Banks Learning Center III

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“The file for Staff Person #1 contains a staff data sheet that stated that they graduated from a certain high school in 2007 and a diploma from a different high school with the graduation date of 2009. Based on the conflicting information, it could not be determined that Staff person #1 has the applicable qualifications for the position in which the staff person was performing.”

Correction date in the state record: Feb 1, 2024

3270.32(a) Comply with CPSL

“The file for Staff person #1 did not contain documentation of their completed mandated reporter training. The file for Staff person #2 contained proof of applying for their NSOR but did not contain the certificate for the NSOR (see LIS Code sheet).”

Correction date in the state record: Jan 5, 2024

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“The 30-day fire detection testing log included testing dates 10/28/23-11/28/23, which is more than 30 days apart.”

Correction date in the state record: Jan 4, 2024

3270.25(b) Post the inspection summary

“Only one of the four open inspection summaries was posted on the parent board in the facility.”

Correction date in the state record: Jan 4, 2024

20.71(a)(7) Fraud or deceit in obtaining or attempting to obtain a certificate of compliance

“The file of facility person #1 contained two health assessments which appeared to be manipulated and after a conversation with representatives of each of the medical facilities listed on each health assessment, it was determined facility person #1 was not seen by the medical professional who signed, or at office listed on the assessments confirming it was in fact falsified.”

3270.192(5) Two written references

“The file for staff person #16, provided electronically on 8/18/23, did not include 2 letters of reference.The operator stated that staff person #16 had accompanied children on a field trip on 8/3/23. Staff person #16 was also listed as participating in a fire drill on 7/31/23 on the facility's fire drill log.”

Correction date in the state record: Oct 29, 2023

3270.192(2)(ii) Exp, educ., training prior to facility

“The file for staff person #16, provided electronically on 8/8/23, did not include any proof of education or experience. The operator stated that staff person #16 had accompanied children on a field trip on 8/3/23. Staff person #16 was also listed on the facility's fire drill log on 7/31/23.”

Correction date in the state record: Oct 29, 2023

3270.165 Menus

“The 3 menus posted at the facility were for the month of July.”

Correction date in the state record: Oct 29, 2023

3270.152 Adult Hygiene

“At approximately 10:30 am on 8/3, when diapering was observed, staff #4 wore gloves, but did not wash their hands in between the 3 kids they changed nor after the last child was diapered. None of the toddlers washed their hands at the sink with soap and water after being diapered. Staff person #6 wore gloves, but did not wash their hands in between the 2 kids they changed but did wash them after the last child was diapered. Neither of the toddlers washed their hands at the sink with soap and water after being diapered. After diapering, the children sat down for a snack.”

Correction date in the state record: Oct 29, 2023

3270.134(a) Child's hands washed

“At approximately 10:30 am on 8/3, when diapering was observed, staff #4 wore gloves, but did not wash their hands in between the 3 kids they changed nor after the last child was diapered. None of the toddlers washed their hands at the sink with soap and water after being diapered. Staff person #6 wore gloves, but did not wash their hands in between the 2 kids they changed but did wash them after the last child was diapered. Neither of the toddlers washed their hands at the sink with soap and water after being diapered. After diapering, the children sat down for a snack.”

Correction date in the state record: Oct 29, 2023

3270.124(b)(1) Child's name, birth date

“The emergency contact information submitted electronically by the operator on 8/21/23, for child #5 through #7 and child #9, did not contain the correct date of birth for the child.”

Correction date in the state record: Oct 29, 2023

3270.124(a) Each child emergency contact person

“The emergency contact information for child #4, #5, #6 and #8, sent electronically on 8/21/23, appeared to have areas that may have been whited out so some of the information could not be verified as accurate.”

Correction date in the state record: Oct 29, 2023

3270.82(h) Handwashing signs

“At approximately 10:30 am on 8/3, when diapering was observed, staff #4 wore gloves, but did not wash their hands in between the 3 kids they changed nor after the last child was diapered. None of the toddlers washed their hands at the sink with soap and water after being diapered. Staff person #6 wore gloves, but did not wash their hands in between the 2 kids they changed but did wash them after the last child was diapered. Neither of the toddlers washed their hands at the sink with soap and water after being diapered. After diapering, the children sat down for a snack.”

Correction date in the state record: Oct 29, 2023

3270.55(b) Other staff on premises

“At approximately 12:30 pm on 8/3, upon returning to the facility, staff person #4 and #6 were in the todd room with 12 children, 7 YT and 5 OT, all on their rest equipment. Approximately 2 minutes later, staff person #9 was in the preschool room with 16 preschoolers, all on their rest equipment and children using the bathroom one at a time. Approx 4-5 minutes later, staff person #12 came into the building through the side door leading into the preschool room. They stated they were outside making a personal phone call. Staff person #1 and #11, who were on site earlier that day, were no longer present. When asked when staff person #11 left, staff stated the staff person left shortly after this cert rep did, which was approximately 11:30 am. When asked why staff person #11 left, staff stated they thought the staff person had an emergency. Because there were 5 staff and a total of 32 children (1 infant, 10 YT, 5 OT and 16 PS), the facility could not maintain awake ratios.”

Correction date in the state record: Oct 29, 2023

3270.32(a) Comply with CPSL

“The last mandated reporter training in the file for staff person #14 was 3/5/18.”

