Wee The Lil People Clubhouse Llc

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the restroom, in the Infant Room, the white changing table cushion contained rips in the plastic covering, which were accessible to children who are still placing objects in their mouths.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: In the Infant Room, the refrigerator thermometer was not operable.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact information and financial agreement, in the file for Child #3, did not contain documentation that they were reviewed/updated at least once in a 6-month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #2, a young toddler, did not contain documentation of an initial Health Assessment within 60 days following the first day of attendance.

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.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for Child #1, a preschool child, did not contain documentation of a Health Assessment within 12 months of the previous Health Assessment.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for Staff #2 (see IS Code Sheet) contained documentation of a Health Assessment following the first day working with children.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #1 contained documentation of emergency plan training on 10.10.24 and 11.15.25, which exceeded the annual requirement. The file for Staff #3 contained documentation of emergency plan training on 10.1.24 and 11.15.25, which exceeded the annual requirement.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff #1 did not contain any documentation of the required 12 hours of child care training between 10.20.24 and 10.19.25.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff #1 did not contain documentation of fire safety training by 9.23.25, which exceeded the annual requirement. The file for Staff #3 did not contain documentation of fire safety training by 11.23.25, which exceeded the annual requirement.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1, a re-hired staff, contained documentation of Mandated Reporter trainings on 1.10.19 and 2.16.26, which exceeded the 60-month requirement. The file for Staff #4 contained documentation of Mandated Reporter trainings on 12.6.20 and 2.24.26, which exceeded the 60-month requirement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Infant Room, three (3) electrical outlets did not contain protective receptacle covers, which were accessible to children 5 years of age or younger. In the Gross Motor Room, eight (8) electrical outlets did not contain protective receptacle covers, which were accessible children 5 years of age or younger.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated (12/6/20).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person/facility person/volunteer #1 must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 9:30 AM, Staff #2 was asked to name their primary assigned group of children. Staff #2 named 8 children including 1 Infant, 5 young toddlers, and 2 older toddlers. Upon naming the 8 children, Staff #3 came out of the restroom and reentered the classroom. At the time that Staff #3 was in the restroom, ratio for this mixed group of infants, young toddlers, and older toddlers at the time was 1:8.

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).

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: SECOND CITATION: On 12.22.25, Staff #1 and Staff #2 were to be supervising nineteen (19) children in the Preschool Room, at approximately 10:30 AM. Certification Representative asked staff to identify the children for whom each was responsible. During the first attempt, Staff #1 named nine (9) children, and Staff #2 named eight (8) children, omitting two (2) children. During the second attempt, Staff #1 named nine (9) children, and Staff #2 named nine (9) children, omitting one (1) child. It was not until a 3rd staff entered the room and assisted with group assignments that Staff #1 and Staff #2 were able to identify their respective supervision groups. PREVIOUSLY CITED ON 11.17.25.

Correction Required: 1. 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. This portion of the plan shall have an immediate correction date. 2. The Legal Entity and newly-hired director will arrange to attend an in-person Existing Provider Training offered by the Western Region. The provider will provide a date for when this training will be completed. 3. The director or owner will conduct random assessments of classrooms at least once daily, at various times of day for the next three (3) months to assess staff's ability to name the children for whom each is responsible. The director or owner will document all assessments in a log including the date/time/staff/number and ages of children. The log must first be submitted to the DHS representative. The completed logs will be kept on file at the facility and be available to Certification Representatives upon request. The correction date for this portion of the plan shall be a minimum of the three (3) months from the date the Regional Office reviews the log and notifies the provider that they may begin.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 12.18.25, Staff #1 smacked Child #1 on the mouth, in the preschool room.

Correction Required: 1. A facility person may not use any form of physical punishment, including spanking a child. The correction date for this portion of the plan shall be immediate. 2. The Legal Entity must create a written discipline policy that references 3270.113(b), 3270.113(c) & 3270.113(d). The policy must also address how staff are to report concerning staff interactions with children to the Director/ Owner. The policy should incorporate positive, appropriate techniques that staff are encouraged to use. The policy shall be submitted to the Regional Office prior to use. Upon review, each staff must review and sign the policy, and a copy of the policy shall be included in the family and staff handbooks. Documentation of staff signatures will be submitted to the Western Regional office. The Legal Entity may seek assistance from the ELRC #5 in the formation of this policy. The correction date for this portion of the plan shall be no more than a month from the date this plan is submitted to the regional office.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: On 12.18.25, Staff #1 threatened harm to Child #1 by stating, "If you scream in my face again, I am going to smack you in the mouth."

