NORMA DE HOYOS DAY CARE 2
Quick Facts
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Reviews
My daughter goes to this daycare and within the time she has been there she has caught lice, she has been bitten, her face scratched, winter coat stolen, diaper rash. The employees don't do their job always on cell phones. Kids always screaming running around. When you to ask to speak to the owner sge never calls you back. Had to take my daughter out of that nasty filthy place.
I'm the owner of a kids entertainment company and had my twin daughters at this daycare for about 5 years. My girls loved it. Friendly staff. The owner always puts together big events for the kids such as the "back to school carnival" and the "annual Christmas party". Very active daycare with the kids!
Worst daycare ever, not only is the owner never there, but when you try to have a meeting with the owner and staff they never get in contact with the parent. They are never watching the kids. The kids do what ever they want when ever they want. The staff does not know how to control the kids. They don't help with homework or do craft all the kids do is run around crazy. The staff all on their cell phones. All they care about is your money. OH and now they do not send kids home that have lice so yeah they dont care if your child gets them. I mean I should have known better, then sending my kid to a daycare whose owner bought it using drug money from her first husband....
iGood Morning! No speak Spanish much, but I defend.. I write because I am interested in a position, that has in the daycare. I Heard her daycare through a sister church. I am interested to know what would be the application process. Thank You!
My 3 little ones went here and i loved it...they enjoyed the time they was there...
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About the Provider
Hours of Operation
- Monday4:00 AM - 9:00 PM
- Tuesday4:00 AM - 9:00 PM
- Wednesday4:00 AM - 9:00 PM
- Thursday4:00 AM - 9:00 PM
- Friday4:00 AM - 9:00 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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| 2026-01-28 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: During a renewal inspection on 1/28/26 Cert rep observed accessible plastic bags in the unlocked purple closet in Room 2, and in the unlocked first bathroom in Room 6. These areas are accessible to children under 3 years old who may still be 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.) Closets were locked at the moment and kept lock at all times. Every staff has to make sure closets are locked after they use them. The bathroom in Room 6 is no longer a bathroom and is now a closet. |
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| 2026-01-28 | Renewal | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | 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: During a renewal inspection on 1/28/26 Cert rep observed the following incident regarding supervision: Staff 1 and 2 were present in the Older Toddler room with 15 older toddler children who were napping. Staff 1 named and identified five children as being in their group, Staff 2 named and identified five children as being in their group, and five children were not identified as being in any assigned group. When cert rep questioned this it was determined that the five unassigned children were supposed to be in Staff 1's group, while Staff 3 was on break, however Staff 3 did not notify Staff 1 they were needing to take over the supervision of these children. 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. 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. TIERED LIS: 1. 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. 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 operator will have Staff 1, 2, and 3 participate in in the following trainings on Better Kid Care: "Supervision: What's required?" (1 hour long) and "Supervision: Teamwork" (1 hour long) or the Spanish version of these trainings. If Staff 1, 2, and/or 3 have already completed these trainings the legal entity shall have Staff 1, 2, and 3 complete 2 hours of PQAS approved trainings related to supervision. The trainings used to fulfill this portion of the plan must be approved by the NE Regional Office before completion. The legal entity shall maintain documentation of the training certificates in the staff files. The provider shall provide a date when this portion of the plan will be completed. |
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Provider Response: (Contact the State Licensing Office for more information.) Tier 1: Effective immediately all children on the facility premises and during off site excursions will be supervised at all times by an assigned staff member. Each staff member will be responsible for knowing the names and location of every child in their assigned group. (Correction date: 1/28/26) Tier 2: The operator will have Staff 1, 2, and 3 participate in in the following trainings on Better Kid Care: "Supervision: What's required?" (1 hour long) and "Supervision: Teamwork" (1 hour long) or the Spanish version of these trainings. If Staff 1, 2, and/or 3 have already completed these trainings the operator shall have Staff 1, 2, and 3 complete 2 hours of PQAS approved trainings related to supervision. The trainings used to fulfill this portion of the plan will be approved by the NE Regional Office before completion. The operator shall maintain documentation of the training certificates in the staff files. (Correction date: 3/1/26) |
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| 2026-01-28 | Renewal | 3270.123(a)/3270.123(a)(6) - Signed /Admission date | Compliant - Finalized |
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Regulation: 3270.123(a)/3270.123(a)(6) Description: Signed /Admission date Noncompliance Area: During a renewal inspection on 1/28/26 Child 2's fee agreement was not signed by the operator and did not have the child's date of admission. Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission. |
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Provider Response: (Contact the State Licensing Office for more information.) The child's fee agreement has been reviewed and updated to include the date of admission. The agreement has now been signed by the both the operator and the parent. All children files were reviewed to ensure that each fee agreement is complete, signed by both parents and includes the admission date. |
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| 2026-01-28 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: During a renewal inspection on 1/28/26 emergency contact forms for Children 1, 2, & 3 did not include parents' home address (Child 1), parents' work address (Children 1, 2, & 3), and parent's work phone number (Children 1& 2). Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency contact forms for the identified children, have been updated to included the parents' home address, work addresses and phone number as required. All children emergency contact forms were reviewed to ensure they contain complete home and work addresses and telephone numbers for enrolling parents |
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| 2026-01-28 | Renewal | 3270.124(c) - Each child care space | Compliant - Finalized |
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Regulation: 3270.124(c) Description: Each child care space Noncompliance Area: During a renewal inspection on 1/28/26 Cert Rep observed that the emergency contact forms for 10 young school aged children and 2 older school age children not present with them in Room 2, where they 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.) Copy of emergency contact forms was made and located in room 2. |
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| 2026-01-28 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: During a renewal inspection on 1/28/26 Staff 6's most recent emergency plan training was dated 12/18/24, which is more than 12 months ago. 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.) To Prevent recurrence, the director will ensure all staff complete emergency plan training at hire, annually within 12 months of the previous training and whenever the emergency plan is updated. Training log and calendar reminder system will be maintained to track due dates. Training records will be reviewed monthly to ensure continued compliance. Staff 6 completed emergency plan training. |
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| 2026-01-28 | Renewal | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: During a renewal inspection on 1/28/26 Staff persons 4 & 5 did not complete Pediatric first aid and CPR training on or before expiration of the their previous certification. This is evidenced by previously documented Pediatric first aid and CPR training on file expiring 10/31/25 and updated Pediatric first aid and CPR training documentation dated 11/5/25, being on file for both Staff 4 and 5. It was reported that both Staff 4 and 5 worked as Staff between 10/31/25 and 11/5/25. Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff 4 and 5 renewed their Pediatric First aid and CPR certifications on 11/5/25. Current certificates are on file. All staff records were reviewed and are now in compliance. Date of compliance 11/5/25. |
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| 2026-01-28 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: During a renewal inspection on 1/28/26 Staff 5 had fire safety trainings dated 2/22/24 and 10/14/25, which is more than 12 months between fire safety trainings. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff 5 completed updated fire safety training . Documentation is on file. All staff files were reviewed to ensure compliance. Fire safety training is current and completed annually. |
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| 2026-01-28 | Renewal | 3270.36(b)(5) - HS/GED + 2 yrs | Compliant - Finalized |
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Regulation: 3270.36(b)(5) Description: HS/GED + 2 yrs Noncompliance Area: During a renewal inspection on 1/28/26 Staff 1 had a high school diploma and 0 years experience documented on file. Staff 1 has been working as an AGS. Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff 1 brought in verification with her experience that was placed in the file. |
