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Child Care Center ✓ Licensed

Little Ramblers Daycare & Preschool

Windber, PA · Somerset County
3616 Graham Ave, Windber, PA 15963
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Quick Facts

Capacity
43 children
Subsidized Program
Participates
State Rating
1

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✓ Licensed Child Care Center
Active License
License Number
CER-00248859
License Issued
Feb 11, 2026
Active Through
Feb 11, 2027
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 6

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About the Provider

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Little Ramblers Daycare and Preschool is co-owned and operated by Lisa Harteis and Mandy Dick. Feel free to contacts us with any questions!!!

Hours of Operation

  • Monday6:00 AM - 6:00 PM
  • Tuesday6:00 AM - 6:00 PM
  • Wednesday6:00 AM - 6:00 PM
  • Thursday6:00 AM - 6:00 PM
  • Friday6:00 AM - 6:00 PM
  • Saturday Closed
  • Sunday Closed

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2026-03-10 Allocated Unannounced Monitoring 3270.106(f) - 2 feet apart Compliant - Finalized

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed in the toddler space, 3 rest mats in use that were less than 2 feet apart on 3 sides of the mat while in use during naptime. Observe in the preschool space 1 rest mat in use during naptime with less than 2 feet of space on 3 sides of the mat.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
Our larger foam blocks have been removed from the floor during nap times to ensure there is an appropriate amount of space for all toddler mats. The nap mat in our preschool room was moved away from the corner giving it enough room on 3 sides.
2026-03-10 Allocated Unannounced Monitoring 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 12:30 p.m., CR observed insufficient lighting to allow staff to effectively supervise the children in the toddler area during naptime.

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.

Provider Response: (Contact the State Licensing Office for more information.)
We opened the curtain of the main window facing the toddler room.
2026-03-10 Allocated Unannounced Monitoring 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file of staff #1 lacked an initial health assessment and results of the TB test. Staff #1 was observed in ratio providing care to children.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 has been removed from the facility until health report and results of TB test has been retiurned.
2026-03-10 Allocated Unannounced Monitoring 3270.21 - General Health and Safety Compliant - Finalized

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed child #1, an infant sleeping in a pack and play with a pacifier that had clip and rope attached to it. Also observed child #1, an infant sleeping with 3 heavy medium, thick blankets on top of them to create a weighted blanket per the staff.

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

Provider Response: (Contact the State Licensing Office for more information.)
We removed the extra blankets and pacifier strap from child #1.
2026-03-10 Allocated Unannounced Monitoring 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 lacked all PA clearances, along with out of state clearances from Ohio. The file of staff #1 also lacked a Disclosure statement with a witness signature and date. In addition, staff #1 was observed in ratio, caring for children

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 #1 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 #1 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 will be removed from the facility until all clearances are obtained.
2025-11-14 Renewal 3270.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #1 lacked an emergency contact form with the full work addresses and telephone numbers of the enrolling parent.

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

Provider Response: (Contact the State Licensing Office for more information.)
The emergency contact for child #1 was updated to include their parents full work name, address, and telephone number.
2025-11-14 Renewal 3270.27(f) - Emergency plan Compliant - Finalized

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, there was not documentation the emergency plan was sent to the local municipality and to the county emergency management agency annually.

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.

Provider Response: (Contact the State Licensing Office for more information.)
An updated copy signed by our new director was emailed to both Somerset County and Windber Borough
2025-11-14 Renewal 3270.31(e)(4)(i) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file of staff #5 had documentation of renewing CPR late due to the fact they were dated: 2-16-20 and 10-23-25. The file of staff #6 had documentation of renewing CPR late due to the fact they were dated: 5-6-23 and 6-21-25

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Provider Response: (Contact the State Licensing Office for more information.)
All staff files have been reviewed to ensure current and valid CPR/First Aid certifications are all on file.
2025-11-14 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 had documentation of a late NSOR at the time of initial hire due to the fact it was dated 6-2-23 (see LIS code sheet). The file of staff #2 lacked a child abuse clearance due to the fact the only document on file was the receipt. The file of staff #3 had late child abuse and NSOR clearances at the time of initial hire due to the fact they were dated 6-18-25 and 6-11-25 (see LIS code sheet). The file of staff #4 had a late clearances at the time of initial hire due to the fact they were dated 6-9-25 PSP; and 6-23-25 CA; and a missing FBI clearance due to the fact only the receipt was on file.

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 Persons # 2, #4 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 Persons #2, #4 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 has a completed NSOR documentation in their file and it will be renewed on time to match with its current date. Staff # 2 received a new child abuse clearance and it is now in her file. Staff # 4 is no longer employed as a seasonal employee with our center.
2024-11-18 Renewal 3270.124(b)(2) - Physician name, address, phone Compliant - Finalized

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file of child #3 lacked an emergency contact form with 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.

Provider Response: (Contact the State Licensing Office for more information.)
The address for child #3 was added on to their emergency contact form.
2024-11-18 Renewal 3270.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #3 lacked an emergency contact form with the work address and phone number of the enrolling parent.

