Twinkling Star Childcare
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About the Provider
Hours of Operation
- Monday6:00 AM - 6:00 PM
- Tuesday6:00 AM - 6:00 PM
- Wednesday6:00 AM - 6:00 PM
- Thursday6:00 AM - 6:00 PM
- Friday6:00 AM - 6:00 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
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| 2026-01-23 | 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 following equipment was observed not to be in good repair; 1 broken metal coat hook in a cubby in room 3,1 clear plastic storage tub with a cracked corner in room 2, a disconnected hinge which created a pinch point on a wooden cabinet containing dress up clothes in room 2, broken areas of plastic on a red ride on car, front end loader, and plastic slide in the outdoor play spaces. 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 broken metal coat hook was covered with tape. The clear plastic storage tub, front end loader, piece of the plastic slide, and the red ride on car were all removed from care space. The wooden cabinet containing dress up clothes was was screwed back together and fixed. |
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| 2026-01-23 | Renewal | 3270.103/3270.104(a) - Small Toys and Objects/Clean, good repair, proper size | Compliant - Finalized |
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Regulation: 3270.103/3270.104(a) Description: Small Toys and Objects/Clean, good repair, proper size Noncompliance Area: The seat pillow on the adult rocking chair in room 3 had multiple frayed and torn areas which exposed the inner foam filling. Children under 3 years of age were observed in care in the room. Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. |
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Provider Response: (Contact the State Licensing Office for more information.) The pillow was removed from the classroom and thrown away. |
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| 2026-01-23 | 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 information for children #1, #2, #3, and #4 did not include information on the child's special needs. The related boxes on the form were left blank. 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.) All parents completed the information on their children's emergency contact forms. |
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| 2026-01-23 | 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 emergency contact information for children #1 and #3 did not include phone numbers for all individuals desingated to whom the child may be released. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) All parents completed the information on their children's emergency contact forms. |
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| 2026-01-23 | 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 #4 contained an initial health report dated more than 60 days after their first day in attendance. A current health report is now on file. 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.) Child was removed from care until they were able to get the health assessment required. |
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| 2026-01-23 | 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 files for staff #1 and #3 contained consecutive health assessments dated more than 24 months apart. The most recent health assessments on file for both staff are now current. 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.) Staff completed health assessments however they were not within the 24 months required. |
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| 2026-01-23 | Renewal | 3270.27(c)/3270.192(2)(iii) - Training regarding plan/Exp, educ., training at facility | 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: Based on documentation on file, staff #3 did not participate in emergency plan training annually. The training dates on file were 2/20/24 and 7/31/25. Current training is now on file. 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.) Staff had completed training however signed documents could not be found at the time of inspection. File did have a new training that was complete on 7/31/25 that makes the file up to date. |
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| 2026-01-23 | 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 lacked 5 of 12 required hours of training completed between 12/19/24 and 12/19/25. 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 completed all required hours of training. |
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| 2026-01-23 | Renewal | 3270.34(a)(6) - Staff evaluations | Compliant - Finalized |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: The files for staff #2 and #3 lacked staff evaluations completed by the director within the last 12 months. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff evaluations had not been signed by the director but where completed. They where signed and placed in the staff folders. |
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| 2026-01-23 | Renewal | 3270.66(b) - Original container | Compliant - Finalized |
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Regulation: 3270.66(b) Description: Original container Noncompliance Area: A reusable spray bottle in room 3 was not labeled with the contents. Based on statements made by staff, the bottle contained a bleach and water mix. Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member replaced a spray bottle that morning and did not label it before filling it. The bottle was labeled right away. |
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| 2026-01-23 | Renewal | 3270.71 - Heat Source | Compliant - Finalized |
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Regulation: 3270.71 Description: Heat Source Noncompliance Area: The heat register in room 1 measured 139° in multiple places including the accessible heating element, and points along the top and sides of the register. Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact. |
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Provider Response: (Contact the State Licensing Office for more information.) The temperature in the room was lowered to reduce the heat coming from the heater and lower the heat on the heater. |
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| 2025-01-17 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The files for children #1 and #2 did not contain documentation of sharing a child service report with the parents within the last 6 months. The last documentation on file for each child was dated 3/08/24. 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.) Teaching strategy assessments were completed on all children and reviewed with parents. |
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| 2025-01-17 | 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 contained 3 of the 12 required annual training hours completed between 4/17/23 and 4/17/24. 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 completed all hours of training. |
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| 2025-01-17 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: The safety lock on the bathroom cabinet was not functioning properly leaving 3 cleaning materials accessible to children; Windex, toilet bowl cleaner, and Zep. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The cleaning materials were removed from the cabinet. |
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| 2025-01-17 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: A stained area was observed on the ceiling of room 3, the infant/toddler room. Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. |
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Provider Response: (Contact the State Licensing Office for more information.) The stain will be covered with a paint primer to remove the stain. |