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| 2026-01-28 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: During the renewal inspection on 1/28/26 Cert rep observed two uncovered accessible outlets in Room 1 by the soccer ball wall painting and by the Bert character wall painting. Children in this room are Preschool aged. 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 was placed in the electrical outlets that were accessible. |
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| 2026-01-28 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: During a renewal inspection on 1/28/26 Cert rep observed stacked furniture and equipment which creates a falling/tipping hazard in the unlocked left bathroom in Room 6. 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.) Director locked the closet and put a sign up to keep the door locked at all times. |
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| 2026-01-28 | Renewal | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: During a renewal inspection on 1/28/26 Cert rep observed peeling paint on the wall by the toilet in the last stall of the First unisex bathroom in Room 1. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Damaged paint was fixed and painted. |
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| 2025-07-09 | Unannounced Monitoring | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: During an unannounced inspection on 7/9/25 Staff 2 did not complete mandated reporter training within 60 months of their previous mandated reporter training. This is evidenced by mandated reporter trainings on file being dated 2/1/20 and 2/20/25. Staff 2 is reported to have worked in a child care position between 2/1/25-2/20/25. 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.) It was already corrected. |
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| 2025-07-09 | Unannounced Monitoring | 3270.52 - Mixed Age Level | Compliant - Finalized |
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Regulation: 3270.52 Description: Mixed Age Level Noncompliance Area: On 7/9/25 during an unannounced inspection Cert rep observed the following incident regarding ratios: Staff 1-3 were present in the Lower level Lunch room with16 children. When cert rep questioned this it was determined Staff:child ratios were exceeded due to the ages of the children(2 older toddler, and 14 younger toddlers). 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). TIERED LIS: 1. The required staff:child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The operator shall create a Ratio Policy that must address the staff:child ratios for both similar and mixed age groups. This policy shall address the steps staff should take when ratios are exceeded or not able to be maintained. This policy will be submitted to the Northeast regional office for approval and will be reviewed with all staff once approved by the Northeast regional office. Staff will sign acknowledgement of the updated policy which will be kept in their staff files. The operator shall provide a correction date for when this portion of the plan will be completed. |
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Provider Response: (Contact the State Licensing Office for more information.) 1. The room was brought into ratio as the director took one of the children and put them in a group with a separate staff. This left the room in ratios for the mixed ages with 3 staff with groups of 5 children due to the young toddlers. Correction Date 7/9/25 Implemented 8/27/25 2. The director will create a ratio policy. This policy will address the staff:child ratios for both similar and mixed age groups. This policy will address the steps staff should take when ratios are exceeded or not able to be maintained. The policy will be submitted for review to the Cert rep. Once approved the policy will be reviewed with staff who will sign acknowledgement of the policy. This sign off will be in their staff files for review. Correction 8/25/25 Implemented 8/27/25 |
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| 2025-07-09 | Unannounced Monitoring | 3270.61(h) - Exceeding Capacity | Compliant - Finalized |
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Regulation: 3270.61(h) Description: Exceeding Capacity Noncompliance Area: During an unannounced inspection on 7/9/25 Cert rep observed 12 children in Room 3 multiple times over the course of the inspection. This room has a measured capacity of 8. The time period of when this room would be over capacity was not indicated on the daily schedule. Correction Required: The capacity established for an indoor space may not be exceeded. |
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Provider Response: (Contact the State Licensing Office for more information.) A sign was added to the door to make the staff aware of the room's capacity. The children left the room to correct the capacity issue after the inspection. |
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| 2025-07-02 | Complaints- Legal Location | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | 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: On 7/9/25 during a complaint investigation Cert rep observed the following incident regarding supervision: Staff 1-3 were present in the Lower level Lunch room with16 children(2 older toddler, and 14 younger toddlers). Staff 1 named and identified 4 children(1 OT, 3 YT) as being in their group, Staff 2 named and identified 5 children(5 YT) as being in their group, and Staff 3 named and identified 5 children(5 YT) as being in their group. When cert rep questioned this it was determined that 1 child was identified as being in both Staff 1 and Staff 3's group, and 3 of the children were not identified as being in any assigned 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. 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. TIERED LIS: 1.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. This portion of the plan shall have an immediate correction date. 2.The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and staff transitions. The policy shall address how staff will keep track of their assigned groups throughout the day. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. The operator shall provide a correction date for when this portion of the plan will be completed. |
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Provider Response: (Contact the State Licensing Office for more information.) 1. At the moment all staff identified the children under their care and the director removed the one child that was over ratios. Correction 7/9/2025 Implemented 8/27/25 2. The director will create a supervision policy. The policy will address how staff will keep track of their assigned groups throughout the day. The policy will be submitted to the Cert rep for review. Once approved the policy will be reviewed with staff who will sign an acknowledgement of the policy which will be maintained in the staff files. Correction date 8/25/25 Implemented 8/27/25 |
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| 2025-03-07 | Unannounced Monitoring | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff persons 9 and 11 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, Staff persons 9 and 11 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise Staff persons 9 and 11, Staff persons 9 and 11 may not work in a child-care position or have direct contact with children at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The director scheduled this training for 2/11/25. The trainer cancelled and rescheduled the training to 3/11/25 which is why it is late. This Pediatric First Aid CPR is scheduled for 3/11/25 for both Staff. Both staff will complete approved required training. Both staff will be supervised until all preservice requirements are on file. |
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| 2025-01-09 | Renewal | 3270.121(b) - Given parents in writing | Compliant - Finalized |
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Regulation: 3270.121(b) Description: Given parents in writing Noncompliance Area: During a renewal inspection on 1/9/25 it was noted the following information is not being provided in writing to the parents: daily schedule and hours of operation. Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. |
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Provider Response: (Contact the State Licensing Office for more information.) Moving forward parents will be given a daily schedule for the child's classroom which has hours of operation on it with the parent book at the time of enrollment. |
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| 2025-01-09 | Renewal | 3270.123(a)(1)/3270.123(a)(4) - Amount of fee/Arrival/departure times | Compliant - Finalized |
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Regulation: 3270.123(a)(1)/3270.123(a)(4) Description: Amount of fee/Arrival/departure times Noncompliance Area: During a renewal inspection on 1/9/25 and 1/10/25 Child 5's fee agreement did not state the fee amount or the child's arrival and departure times. Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the child's arrival and departure times. |
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Provider Response: (Contact the State Licensing Office for more information.) Director will add the fee amount, arrival time and departure time to the fee agreement. |
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| 2025-01-09 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: During a renewal inspection on 1/9/25 and 1/10/25 it was noted Child 2's Child Service Report was not dated. Child 2 has been enrolled for more than 6 months(see code sheet of date of admission). 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.) Director will locate date CSR was completed and document the date on the CSR. |
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| 2025-01-09 | Renewal | 3270.124(b)(1)/3270.124(b)(3) - Child's name, birth date/Parent home/work address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(1)/3270.124(b)(3) Description: Child's name, birth date/Parent home/work address, phone Noncompliance Area: During a renewal inspection on 1/9/25 and 1/10/25 Child 3's emergency contact form did not have Child's DOB. Child 3's and Child 5's emergency contact forms did not have parents' home and work addresses and phone numbers. Child 4's emergency contact form did not have father work address and phone number. Correction Required: Emergency contact information must include the name and birth date of the child. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) Director will return the emergency contact forms to the parents for them to provide the missing information. |