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

Provider Response: (Contact the State Licensing Office for more information.)
Child #3's parent filled in her work information on the child's emergency contact form.
2024-11-18 Renewal 3270.124(b)(5) - Information re: special needs Compliant - Finalized

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file of child #3 lacked an emergency contact form with information on the child's special needs or "NA" if not applicable.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Provider Response: (Contact the State Licensing Office for more information.)
For child #3's any blank spaces that needed to be filled out their parent wrote N/A on all and any areas that it was missing.
2024-11-18 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of child #2 lacked an emergency contact form with the address of the individual designated by the parent to whom the child may be released.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Child #2's parents completed filling out all emergency release persons addresses on their emergency contact form.
2024-11-18 Renewal 3270.133(4) - Locked Compliant - Finalized

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: Observed prescription medication for child #1 accessible to children in care due to the fact it was stored in the child's bookbag sitting on a shelf low enough for children in care to access.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Provider Response: (Contact the State Licensing Office for more information.)
Child #1's bookbag was placed on top of a cabinet out of reach of all children.
2024-11-18 Renewal 3270.133(5) - Original label Compliant - Finalized

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: Observed prescription medication for child #1 with an expiration date of 3-2024.

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

Provider Response: (Contact the State Licensing Office for more information.)
Child #1's parent was contacted about expired medication. We were told that medication was no longer needed and was removed from his bookbag.
2024-11-18 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The file of staff #3 had health assessments more than 24 months apart due to the fact they were dated: 3-29-23 and 3-1-21.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All staff health assessments will be conducted within the 24 month window from now on.
2024-11-18 Renewal 3270.27(f) - Emergency plan Compliant - Finalized

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, there was no documentation the emergency plan was sent to the local municipality.

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.

Provider Response: (Contact the State Licensing Office for more information.)
We have mailed a copy of our emergency plan to our local municiplality.
2024-11-18 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of reviewing the file, the file of staff #4 lacked proof of an updated Child Abuse clearance; the one in the file was dated 11-5-19. The file of staff #4 also lacked an updated Disclosure Statement. The file of staff #2 had a late initial PA Child Abuse clearance and signed Disclosure statement due to the fact they were dated: 8-26-24 and 8-27-24 (see LIS code sheet). The file of staff #1 had PA State Police clearances more than 60m months apart due to the fact they were dated: 7-11-24 and 7-8-19.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The Child Abuse Clearance for staff #4 was placed in their file. Staff #4 also signed an updated disclosure statement. Which was then placed in their file.
2024-11-18 Renewal 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: Based on documentation of testing the smoke detection system, testing occurred once a month rather than every 30 days for the months that have 31 days.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Provider Response: (Contact the State Licensing Office for more information.)
We will be making sure all smoke detection systems are tested and documented within 30 days of each other.
2023-11-13 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a torn diaper changing pad in the infant room.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The ripped changing pad has been thrown away and replaced with a new one.
2023-11-13 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Observed child files #2 and #3 did not contain the address of the individual designated by the parent to whom the child may be released.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Child files #2 and #3 have been updated to include the pick up person's addresses.
2023-11-13 Renewal 3270.131(b)(1) - Infant: updated health report every 6 months Compliant - Finalized

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Observed child file #1 contained an updated health assessment (9/13/23) which was dated more than 6 months after the previous valid health assessment (1/13/23).

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Provider Response: (Contact the State Licensing Office for more information.)
Child #1 will have updated health reports on time within the 6 month window. Child #1 has a current valid health assessment at this time.
2023-11-13 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Observed staff file #5 contained documentation of the updated health and safety training which was completed after the required date to complete the training (12/30/22). Observed staff files #1, #3, #4, #6, #7, #8, #9, and #10 did not have documentation of completing the required health and safety training update which was to be completed by 12/30/22.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All staff, with the exception of staff #6, she no longer is employed here, has completed and received certificates on completion for the updated mandatory training.
2023-11-13 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: Observed staff file #1 contained an updated health assessment (9/9/22) which was dated more than 24 months after the previous valid health assessment (6/24/20).

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 will have updated staff health assessments every 2 years from now on.
2023-11-13 Renewal 3270.21 - General Health and Safety Compliant - Finalized

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed in the infant room the pack n plays had loose sheets creating and increased risk for SIDS for the infants.

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

Provider Response: (Contact the State Licensing Office for more information.)
We have removed all pack n play sheets.
2023-11-13 Renewal 3270.27(a)(6) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Observed the facility did not have documentation of completing an emergency drill within the previous 12 months.

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

Provider Response: (Contact the State Licensing Office for more information.)
We have made a place in our emergency drill plan to document our annual emergency drill.
2023-11-13 Renewal 3270.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Observed staff file #2 contained a criminal background check which was not complete and was stating the request was under review. Staff #2 has been in a child care position for more than 45 days.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -2- may not work in a childcare position at the facility until a valid criminal background clearance is obtained.

