Tshc Wonder Of Llc
Quick Facts
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Contact Information
📞 (412) 346-1373Reviews
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About the Provider
Hours of Operation
- Monday6:45 AM - 6:00 PM
- Tuesday6:45 AM - 6:00 PM
- Wednesday6:45 AM - 6:00 PM
- Thursday6:45 AM - 6:00 PM
- Friday6:45 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 |
|---|---|---|---|
| 2026-05-13 | Complaints- Legal Location | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: On 4/28/26, staff #1 pulled child #1 by the arm causing the child's head to bump a cabinet. Correction Required: A facility person may not use any form of physical punishment, including spanking a child. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider discussed with Staff #1 engagement with children and appropriate interactions. Provider discussed frustration and stress indicators during a staff meeting with all staff. Provider had Staff #1 complete a training "Challenging Behaviors: What Needs to Change and How". |
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| 2026-05-13 | Complaints- Legal Location | 3270.113(e) - Restraints prohibited | Compliant - Finalized |
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Regulation: 3270.113(e) Description: Restraints prohibited Noncompliance Area: On 5/01/26, staff #2 placed child #2 in a crib after child #2 bit another child. Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider discontinued use of a crib as a means of restraint for inappropriate behavior. Provider discussed with Staff #2 and all staff alternative plans for biting children without the use of a restraining method. |
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| 2026-05-13 | Unannounced Monitoring | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: Tests of the fire alarm system dated 3/11/26 and 4/11/26 were conducted more than 30 days apart. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Following fire alarm system test was conducted within 30 days. |
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| 2026-02-11 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 for staff #3 contains a health assessment that was renewed late. It was due 12/2025 and renewed 1/2026. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The violation has already been corrected. Staff # 3 was suspended from working in a position with direct care of children until the health assessment was received. Upon receipt of the health assessment, Staff #3 was reassigned a classroom in a position working with children. Director will monitor all staff files to avoid lapses in health assessment |
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| 2026-02-11 | Renewal | 3270.31(e)(4)(i)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii) Description: Age and Training/Exp, educ., training at facility Noncompliance Area: The file for staff # 3 contains pediatric first aid and cpr training that was renewed late. It was due 3/2025 and obtained 2/2026. 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The violation has been corrected. Staff #3 was supervised at all times until Pediatric First Aid and CPR was received by a certified PQAS trainer. Director will monitor all staff files to avoid lapses in Pediatric First Aid and CPR training. |
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| 2026-02-11 | Renewal | 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(2)(iii) Description: Comply with CPSL/Exp, educ., training at facility Noncompliance Area: The file for staff #1 contains mandated reporter training that was renewed late. It was due 10/2025 and renewed 1/2026. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The violation has already been corrected. Staff #1 was supervised at all times until Mandated Reporter training was completed. Director will monitor all staff files to avoid lapses in Mandated Reporter training in accordance with the CPSL and Chapter 3490. |
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| 2026-02-11 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff #2 contains a child abuse clearance that was renewed late. It was due 4/2024 and renewed 2/2025. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The violation has already been corrected. Staff #2 was suspended from working in a position with direct care of children until the child abuse clearance was received. Upon completion of the child abuse clearance, Staff #2 was reassigned a classroom in a position working with children. Director will monitor all staff files to avoid lapses in child abuse clearance in accordance with the CPSL and Chapter 3490. |
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| 2025-02-25 | Renewal | 3270.31(e)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)/3270.192(2)(iii) Description: Age and Training/Exp, educ., training at facility Noncompliance Area: The file for staff #1 contains annual training hours that were obtained late. 4 of the 12 training hours were obtained in 12/2024 for the 4/2023 - 4/2024 window. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1 had completed 12 hours of annual training prior to hire date at TSHC Wonder Of LLC in January 2023. Staff person #1 completed the remaining training hours for hire date of 4/2023 to annual hire date of 4/2024. |
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| 2025-02-25 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #2 shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person completed the remainder of the pre service health and safety training late on 1/6/2025. The training was due on 11/22/2024. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #2 completed the professional development for pre service health and safety training. |
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| 2025-02-25 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff #1 contains clearances that were updated late. criminal due 11/27/24 and obtained 1/8/25; child abuse due 12/4/24 and obtained 1/9/25; fbi due 12/3/24 and obtained 1/10/25; nsor due 11/14/24 and obtained 1/8/25. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1 completed all clearances once the need to renew was identified. All clearances have been renewed. |
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| 2024-10-30 | Allocated Unannounced Monitoring | 3270.151(c)(2)/3270.192(3) - Mantoux TB/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(c)(2)/3270.192(3) Description: Mantoux TB/Health assessment, TB test Noncompliance Area: The file for staff #1 contains a TB test that is too old. the TB test on file is dated 2/2023 and is only acceptable for up to 12 months. A new TB test was due upon hire (8/2024). Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 has scheduled and received up to date TB Mantoux test and has been cleared to work with children. There is no indication in the DHS Childcare Regulations 3270 of the requirement to receive a new TB test within 12 months of hire date. Provider was basing new hire requirements on previous requirement of within 24 months. DHS Childcare Regulation 3270.151 only states "at hire" and specifically states timeframes for health assessment only and does not reference timeframes for Tuberculosis Mantoux screening. |
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| 2024-10-30 | Allocated Unannounced Monitoring | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: The file for staff #2 lacks updated first aid training. Staff #2's training expired 10/17/2024. Staff #2 was providing child care services. Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire and upon expiration of the training. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2 has signed up for Pediatric First Aid and CPR recertification and has completed the online portion. Staff #2 is with a staff member who is trained in Pediatric First Aid/CPR until the training date of 11/23/24. Staff #2 will complete the training on 11/23/24 and will not lapse in the future. |
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| 2024-02-20 | Renewal | 3270.102(a)/3270.103 - Clean and good repair/Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.102(a)/3270.103 Description: Clean and good repair/Small Toys and Objects Noncompliance Area: Teeth marks were observed in a foam puzzle and a plastic toy fence that were accessible to children who are still placing objects in their mouths. 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Foam puzzle and plastic toy fence with teeth marks were disposed of immediately. |