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| 2025-01-09 | Renewal | 3270.124(b)(2)/3270.124(b)(6) - Physician name, address, phone/Insurance coverage information | Compliant - Finalized |
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Regulation: 3270.124(b)(2)/3270.124(b)(6) Description: Physician name, address, phone/Insurance coverage information Noncompliance Area: During a renewal inspection on 1/9/25 and 1/10/25 Child 7's emergency contact form did not have name, address and telephone number of the child's physician or source of medical care. Child 5's emergency contact form did not have information on health insurance coverage and policy number. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. |
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Provider Response: (Contact the State Licensing Office for more information.) Director will return the emergency contact forms to the parents for them to provide the missing information. |
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| 2025-01-09 | 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: During a renewal inspection on 1/9/25 and 1/10/25 Child emergency contact form did not list the release persons address. Child 7's emergency contact form did not have name address or phone of release persons. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) Director will return the emergency contact forms to the parents for them to provide the missing information. |
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| 2025-01-09 | Renewal | 3270.124(e) - Written emergency plan posted | Compliant - Finalized |
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Regulation: 3270.124(e) Description: Written emergency plan posted Noncompliance Area: During a renewal inspection on 1/10/25 Cert rep observed the emergency medical transportation plan was not located on the transportation vehicles or in the binders taken with staff when transportation is provided for children. Staff reported this plan is not taken with them when transporting children. Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. |
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Provider Response: (Contact the State Licensing Office for more information.) Director will update and make copies of the emergency medical transportation plan to be placed in the transportation binders. Director will place the plan in the binders for each vehicle that is taken with staff when transporting the children. |
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| 2025-01-09 | Renewal | 3270.131(a) - Health information | Compliant - Finalized |
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Regulation: 3270.131(a) Description: Health information Noncompliance Area: During a renewal inspection on 1/9/25 Cert rep noted Child 2's initial health assessment was dated 7/23/24. This is more than 60 days after the child's enrollment date. (See code sheet for date of enrollment). 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.) A valid Health assessment dated 7/23/24 for Child 2 is currently on file. |
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| 2025-01-09 | Renewal | 3270.131(d)(7)/3270.131(d)(8) - Free from contagious/communicable disease/Age appropriate screenings complete | Compliant - Finalized |
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Regulation: 3270.131(d)(7)/3270.131(d)(8) Description: Free from contagious/communicable disease/Age appropriate screenings complete Noncompliance Area: During a renewal inspection on 1/9/25 Child 1's health assessment does not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. Child 1 and Child 4's health assessment does not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section. Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section. |
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Provider Response: (Contact the State Licensing Office for more information.) Director will provide the parents with the DHS health assessment to be completed by the Children's doctors. |
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| 2025-01-09 | Renewal | 3270.133(6) - Written consent | Compliant - Finalized |
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Regulation: 3270.133(6) Description: Written consent Noncompliance Area: During a renewal inspection on 1/9/25 Cert rep supervisor observed Medication logs for the following Child 8 did not have signed parental consent to administer the Child's Acetaminophen. Child 10's medication log indicated both Tylenol and ibuprofen were administered to the child. No where on Child 10's medication log does it indicate parental consent to administer ren did not include sign parental consent to administer Tylenol or ibuprofen. Correction Required: A parent shall provide written consent for administration of medication or a special diet. |
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Provider Response: (Contact the State Licensing Office for more information.) These children are not currently receiving any medication. Moving forward the director will be the only person who medications and consents can be handed into. The director will ensure all required information is documented on the medication log and proper consents are obtained. Director will return the medication and forms to the parents and not provide the medication until all require is on file and documented on the medication log. Moving forward the facility will not provide medication to the child without complete medication logs on file. |
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| 2025-01-09 | Renewal | 3270.133(7)(i) - Name of medication | Compliant - Finalized |
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Regulation: 3270.133(7)(i) Description: Name of medication Noncompliance Area: During a renewal inspection on 1/9/25 Cert rep supervisor observed medication log for Child 8 that did not state the name of the medication on the log. This medication log noted this medication was a prescription medication. Correction Required: A medication log shall include the name of the medication. |
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Provider Response: (Contact the State Licensing Office for more information.) This child is not currently receiving any medication. Moving forward the director will be the only person who medications and consents can be handed into. The director will ensure all required information is documented on the medication log and proper consents are obtained. Director will return the medication and forms to the parents and not provide the medication until all require is on file and documented on the medication log. Moving forward the facility will not provide medication to the child without complete medication logs on file. |
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| 2025-01-09 | Renewal | 3270.133(7)(iv) - Amount to administer | Compliant - Finalized |
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Regulation: 3270.133(7)(iv) Description: Amount to administer Noncompliance Area: During a renewal inspection on 1/9/25 Cert rep supervisor observed Child 10's medication log is two pages. On the first page of Child 10's log both Albuterol and Amoxicillin are listed. Only 1 dosage amount is listed, and it does not indicate which medication this dosage applies to. Both medications were administered to Child 10. Correction Required: A medication log shall include the amount of medication administered. |
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Provider Response: (Contact the State Licensing Office for more information.) These children are not currently receiving any medication. Moving forward the director will be the only person who medications and consents can be handed into. The director will ensure all required information is documented on the medication log and proper consents are obtained. Director will return the medication and forms to the parents and not provide the medication until all require is on file and documented on the medication log. Moving forward the facility will not provide medication to the child without complete medication logs on file. |
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| 2025-01-09 | 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: During a renewal inspection on 1/10/25 Cert rep observed the following school buses owned by the facility and driven for transportation did not have a valid Pennsylvania State Police inspection for School buses: 2012 Chevrolet Express Cutaway, 2015 Chevrolet Express Cutaway, 2002 Chevrolet Bus, 2010 Chevrolet Bus, and the 2019 Blue bird Bus . All five School buses had an inspection sticker that expired 8/31/2024. This inspection is a Department of Transportation requirement. 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 director contacted the PSP and made an appointment for all Busses to be inspected on Tuesday 1/14/25. Director will ensure all buses receive the PSP inspection for School buses. |
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| 2025-01-09 | Renewal | 3270.181(e) - Emergency master file updated | Compliant - Finalized |
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Regulation: 3270.181(e) Description: Emergency master file updated Noncompliance Area: During a renewal inspection on 1/9/25 cert rep supervisor observed the emergency contact form for Child 2 and Child 11 had been updated in the children's files, but was not updated in the emergency contact form in the children's classroom. This was evident by information such as parent's address and number numbers not being present on the emergency contact forms in the classroom but were present on the master copy in the children's file. Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records. |
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Provider Response: (Contact the State Licensing Office for more information.) Director will copy Child 2 and Child 11's master copy of the emergency contact form and place in their classrooms. |
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| 2025-01-09 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: During a renewal inspection on 1/9/25 and 1/10/2025 it was noted that Staff 7 has not completed Emergency plan training. It has been more than 90 days since Staff 7's date of hire. Staff 10 and 11 have not completed emergency plan training in 2023 or 2024. 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.) Director will complete Emergency plan training with Staff 7, 10 and 11. |