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| 2024-07-18 | Allocated Unannounced Monitoring | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: Broken/unattached straps were observed on a mini trampoline in the outdoor play space. 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.) Mini trampoline was removed off the property and thrown away. |
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| 2024-07-18 | Allocated Unannounced Monitoring | 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: 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: Pediatric CPR and First Aid from an approved instructor. 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, then 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 was removed from care and completed a new CPR training with an approved instructor on July 19, 2024. Staff person is no longer employed at the facility as of 8/19/24. |
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| 2024-07-18 | Allocated Unannounced Monitoring | 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: Electrical outlets on power strips in rooms 1 and 2, accessible to children 5 years of age or younger, lacked protective covers. 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 placed on both electrical outlets. |
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| 2024-03-13 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: There were strips of Styrofoam in the outdoor play area that were accessible to the children who still put 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Styrofoam was removedfrom outdoor play area and threw into the garbage. |
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| 2024-03-13 | Renewal | 3270.107 - Refrigerator | Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: The infant room and the main room refrigerators where children's food is stored lacked an operable thermometer in each refrigerator. Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. |
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Provider Response: (Contact the State Licensing Office for more information.) Thermometers were placed in the infant room and main room refrigerators. |
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| 2024-03-13 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: Child files #1, #2, #3 and #4, contained copies of child service reports dated 3/8/24 which was conducted more than 6 months since previous child service reports were completed and given to the parents. 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.) Parents signed and dated the copies of the child service reports. |
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| 2024-03-13 | 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: Child file #2 contained a health report dated 10/13/23 which was more than 60 days after the child's first day of attendance at the facility. (See LIS CODE SHEET) Child file #4 lacked an initial health report within 60 days of the child's first day of attendance at the facility. (See LIS 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. 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.) Parent went to child's physician and got a physical for the child. |
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| 2024-03-13 | 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: Child file #3 contained health reports dated 8/23/22 and 8/24/23 which was not updated every 6 months as required for a young toddler. (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.) Parent went to child's physician and got a physical for the child. |
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| 2024-03-13 | Renewal | 3270.133(4) - Locked | Compliant - Finalized |
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Regulation: 3270.133(4) Description: Locked Noncompliance Area: There was Tylenol and other medications in the unlocked 2nd drawer of a filing cabinet in the middle room that was accessible to the school aged children while in care. Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. |
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Provider Response: (Contact the State Licensing Office for more information.) Placed Tylenol in a locked area and out of reach of children |
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| 2024-03-13 | Renewal | 3270.133(6)/3270.133(7) - Written consent/Medication log | Compliant - Finalized |
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Regulation: 3270.133(6)/3270.133(7) Description: Written consent/Medication log Noncompliance Area: Child #5 had medication at the facility that lacked a medication log with written consent by the parent for administration of the medication while at the facility. Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. |
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Provider Response: (Contact the State Licensing Office for more information.) Filled out medication log by parent and staff |
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| 2024-03-13 | Renewal | 3270.181(c) - Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.181(c) Description: Emergency info/agreement updated 6 mos Noncompliance Area: Child files #1, #2 and #3 lacked documentation of review and update by parent of the financial agreement forms in the child's file every 6 months. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Parents signed and dated agreement forms and emergency contacts |
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| 2024-03-13 | Renewal | 3270.31(e) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: Staff file #1 contained documentation of 9 of the 12 hours required for child care training completed annually between 12/19/22 and 12/19/23. 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 #1 completed 3 hours of training on 3/19/24 and placed the training certificate in the staff file. |
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| 2024-03-13 | Renewal | 3270.34(a)(6) - Staff evaluations | Compliant - Finalized |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: Staff file #2 lacked documentation of a staff evaluation completed by the director at a minimum of every 12 months. (See LIS CODE SHEET) Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2 and director completed a staff evaluation on 3/13/24 and placed the staff evaluation in the staff file. |
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| 2024-03-13 | Renewal | 3270.67(c) - No insects or rodents | Compliant - Finalized |
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Regulation: 3270.67(c) Description: No insects or rodents Noncompliance Area: There was evidence of gnat infestation in the facility near and around the sink and on the walls in the middle room and in the bathroom. Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted. |
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Provider Response: (Contact the State Licensing Office for more information.) Sanitized sink and placed fly traps near infestation. Closed drain between uses of the sink. |
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| 2024-03-13 | 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: A child was observed wiping their nose on a tissue then disposing the used tissue into a garbage can that lacked a cover. 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 has been removed and the trash can was sanitized and disinfected. A trash can with lid was purchased and placed in the room on 3/21/24. |
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| 2024-03-13 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Regulation: 3270.75(c) Description: Has all items Noncompliance Area: The first aid kits located in the middle room and the infant room lacked tape in the first aid kits. Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. |