Correction date in the state record: Oct 29, 2023

3270.24(a) Immediate access

“On 8/3/23, the file for staff person #12, with a start date of (SEE LIS CODE SHEET), included a verification of employment completed by the operator stating that the individual had been a volunteer since January 2018. However, no file was presented for the individual at the renewal inspection on 7/28/22 or the renewal inspection on 7/11 and 7/12/23. Staff person #11, #13 and #14 were not listed on the renewal staff sheets which were completed by the operator and their files were not presented at the renewal inspection on 7/11 and 7/12/23. In an email from the operator on 8/22, the date of hire for staff person number #11 was (SEE LIS CODE SHEET) The Staff person #13 was observed at the facility working with children during the renewal inspection. The operator stated that staff person #14 had left in early June but on 8/3/23, it was observed that staff person #14 was listed as participating in the fire drills on 5/5/23, 6/23/23 and 7/31/23. On 8/3/23, it was observed that there were no school-age children in care at the time of the investigation. When asked where the school-agers were, neither the operator nor the staff identified where the children were. One staff stated that when no school-agers showed up that day, they were wondering why. On 8/8, when the operator was asked again where the school-agers were on 8/3, the operator stated that they were on a field trip to the park and Dairy Queen. When asked which staff and how many children were on the trip, the operator stated #15 and #16 were on the trip with approximately 7-8 children. Based on enrollment provided by the operator, there are 31 school-agers enrolled at the facility. When asked why staff previously stated that they didn't know where the school-agers were, the operator stated they probably didn't think about it. In an email from the operator 8/18, they stated the staff and children went to Dairy Queen and the park "on foot." On 8/21, the operator provided emergency contact forms for 7 school-agers who went on the field trip. One of the children participating in the field trp was a child of a staff person who was observed on site on 8/3. In an email from the operator on 8/22, they stated the field trip was to Universal Park in Penn Hills, however, staff person #16 told the operator they never made it to the park because "there was not enough sidewalk" and they returned to Dairy Queen. Universal Park is 6 miles away from the facility.”

Correction date in the state record: Oct 29, 2023

3270.94(a)(4) Hypothetical locations

“On 8/3/23, it was observed that the hypothetical location listed for consecutive fire drills on 6/23 and 7/31/23 was "upper open space."”

Correction date in the state record: Oct 29, 2023

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The 1 hour health and safety training in the file for staff person #11 and #14, both hired before 10/4/22, was dated 3/8/23 and 3/15/23, respectively.”

Correction date in the state record: Oct 29, 2023

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“On 8/22/23, the file for staff person #14 was reviewed via email and included an expired child abuse clearance, dated 3/26/18 and the last two state police clearances were dated 4/19/18 and 5/2/23. The file also included a current FBI rap sheet with a missing disposition for an out of state felony charge from 2013. The file for staff person #12, with a start date of (SEE LIS CODE SHEET), included a verification of experience form completed by the operator which stated the individual had been a volunteer since 1/2018 and worked 25 hours per week. However, the individual turned 18 in December and there were no clearances on file for the individual until January of 2023. The file for staff person #16 did not include a signed and dated disclosure statement for this facility.On 8/8/23, the operator stated that staff person #16 had accompanied children on a field trip on 8/3/23. Staff person #16 was also listed on the facility's fire drill log on 7/3/23.”

Correction date in the state record: Oct 29, 2023

3270.113(a) Supervised at all times

“On 8/3/23 at approximately 9:55 am, staff person #6 was observed in the toddler room with 12 toddlers, a combined group of 7 young toddlers and 5 older toddlers. There were at least 2 children near the water fountain and because of where staff person #6 was standing, they could not see the children as the fountain is around a corner and this cert rep brought their attention to it. At approximately 12:30 pm, the same day, upon returning to the facility, staff person #4 and #6 were in the toddler room with 12 children, a combination of 7 YT and 5 OT, all on their rest equipment. One child's head and face were completely covered, so staff could not see, hear, direct and assess the child. Next in the preschool room, staff person #9 was present in the preschool room with 16 preschoolers, all on their rest equipment. One child's head and face were completely covered and another child's face was covered so the staff could not see, hear, direct and assess the children.”

Correction date in the state record: Aug 3, 2023

3270.52 Mixed Age Level

“On 8/3 at approximately 9:55 am, staff person #6 was observed in the toddler room with 12 toddlers, a combined group of 7 young toddlers and 5 older toddlers. Approximately 2-3 minutes later, staff person #4 came up the stairs and into the room with 3 preschoolers. Staff #4 stated a child had just arrived and was playing on the steps and that's why they left the room. Approximately 2-3 minutes later in the infant room, staff person #5 was observed with 5 children, a combined group of 4 YT and one infant. Based on staff interviews, the 5th child had arrived at approximately 8:30 am. Based on staff interviews, all 3 rooms were out of ratio because a staff person was seriously injured the night before & was in the hospital and "We didn't know you were coming." The director was called and notified they were out of ratio and the director stated that they were trying to find additional staff. The director had been at the hospital , but was on their way to the facility. In addition, someone called off but they didn't know who and children showed up that weren't scheduled to attend that day.”

Correction date in the state record: Nov 13, 2023

3270.51 Similar Age Level

“On 8/3 at approximately 10 am in the preschool room, staff person #9 was observed with 13 preschoolers. Staff person #9 stated the 11th child arrived at approx. 9:40 am. Based on staff interviews, all 3 rooms were out of ratio because a staff person was seriously injured the night before & was in the hospital and "We didn't know you were coming." The director was called and notified they were out of ratio and the director stated that they were trying to find additional staff. The director had been at the hospital , but was on their way to the facility. In addition, someone called off but they didn't know who and children showed up that weren't scheduled to attend.”

Correction date in the state record: Aug 3, 2023

3270.192(5) Two written references

“The file for staff person #16, provided electronically on 8/18/23, did not include 2 letters of reference.The operator stated that staff person #16 had accompanied children on a field trip on 8/3/23. Staff person #16 was also listed as participating in a fire drill on 7/31/23 on the facility's fire drill log.”

Correction date in the state record: Oct 29, 2023

3270.192(2)(ii) Exp, educ., training prior to facility

“The file for staff person #16, provided electronically on 8/8/23, did not include any proof of education or experience. The operator stated that staff person #16 had accompanied children on a field trip on 8/3/23. Staff person #16 was also listed on the facility's fire drill log on 7/31/23.”

Correction date in the state record: Oct 29, 2023

3270.165 Menus

“The 3 menus posted at the facility were for the month of July.”

Correction date in the state record: Oct 29, 2023

3270.152 Adult Hygiene

“At approximately 10:30 am on 8/3, when diapering was observed, staff #4 wore gloves, but did not wash their hands in between the 3 kids they changed nor after the last child was diapered. None of the toddlers washed their hands at the sink with soap and water after being diapered. Staff person #6 wore gloves, but did not wash their hands in between the 2 kids they changed but did wash them after the last child was diapered. Neither of the toddlers washed their hands at the sink with soap and water after being diapered. After diapering, the children sat down for a snack.”