Correction Required: 1. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. The correction date for this portion of the plan shall be immediate. 2. The Legal Entity must create a written discipline policy that references 3270.113(b), 3270.113(c) & 3270.113(d). The policy must also address how staff are to report concerning staff interactions with children to the Director/ Owner. The policy should incorporate positive, appropriate techniques that staff are encouraged to use. The policy shall be submitted to the Regional Office prior to use. Upon review, each staff must review and sign the policy, and a copy of the policy shall be included in the family and staff handbooks. Documentation of staff signatures will be submitted to the Western Regional office. The Legal Entity may seek assistance from the ELRC #5 in the formation of this policy. The correction date for this portion of the plan shall be no more than a month from the date this plan is submitted to the regional office.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: On 12.18.25, Staff #1 used harsh language toward a child when Staff #1 stated, "If you scream in my face again, I am going to smack you in the mouth."

Correction Required: 1. A facility person may not use harsh, demeaning or abusive language in the presence of children. The correction date for this portion of the plan shall be immediate. 2. The Legal Entity must create a written discipline policy that references 3270.113(b), 3270.113(c) & 3270.113(d). The policy must also address how staff are to report concerning staff interactions with children to the Director/ Owner. The policy should incorporate positive, appropriate techniques that staff are encouraged to use. The policy shall be submitted to the Regional Office prior to use. Upon review, each staff must review and sign the policy, and a copy of the policy shall be included in the family and staff handbooks. Documentation of staff signatures will be submitted to the Western Regional office. The Legal Entity may seek assistance from the ELRC #5 in the formation of this policy. The correction date for this portion of the plan shall be no more than a month from the date this plan is submitted to the regional office.

Regulation: 3270.61(c)

Description: 40 square feet wall-to-wall

Noncompliance Area: On 12.22.25, two (2) staff and nineteen (19) children were in the Preschool Room, which measures for seventeen (17) children, resulting in being over-capacity.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: The CR observed Staff #3 in the kitchenette, instead of in the preschool room with their supervision group, on 11.17.25, at approximately 1:10 pm.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: The CR observed that Staff #3, in the preschool room at approximately 1:15 pm, did not know which children were in their supervision group, the names of the children in their supervision group, or on which cots they were resting, until after the fourth attempt, with the assistance of another staff in the room.

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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff #1 contained a health assessment dated more than 12 months before being rehired at the facility and dated more than 24 months prior to rehire.

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.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for Staff #1 contained a tuberculosis screening t dated more than 12 months before being rehired at the facility and dated more than 24 months prior to rehire.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #1 did not include two (2) written, nonfamily references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #1 (see IS Code Sheet), contained documentation of Emergency Plan training on 11.15.25, which exceeded 90 days 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #1 (see IS Code Sheet) did not contain documentation of Health & Safety Training, Part 1 or Part 2, which exceeded the 90-day requirement.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file for Staff #1 (see IS Code Sheet), did not include documentation of Pediatric First-Aid/CPR training, which is now beyond 90 days of hire.

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: As confirmed by the operator and Staff #2, there was no director employed from 2.4.25 through 8.17.25. A director was re-hired on 8.18.25, part-time from 8:30 am to 1:30 pm, Monday through Friday (25 hours per week), through 9/2025, and then worked from 8:30 am to 4:30 pm or 5:30 pm, in October and part of November. Staff #2 is no longer employed, as of 11.17.25, and there is no director employed.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: The Certification Representative observed that the Infant/Young Toddler room was out-of-ratio on 11.17.25, when Staff #1 was alone with (1) infant and six (6) young toddlers, making the staff:child ratio 1:7, from approximately 1:00 pm to 1:05 pm. The Provider disclosed that the Infant/Young Toddler room was also out-of-ratio on 11.17.25, when Staff #1 was alone with (1) infant and six (6) young toddlers, making the staff:child ratio 1:7, during the hours of 8:00 am to 9:30 am. The Provider disclosed that on 11.11.25, the Preschool room was out-of-ratio with seventeen (17) older toddlers, preschoolers, and school-agers in the Preschool room, with one (1) to three (3) staff, in and out of the room during the hours of 8:00 am to 12:00 pm, making the staff:child ratio 1:17, when only Staff #2, Staff #3, or Staff #4 was present in the room.