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| 2024-02-20 | Renewal | 3270.123(a)(5) - Designated release persons | Compliant - Finalized |
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Regulation: 3270.123(a)(5) Description: Designated release persons Noncompliance Area: The Financial Agreement for Child #4 lacked persons whom the child can be released to. Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider presented the Financial Agreement for Child #4 to the parent and received a completed Financial Agreement with persons whom the child can be released to completed and Provider uploaded the most current document to Child #4's file. |
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| 2024-02-20 | Renewal | 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission | Compliant - Finalized |
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Regulation: 3270.124(b)(4)/3270.182(3) Description: Written consent/Consent for emergency medical care required prior to admission Noncompliance Area: The Emergency Contact form for Child #4 lacked written parental consent 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency contact information form was updated for child #4 to include parental consent for emergency medical care. |
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| 2024-02-20 | Renewal | 3270.124(b)(4)/3270.182(5) - Written consent/Consent for administration of minor first-aid required prior to admission | Compliant - Finalized |
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Regulation: 3270.124(b)(4)/3270.182(5) Description: Written consent/Consent for administration of minor first-aid required prior to admission Noncompliance Area: The Emergency Contact form for Child #4 lacked written parental permission to administer minor first aid procedures. 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency contact information form was updated for child #4 to include parental permission to administer minor first aid. |
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| 2024-02-20 | Renewal | 3270.124(b)(5) - Information re: special needs | Compliant - Finalized |
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Regulation: 3270.124(b)(5) Description: Information re: special needs Noncompliance Area: The Emergency Contact forms for Child #3 and Child #4 lacked information on the disability or special needs. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency contact form was updated for child #3 and child #4 to include information for the child's disability or specials needs. If none, N/A was included. |
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| 2024-02-20 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The file for Child #2 and Child #5 lacked complete addresses for all listed release persons on the Emergency Contact 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency contact form was updated for child #2 and child #5 to include complete address information for all listed release persons. |
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| 2024-02-20 | Renewal | 3270.124(e) - Written emergency plan posted | Compliant - Finalized |
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Regulation: 3270.124(e) Description: Written emergency plan posted Noncompliance Area: 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 childcare space and accompany a staff person who leaves on an excursion with children. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) A written plan was created identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency. The written plan was posted in the lobby alongside the license and evacuation plan. |
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| 2024-02-20 | Renewal | 3270.131(b)(1)/3270.182(1) - Infant: updated health report every 6 months/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(b)(1)/3270.182(1) Description: Infant: updated health report every 6 months/Initial and subsequent health reports Noncompliance Area: The file for Child #5 (YT-18 mo) contained an updated health assessment dated 11/16/23, which is more than 6 months after the initial health assessment submitted at enrollment. (SEE LIS CODE SHEET). 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. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider received the most recent updated health assessment and will keep child #5's file up to date moving forward. |
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| 2024-02-20 | Renewal | 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(b)(2)/3270.182(1) Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Noncompliance Area: The updated Child Health Assessment for Child #4 (OT) was lacking from the Child's file. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider requested an updated Child Health Assessment for Child #4 and has suspended service until child provides an updated Child Health Assessment and Immunizations. |
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| 2024-02-20 | Renewal | 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy | Compliant - Finalized |
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Regulation: 3270.131(d)(5)/3270.131(e)(3) Description: Immunization record/Dismissal policy Noncompliance Area: The immunization record on file for Child #1 (PSA) contained 3 of 4 doses of HIB and 3 of 4 doses of Pneumococcal with no Letter of Exemption in the file. The immunization record on file for Child #3 (YT-17 mo) contained 2 of 4 doses of HIB, 3 of 4 doses of Pneumococcal, and 0 of 1 dose of MMR and Varicella with no Letter of Exemption on file. The immunization record on file for Child #4 (OT) contained 2 of 3 doses of Hepatitis B with no Letter of Exemption on file. Child #1, Child #3, and Child #4 must be dismissed from care by close of business on 2/20/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). |
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Provider Response: (Contact the State Licensing Office for more information.) Provider requested either an updated immunization record or an exemption letter for an alternate immunization schedule. Provider received an exemption letter from the parent identifying an alternate immunization schedule as recommended by the doctor. |
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| 2024-02-20 | Renewal | 3270.133(2) - Written instructions | Compliant - Finalized |
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Regulation: 3270.133(2) Description: Written instructions Noncompliance Area: A Little Remedies Saline Drop medication was observed with an expiration date of 01/2024 in the Infant Room for Child #6. Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. |
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Provider Response: (Contact the State Licensing Office for more information.) A Little Remedies Saline Drop medication was removed from the classroom and placed in a locker in the Director's office. Expired medication was sent home to be disposed of. |
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| 2024-02-20 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: The facility's Emergency Plan lacked Continuity of Operations and Volunteer Emergency Preparedness Training. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility Emergency Plan now has a Continuity of Operations letter included and all staff have had access to the letter. Facility Emergency Plan now also has a Volunteer Emergency Preparedness Training attached. |
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| 2024-02-20 | Renewal | 3270.151(c)(1)/3270.192(3) - Physical examination/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(c)(1)/3270.192(3) Description: Physical examination/Health assessment, TB test Noncompliance Area: The Initial Health Assessment on file for Staff #1 is dated 8/28/23, which is after date of hire. (SEE LIS CODE SHEET). The most recent health assessment on file for Staff #2 is dated 11/15/21, more than 24 months ago. Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 received their health assessment on 8/28/23 and it was placed in the file. Staff #2 received their health assessment on 2/26/2024 in order to bring their file up to date. |
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| 2024-02-20 | Renewal | 3270.166(4) - Bottles labeled | Compliant - Finalized |
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Regulation: 3270.166(4) Description: Bottles labeled Noncompliance Area: In the Infant Room, a bottle in the refrigerator lacked the child's name labeled for use. Correction Required: Disposable nursers and bottles shall be labeled with the child's name. |