Provider Response: (Contact the State Licensing Office for more information.)
I was able to go back on to the state police online portal and print off the completed version of the background check that was complete and no longer under review. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).
2023-11-13 Renewal 3270.34(b)(1) - Bachelor's + 1 yr Compliant - Finalized

Regulation: 3270.34(b)(1)

Description: Bachelor's + 1 yr

Noncompliance Area: Observed staff file #5 did not contain documentation of 1 year of experience with children.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

Provider Response: (Contact the State Licensing Office for more information.)
I will be writing a detailed letter to show the time staff #5 has worked in our facility before coming director.
2023-11-13 Renewal 3270.65 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed an electrical outlet in the small room which did not have a protective receptacle cover. Observed and outlet on the counter in the preschool area which did not have a protective receptacle cover.

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

Provider Response: (Contact the State Licensing Office for more information.)
The missing outlet covers were replaced.
2023-11-13 Renewal 3270.75(c) - Has all items Compliant - Finalized

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Observed the infant first-aid kit did not contain sterile gauze.

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.

Provider Response: (Contact the State Licensing Office for more information.)
We place some new sterile gauze in the 1st aid kit in the infant room.
2023-11-13 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a spot of damaged drywall in the bathroom next to the small room. Observed damaged and exposed wires in the outdoor play area which were a tripping hazard. Observed an exposed bolt on the gate leading to the outdoor play area. Observed a cracked window with a rough edge in the small room. Observed the toddler and the preschool fans needed to be cleaned.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The damaged drywall in the bathroom has been covered. The exposed electrical box in the outdoor area will be cut, removed, and any remaining exposed wires will be buried. The exposed bolt on the playground gate was covered with a bolt cover. The cracked window will be a safely covered, so no cracks or sharp pieces will be visible until the window can be replaced. The fans have been removed from both the preschool and toddler area. They have been hosed down, dried, and stored away for the season.
2023-11-13 Renewal 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed a spot of peeling paint by the door in the small room bathroom.

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

Provider Response: (Contact the State Licensing Office for more information.)
The peeling paint has been sanded down and repainted.
2023-11-13 Renewal 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: Observed one time in the previous 12 months the fire alarm testing was conducted more than 30 days apart (6/1/23-7/5/23).

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Provider Response: (Contact the State Licensing Office for more information.)
Fire alarms were recently tested and documented. There will be fire alarm testing completed at least every 30 days. .
2022-11-02 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a broken plastic cone in the outdoor play area. Observed exposed foam on a soft chair in the infant room.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The broken plastic cone was removed from the outside play area and thrown away. The recliner chairs in the infant room now have covers on them reassuring that no pieces are exposed to the children.
2022-11-02 Renewal 3270.103 - Small Toys and Objects Compliant - Finalized

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed a small object less than 1 inch in diameter in the ball pit in the infant room. Observed multiple small particles less than 1 inch in diameter on the floor by the big chair in the infant room.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Provider Response: (Contact the State Licensing Office for more information.)
All small particles were picked up and thrown away.
2022-11-02 Renewal 3270.105 - High Chairs Compliant - Finalized

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: Observed 2 high chairs in the back room which were missing the T-shaped safety strap.

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

Provider Response: (Contact the State Licensing Office for more information.)
The T-shaped straps were put back into the highchairs.
2022-11-02 Renewal 3270.107 - Refrigerator Compliant - Finalized

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: Observed the thermometer in the back room refrigerator was at 50 degrees at the time it was checked.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The refrigerator was moved to a different outlet with a better source of power to keep the refrigerator cooler.
2022-11-02 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Observed child file #1 did not contain the complete address of the individual designated by the parent to whom the child may be released.

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.

Provider Response: (Contact the State Licensing Office for more information.)
On a separate piece of paper I wrote down all persons allowed to pick up child #1. Their parent filled out all phone numbers and addresses for those people. This paper was attached to the child"s emergency contact paper in their file. Copies were also made and place in all emergency contact books.
2022-11-02 Renewal 3270.131(e)(1) - Exemption documentation from parent/guardian Compliant - Finalized

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Observed child file #1, an infant, did not contain an updated immunization record of vaccinations received for the period of time when the infant was between 4 and 8 months old.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The child's most recent shot records was provided and placed in their file.
2022-11-02 Renewal 3270.166(2) - New foods - parent's consent Compliant - Finalized

Regulation: 3270.166(2)

Description: New foods - parent's consent

Noncompliance Area: Observed the facility did not have a written feeding plan which listed the packaged baby foods the infant was allowed to be fed.

Correction Required: New foods shall be introduced to an infant only after consultation with the child's parent.

Provider Response: (Contact the State Licensing Office for more information.)
We passed out to infant papers a First Foods Checklist for them to circle all foods their child will be permitted to have while in our care.
2022-11-02 Renewal 3270.18(a) - On file at facility Compliant - Finalized

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: Observed the facility did not have a copy of the comprehensive general liability insurance.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
I have printed a copy of our liability insurance off line and placed it in our locked filing cabinet.
2022-11-02 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Observed staff file #1 contained two written, nonfamily references which were dated after the staff began working in a child care position. Observed staff file #2 contained one written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #2 has since return her second nonfamily reference attesting to her suitability to work with children.
2022-11-02 Renewal 3270.27(f) - Emergency plan Compliant - Finalized

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: Observed the operator did not have documentation of submitting the updated emergency plan to the local municipality.