Correction date in the state record: Oct 29, 2023

3270.134(a) Child's hands washed

“At approximately 10:30 am on 8/3, when diapering was observed, staff #4 wore gloves, but did not wash their hands in between the 3 kids they changed nor after the last child was diapered. None of the toddlers washed their hands at the sink with soap and water after being diapered. Staff person #6 wore gloves, but did not wash their hands in between the 2 kids they changed but did wash them after the last child was diapered. Neither of the toddlers washed their hands at the sink with soap and water after being diapered. After diapering, the children sat down for a snack.”

Correction date in the state record: Oct 29, 2023

3270.124(b)(1) Child's name, birth date

“The emergency contact information submitted electronically by the operator on 8/21/23, for child #5 through #7 and child #9, did not contain the correct date of birth for the child.”

Correction date in the state record: Oct 29, 2023

3270.124(a) Each child emergency contact person

“The emergency contact information for child #4, #5, #6 and #8, sent electronically on 8/21/23, appeared to have areas that may have been whited out so some of the information could not be verified as accurate.”

Correction date in the state record: Oct 29, 2023

3270.82(h) Handwashing signs

“At approximately 10:30 am on 8/3, when diapering was observed, staff #4 wore gloves, but did not wash their hands in between the 3 kids they changed nor after the last child was diapered. None of the toddlers washed their hands at the sink with soap and water after being diapered. Staff person #6 wore gloves, but did not wash their hands in between the 2 kids they changed but did wash them after the last child was diapered. Neither of the toddlers washed their hands at the sink with soap and water after being diapered. After diapering, the children sat down for a snack.”

Correction date in the state record: Oct 29, 2023

3270.55(b) Other staff on premises

“At approximately 12:30 pm on 8/3, upon returning to the facility, staff person #4 and #6 were in the todd room with 12 children, 7 YT and 5 OT, all on their rest equipment. Approximately 2 minutes later, staff person #9 was in the preschool room with 16 preschoolers, all on their rest equipment and children using the bathroom one at a time. Approx 4-5 minutes later, staff person #12 came into the building through the side door leading into the preschool room. They stated they were outside making a personal phone call. Staff person #1 and #11, who were on site earlier that day, were no longer present. When asked when staff person #11 left, staff stated the staff person left shortly after this cert rep did, which was approximately 11:30 am. When asked why staff person #11 left, staff stated they thought the staff person had an emergency. Because there were 5 staff and a total of 32 children (1 infant, 10 YT, 5 OT and 16 PS), the facility could not maintain awake ratios.”

Correction date in the state record: Oct 29, 2023

3270.32(a) Comply with CPSL

“The last mandated reporter training in the file for staff person #14 was 3/5/18.”

Correction date in the state record: Oct 29, 2023

3270.24(a) Immediate access

“On 8/3/23, the file for staff person #12, with a start date of (SEE LIS CODE SHEET), included a verification of employment completed by the operator stating that the individual had been a volunteer since January 2018. However, no file was presented for the individual at the renewal inspection on 7/28/22 or the renewal inspection on 7/11 and 7/12/23. Staff person #11, #13 and #14 were not listed on the renewal staff sheets which were completed by the operator and their files were not presented at the renewal inspection on 7/11 and 7/12/23. In an email from the operator on 8/22, the date of hire for staff person number #11 was (SEE LIS CODE SHEET) The Staff person #13 was observed at the facility working with children during the renewal inspection. The operator stated that staff person #14 had left in early June but on 8/3/23, it was observed that staff person #14 was listed as participating in the fire drills on 5/5/23, 6/23/23 and 7/31/23. On 8/3/23, it was observed that there were no school-age children in care at the time of the investigation. When asked where the school-agers were, neither the operator nor the staff identified where the children were. One staff stated that when no school-agers showed up that day, they were wondering why. On 8/8, when the operator was asked again where the school-agers were on 8/3, the operator stated that they were on a field trip to the park and Dairy Queen. When asked which staff and how many children were on the trip, the operator stated #15 and #16 were on the trip with approximately 7-8 children. Based on enrollment provided by the operator, there are 31 school-agers enrolled at the facility. When asked why staff previously stated that they didn't know where the school-agers were, the operator stated they probably didn't think about it. In an email from the operator 8/18, they stated the staff and children went to Dairy Queen and the park "on foot." On 8/21, the operator provided emergency contact forms for 7 school-agers who went on the field trip. One of the children participating in the field trp was a child of a staff person who was observed on site on 8/3. In an email from the operator on 8/22, they stated the field trip was to Universal Park in Penn Hills, however, staff person #16 told the operator they never made it to the park because "there was not enough sidewalk" and they returned to Dairy Queen. Universal Park is 6 miles away from the facility.”

Correction date in the state record: Oct 29, 2023

3270.94(a)(4) Hypothetical locations

“On 8/3/23, it was observed that the hypothetical location listed for consecutive fire drills on 6/23 and 7/31/23 was "upper open space."”

Correction date in the state record: Oct 29, 2023

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The 1 hour health and safety training in the file for staff person #11 and #14, both hired before 10/4/22, was dated 3/8/23 and 3/15/23, respectively.”

Correction date in the state record: Oct 29, 2023

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“On 8/22/23, the file for staff person #14 was reviewed via email and included an expired child abuse clearance, dated 3/26/18 and the last two state police clearances were dated 4/19/18 and 5/2/23. The file also included a current FBI rap sheet with a missing disposition for an out of state felony charge from 2013. The file for staff person #12, with a start date of (SEE LIS CODE SHEET), included a verification of experience form completed by the operator which stated the individual had been a volunteer since 1/2018 and worked 25 hours per week. However, the individual turned 18 in December and there were no clearances on file for the individual until January of 2023. The file for staff person #16 did not include a signed and dated disclosure statement for this facility.On 8/8/23, the operator stated that staff person #16 had accompanied children on a field trip on 8/3/23. Staff person #16 was also listed on the facility's fire drill log on 7/3/23.”