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Provider Response: (Contact the State Licensing Office for more information.) Placed tape Infant room first aid kit. |
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| 2024-03-13 | 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 facility lacked documentation of completion of fire drills every 60 days from 9/11/23-12/10/23. 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.) Conducted fire drill and placed documentation of fire drills in a folder |
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| 2024-03-13 | Renewal | 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: The facility lacked documentation of testing of the interconnected fire system every 30 days from 9/11/23-12/10/23. Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. |
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Provider Response: (Contact the State Licensing Office for more information.) Conducted testing of fire system and documentation of the testing of the fire system in the folder. |
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| 2024-02-01 | Unannounced Monitoring | 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: 3rd CITATION: On 2/1/24, the operator lacked documentation available at the facility of the updated sections in their emergency plan that include the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04. PREVIOUSLY CITED ON 8/25/23 and 11/1/23. 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.) The emergency plan will be updated to include the continuity of operations and will be available at the facility. |
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| 2024-02-01 | Unannounced Monitoring | 3270.27(e) - Letter to parents | Compliant - Finalized |
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Regulation: 3270.27(e) Description: Letter to parents Noncompliance Area: 3rd CITATION: On 2/1/24, the operator lacked documentation available at the facility of the updated letter to parents explaining the lock-down procedures and how the plan addresses accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions that were included in the updated emergency plan. PREVIOUSLY CITED ON 8/25/23 and 11/1/23. Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. |
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Provider Response: (Contact the State Licensing Office for more information.) The parent letter was updated to include all updates made to the emergency plan, including lockdown, accommodations and continuity of operations, and a copy of the letter is available in the emergency plan. |
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| 2023-11-01 | Unannounced Monitoring | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Non Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: **Per observation and staff statements, on 11/1/23, Staff #1 was caring for 1 older toddler and 3 preschool aged children in the front room. Staff #2 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 stepped out of the front room through an exterior door from the office into the parking lot. Staff #1 closed the door and was outside for approximately 2 minutes. During that time, the children she was caring for were in the front room unsupervised and without a staff person present. Later on 11/1/23, Staff #1 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 left the room to go to the kitchen for the infant's bottle. The children were left in the room with no staff present. PREVIOUSLY CITED ON 7/28/23 Correction Required: **The legal entity must arrange for all facility staff to receive onsite supervision training from the ELRC 4 regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The training hours may count toward the 12 annual childcare training hours. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will be required to take training with ELRC 4 to understand the importance and maintain ratio and supervision children. |
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| 2023-11-01 | Unannounced Monitoring | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Non Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: ***Per observation and staff statements, on 11/1/23, Staff #1 was caring for 1 older toddler and 3 preschool aged children in the front room. Staff #2 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 stepped out of the front room through an exterior door from the office into the parking lot. Staff #1 closed the door and was outside for approximately 2 minutes. During that time, the children she was caring for were in the front room unsupervised and without a staff person present. Later on 11/1/23, Staff #1 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 left the room to go to the kitchen for the infant's bottle. The children were left in the room with no staff present. PREVIOUSLY CITED ON 7/28/23 Correction Required: ***The legal entity must create a written supervision policy for staff that includes the following regulations: 3270.4 (definition of supervision), 3270.113(a), 3270.113(a)(1). The policy must be approved by DHS. Each staff must review and sign the supervision policy and a copy of the signed policy shall be kept in their staff file. The legal entity shall create a document that includes the following: the definition of supervision, 3270.4; supervision 3270.113(a), and supervision grouping 3270.113(a)(1) and staff:child ratios 3270.51, 3270.52. The document will be posted at the exit of each room. The document must be approved by DHS, prior to posting. |
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Provider Response: (Contact the State Licensing Office for more information.) The policy for supervision was reviewed with all staff and signed to ensure the responsibility of supervision of specific children. Staff are aware that they are to see, hear, direct, and assess children in their assigned groups. The facility has equipped the classroom with the requirements to maintain supervision. |
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| 2023-11-01 | Unannounced Monitoring | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Non Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: *Per observation and staff statements, on 11/1/23, Staff #1 was caring for 1 older toddler and 3 preschool aged children in the front room. Staff #2 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 stepped out of the front room through an exterior door from the office into the parking lot. Staff #1 closed the door and was outside for approximately 2 minutes. During that time, the children she was caring for were in the front room unsupervised and without a staff person present. Later on 11/1/23, Staff #1 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 left the room to go to the kitchen for the infant's bottle. The children were left in the room with no staff present. PREVIOUSLY CITED ON 7/28/23 Correction Required: *Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. 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.) The policy for supervision was reviewed with all staff and signed to ensure the responsibility of supervision of specific children. Staff are aware that they are to see, hear, direct, and assess children in their assigned groups at all times. |
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| 2023-11-01 | Unannounced Monitoring | 3270.123(a)(3) - Services proceeded | Non Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: On 11/1/23, designated staff person did not have access to Child file #2 and updated child service reports completed every 6 months. PREVIOUSLY CITED ON 8/25/23 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 will be completed every 6 months and copy given to the child's family and copy in the child's file. |
