The Home Away From Home Childrens Learning Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 6/5/24, cert rep and supervisor observed several damaged toys that were accessible to children. A stuffed animal with hard eyes, less than 1 inch in diameter, a broken piece of toy with springs exposed, a wooden block with sharp corners-that could cause splinters and pinch points, and a plastic toy that had batteries covered with tape that could be easily exposed. Cert rep observed a pack and play with holes in the mesh.

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

Regulation: 3270.106(a)/3270.106(f)

Description: Clean, age appropriate/2 feet apart

Noncompliance Area: On 3/20/24, cert rep observed during nap time, that the pack n plays and children in sleeping bags did not have 2 feet of space on three sides. The pack n plays were not labeled with the specific children's names. An acceptable plan of correction was received on 4/16/24 with a correction date of 5/01/24. On 5/2/24, the pack n plays were not labeled with the specific children's names. An acceptable plan of correction was received on 6/5/24 with a correction date of 5/20/24. On 6/5/24, cert rep and supervisor arrived for a complaint investigation. Cert rep observed 3 pack and plays not labeled. Rest equipment was spaced 2 feet apart on three sides during naptime.

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

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

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

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived for a complaint investigation. Staff #4 identified six young toddlers being assigned to her, staff #2 was unable to name the children assigned to and pointed to two infants and two young toddlers, and staff #3 identified a mixed age group of six children consisting of a range of older toddlers to school aged children. Two older toddlers were not identified. Cert rep and supervisor reviewed video surveillance that showed enrolled child #1 along with two of staff #1's children playing in a busy parking lot while cars are seen driving past. No staff were present and the children were unattended.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

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

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

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived for a complaint investigation. Staff #4 identified six young toddlers being assigned to her, staff #2 was unable to name the children assigned to and pointed to two infants and two young toddlers, and staff #3 identified a mixed age group of six children consisting of a range of older toddlers to school aged children. Two older toddlers were not identified. Cert rep and supervisor reviewed video surveillance that showed enrolled child #1 along with two of staff #1's children playing in a busy parking lot while cars are seen driving past. No staff were present and the children were unattended.

Correction Required: Over the course of 3 months the facility will demonstrate compliance on unannounced visits that each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived for a complaint investigation. Cert rep observed empty infant car seat in a pack & play. When asked staff #18 reported that the infant child came in asleep and parent requested child not be removed from the car seat and woken. Staff #18 reported that the car seat was placed in pack & play and the infant was allowed to sleep in it.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.123(a)(5)/3270.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: On 3/20/24, child(ren) #1-3's fee agreements did not list a date of admissions or a release person. An acceptable plan of correction was received on 4/16/24 with a correction date of 5/01/24. On 5/2/24, child(ren) #1-6's fee agreements did not list a date of admissions or a release person. An acceptable plan of correction was received on 06/05/24 with a correction date of 06/03/24. On 6/5/24, cert rep and supervisor arrived for a complaint investigation. Cert rep observed child(ren) #1-6's fee agreement to not contain a release person. Child #2's fee agreement did not contain date of admission.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived for a complaint investigation. Cert rep and supervisor observed a staff person discard a soiled diaper into a diaper genie by raising the lid using their hands.

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

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: On 6/5/24, Cert rep and supervisor observed staff change a diaper and not sanitize the diapering surface following the changing of the child's diaper.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.165

Description: Menus

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived for a complaint investigation. The facility provides meals to the children. The menu posted was the menu from the previous week. Staff #17 reported the menu is not given to the parents and is posted in the facility.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 6/5/24, cert rep observed three infant bottles in the refrigerator that were not labeled and one infant bottle on the ledge near the infant area that was not labeled.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.21/3270.105

Description: General Health and Safety/High Chairs

Noncompliance Area: On 6/5/24, cert rep observed 5 young toddlers sitting in drop in seats in the toddler feeding table. The seats are equipped with safety straps and none of the children were buckled into their safety straps.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.21/3270.62(b)