Correction date in the state record: Oct 29, 2023

3270.113(a) Supervised at all times

“On 8/3/23 at approximately 9:55 am, staff person #6 was observed in the toddler room with 12 toddlers, a combined group of 7 young toddlers and 5 older toddlers. There were at least 2 children near the water fountain and because of where staff person #6 was standing, they could not see the children as the fountain is around a corner and this cert rep brought their attention to it. At approximately 12:30 pm, the same day, upon returning to the facility, staff person #4 and #6 were in the toddler room with 12 children, a combination of 7 YT and 5 OT, all on their rest equipment. One child's head and face were completely covered, so staff could not see, hear, direct and assess the child. Next in the preschool room, staff person #9 was present in the preschool room with 16 preschoolers, all on their rest equipment. One child's head and face were completely covered and another child's face was covered so the staff could not see, hear, direct and assess the children.”

Correction date in the state record: Aug 3, 2023

3270.52 Mixed Age Level

“On 8/3 at approximately 9:55 am, staff person #6 was observed in the toddler room with 12 toddlers, a combined group of 7 young toddlers and 5 older toddlers. Approximately 2-3 minutes later, staff person #4 came up the stairs and into the room with 3 preschoolers. Staff #4 stated a child had just arrived and was playing on the steps and that's why they left the room. Approximately 2-3 minutes later in the infant room, staff person #5 was observed with 5 children, a combined group of 4 YT and one infant. Based on staff interviews, the 5th child had arrived at approximately 8:30 am. Based on staff interviews, all 3 rooms were out of ratio because a staff person was seriously injured the night before & was in the hospital and "We didn't know you were coming." The director was called and notified they were out of ratio and the director stated that they were trying to find additional staff. The director had been at the hospital , but was on their way to the facility. In addition, someone called off but they didn't know who and children showed up that weren't scheduled to attend that day.”

Correction date in the state record: Nov 13, 2023

3270.51 Similar Age Level

“On 8/3 at approximately 10 am in the preschool room, staff person #9 was observed with 13 preschoolers. Staff person #9 stated the 11th child arrived at approx. 9:40 am. Based on staff interviews, all 3 rooms were out of ratio because a staff person was seriously injured the night before & was in the hospital and "We didn't know you were coming." The director was called and notified they were out of ratio and the director stated that they were trying to find additional staff. The director had been at the hospital , but was on their way to the facility. In addition, someone called off but they didn't know who and children showed up that weren't scheduled to attend.”

Correction date in the state record: Aug 3, 2023

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“On 7/11/23, the files for staff person #1 through #8 and #10, #11, #13 and #14, all hired before 10/4/22, included 1 hour health and safety trainings dated after 12/30/22. The file for staff person #9, hired before 10/4/22, did not include the 1 hour health and safety training.”

Correction date in the state record: Sep 25, 2023

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“On 7/11/23, the FBI clearance in the file for staff person #1, dated 10/28/20, was for the Department of Aging, and not a required Department of Human Services FBI Clearance. The state police clearance in the file for staff person #4 was missing at least one page of their FBI rap sheet, dated 2/6/23, making it an incomplete clearance. The disclosure statement in the file for staff person #7 and #9 were from a different location which is under a different legal entity, therefore, staff person #7 and #9 did not have an updated disclosure statement at the time of hire at this location on (SEE LIS CODE SHEET). The disclosure statement in the file for staff person #10 was not dated, so timeliness could not be assessed.”

3270.34(c) Employed and present 30 hrs/wk

“Based on conversation on 7/12/23 with staff person #1, the director, they don't have a set schedule. They are usually on site with kids M-F, 6-9a and then they leave after that. They might come back in the afternoon if needed, but sometimes they don't return. Children are in care 6a-9/10p, M-F. The facility offers Saturday hours, but the director stated there have been no children in care on Saturdays for the last 2 months. Based on this information, staff person #1 is not present at the facility a total of 30 hours a week when children are in care.”

Correction date in the state record: Jul 11, 2023

3270.35(d)/3270.35(e) Director only 45 children enrolled/46 or more children- additional group sups

“On 7/11/23, based on conversation with operator and staff, there is an average of 50-70 children in attendance daily. There were at least 47 children observed in care that day. The only group supervisor employed by the facility is staff person #2.”

3270.66(a) Locked or inaccessible

“On 7/12/23, the following items were observed in the unlocked closet in the school-age room and included instructions to keep out of the : Fabuloso, bleach, hand sanitizer and disinfectant spray.”

Correction date in the state record: Sep 24, 2023

3270.75(a) In child care spaces

“On 7/12/23, there was not a first-aid kit present in the front gross motor space, in which preschoolers were receiving care before lunch.”

Correction date in the state record: Sep 24, 2023

3270.75(c) Has all items

“On 7/12/23, the first-aid kit in the toddler room did not contain soap.”

Correction date in the state record: Sep 24, 2023

3270.102(a) Clean and good repair

“On 7/12/23, in the smaller preschool room downstairs, the bin containing dress up clothing had a large crack. The bottom drawer of the black 3-drawer plastic cart near the television was cracked.”

Correction date in the state record: Sep 25, 2023

3270.113(a) Supervised at all times

“**On 7/11/23, at approximately 2:15 pm, staff persons #7 and #9 were in the large preschool/school-age room with 19 children, all of whom were on their rest equipment. Based on where the staff persons were sitting at the time, there was one child they could not see, hear, direct or assess because the child was lying close to the sink and garbage can, which obstructed their view. There was also another child who was completely covered in their sleeping bag, head to toe.”

Correction date in the state record: Dec 25, 2023

3270.113(a) Supervised at all times

“*On 7/11/23, at approximately 2:15 pm, staff persons #7 and #9 were in the large preschool/school-age room with 19 children, all of whom were on their rest equipment. Based on where the staff persons were sitting at the time, there was one child they could not see, hear, direct or assess because the child was lying close to the sink and garbage can, which obstructed their view. There was also another child who was completely covered in their sleeping bag, head to toe.”