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| 2023-11-01 | Unannounced Monitoring | 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission | Non 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: On 11/1/23, designated staff person did not have access to Child file #2 to verify the emergency contact was updated to include the written consent signed by the parent for emergency medical care for the child. PREVIOUSLY CITED ON 8/25/23 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.) Form was reviewed and signed by parent. |
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| 2023-11-01 | Unannounced Monitoring | 3270.124(c) - Each child care space | Non Compliant - Finalized |
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Regulation: 3270.124(c) Description: Each child care space Noncompliance Area: The facility lacked copies of the emergency contact forms for Child #3, #4, #5 and #6 in the rooms were the children were receiving care. Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. |
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Provider Response: (Contact the State Licensing Office for more information.) Child files were located on the director desk. Children's emergency contact forms will be kept in each room where the children are receiving care and also on the Brightwheel app. |
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| 2023-11-01 | Unannounced Monitoring | 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: On 11/1/23, the operator lacked documentation available at the facility of the updated sections in their emergency plan that addresses volunteer emergency preparedness training, and the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04. PREVIOUSLY CITED ON 8/25/23 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.) The owner will update the sections of the emergency plan which included addressing volunteer emergency preparedness training. |
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| 2023-11-01 | Unannounced Monitoring | 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: On 11/1/23, the operator lacked documentation available at the facility of a policy and procedure to identify the prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment to maintain compliance with 45 CFR 98.41(a)(1)(vi) and in accordance with Announcement C-22-03. PREVIOUSLY CITED ON 8/25/23 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.) The owner will write and add policies and procedures that identify the prevention of Child Maltreatment and add it to the Shaken Baby Syndrome Policy and procedures., |
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| 2023-11-01 | Unannounced Monitoring | 3270.181(a) - Each child | Non Compliant - Finalized |
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Regulation: 3270.181(a) Description: Each child Noncompliance Area: The facility lacked individual records for Child #3, #4, #5 and #6 who were present and receiving care on 11/1/23. Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Child files were located on the director desk. Files were put in the file cabinet by the end of the day as this was the children's first day at the center. |
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| 2023-11-01 | Unannounced Monitoring | 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: On 11/1/23, the designated staff person did not have access to Child file #2 to verify the emergency form was updated to include the written consent signed by the parent for administration of minor first-aid procedures by a staff person to the child. PREVIOUSLY CITED ON 8/25/23 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.) Form was reviewed and signed by parent. |
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| 2023-11-01 | Unannounced Monitoring | 3270.27(e) - Letter to parents | Non Compliant - Finalized |
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Regulation: 3270.27(e) Description: Letter to parents Noncompliance Area: On 11/1/23, the operator lacked documentation available at the facility of the updated letter to parents explaining the lock-down procedures and how the plan addresses accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions that were included in the updated emergency plan. PREVIOUSLY CITED ON 8/25/23 Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. |
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Provider Response: (Contact the State Licensing Office for more information.) The Owner will update the sections of the emergency plan which include addressing lock-down procedures including accommodations for children with disabilities and medical issues. |
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| 2023-11-01 | Unannounced Monitoring | 3270.52 - Mixed Age Level | Non Compliant - Finalized |
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Regulation: 3270.52 Description: Mixed Age Level Noncompliance Area: Per observation and staff statements, on 11/1/23, Staff #1 was caring for 1 older toddler and 3 preschool aged children in the front room. Staff #2 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 stepped out of the front room through an exterior door from the office into the parking lot. Staff #1 closed the door and was outside for approximately 2 minutes. During that time, the children she was caring for were in the front room unsupervised and without a staff person present. Later on 11/1/23, Staff #1 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 left the room to go to the kitchen for the infant's bottle. The children were left in the room with no staff present. Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. |
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Provider Response: (Contact the State Licensing Office for more information.) When children are grouped in mixed age levels staff will insure they are familiar with the ages of all children under their care.Staff know where to find the ages of each child in their group by using the Brightwheel app.The required staff:child ratios will be maintained at all times. |
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| 2023-08-25 | Renewal | 3270.102(a) - Clean and good repair | Non Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: The stepping stone walking blocks in the outdoor play space were broken and had rough and sharp edges that posed a hazard to the children. The riding toy truck in the infant space lacked a seat exposing the motor mechanics to the 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Stepping stone blocks were thrown away. The truck was repaired. |
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| 2023-08-25 | Renewal | 3270.123(a) - Signed | Non Compliant - Finalized |
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Regulation: 3270.123(a) Description: Signed Noncompliance Area: Child file #1 lacked the operator signature on the agreement form. Correction Required: An agreement shall be signed by the operator and the parent. |
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Provider Response: (Contact the State Licensing Office for more information.) Operator signed the agreement form. |
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| 2023-08-25 | Renewal | 3270.123(a)(3) - Services proceeded | Non Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: Child file #2 lacked copy of a child service report completed every 6 months as required and given to the parents. 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.) Teaching Strategies account was unlocked to print the child's report. |