Correction Required: 1. 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). This portion of the plan shall have an immediate correction date of 11.17.25. 2. The legal entity must arrange for all staff to complete Better Kid Care Training: "Supervision: Staff:Child Ratios." Documentation of course completion, for all employees, must be provided to the certification representative and kept on file at the facility, following completion. Training may count toward annual training requirement. The provider will provide a date when the training shall be completed. 3. The legal entity must arrange for all employees to participate in a minimum of three (3) in-person sessions, with the ELRC #5 Quality Coach, to address maintaining supervision and ratio. Attendance Sheets will be provided to the certification representative, and kept on file at the facility, following completion. The correction date for this portion of the plan will be the anticipated date that the three (3) sessions will be completed.

Regulation: 3270.117(a)

Description: Released only to parent or designee

Noncompliance Area: Child #1 was dropped off in the morning and picked up mid-day by the provider, at the Summer School Program across the street in June of 2025, which had been verbally agreed upon by the parent and the provider, but it was not in writing from the enrolling parent.

Correction Required: A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: One (1) infant was observed to be sleeping in a bouncer, which is not recommended by the American Academy of Pediatrics, and no medical documentation was presented.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A Medical Transportation posting was not displayed in the Main Room or Infant Room.

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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff #1 did not contain a 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.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for Staff #1 did not contain documentation of a tuberculosis screening.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for Staff #1 did not include verification of child care experience. The file for Staff #2 did not include verification of education.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 (see IS Code Sheet) did not contain an FBI Clearance, an application for the FBI Clearance, or a Disclosure Statement.

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

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: The facility has not had a director since February 2, 2025.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the inspection on July 7, 2025, Staff #2, who is qualified as an aide, was caring for school-aged children, alone, and was not supervised by a staff person qualified as an assistant group supervisor or group supervisor.

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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Two (2) missing protective receptacle covers were located in a 4-prong outlet, under the fire extinguisher, in the Main Room, accessible to children 5 years of age or younger.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Peeling drywall, where the baseboards had been located prior to the remodeling, was visible and accessible to children in the Main Room and Infant Room.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Due to being short-staffed on June 16, 2025, Staff #1 and Staff #2 were going in and out between the Main Room and the Muscle Room, which had zero staff who remained in the room, with four (4) to six (6) young school-age children, at various times, and the children were not supervised at all times.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Due to being short-staffed on June 16, 2025, Staff #1 and Staff #2 were going in and out between the Main Room and the Muscle Room, which had zero staff who remained in the room, with four (4) to six (6) young school-age children, at various times, and the children were unsupervised without a staff person being physically present at all times.

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.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Due to being short-staffed on June 16, 2025, Staff #1 and Staff #2 were going in and out between the Main Room and the Muscle Room, which had zero staff who remained in the room, with four (4) to six (6) young school-age children, making the staff:child ratio in the Muscle Room 0:4 or 0:5 or 0:6, at various times.

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.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Due to being short-staffed on June 16, 2025, Staff #1 and Staff #2 were going in and out between the Main Room, which had two (2) staff who remained in the room, with approximately 14 infants, young toddlers, older toddlers, and preschool children, and the Muscle Room, making the staff:child ratio in the Main Room 2:14, at various times.

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).

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the main room, a broken door was located on the brown kitchen toy set, which was not in good repair.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the Main Room, did not contain a thermometer. The refrigerator in the Infant Room, contained a thermometer which was not operable.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The Agreement, in the file for Child #2, did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The Agreement, in the file for Child #2, did not specify the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The Agreement, in the files for Child #2 and Child #5, did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact form, in the file for Child #2, did not contain the enrolling parent's work address.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: As confirmed by the operator, an Emergency Transportation Plan was not displayed in the facility.

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.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #2, a preschool child who has been enrolled since 6.21.22, did not contain a Health Assessment. The file for Child #3, a young toddler who has been enrolled since 6.19.24, did not contain a Health Assessment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The file for Child #1, a young toddler whose Health Assessment was dated 10.6.23, did not contain an updated Health Assessment.

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.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for Child #2, a preschool child who has been enrolled since 6.21.22, did not contain any Health Assessments.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(d)(1)/3270.131(d)(4)

Description: Child's health history/Acute or chronic health problem

Noncompliance Area: The files for Child #2 and Child #3 did not contain a Health History or an assessment of health problems, special needs and/or recommendations, or results of screening tests.