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Provider Response: (Contact the State Licensing Office for more information.) The bottle was labeled immediately upon discovery of the name not being labeled. |
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| 2024-02-20 | Renewal | 3270.171(a) - Pick-up and drop-off points | Compliant - Finalized |
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Regulation: 3270.171(a) Description: Pick-up and drop-off points Noncompliance Area: The facility lacked annual written notification to local traffic safety authorities of location of facilities and vehicular routes around the 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 child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility created a written notification to send to local traffic safety authorities identifying our location and vehicular routes around the facility. Notification was sent to local police and fire departments. |
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| 2024-02-20 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for Staff #1 lacked two written non-family references attesting to the staff person's suitability to work in child care. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Director requested two written non-family references for Staff #1. Staff #1 is securing two written non-family references. |
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| 2024-02-20 | Renewal | 3270.27(a)(6) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: The facility lacked documentation of an annual Emergency Drill. Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) An annual Emergency Drill Log was printed and kept in the Emergency Plan folder. An annual Emergency Drill will be conducted on 3/1/2024. |
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| 2024-02-20 | Renewal | 3270.31(e) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: The file for Staff #2 did not contain 12 hours of annual child care training. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2 will receive 2 hours of additional training to equal 12 hours of annual child care training. |
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| 2024-02-20 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff #1 had not completed the following required pre-service training within 90 days of their date of hire: Pediatric First-Aid/CPR Training (Dated 12/1/23). (SEE LIS CODE SHEET) Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 received Pediatric First Aid/CPR training on 12/1/2023. |
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| 2024-02-20 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: Two outlet covers were missing in the extension cord next to the television. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) Protective receptacle covers were immediately placed in the extension cord outlets that were not in use. |
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| 2023-05-22 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: The white play stove and the tall wooden toy shelf were wobbly, which creates a potential toppling hazard. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The white play stove and wooden toy shelf were anchored to create a sturdy play area. |
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| 2023-05-22 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: The file for Child #1, who has been enrolled for more than 60 days, lacked an initial health assessment. Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) The guardian for Child #1 was contacted and the most recent health assessment was received for the child to remain in care. |
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| 2023-05-22 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Regulation: 3270.131(e)(1) Description: Exemption documentation from parent/guardian Noncompliance Area: The file for Child #1, who has been enrolled for more than 60 days, lacked an immunization record. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The guardian for Child #1 was contacted and immunizations were received for the child to remain in care. |
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| 2023-05-22 | Renewal | 3270.151(c)(3)/3270.151(c)(5) - Exam communicable disease/Physician/CRNP assessment | Compliant - Finalized |
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Regulation: 3270.151(c)(3)/3270.151(c)(5) Description: Exam communicable disease/Physician/CRNP assessment Noncompliance Area: The health assessment in the file for Staff Person #1 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care. Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff Person #1 is receiving the correct documentation from the provider who issued the health assessment to identify no communicable diseases and capacity for staff to work in childcare. Staff Person #1 will not return to work until documentation is received. |
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| 2023-05-22 | Renewal | 3270.152 - Adult Hygiene | Compliant - Finalized |
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Regulation: 3270.152 Description: Adult Hygiene Noncompliance Area: Observed Staff Person #2 did not wash hands after changing a child's diaper. Discussion revealed that Staff Person #2 does not wash hands after diaper changes because staff person believed that gloves sufficed in lieu of handwashing. Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff Person #2 has corrected this behavior. Diapering of young toddlers now occurs in the infant classroom in order to maintain appropriate supervision while following correct diapering protocol, including hand washing. |
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| 2023-05-22 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for Staff Person #1 included only one letter of 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff Person #1 will retrieve a second written, nonfamily reference prior to returning to employment. |
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| 2023-05-22 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: Observed adult scissors, which were accessible to children, in the unlocked cabinet drawer next to the refrigerator in the kitchen. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) Adult scissors were moved out of reach of children and staff were reminded to keep any sharp items locked in cabinets. |
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| 2023-05-22 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: The health and safety training in the file for Staff Person #1 was conducted more than 90 days after the staff person's first day in child care (See LIS Code Sheet). Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff Person #1 completed health and safety training and provided documentation of completion. |
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| 2023-05-22 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The NSOR Certificate in the file for Staff Person #1 was acquired more than 45 days after the staff person's start date (See LIS Code Sheet). The file for Staff Person #1 lacked a DHS FBI Clearance. 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. Facility Person #1 may not work at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff Person #1 reached out to NSOR to determine status of clearance. NSOR stated a technical error. Staff Person # 1 was supervised until NSOR clearance was received. Staff Person #1 provided NSOR clearance upon receipt. Staff Person #1 will not return to work until receiving the DHS FBI Clearance. |
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| 2023-05-22 | Renewal | 3270.67(d) - Contaminated trash in closed plastic-lined receptacle | Compliant - Finalized |
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Regulation: 3270.67(d) Description: Contaminated trash in closed plastic-lined receptacle Noncompliance Area: Observed two trash cans, which were not lidded and contained soiled tissues, next to the water fountain. Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. |
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Provider Response: (Contact the State Licensing Office for more information.) Trash cans have been lidded that contain human secretions or excrements. Lids were placed on all trash cans containing contaminants. |
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| 2023-05-22 | Renewal | 3270.94(a)(1) - Every 60 days | Compliant - Finalized |