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| 2023-08-25 | Renewal | 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission | Non 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: Child file #2 lacked the written consent signed by the parent for emergency medical care for the child on the emergency contact form. 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.) Form was reviewed and signed by parent. |
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| 2023-08-25 | Renewal | 3270.135(a)(3) - Disposable diapers | Non Compliant - Finalized |
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Regulation: 3270.135(a)(3) Description: Disposable diapers Noncompliance Area: Staff person #1 was observed using their hand to lift the lid of the hands free can while changing the child's diaper. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Educate the staff on the correct way to change diapers and how to to use the hands free trash can. |
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| 2023-08-25 | 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: The operator lacked updated sections in their emergency plan that addresses volunteer emergency preparedness training and the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04. 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.) The owner will update the sections of the emergency plan which included addressing volunteer emergency preparedness training. |
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| 2023-08-25 | 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: The operator lacked a policy and procedure to identify the prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment to maintain compliance with 45 CFR 98.41(a)(1)(vi) and in accordance with Announcement C-22-03. 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.) The owner will write and add policies and procedures that identify the prevention of Child Maltreatment and add it to the Shaken Baby Syndrome Policy and procedures. |
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| 2023-08-25 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Non 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: Staff file #1 contained health assessments dated 3/12/21 and 7/27/23 which exceeded the 24 months as required for an updated health assessment. 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.) Staff file was corrected prior to inspection. |
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| 2023-08-25 | 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: Child file #2 lacked the written consent on the emergency contact form signed by the parent for administration of minor first-aid procedures by a staff person to the child. 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.) Form was reviewed and signed by parent. |
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| 2023-08-25 | Renewal | 3270.27(e) - Letter to parents | Non Compliant - Finalized |
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Regulation: 3270.27(e) Description: Letter to parents Noncompliance Area: The operator a lacked letter to parents explaining the lock-down procedures and how the plan addresses accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions that were included in the updated emergency plan. Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. |
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Provider Response: (Contact the State Licensing Office for more information.) The owner will update the sections of the emergency plan which included addressing lock-down procedures including accommodations for children with disabilities and medical issues. |
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| 2023-08-25 | Renewal | 3270.66(a) - Locked or inaccessible | Non Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: The preschool room had a bottle of bleach water on the hand towel dispenser that was accessible to the children in care. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The bottle of bleach was placed under a locked sink that is not accessible to the children. |
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| 2023-08-25 | Renewal | 3270.67(c) - No insects or rodents | Non Compliant - Finalized |
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Regulation: 3270.67(c) Description: No insects or rodents Noncompliance Area: There were gnats that came from the handwashing sink drain all over the wall in the preschool room. Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted. |
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Provider Response: (Contact the State Licensing Office for more information.) Our center has consulted with a company to determine the best was to rid the center of the gnats. We are currently using their recommendations to remove the gnats from our center. |
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| 2023-08-25 | Renewal | 3270.72(b) - Screened | Non Compliant - Finalized |
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Regulation: 3270.72(b) Description: Screened Noncompliance Area: The open window in the bathroom lacked a screen. Correction Required: Windows or doors used for ventilation shall be screened when open. |
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Provider Response: (Contact the State Licensing Office for more information.) A screen will be installed on the window. |
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| 2023-08-25 | Renewal | 3270.82(e) - Toilet and sinks proper height | Non Compliant - Finalized |
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Regulation: 3270.82(e) Description: Toilet and sinks proper height Noncompliance Area: The sink in the infant room lacked a platform or step for the children to easily use the sink. Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps. |
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Provider Response: (Contact the State Licensing Office for more information.) The owner will order a step stool for children to reach the sink to wash their hands. |
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| 2023-07-28 | Complaints- Legal Location | 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: On 7/28/23, Staff #1 answered the door, leaving 1 young toddler, 4 preschool children and 2 young school age children in the preschool room without an adult present. Upon entry, there were 2 young school age children observed alone and remained in school age room without an adult present as Staff #1 went back into the preschool room. Staff #2 was present in the infant room with 1 young toddler. Staff #1 identified 3 preschool children and 3 young school age children in their supervision group. Staff #2 identified 1 young toddler in their supervision group. Leaving 1 young toddler, 2 preschool children and 1 young school age child not identified in a supervision group. Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member returned to the classroom after answering the door. Children will be supervised at all times. |
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| 2023-07-28 | Complaints- Legal Location | 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: On 7/28/23, Staff #1 answered the door, leaving 1 young toddler, 4 preschool children and 2 young school age children in the preschool room without an adult present. Upon entry, there were 2 young school age children observed alone and remained in school age room without an adult present as Staff #1 went back into the preschool room. Staff #2 was present in the infant room with 1 young toddler. Staff #1 identified 3 preschool children and 3 young school age children in their supervision group. Staff #2 identified 1 young toddler in their supervision group. Leaving 1 young toddler, 2 preschool children and 1 young school age child not identified in a supervision group. Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff person returned to the room. Each staff person reassigned the room to determine who was the supervisor of each child. This was to determine that state ratios were followed. |