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.

Provider Response: (Contact the State Licensing Office for more information.)
I have since sent our most updated emergency plan to both our local and county municipality.
2022-11-02 Renewal 3270.66(e) - Arts and crafts non-toxic Compliant - Finalized

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: Observed a can of shaving cream, labeled keep out of the reach of children, in the arts and crafts cabinet in the preschool room.

Correction Required: Arts and crafts materials shall be nontoxic.

Provider Response: (Contact the State Licensing Office for more information.)
All shaving cream was removed and disposed of.
2022-11-02 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed cabinet doors in the toddler bathroom and the preschool area which did not completely shut creating pinch points. Observed an exposed carpet seam and a door hinge which was loose and not working properly 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.

Provider Response: (Contact the State Licensing Office for more information.)
The carpet in the infant room was secured to the floor. The hinge on the infant room door was tightened. I have purchased and installed magnetic closures for all cabinet doors that did not completely shut. Making in so the magnets on each side will be sure that there is no area to cause a pinching point.
2022-11-02 Renewal 3270.82(e) - Toilet and sinks proper height Compliant - Finalized

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: Observed the toddlers did not have steps to reach the sink used to wash hands and were being lifted by staff to get their hands washed.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Provider Response: (Contact the State Licensing Office for more information.)
A higher step ladder has been placed in the back bathroom used by toddlers to ensure they can reach the sink on their own.
2022-06-06 Unannounced Monitoring 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

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: 3270.31.f.1-10.

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 assistant group supervisor 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.

Provider Response: (Contact the State Licensing Office for more information.)
All new hires will complete all required trainings and have all clearances in their file before being left alone to supervise children.
2022-06-06 Unannounced Monitoring 3270.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Observed staff file #1 did not contain a CPSL required signed disclosure statement. Observed staff file #1, did not contain a valid child abuse clearance which is required when a staff starts in a child care position.

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

Provider Response: (Contact the State Licensing Office for more information.)
All new hires will sign their disclosure statement at the time of hire. Valid child abuse clearance was placed in staff #1 file.
2021-11-01 Renewal 3270.133(3) - Name on bottle Compliant - Finalized

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: In the Back Room, there was a Little Remedies Gas Relief Drops that did not identify the name of the child for whom the medication was intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Provider Response: (Contact the State Licensing Office for more information.)
Our plan of correction is to write the child's name on the label. Making sure the name is one each side and in a place that is visible to the eye.
2021-11-01 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for Staff #2 and Staff #3 contained a health assessment that was conducted more than 24 months after the previous assessment. Staff #2 Health Assessments dated, 1/10/18 and 1/21/20. Staff #3 Health Assessments dated, 3/29/18 and 6/24/20. The file for Staff #7 lacked a Health Assessment at time of hire.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #2, #3, and #7 have current Health Assessment. To come with a way to make sure all staff paperwork is completed and renewed at the correct times.
2021-11-01 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #3 and Staff #5, contained one written, nonfamily reference and one written, family reference from individuals attesting to the suitability to serve as a facility person. The file for Staff #6, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff listed have given me non family references if they needed another one. Those have been placed in their files. Staff that needed their references to give more information on their suitability have also been able to get those to me. All added references have been added to their files.
2021-11-01 Renewal 3270.21 - General Health and Safety Compliant - Finalized

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the Main Room, the gate was left open giving the children access to the kitchen area where there were sharp knives located in a drawer accessible to the children in care.

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

Provider Response: (Contact the State Licensing Office for more information.)
The kitchen gate was closed and locked.
2021-11-01 Renewal 3270.27(a)(5) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The Facility's Emergency Plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Provider Response: (Contact the State Licensing Office for more information.)
I have written up an additional document regarding accommodations for infants, toddlers, and children with disabilities and added it to our emergency plan.
2021-11-01 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #4, date of hire 4/21/21, lacked documentation of health and safety training numbers 1-9, as listed in the regulation within 90 days of hire.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #4 has current Health and Safety training. To come with a way to make sure all new hires have all their trainings completed in time.
2021-11-01 Renewal 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR Compliant - Finalized

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file for Staff #2 lacked competence in the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR) before the requirement of compliance on 6/17/21. The file for Staff #4 lacked documentation of current certification in pediatric first-aid and CPR.

Correction Required: Pediatric first aid and pediatric cardiopulmonary resuscitation.

