The Salvation Army

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The name of the medical provider was not available for child #1 and child #2. The phone number of the medical provider was not available for child #2.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Pick up and drop off procedures were not available. Corrected on site by posting the document.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Documentation showed that an emergency drill had been conducted on 4/15/25. Documentation showed that the previous drill had been conducted on 2.15.24, which exceeds the requirement that emergency drills be conducted every 12 months.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Documentation showed a fire drill was conducted on 1/13/25 and again on 3/25/25, which exceeds the requirement that fire drills be conducted at least every 60 days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: At the time of inspection, the date of admission was not available for child #3. This was CORRECTED ON SITE.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: At the time of inspection, documentation of consent for emergency medical care signed by the parent was not available on the emergency contact form for child #3. Initials were used to indicate consent for emergency medical care on the emergency contact form for child # 4.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of inspection, emergency contact forms were not present in the child care space for children receiving care in the 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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: At the time of inspection, documentation of a 6-month update of the emergency contact information was not available for child #1 and child #4. At the time of inspection, documentation of a 6-month update of the financial agreement was not available for child #1 and child #4.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: At the time of inspection, a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease was not available on the health assessment form for child #4.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of inspection, a policy to address the recognition of potential signs/symptoms of abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment was not available.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: At the time of inspection, scissors, soap and water were not available in the vehicle first aid kit. CORRECTED ON SITE.

Correction Required: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.182(4)/3270.182(6)

Description: Consent for administration of medications or special dietary needs/Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: At the time of inspection, the emergency contact form for child #4 contained initials to indicate consent for the administration of medications or special dietary needs and for transportation, walking excursions, swimming and wading. At the time of inspection, the emergency contact form for child #2 contained initials to indicate consent for transportation, walking excursions, swimming and wading.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At the time of inspection, consent for minor first aid was not available on the emergency contact form for child #3.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: At the time of inspection, documentation of how the program would contact families when emergency situations arise was not available. A method for contacting parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children was not available in the emergency plan.

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. 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of the inspection, documentation of completed emergency plan training was not available for Staff #1 and Staff #4

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: At the time of inspection, documentation that the emergency plan and subsequent plan updates had been sent to the local municipality and to the county emergency management agency was not available.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: At the time of inspection, documentation of 12 hours of annual training was not available for Staff #4.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, dated disclosure statements for staff #1, staff #2 and staff #3 were not available.

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.

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 person #1 had a health assessment dated 2/23/21 and updated on 1/8/24, which is greater than 24 months Staff person #3 had a health assessment dated 8/24/21 and updated on 1/5/24, which is greater than 24 months.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: There was no record of an emergency drill completed within the past 12 months.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #2 was documented to have resided in Maryland within the past 5 years. Staff #2 did not have Maryland clearances on file. Staff #2 may not work in a child care position until clearances are obtained.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact form for child number 4 did not include a complete parent home address , address listed is a PO Box number, which is not accepted. Work address on file is not complete, address on emergency contact form is missing city, and state

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact form for Child number 4 did not include a complete address for persons whom the child may be released. One release person address missing the city and state, the other release person address had a PO Box number, which is not accepted.

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.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: Agreement form for child number 3 was not signed by the parent. Agreement form for child number 4 was not signed by the parent. Agreement form for child number 5 was not signed by the parent.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Agreement form for child number 1 did not include persons to whom the child may be released. Agreement form for child number 2 did not include persons to whom the child may be released. Agreement form for child number 3 did not include persons to whom the child may be released. Agreement form for child number 4 did not include persons to whom the child may be released. Agreement form for child number 5 did not include persons to whom the child may be released.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency Form for child number 1 did not include the physician's name or phone number. Emergency Form for child number 2 did not include the physician's name, address, or phone number. Emergency Form for child number 3 did not include the physician's name, address, or phone number Emergency Form for child number 4 did not include the physician's name, address, or phone number Emergency Form for child number 5 did not include the physician's name, address, or phone number

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact form for child number 4 did not include a complete parent home address , address listed is a PO Box number, which is not accepted. Work address on file is not complete, address on emergency contact form is missing city, and state

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency Contact form for child number 1 did not include the child's health insurance policy number. Emergency Contact form for child number 2 did not include the child's health insurance policy number. Emergency Contact form for child number 3 did not include the child's health insurance policy number. Emergency Contact form for child number 4 did not include the child's health insurance policy number. Emergency Contact form for child number 5 did not include the child's health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact form for Child number 4 did not include a complete address for persons whom the child may be released. One release person address missing the city and state, the other release person address had a PO Box number, which is not accepted.

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.

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 CPR/First Aid

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, primary staff person, or family child care home staff person) 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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric CPR/First Aid Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric CPR/First Aid

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1 and 2 will have until 1/20/23 to complete the required training. Until such time as the required training has been completed, staff person #1 and 2 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. If there are no staff available to supervise staff person #1 and 2, staff person #1 and 2 may not work in a child-care position at the facility.