Correction date in the state record: Jul 11, 2023

3270.113(a)(1) Staff assigned to specific children

“**On 7/11/23 at approximately 9:25 am, staff persons #1, #2 and #3 were observed in the middle preschool room downstairs with 19 children. Staff person #1 stated that they were not responsible for any children. Staff person #2 identified 8 children and staff person #3 identified 8 children, for a total of 16 children, leaving 3 children unidentified. Staff were working to to organize the tags at this time. Each time the staff were asked to name their supervision group, they were told to take their time and use their ID cards. In addition, the names of the children which staff identified were read back to them to confirm the names and number of children in their group. Staff person #2 then identified a 9th child, for a total of 17 children, leaving 2 children unidentified. At this point, staff were asked to identify the name of each child in the room to determine which children were not yet identified. When this certification rep provided the names of the 2 unidentified children to the staff, staff person #3 stated they were responsible for one of the two children and had the child's tag. When asked about the last unidentified child, staff person #3 stated that the child belonged in staff person #2's group. No one had a tag for the child.”

Correction date in the state record: Jul 11, 2023

3270.113(a)(1) Staff assigned to specific children

“On 7/11/23 at approximately 9:25 am, staff persons #1, #2 and #3 were observed in the middle preschool room downstairs with 19 children. Staff person #1 stated that they were not responsible for any children. Staff person #2 identified 8 children and staff person #3 identified 8 children, for a total of 16 children, leaving 3 children unidentified. Staff were working to to organize the tags at this time. Each time the staff were asked to name their supervision group, they were told to take their time and use their ID cards. In addition, the names of the children which staff identified were read back to them to confirm the names and number of children in their group. Staff person #2 then identified a 9th child, for a total of 17 children, leaving 2 children unidentified. At this point, staff were asked to identify the name of each child in the room to determine which children were not yet identified. When this certification rep provided the names of the 2 unidentified children to the staff, staff person #3 stated they were responsible for one of the two children and had the child's tag. When asked about the last unidentified child, staff person #3 stated that the child belonged in staff person #2's group. No one had a tag for the child.”

Correction date in the state record: Jul 11, 2023

3270.123(a)(3) Services proceeded

“On 7/11/23, there were no child service reports in the file for child #1 and #2, both enrolled more than 6 months.”

Correction date in the state record: Sep 25, 2023

3270.124(c) Each child care space

“On 7/11/23, there were no emergency contact forms present in the front gross motor space, in which preschoolers were receiving care before lunch.”

Correction date in the state record: Sep 25, 2023

3270.124(f) Updated every 6 months

“On 7/11/23, the last update in writing by a parent on the emergency contact information in the file for child #1 was dated 9/16/22. The last update in writing by a parent on the emergency contact information in the file for child #2 was dated 8/4/22. The last update in writing by a parent on the emergency contact information in the file for child #3 was dated 5/12/22”

Correction date in the state record: Sep 25, 2023

3270.131(b)(2) Toddler/preschool: updated health report every 12 months

“On 7/11/23, the last health report in the file for child #2, a 23 month old, was dated 12/9/21.”

Correction date in the state record: Sep 25, 2023

3270.131(d)(5)/3270.131(e)(3) Immunization record/Dismissal policy

“On 7/11/23, the list of vaccinations in the file for child #2, a 23 month old, was missing 1 of the following vaccinations: Hep B, DTAP, HIB, Pneumococcal and polio and did not include evidence of a flu shot. There was not a written exemption letter by a parent.”

Correction date in the state record: Jul 11, 2023

3270.135(a)(3) Disposable diapers

“On 7/11/23, the new wall-mounted diapering trash cans in the infant and toddler rooms were not hands-free, as they were topped with swinging lids.”

Correction date in the state record: Sep 25, 2023

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“On 7/11/23, the last two health assessments in the file for staff person #1 were dated 10/19/20 and 1/30/23. The last health assessment in the file for staff person #8 was dated 12/21/20.”

Correction date in the state record: Sep 25, 2023

3270.181(c) Emergency info/agreement updated 6 mos

“On 7/11/23, the last update in writing by a parent on the emergency contact information and agreement form in the file for child #1 was dated 9/16/22. The last update in writing by a parent on the emergency contact information and the agreement form in the file for child #2 was dated 8/4/22. The last update in writing by a parent on the emergency contact information and agreement form in the file for child #3 was dated 5/12/22.”

Correction date in the state record: Sep 25, 2023

3270.61(h)/3270.61(h)(2)(ii) Exceeding Capacity/Designated on facility schedule

“On 7/11/23, at approximately 9:25 am, there were 19 preschool children in the preschool room. Staff stated they were getting ready to transition outside but it was not designated on the facility's daily schedule.”

Correction date in the state record: Jul 11, 2023

3270.94(a)(4) Hypothetical locations

“On 7/12/23, based on review of the facility's fire drill log, the hypothetical location for back-to-back drills on 3/9/23 and 4/13/23 was listed as "Upper open space."”

Correction date in the state record: Sep 25, 2023

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“On 7/11/23, it was observed that the last two professional testing dates for the facility's fire detection system were 2/7/22 and 6/8/23. In addition, based on a written statement from the security company, they can be contacted for the system to be placed on test to check the system's function. The facility's fire detection system was not being tested and documented every 30 days or less.”

3270.31(e) Age and Training

“On 7/11/23, Staff person #1, hired before 12/19/20, did not include 12 hours of training between 12/19/21 and 12/19/22.”

Correction date in the state record: Sep 25, 2023

3270.124(b)(3) Parent home/work address, phone

“On 7/11/23, the emergency contact information in the file for child #1 did not include the home phone number for the child's mother.”

Correction date in the state record: Sep 25, 2023

3270.77(a) No peeling paint or plaster

“In the back play space, there was an area of chipping paint on the wall near the white drain pipe.”

Correction date in the state record: Feb 15, 2023

3270.91(a) Stairs, exits, etc. unobstructed

“At approximately 9:45 am in the toddler room, where staff person #1 and #2 were present with 16 toddlers, large pieces of plastic play equipment was observed being used as a barrier to keep the toddlers on one side of the room, therefore, obstructing the path to the main door.”

Correction date in the state record: Jan 30, 2023

3270.102(a) Clean and good repair

“In the back play space, there was a basketball hoop that was toppled over onto the ground and the glass backboard had several large cracks. There was another basketball hoop that had toppled over and was lying on top of the children's plastic play house.”

