Webster Early Learning Center

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During naptime, in the Younger Preschool Room, Staff Person #1 identified 5 children in their primary care group and Staff Person #2 identified 3 children in their primary care group. There were 2 classes combined for naptime with a total of 14 children. Neither staff person included the other staff person's (on break) 6 children as part of their primary care groups.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.133(7)(vi)

Description: Time of administration

Noncompliance Area: A Medication Log documented that Child #1's medication was administered on 1/22/26, however the staff person had not included the time that the medication was administered.

Correction Required: A medication log shall include the time of administration.

Regulation: 3270.114

Description: Outdoor Activity

Noncompliance Area: Children in the Prekdg class were not regularly taken outdoors daily. Staff indicated that they take children out in the afternoons, but not always in the mornings. While children go to the gym some mornings for gross motor play, there are many children who are picked up before children go outside to play on the playground (4:15 or 4:30), so those children do not go outdoors daily, weather permitting. Class schedules include a morning and an afternoon outdoor play time.

Correction Required: Weather permitting, children shall be taken out doors daily.

Regulation: 3270.66(a)/3270.66(b)

Description: Locked or inaccessible/Original container

Noncompliance Area: Two Magic Erasers were located by the paper towels that the children use for handwashing. They were not labeled and were accessible to the children in the School Age Room/Gym.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Several hexagon rubber surfacing pieces on the Toddler Playground under the climber and at the entryway, were loose or missing.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Staff Person #1 has put her legs across Child #1 while sitting on the floor next to the child's on the rest mat during naptime.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A weighted blanket is used for Child #1 at naptime. The parent provided the weighted blanket and gave written permission to use it, however, no written instructions/recommendations from a medical professional regarding the recommended weight and usage were provided, nor was there any information on the use of the weighted blanket in an IEP at the facility.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Emergency Plan did not include a contingency plan addressing continuity of operations.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Ceiling tiles and vents observed in the Older Preschool and Prekdg classrooms and bathrooms were dirty and had significant dust buildup on them.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: The toddler playground that is fenced in separately from the other playground is not being used currently as the toddler outdoor play space was moved into the large fenced in playground, to the left of the preschool/SA play areas. Mulch is present around the preschool equipment, which is accessible to the toddlers as there is no fencing dividing the play space.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The written plan of daily activities was not posted in the School Age classroom (gym). (Corrected during inspection).

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The Emergency Transportation Plan was not posted in the Young Preschool classroom (Corrected during the inspection).

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeled paint/cracks and an open hole was observed on the walls in the bathroom located in the Young Preschool classroom.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.77(a)/3270.102(a)

Description: No peeling paint or plaster/Clean and good repair

Noncompliance Area: The Older Playground Climber that is used by preschool and school age children has areas with rust and peeling paint on the blue pull-up bar.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: Rep observed expired diaper cream older toddler room (3rd room on the left side of hallway).

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: Rep observed soiled diapers disposed of in a hands-free lidded can that did not have a plastic liner inside.

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

Noncompliance Area: Facility persons #1, #2 have health assessments that do not contain the results of an exam for communicable disease and an assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: The first aid kit in the infant room is missing scissors and tweezers.

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.

Noncompliance Area: The counter covering in the 2nd room on the right side of hallway is damaged and has holes in it.

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. Rep also observed a hole in the wall under the window in the modular unit closest to the building.

Noncompliance Area: A metal bar approximately 2 ft off the ground and embedded in the ground is present on the playground. Director reports it is from a former see-saw. It is not mounted over surfacing material. Staff and children acknowledge that children are allowed to use the bar as equipment, hanging and flipping on it.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: While on the playground, a child fell from a bar and was injured. Three staff were present on the playground but none of them saw the accident and staff person #1 who was assigned supervision of the child was unaware that he was injured until another child and adult reported it to her.

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.

Noncompliance Area: On 2/13/19, Rep observed a child size, brown chair in the PS1 room, that had a ripped covering. On 2/27/19, Rep observed areas of peeling paint on the red poles of the outside climber on the PS/SA playground. Rep also observed exposed bolts on the fence in the toddler playground: 1 one the entrance gate, 1 on the gate near the dumpster, and 2 on the fence along the parking lot.

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

Noncompliance Area: On 2/27/1 9, Child #1, age 8 months, only has 2 doses of the DTAP and Pneumococcal immunizations documented. Child #1 does not have a current influenza vaccine documented. The ACIP recommendations include 3 doses of DTAP & Pneumococcal and yearly influenza vaccines for a child 8 months of age. There is no exemption letter on file for Child #1. Child #2, age 16 months, does not have a current influenza vaccine documented. Child #3, age 3 years, does not have a current influenza vaccine documented. Child #4, age 4 years, does not have a current influenza vaccine documented. The ACIP recommends yearly influenza vaccines. Children #2, #3, & #4 do not have exemption letters on file.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: On 2/13/19, Rep observed a staff person in the PS1 room change a child's diaper on a mat on the floor. When the child was done being changed, the staff took the child to the sink to wash hands, leaving the unsanitized mat on the floor. While staff and child were washing hands, another child came over to the mat and touched it. The staff was unaware that this had happened. The Rep pointed this out to the staff and the second child's hands were then washed.

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.

Noncompliance Area: The first aid kits in the excursion bags located in the young toddler and older toddler rooms do not contain water.

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

Noncompliance Area: On 2/13/19, Rep observed water damaged and stained ceiling tiles in the PS1, young toddler and older toddler rooms.

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.

Noncompliance Area: On 2/13/19, Rep observed a small area of peeling paint on the chair rail trim in the corner by the housekeeping area in the PS1 room. Also observed areas of crumbling plaster near the windows in the PS1 room and Young preschool room and also near the outside exit door in the gym.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: Child 1 had an epi-pen onsite but had no med log that provided parent consent to administer.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.