Provider Response: (Contact the State Licensing Office for more information.)
We were able to get Staff #2's CPR certificate reissued and place it in their file. Staff #4 has since gone for CPR Training.
2021-11-01 Renewal 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The files for Staff #1, Staff #2, and Staff #3 contained mandated reporter training that was not completed within 60 months of the previous training. Staff #1 dates of training,22/4/15 and 2/16/20. Staff #2 dates of training, 2/4/15 and 10/21/20. Staff #3 dates of training, 3/28/16 and 4/10/21. The file for Staff #4 lacked timely Mandated Reporter Training as required under the CPSL. The staff file contained Mandated Reporter training after the required with 90 days of hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1, #2, #3 and #4 have current Mandated Reporter training. To come up with a way to make sure all Staff clearances are updated at the correct time.
2021-11-01 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #2 contained FBI Clearances that were not completed within 60 months of the previous clearance; 12/2/14 and 12/18/19. The file for Staff #3 contained State Police Clearances that were not completed within 60 months of the previous clearance; 3/30/16 and 4/19/21. Although the file for Staff #6 contained complete clearances at the time of inspection, it was observed that the provisional time period of 45 days had expired prior to the National Sex Offender Certificate and Child Abuse Clearance being in their file. Staff #6 was allowed to continue to work with children during this time period.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #2, #3, and #6 have current clearances. To come up with a way to make sure all clearances are updated at the correct times.
2021-11-01 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Back Room on the floor was a Hawaiian Breeze Glade Air freshener that was accessible to the children in care. In the Kitchen underneath the sink there was Clorox Bleach, Toilet Bowl Cleaner, and Miracle Rust Preventative Spray Enamel all labeled Keep Out Of Reach Of Children. The cabinet was left unlocked and the gate to the kitchen was not closed giving the children in care access.

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

Provider Response: (Contact the State Licensing Office for more information.)
At the time of inspection the staff member removed the air freshener and places it up and out of children's reach. Kitchen gate was closed and locked.
2021-11-01 Renewal 3270.66(b) - Original container Compliant - Finalized

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: In the School Age Room there was an unlabeled bottle. Staff stated that the liquid in the bottle was toy disinfectant.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff have labeled that bottle and placed it out of children's reach with other cleaning products.
2021-11-01 Renewal 3270.72(b) - Screened Compliant - Finalized

Regulation: 3270.72(b)

Description: Screened

Noncompliance Area: In the Main Room there was a window open that did not have a screen.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Provider Response: (Contact the State Licensing Office for more information.)
At the time of inspection staff closed the window.
2019-11-08 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Noncompliance Area: A pink plastic toy bin was observed in the Main Room with cracks in the plastic, exposing the children to pinch points.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The pink plastic bin has been removed and thrown away. We have replaced it with a thick plastic tote. In the future we will make sure we are being more diligent when checking for broken or damaged toys to also be checking the bins and totes we store them in.
2019-11-08 Renewal 3270.106(f) - 2 feet apart Compliant - Finalized

Noncompliance Area: In the Back Room, large toys and infant rockers were observed to be placed directly next to the pack and plays while they were in use, obstructing access to the pack and plays.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
We have had a staff meeting related to this topic and the importance of making sure pack plays are accessible in case there would be an emergency. Moving forward we have posted a sign in the infant room as a reminder to all staff in there as a reminder.
2019-11-08 Renewal 3270.131(e)(1) - Exemption documentation from parent/guardian Compliant - Finalized

Noncompliance Area: The file for Child #1 lacked documentation of a flu vaccination within the last 12 months, in accordance with the schedule recommended by the ACIP.

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.

Provider Response: (Contact the State Licensing Office for more information.)
We have created a form for Elizabella's mother to sign and date stating that because of religious or personal beliefs she has decided that Elizabella will not be receiving a flu vaccination. To make sure this doesn't happen again we have created the same form for all parents to sign and date that do not want their child/ren to receive a flu vaccinations.
2019-11-08 Renewal 3270.192(2)(ii) - Exp, educ., training prior to facility Compliant - Finalized

Noncompliance Area: The file for Facility Person #1, an Assistant Group Supervisor, contains documentation of a high school diploma and 2025 hours of experience; lacking documentation of 2500 hours of verified child care experience

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
I have written a reference for Lakin documenting the time she has been working at our facility. I calculated from the first week in November 2018 until the last week in October of 2019. That would be a total of 53 weeks. I took two weeks off, one for her vacation and one for other times she has needed off throughout the year. Lakin works a minimum of 30 hours a week. I calculated 51 weeks times 30 hours and that would equal a total of 1,530 hours. Giving Lakin the needed hours to be considered an Assistant Group Supervisor. From this point forward I will make sure to calculate and document all new staffs reference hours on their references, that will remain in their files,
2019-11-08 Renewal 3270.192(3) - Health assessment, TB test Compliant - Finalized

Noncompliance Area: The file for Facility Person #2 contains documentation of a physical examination, but lacks a departmental approved initial health assessment containing information necessary to confirm suitability to provide child care services.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
Facility Person #2 has made an appointment with her PCP to get the departmental approved health assessment filled and signed. Moving forward I will be sure that all new staff has that exact form filled out and in their file.
2019-11-08 Renewal 3270.21 - General Health and Safety Compliant - Finalized

Noncompliance Area: On the date of inspection, it was observed that there was not an operable fire detection system because the batteries in three of the four smoke detectors at the facility were dead. This condition at the facility poses a threat to the health and safety of children.