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Regulation: 3270.94(a)(1) Description: Every 60 days Noncompliance Area: The fire drill/fire system check log, documented two times when fire drills were conducted more than 60 days apart: 9/6/22-12/2/22 and 12/3/22-2/2/23. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider has since corrected the timing of fire drills to include weekend days. Provider now has fire drills every 45 days to prevent late fire drill timing. |
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| 2023-04-06 | Unannounced Monitoring | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: On April 6, 2023, at approximately 09:05, CR and CRS observed a child in the kitchen area unsupervised. Staff present in the area were unaware of the child being in the kitchen area. Correction Required: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. |
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Provider Response: (Contact the State Licensing Office for more information.) Director spoke with Kathy Wolfe of ERLC 5 and expressed need for supervision - Kathy Wolfe offered to provide in house supervision - directly related to unsupervised training Kathy Wolfe is to reach out to certification to receive approval |
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| 2023-04-06 | Unannounced Monitoring | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: On April 6, 2023, at approximately 09:05, CR and CRS observed a child in the kitchen area unsupervised. Staff present in the area were unaware of the child being in the kitchen area. 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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. |
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Provider Response: (Contact the State Licensing Office for more information.) Director created a checklist to send to DHS for approval - Director will send on Fridays after all children checked in for the week. Director will send weekly for three months. Director spoke with Kathy Wolfe of ERLC 5 and expressed need for supervision - Kathy Wolfe offered to provide in house supervision - directly related to unsupervised training Kathy Wolf is to reach out to certification to receive approval. |
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| 2023-04-06 | Unannounced Monitoring | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: Staff Person #2 was asked to name her supervision group and successfully named 10 Pre-School children. Staff Person #1 was asked to name the children in her supervision group and named two but actually had three children. CR gave Staff Person #1 a second attempt and was unsuccessful. CR and CRS counted the total number of children and 13 were present. Staff Person #2 was asked to name her group again and again was successful and Staff Person #1 again named two of three children in her supervision group. CR explained there was a total of 13 Pre-School children and one child was left unidentified. After Staff Person #1 and #2 discussed their respective groups, they realized the unidentified child was assigned to Staff Person #1. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Director created picture ID cards - for use by all teachers on the premises to increase supervision and to ensure all staff know which children they are accountable for. Teachers will pass cards upon child transition or when stepping outside of the classroom. |
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| 2023-04-06 | Unannounced Monitoring | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: Staff Person #2 was asked to name her supervision group and successfully named 10 Pre-School children. Staff Person #1 was asked to name the children in her supervision group and named two but actually had three children. CR gave Staff Person #1 a second attempt and was unsuccessful. CR and CRS counted the total number of children and 13 were present. Staff Person #2 was asked to name her group again and again was successful and Staff Person #1 again named two of three children in her supervision group. CR explained there was a total of 13 Pre-School children and one child was left unidentified. After Staff Person #1 and #2 discussed their respective groups, they realized the unidentified child was assigned to Staff Person #1. Correction Required: The childcare facility will create face-to-name cards which will be used, by all staff, to assist with maintaining supervision of children. These cards will be placed on carabiners or lanyards and the staff will add and/or remove the child's card when they enter or leave their supervision group. |
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Provider Response: (Contact the State Licensing Office for more information.) Director created picture ID cards - for use by all teachers on the premises to increase supervision and to ensure all staff know which children they are accountable for. Teachers will pass cards upon child transition or when stepping outside of the classroom. |
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| 2023-04-06 | Unannounced Monitoring | 3270.192(4) - CPSL information | Compliant - Finalized |
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Regulation: 3270.192(4) Description: CPSL information Noncompliance Area: The file for Staff Person #3 lacked the following: PA State Police, FBI and Child Abuse clearances, NSOR, and Disclosure Statement. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon request, provider sent requested documentation for staff #3 providing all clearances and disclosure statement. |
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| 2023-03-16 | Unannounced Monitoring | 3270.113(a) - Supervised at all times | Non Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: While performing supervision and ratio in the PS Area at 09:28, Staff Person #1 was supervising 13 PS Children. Staff Person #1 was asked to identify her supervision group. Staff Person #1 incorrectly identified the number of PS children in her group. She stated she had seven children, but only named six. Staff Person #1 was afforded a second opportunity to identify her supervision group and identified seven children when, in fact, she was supervising nine children. At 09:30, Staff Person #2 returned to the PS Area. She was asked to identify the number of children she was supervising. Staff Person #2 incorrectly identified the number of children in her group. She stated she had five children and only named four. Staff Person #2 was afforded a second opportunity to identify her supervision group and then identified four, but only with assistance from Staff Person #1. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff members will review Procare to know students in attendance and those in their direct supervision. |
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| 2023-03-16 | Unannounced Monitoring | 3270.113(a)(1) - Staff assigned to specific children | Non Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: While performing supervision and ratio in the PS Area at 09:28, Staff Person #1 was supervising 13 PS Children. Staff Person #1 was asked to identify her supervision group. Staff Person #1 incorrectly identified the number of PS children in her group. She stated she had seven children, but only named six. Staff Person #1 was afforded a second opportunity to identify her supervision group and identified seven children when, in fact, she was supervising nine children. At 09:30, Staff Person #2 returned to the PS Area. She was asked to identify the number of children she was supervising. Staff Person #2 incorrectly identified the number of children in her group. She stated she had five children and only named four. Staff Person #2 was afforded a second opportunity to identify her supervision group and then identified four, but only with assistance from Staff Person #1. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff members will review Procare to know students in attendance and those in their direct supervision. |
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| 2023-03-16 | Unannounced Monitoring | 3270.24(a) - Immediate access | Non Compliant - Finalized |
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Regulation: 3270.24(a) Description: Immediate access Noncompliance Area: 2nd CITATION: Multiple requests were made to obtain renewal documentation, which is kept offsite in an office not at the facility location. Untimely responses to the requests resulted in a delay to the inspection process and violations for lack of documentation. PREVIOUSLY CITED: 09/27/2022 Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility director will provide documents on-site to agents upon request and documents can also be provided upon request when agents are not on-site. |