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| 2025-01-09 | Renewal | 3270.27(f) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(f) Description: Emergency plan Noncompliance Area: During a renewal inspection on 1/9/25 Cert rep was unable to see documentation the emergency plan was sent to the local municipality. Staff reported they did not remember sending the emergency plan to the local municipality. Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. |
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Provider Response: (Contact the State Licensing Office for more information.) Director will send the emergency plan to Reading city and will document on the delivery of emergency documentation form that is kept with the emergency plan. |
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| 2025-01-09 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: During a renewal inspection on 1/9/25 and 1/10/25 Cert rep noted the following concerns regarding the CPSL: 1) NSOR clearance's for Facility Person's 1, 2, 3, 4, 5 were not completed in the past 60 months. Evident by NSOR certificate's dated 11/6/2019 for all five staff. 2) Staff 6 and Staff 8 had a PSP request dated 9/24/24 and 1/2/24 respectively on file but did not have the PSP clearance certificate on file. Staff were outside of their 45 day provisional hire window (See code sheet for DOH) 3) Staff 7 did not have a FBI clearance certificate or request on file. 4) Staff 6 and 9 had disclosure statements that were not dated. Staff 6's disclosure statement did not have a witness signature. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person 1, 2, 3, 4 and 5 may not work in a child care position at the facility until such time as the NSOR clearance certificate is obtained and in the Facility person's file. Staff 6, and Staff 8 may not work in a child care position at the facility until such time as the PSP clearance certificate is obtained and in the Facility person's file. Staff 7 may not work in a child care position at the facility until such time as the FBI clearance certificate is obtained and in the Facility person's file. |
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Provider Response: (Contact the State Licensing Office for more information.) 1) Facility Person's 1, 2, 3, 4, 5 are suspended as of 1/9/25 and will remain suspended until such time as their NSOR clearances are obtained and on file. Facility person's have requested NSOR clearances and will obtain the NSOR clearances. 2) Staff 6 and Staff 8 obtained the PSP clearance certificates on 1/9/25 and 1/10/25 respectively and these were placed in the Staff files for Staff 6 and 8. 3) Staff 7 located the FBI clearance certificate in email on 1/9/25. FBI clearance certificate was placed in Staff 7's staff file. 4) Director will add the date to Staff 6 and 9's disclosure statements. Director will add a witness signature to Staff 6's disclosure statement. |
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| 2025-01-09 | Renewal | 3270.35(b)(3) - Associate's + 2 yrs | Compliant - Finalized |
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Regulation: 3270.35(b)(3) Description: Associate's + 2 yrs Noncompliance Area: During a renewal inspection on 1/10/25 Cert rep noted Staff 8 does not have 2500 hours(2 years) of child experience verified on file. Staff 8 has an associate's degree in early education and 1059 hours of childcare experience on file. Staff 8 has been working as a group supervisor. Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. |
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Provider Response: (Contact the State Licensing Office for more information.) Director will obtain verification of child care experience, document it and place in the file. |
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| 2025-01-09 | Renewal | 3270.35(e) - 46 or more children- additional group sups | Compliant - Finalized |
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Regulation: 3270.35(e) Description: 46 or more children- additional group sups Noncompliance Area: During a renewal inspection on 19/25 and 1/10/25 it was noted the facility only has one Group supervisor. Staff reported that at any given time the maximum number of children present at the facility is 108, which would require 3 group supervisors. The director cannot act as a group supervisor because more than 45 children are enrolled. Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children. |
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Provider Response: (Contact the State Licensing Office for more information.) The operator will hire two group supervisors to have a total of 3 group supervisors. |
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| 2025-01-09 | Renewal | 3270.36(b)(5) - HS/GED + 2 yrs | Compliant - Finalized |
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Regulation: 3270.36(b)(5) Description: HS/GED + 2 yrs Noncompliance Area: During a renewal inspection on 1/9/25 Staff 9 and 12 do not have documentation of verification of childcare experience in their files. Staff 9 and 12 have high school diplomas in their files. Staff 9 and 12 have been working as assistant group supervisors. Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. |
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Provider Response: (Contact the State Licensing Office for more information.) Director will obtain verification of child care experience, document it and place in the file. |
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| 2025-01-09 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: During a renewal inspection on 1/9/25 cert rep supervisor observed Windex on a low accessible shelf in the unlocked yellow closet in the infant/toddler room. Clorox wipes were observed to be accessible to children in school age classroom. Both are cleaning materials and labeled "keep out of reach of children" 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.) Yellow closet was locked during inspection. Clorox wipes were moved to an inaccessible shelf during inspection. |
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| 2025-01-09 | Renewal | 3270.75(a) - In child care spaces | Compliant - Finalized |
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Regulation: 3270.75(a) Description: In child care spaces Noncompliance Area: During a renewal inspection on 1/9/25 Cert rep supervisor observed the downstairs lunchroom/Room 6 did not have a first aid kit. This room is licensed as child care space. Correction Required: A first-aid kit shall be in a child care space. |
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Provider Response: (Contact the State Licensing Office for more information.) A Complete first aid kit was immediately added to the classroom 6. |
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| 2025-01-09 | Renewal | 3270.75(c)/3270.178 - Has all items/Transportation First Aid Kit | Compliant - Finalized |
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Regulation: 3270.75(c)/3270.178 Description: Has all items/Transportation First Aid Kit Noncompliance Area: During a renewal inspection on 1/10/25 Cert rep observed the first aid kit on the 2019 Bluebird Bus/Bus #20 did not have 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. A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported. |
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Provider Response: (Contact the State Licensing Office for more information.) Tweezers were added to the first aid kit on Buss #20. |
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| 2025-01-09 | Renewal | 3270.82(h)/3270.134(a) - Handwashing signs/Child's hands washed | Compliant - Finalized |
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Regulation: 3270.82(h)/3270.134(a) Description: Handwashing signs/Child's hands washed Noncompliance Area: During a renewal inspection on 1/9/25 cert rep supervisor observed there was no handwashing signs in the bathroom of the preschool/Classroom #1, and the boy's bathroom in the downstairs lunch room/Room 6. Additionally Cert rep supervisor observed children not washing their hands before lunch in room 6/downstairs lunch room. Staff "cleaned" the children's hands with a paper towel that was wet with water only. Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. 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.) Hand washing signs were added to the bathrooms. The sink was hooked up in the down stairs lunchroom so that children could wash their hands in the sink with soap and water. |
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| 2024-01-04 | Renewal | 3270.102(c) - Outdoor equip.- protective surfacing | Compliant - Finalized |
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Regulation: 3270.102(c) Description: Outdoor equip.- protective surfacing Noncompliance Area: During the Renewal Inspection on 1/4/2024, it was observed that the play structure in the outdoor play area did not have at least 6 inches of rubber mulch surrounding the fall areas for this equipment that requires embedded mounting. 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.) We have enough rubber mulch in the outdoor play area. It just needs to be and will be raked over to where the fall areas are. |
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| 2024-01-04 | Renewal | 3270.131(a) - Health information | Compliant - Finalized |
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Regulation: 3270.131(a) Description: Health information Noncompliance Area: During the review of child files on 1/5/2024, the initial health report on file for Child #1 was dated 12/28/2023. This was not 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. |
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Provider Response: (Contact the State Licensing Office for more information.) This was already corrected prior to the inspection. |
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| 2024-01-04 | Renewal | 3270.192(2)(ii) - Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.192(2)(ii) Description: Exp, educ., training prior to facility Noncompliance Area: On 1/4/2024, Staff #2 did not have verification of education and previous childcare experience on file. See LIS code sheet. Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2 will have until 1/19/2024 to bring in her high school diploma and verification of previous childcare experience, if applicable. Staff #2 will be suspended from employment if her high school diploma is not received by 1/9/2024. |