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

Provider Response: (Contact the State Licensing Office for more information.)
The batteries were replaced in the smoke detectors at the time of inspection. Moving forward, batteries will be replaced regularly and smoke detectors will be regularly checked to make sure they are operable.
2019-11-08 Renewal 3270.75(c) - Has all items Compliant - Finalized

Noncompliance Area: The first-aid kit in the Back Room lacked scissors.

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.

Provider Response: (Contact the State Licensing Office for more information.)
We added a pair of scissors in the first-aid kit in the infant room. We will be sure to be checking that all mandatory items are always in our first-aid kits on a more regular basis.
2018-11-16 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Noncompliance Area: Observed in the main room, a loose support screw on the gray recliner. Observed in the infant room a torn diaper changing pad and observed 2 torn diaper changing pads in the back bathroom.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The screw was tightened on the gray recliner chair. The diaper changing pad in the infant room was replaced with a new one. In the bathroom one of the changing pads was thrown in the garbage and a cover for the changing pad on the changing table was ordered. We have developed a weekly maintenance log for staff to check off on each room that all walls, equipment, ceilings, floors, and toys are properly working and in good condition.
2018-11-16 Renewal 3270.111(a) - Written plan Compliant - Finalized

Noncompliance Area: Observed the new room in the back did not contain a written plan of daily activities and routines.

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.

Provider Response: (Contact the State Licensing Office for more information.)
I typed up a daily plan of activities and posted them in the front room for all staff, children, and parents to see. We will make sure that from now on a written plan of daily activities will be posted in each room at all times.
2018-11-16 Renewal 3270.123(a)(3) - Services proceeded Compliant - Finalized

Noncompliance Area: Observed child file #1, contained a most recent child service report was dated more than 7 months ago, and the service reports are to be completed every 6 months.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Provider Response: (Contact the State Licensing Office for more information.)
A service report was written for this child, signed by her parent, and placed in her file. From now on we will be make sure all children who haven't yet enter kindergarten will have a written and sign service report in their files and updated every six months.
2018-11-16 Renewal 3270.133(3) - Name on bottle Compliant - Finalized

Noncompliance Area: Observed saline spray drops, which were not labeled with the name for whom they were intended, on a shelf in the infant room.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Provider Response: (Contact the State Licensing Office for more information.)
The saline spray drops where labeled with the child's name that they belonged to and were put up in our locked medication box. From now on as soon as any type of medicine is brought into the daycare it will immediately properly labeled from now on.
2018-11-16 Renewal 3270.166(4) - Bottles labeled Compliant - Finalized

Noncompliance Area: Observed a bottle on the counter in the toddler area which was not labeled with the child's name. Observed a bottle in the infant room which was not labeled with the child's name.

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

Provider Response: (Contact the State Licensing Office for more information.)
All bottles will be properly labeled with the child's name it belongs to. From now on we will be making sure when parents bring bottles in for that day they are all labeled and if they are not we will label them before they are used.
2018-11-16 Renewal 3270.65 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Noncompliance Area: Observed an electrical outlet which did not have a protective receptacle cover on a power strip in the back room. Observed an electrical outlet which did not have a protective receptacle cover next to a pack n play in the infant room.

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

Provider Response: (Contact the State Licensing Office for more information.)
We placed an outlet cover in the outlet. From now on we will make sure all outlet covers are in the outlets when they aren't being used.
2018-11-16 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Noncompliance Area: Observed disinfecting wipes labeled keep out of the reach of children, accessible to children on a low counter in the preschool area.

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

Provider Response: (Contact the State Licensing Office for more information.)
We moved the disinfecting wipes from the preschool area and moved them on top of the fridge in the kitchen. We have plans on purchasing a tall storage cabinet for in the preschool room and placing the disinfecting wipes and any aerosol cans on top on the cabinet and out of reach of all children.
2018-11-16 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Noncompliance Area: Observed peeling wall paper in the toilet stalls in the back bathroom. Observed a peeling piece of wall over by the floor under the window in the infant room. Observed a loose door hinge on the half door leading into 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.

Provider Response: (Contact the State Licensing Office for more information.)
The loose piece of wall paper in the infant room was removed and the spot was covered with a wall decal. The screws in the hinge for the door that leads into the infant room were tightened. We are also removing the wall paper from the front bathroom and painting the walls. In the future we plan to help control any maintenance that may normally be over looked by enforcing a weekly maintenance log for our staff to go through the daycare, room by room, and fix anything that might need to be fixed.
2018-11-16 Renewal 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Noncompliance Area: Observed peeling paint on the exterior of the entrance door. Observed a spot of peeling paint behind the high chair in the toddler area.

