Alphabet Alley

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A schedule of daily activities was not posted in room 2-a as required

Correction Required: The written plan of daily activities shall be posted in the group 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: Staff person #3, who was recently hired did not have an initial health assessment with negative TB screening documented in their record.

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: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: At time of inspection, staff person #3 did not have negative TB screening documented in their record.

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. 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)(1)(iv)/3270.192(2)(iii)

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

Noncompliance Area: Staff person # 4 did not have 12 hours of annual childcare training documented in their record at time of inspection.

Correction Required: Training conducted with audio-visual materials recognized by child care professionals is acceptable and may count toward the annual requirement for 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: Staff Person # 2, who was recently hired did not have required out of state clearance for state (CA) she previously resided.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -2- may not work in a childcare 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. Facility Person #2-may not work in a childcare position at the facility.

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: During inspection, the white gate in the second play area was missing and could pose a danger if a child was to elope and go into unsafe areas outside of facility.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: At time of inspection, there wasn't a first aid kit in the childcare space used for school age children.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: At time of inspection, the storage shed being used to store play equipment in the 2nd play yard had exposed nails and could pose a danger to children if they should lean on or fall into the shed.

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. 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: 3270.106(a)/3270.106(f)

Description: Clean, age appropriate/2 feet apart

Noncompliance Area: During nap at the time of inspection, the cots in the toddler classroom were not space according to the regulations.

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

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: At the time of inspection, there was no written feeding schedule for the infant children.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of inspection, the poured surface on the outdoor play area was damaged and the edges were uneven. This could pose a hazard to the children in care. At the entrance to the facility there were damaged ceiling tiles.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a broken gate, and trash on the school-age area of the outdoor play area. With the gate missing, there was no barrier to the adjacent business parking lot.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: When tested with a thermometer at the time of inspection, the water temperature exceeded 110 degrees at sinks used by the facility children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a broken drain cover that was loose during the inspection. The loose cover could pose a tripping hazard. The grate will be repaired.

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: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: Throughout the outdoor play area; at the time of inspection. There were various toys (some broken) and items that could pose a hazard to the children in care. There were broken pieces of fence along the bottom and craters in the surface which may care a hazard to the children in care.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Staff had to be reminded of the importance of hand washing (for the child) at the time of inspection.

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: 3270.102(g)

Description: Hazardous toys and equipment

Noncompliance Area: At time inspection, there were three items ( Bumbo infant chair and two bobby pillows) in infant room B there were on the USCPSC recall list and are no longer acceptable for use with children.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During time of inspection, Infant room A thermometer had a reading of 50 degrees and the thermometer in room 3-b was broken.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During time of inspection, there was not daily plan of activities posted in the ASA room as required.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At time of inspection, staff person # 3 -4 did not have updated health and safety training documented in their records.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During time of inspection, staff persons # 1 and #5 did not have two nonfamily members references documented in their records.

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: 3270.36(b)(5)/3270.192(2)(iv)

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: At time of inspection, staff person #2 did not have 2 years of experience documented in their record to help qualify them for their position of AGS at facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.37(b)/3270.192(2)(iv)

Description: Aide qualifications/Transcript, diploma and letters

Noncompliance Area: At time of inspection, Staff person #6 with educational documents from another country did not have evaluations of documents to determine its equality in the United States to qualify them for the position of aide at facility.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During time of inspection, the wall in room 1-B had chipped paint on the wall next to the sink area.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Staff person #1 with a degree issued from another country was not evaluated to help qualify staff person for position at facility.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: At time of inspection, staff person #2, #4, and #6 did not have required 12 hours of annual child care training documented in their records.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At time of inspection staff person #3 did not have NSOR Certificate documented in their file and Staff #5 did not have have the required state police and child abuse clearances (volunteer and not employment).

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 #3 & 5 - may not work in a child care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During time of inspection, there were 12 infants in one group with 4 staff. There were no defined groups for this age grouping (i.e, two groups consisting of 8 infants and the other of 4 infants) the children were all together in one group resulting with them not getting the appropriate amount of attention with eating or at floor play.

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.