Description: General Health and Safety/Play space - 65 square feet/child

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived for a complaint investigation. Cert rep and supervisor reviewed video surveillance that showed an enrolled child#1 along with two of staff #1's children playing in a busy parking lot while cars are seen driving past. No staff were present and the children were unattended. The facility does not have an outdoor play space.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Outdoor or indoor play space shall be measured at 65 square feet per child.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On 6/5/24, staff person #4 and #11 has not completed the following required pre-service training: Health and Safety Center Based 10-hour training and Pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum within 90 days of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. center based health and safety training, and Pediatric First Aid/CPR, respectively. Staff person #4, and #11 will have until 7/5/24 to complete the required training. Until such time as the required training has been completed, staff person #4 &#11 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 3/20/24, cert rep observed staff person's #1-5 staff files. Cert rep observed staff #1-4 caring for children at the facility. All staff are currently new hires. Staff #1 had their child abuse clearance on file. Staff #1 did not have a signed disclosure statement, PSP, FBI or NSOR clearances on file and no request receipts for the clearances. Staff person #2 had their child abuse, FBI, and NSOR clearance on file. Staff #2 did not have a signed disclosure statement, PSP clearance or out of state clearances on file and no request receipts for the clearances. Staff #3 had their PSP, child abuse and FBI clearance on file. Staff #3 did not have a signed disclosure statement, or NSOR clearance and no request receipt for the clearance. Staff #4 did not have any clearances on file and did not have a signed disclosure statement on file. Staff #4 had no receipts of requests for the clearances on file. Staff #5 had their PSP and child abuse clearances on file. Staff #5 did not have a signed a disclosure statement, FBI or NSOR clearance on file. Staff #5 had no receipts of requests for the clearances. Staff #1-5 were hired provisionally. On 3/27/24, cert rep observed the following staff's files that are missing the following: Staff #7-PSP, FBI, NSOR and disclosure statement and no request receipts for the clearances; Staff #8 Disclosure statement; Staff #9 FBI clearances, disclosure statement and no request receipts for the clearances; Staff #10-PSP, Child Abuse clearance, FBI, NSOR, Disclosure statement, and no request receipts for the clearances; Staff # 12 NSOR clearance and no request receipts for the clearances. Cert rep observed staff #10 caring for children at the facility with no clearances on file. Cert rep reviewed a staff sign in that was confirmed for 3/27/24. Staff #2 was at the facility earlier that day, staff #2 was suspended on 3/20/24, due to not having clearances on file. Cert Rep also reviewed staff clock ins from 3/21/24- 3/26/24 on Lillio app. The app indicated staff #2 and #3, that were previously suspended for lack of clearances had clocked in since 3/20/24. An acceptable plan of correction was received on 4/16/24 with a correction date of 3/27/24. On 5/2/24, facility person #14, who is a volunteer did not have any clearances on file and was providing transportation or in the car while children are being transported. The operator acknowledged that facility person #14 does not have any clearances on file. Staff #15 has a PSP clearance dated 8/7/23, child abuse clearance dated 8/7/23, a request receipt for the NSOR dated 4/7/24 and no FBI clearance or request receipt for the clearance. Staff #15 was providing childcare unsupervised when the morning staff arrived. The operator acknowledged that staff #15 was left alone with the children. Staff #3 does have a signed disclosure statement and NSOR clearance on file. An acceptable plan of correction was received on 6/5/24 with a correction date of 5/20/24. On 6/5/24, cert rep and supervisor were conducting a complaint investigation. Staff person #4 arrived at the facility to prepare lunch. Staff #4 was suspended on 3/20/24, and still does not have an NSOR on file. Staff #17 confirmed that staff #4 has been working and at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #1,2,4,5, 7-9 & #14 may not be present in a childcare position at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived at the facility for a complaint investigation. Staff #4 identified six young toddlers being assigned to her, staff #2 was unable to name the children assigned to and pointed to two infants and two young toddlers, and staff #3 identified a mixed age group of six children ranging from older toddlers to school aged. Two children were not identified. Once the two children consisting of older toddlers were identified they were out of ratio and had to call another staff person to come the facility.

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).