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| 2023-03-16 | Unannounced Monitoring | 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility | Non Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii) Description: Fire safety - 1 yr./Exp, educ., training at facility Noncompliance Area: 2nd CITATION: The file for Staff #4 lacked documentation of fire safety training. PREVIOUSLY CITED 09/27/2022. 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #4 had documentation as of 9/27/22 Sent 3/3/23. Staff #4 will complete fire safety recertification by 3/20/23 via online course. Documentation will be provided upon completion. |
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| 2023-03-16 | Unannounced Monitoring | 3270.31(f) - Health and Safety Training | Non Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: 3rd CITATION: Staff Person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR training, health and safety training. Staff Person #2 has not completed the following required pre-service training with 90 days of their date of hire (see LIS code sheet): Health and Safety. PREVIOUSLY CITED 07/07/2022 and 09/27/2022. Correction Required: Staff person #3-- had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR and Health and Safety Training. The facility's acceptable plan of correction indicated the correction would be implemented by 07/22/2022. On 09/27/2022 an unannounced inspection was conducted. Staff person #3 -- still has not completed the following required pre-service training: Pediatric First Aid/Pediatric CPR and Health and Safety Training. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #3 is no longer employed with the facility. Staff #2 has completed the Health and Safety Training. |
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| 2023-03-16 | Unannounced Monitoring | 3270.32(a) - Comply with CPSL | Non Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: 2nd CITATION: Staff person #3 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). PREVIOUSLY CITED 09/27/2022. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #3 will have until 12/17/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #3 refused to provide proof of mandated reporter training. Staff #3 no longer works at TSHC Wonder Of Learning Center. |
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| 2023-03-16 | Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Non Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: 2nd CITATION: After multiple requests for the documentation, no clearance information was submitted at the time of inspection for Staff #3. PREVIOUSLY CITED 09/27/2022. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 -- may not work in a childcare position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #3 no longer works at TSHC Wonder Of Learning Center. |
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| 2023-03-16 | Unannounced Monitoring | 3270.51 - Similar Age Level | Non Compliant - Finalized |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: Upon arrival at the facility at 09:25, CR and CRS observed Staff Person #2 speaking with a gentleman outside of the facility leaving Staff Person #1 out of ratio with 13 PS Children. Because the maximum ratio for a group with PS Children is 1:10; ratio was exceeded by three children. While performing supervision and ratio in the PS Area at 09:28, Staff Person #2 was observed in the kitchen area with her back to the children leaving Staff Person #1 out of ratio with 13 PS Children. Because the maximum ratio for a group with PS children is 1:10; ratio was exceeded by three children. Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. |
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Provider Response: (Contact the State Licensing Office for more information.) Documentation will be submitted for approval - upon approval - documentation will be submitted weekly for the next 3 months. |
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| 2023-02-08 | Unannounced Monitoring | 3270.181(c)/3270.181(d) - Emergency info/agreement updated 6 mos/Dated signature affixed | Non Compliant - Finalized |
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Regulation: 3270.181(c)/3270.181(d) Description: Emergency info/agreement updated 6 mos/Dated signature affixed Noncompliance Area: 2nd Citation: The file for Child #3 lacked updates to the emergency contact and agreement forms. PREVIOUSLY CITED 09/27/2022. Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record. |
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Provider Response: (Contact the State Licensing Office for more information.) Documentation of the Emergency Contact form was sent to the certification representative for Child #1. |
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| 2023-02-08 | Unannounced Monitoring | 3270.191 - Individual Records | Non Compliant - Finalized |
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Regulation: 3270.191 Description: Individual Records Noncompliance Area: There was no file provided for Staff #3 at the time of inspection, after multiple requests were made to obtain the information. PREVIOUSLY CITED 09/27/2022. Correction Required: An individual record is required for each facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Director has access to all current staff files for all staff on site via Connecteam. |
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| 2023-02-08 | Unannounced Monitoring | 3270.192(5) - Two written references | Non Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: 2nd Citation: The file for Staff #4 lacked two written, nonfamily references. PREVIOUSLY CITED 09/27/2022 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Documentation of Non-Family References was sent to the certification representative for Staff Person #4. |
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| 2023-02-08 | Unannounced Monitoring | 3270.24(a) - Immediate access | Non Compliant - Finalized |
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Regulation: 3270.24(a) Description: Immediate access Noncompliance Area: 2rd CITATION: Multiple requests were made to obtain renewal documentation, which is kept offsite in an office not at the facility location. Untimely responses to the requests resulted in a delay to the inspection process and violations for lack of documentation. PREVIOUSLY CITED 09/27/2022. Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. |
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Provider Response: (Contact the State Licensing Office for more information.) Director has access to all current documents for all staff on site via Connecteam. |
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| 2023-02-08 | Unannounced Monitoring | 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility | Non Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii) Description: Fire safety - 1 yr./Exp, educ., training at facility Noncompliance Area: 2nd CITATION: The file for Staff #4 lacked documentation of fire safety training. PREVIOUSLY CITED 09/27/2022. 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Documentation of Fire Safety has been sent to Certification Representative for staff member #4. |
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| 2023-02-08 | Unannounced Monitoring | 3270.31(f) - Health and Safety Training | Non Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: 3rd Citation: Staff persons #1, #2 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR training, health and safety training. Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR training. PREVIOUSLY CITED 07/07/2022 and 09/27/2022. Correction Required: On July 7, 2022, a complaint was conducted at the facility. Staff person #1, #2 and #3-- had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR and Health and Safety Training. The facility's acceptable plan of correction indicated the correction would be implemented by (DATE). On (DATE) an unannounced inspection was conducted. Staff person #-- still has not completed the following required pre-service training: (list specific training missing when issuing the citation) |
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Provider Response: (Contact the State Licensing Office for more information.) Documentation of CPR will be sent to the certification representative for staff member #2. Staff persons #1, #3 and #6 were supervised directly by the Director during employment. Staff persons #1, #3 and #6 were directly supervised by the Director during employment. Staff persons #1, #3 and #6 are no longer employed. Documentation no longer needed. |