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| 2024-01-04 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: On 1/4/2024, Staff #2 did not have two written, nonfamily references on file. See LIS code sheet. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2 will have until 1/19/2024 to bring in two written references. Staff #2 will be suspended from employment if the references are not received by 1/9/2024. |
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| 2024-01-04 | Renewal | 3270.27(a)(6) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: During the Renewal Inspection on 1/4/2024, The most recent emergency drill conducted at the facility was documented to have been on 12/20/2022. Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) We will conduct and document an emergency drill by the end of next week. |
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| 2024-01-04 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: During the Renewal Inspection on 1/4/2024, Staff #1 had completed clearance information on file. However, the FBI clearance on file for Staff #1 was dated 2/2/2023. The prior FBI clearance on file was dated 1/12/2017. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. |
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Provider Response: (Contact the State Licensing Office for more information.) This was already corrected prior to the inspection. |
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| 2023-09-28 | Complaints- Legal Location | 3270.113(b)/3270.113(e) - No physical punishment /Restraints prohibited | Compliant - Finalized |
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Regulation: 3270.113(b)/3270.113(e) Description: No physical punishment /Restraints prohibited Noncompliance Area: An unannounced investigation was conducted on 9/28/2023. Following staff interviews, it was determined that the facility did previously use a highchair for discipline. On 9/28/2023, Staff #1, also admitted that a previously enrolled 4-year-old child had been physically restrained to prevent him from punching himself in the face and banging his head on the floor. Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The legal entity must arrange for all facility staff employed as of the date of the training to receive a minimum of 2 hours of PQAS-approved in-person or live training regarding behavior management of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff will be trained on behavior management of children. |
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| 2023-09-28 | Complaints- Legal Location | 3270.113(b)/3270.113(e) - No physical punishment /Restraints prohibited | Compliant - Finalized |
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Regulation: 3270.113(b)/3270.113(e) Description: No physical punishment /Restraints prohibited Noncompliance Area: An unannounced investigation was conducted on 9/28/2023. Following staff interviews, it was determined that the facility did previously use a highchair for discipline. On 9/28/2023, Staff #1, also admitted that a previously enrolled 4-year-old child had been physically restrained to prevent him from punching himself in the face and banging his head on the floor. Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. |
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Provider Response: (Contact the State Licensing Office for more information.) In this facility we never use any form of physical punishment, including spanking a child. A facility staff may not restrain a child by using bonds, ties or straps to restrict a child's movement. |
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| 2023-09-28 | Unannounced Monitoring | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: On 9/28/2023, staff persons #1, #2 and #3 did not have any written, nonfamily references on file. See LIS code sheet. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff persons #1, #2 and #3 bring their references. |
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| 2023-09-28 | Unannounced Monitoring | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Staff person #2 will have until 10/27/2023 to complete the required training. Until such time as the required training has been completed, staff person #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 person #2, staff person #2 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 complete the required training. |
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| 2023-09-28 | Unannounced Monitoring | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: Staff persons #1, #2 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR). Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1, #2 and #3 will have until 10/27/2023 to complete the required training. Until such time as the required training has been completed, staff persons #1, #2 and #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #2 and #3, staff persons #1, #2 and #3 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff persons #1, #2, and #3 complete their pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on October 17, 2023. |
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| 2023-02-17 | Unannounced Monitoring | 3270.52 - Mixed Age Level | Compliant - Finalized |
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Regulation: 3270.52 Description: Mixed Age Level Noncompliance Area: An unannounced inspection was conducted on 12/27/2022. Staff #1 was observed working alone with a mixed age group of 15 young school age and older school age children. The required staff to child ratio for this mixed age group is 1 staff to 12 children. An acceptable plan of correction was received on 1/30/2023. An unannounced verification visit was conducted on 2/17/2023. At 11:07 AM on 2/17/2023, Staff #2, #3 and #4 were observed working with a with a mixed age group of 47 young school age and older school age children. Four staff are required to maintain the required staff to child ratio for this mixed age group. Staff #5 had reportedly went to use the restroom. Staff #5 did not return to the classroom until 11:17 AM. 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. The legal entity must develop written policies and procedures for maintaining the required staff-to-child ratios at all times to be implemented at the facility. The written policies must address procedures for maintaining staff-to-child ratios at all times, including during all transition times, and procedures for floating/substitute staff to cover staff restroom breaks. The written policies must specifically address transitions from the classroom to other areas of the facility and back, including a procedure to ensure that all children in their assigned group are present and with their assigned staff person before transitioning, during the transition and upon completion of the transition to and from the classroom at all times. This procedure may include counting the children or completing a face-to-name recognition. The legal entity will submit the policies/procedures to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures and the documentation must be kept at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Child ratio policy was emailed to the Northeast Regional Office for approval on 3/3/2023. Once approved, all existing staff and new hires will be trained on the approved policies and procedures and the documentation must be kept on file at the facility. |
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| 2023-02-17 | Unannounced Monitoring | 3270.52 - Mixed Age Level | Compliant - Finalized |
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Regulation: 3270.52 Description: Mixed Age Level Noncompliance Area: An unannounced inspection was conducted on 12/27/2022. Staff #1 was observed working alone with a mixed age group of 15 young school age and older school age children. The required staff to child ratio for this mixed age group is 1 staff to 12 children. An acceptable plan of correction was received on 1/30/2023. An unannounced verification visit was conducted on 2/17/2023. At 11:07 AM on 2/17/2023, Staff #2, #3 and #4 were observed working with a with a mixed age group of 47 young school age and older school age children. Four staff are required to maintain the required staff to child ratio for this mixed age group. Staff #5 had reportedly went to use the restroom. Staff #5 did not return to the classroom until 11:17 AM. Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff to child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff to child ratios must be maintained at all times. The legal entity must arrange for all facility staff, who are employed as of the date of the training, to receive a minimum of 3 hours of PQAS-approved training regarding training regarding supervision and ratios. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training. |
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Provider Response: (Contact the State Licensing Office for more information.) Meet with Sheri Roth, Stars quality coach. She will contact a specialist who performs the training according to our needs. All staff will complete the training. We will follow all recommendations. |
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| 2023-02-17 | Unannounced Monitoring | 3270.52 - Mixed Age Level | Compliant - Finalized |
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Regulation: 3270.52 Description: Mixed Age Level Noncompliance Area: An unannounced inspection was conducted on 12/27/2022. Staff #1 was observed working alone with a mixed age group of 15 young school age and older school age children. The required staff to child ratio for this mixed age group is 1 staff to 12 children. An acceptable plan of correction was received on 1/30/2023. An unannounced verification visit was conducted on 2/17/2023. At 11:07 AM on 2/17/2023, Staff #2, #3 and #4 were observed working with a with a mixed age group of 47 young school age and older school age children. Four staff are required to maintain the required the staff to child ratio for this mixed age group. Staff #5 had reportedly went to use the restroom. However, Staff #5 did not return to the classroom until 11:17 AM. 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.) Staff #5 return from the bathroom and the group returns to be in ratio. In addition, another staff person had been called to have an extra employee for any emergency. Two other staff are doing their clearances in order to have extra staff. |