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| 2023-07-28 | Complaints- Legal Location | 3270.51 - Similar Age Level | Non Compliant - Finalized |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: On 7/28/23, Staff #1 answered the door, leaving 1 young toddler, 4 preschool children and 2 young school age children in the preschool room without an adult present. Upon entry, there were 2 young school age children observed alone and remained in school age room without an adult present as Staff #1 went back into the preschool room. Staff #2 was present in the infant room with 1 young toddler. Staff #1 identified 3 preschool children and 3 young school age children in their supervision group. Staff #2 identified 1 young toddler in their supervision group. Leaving 1 young toddler, 2 preschool children and 1 young school age child not identified in a supervision group. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff person returned to the room. Each staff person reassigned the room to determine who was the supervisor of each child. This was to determine that state ratios were followed. |
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| 2023-07-28 | Unannounced Monitoring | 3270.61(h)(1) - Measurement and use of indoor child care space | Compliant - Finalized |
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Regulation: 3270.61(h)(1) Description: Measurement and use of indoor child care space Noncompliance Area: On 7/28/23, there were 8 children including 1 young toddler, 6 preschool children and 1 young school aged child present in the preschool room that measures for 7 during naptime, all of whom were not resting on rest equipment. Correction Required: The capacity established for an indoor space may not be exceeded except at naptime, when toddler or preschool children are resting on rest equipment described in §3270.106. |
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Provider Response: (Contact the State Licensing Office for more information.) Director completed a training with all staff regarding nap time ratios, resting equipment, room capacity. and nap time protocols. |
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| 2022-11-02 | Unannounced Monitoring | 3270.151(c)(2) - Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(c)(2) Description: Mantoux TB Noncompliance Area: Staff file #4 lacked the results of the TB results prior to initial hire. (See LIS CODE SHEET) 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff person was removed from care. |
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| 2022-11-02 | Unannounced Monitoring | 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: Staff #4 file contained a receipt for a PDE FBI clearance request dated 9/11/22 but lacked a valid DHS FBI clearance. Staff #5 file contained a receipt for DHS FBI clearance request dated 8/17/22 but lacked a valid DHS FBI clearance. (See LIS CODE SHEET) Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4 and #5 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4 and #5 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.) Both staff persons were removed from care until they could provided the required documents needed. |
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| 2022-08-09 | 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 plastic bin being used as a sink in the wooden kitchen set was cracked and broken. The triangle trampoline in the outdoor toddler play space was torn and the material was threadbare. The plastic piece covering the front wheel on the tricycle in the toddler outdoor play space was cracked and had sharp edges. 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.) All items were discarded after the inspection. |
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| 2022-08-09 | Renewal | 3270.106(f) - 2 feet apart | Compliant - Finalized |
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Regulation: 3270.106(f) Description: 2 feet apart Noncompliance Area: The cots in the preschool room did have 2 feet of space on three sides while children were napping on them. 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.) Staff were educated on the distanced required between the cots for children to sleep. Tables and shelves were moved in the room to make it possible to lay the needed cots out for the children. |
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| 2022-08-09 | Renewal | 3270.107 - Refrigerator | Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: The refrigerator in the school age room did not contain an operable thermometer. Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. |
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Provider Response: (Contact the State Licensing Office for more information.) A thermometer was placed in the refrigerator at the time of the inspection. |
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| 2022-08-09 | Renewal | 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months | Compliant - Finalized |
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Regulation: 3270.131(b)(2) Description: Toddler/preschool: updated health report every 12 months Noncompliance Area: Child file #1 lacked an updated health assessment every 12 months as required for an older toddler. 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.) This physical was updated at the time of the inspection. |
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| 2022-08-09 | Renewal | 3270.134(a) - Child's hands washed | Compliant - Finalized |
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Regulation: 3270.134(a) Description: Child's hands washed Noncompliance Area: Staff #2 used a wipe to clean a young toddler and did not wash the young toddlers hands after diapering the child. Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff was educated on the need to wash a Childs hands instead of using a baby wipe. As washing their hands teaches them to wash their hands as they grow and it as well makes it possible to kill the most amount of germs. |
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| 2022-08-09 | Renewal | 3270.135(a)(3) - Disposable diapers | Compliant - Finalized |
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Regulation: 3270.135(a)(3) Description: Disposable diapers Noncompliance Area: The hands free diapering can was kept in cabinet under the diaper changing table, staff #2 opened the cabinet door with soiled diaper in hand and disposed of soiled diaper in the can by opening the lid with soiled diaper in hand. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff was educated at the time of the incident that we need to take the diapering can out of the cabinet before starting our diapering changes. It was expressed to her how germs are spread when we do not prepare our area correctly. |
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| 2022-08-09 | 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: Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety topics and pediatric first-aid/CPR 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 #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.) All children were moved into the room all together allowing staff #1 to be the group supervisor and supervise in the room with staff #3. Staff #3 was removed from facility and will not return until the trainings are completed. |
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| 2022-08-09 | 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 documentation of annual traffic letter with routes used to facility sent to the local traffic authorities. 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.) The director mailed the evacuation plans to the fire department as well as the police station. |