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| 2023-02-08 | Unannounced Monitoring | 3270.32(a) - Comply with CPSL | Non Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: 2nd Citation: Staff persons #1 and #3 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). PREVIOUSLY CITED 09/27/2022. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff persons #1 and #3 will have until 12/17/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 and #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1 and #3, staff persons #1 and #3 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff Persons #1 and #3 were supervised directly by the Director during their employment. Staff persons #1 and #3 are no longer employed. Documentation no longer needed. |
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| 2023-02-08 | Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Non Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: 2nd Citation: After multiple requests for the documentation, no clearance information was submitted at the time of inspection for Staff #3 and #5. PREVIOUSLY CITED 09/27/2022. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 and #5 -- may not work in a childcare position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Clearances have been sent to the certification representative. |
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| 2022-11-09 | Unannounced Monitoring | 3270.106(f) - 2 feet apart | Non Compliant - Finalized |
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Regulation: 3270.106(f) Description: 2 feet apart Noncompliance Area: SECOND VIOLATION. A crib in the Infant Room was observed to lack 2 feet on 3 sides while an infant was sleeping in the crib. as one side was against a wall, and another side was closer than 2 feet to another crib. Previously cited on SIN-00210734 on 7/22/22. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The crib was moved to maintain 2 feet of 3 sides of the crib on the day of the inspection. |
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| 2022-11-09 | Unannounced Monitoring | 3270.113(a) - Supervised at all times | Non Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: *SECOND VIOLATION. Upon assessment of ratio and supervision on 11/9/22 at 9:55 AM, Staff #1, in the Infant Room, was observed sitting in a rocking chair, with her eyes closed, while holding an infant. Three other infants were sleeping in cribs in the room with Staff #1. Previously cited on SIN-00210734 on 7/22/22. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Director discussed with all team members about the importance of supervision, including being able to see, hear, assess and engage at all times. Director discussed being vigilant and scanning the room, even while children are sleeping, at all times to assure children are safe. |
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| 2022-11-09 | Unannounced Monitoring | 3270.113(a) - Supervised at all times | Non Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: **SECOND VIOLATION. Upon assessment of ratio and supervision on 11/9/22 at 9:55 AM, Staff #1, in the Infant Room, was observed sitting in a rocking chair, with her eyes closed, while holding an infant. Three other infants were sleeping in cribs in the room with Staff #1. Previously cited on SIN-00210734 on 7/22/22. Correction Required: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will train all staff on 2 hours of training for supervision as approved by certification representative. |
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| 2022-11-09 | Unannounced Monitoring | 3270.119 - Infant sleep position | Non Compliant - Finalized |
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Regulation: 3270.119 Description: Infant sleep position Noncompliance Area: An infant in the Infant Room was observed sleeping on his belly. When asked how the child was placed in the crib, the staff reported he was placed in the crib on his belly. Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will train staff and ensure infants under 1 year of age are placed in cribs on their backs and allowed to roll into a sleeping position. Supervisor and Director will ensure no infants will be placed on their stomach to sleep by a staff member. |
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| 2022-11-09 | Unannounced Monitoring | 3270.21 - General Health and Safety | Non Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: Two loose crib sheets were observed on cribs in the Infant Room, causing the risk of suffocation. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) Loose crib sheets were removed from thinner mattresses and will only be used on thicker mattresses where they fit appropriately. |
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| 2022-11-09 | Unannounced Monitoring | 3270.27(c)/3270.192(2)(iii) - Training regarding plan/Exp, educ., training at facility | Non Compliant - Finalized |
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Regulation: 3270.27(c)/3270.192(2)(iii) Description: Training regarding plan/Exp, educ., training at facility Noncompliance Area: SECOND VIOLATION. The files for Staff #1, #3 and #4 lacked documentation of initial emergency plan training. Previously cited on SIN-00210734 on 7/22/22. 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will supply emergency plan training signature page. |
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| 2022-11-09 | Unannounced Monitoring | 3270.31(f) - Health and Safety Training | Non Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Continued Non-Compliance: On 7/22/22 a complaint investigation was conducted at the facility. Staff person #3 and #4 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid and CPR, health and safety training. The facility's acceptable plan of correction indicated the correction would be implemented by 9/30/22. On 11/9/22 an unannounced inspection was conducted. Staff person #3 and #4 still have not completed the following required pre-service training: pediatric first aid and CPR, health and safety training Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f) (1 -- 10) within 90 days of hire. Staff person #3 and #4 will have until 12/1/22 to complete the required training. Until such time as the required training has been completed, staff person #3 and #4- must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3 and #4, staff person #3 and #4 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #3 and #4 have completed pediatric first aid and CPR and health and safety training. Documentation will be provided to licensing representative. |
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| 2022-09-27 | Renewal | 3270.106(a) - Clean, age appropriate | Non Compliant - Finalized |
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Regulation: 3270.106(a) Description: Clean, age appropriate Noncompliance Area: The cribs in the Infant area were observed to lack labels. The wall behind the cribs was labeled with a child's name. Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. |
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Provider Response: (Contact the State Licensing Office for more information.) Corresponding numbers were labeled on each crib to match the label on the wall behind the crib. |
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| 2022-09-27 | Renewal | 3270.114 - Outdoor Activity | Non Compliant - Finalized |
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Regulation: 3270.114 Description: Outdoor Activity Noncompliance Area: According to staff report, infants are not being taken out doors daily. Correction Required: Weather permitting, children shall be taken out doors daily. |
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Provider Response: (Contact the State Licensing Office for more information.) A stroller is being purchased so that teachers are able to take infants outdoors daily as weather permits for walks. |
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| 2022-09-27 | Renewal | 3270.123(a)(3) - Services proceeded | Non Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The files for Child #1 and #3 lacked current child service reports. 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). |
