Early Childhood Environments Llc

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: Several children's records did not contain a signed agreement in accordance with this regulation. (#1, #2, #3, /34, and #5)

Correction Required: An agreement shall be signed by the operator and the parent. Obtain and submit a signed agreement for the indicated children that includes both the operator and parent's signature as specified. Ensure that the parent receives the original and that a copy of the original and subsequent agreements are contained in the children's records.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: Two children's records did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#3 and #5)

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. Obtain and submit a current up-to-date health report for the indicated children. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: One child's record did not contain a current up-to-date health report that had been signed by a physician, physician's assistant or a CRNP. (#4)

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. Obtain and submit a current up-to-date health report that contains the signature and professional title of the physician, physician's assistant or a CRNP. Ensure that all children's records include a properly signed health report as specified in this regulation.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's written policies on shaken baby syndrome, abusive head trauma, and child maltreatment did not include the identification and prevention of child maltreatment.

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. Revise and submit the facilities policies to include the identification and prevention of child maltreatment.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter given to parents regarding the emergency plan did not explain the emergency procedures (accommodations for children with disabilities and chronic medical conditions) to the plan as required in 3270.27 subsection a.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Revise the letter given to parents to ensure that it explains the emergency procedures (accommodations for children with disabilities and chronic medical conditions) as required in 3270.27 subsection a. Submit a copy of the revised letter.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: During a complaint investigation inspection conducted on 12/4/24, the certification representative reviewed pre-services trainings series of Staff #1, and pre-service trainings did not include a current Pediatric First Aid Certification.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

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

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During a renewal inspection conducted on 1/24/24, the certification representative reviewed Staff #2 content of records, and it did not contain a Health Assessment. upon hire.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During a renewal inspection conducted on 1/24/24, the Certification Representative reviewed Staff #2 content of records, and it did not contain two written letters of references,

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection conducted on 1/24/24, the Certification Representative reviewed Staff #1 content of records, and it did not contain a NSOR clearance within the 45 days of hire.

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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 20.71(b)(5)

Description: Perpetrator in an indicated or founded report of child abuse

Noncompliance Area: Facility Person #1 has been named as a perpetrator in a founded/indicated report of child abuse.

Correction Required: A facility person who has been named as perpetrator in a founded/an indicated report of child abuse may not be present in the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: THE FILE OF STAFF PERSON #1 DOH (SEE LIS CODE SHEET), DID NOT CONTAIN A COPY OF THE OUT OF STATE CLEARANCE HISTORY INFORMATION AS REQUIRED UNDER THE CPSL. THE FILE OF STAFF PERSON #2 DOH (SEE LIS CODE SHEET), DID NOT CONTAIN A COPY OF THE CRIMINAL CLEARANCE HISTORY INFORMATION AS REQUIRED UNDER THE CPSL. THE FILE OF STAFF PERSON #3 DOH (SEE LIS CODE SHEET), DID NOT CONTAIN A COPY OF THE OUT OF STATE CLEARANCE HISTORY INFORMATION AS REQUIRED UNDER THE CPSL.

Correction Required: Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: PER PROVIDER'S ADMISSION, IT IS UNKNOWN HOW CHILD #1 OBTAINED A SCRATCH ON THE FOREHEAD.

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: AT THE TIME OF INSPECTION CHILD #1 DID NOT HAVE AN UPDATED HEALTH ASSESSMENT.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED STAINED TILE CEILINGS IN CLASSROOMS 101 AND 102.

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: AT THE TIME OF INSPECTION, THE INSPECTOR OBSERVED CHILDREN IN ROOM 101 SLEEPING ON REST EQUIPMENT LABELED FOR THE USE OF A SPECIFIC CHILD OTHER THAN THE CHILDREN SLEEPING ON THE EQUIPMENT.

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

Noncompliance Area: AT THE TIME OF INSPECTION THE EMERGENCY CONTACT FORMS FOR CHILDREN #1,2,3 AND 5 DID NOT INCLUDE THE DESIGNATED INDIVIDUALS' ADDRESSES.

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: AT THE TIME OF INSPECTION CHILD #4 DID NOT HAVE AN UPDATED HEALTH REPORT.

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.

