Munchkin University Child Care Center

Noncompliance Area: A loose leg, which created a pinch point, was observed on a wooden child size table in the young toddler area.

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.

Noncompliance Area: The older toddler area lacked a posted written schedule appropriate for their age level. The posted schedule was intended for school age children.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

Noncompliance Area: The file for child #1 contained emergency contact information which did not include the insurance policy number for the child.

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

Noncompliance Area: An expired epi pen, intended for child #2, was observed in the medication box in the older toddler area. The medication expired 7/2020.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: The file for staff #8 contained a health assessment which was not updated within 24 months as required. The most recent health assessment on file for staff #8 is now current.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: The file for staff #7 contained a health assessment which lacked the results of an examination for communicable disease.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: The files for staff #1, #2, #3, and #4-#9 contained documentation of completing fore safety training at in interval greater than 12 months. The training was completed on 4/6/19 and again on 6/6/20.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Based on documentation at the facility staff #1, #5, #6, and #9 did not update their mandated reporter training within 60 months as required. The dates of the training are as follows; staff #1 3/24/15, staff #5 5/26/25, staff #6 1/28/15, and staff #9 3/18/15. Staff #9 updated their training on 9/22/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Th file for staff #4, with a start date of 8/26/19, contained a DOE FBI clearance instead of the required DHS FBI clearance. The file for staff #4 also lacked a signed disclosure statement. The file for staff #7 contained an expired state police clearance dated 9/17/15.

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. Staff #4 and #7 may not work in a child care position at the facility.

Noncompliance Area: The files for staff #2 and #3 contained staff evaluations completed more than 24 months apart. The evaluations were completed in June 2019 and again in August 2020.

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

Noncompliance Area: Two unlabeled bottles containing cleaning solutions were observed in the supply closet of the older toddler area.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: An exposed sharp screw was observed at the base on the protective plastic trim on the entrance to the climbing wall in the outdoor play space. Protruding nail heads were observed in the trim of the outdoor carpet n the outdoor play space.

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.

Noncompliance Area: Cracked plastic creating sharp edges was observed on the sand box lid in the outdoor play space.

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

Noncompliance Area: The hands free trash can in the diapering area of the young toddler room was not functioning properly.

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.

Noncompliance Area: The file for staff #1 contained only one written reference.

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

Noncompliance Area: Peeling yellow paint was observed at the base of several boards in the outdoor play space.

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

Noncompliance Area: A bike on a Merry-Go-Cycle, observed in the outdoor play space, was missing a pedal. Two wooden blocks, observed in the preschool 3 area, had splintering wood. A torn cloth seat was observed on a walker in the play area of the front room. The seam of the seat was split down the side making the leg hole too large for a child to sit safely.

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.

Noncompliance Area: The high chair in the young toddler room did not have straps.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: The file for child #2 contained documentation of receiving service reports at an interval greater than the required 6 month period. The reports on file were dated 4/12/17 and 4/4/19.

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).

Noncompliance Area: The file for child #1 contained emergency contact information which did not include the name, address and telephone number of the child's physician or source of medical care.

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

Noncompliance Area: The file for child #1 contained emergency contact information which did not include the written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: The files for children #1, #3, and #5 contained immunization records which lacked documentation of receiving the influenza vaccine within the last 12 months.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: A medication log for child #4 did not include the name of the medication.

Correction Required: A medication log shall include the name of the medication.

Noncompliance Area: The file for child #1 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The file for staff #1, provisionally hired on 3/5/19, did not contain the results of the state police clearance. A receipt dated 3/3/19 was on file. Staff #1 is no longer within the 90 day provisional period. The file for staff #4 did not contain documentation of updating the FBI clearance within the required 60 month period. The initial FBI clearance on file was dated 8/26/11. The most recent FBI clearance on file for staff #4 was dated 2/11/19.

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. Staff #1 may not work in a child care position at the facility.

Noncompliance Area: The files for staff #2 and #3, both designated as assistant group supervisors, did not include verification of 2 years experience with children.