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Provider Response: (Contact the State Licensing Office for more information.) Child service reports have been completed for Child #1 and #3 upon receipt of missing child service reports and signed by the parents. |
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| 2022-09-27 | Renewal | 3270.124(a) - Each child emergency contact person | Non Compliant - Finalized |
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Regulation: 3270.124(a) Description: Each child emergency contact person Noncompliance Area: The file for Child #2 lacked an emergency contact form. Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. |
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Provider Response: (Contact the State Licensing Office for more information.) Ensure that all digital files have been uploaded to the student record. We have received the emergency contact form for Child #2. |
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| 2022-09-27 | Renewal | 3270.124(b)(2) - Physician name, address, phone | Non Compliant - Finalized |
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Regulation: 3270.124(b)(2) Description: Physician name, address, phone Noncompliance Area: The file for Child #1 contained an emergency contact form which lacked the address of the child's medical provider. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. |
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Provider Response: (Contact the State Licensing Office for more information.) re request information from the parents. |
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| 2022-09-27 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Non Compliant - Finalized |
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Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: The file for Child #1 contained an emergency contact form which lacked the work address and telephone number of the enrolling parent. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) re request information from the parents. |
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| 2022-09-27 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Non Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The file for Child #1 contained an emergency contact form which lacked the addresses and telephone numbers of the release persons. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) re request information from the parents |
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| 2022-09-27 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Non Compliant - Finalized |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: The files for Child #1, #3, and #5 lacked health reports. Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) re request information |
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| 2022-09-27 | Renewal | 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months | Non Compliant - Finalized |
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Regulation: 3270.131(b)(2) Description: Toddler/preschool: updated health report every 12 months Noncompliance Area: The file for Child #4 contained a most recent health report dated more than 12 months in the past. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. |
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Provider Response: (Contact the State Licensing Office for more information.) re request information |
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| 2022-09-27 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Non Compliant - Finalized |
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Regulation: 3270.131(e)(1) Description: Exemption documentation from parent/guardian Noncompliance Area: The files for Child #1, #3 and #5 lacked records of immunization history. The file for Child #4 contained a record of immunization history which lacked a current influenza vaccination. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) re request information |
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| 2022-09-27 | Renewal | 3270.133(3) - Name on bottle | Non Compliant - Finalized |
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Regulation: 3270.133(3) Description: Name on bottle Noncompliance Area: Unlabeled cough and cold medicine, cough syrup, gym soother, and Orejel were observed in the Main 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The unlabeled cold and cough and cough syrup were discarded on the day of the inspection. The unlabeled gym soother and unlabeled Orejel were labeled on the day of the inspection. |
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| 2022-09-27 | Renewal | 3270.133(5) - Original label | Non Compliant - Finalized |
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Regulation: 3270.133(5) Description: Original label Noncompliance Area: Two expired cough syrups and an expired Benadryl were observed in the Main Room. Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. |
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Provider Response: (Contact the State Licensing Office for more information.) The expired medications were removed from the facility on the day of the inspection. |
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| 2022-09-27 | Renewal | 3270.133(6) - Written consent | Non Compliant - Finalized |
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Regulation: 3270.133(6) Description: Written consent Noncompliance Area: An Auvi-Q labeled for Child #6 was observed to lack written parental consent for administration. An unlabeled Orajel, reported to be intended for Child #7 was observed to lack written parental consent for administration. A Vicks Baby Rub labeled for Child #8 was observed to lack written parental consent for administration. A Zyrtec labeled for Child #9 was observed to lack written parental consent for administration. A Motrin and Acetaminophen labeled for Child #10 was observed to lack written parental consent for administration. A cough syrup labeled for Child #11 was observed to lack written parental consent for administration. Correction Required: A parent shall provide written consent for administration of medication or a special diet. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #6, #7, #8, #9 and #10 will provide consent for administration of medications. The medicine for Child #11 was discarded as the child is no longer enrolled. |
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| 2022-09-27 | Renewal | 3270.14 - Pertinent Laws & Regulations | Non Compliant - Finalized |
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Regulation: 3270.14 Description: Pertinent Laws & Regulations 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: mandated reporter training, pediatric first-aid/CPR training, health and safety training. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff Person #1 is currently supervised by an AGS until completion of all required trainings. |
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| 2022-09-27 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Non Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: A Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment policy was not available at the time of the inspection. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment policy was added to the Emergency Plan and staff were trained on the policy. |
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| 2022-09-27 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Non Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The file for Staff #4 contained an initial health assessment dated after the date 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #4 has a current health assessment on file. |
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| 2022-09-27 | Renewal | 3270.181(c)/3270.181(d) - Emergency info/agreement updated 6 mos/Dated signature affixed | Non Compliant - Finalized |
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Regulation: 3270.181(c)/3270.181(d) Description: Emergency info/agreement updated 6 mos/Dated signature affixed Noncompliance Area: The files for Child #1, #3, #4 and #5 lacked updates to the emergency contact and agreement forms. Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record. |
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Provider Response: (Contact the State Licensing Office for more information.) Re request said data |
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| 2022-09-27 | Renewal | 3270.182(2) - Application, admission, withdrawal dates | Non Compliant - Finalized |
