St Johns Rainbow Trail Child Care

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires emergency contact and agreement forms are reviewed and updated at least every 6 months. The following children's forms were not updated at least every 6 months: Child #3 (emergency contact previous 6/2/25, current 4/21/26; agreement previous 8/3/25, no current), Child #4 (emergency contact previous 5/26/25, current 4/28/26), Child #6 (emergency contact previous 8/25/25, current 4/21/26) and Child #7 (agreement 8/25/25, no current).

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

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

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the dates of birth. Regulation requires the family of children from infant to young toddler to provide an updated health report at least every 6 months. Child #3 is a young toddler and has not had an updated health report provided since 6/16/25.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in an updated health assessment at least every 24 months. The following staff did not participate in an updated health assessment at least every 24 months: Staff #1 (previous 10/20/23, current 2/2/26) and Staff #5 (previous 9/27/23, current 4/23/26). Regulation requires staff to participate in a health assessment and tuberculosis screening prior to working in child care. See the code sheet for the date of hire of staff. Staff #7 did not participate in a health assessment until 2/12/26 or a tuberculosis screening until 2/8/26 which was after the staff's hire date.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. Staff person #2, #6, and #7 have not completed the following required pre-service training within 90 days of their date of hire: pediatric first aid and CPR. Staff person #6 and #7 have not completed the following required pre-service training within 90 days of their date of hire: health and safety training.

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 pre- service trainings are completed, staff #2, #6, and #7 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff available to supervise staff #2, #6 and #7, staff #2, #6 and #7 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. The CPSL and regulation requires staff to obtain clearances prior to working in a child care role at the facility. Staff #2 did not receive a state police clearance until 5/4/26, which was after this staff's date of hire. Staff #2 was not hired correctly per the CPSL. The CPSL and regulation require staff to update their clearances at least every 60 months. The following staff did not update their clearances at least every 60 months as required: Staff #3(state police previous 7/24/20, current 9/19/25; child abuse previous 7/29/20, current 9/22/25; and FBI previous 8/23/20, current 9/24/25) and Staff #4 (child abuse previous 8/31/20, current 9/30/25; and FBI previous 9/2/20, current 9/23/25).

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. TIERED LIS: 1. Staff #2, #3 and #4 may not work in a child care position with direct contact with children at the facility. (THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE.) 2. The Director shall create a tracking system to ensure compliance with the CPSL to ensure clearances are received at initial hire and updated as required by the CPSL. This tracking system must be submitted to the Northeast Regional Office for approval. Once approved, the Director will begin using to ensure staff files are in compliance with the CPSL. (THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS TRACKING SYSTEM WILL BE DEVELOPED, APPROVED AND BEGIN TO BE IMPLEMENTED.)

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection occurred at the facility on 5/30/25. A review of children's files was conducted. Regulation requires complete health insurance coverage information in a child's file. The file of Child #1 was missing complete health insurance coverage information.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection occurred at the facility on 5/30/25. A review of children's files was conducted. Regulation requires children's emergency contact and agreement forms to be updated at least every 6-month period. the following children's documents were not updated every 6-month period: Child #1 (emergency contact previous 8/23/24, no current review), Child #2 (emergency contact previous 9/5/24, no current review; agreement previous 9/5/24, current 5/1/25), Child #3 (agreement previous 5/1/24, current 5/1/25), Child #4 (agreement previous 6/10/24, current 3/9/25), Child #5 (emergency contact previous 8/20/24, current 3/4/25; agreement previous 8/20/24, no current review), Child #6 (agreement previous 4/25/24, current 5/1/25), Child #7 (emergency contact previous 3/8/24, current 3/11/25; agreement previous 3/15/24, current 3/11/25) and Child #8 (emergency contact previous 3/26/24, current 1/8/25; agreement previous 3/26/24, current 3/11/25).