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| 2023-01-12 | Renewal | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: Staff #2 completed pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 12/3/2022. However, the previous pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) certification on file for Staff #2 was dated 12/3/2019; thus, it had expired in December of 2021. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) This was already corrected at the time of the inspection. |
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| 2023-01-12 | Renewal | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1 will have until 1/27/2023 to complete the required training. Until such time as the required training has been 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 available to supervise staff persons#1, staff person #1 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) This was already corrected at the time of the inspection. |
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| 2022-12-27 | 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: 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: The required pre-service health and safety training and Pediatric First Aid/CPR. See LIS code sheet. 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.) Staff was removed from daycare. |
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| 2022-12-27 | Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Non Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: An unannounced inspection was conducted on 12/27/2022, Staff #1 did not have the completed DHS FBI, child abuse or National Sex Offender Registry (NSOR) clearances or the requests for these clearances on file. Staff #1 was observed working unsupervised with a group of children on 12/27/2022. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 may not work in a childcare position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #1 may not work in a childcare position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff was removed from daycare. |
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| 2022-12-27 | Unannounced Monitoring | 3270.52 - Mixed Age Level | Non Compliant - Finalized |
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Regulation: 3270.52 Description: Mixed Age Level Noncompliance Area: An unannounced inspection was conducted on 12/27/2022. Staff #1 was observed working alone with a mixed age group of 15 young school age and older school age children. The required staff to child ratio for this mixed age group is 1 staff to 12 children. 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.) The group ratio was fixed at the moment. |
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| 2022-01-25 | Renewal | 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.151(c)(2) Description: 12 months prior to service and every 24 months thereafter/Mantoux TB Noncompliance Area: Staff #2 was identified as the cleaning person in the facility. On 1/25/2022, Staff #2 did not have the health assessment and tuberculosis screening required at initial employment on file. 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. 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.) Staff #2 will be get the required health assessment and tuberculosis screening completed as soon as possible. |
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| 2022-01-25 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: On 1/25/2022, Staff #2 and Staff #5 did not have any written, nonfamily references on 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 |
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Provider Response: (Contact the State Licensing Office for more information.) Two written, nonfamily references will be obtained for Staff #2 and Staff #5 as soon as possible. |
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| 2022-01-25 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: During the Renewal Inspection on 1/25/2022, Staff #1 and Staff #2 did not have the National Sex Offender Registry (NSOR) clearance on file. Staff #3 was rehired on 10/5/2021. The most recent state police clearance on file for Staff #3 on 1/25/2022 was dated 4/21/2016. Staff #4 had current clearances on file, However, the previous state police and child abuse clearances on file were dated 8/17/2016 and 8/2/2016. They were renewed on 9/23/2021 and 10/4/2021. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 and #2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #2 may not work in a child care position at the facility until they have the completed National Sex Offender Registry (NSOR) clearance on file. |
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Provider Response: (Contact the State Licensing Office for more information.) The National Sex Offender Registry (NSOR) clearance was immediately requested for Staff #1 and Staff #2. Staff #1 and Staff #2 will not work with children at the facility until they have the completed NSOR clearance on file. The state police clearance was immediately requested and received for Staff #3. |
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| 2021-09-16 | Unannounced Monitoring | 3270.94(a)(1) - Every 60 days | Compliant - Finalized |
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Regulation: 3270.94(a)(1) Description: Every 60 days Noncompliance Area: During a Complaint Inspection on 9/16/2021, the fire drill log documented that fire drills were held on 7/21/2021 and 8/15/2021. However, the most recent documented fire drill prior to 7/21/2021 was on 12/23/2020. 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.) Director or the designated staff person will make sure that fire drills are conducted at least once every 60 days. |
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| 2020-01-27 | Renewal | 3270.131(a) - Within 60 days | Compliant - Finalized |
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Noncompliance Area: A renewal inspection was conducted on 1/27/2020. At that time, the following child files did not contain a health report obtained within 60 days of date of enrollment: Child #1 (Date of enrollment 4/22/19, health report 8/12/19); Child #2 (date of enrollment 10/16/17, health report 1/25/19); Child #3 (date of enrollment 8/24/19, health report 11/4/19) 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.) In the future, provider will obtain health reports for newly enrolled children within 60 days of their date of admission and keep the health report on file at the facility. |
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| 2020-01-27 | Renewal | 3270.133(4) - Locked | Compliant - Finalized |
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Noncompliance Area: A renewal inspection was conducted on 1/27/2020. At that time, prescription Clotrimazole was found in a child's cubby in the older toddler area. It was accessible to the children 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.) Staff immediately removed the prescription medication to the locked office. In the future, staff will check cubbies daily for any medications to make sure that they are locked or inaccessible to the children in care. |
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| 2020-01-27 | Renewal | 3270.135(a)(3) - Disposable diapers | Compliant - Finalized |
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Noncompliance Area: A renewal inspection was conducted on 1/27/2020. At that time, the trash can used for diapering in the young toddler area was not hands-free. 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.) Provider immediately placed a hands-free, lidded trash can in the young toddler area for diapering. In the future, provider will make sure that all diapering areas have a hands-free, lidded trash can. |
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| 2020-01-27 | Renewal | 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB | Compliant - Finalized |
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Noncompliance Area: A renewal inspection was conducted on 1/27/2020. At that time, the health reports and TB test results for Facility Person #3 and Facility Person #4 were not completed prior to their date of hire. Facility Person #3 date of hire: 9/5/19, health report 9/17/19; Facility Person #4 date of hire 5/20/19, health report 5/21/19 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.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.) In the future, provider will make sure that all new facility persons have health report and TB test results on file at facility prior to their date of hire. |
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| 2020-01-27 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Noncompliance Area: A renewal inspection was conducted on 1/27/2020. At that time, the files for Facility Persons #3 and Facility Person #4 did not contain any written references. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will obtain two written, nonfamily references for Facility Person #3 and Facility Person #4 and keep on file at the facility. In the future, provider will make sure all new facility persons have two written, nonfamily references on file at their time of hire. |
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| 2020-01-27 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Noncompliance Area: A renewal inspection was conducted on 1/27/2020. At that time, the following facility persons did not have fire safety training on file at the facility that had been conducted within the past year: Facility Person #1, (10/23/18); Facility Person #2 (10/19/17); Facility Person #5 (10/23/18). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will obtain a copy of the fire safety training certificates conducted in December for Facility Persons #1, #2, and #5 and keep on file at the facility. In the future, provider will retain past fire safety training certificates to show staff have received fire safety training annually. In the future, provider will make sure that all staff receive fire safety training annually and certificates are kept on file at the facility. |