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

Provider Response: (Contact the State Licensing Office for more information.)
The peeling paint in the toddler room was removed and replaced with a wall decal. As soon as the weather is warmer we have plans to strip the exterior door and repaint it. The peeling paint will also in the future be taken care of with our new weekly maintenance log.
2018-11-16 Renewal 3270.91(a) - Stairs, exits, etc. unobstructed Compliant - Finalized

Noncompliance Area: Observed the means of egress in the new back room was obstructed due to having the panic bars locked.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Provider Response: (Contact the State Licensing Office for more information.)
We removed the locks from the door. From now on we will make sure that during operating hours the locks will be removed from the door and only used when children are not in our facility.
2017-11-07 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Noncompliance Area: The bottom left corner of the sink cabinet in the bathroom outside the Infant room was missing a piece of facing exposing splinters and possible pinching hazards. An exercise saucer in the Infant Room had dried food on the tray/play area.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The sink cabinet will be repaired. The exercise saucer will be cleaned. In the future all toys, play equipment and other indoor and outdoor equipment used by the children will be monitored regularly for cleanliness, good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
2017-11-07 Renewal 3270.104(a) - Clean, good repair, proper size Compliant - Finalized

Noncompliance Area: The cubbies to the right, upon entrance to the facility have nails and screws exposed on the bottom corner closest to restroom.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Provider Response: (Contact the State Licensing Office for more information.)
The exposed nails were hammered back into place. From now on all equipment will be checked regularly and repaired as necessary.
2017-11-07 Renewal 3270.106(b) - No bed linens alone Compliant - Finalized

Noncompliance Area: A young toddler was observed sleeping on bed linens alone at rest time.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Provider Response: (Contact the State Licensing Office for more information.)
Child number 4 has since then got a sleeping bag. From now on we will make sure each child has one on their first day.
2017-11-07 Renewal 3270.107 - Refrigerator Compliant - Finalized

Noncompliance Area: The white refrigerator did not have an operable thermometer to verify the refrigerator's ability to maintain food at 45F or below.

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.

Provider Response: (Contact the State Licensing Office for more information.)
We have placed a new thermometer in our white refrigerator. In the future all refrigerators will have an operating thermometer inside to verify the refrigerator is capable of maintaining food at 45 degrees or below.
2017-11-07 Renewal 3270.113(a)(1) - Staff assigned to specific children Compliant - Finalized

Noncompliance Area: When certification representative asked Staff Person # 5 to name her children she named and pointed to four children, the youngest being 2 years old. Staff Person #2 was then asked to name the children she was responsible for. Staff Person #2 identified 4 children in her group. There were 9 children in the group. CR asked staff again to name the children in their care. Each staff member named the 4 they believed they were responsible for, again leaving a child out. When CR told staff there were 9 children in the classroom at the time neither staff knew which child was not being accounted for. Once that was determined neither staff admitted the child was in their group. Staff told CR it doesn't really matter whose group they were in. CR explained the regulation and it's intent.

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.

Provider Response: (Contact the State Licensing Office for more information.)
We have given all staff their own clipboards. On them they can keep track of their which children are theirs and their ages.
2017-11-07 Renewal 3270.124(b)(2) - Physician name, address, phone Compliant - Finalized

Noncompliance Area: The files for Child #1, #3 and #4 did not include emergency contact information that included the name, address and telephone number 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.

Provider Response: (Contact the State Licensing Office for more information.)
The files for Child #1, #3 and #4 will be updated to include the physician's information. In the future emergency contact forms will be monitored to be certain they are complete.
2017-11-07 Renewal 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission Compliant - Finalized

Noncompliance Area: The files for Child #1 - #4 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.

Provider Response: (Contact the State Licensing Office for more information.)
The files for Child #1 - #4 will be updated to include written consent for emergency medical care. In the future all children's files will include signed consent for emergency medical care prior to admission.
2017-11-07 Renewal 3270.131(b)(1) - Infant: updated health report every 6 months Compliant - Finalized

Noncompliance Area: The file for Child #4, a young toddler, included physicals dated 7/6/2016 and 10/26/2017, which does not meet the requirement to provide updated health reports at least every 6 months for a child that age.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Provider Response: (Contact the State Licensing Office for more information.)
The child has a current health assessment on file. In the future all infant and young toddler files will contain updated health reports at least every 6 months.
2017-11-07 Renewal 3270.131(d)(7) - Free from contagious/communicable disease Compliant - Finalized

Noncompliance Area: The file for Child #1 lacked a health report that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The file for Child #1 will be updated to include a statement that the child is free from contagious or communicable disease and is able to participate in child care. In the future files will be monitored to be certain they included that statement.
2017-11-07 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

Noncompliance Area: The file for Staff Person #2, whose employment date in child care was 10/30/2017, did not contain an initial health assessment including the results of an initial tuberculin skin test, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis prior to providing initial service in a child care setting.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #2 will provide a current health assessment including initial tuberculin skin test, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. In the future all facility persons who provide direct care who comes into contact with the children or who works with food preparation will have a health assessment including an initial tuberculin skin test, x-rays or other medical documentation necessary to confirm communicable tuberculosis prior to providing initial service in a child care setting and every 24 months thereafter.
2017-11-07 Renewal 3270.161(a) - Wholesome Compliant - Finalized

Noncompliance Area: Two cases of Beechnut baby food were located on a shelf in a storage area off the bathroom near the Infant room. The case of Ham, Apple, Pineapple and Rice had an expiration date of March 2015 and the case of Carrots, Broccoli, Apples and Strawberries had an expiration date of October, 2017.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Provider Response: (Contact the State Licensing Office for more information.)
The cases of baby food will be removed from the facility. In the future all food stored, prepared or served will be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.
2017-11-07 Renewal 3270.182(5) - Consent for administration of minor first-aid required prior to admission Compliant - Finalized

Noncompliance Area: The files for Child #1 - #4 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.