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: A renewal inspection occurred at the facility on 5/30/25. A review of children's files was conducted. Regulation requires an updated health report on file for infants and young toddlers at least every 6 months. The following children are young toddlers and require updated health reports every 6 months: Child #4 (last health report dated 8/12/24, no update) and child #5 (last health report dated 7/29/24, no update).

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: A renewal inspection occurred at the facility on 5/30/25. A review of children's files was conducted. Regulation requires an updated health report on file for older toddlers and preschool children at least every 12 months. The following child is preschool age and requires an updated health report every 12 months: Child #7 (last health report dated 3/12/24, no update).

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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility on 5/30/25. A review of staff files was conducted. Regulation requires staff to participate in an updated health assessment at least every 24 months. The following staff did not participate in an updated health assessment at least every 24 months: Staff #4 (previous 8/12/22, current 3/24/25) and Staff #12 (previous 1/12/23, current 4/9/25)

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: A renewal inspection occurred at the facility on 5/30/25. A review of staff files was conducted. Regulation requires staff to review the emergency plan on an annual basis. The following staff did not review the emergency plan on an annual basis: Staff #1, #5, #6, and #7 (previous 2/19/24, current 4/1/25), Staff #2 (previous 9/19/23, current 4/1/25), Staff #4 (previous 2/19/24, current 4/3/25), Staff #8 (previous 2/20/24, current 4/1/25) and Staff #10 and #11 (previous 2/19/24, current 4/2/25), Staff #12 (previous 2/19/24, current 4/4/25)

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection occurred at the facility on 5/30/25. A review of staff files was conducted. Staff # 3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 9/9/19. Staff #3 updated this mandated reporter training on 1/7/25.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility on 5/30/25. A review of staff files was conducted. The CPSL and regulation requires staff to update their clearances at least every 60 months. The following staff did not update their clearances at least every 60 months: Staff #1 (NSOR previous 12/19/19, current 1/3/25), Staff #3 (previous state police 8/23/19, current 12/31/24; previous child abuse 8/10/19, current 1/1/25; previous FBI 8/16/19, current 1/2/25), Staff #6 (previous state police 3/8/20, current 3/13/25; previous NSOR 12/9/19, current 1/10/25), Staff #7 (previous NSOR 12/9/19, current 1/3/25), Staff #8 (previous NSOR 12/9/19, current 1/21/25), Staff #9 (previous NSOR 12/9/19, current 1/3/25), Staff #10 (previous NSOR 12/17/19, current 1/3/25), Staff #11 (previous NSOR 12/9/19, current 1/23/25) and Staff #12 (previous NSOR 12/9/19, current 1/6/25)

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: A renewal inspection occurred at the facility on 5/30/25. A review of staff files was conducted. Regulation requires staff have an annual evaluation conducted on them. The following staff did not have an evaluation conducted on them annually: Staff #7 (previous 9/2023, current 10/2024), Staff #10 (previous 4/2024, current 5/2025) and Staff #12 (previous 9/2023, current 10/2024).

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: A renewal inspection occurred at the facility on 5/30/25. A review of the facility's fire drill log was conducted. At the time of this inspection, the following fire drills were presented for review and did not occur at least every 60 days per regulation: 5/15/24, 10/11/24, 12/4/24, 1/27/25, 2/25/25, 3/12/25 and 5/12/25.

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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. The lid on the sandbox in the outdoor play area was not found in good repair and was splintering. An acceptable plan of correction was received on 5/1/24. A verification visit occurred at the facility on 6/14/24. The lid on the sandbox in the outdoor play area was not found in good repair and was splintering.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires staff to track the children's growth and development while in the program. A form tracking the following children's growth and development was not located in the file at the time of this inspection: Child #2, #3, #4, #5, #7 and #8. An acceptable plan of correction was received on 5/1/24. A verification visit occurred at the facility on 6/14/24. The following was not corrected. A form tracking the following children's growth and development was not located in the file at the time of this inspection: Child #2, #3, #4, #5, #7 and #8.

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).

