtained 11/2023; #4 due 10/2023 and 11/2023; staff #5 due 11/15/20323 and obtained 11/28/2023; staff #10 due 2/2023 and obtained 10/2023. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Make sure facility persons have timely health assessments conducted - within 12 months prior to initial service and every 24 months thereafter. |
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| 2023-12-12 | Renewal | 3270.151(c)(2)/3270.192(3) - Mantoux TB/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(c)(2)/3270.192(3) Description: Mantoux TB/Health assessment, TB test Noncompliance Area: The file for staff #2 lacks a TB test that was due 10/2023. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Have staff person get an updated TB test. |
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| 2023-12-12 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The files for staff #1, #3, and #5 lack 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Make sure all new staff provide two written nonfamily references upon hire. |
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