Noncompliance Area: AT THE TIME OF INSPECTION, THE INSPECTOR OBSERVED THE WINDOWS IN ROOMS 201 AND 202 WITHOUT MODIFICATIONS TO PREVENT FROM OPENING MORE THAN 6 INCHES.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: AT THE TIME OF INSPECTION, THE INSPECTOR OBSERVED DUST AROUND THE WINDOW AREA IN ROOM 102.

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: AT THE TIME OF INSPECTION THE FIRE DRILL LOG DID NOT INCLUDE HYPOTHETICAL LOCATIONS OF THE FIRE.

Correction Required: Hypothetical locations of the fire shall be changed for each drill.

Noncompliance Area: At the time of the inspection, in Room 104, there were 17 children present. When asked who was in her primary care group, staff #8 responded with the names of all 17 children. When asked who was in primary care group of staff #7, all 17 children were named. It was asked of both staff members if they are specifically assigned to any children and staff #7 stated that they oversee all of the children. There should have been specific groups assigned to each staff person.

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

Noncompliance Area: At the time of the inspection, there was no address of the individual designated by the parent to whom the child may be released on the emergency contact form for child #4.

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: At the time of the inspection, the health assessment for staff #9 did not indicate if tuberculosis screening by the Mantoux method at initial employment was conducted.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: At the time of the inspection, the last update to the agreement for child #2 was dated 7-19-17. There should have been another update by 1-19-18.

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: At the time of the inspection, there was no signed parental consent for emergency medical care for the child and no signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form for child #4.

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.

Noncompliance Area: At the time of the inspection, there was no verification of Mandated reporter training on file for staff # 5 (date of hire 9/8/14).

Correction Required: 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.

Noncompliance Area: At the time of the inspection, the stalls in the bathroom located between Room 105 and 103 were rusty. There was a broken window in Room 104. The baseboard in Room 101 was missing from under the vent.

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: At the time of the inspection, there was chipped paint missing from the wall by the cube play space in Room 102.

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

Noncompliance Area: At the time of the inspection, the lid to the trash can in the bathroom between Room 103 and 105 was cracked.

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

Noncompliance Area: A child fell off of the slide at the playground and resulted in a broken arm.

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: At the time of the inspection, there was a play kitchen that had a broken door with hinges and screws exposed in the dramatic play area of the dragonflies room.

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: At the time of the inspection, there was no written plan of daily activities and routines, including a time for free play posted in the firefly room.

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.

Noncompliance Area: At the time of the inspection, the children in the dragonflies room were walking up the steps and a child ran into the classroom ahead of the teacher who was still at the bottom of the steps. The staff person was unable to see the child in the room. When finally in the room, the two staff members were asked who were in their groups, one staff person replied the names of five children, the other staff person replied with "all of the children are in my group"

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

Noncompliance Area: At the time of the inspection, the agreement of child #1 was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: At the time of the inspection, there was no fee amount to be charged on the agreement of child #1.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: At the time of the inspectoin, there was no date on which the fee is to be paid on the agreement of child #1 AND 2.

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

Noncompliance Area: At the time of the inspection, there was nothing specifying 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 on the agreement of child 1-6.

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: At the time of the inspection, the name, address and telephone number of the child`s physician was missing from the emergency contact form of child #2. Work address and telephone number of the enrolling parent was missing from the emergency contact form of child 2,3,5 and 6.

Correction Required: Emergency contact information must include the name, address and telephone number of the child`s physician or source of medical care.Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: At the time of the inspection, there was no verification of health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form for child # 1,2,4,5,6. There was no verification of the name, address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form for child #1,2,4 and 5.

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. 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: At the time of the inspection, there was no initial health report for child #1 and 6.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

Noncompliance Area: At the time of the inspection, there was no updated health report for child #2 & 4.

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.

Noncompliance Area: At the time of the inspection, there was no signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form for child 2,5, and 6.

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.

Noncompliance Area: At the time of the inspection, there was no file for staff #4.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: At the time of the inspection, there was no verification of experience following the outset of service at the facility for staff #2,3, 6-9 and 11.

Correction Required: A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.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: At the time of the inspection, there was no emergency plan posted in the Firefly, Ladybug, Dragonflies, Beatles or Caterpillar rooms.

Correction Required: The facility shall have an emergency plan. The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: At the time of the inspection, there was no telephone number of the nearest hospital, police department, fire department, ambulance and poison control centerposted by the telephone in the firefly room.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: At the time of the inspection, there were no evacuation routes posted in the firefly or ladybug rooms.

Correction Required: Evacuation routes shall be posted.