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| 2020-01-27 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Noncompliance Area: A renewal inspection was conducted on 1/27/2020. At that time, three uncovered electrical outlets were observed on a power strip in a floor level, unlocked cupboard in the infant room where mobile infants were present. 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.) Staff immediately placed protective coverings on the electric outlets. In the future, staff will check daily to make sure all electrical outlets are covered if they are accessible to children 5 years of age or younger. |
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| 2020-01-27 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Noncompliance Area: A renewal inspection was conducted on 1/27/2020. At that time, Shave Cream labeled, "Keep out of reach of children" was observed in an unlocked closet on the floor level and was accessible to the preschool children in the classroom. 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.) Staff immediately moved the shave cream to a higher shelf in different closet that has a lock on it. In the future, staff will check daily for any toxics that may be accessible to the children in care. |
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| 2020-01-27 | Renewal | 3270.67(d) - Contaminated trash in closed plastic-lined receptacle | Compliant - Finalized |
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Noncompliance Area: A renewal inspection was conducted on 1/27/2020. At that time, the garbage can in the lunch room was missing the lid. 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.) Staff immediately placed a lidded, plastic-lined garbage can in the lunch room. In the future, staff will make sure that any trash contaminated by human secretions shall be immediately placed in a lidded, plastic-lined garbage can. |
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| 2020-01-27 | Renewal | 3270.69(b) - 110 F or less | Compliant - Finalized |
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Noncompliance Area: A renewal inspection was conducted on 1/27/2020. At that time, a water cooler in the school age area dispensed hot water that reached a temperature of 170 F. Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider immediately turned off the hot water dispenser on the water cooler. In the future, staff will check daily to make sure children do not have access to areas where hot water reaches higher than 110 F. |
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| 2019-07-31 | Complaints- Legal Location | 3270.20(a)(1) - Inpatient hospitalization or ER treatment of child | Compliant - Finalized |
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Noncompliance Area: A complaint investigation was conducted on 7/31/19. At that time, it was found that a child was injured at the facility on 7/15/19 and received treatment at the emergency room. Facility did not report the incident to the Regional Office. Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. |
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Provider Response: (Contact the State Licensing Office for more information.) From now on, we will telephone notice the appropriate Regional Office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. |
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| 2019-04-24 | Unannounced Monitoring | 3270.175(c) - Manufacturer's instructions used | Compliant - Finalized |
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Noncompliance Area: An unannounced inspection was conducted on 4/24/19. At that time, the manufacturers' instructions for the children's booster seats and car seats were not on the two vans being used to transport the children. Correction Required: Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times. |
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Provider Response: (Contact the State Licensing Office for more information.) From now on manufacturer's instructions for safety restraints will be kept in the vehicles at all times. We already put the instructions inside the vans. |
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| 2019-01-15 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Compliant - Finalized |
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Noncompliance Area: Child #1, 2 & 3 are missing the parents work address, and telephone number. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) Child 1, 2 & 3 files are completed with work address and telephone number. From now on we will make sure that parents give us all their information and forms are complete. |
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| 2019-01-15 | Renewal | 3270.27(b) - Plan reviewed/updated annually | Compliant - Finalized |
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Noncompliance Area: The facility emergency plan has not been reviewed annually. The last signature, signifying review of plan is on 1/3/18. Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) From now on I will review the emergency plan at the beginning of the year to meet the requirements stipulated by the state. I will also sign the plan annually. |
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| 2019-01-15 | Renewal | 3270.27(f) - Plan to County EMA | Compliant - Finalized |
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Noncompliance Area: The operator has not sent a copy of the facility's emergency plan and subsequent plans to the count emergency management agency. Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the county emergency management agency. |
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Provider Response: (Contact the State Licensing Office for more information.) From now on I will send a copy of the emergency plan to the county emergency management agency annually. A current copy was sent to the emergency management agency. |
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| 2019-01-15 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Noncompliance Area: The plastic molding near the toilet is not securely fastened and is falling off in first stall in the boys preschool bathroom. The tiles in the second stall near the toilet have fallen off onto the floor. 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 molding was repaired and tiles were fixed. From now on we will complete safety checks to ensure everything stays in good shape. |
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| 2018-01-03 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/3/18, AT THAT TIME A TABLE WAS OBSERVED IN THE SCHOOL AGE ROOM THAT THE TOP COAT WAS PEELING OFF OF. 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.) PROVIDER IMMEDIATELY REMOVED THE TABLE FROM THE FACILITY. IN THE FUTURE, PROVIDER WILL PERFORM MONTHLY MAINTENANCE CHECKS TO MAKE SURE EQUIPMENT IS IN GOOD REPAIR. |
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| 2018-01-03 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/3/18, AT THAT TIME THERE WERE PLASTIC BAGS USED TO STORE ART SUPPLIES IN THE TODDLER ROOM THAT WERE ACCESSIBLE TO THE CHILDREN. THERE WAS A PLASTIC BAG IN THE INFANT ROOM CUBBIES WHICH ARE ACCESSIBLE TO THE MOBILE INFANTS. 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.) PROVIDER IMMEDIATELY MOVED ALL PLASTIC BAGS. IN THE FUTURE, PROVIDER WILL CHECK DAILY TO MAKE SURE THERE ARE NO PLASTIC BAGS OR SMALL OBJECTS THAT ARE ACCESSIBLE TO THE CHILDREN WHO ARE STILL PLACING OBJECTS IN THEIR MOUTHS. |
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| 2018-01-03 | Renewal | 3270.111(b) - Posted in group space | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/3/18, AT THAT TIME THE WRITTEN PLAN OF DAILY ACTIVITIES WAS NOT POSTED IN THE YOUNG TODDLER AREA. Correction Required: The written plan of daily activities shall be posted in the group space. |
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Provider Response: (Contact the State Licensing Office for more information.) PROVIDER WILL POST THE WRITTEN PLAN OF DAILY ACTIVITIES. IN THE FUTURE, PROVIDER WILL CHECK MONTHLY TO MAKE SURE THE DAILY ACTIVITIES IS POSTED IN EACH GROUP SPACE. |
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| 2018-01-03 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/3/18, AT THAT TIME THE FOLLOWING CHILD FILES DID NOT CONTAIN A CHILD SERVICE REPORT THAT HAD BEEN CONDUCTED IN THE PAST 6 MONTHS: CHILD #1, #2, #3 AND #4. THESE FOUR CHILDREN HAVE BEEN ENROLLED AT THE FACILITY LONGER THAN 6 MONTHS. Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information). |
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Provider Response: (Contact the State Licensing Office for more information.) PROVIDER WILL COMPLETE CHILD SERVICE REPORTS FOR CHILD #1, #2, #3 AND #4. IN THE FUTURE, PROVIDER WILL MAKE SURE TO COMPLETE CHILD SERVICE REPORTS FOR ALL CHILDREN EVERY 6 MONTHS AND KEEP ON FILE AT THE FACILITY. |
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| 2018-01-03 | Renewal | 3270.124(b)(4)/3270.182(5) - Written consent/Consent for administration of minor first-aid required prior to admission | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/3/18, AT THAT TIME CHILD #5 DID NOT HAVE WRITTEN CONSENT FOR EMERGENCY MEDICAL CARE OR ADMINISTRATION OF MINOR FIRST-AID ON FILE AT THE FACILITY. Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) PROVIDER WILL OBTAIN WRITTEN CONSENT FOR EMERGENCY MEDICAL CARE OR ADMINISTRATION OF MINOR FIRST-AID FOR CHILD #5 AND KEEP IT ON FILE AT THE FACILITY. IN THE FUTURE, PROVIDER WILL MAKE SURE TO HAVE WRITTEN CONSENT FOR EMERGENCY MEDICAL CARE OR ADMINISTRATION OF MINOR FIRST-AID ON FILE AT THE FACILITY AT THE TIME OF ENROLLMENT FOR NEW CHILDREN. |
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| 2018-01-03 | Renewal | 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/3/18, AT THAT TIME CHILD #3, A PRESCHOOL AGE CHILD, DID NOT HAVE A HEALTH ASSESSMENT ON FILE AT THE FACILITY THAT HAD BEEN CONDUCTED IN THE PAST 12 MONTHS. (HEALTH ASSESSMENT DATE: 8/10/16) 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.) PROVIDER WILL OBTAIN A NEW HEALTH ASSESSMENT WITH IMMUNIZATION RECORDS FOR CHILD #3 AND KEEP ON FILE AT THE FACILITY. IN THE FUTURE, PROVIDER WILL MAKE SURE THAT ALL HEALTH ASSESSMENTS FOR PRESCHOOL AGE CHILDREN ARE UPDATED AND KEPT ON FILE EVERY 12 MONTHS. |