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Regulation: 3270.182(2) Description: Application, admission, withdrawal dates Noncompliance Area: The file for Child #2 lacked an agreement, making it unable to be determined the date of application and admission of the child. Correction Required: A child's record shall contain the dates of application, admission and withdrawal of the child. |
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Provider Response: (Contact the State Licensing Office for more information.) re request information. We generated the agreement and sent for signature. |
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| 2022-09-27 | Renewal | 3270.182(3) - Consent for emergency medical care required prior to admission | Non Compliant - Finalized |
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Regulation: 3270.182(3) Description: Consent for emergency medical care required prior to admission Noncompliance Area: The file for Child #2 lacked an emergency contact form, and therefore lacked signed parental consent for emergency care. Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) re request information |
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| 2022-09-27 | Renewal | 3270.182(5) - Consent for administration of minor first-aid required prior to admission | Non Compliant - Finalized |
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Regulation: 3270.182(5) Description: Consent for administration of minor first-aid required prior to admission Noncompliance Area: The file for Child #2 lacked an emergency contact form, and therefore lacked singed parental consent for administration of first-aid. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) re request information |
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| 2022-09-27 | Renewal | 3270.182(8) - Copy of initial and subsequent agreements. Parent receives original. | Non Compliant - Finalized |
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Regulation: 3270.182(8) Description: Copy of initial and subsequent agreements. Parent receives original. Noncompliance Area: The file for Child #2 lacked an agreement. Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. |
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Provider Response: (Contact the State Licensing Office for more information.) re request information. Completed agreement and sent to parent for signature. |
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| 2022-09-27 | Renewal | 3270.191 - Individual Records | Non Compliant - Finalized |
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Regulation: 3270.191 Description: Individual Records Noncompliance Area: There were no files provided for Staff #1, #2, #3 and #5 at the time of inspection, after multiple requests were made to obtain the information. Correction Required: An individual record is required for each facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Training for director for immediate access to files. Staff #1, #2, #3 and #5 have a file and file information will be accessible at any time. |
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| 2022-09-27 | Renewal | 3270.192(5) - Two written references | Non Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for Staff #4 lacked two written, nonfamily references. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) re request information. Staff #4 will be suspended if documentation is not received. |
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| 2022-09-27 | Renewal | 3270.24(a) - Immediate access | Non Compliant - Finalized |
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Regulation: 3270.24(a) Description: Immediate access Noncompliance Area: Multiple requests were made to obtain renewal documentation, which is kept offsite in an office not at the facility location. Untimely responses to the requests resulted in a delay to the inspection process and violations for lack of documentation. Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. |
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Provider Response: (Contact the State Licensing Office for more information.) Hired additional administrative staff to balance workload. In the past workload could be balanced by existing team members that now have a higher demand in child care /etc. This is a result of childcare staff recruiting difficulties that are region wide. Currently training new hired staff to understand needs and requirements. All files are accessible by our onsite director - however training needed to be provided on how to access on demand - this is in progress / completed. |
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| 2022-09-27 | Renewal | 3270.27(a)(6) - Emergency plan | Non Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: Documentation of an emergency drill held in the past 12 months was not available at the facility. Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the time of the inspection. |
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Provider Response: (Contact the State Licensing Office for more information.) An emergency drill was conducted upon knowledge of this citation. A lockdown drill was completed on the first available date. |
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| 2022-09-27 | Renewal | 3270.27(b) - Plan reviewed/updated annually | Non Compliant - Finalized |
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Regulation: 3270.27(b) Description: Plan reviewed/updated annually Noncompliance Area: The observed emergency plan had not been updated in the past 12 months. Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director updated the Emergency Plan and sent this plan to the appropriate community members for review and to maintain an updated copy. The director printed this updated plan and placed it in the labeled folder on the counter in a public space. The director reviewed the updated Emergency Plan with all current team members. |
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| 2022-09-27 | Renewal | 3270.27(c)/3270.192(2)(iii) - Training regarding plan/Exp, educ., training at facility | Non Compliant - Finalized |
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Regulation: 3270.27(c)/3270.192(2)(iii) Description: Training regarding plan/Exp, educ., training at facility Noncompliance Area: The file for Staff #4 lacked documentation of emergency plan training. 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency Plan training signatures will be scanned to all staff files. Currently emergency plan training signatures are kept with the emergency plan on site. A scanned document of Staff #4's emergency plan training will be sent for review. |
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| 2022-09-27 | Renewal | 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility | Non Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii) Description: Fire safety - 1 yr./Exp, educ., training at facility Noncompliance Area: The file for Staff #4 lacked documentation of fire safety training. 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) We have Training services come directly to the center to train our staff in this area. Recently availability has been limited. We plan to conduct this training on a 6 month rotating schedule. Staff #4 will either receive training by 12/29/22 or remove from a child care position until receiving the training. |
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| 2022-09-27 | Renewal | 3270.31(f) - Health and Safety Training | Non Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #1, #2, #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first-aid/CPR training, health and safety training. Staff person #4 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first-aid/CPR training (dated 10/17/22), health and safety training (dated 10/8/22). Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first-aid/CPR training. Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1, #2, #3 and #6 will have until 12/17/22 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, #3 and #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #2, #3, and #6, staff person #1, #2, #3 and #6 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Through the use of our newly hired dedicated administrative staff we will be conducting quarterly employee file audits - and ensuring that all requirements are met. Staff #4 has current pediatric first-aid and health and safety training on file. Staff #1, #2 #3 and #6 will either complete by 12/17/22 or will be suspended by service until the required training is completed. |
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