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| 2022-08-09 | Renewal | 3270.192(4) - CPSL information | Compliant - Finalized |
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Regulation: 3270.192(4) Description: CPSL information Noncompliance Area: Staff file #3 lacked a signed and dated disclosure statement in the file. 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. Facility 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.) The disclosure statement was signed at the time of the inspection. |
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| 2022-08-09 | Renewal | 3270.31(e) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: Staff file #1 contained documentation of 6 of the 12 hours required of child care training completed between 12/19/20 and 12/19/21. 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 member completed an additional 4 hours to have the required amount of hours of training. |
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| 2022-08-09 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: PREVIOUSLY CITED ON 4/25/22, Staff file #3 lacked a signed and dated disclosure statement in the file. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) The disclosure statement was signed at the time of the inspection. |
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| 2022-08-09 | 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: Staff file #1 contained Mandated reporter training certificates dated 12/26/16 and 7/14/22 which exceeded the 60 months as required by CPSL. 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.) Mandated reporter training was completed prior to the inspection however it was completed past the required date. |
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| 2022-08-09 | Renewal | 3270.37(c) - Aides supervised all times | Compliant - Finalized |
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Regulation: 3270.37(c) Description: Aides supervised all times Noncompliance Area: At approximately 2:25 pm, staff #2 was observed outside of the facility while staff #3, an aide, was left unsupervised with 1 young toddler, 1 older toddler and 2 preschool children who were napping in the preschool room. Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. |
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Provider Response: (Contact the State Licensing Office for more information.) All children were moved into the room all together allowing staff #1 to be the group supervisor in the room with staff #3. |
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| 2022-04-25 | Unannounced Monitoring | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: Staff file #2 lacked a current health assessment conducted within 24 months of 7/29/19 last health assessment. 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.) This staff member is not longer working with our facility. Due to their refusal to complete the physical they will not longer be allowed to provided assistance in meal preparation. |
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| 2022-04-18 | Complaints- Legal Location | 3270.32(a) - Comply with CPSL | Non Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: Staff file #1 lacked a signed disclosure statement and a valid NSOR verification. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff person was removed from the schedule at the time of the inspection. |
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| 2020-08-18 | Renewal | 3270.102(c) - Outdoor equip.- protective surfacing | Compliant - Finalized |
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Noncompliance Area: The embedded play dome located in the outdoor play space was positioned on a grassy area and did not have loose-fill that met the recommendations of the United States Consumer Product Safety Commission. Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. |
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Provider Response: (Contact the State Licensing Office for more information.) The embedded play dome was removed from the playground. Our center will not return it to the play space until we are able to place the required 9 inches of mulch underneath of it. |
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| 2020-08-18 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Noncompliance Area: Located in the Infant/Toddler Room were plastic bags under the unlocked changing table making them 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff will be sure to lock the changing table when not in use. The director will check the changing table throughout the day to be sure the staff are locking the cabinet. |
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| 2020-08-18 | Renewal | 3270.124(e) - Written emergency plan posted | Compliant - Finalized |
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Noncompliance Area: The Infant/Toddler Room, lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency. 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.) The written plan was placed in the room the day of the visit. The forms required on the wall will be checked and maintained monthly by the director. |
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| 2020-08-18 | Renewal | 3270.131(a) - Within 60 days | Compliant - Finalized |
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Noncompliance Area: The file for child #2 lacked an initial health report within 60 days of attendance. Child #2's date of admission is 12/6/19 and initial health report is dated 8/5/20. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Due to the virus our center was unable to receive the health records of this child prior to the close. His records have been provided and placed in his file. The director will review all files monthly to be sure that all information is up to date. |
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| 2020-08-18 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Noncompliance Area: The health report for the child #1, lacked a 3rd dose of DTAP and a 3rd dose of Pneumococcal in accordance with the schedule recommended by the ACIP. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. |
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Provider Response: (Contact the State Licensing Office for more information.) Do to the virus we were unable to get updated shot records for this child. Shot records have since been provided and are on file. The director will check all files monthly to be sure that all health assessments are completed and up to date. |
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| 2020-08-18 | Renewal | 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility | Compliant - Finalized |
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Noncompliance Area: The file for Staff #1, hired 12/12/19, lacked Mandated Reporter training. 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 staff person will complete this training. The director will review and update all staff files monthly. This will be sure that all information is being complete in a timely manner. |
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| 2020-08-18 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Noncompliance Area: In the Preschool/School Age Room, there was an electrical outlet on the back wall that lacked a protective receptacle cover. The outlet was accessible to children 5 years of age and younger. 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.) The outlet cover was replaced the day of inspection. Our classroom teachers will check the outlets at the beginning and end of their shifts to be sure they have covers. Also if a teacher sees an outlet without a cover they will replace that cover immediately. |