Correction date in the state record: Feb 15, 2023

3270.51 Similar Age Level

“At approximately 10:00am in the large preschool room, staff person #3, #4 and #5 were present with 22 preschoolers. Staff person #3 identified 10 children, staff person #4 identified 5 children and staff person #5 identified 7 children. A few minutes later, staff person #5 left the room briefly and entered the adjacent room, which is a separate space, before turning around and going back into the large room with the 7 children they had previously identified. A moment later, when staff person #5 left the room again, they stated staff person #4 was now responsible for their 7 children, placing staff person #4 out of ratio with 12 preschoolers. Staff person #5 stated they left the room because a preschooler had just arrived and they needed to meet the child at the top of the steps.”

Correction date in the state record: Jan 30, 2023

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The most recent child abuse clearance in the file for staff person #3 was dated 8/31/17.”

Correction date in the state record: Feb 1, 2023

3270.68(b) No cigarette butts

“In the back play space, there were at least 30 cigarette butts observed on the ground throughout the space.”

Correction date in the state record: Feb 1, 2023

3270.76 Building Surfaces

“On the shed in the back play space, the lattice on the side of the shed was becoming detached and was cracked in 3 places. On the ramp leading up to the shed in the back play space, there were 11 exposed bolts on the side facing the facility.”

Correction date in the state record: Feb 15, 2023

3270.113(a)(1) Staff assigned to specific children

“At approximately 10 am in the large preschool room, staff person #3, #4 and #5 were present with 22 preschoolers. Staff person #3 identified 10 children, staff person #4 identified 5 children and staff person #5 identified 7 children. A few minutes later, staff person #5 left the room briefly and entered the adjacent room, which is a separate space, before turning around and going back into the large room with the 7 children they had previously identified. A moment later, when staff person #5 left the room again, they stated staff person #4 was now responsible for their 7 children, placing staff person #4 out of ratio with 12 preschoolers. Staff person #5 stated they left the room because a preschooler had just arrived and they needed to meet the child at the top of the steps.”

Correction date in the state record: Jan 30, 2023

3270.65 Protective Outlet Covers 5 yrs. or less

“In the large preschool room, there was an uncovered outlet behind the 2nd computer to the right of the doorway.”

Correction date in the state record: Jan 30, 2023

3270.52 Mixed Age Level

“At approximately 9:45am in the toddler room, staff person #1 and #2 were present with 16 toddlers. Each staff person identified 8 children, placing them both out of ratio. Staff person #1 identified 6 young toddlers and 2 older toddlers and staff person #2 identified 2 young toddlers and 6 older toddlers.”

Correction date in the state record: Jan 30, 2023

3270.68(a) No smoking areas

“In the back play space, there were at least 30 cigarette butts observed on the ground throughout the space. The operator reported that staff smoked in the back play space while on their breaks.”

Correction date in the state record: Feb 1, 2023

3270.106(a) Clean, age appropriate

“At approximately 9:55 am in the infant room, a child was observed sleeping in a pack n play that was labeled with the number "1." However, there was not a corresponding chart that identified the name of the children assigned to each pack n play. At approximately 10 am in the large preschool room, a child was observed sleeping on the floor, while the other 21 children were sitting at tables or on couches.”

Correction date in the state record: Jan 30, 2023

3270.63 Unsafe Areas in Outdoor Space

“A large hole was observed at the bottom of the fence line in the far corner of the play space,behind the shed. The hole extended approximately 8 feet along the base of the fence, and its width was approximately a foot at the widest point. On the other side of the fence, there is a creek with running water, which is causing the hillside at the edge of the play space to erode. The erosion caused part of the outdoor play space to be missing near the fence.”

Correction date in the state record: Jan 30, 2023

3270.77(a) No peeling paint or plaster

“In the back play space, there was an area of chipping paint on the wall near the white drain pipe.”

Correction date in the state record: Feb 15, 2023

3270.91(a) Stairs, exits, etc. unobstructed

“At approximately 9:45 am in the toddler room, where staff person #1 and #2 were present with 16 toddlers, large pieces of plastic play equipment was observed being used as a barrier to keep the toddlers on one side of the room, therefore, obstructing the path to the main door.”

Correction date in the state record: Jan 30, 2023

3270.102(a) Clean and good repair

“In the back play space, there was a basketball hoop that was toppled over onto the ground and the glass backboard had several large cracks. There was another basketball hoop that had toppled over and was lying on top of the children's plastic play house.”

Correction date in the state record: Feb 15, 2023

3270.51 Similar Age Level

“At approximately 10:00am in the large preschool room, staff person #3, #4 and #5 were present with 22 preschoolers. Staff person #3 identified 10 children, staff person #4 identified 5 children and staff person #5 identified 7 children. A few minutes later, staff person #5 left the room briefly and entered the adjacent room, which is a separate space, before turning around and going back into the large room with the 7 children they had previously identified. A moment later, when staff person #5 left the room again, they stated staff person #4 was now responsible for their 7 children, placing staff person #4 out of ratio with 12 preschoolers. Staff person #5 stated they left the room because a preschooler had just arrived and they needed to meet the child at the top of the steps.”

Correction date in the state record: Jan 30, 2023

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The most recent child abuse clearance in the file for staff person #3 was dated 8/31/17.”

Correction date in the state record: Feb 1, 2023

3270.68(b) No cigarette butts

“In the back play space, there were at least 30 cigarette butts observed on the ground throughout the space.”

Correction date in the state record: Feb 1, 2023

3270.76 Building Surfaces

“On the shed in the back play space, the lattice on the side of the shed was becoming detached and was cracked in 3 places. On the ramp leading up to the shed in the back play space, there were 11 exposed bolts on the side facing the facility.”