Regulation: 3270.123(a)/3270.123(a)(1)

Description: Signed /Amount of fee

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires an agreement form to be in a child's file and to be signed by the operator and the parent. The file of Child #6 did not contain an agreement form at the time of the inspection. The following agreement forms were missing signatures from the operator: Child #1, #2, #3, #4 and #8. Regulation requires the agreement form to identify the fee amount to be charged per day or per week to the family. The following children's agreement forms did not have the agreement fee listed: Child #1 and #3. An acceptable plan of correction was obtained on 5/1/24. A verification visit occurred at the facility on 6/14/24. The file of Child #6 did not contain an agreement form at the time of the inspection.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the address of the release/emergency contact person to be listed in the file. The following children were missing the release/emergency contact person's address: Child #2, #4 and #6. An acceptable plan of correction was obtained 5/1/24. A verification visit occurred at the facility on 6/14/24. The following children were missing the release/emergency contact person's address: Child #2 and #6.

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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the agreement and emergency contact information to be updated at least once every 6-month period. The following children's files were not updated every 6-month period: Child #2, #3, #4, #5, #7 and #8. Child #2 last update was done on 4/19/23 for the agreement. Child #3 previous updates were 5/30/23 (agreement) and 5/31/23 (emergency contact). Child #3 has not had an updated review since. Child #4 last update was done on 4/29/23 for the agreement. Child #5 last update was done on 5/2/23 for the agreement. Child #7 last update was done on 4/27/23 for the agreement. Child #8 last update was done on 7/18/21 for the agreement. An acceptable plan of correction was received on 5/1/24. A verification visit occurred at the facility on 6/14/24. Child #3 has not had an agreement update since 5/30/23. Child #5 has not had agreement update since 5/2/23. Child #7 has not had an agreement update since 4/27/23. Child #8 has not had an agreement update since 7/18/21.

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

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. The health report and TB test in the file for Staff #3 was conducted more than 12 months prior to their start date, and they didn't get a new hire one until 4/4/24. Staff #3 was working at the time of this inspection and did not have a tuberculosis screening or results on file. Staff #12 did not update their health assessment every 24 months as required by regulation. Staff #12 has not had an updated health assessment completed and in the file since 6/22/21. An acceptable plan of correction was obtained 5/1/24. A verification visit occurred on 6/14/24. Staff #3 was working at the time of this inspection and did not have a tuberculosis screening or results 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.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's pick-up and drop-off procedures was conducted. At the time of the inspection, the director was unable to provide documentation that the letter of the facility's safe routes for pedestrians and vehicles was sent to the local traffic safety authorities. An acceptable plan of correction was received on 5/1/24. A verification visit occurred at the facility on 6/14/24. The director was still unable to provide documentation that the letter of the facility's safe routes for pedestrians and vehicles was sent to the local traffic safety authorities.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire Staff #2 did not update their clearances every 60 months as required by the CPSL. The updated stated police was dated 1/27/23 and the previous was 12/15/17. The updated child abuse was 12/16/22 and the previous was 12/12/17. Staff #5 did not have a child abuse clearance on file prior to working in child care as required by the CPSL. Staff #5 did not have a child abuse clearance on file at the time of this inspection. Staff #6 did not update their clearances every 60 months as required by the CPSL. The updated state police was dated 1/27/24 and the previous was dated 11/15/15. An acceptable plan of correction was received on 5/1/24. A verification visit occurred on 6/14/24. Staff #5 did not have a child abuse clearance on file prior to working in child care as required by the CPSL. Staff #5 did not have a child abuse clearance on file at the time of this inspection and was working in child care at the time of this inspection.

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

Regulation: 3270.76/3270.82(i)

Description: Building Surfaces/Lidded waste receptacles

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. The outdoor play area contained screws on the fencing that faced into the inside of the play space where children play. Also in the outdoor play space, a hole was found in the ground at the corner of the fencing by the side stair entrance on the inside of the play space where children play. The boy's bathroom contained a garbage can that was not lidded. An acceptable plan of correction was obtained 5/1/24. A verification visit occurred at the facility on 6/14/24. The hole in the outdoor play area that was found in the ground at the corner of the fencing by the side stair entrance on the inside of the play space where children play had not been repaired at the time of this inspection. Also, some screws on the fencing were missing caps that were placed on them to fix the earlier violation.

