Trice Day Care Centers Llc

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection there was areas of exposed plaster and torn carpets in the basement child care 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.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: At the time of the inspection the bathroom upstairs did not have a handwashing sign.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection the record of staff person #1 was lacking a current valid FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility. 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: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: At the time of the inspection the record of staff person #2 was lacking the verification of child care experience prior to service at the facility.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of the inspection the record of staff person #2 did not have a current valid health assessment.

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

Regulation: 3270.182(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: The records of child #1 and child # 2, both were in care at the time of the inspection, did not have the signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff in their records.

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: 3270.31(e)/3270.192(2)(iii)

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

Noncompliance Area: At the time of the inspection the staff record of staff person#2 (having worked at the facility over one year) did not have proof of the required 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection the record of staff person #1 did not have a current valid FBI clearance nor did they have a current valid state police clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility. 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: 3270.33(a)/3270.37(b)(3)

Description: Each staff person meets quals/8th grade + 2 yrs

Noncompliance Area: At the time of the inspection the record of staff person #1 (identified as an aide) was lacking proof of their level of education.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: At the time of the inspection the bathroom in the rear of the building, on the first floor stood at least 3 1/2 feet high off the ground and did not have a step stool.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 10/28/22, at the time of inspection, 13 preschool children were receiving care in the childcare space located on the lower level. Emergency contact information was not present in the childcare space where children were receiving care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: On 10/28/22, Staff #1 file did not contain an updated Health Assessment. The last health assessment on file was dated 10/17/20.

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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: On 10/28/22, Staff persons #1, #2, #3, #4 and #5 files do not contain annual fire safety training. The last fire safety training on file was dated 8/28/21.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On 10/28/22, Staff persons #1, #2, #3, #4 and #5 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

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

Noncompliance Area: On 11/8/19, the immunization record on file for Child #1 did not contain record of updated immunizations in accordance of the ACIP. No record of HIB, Polio, Varicella and Hep A immunizations were on file. (A letter of exemption from the physician or the parent was not on file at the facility)

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Noncompliance Area: On 6/18/19, an annual updated facility emergency plan was not observed on site. The facility's emergency plan was last updated 6/2/18.

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.

Noncompliance Area: On 6/18/19, at approx. 9:45am, Staff #1 and Staff #2 were observed out of ratio with 24 PS children for approximately 1 minute. Staff #3 left the basement classroom to answer the front door located on the first floor.

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. IF USING TIERED LIS: 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 -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. 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.

Noncompliance Area: On 6/18/19, hand sanitizer instructing to "keep out of reach of children" was observed on a pink storage shelf accessible to children in the basement PS room.

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

Noncompliance Area: On 6/18/19, a piece of broken light cover containing sharp edges was observed in the basement ps classroom. The broken piece was coming detached from the light fixture causing a hazard if falls on a child.

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: ON 12/6/18, AT APPROX 12:00PM, STAFF #1 WAS OUT OF RATIO WITH 25 PRESCHOOL CHILDREN IN THE CLASSROOM LOCATED ON THE BASEMENT FLOOR. WHEN CERTIFICATION REP ARRIVED AT THE FACILITY, STAFF #2 AND STAFF #3 WERE OBSERVED IN THE OFFICE LOCATED ON THE FIRST FLOOR. STAFF #2 AND STAFF #3 WERE NOT PHYSICALLY PRESENT WITH THEIR ASSIGNED GROUP OF CHILDREN.

Correction Required: The required staff:child ratios must be maintained at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: ON 11/1/18, HANDWASHING WAS NOT OBSERVED PRIOR TO CHIDLREN EATING LUNCH IN THE BASEMENT PRESCHOOL ROOM. (CHILDREN WERE OBSERVED SITTING ON THE FLOOR AS A GROUP WATCHING A MOVIE BEFORE BEING SERVED LUNCH)

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

Noncompliance Area: ON 11/1/18, TWO LETTERS OF REFERENCE WERE NOT OBSERVED IN THE FILE BELONGING TO STAFF #3 AND #4.

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: ON 11/1/18, ANNUAL STAFF EVALUATIONS WERE NOT OBSERVED IN THE FILES BELONGING TO STAFF #1, #2, #3 AND #4.

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: ON 11/1/18, AT APPROXIMATELY 10:15AM, A PS CHILD WAS OBSERVED WALKING UPSTAIRS FROM THE BASEMENT UNSUPERVISED BY A STAFF PERSON. APPROXIMATELY 1 MINUTE LATER, ANOTHER PS CHILD WAS OBSERVED WALKING UPSTAIRS FROM THE BASEMENT UNSUPERVISED BY A STAFF PERSON. AT APPROXIMATELY 10:20AM, STAFF #3 WAS OBSERVED OUT OF RATIO WITH 22 CHILDREN IN THE BACK ROOM. ADDITIONALLY, AT11:53AM, STAFF #2 AND STAFF #4 WERE OBSERVED OUT OF RATIO WITH 24 CHILDREN IN THE BASEMENT PRESCHOOL ROOM FOR APPROX 4-5 MINUTES.

Correction Required: The required staff:child ratios must be maintained at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: ON 11/1/18, HAND SANITIZER INSTRUCTING "KEEP OUT OF REACH OF CHILDREN" WAS OBSERVED ON A SHELF ACCESSIBLE TO CHILDREN IN THE BASEMENT PRESCHOOL ROOM.

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

Noncompliance Area: ON 11/1/18, A WET CEILING TILE WAS OBSERVED IN THE READING ROOM LOCATED IN THE BACK OF THE BUILDING. ADDITIONALLY, THE READING ROOM WAS NOT LIGHTED BY SUFFICIENT ARTIFICIAL LIGHT (LIGHTBULBS WERE NOT WORKING).

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.Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Noncompliance Area: The emergency contact information in the files for facility children #1 and #2 did not have signed permission for minor first aid and emergency medical care at the time of inspection on 12/29/17.

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.

Noncompliance Area: The emergency contact information in the files for facility children #1 and #2 did not have signed permission for minor first aid and emergency medical care at the time of inspection on 12/29/17.

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 water temperature at the sink in the restroom in the lower level of the facility (when measured with a thermometer) was 124 degrees.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: During the inspection on 10/13/17, foruteen children were observed in the rear of the facility in a classroom unsupervised. Staff #1 was in the front of the facility at the time of the inspection.

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.

Noncompliance Area: Fourteen children were observed in the classsroom located in the rear of the facility unsupervised.

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.

Noncompliance Area: At the time of inspection, staff person #1 was the only staff/facility person in the building.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.