Correction date in the state record: Feb 15, 2023

3270.113(a)(1) Staff assigned to specific children

“At approximately 10 am in the large preschool room, staff person #3, #4 and #5 were present with 22 preschoolers. Staff person #3 identified 10 children, staff person #4 identified 5 children and staff person #5 identified 7 children. A few minutes later, staff person #5 left the room briefly and entered the adjacent room, which is a separate space, before turning around and going back into the large room with the 7 children they had previously identified. A moment later, when staff person #5 left the room again, they stated staff person #4 was now responsible for their 7 children, placing staff person #4 out of ratio with 12 preschoolers. Staff person #5 stated they left the room because a preschooler had just arrived and they needed to meet the child at the top of the steps.”

Correction date in the state record: Jan 30, 2023

3270.65 Protective Outlet Covers 5 yrs. or less

“In the large preschool room, there was an uncovered outlet behind the 2nd computer to the right of the doorway.”

Correction date in the state record: Jan 30, 2023

3270.52 Mixed Age Level

“At approximately 9:45am in the toddler room, staff person #1 and #2 were present with 16 toddlers. Each staff person identified 8 children, placing them both out of ratio. Staff person #1 identified 6 young toddlers and 2 older toddlers and staff person #2 identified 2 young toddlers and 6 older toddlers.”

Correction date in the state record: Jan 30, 2023

3270.68(a) No smoking areas

“In the back play space, there were at least 30 cigarette butts observed on the ground throughout the space. The operator reported that staff smoked in the back play space while on their breaks.”

Correction date in the state record: Feb 1, 2023

3270.106(a) Clean, age appropriate

“At approximately 9:55 am in the infant room, a child was observed sleeping in a pack n play that was labeled with the number "1." However, there was not a corresponding chart that identified the name of the children assigned to each pack n play. At approximately 10 am in the large preschool room, a child was observed sleeping on the floor, while the other 21 children were sitting at tables or on couches.”

Correction date in the state record: Jan 30, 2023

3270.63 Unsafe Areas in Outdoor Space

“A large hole was observed at the bottom of the fence line in the far corner of the play space,behind the shed. The hole extended approximately 8 feet along the base of the fence, and its width was approximately a foot at the widest point. On the other side of the fence, there is a creek with running water, which is causing the hillside at the edge of the play space to erode. The erosion caused part of the outdoor play space to be missing near the fence.”

Correction date in the state record: Jan 30, 2023

3270.36(b)(5)/3270.192(2)(iii) HS/GED + 2 yrs/Exp, educ., training at facility

“The file for staff person #1, observed alone in the preschool room with 6 children, included a high school diploma but no proof of child care experience, qualifying them as an aide.”

Correction date in the state record: Nov 18, 2022

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The file for staff person #1, observed alone in the preschool room with 6 children, did not include a disclosure statement, child abuse clearance or a copy of the request for the child abuse clearance.”

Correction date in the state record: Nov 18, 2022

3270.20(a)(1) Inpatient hospitalization or ER treatment of child

“Based on staff interviews, child #1 was crying when they arrived at the facility at approximately 9 am on 8.23.22. Approximately 20 minutes later, when the child could not be consoled, staff noticed that the child's arm appeared to be swollen and contacted a parent to pick up the child from the facility. The child was then taken to receive emergency medical care and the operator did not report this to the appropriate regional office.”

Correction date in the state record: Nov 4, 2022

3270.31(e)(4)(i) Age and Training

“The current FA/CPR training in the file for staff person #2 was dated a few months after the previous certification had expired.”

Correction date in the state record: Jul 30, 2022

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The disclosure statement in the file for staff person #1, who was observed alone and unsupervised in the infant room with 4 children, was not dated, so timeliness could not be assessed. The file also did not include a NSOR clearance, only the request for the clearance.”

Correction date in the state record: Jul 30, 2022

3270.33(a)/3270.36(b)(5) Each staff person meets quals/HS/GED + 2 yrs

“The file for staff person #1, holding the title of AGS and who was observed alone and unsupervised in the infant room with 4 children, included proof of a high school diploma, but did not include proof of 2500 hours of childcare experience as the 2 verification of employment forms were completed by the staff person.”

Correction date in the state record: Jul 30, 2022

3270.37(c) Aides supervised all times

“The file for staff person #1, holding the title of AGS and who was observed alone and unsupervised in the infant room with 4 children, included proof of a high school diploma, but did not include proof of 2500 hours of childcare experience as the 2 verification of employment forms were completed by the staff person.”

Correction date in the state record: Jul 28, 2022

3270.66(a) Locked or inaccessible

“The following items were observed in an unlocked closet in the school-age room, making them accessible to the children in care in the room at the time.: A can of hornet spray, a can of Lysol disinfectant spray, a bottle of Windex, 2 jugs of bleach and a bottle of Fabuloso.”

Correction date in the state record: Jul 28, 2022

3270.66(b) Original container

“There was an unlabeled bottle of liquid in a closet in the school-age room. Based on conversation with staff, the liquid was Fabuloso.”

Correction date in the state record: Jul 28, 2022

3270.76 Building Surfaces

“There were 3 large tears in the artificial grass in the facility's outdoor space behind the building.”

Correction date in the state record: Aug 31, 2022

3270.82(h) Handwashing signs

“In the infant room, after staff person #1 was observed changing the diaper of 3 infants, neither the staff person or the children's hands were washed.”

Correction date in the state record: Jul 30, 2022

3270.124(c) Each child care space

“There was no emergency contact information for child #3 in the preschool room, where the child was observed receiving care. There was no emergency contact information for child #4 in the toddler room, where the child was observed receiving care.”

Correction date in the state record: Jul 30, 2022

3270.124(f) Updated every 6 months

“The last update in writing by a parent on the emergency contact information and agreement form in the file for child #2 was dated more than 6 months ago.”

Correction date in the state record: Aug 31, 2022

3270.134(a) Child's hands washed

“In the infant room, after staff person #1 was observed changing the diaper of 3 infants, neither the staff person or the children's hands were washed.”

Correction date in the state record: Jul 28, 2022

3270.135(b) Surfaces cleaned

“In the infant room, staff person #1 was observed changing the diaper of 3 infants without sanitizing the changing table after each use.”

Correction date in the state record: Jul 30, 2022

3270.166(4) Bottles labeled

“There were 4 unlabeled bottles in the refrigerator in the infant room.”