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| 2018-01-03 | Renewal | 3270.133(3)/3270.133(4) - Name on bottle/Locked | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/3/18, AT THAT TIME DIAPER CREAM THAT WAS NOT LABELED FOR USE BY THE CHILD WAS OBSERVED IN THE INFANT ROOM. THERE WAS DIAPER CREAM THAT WAS NOT LABELED WITH THE CHILDREN'S NAMES IN THE YOUNG TODDLER ROOM. DIAPER CREAM WAS FOUND IN A CUBBY IN THE YOUNG TODDLER ROOM THAT WAS ACCESSIBLE TO THE CHILDREN. Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. 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.) PROVIDER IMMEDIATELY MOVED THE DIAPER CREAM SO THAT IT IS NOT ACCESSIBLE TO THE CHILDREN. PROVIDER IMMEDIATELY LABELED THE DIAPER CREAMS WITH THE CHILDREN'S NAMES. IN THE FUTURE, PROVIDER WILL CHECK CUBBIES DAILY FOR ANY DIAPER CREAM AND MAKE SURE THAT ALL DIAPER CREAM IN THE FACILITY IS LABELED WITH THE CHILDREN'S NAMES. |
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| 2018-01-03 | Renewal | 3270.151(c)(3)/3270.151(c)(4) - Exam communicable disease/Information re: medical problems | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/12/18, AT THAT TIME STAFF #3 DID NOT HAVE A HEALTH ASSESSMENT ON FILE THAT HAD BEEN CONDUCTED WITHIN 12 MONTHS PRIOR TO DATE OF HIRE THAT STATED SHE DID NOT HAVE COMMUNICABLE DISEASES AND SHE CAN PROVIDE SUITABLE CHILD CARE. (DATE OF HIRE: 4/17/17, HEALTH ASSESSMENT: 8/15/17) Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. |
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Provider Response: (Contact the State Licensing Office for more information.) PROVIDER WILL MAKE SURE THAT ALL NEW STAFF HAVE A HEALTH ASSESSMENT CONDUCTED WITHIN 12 MONTHS PRIOR TO THEIR START DATE AND EVERY 24 MONTHS THEREAFTER THAT STATES THAT THE STAFF DOES NOT HAVE COMMUNICABLE DISEASES AND CAN PROVIDE SUITABLE CHILD CARE. |
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| 2018-01-03 | Renewal | 3270.166(4) - Bottles labeled | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/3/18, AT THAT TIME THERE WERE MANY BOTTLES IN THE INFANT AREA THAT WERE NOT LABELED WITH THE CHILDREN'S NAMES. Correction Required: Disposable nursers and bottles shall be labeled with the child's name. |
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Provider Response: (Contact the State Licensing Office for more information.) PROVIDER WILL LABEL THE BOTTLES WITH THE CHILDREN'S NAMES. IN THE FUTURE, PROVIDER WILL MAKE SURE THAT ANY BOTTLES THAT ENTER THE FACILITY ARE LABELED WITH THE CHILDREN'S NAMES. |
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| 2018-01-03 | Renewal | 3270.31(e) - Annual 6 hrs. training | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/12/18, AT THAT TIME STAFF #1 DID NOT HAVE 6 HOURS OF CHILD CARE TRAINING COMPLETED WITHIN THE PAST YEAR EMPLOYED (6/28/16-6/28/17) ON FILE AT THE FACILITY. (DATE OF HIRE: 6/28/11) 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.) STAFF #1 COMPLETED 6 HOURS OF CHILD CARE TRAINING AND KEPT CERTIFICATE ON FILE AT THE FACILITY. IN THE FUTURE, PROVIDER WILL MAKE SURE THAT ALL STAFF COMPLETE 6 HOURS OF CHILD CARE TRAINING ANNUALLY AND KEEP ON FILE AT THE FACILITY. |
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| 2018-01-03 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/12/18, AT THAT TIME STAFF #1 DID NOT HAVE FIRE SAFETY TRAINING CONDUCTED WITHIN THE PAST YEAR ON FILE AT THE FACILITY. (DATE OF HIRE: 6/28/11, LAST FIRE SAFETY TRAINING: 11/12/16) 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. |
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Provider Response: (Contact the State Licensing Office for more information.) PROVIDER OBTAINED FIRE TRAINING CERTIFICATE FOR STAFF #1 AND PLACED IN STAFF FILE AT THE FACILITY. IN THE FUTURE, PROVIDER WILL MAKE SURE THAT ALL STAFF RECEIVE FIRE SAFETY TRAINING ANNUALLY AND KEEP CERTIFICATE ON FILE AT THE FACILITY. |
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| 2018-01-03 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/12/18, AT THAT TIME STAFF #2 DID NOT HAVE ON FILE STATE POLICE CLEARANCE OR FBI CLEARANCE, OR COPIES OF REQUESTS FOR THE CLEARANCES, PRIOR TO START DATE. (DATE OF HIRE: 1/27/17, STATE POLICE CLEARANCE: 2/1/17, FBI CLEARANCE: 2/26/17) Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. |
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Provider Response: (Contact the State Licensing Office for more information.) IN THE FUTURE, PROVIDER WILL MAKE SURE THAT ALL STAFF HAVE CLEARANCES, OR REQUESTS FOR CLEARANCES, ON FILE AT THE FACILITY PRIOR TO START DATE OF WORKING WITH CHILDREN. |
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| 2018-01-03 | Renewal | 3270.67(d) - Contaminated trash in closed plastic-lined receptacle | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/3/18, AT THAT TIME THERE WAS AN UNLIDDED TRASH CAN IN THE PRESCHOOL AREA THE CHILDREN USED TO DISPOSE OF TISSUES CONTAMINATED BY HUMAN SECRETIONS. 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.) PROVIDER WILL PLACE A LIDDED TRASH CAN IN THE PRESCHOOL AREA FOR ANY TRASH CONTAMINATED BY HUMAN SECRETIONS. IN THE FUTURE, PROVIDER WILL MAKE SURE THAT ANY TRASH CONTAMINATED BY HUMAN SECRETIONS IS PLACED IN A CLOSED, PLASTIC-LINED TRASH CAN. |
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| 2018-01-03 | Renewal | 3270.75(b)/3270.75(c) - Inaccessible to children/Has all items | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/3/18, AT THAT TIME THE FIRST AID KIT WAS HANGING ON THE LOW FENCING IN THE PRESCHOOL AREA AND WAS ACCESSIBLE TO THE CHILDREN. THE FIRST AID KIT IN THE TODDLER AREA DID NOT CONTAIN MEDICAL TAPE. Correction Required: A first-aid kit must be inaccessible to children. 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.) PROVIDER IMMEDIATELY MOVED THE FIRST AID KIT TO A LOCKED CLOSET AND ADDED MEDICAL TAPE TO THE FIRST AID KIT IN THE TODDLER AREA. IN THE FUTURE, PROVIDER WILL CHECK DAILY TO MAKE SURE THE FIRST AID KIT IS INACCESSIBLE TO THE CHILDREN AND CHECK MONTHLY TO MAKE SURE IT HAS ALL NEEDED ITEMS. |
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| 2018-01-03 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/3/18, AT THAT TIME A BROKEN ELECTRICAL OUTLET COVER WAS OBSERVED IN THE SCHOOL AGE ROOM. THERE WAS A LONG ELECTRICAL CORD CREATING A TRIPPING HAZARD IN THE TODDLER AREA. 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.) PROVIDER IMMEDIATELY SECURED THE ELECTRICAL WIRE TO THE WALL SO IT IS NO LONGER A TRIPPING HAZARD. PROVIDER WILL REPLACE CRACKED ELECTRICAL OUTLET COVER IN SCHOOL AGE ROOM. IN THE FUTURE, PROVIDER WILL PERFORM MONTHLY MAINTENANCE CHECKS TO MAKE SURE THERE ARE NO VISIBLE HAZARDS AT THE FACILITY. |
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| 2018-01-03 | Renewal | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 1/3/18, AT THAT TIME PEELING PAINT WAS OBSERVED ON THE WALLS IN THE PRESCHOOL ROOM, OUTSIDE OF THE BATHROOM, THE TODDLER ROOM AND THE SCHOOL AGE ROOM. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) PROVIDER WILL PAINT AREAS OF WALLS WHERE THE PAINT IS PEELING. IN THE FUTURE, PROVIDER WILL PERFORM MONTHLY MAINTENANCE CHECKS FOR ANY PEELING PAINT. |
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| 2017-10-25 | Complaints- Legal Location | 3270.182(7) - Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file | Compliant - Finalized |
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Noncompliance Area: A COMPLAINT INVESTIGATION WAS CONDUCTED ON 10/25/17, AT THIS TIME IT WAS FOUND THAT AN INCIDENT REPORT HAD NOT BEEN WRITTEN FOR AN INJURY THAT HAPPENED TO A CHILD ON OCTOBER 12, 2017 WHILE IN CARE AT THE FACILITY. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) WE ALWAYS CONTAIN A REPORT OF ACCIDENTS/INJURIES AND ILLNESSES TO EACH FILE AT THE FACILITY. |
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| 2017-07-24 | Unannounced Monitoring | 3270.51 - Similar Age Level | Compliant - Finalized |
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Noncompliance Area: DURING AN UNANNOUNCED MONITORING VISIT ON 7/24/17, VIDEO FOOTAGE WAS REVIEWED FROM 7/17/17 AT 2:22 P.M. SHOWING THAT ONE STAFF WAS PRESENT IN A CLASSROOM WITH 13 SCHOOL-AGE CHILDREN FOR APPROXIMATELY 14 MINUTES, A GROUP SIZE THAT WOULD REQUIRE AT LEAST 2 STAFF PERSONS PRESENT. 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. The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Northeast Region Office on a weekly basis for a period of three months after DHS approves the documentation format. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff will document their child count and staff count every 30 minutes during open child care hours for 3 months. These count sheets will be sent to the Regional Office each week. All ratios will be maintained at all times. |
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| 2017-04-27 | Complaints- Legal Location | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Noncompliance Area: ON 5/27/17, A GROUP OF 3 SCHOOL-AGE CHILDREN WERE NOT ASSIGNED TO A SPECIFIC STAFF PERSON, AND A GROUP OF 9 CHILDREN WERE ASSIGNED TO A STAFF PERSON WHO WAS NOT YET PRESENT WITH THE GROUP OF CHILDREN. 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. 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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of 4 hours of PQAS approved training regarding supervision of children. It does not matter if the PQAS approved training is through the Regional Key. The legal entity must receive DHS approval of the training content prior to scheduling the training. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff have taken a supervision training that was approved on 6/12/17. All children will be assigned to staff before they get to their classrooms and be with that staff person and all children will be supervised at all times. |
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| 2017-04-27 | Unannounced Monitoring | 3270.52 - Mixed Age Level | Compliant - Finalized |
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Noncompliance Area: ON 5/27/17, 15 YOUNG AND OLDER SCHOOL-AGED CHILDREN WERE IDENTIFIED IN A PRIMARY GROUP WITH ONE STAFF, A RATIO THAT WOULD REQUIRE AT LEAST 2 STAFF. 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 legal entity must arrange for all facility staff to receive a minimum of 4 hours of PQAS approved training regarding ratios and supervision of children. It does not matter if the PQAS approved training is through the Regional Key. The legal entity must receive DHS approval of the training content prior to scheduling the training. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff have taken a supervision and ratio training that was approved on 6/12/17. All groups are divided into age-appropriate ratios and all groups will be in ratio all the time. |
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