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. A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. The lid on the sandbox in the outdoor play area was not found in good repair and was splintering.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Child #6 was identified as a student in the two's classroom by staff. These staff stated the child was working in another classroom with an outside provider and was not supervised by a staff. The file of Child #6 did not contain a note from the parent indicating the child was able to work with the outside provider unsupervised.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires staff to track the children's growth and development while in the program. A form tracking the following children's growth and development was not located in the file at the time of this inspection: Child #2, #3, #4, #5, #7 and #8.

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).

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires an agreement form to identify a child's arrival and departure times. The arrival and departure times were missing on the agreement form for Child #1.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the children's date of enrollment to be written in the file. Child #4 was missing the date of enrollment in their file.

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

Regulation: 3270.123(a)/3270.123(a)(1)

Description: Signed /Amount of fee

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires an agreement form to be in a child's file and to be signed by the operator and the parent. The file of Child #6 did not contain an agreement form at the time of the inspection. The following agreement forms were missing signatures from the operator: Child #1, #2, #3, #4 and #8. Regulation requires the agreement form to identify the fee amount to be charged per day or per week to the family. The following children's agreement forms did not have the agreement fee listed: Child #1 and #3.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the address of the release/emergency contact person to be listed in the file. The following children were missing the release/emergency contact person's address: Child #2, #4 and #6.

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.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A renewal inspection was conducted at the facility. A physical site review was conducted. At the time of the inspection, the school age room did not have posted the facility's emergency medical transportation plan.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the agreement and emergency contact information to be updated at least once every 6-month period. The following children's files were not updated every 6-month period: Child #2, #3, #4, #5, #7 and #8. Child #2 last update was done on 4/19/23 for the agreement. Child #3 previous updates were 5/30/23 (agreement) and 5/31/23 (emergency contact). Child #3 has not had an updated review since. Child #4 last update was done on 4/29/23 for the agreement. Child #5 last update was done on 5/2/23 for the agreement. Child #7 last update was done on 4/27/23 for the agreement. Child #8 last update was done on 7/18/21 for the agreement.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: A renewal inspection was conducted at the facility. A physical site review was conducted. The two's room contained two expired sunscreens, one expired 1/24 and the other 6/23. The infant room contained and expired diaper cream that expired 1/24. The PreK room contained 7 expired sunscreens.

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

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's diaper changing procedure was conducted. The staff changing the child's diaper in the infant room did not wash their hands or the child's hands after diaper changing.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's diaper changing procedure was conducted. The staff who conducted the diaper change, did not clean the diaper changing surface after the change and before another child's diaper was changed.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person #2, #3, #5, #6, #7, #8, #9, #10, #11, #12, #13 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022

Correction Required: Staff persons #2, #3, #5, #6, #7, #8, #9, #10, #11, #12, #13 shall complete the required one-hour 2022 update to the health and safety training by 5/16/24.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's emergency plan was conducted. At the time of the inspection, the director was unable to provide a copy of the facility's continuity of operations plan for review.

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. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. The health report and TB test in the file for Staff #3 was conducted more than 12 months prior to their start date, and they didn't get a new hire one until 4/4/24. Staff #3 was working at the time of this inspection and did not have a tuberculosis screening or results on file. Staff #12 did not update their health assessment every 24 months as required by regulation. Staff #12 has not had an updated health assessment completed and in the file since 6/22/21.

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.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's pick-up and drop-off procedures was conducted. At the time of the inspection, the director was unable to provide documentation that the letter of the facility's safe routes for pedestrians and vehicles was sent to the local traffic safety authorities.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires consent for minor first aid procedures by staff to be in the child's file. The following files were missing consent for minor first aid procedures: Child #1 and #3.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's emergency plan was conducted. At the time of the inspection, the director was unable to provide documentation that the facility's emergency plan was sent 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person #3, #4 and #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR. Staff persons #3, #4, #5 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety 1 hour update (#3) and full health and safety topics training (#4 and #5).