Provider Response: (Contact the State Licensing Office for more information.)
The files for Child #1 - #4 will be updated to contain singed parental consent for administration of minor first-aid procedures by the facility. In the future all children's files will contain signed parental consent for administration of minor first-aid procedures prior to admission.
2017-11-07 Renewal 3270.192(2)(ii) - Exp, educ., training prior to facility Compliant - Finalized

Noncompliance Area: The file for Staff Person #4 had a copy of a college diploma in the file however, the diploma did not specify the field of study and therefore education and experience prior to service in the facility could not be verified. The file for Staff Person #2 lacked verification of child care experience prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Verification of child care experience, education and training will be placed in each file. In the future a staff person's record will include verification of child care experience, education and training prior to service at the facility.
2017-11-07 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Noncompliance Area: The file for Staff Person #2 lacked proof of fingerprinting for an FBI Clearance in accordance with the CPSL and with Chapter 3490.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 2 may not work in a child care position at the facility. 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #2 will provide all necessary requirements to meet the CPSL and with Chapter 3490. Staff Person #2 will not work in a child care position at the facility until all CPSL and Chapter 3490 requirements are met. In the future the operator will comply with the CPSL and Chapter 3490, obtaining all necessary documentation prior to a staff person working in a child care position.
2017-11-07 Renewal 3270.34(b)(4) - Associate's, 30 credits + 4 yrs Compliant - Finalized

Noncompliance Area: The file for Staff Person #2 lacked proof of 30 credit hours in early childhood education, child development special education, elementary education or the human services field and 4 years of experience with children.

Correction Required: A director shall have attained an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 4 years of experience with children.

Provider Response: (Contact the State Licensing Office for more information.)
We have had staff person number 2 get us a copy of her transcripts, so we can have those in her file. In the future all staff files will have proper documentation of qualifications.
2017-11-07 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Noncompliance Area: A spray can of Perfect Harvest - Maple Belgian Waffle Spray labeled "Keep Out of Reach of Children" located in an unlocked drawer of a cabinet in the pink bathroom.

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

Provider Response: (Contact the State Licensing Office for more information.)
All aerosol cans and/or products that should be out of reach of children will be put in a locked drawer or up so no children can reach them. This spray can has been put up out of the reach of the children.
2017-11-07 Renewal 3270.69(b) - 110 F or less Compliant - Finalized

Noncompliance Area: The hot water temperature in the bathroom registered at 123 F at the time of the inspection.

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

Provider Response: (Contact the State Licensing Office for more information.)
The hot water in areas that the children use, have been turned off. In the future water temperatures will not exceed 110 F..
2017-11-07 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Noncompliance Area: A piece of green carpet in the toddler area was torn posing a tripping hazard.

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.

Provider Response: (Contact the State Licensing Office for more information.)
We have gotten new flooring and replaced the ripped carpeting. In the future floors, walls, ceilings and other surfaces will be monitored for any visible hazards and will be fixed accordingly.
2017-01-19 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Noncompliance Area: Exposed bolts were observed at the base of the toilet in the rear restroom.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The owners will install caps over the bolts. Staff will check periodically to make sure the caps stay in place.
2017-01-19 Renewal 3270.104(a) - Clean, good repair, proper size Compliant - Finalized

Noncompliance Area: A broken rocking chair and cabinet with exposed splintering wood were observed in the back room. The cabinets also lacked a counter top.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child`s size, age and special needs.

Provider Response: (Contact the State Licensing Office for more information.)
The broken rocking chair and the cabinets were removed. In the future, all broken furniture will be removed immediately.
2017-01-19 Renewal 3270.123(a)(5) - Designated release persons Compliant - Finalized

Noncompliance Area: The agreements for children #1, #2, #3, #4 and #5 did not specify the persons designated by a parent 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.

Provider Response: (Contact the State Licensing Office for more information.)
Designated release persons will be obtained from the parents. Children #2 and #3 no longer attend the program. In the future, the director will make sure the designated release persons are recorded on the agreement form.
2017-01-19 Renewal 3270.123(a)(6) - Admission date Compliant - Finalized

Noncompliance Area: The agreement for child #5 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Provider Response: (Contact the State Licensing Office for more information.)
The director will record the date of admission on the agreement form and will be responsible for ensuring the date of admission is recorded for all new children.
2017-01-19 Renewal 3270.131(b)(1) - Infant: updated health report every 6 months Compliant - Finalized

Noncompliance Area: The date of most recent health report for child #3, an infant, is more than six months old.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Provider Response: (Contact the State Licensing Office for more information.)
The child is no longer receiving care at the facility. In the future, the director will monitor the upcoming due dates of child health assessments to ensure they are received on time.

Showing the 100 most recent of 118 records.

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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