Thinking Caps Academy

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During the renewal inspection on December 22, 2025, the Certification Representative reviewed Staff #2, and Staff #4 personnel records and determined that a current health assessment was not included with the results of TB.

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(b)

Description: Plan reviewed/updated annually

Noncompliance Area: During the renewal inspection on 12/22/25, the Certification Representative reviewed staff records and determined that emergency plans for all staff were not current.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection on 12/22/25, the Certification Representative reviewed all four staff records and determined that fire safety trainings for all staff were not current.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During the renewal inspection on 12/22/25 , the Certification Representative reviewed Staff #2 records and determined that mandated reporter training certification was expired.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection conducted on 12/22/25, the Certification Representative reviewed Staff's #2-#4 records and discovered that Staff #2-#4 records have an expired FBI Clearance. Staff #2 records have an expired State Police Clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- 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 #--- may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection conducted on 12/22/25, the Certification Representative reviewed Staff #1, Staff #3 and Staff #4 files, and the staff evaluations for Staff #1, Staff #3, and Staff #4 were not maintained.

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

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During a renewal inspection conducted on 12/11/24, the Certification Representative reviewed Staff #4 content of records, and the content of records of Staff's #4 contained an expired Health Assessment.

Correction Required: An adult health assessment must include a physical examination. 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: During a renewal conducted on 12/11/24, the Certification Representative reviewed the content of records of Staff #1, Staff #2, Staff #3, and Staff #4. Staff #1, Staff #2, Staff #3, and Staff #4 content of records did not contain 12 hours of training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection conducted on 12/11/24, the Certification Representative reviewed Staff's #3 content of records, and Staff #3 content of records contained an expired Child Abuse Clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- 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 #--- may not work in a child care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During a complaint investigation inspection conducted on 05/17/24, the Certification Representative conducted a walkthrough of the facility and found the infant room out of ratio with 6 infants and one staff member present.

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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During a renewal inspection conducted on 12/19/23, the Certification Representative reviewed Child #1, Child #2, and Child #3 content of records, and Child # 1, #2, and #3 content of records did not indicate a every six-month review on the emergency contacts, and fee agreements.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection conducted on 12/19/23, the Certification Representative reviewed the Emergency plan, and the Emergency Plan did not include a continuity of operations/care.

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: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During a renewal inspection conducted on 12/19/23, the Certification Representative reviewed the content of records of Staff #2, and Staff #2 content of records did not contain an updated Health Physical Assessment.

Correction Required: An adult health assessment must include a physical examination. 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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection conducted on 12/19/23, the Certificate Representative reviewed Staff # 2, Staff #3, Staff #4, and Staff #5 content of records and the staff #2, #3, #4, and #5 did not include Staff evaluations.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: At the time of inspection, staff person #1 did not have verification of valid tuberculosis screening by the Mantoux method at initial employment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: An individual designated as director was not present at the renewal inspection on 1/19/2023. As a result the photo identification verification process could not be completed and compliance with the requirements for directors qualification could not be measured.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6).

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: At the time of inspection, staff persons #2, 3 and 4 did not have a valid health assessments.

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: 3270.191

Description: Individual Records

Noncompliance Area: At the time of inspection, facility person #6 did not have an individual record.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff person #1 doh (see lis code sheet), did not include a copy of the NSOR clearance history information as required under the CPSL.

Correction Required: Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: An individual designated as director was not present at the renewal inspection on 12/15/2022. As a result the photo identification verification process could not be completed and compliance with the requirements for directors qualification could not be measured.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6).

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of inspection, the operator did not maintain a written record that fire drills are conducted at least once every 60 days.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: AT THE TIME INSPECTION CHILD #1 DID NOT HAVE AN AGREEMENT.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: AT THE TIME OF INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD # 1 DID NOT INCLUDE HEALTH INSURANCE COVERAGE OR POLICY NUMBER INFORMATION.

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: 3270.133(1)

Description: Original container

Noncompliance Area: AT THE TIME OF INSPECTION THE PROVIDER DID NOT HAVE THE MEDICATION N IN THE ORIGINAL CONTAINER

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: AT THE TIME OF INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD #1 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE FOR THE CHILDREN. SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST-AID PROCEDURES BY FACILITY STAFF.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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: 3270.51

Description: Similar Age Level

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED 5 INFANTS AND 1 STAFF PERSON AND 6 YOUNG TODDLERS WITH 1 STAFF PERSON.

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: AT THE TIME OF INSPECTION TWO HIGH CHAIRS IN THE TODDLER ROOM DID NOT CONTAIN T-SHAPED SAFETY STRAPS.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: AT THE TIME INSPECTION CHILD #1 DID NOT HAVE AN AGREEMENT. CONTINUOUS NON-COMPLIANCE

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: AT THE TIME OF INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD # 1 DID NOT INCLUDE HEALTH INSURANCE COVERAGE OR POLICY NUMBER INFORMATION. CONTINUOUS NON-COMPLIANCE

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: 3270.133(1)

Description: Original container

Noncompliance Area: AT THE TIME OF INSPECTION THE PROVIDER DID NOT HAVE THE MEDICATION IN THE ORIGINAL CONTAINER. CONTINUOUS NON-COMPLIANCE

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON #1 NOT WASH A CHILD'S HANDS AFTER

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED A NONHANDS-FREE COVERED CAN BEING USED IN THE TODDLER ROOM DURING DIAPER CHANGING.

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: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSON #2 DID NOT HAVE AN HEALTH ASSESSMENT OR TUBERCULIN SCREENING AS REQUIRED PRIOR TO INITIAL EMPLOYMENT AT THE FACILITY.

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: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: AT THE TIME OF INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD #1 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE FOR THE CHILDREN. SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST-AID PROCEDURES BY FACILITY STAFF. CONTINUOUS NON-COMPLIANCE

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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: 3270.191

Description: Individual Records

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSON #2 DID NOT HAVE INDIVIDUAL RECORD AS REQUIRED.

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

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: AT THE TIME OF RENEWAL INSPECTION AN AGENT FROM THE DEPARTMENT DID NOT GAIN IMMEDIATE ACCESS TO THE FACILITY.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: THE FILE OF STAFF PERSON # 1, HIRED 6/18/2021, DID NOT CONTAIN COPY OF THE FBI AND OUT OF STATE CLEARANCE HISTORY INFORMATION AS REQUIRED UNDER THE CPSL. THE FILE OF STAFF PERSON #2, HIRED 1/5/2021, DID NOT CONTAIN A REQUEST OF THE CRIMINAL, CHILD ABUSE, FBI OR NSOR CLEARANCE HISTORY INFORMATION AS REQUIRED UNDER THE CPSL.

Correction Required: Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: STAFF #2 WHO IS DESIGNATED AS DIRECTOR WAS NOT PRESENT AT THE RENEWAL INSPECTION ON 2/1/2018. AS A RESULT THE PHOTO IDENTIFICATION VERIFICATION PROCESS COULD NOT BE COMPLETED AND COMPLIANCE WITH THE REQUIREMENTS FOR DIRECTORS QUALIFICATION COULD NOT BE MEASURED.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6).

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: AT THE TIME OF INSPECTION THE FIRE DRILL LOG DID NOT DOCUMENT COMPLIANCE WITH FIRE DRILLS BEING CONDUCTED AT LEAST ONCE EVERY 60 DAYS.

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