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3, #4 and #5 will have until 5/16/24 to complete the required training. Until such time as the required training has been completed, staff person #3, #4 and #5 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 #3, #4 and #5, staff person #3, #4 and #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person #5 did not complete the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff #5 completed mandated reporter training on 4/29/24. Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/19/18. Staff #2 completed the training on 2/17/23. Staff person #6 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6/15/15. Staff #6 completed the training on 5/30/21. Staff person #7 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6/9/15. Staff #7 completed the training on 5/30/21. Staff person #9 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/6/17. Staff #9 completed the training on 4/30/22.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire Staff #2 did not update their clearances every 60 months as required by the CPSL. The updated stated police was dated 1/27/23 and the previous was 12/15/17. The updated child abuse was 12/16/22 and the previous was 12/12/17. Staff #5 did not have a child abuse clearance on file prior to working in child care as required by the CPSL. Staff #5 did not have a child abuse clearance on file at the time of this inspection. Staff #6 did not update their clearances every 60 months as required by the CPSL. The updated state police was dated 1/27/24 and the previous was dated 11/15/15.

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. Facility Person #5 may not work in a child care position at the facility.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. A garbage can in the school age room contained a garbage can that did not have a lid. The garbage can contained food, tissues and napkins.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.76/3270.82(i)

Description: Building Surfaces/Lidded waste receptacles

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. The outdoor play area contained screws on the fencing that faced into the inside of the play space where children play. Also in the outdoor play space, a hole was found in the ground at the corner of the fencing by the side stair entrance on the inside of the play space where children play. The boy's bathroom contained a garbage can that was not lidded.

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. A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire drill log was conducted. Regulation requires the fire safety system to be tested once at least every 60 days. The following drills lapsed not occurring once at least every 60 days: 5/12/23 - 8/7/23 1/25/24 - 3/28/24.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During inspection on 5/24/23 refrigerator in the older toddler room was inspected two times both times refrigerator temperature was over 50 degrees.

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

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

Description: Infant: updated health report every 6 months/Immunization record

Noncompliance Area: During inspection on 5/24/23 it was revealed that child #1 does not have a record of an updated health repot within the past 6 months and does not include a record of immunization per the guidelines of the ACIP.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: During inspection on 5/24/23 it was revealed that child #1 does not have a record of an updated health repot within the past 6 months and does not include a record of immunization per the guidelines of the ACIP.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Report received that on 5/22/23 Indvidual #1 an agent of the department observed White out on a desk. Inspection on 5/24/23 revealed that the location of the liquid white out would be accessible to 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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During inspection on 5/24/23 observed baseboard heating unit that was in poor repair and a visible hazard.

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

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: Inspection on 5/12/22 revealed that child number one does not have a valid immunization record per the ACIP guideline.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.27(a)(5)/3270.27(a)(6)

Description: Emergency plan/Emergency plan

Noncompliance Area: Inspection on 5/12/22 revealed that the operator does not have a plan to provide accommodations for infants, toddlers and children with disabilities Inspection on 5/12/22 revealed that the operator does not have a record of an emergency Drill.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Inspection on 5/12/22 revealed that staff number 1, start date 1/12/22 and staff number 2 start date 12/27/21do not have a record of completed professional development in the topic of Pediatric First Aid and Pediatric CPR.

Correction Required: Staff persons shall complete professional development in the topic, of Pediatric First Aid and Pediatric CPR within 90 days of hire:

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Per interviews, review of statements of facility staff and meeting with facility Director it was revealed that staff number one on 8/31/21used harsh language directed at child number one and also harsh language directed at Household member number two in the presence of child number one. Staff #1 admitted to using harsh language directed at a child as well as household member number 2.

Correction Required: A staff person may not use harsh, demeaning or abusive language in the presence of children.