Correction Required: A health report shall include a review of the child's health history. A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Regulation: 3270.131(d)(2)/3270.131(d)(7)

Description: Child's allergies/Free from contagious/communicable disease

Noncompliance Area: The files for Child #2 and Child #3 did not address allergies, the ability to participate in child care, or contagious/communicable diseases.

Correction Required: A health report shall include a list of the child's allergies. A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.131(d)(3)/3270.133(8)

Description: Current medication and reason/Special diet - parent's instructions

Noncompliance Area: The files for Child #2 and Child #3 did not address medications or special diets.

Correction Required: A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As confirmed by the operator, the Emergency Plan did not address Continuity of Operations.

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.

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 Health Assessment and Mantoux test in the file for Staff #2 were dated two (2) months after the first date caring for children. The two (2) most recent Health Assessments in the file for Staff #3 exceeded the 24-month renewal requirement. The Health Assessment and Mantoux test in the file for Staff #4 were dated more than four (4) months after the first date caring for children. The Health Assessment in the file for Staff #7 was dated more than 24 months ago.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #4 did not contain two (2) written, non-family references, as only one (1) was in the file.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the Infant Room, two (2) cribs contained loose crib sheets, which posed a hazard for children in care.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: As confirmed by the operator, an Emergency Drill had not been conducted.

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

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for Staff #1 contained documentation of Pediatric First-Aid/CPR training which expired on 1.23.25, and no additional training was documented. The file for Staff #3 contained documentation of Pediatric First-Aid/CPR training which expired on 12.20.24, and no additional training was documented. The file for Staff #4 contained documentation of Pediatric First-Aid/CPR training which expired on 10.20.24, and no additional training was documented. The file for Staff #7 contained documentation of Pediatric First-Aid/CPR training which expired on 12.20.24, and no additional training was documented.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff #1 and Staff #3 contained documentation of Fire Safety Training on 9/2023 and 11.23.24, which exceeded the annual requirement.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.31(f)(7)/3270.192(2)(iii)

Description: Health and Safety Training - Emergency preparedness/Exp, educ., training at facility

Noncompliance Area: The file for Staff #4 (see IS Code Sheet) contained documentation of Emergency Plan training on 10.10.24, which was not within 90 days of hire.

Correction Required: Staff persons shall complete professional development in emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)) within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #2 (see IS Code Sheet) contained a State Police Clearance dated 10.21.24, an FBI Clearance dated 1.7.25, and an NSOR Certificate dated 10.31.24, with no applications present, which exceeded the first date caring for children. The file for Staff #3 (see IS Code Sheet) contained an FBI Clearance dated 11.29.22, with no application present, which exceeded the first date caring for children. The file for Staff #4 (see IS Code Sheet) contained an NSOR Certificate dated 10.31.24, with no application present, which exceeded the first date caring for children. The file for Staff #5 contained an NSOR Certificate which expired on 1.14.25, with no application present.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #6 did not contain documentation of a written evaluation, which was due by 8.11.24.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the rear preschool room, two (2) protective outlet covers were missing from the outlets on the front, yellow wall, and four (4) protective outlet covers were missing from the outlet strip on the left, yellow wall, which were accessible to children five (5) years of age or younger.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff person #1 lacked a health assessment that was conducted within 12 months prior to providing initial service in a childcare setting (See LIS Code Sheet). The health assessment in the file is dated 4/8/24 and the TB results were dated 4/10/24. The file for staff person #2 lacked a health assessment that was conducted within 12 months prior to providing initial service in a childcare setting (See LIS Code Sheet). The health assessment in the file is dated 11/21/22 and the TB results were dated 11/16/22. The file for staff person #3 lacked a health assessment that was conducted within 12 months prior to providing initial service in a childcare setting (See LIS Code Sheet). The health assessment in the file is dated 2/27/24 and the TB results were dated 2/29/24.

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.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: A school-age child was kicked in the neck by another child and an incident report was not written for the injury to the child.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: During staff interviews on 8/2/24 it was verified that a child picked up and ate a gummy that reportedly was Melatonin.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #3 lacked initial emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (See LIS code sheet): Getting Started with Center-Based Care Revised 2022.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #1 and #2 will have until 8/16/24 to complete the required training. Until such time as the required training has been completed, staff persons #1 and #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 who was hired as an assistant group supervisor on (See LIS Code Sheet) lacked an FBI Clearance that was completed within 45 days of being hired and was not removed from the scheduled. The FBI Clearance in the file is dated 5/14/24. The file for staff person #3 who was hired as an assistant group supervisor oon (See LIS Code Sheet) lacked a disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #3 lacked a high school diploma or a general educational development certificate and 2 years experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During staff interviews on 8/2/24 it was verified that there was a marijuana joint on the floor at the childcare, a child picked it up, and put the marijuana joint in their mouth.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Staff #1 and #2 were observed supervising a group of 11 children, including 3 infants, 6 younger toddlers and 2 older toddlers at approximately 10:37 a.m. in the front room.

