Royal Beginnings

Regulation: 3270.131(b)(2)

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

Noncompliance Area: At the time of the renewal inspection, child #1 did not have proof of 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of the renewal inspection, staff 1, 2, and 3 did not have proof of emergency plan training.

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: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: At the time of the renewal inspection, staff 1, 2, and 3 did not have proof of pediatric first aid and CPR.

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.31(f)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: At the time of the renewal inspection, staff 1 was missing the Health & Safety update, staff #2 did not have proof of Health & Safety trainings part 1 and part 2.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. All staff persons shall complete the professional development under § 3270.31(f).

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the renewal inspection staff 1 did not have a current FBI clearance, staff 2 did not have a child abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons # 02 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.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: At the time of the renewal inspection, staff #2 did not have proof of a high school diploma and proof of two 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.

Regulation: 3270.121(a)/3270.124(f)

Description: Review policies and procedures/Updated every 6 months

Noncompliance Area: At the time of the renewal inspection the files of children 1-7 did not include updates for emergency contact and agreements.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. 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.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: At the time of the renewal inspection staff 1 and 2 did not have proof of a 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.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: At the time of the renewal inspection, there was no proof of comprehensive general liability insurance at the facility.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.181(a)

Description: Each child

Noncompliance Area: At the time of the renewal inspection, children 4 -5 and 6-7, sibling children were included in the same file at the facility.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3270.183(a)/3270.193(a)

Description: Locked cabinet/Confidential; stored in locked cabinet

Noncompliance Area: At the time of the renewal inspection all staff and child files were stored in an unlocked cabinet or on top of the desk at the facility.

Correction Required: Child records are confidential and shall be stored in a locked cabinet. Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: At the time of the renewal inspection staff 1 and 2 did not have a complete individual record at the facility.

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

Regulation: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: At the time of the renewal inspection, there was no updated certificate of compliance posted at the facility.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of the unannounced inspection the facility was out of ratio with a combination of 8 toddlers and 15 young school age children with three staff.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of the unannounced inspection the facility was out of ratio with a combination of 8 toddlers and 15 young school age children with three staff.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff: child ratios must be maintained at all times. The legal entity must take ratio training approved by DHS.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On the day of visit the infant toddler room and the school room was out of ratio.

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. 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).

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On the day of visit observed the files for Staff#1 and Staff#3 which did not have a current emergency plan annual training in the files.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: On the day of visit observed the files for Staff#1, Staff#2 and Staff#3 which did not have the 12 annual clock hours of Child Care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: On the day of visit observed the files for Staff#1, and Staff#3 which did not have the Fire Safety training in the files.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: OBSERVED THE FILE FOR CHILD#1 WHO DID NOT HAVE A CURRENT PHYISCAL IN THE FILE.

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.

Regulation: 3270.131(e)(2)(i)/3270.131(e)(2)(ii)

Description: Exemption documentation from parent/guardian/Exemption documentation from health professional

Noncompliance Area: CHILD #2AND CHILD#3 FILES OBSERVED AND THE IMMUNIZATION FORM DID NOT CONTAIN PROOF OF THE CURRENT INFLUENZA SHOT.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. Exemption from immunization for reasons of medical need must be documented by a written, signed and dated statement from the child's physician, physician's assistant or CRNP. The statement shall be kept in the child's record.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: OBSERVING THE FILES STAFF#2 DID NOT HAVE TWO NON-FAMILY REFERENCE IN THE FILE.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: REVIEWING THE FILE FOR STAFF#1 THEY ONLY HAD 8 HOURS OF ANNUAL CHILD CARE TRAINING HOURS IN THE FILE.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Noncompliance Area: STAFF#1 DID NOT HAVE PROOF OF A PHYSICAL ON 8/27/20.

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. THIS MUST BE COMPLETED PRIOR TO OPENING OF THE FACIITY.

Noncompliance Area: STAFF#1 DID NOT HAVE PROOF OF A PHYSICAL ON 8/27/20.

Correction Required: 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.