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

Noncompliance Area: An infant was observed sleeping in a crib which lacked 2 feet of space on 3 sides. The crib was in a corner and one of the 2 remaining sides was blocked by a bouncy seat and other equipment.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: An infant was observed sleeping in a crib with a stuffed toy attached to a pacifier.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: From 6/4/19 though 6/11/19 the facility had only 1 functioning flushing toilet. More than 15 toilet trained children were in care during this time.

Correction Required: The ratio of flushing toilets to toilet-trained children is one toilet per 15 young or older toddler and preschool children to; one toilet per 20 school-age children

Noncompliance Area: In the school age room, a broken bin and a broken xylophone were observed. On the toddler playground, a ride on jeep with a cracked headlight area was observed. The cracked area created a pinch point. In the rear outdoor play space, the plastic playhouse had cracked and broken corners on windows on the right side and the rear interior sill. A broken sand pail was also observed in the rear outdoor play space.

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

Noncompliance Area: The file for child #3, with a start date of 5-10-17, contained a child service report dated 4-2-18. No previous child service reports were on file for child #3.

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).

Noncompliance Area: The file for child #3 contained emergency contact information which did not include health insurance coverage and policy number.

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

Noncompliance Area: The file for child #1 contained emergency contact information which did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released. The names of these individuals were indicated on the agreement. The file for child #4 contained emergency contact information which did not include the address and telephone number of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: The file for child #3 contained a health report conducted more than 60 days following the first day of attendance at the facility. The health report is now current.

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

Noncompliance Area: A bottle of Advil, designated for a child in care, lacked the name of the child on the container.

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.

Noncompliance Area: The files for staff #1 and #3 contained health assessments which were not updated within the required 24 month period. The health assessments on file for staff #1 and #3 are now current. The files for staff #4 and #5 contained health assessments which were altered making them invalid. A previous health assessment on file for staff #5 is still current.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: The file for staff #2 contained a health assessment which did not include the results of an examination for communicable diseases or the physician's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: The file for child #1 contained a financial agreement which was not updated between 2-13-17 and 2-22-18. The file for child #2 contained emergency contact information last updated on 2-7-18 and a financial agreement last updated on 1-11-18. The file for child #3 contained emergency contact information and a financial agreement last updated on 1-11-18. The file for child #4 contained an agreement which was not updated between 3-3-17 and 2-19-18.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: The certificate posted at the center expired on 11-08-17.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: In the rear outdoor play space, the metal trim around the entrance door was bent and sharp portions were protruding into the play space. In the front outdoor play space, an open pipe/vent was observed under a carpet. The vent lacked a cover and presented a tripping hazard. A rusted water access cover was also observed in the front outdoor play space. The rust chips were accessible to the children in care.

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.

Noncompliance Area: In the rear outdoor play space, peeling paint was observed on 1 bench of the picnic table.

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

Noncompliance Area: A broken chair was observed in the indoor play area. The seat of the chair was no longer fully attached to the frame.

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.

Noncompliance Area: Three infants were observed in cribs that lacked 2 feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: Tylenol, which lacked the name of the child for whom the medication was intended was observed in the 1 year old room.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: Motrin and Ibuprofen, which lacked written parental consent for administration, were observed in the 1 year old room.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: The file for staff #1, with a start date of 10-24-2016 and the file for staff #2, with a start date of 04-21-2017 lack proof of mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: An electrical outlet accessible to children 5 years of age or younger, which lacked a protective cover, was observed in the older 2s room behind the play kitchen.

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

Noncompliance Area: Peeling paint was observed on the porch railing in the front outdoor play space.

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

Noncompliance Area: The staff file for staff person #1 lacked proof of education.

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

Noncompliance Area: The staff file for staff person #2 lacked two nonfamily references.

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

Noncompliance Area: The staff file for staff person #2 lacked proof of having received emergency plan training at time of hire.

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

Noncompliance Area: The staff file for staff person #1 lacked valid mandated reporter training. The staff file for staff person #2 lacked a signed disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. 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 #--- may not work in a child care position at the facility.

Noncompliance Area: Per staff interviews the facility is sometimes out of ratio in the mornings between 7:30 and 8:00am when children are being dropped off. The cause for being out of ratio was either due to bad weather conditions or a staff calling off sick.

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).

Noncompliance Area: In the 1 year old room a ceiling tile was observed to show signs of water damage.

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.