Thinking Out Of The Box

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff person # 1 stated that they used their hands to spank a child attending the daycare on 2 separate occasions.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: First Aid Lockbox located on the second floor of the Infant House was not properly secured on the high shelf and may be hazardous.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the infant room had sticky residue in most areas.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff member number one did not have two written, nonfamily references on file during the time of the allocated unannounced inspection.

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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff member number one did not have emergency plan training on file during the allocated unannounced inspection.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff member number one did not have Child Abuse or FBI clearances on file during the allocated unannounced inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 # 1 may not work in a child care position at the facility.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: Water temperature measured above 110 degrees Fahrenheit in infant house in bathrooms located on the first floor and second floor.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: During the allocated unannounced inspection, it was observed on the second floor in building addressed 13 s 56th, had a window on far left and far right needed to be modified or adjusted to limit opening to 6 inches or fewer.

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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed broken tile in front of children cubby in upstairs child care space.

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: During the renewal inspection on 5/29/18, the emergency contact for Child #1 did not include the birth date of the child.

Correction Required: Emergency contact information must include the name and birth date of the child.

Noncompliance Area: During the renewal inspection on 5/29/18, the emergency contact for Child #3 did not include the address 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.

Noncompliance Area: During the renewal inspection on 5/29/18, the emergency contact for Child #3 did not include written consent signed by a parent for emergency medical care.

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.

Noncompliance Area: During the renewal inspection on 5/29/18, the emergency contact for Child #2 did not include the release person's address.

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.

Noncompliance Area: During the renewal inspection on 5/29/18, the emergency contact was not present in the infant room while Child #4 was receiving care.

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.

Noncompliance Area: During the renewal inspection on 5/29/18, the operator had not notified 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 day 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 day care facility.

Noncompliance Area: During the renewal inspection on 5/29/18, the emergency contact for Child # 3 did not contain 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: During the renewal inspection on 5/29/18, the file for Staff #1 contained only one written nonfamily reference.

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

Noncompliance Area: During the renewal inspection on 5/29/18, the emergency plan did not provide a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises nor 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 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.

Noncompliance Area: During the renewal inspection on 5/29/18, Staff #1, hired 1/2/18, was not trained in the emergency plan at the time of initial employment.

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.

Noncompliance Area: During the renewal inspection on 5/29/18, the director, who works from 12:00pm to 6:00pm daily, is the only staff person with current first aid training; all other staff members' training has expired.

Correction Required: One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: During the renewal inspection on 5/29/18, Staff #2 was alone providing care for seven children ages 1 and 2 when maximum group size should have been five 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). The required staff:child ratios must be maintained at all times.

Noncompliance Area: During the renewal inspection on 5/29/18, protective receptacle covers were not placed in outlets in power strip by television in building one second floor and in the preschool front bathroom building one first floor.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: During the renewal inspection on 5/29/18, lotion and hand sanitizer were accessible to children on teacher desk and hydrogen peroxide on coat cubbies in building 1 second floor.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: During the renewal inspection on 5/29/18, there were two small holes on the wall near the door in the infant room.

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: During the inspection on 1/18/18, video footage showed Staff #1 leaving Child #1 unattended on the changing table while Staff #1 walked over to television to turn the volume knob.

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. Children must be supervised at all times.

Noncompliance Area: During the inspection on 1/18/18, video footage showed that after Child #1 woke up and had diaper changed, Staff #2 handed Staff #1 a bottle from the crib, where Child #1 had been sleeping from 12:30pm to 2:55pm, and Staff #1 began feeding Child #1 with said bottle.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption. Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

Noncompliance Area: During the inspection on 1/18/18, Child #1 was taken from the facility to the emergency room on 1/10/18. Staff #3 called in/submitted a report to the Department on 1/12/18 which was not within the mandated 24 hours of the incident.

Correction Required: The facility operator shall make reports to a child's parent and to the Department in accordance with 3270.20 (relating to reporting injury, death or fire), if a child receiving care in the facility is lost or missing from the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, THE PLAYSPACE DID NOT HAVE A DAILY ACTIVITY SCHEDULE POSTED.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, STAFF 12, 13, AND 16, WERE NOT AWARE OF THERE SPECIFIED CHILDREN WHEN ASKED. STAFF 12 AND 16 NAMED ALL THE CHILDREN IN THE GROUP. STAFF 13 NAMED A CHILD FROM ANOTHER GROUP.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, CHILD 3 DID NOT HAVE AN AGREEMENT IN THEIR FILE.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, CHILD 5 AND 7 WERE MISSING THE PHYSICIAN PHONE NUMBER FROM THE EMERGENCY CONTACT FORM. CHILD 5 WAS MISSING THE PHYSICIAN'S NAME ON THE EMERGENCY CONTACT FORM. STAFF 7 WAS MISSSING THE PHYSICIANS ADDRESS FROM THE EMERGENCY CONTACT FORM.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, CHILD 2 EMERGENCY CONTACT FORMK WAS MISSING THE RELEASE PERSON ADDRESS ON THE FORM.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, THE PLAYROOM DID NOT HAVE A WRITTEN PLAN IDENTIFYING THE MEANS OF TRANSPORTING A CHILD TO EMRRGENCY CARE DISPLAYED IN THE CHILD CARE SPACE.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, THE EMERGENCY CONTACT FORM FOR CHILD 2 WAS NOT UPDATED IN THE LAST 6 MONTHS. CHILD 2 AND 3 AGREEMENT HAS NOT BEEN UPDATED IN THE LAST SIX MONTHS.

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 informationA 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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, STAFF 13 WERE MISSING TWO NON FAMILY REFERENCE LETTR FROM THEIR FILE.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, STAFF 2, 78, 12, AND 15 WERE MISSING DOCUMENTS FROM THEIR FILE. ALL STAFF WERE NISSING VERIFICATION OF BEING TRAINED IN THE EMERGENCY PLAN.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, STAFF 2, 7, 8, AND 12 WERE MISSING PROOF OF FIRE SAFETY TRAINING FROM THEIR FILE.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, STAFF 15 FBI CLEARANCE WAS EXPIRED. THE DATE ON THE FBI CLEARANCE WAS 6/8/11.

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 # 15-- may not work in a child care position at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, STAFF 13,14 AND 15 WERE MISSING PROOF OF EXPERIENCE FROM THEIR FILE.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, THE SECOND FLOOR CLASSROOM WERE MISSING MANY PROTECTIVE RECEPTACLE COVERS, ACESSIBLE TO CHILDREN CAUSING A POTENTIAL HAZARD.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, THERE WERE TOXICS (COMET FOAM SPRAY) UNDER THE SINK IN THE BATHROOM OF THE PLAYROOM, ACCESSIBLE TO CHILDREN CAUSING A POTENTIAL HAZARD.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/3/17, THE FIRST AID KIT IN THE PLAYROOM WAS MISSING 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: DURING THE RENEWAL INSPECTION ON 7/3/17, THE PLAYROM DID NOT HAVE AN EVACUATION ROUTE POSTED.

Correction Required: Evacuation routes shall be posted.