Tts Toy Box Day Care Center

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the bathroom, loose plastic gloves were observed in an unlocked drawer, and an opened box of garbage bags were observed in an unlocked cabinet, both accessible to children who are still placing objects in their mouths.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #1 lacked a complete address for the child's physician.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During a diaper change, Staff #1 was observed placing the used diaper on the changing table and not immediately discarding the diaper into the plastic lined, hands-free covered can.

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

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The record of the required education on file for Staff Person #2 to be classified as an assistant group supervisor was an international diploma, not translated by an approved evaluator with no equivalency on file.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the outdoor play space, exposed fence bolts were observed on the inside of the fence gate, which could be harmful to children.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: While observing a diaper change in the infant room, Staff #2 was observed opening the hands-free can for diaper disposal with their hands.

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

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: Between diaper changes, it was observed that Staff #2 did not clean or sanitize the diaper changing surface.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

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

Description: Age and Training

Noncompliance Area: The two most recent First-Aid/CPR certificates on file for Staff #1 are dated 6/29/22 and 8/25/24, exceeding the 24-month update.

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.

Regulation: 3270.61(c)

Description: 40 square feet wall-to-wall

Noncompliance Area: On 4/10/25, a mixed age group of 6 children, ranging from older toddler to preschoolers, were observed in Young Toddler Room 1 that has a designated maximum capacity of 3.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A cracked plastic hinge was observed on the outdoor slide, which could be harmful to children.

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

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: In the Young Toddler Room 1, peeling vinyl on the red couch was observed to be less than 1 inch in diameter and 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.

Regulation: 3270.102(e)

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

Noncompliance Area: Pea gravel with a diameter of less than 1 inch was observed in the outdoor play space, used by infants and toddlers.

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

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files for Child #1, Child #2, Child #3, Child #4, and Child #5 contained the original Financial Agreement. The parent is to receive the original agreement and the facility is to retain a copy of the agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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.

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The initial health assessment and written verification of immunizations for Child #1 (12/26/23), Child #2 (10/2/23) and Child #3 (12/4/23) were dated more than 60 days beyond enrollment (SEE IS CODE SHEET).

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for Child #3 did not contain all recommended DTAP, Pneumococcal, and Hepatitis A recommended for an Older Toddler annually by the ACIP. Child #3 must be dismissed from care by close of business on 4/16/24, 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 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.