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).

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the main room, on a wooden shelf, next to the "Circle Time" area is a Red, Plastic Art Tray which was missing a piece on the side and poses a cutting hazard.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In the Infant Room, rest equipment lacked labels with the names of the specific children.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form for Child #1 lacked the Health Insurance/MA Coverage and Health Insurance/MA Policy Number. (SEE LIS CODE SHEET)

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: In the Infant room, the required Emergency Contact information lacked for a child receiving care in the space.

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.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The file for child #2 and child #4 contained an emergency contact form that was not updated within 6 months of the previous update. SEE LIS CODE SHEET)

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for Child #2 (YT) had an Updated Health Assessment, dated 01/2024, which is more than 12 months past the initial health assessment. (SEE LIS CODE SHEET)

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The initial health assessment for Staff Person #6 dated 09/2023 is past the Staff Person #6's Date of Hire. (SEE LIS CODE SHEET)

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The initial health assessments on file for Staff #5 and Staff #8 does not include the results of a tuberculosis screening, due at hire. (See IS 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. 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.

Regulation: 3270.165

Description: Menus

Noncompliance Area: The facility lacked an updated menu. The menu posted on the board is dated 01/05/2024.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The Emergency Contact Form for Child #1 lacked a signature for "Consent for Minor First Aid." (SEE LIS CODE SHEET)

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.

Regulation: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: Child Records are not kept in a locked cabinet behind a locked door which leaves confidential information vulnerable.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the infant room, above the cribs are approximately 1-inch strips of clear tape which is accessible to children in the cribs posing a choking hazard.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for Staff #2 and Staff #3 lacked Emergency Plan Training in 2023 with the last training being dated: 11/2022. (SEE LIS CODE SHEET)

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff Person #1 (6 hours) #2 (3 hours) #3 (3 hours), #4 (3 hours) and #7 (0 hours) lacked a minimum of 12 hours of childcare training. (SEE LIS CODE SHEET)

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff #2 and Staff #4 lacked Fire Safety Training in 2023 with the last training dated: 12/2022. (SEE LIS CODE SHEET)

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Hallway, across from the Director's office, an electrical outlet was missing two (2) receptacle covers which was accessible to children 5 years of age or younger. In the rear room, on the Olive painted wall, in the rear of the room, across from the window an electrical outlet was missing two (2) receptacle covers which was accessible to children 5 years of age or younger.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the infant room, in an unlocked cabinet under the sink a Bottle of Windex "Multi-Surface" Disinfectant spray labeled "Keep Out of the Reach of Children" was accessible to children. In the infant room, under the diaper changing table was a tube of A & D Ointment labeled "Keep Out of Reach of Children" was accessible to children. In the rear room, in a box on top of the black three (3) drawer filing cabinet was a bottle of "Febreze Fabric Spray, labeled, "Keep Out of the Reach of Children" was accessible to children. In the rear room, in a black, unlocked, three (3) drawer filing cabinet in the rear of the room was a bottle of "Liquid Mucinex and Tylenol" labeled, "Keep Out of the Reach of Children" was accessible to children. In the rear room, in the second drawer of a black, unlocked, three (3) drawer filing cabinet the following "Keep Out of the Reach of Children" items were accessible to children: Purell Hand Sanitizer, two (2) packs of Unscented Baby Wipes, Clorox Disinfecting Spray and A & D Ointment.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Infant Room lacked tweezers.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the infant room, the carpet under the wall mounted TV was observed to be fraying and its ends rolling upward posing a tripping hazard.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the rear room, on the Olive painted wall, across from the window is peeling paint.

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

Regulation: 3270.82(d)

Description: Training chair - sanitized

Noncompliance Area: In the rear room, along the Olive painted wall in the rear of the room was a "Potty Chair" which had a yellow substance, which appeared to be urine, was not emptied and sanitized.

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Child #1 was injured at the facility on 07/21/2023. The facility and child files lacked a copy of the incident report and the parents of Child #1 were not given an incident report on the day of the incident.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator, in the infant room, used for childcare was lacking an operating 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.