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| 2020-08-18 | Renewal | 3270.75(b) - Inaccessible to children | Compliant - Finalized |
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Noncompliance Area: The first aid kit located in the Infant/Toddler Room was under the unlocked changing table making it accessible to children. Correction Required: A first-aid kit must be inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff will be sure to lock the changing table when not in use. The director will check the changing table throughout the day to be sure the staff are locking the cabinet. |
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| 2019-08-21 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Noncompliance Area: A play kitchen in the Infant/Toddler room was observed to be cracked in the corner of the plastic sink and had unsecured wooden pieces, exposing children to rough edges and pinch points. A white plastic bin in the front room of the Preschool/School Age space was observed to be cracked, exposing the children to rough edges and pinch points. A play kitchen in the Preschool/School Age space was observed to have an exposed metal screw, exposing the children to sharp objects. 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 place center was removed from the center and thrown away. All play equipment, toys, and other items used in the center will be checked weekly. This will insure broken items are thrown away and maintain the safety of the children in our center. |
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| 2019-08-21 | Renewal | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Noncompliance Area: Second Citation. At 12:00pm, Staff Person #2 was observed to be in the kitchen adjoining the school age space, preparing lunch, leaving eight preschool and school-aged children unsupervised. Supervision previously cited on 7/3/19 SIN-00157816. 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.) The staff person in question is an as needed employee. Each staff has been re-educated on the requirements for state ratio. They have also been reminded that each classroom has the ratios listed on the wall. Each staff, before leaving a room, is now required to tell another staff member they are leaving and receive a response. |
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| 2019-08-21 | Renewal | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Noncompliance Area: At 1:00pm, one child was observed to be entering the bathroom unattended, and a second child was observed to be waiting outside the bathroom, unattended. Staff Person #2 was unaware of which child was present in the bathroom at the time. Supervision previously cited on SIN-00157816. 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.) The staff person in question is an as needed employee. Each staff has been re-educated on knowing the where about of each child at all times. The staff are now required to let another employee know if a child is going to the restroom so every staff person knows who is in the restroom. |
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| 2019-08-21 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Noncompliance Area: The files for Child #1 and Child #3 lacked child service reports or other reports providing information about the child's growth and development in the context of the services being provided. 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.) All children's child service reports are currently in the folder. Our center now has a spread sheet to be sure that all files are kept up to date and have the information needed. This spread sheet will be checked by the Director or most Senior Staff every Monday. |
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| 2019-08-21 | Renewal | 3270.131(a) - Within 60 days | Compliant - Finalized |
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Noncompliance Area: The file for Child #2, start date 01/18/2018, contained an initial health report dated 04/26/2018; the file lacked a health report dated within 60 days following the first day of attendance at the facility. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #2 submitted the needed health assessment and it is currently in the folder. Our center now has a spread sheet to be sure that all files are kept up to date and have the information needed. This spread sheet will be checked by the Director or most Senior Staff every Monday. |
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| 2019-08-21 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Noncompliance Area: The files for Child #1, Child #2, and Child #3 lacked documentation of flu shots in accordance with the schedule recommended by ACIP, or documentation of exemptions. 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.) Our center will request verification of children receiving the flu shot or parent statement refusing the flu shot. A spreadsheet has been created and will be reviewed weekly by the Director or the most Senior Staff every Monday. |
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| 2019-08-21 | Renewal | 3270.135(a)(3) - Disposable diapers | Compliant - Finalized |
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Noncompliance Area: The diapering area in the Infant/Toddler Room was observed to have a swing-top trash 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The swinging trash can was remove from the infant toddler room and replaced with a hands free covered can. All trash cans that are used for diapering will be hands free and maintained by the Director or the most Senior Staff. |
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| 2019-08-21 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Noncompliance Area: The file for Facility Person #4, start date 07/15/2019, lacked documentation of emergency plan training within the first week of hire. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The necessary training documentation was completed and placed in the folder of the staff person as required. Our center now has a spread sheet to be sure that all files are kept up to date and have the information needed. This spread sheet will be checked by the Director or most Senior Staff every Monday. |
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| 2019-08-21 | Renewal | 3270.31(e) - Annual 6 hrs. training | Compliant - Finalized |
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Noncompliance Area: The file for Staff Person #1 contained documentation of 3 hours of child care training in the last 12 months. The file for Staff Person #5 lacked documentation of child care training in the last 12 months. Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training. |
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Provider Response: (Contact the State Licensing Office for more information.) Each staff person has completed their training hours and retains proof in their files.. Our center now has a spread sheet to be sure that all files are kept up to date and have the information needed. This spread sheet will be checked by the Director or most Senior Staff every Monday. |
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| 2019-08-21 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Noncompliance Area: The file for Staff Person #2, start date 07/30/2017, contained documentation of mandated reporter training occurring after the 90 day provisional hiring window; training dated 06/03/2019. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) Our center has created a check sheet that will be used for each new employee. This sheet will be checked weekly by the Director or the Most Senior staff to be sure items are completely in a timely manner. Once items are complete documents will be reviewed yearly. |
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