Correction date in the state record: Jul 28, 2022

3270.181(c) Emergency info/agreement updated 6 mos

“The last update in writing by a parent on the emergency contact information and agreement form in the file for child #2 was dated more than 6 months ago.”

Correction date in the state record: Jul 28, 2022

3270.182(3) Consent for emergency medical care required prior to admission

“The emergency contact information in the file for child #1 did not include written consent by a parent for emergency medical care.”

Correction date in the state record: Jul 30, 2022

3270.182(5) Consent for administration of minor first-aid required prior to admission

“The emergency contact information in the file for child #1 did not include written consent by a parent for minor first-aid.”

Correction date in the state record: Jul 30, 2022

3270.192(2)(ii) Exp, educ., training prior to facility

“The file for staff person #1, holding the title of AGS and who was observed alone and unsupervised in the infant room with 4 children, included proof of a high school diploma, but did not include proof of 2500 hours of childcare experience as the 2 verification of employment forms were completed by the staff person.”

Correction date in the state record: Jul 28, 2022

3270.27(a)(6) Emergency plan

“The first emergency drill conducted at the facility was 5/16/22.”

Correction date in the state record: Jul 28, 2022

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“Based on conversation with the operator, there was not proof of purchase of the fire detection system.”

Correction date in the state record: Jul 28, 2022

3270.124(b)(4) Written consent

“The emergency contact information in the file for child #1 did not include written consent by a parent for emergency medical care.”

Correction date in the state record: Jul 30, 2022

3270.52 Mixed Age Level

“Before entering the facility at approximately 10 am, staff person #1 was observed standing outside the building, near the side entrance on the bottom floor, speaking to an unknown adult at the time. Upon entering the facility, staff person #2 and #3 were observed in the main toddler room with 13 children, a combined group of 2 younger toddler and 11 older toddlers. At the same time, staff person #1 entered the room. When staff were asked to identify their group while staff person #1 was outside, staff person #2 identified 7 children, including 2 young toddlers, placing them out of ratio. Staff person #3 was in ratio as they identified 6 older toddlers. A few minutes later, staff person #4 was observed in the large preschool/school-age room on the bottom floor with 14 children, a combined group of 11 young school-agers and 3 older school-agers, placing them out of ratio.”

Correction date in the state record: Nov 4, 2022

3270.119 Infant sleep position

“Upon entering the infant room at approximately 10:05, staff person #7 and #8 were observed in the room with 8 children, a combined group of 5 infants and 3 young toddlers. One of the infants was asleep in a bouncy seat.”

Correction date in the state record: Nov 4, 2022

3270.106(a) Clean, age appropriate

“Upon entering the infant room at approximately 10:05, staff person #7 and #8 were observed in the room with 8 children, a combined group of 5 infants and 3 young toddlers. One of the infants was asleep in a bouncy seat. One of the younger toddlers was asleep in a bouncy seat and another young toddler was awake and strapped into a bouncy seat. Four pack n plays were open and two of them were being used. When asked where all of the children sleep, staff stated that the youngest kids sleep in the pack n plays and the older kids sleep in the bouncy seats. There were no names on the pack n plays. Staff stated that there were no names because the pack n plays were new. There was a dry erase board in the room for the purpose of assigning rest equipment, but none of the children's names were listed.”

Correction date in the state record: Nov 4, 2022

3270.112 Infant/Toddler Stimulation

“Upon entering the infant room at approximately 10:05, staff person #7 and #8 were observed in the room with 8 children, a combined group of 5 infants and 3 young toddlers. One of the young toddlers was awake and strapped into a bouncy seat. When asked why the child was strapped in the seat, staff stated that they were about to read a story to the children.”

Correction date in the state record: Nov 4, 2022

3270.113(a) Supervised at all times

“At approximately 10 am, staff person #2 answered the front door of the facility. Upon entering, staff person #2 and #3 were observed in the main toddler room with a group of children and staff person #1 was entering the room. A few moments later, as this certification representative was counting the children, a small child came from around the "blind" corner of the room that leads to both the infant room and the stairwell. At the time, because of where staff were standing, no one could see, direct or assess the child while the child was around the corner. A little later, when staff person #9 was in the main toddler room with 3 children, a young toddler was out of site briefly because they had wandered into the same blind corner.”

Correction date in the state record: Nov 4, 2022

3270.35(d) Director only 45 children enrolled

“At the time of the inspection, there were 55 children observed at the facility. Based on conversation with the director, staff person #9 counts as the group supervisor for the first 45 children and is at the site more than 30 hours per week. However, they do not have a group supervisor employed at the facility for the partial group of 46+ enrolled children.”

Correction date in the state record: Nov 4, 2022

3270.35(e) 46 or more children- additional group sups

“At the time of the inspection, there were 55 children observed at the facility. Based on conversation with the director, staff person #9 counts as the group supervisor for the first 45 children and is at the site more than 30 hours per week. However, they do not have a group supervisor employed at the facility for the partial group of 46+ enrolled children.”

Correction date in the state record: Nov 4, 2022

3270.113(a)(1) Staff assigned to specific children

“Upon entering the facility at approximately 9:20 am, staff persons #1 through #4 were present in the main toddler room with 21 children, a combined group of 4 young toddlers, 15 older toddlers and 2 preschoolers. Staff person #1 identified 6 children in their group, staff person #2 identified 5 children in their group, staff person #3 identified 3 children in their group and staff person #4 identified 5 children in their group, for a total of 19 children, leaving 2 children unidentified.”

Correction date in the state record: May 19, 2022

3270.94(a)(9) Written record

“Based on review of the fire drill log, the drills conducted between 12/20/21 and 4/7/22 listed "entire building" as the hypothetical location.”

Correction date in the state record: May 19, 2022

3270.124(a) Each child emergency contact person

“The Director called DHS to report a child was left at their center. A staff person accepted the child but, this child is not enrolled. They have no way to contact the child's parents. The child is about 2 years old.”

Correction date in the state record: Dec 20, 2021

3270.123(a) Signed

“The Director called DHS to report a child was left at their center. A staff person accepted the child but, this child is not enrolled. They have no way to contact the child's parents. Therefore there is no agreement for the child that was in care.”

Correction date in the state record: Dec 20, 2021