Gummy Bears Childcare

3280.32(a) Comply with CPSL

“Upon review of personnel records, it was found that the Child Abuse clearance on file for staff person #1 was obtained after the 60-month renewal timeframe. The file for staff person # 1 contained a child abuse clearance that was dated 6.29.20 and updated on 11.21.25.”

Correction date in the state record: Jul 2, 2026

3280.123(a)(3) Services proceeded

“Upon review of child files, it was found that the Children service reports were not on file at least every 6 months. The file child #1 do not include a CSR. The file for Child #3 had a CSR was last dated 11-25-25. The file for Child #4 had a CSR was dated 1-3-26 and did not the previous CSR.”

Correction date in the state record: Jul 22, 2026

3280.26(c) Training regarding plan

“Upon inspection of personnel files, it was found that Emergency plan training was not completed annually. The file for staff person #1 included the most recent training on 04.22.2026 with the previous training completed on 03.28.2025. The file for staff person #2 included the most recent training on 04.23.2026 with the previous training completed on 03.28.2025. The file for staff person #3 included the most recent training on 04.22.2026 with the previous training completed on 01.02.2025.”

Correction date in the state record: Jul 2, 2026

3280.26(c) Training regarding plan

“Upon inspection of personnel files, it was found that Emergency plan training was not completed annually. The file for staff person #1 included the most recent training on 04.22.2026 with the previous training completed on 03.28.2025. The file for staff person #2 included the most recent training on 04.23.2026 with the previous training completed on 03.28.2025. The file for staff person #3 included the most recent training on 04.22.2026 with the previous training completed on 01.02.2025.”

Correction date in the state record: Jul 2, 2026

3280.124(f) Updated every 6 months

“The emergency contact information for child #4 was not updated by the parent at least once every 6 months. The most recent review of the financial agreement for child #3 was signed on 01/03/2026 with the previous review on 06/06/2025.”

Correction date in the state record: Jul 2, 2026

3280.151(a)/3280.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“Upon inspection of personnel files, it was found that Staff Person #2 had a health assessment on file dated 5.17.24 [expired 5.17.26] and did not include an update.”

Correction date in the state record: Jul 8, 2026

3280.76 Building Surfaces

“It was observed that in the back room there were three ceiling tiles that appeared to have had large water stains.”

Correction date in the state record: Jul 2, 2026

3280.52(b)/3280.52(c) Similar age levels/Mixed age levels

“Observed staff person #1 caring for a mixed age group including 1 Young Toddler, 2 Older Toddlers and 3 Preschool age children during naptime. Staff person #1 was over ratio while staff person #2 was in the back room gathering trash. The staff to child ratio with a young toddler in care is 1:5.”

Correction date in the state record: Nov 7, 2025

3270.124(b)(7) Name/address/phone release person

“The emergency contact information for child #1 did not include the addresses of the individuals designated by the parent to whom the child may be released.”

Correction date in the state record: May 5, 2025

3270.124(f)/3270.181(c) Updated every 6 months/Emergency info/agreement updated 6 mos

“The emergency contact information and/or financial agreement for child #3, #4 and #5 was not updated by the parent at least once every 6 months. The most recent review of the financial agreement for child #3 was signed on 04/06/2025 with the previous review on 05/08/2024. The most recent review of the emergency contact information and financial agreement for child #4 was signed on 11/13/2024 with the previous review on 04/01/2024. The most recent review of the emergency contact information and financial agreement for child #4 was signed on 11/22/2024 with the previous review on 02/08/2024.”

Correction date in the state record: Jul 9, 2025

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

“The health report on file for child #3 and #4 was not updated at least once every 12 months for an older toddler or preschool child (see LIS code sheet). The current health report on file for child #3 was completed on 03/03/2025 with the previous form dated 12/27/2023. The current health report on file for child #4 was completed on 05/28/2024 with the previous forms dated 01/30/2024 and 12/07/2022.”

Correction date in the state record: May 5, 2025

3270.131(e) ACIP recommended immunization record

“The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked a 4th dose of DTap, a 3rd dose of HiB and a 1st and 2nd dose of [name]”

Correction date in the state record: May 22, 2025

3270.135(e) 2 hour diaper check

“Observed that diaper checks were not completed at least once every 2 hours. Diapers were checked / changed at 12:45 pm with the previous diaper check / change at 9:15 am.”

Correction date in the state record: May 5, 2025

3270.123(a)(3) Services proceeded

“The file for child #3, #4 and #5 did not include child service reports with information to the family about the child's growth and development at least once every 6 months.”

Correction date in the state record: May 16, 2025

3270.76 Building Surfaces

“Observed visible stains / sticky substance on the front of the cabinets located in the kitchen area.”

Correction date in the state record: May 5, 2025

3270.37(c) Aides supervised all times

“Observed staff person #3, an aide, with a group of 3 younger and older toddlers in the toddler area at the front of the classroom while staff person #2 was transitioning their children from the back room (cafeteria) into the preschool area.(the back area of the classroom) Staff person #2 was unable to supervise staff person #3 from their location in the facility.”

Correction date in the state record: May 5, 2025

3270.34(c) Employed and present 30 hrs/wk

“The facility does not have a director employed by the facility.”

Correction date in the state record: Aug 7, 2025

3270.31(e)(4)(ii) Fire safety - 1 yr.

“The fire safety training for staff person #1 was not updated within 12 months of the previous training; the current training on file was completed on 05/01/2025 and the previous training was completed on 01/11/2024.”

Correction date in the state record: May 5, 2025

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

“The file for staff person #2 included Pediatric First aid & CPR which was not renewed on or before the expiration of the previous training; the current training was completed on 04/15/2025 with the previous training valid from 03/29/2023 - 3/2025.”

Correction date in the state record: May 5, 2025

3270.163(b) Breakfast items from three groups

“Breakfast prepared at the facility did not include at least once item from three of the four food groups; the children were served cereal and milk with no additional items served from either the protein or fruit & vegetable group.”

Correction date in the state record: May 5, 2025

3270.31(e) Age and Training

“The file for staff person #2 did not include documentation of 12 clock hours of annual training: the file included of 1 hour of training between 12/2023 - 12/2024.”

Correction date in the state record: May 14, 2025

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

“Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: (list specific training(s) missing when issuing the citation). Health and Safety (CCDBG) 2025 Part 1.”

Correction date in the state record: May 5, 2025

3270.123(a)(6) Admission date

“The agreement for child #1 did not specify the date of the child's admission.”

Correction date in the state record: May 5, 2025

3270.102(a) Clean and good repair

“Observed several rest mats with tears at the seams that were repaired with packing tape, which was peeling off, exposing the tear and foam inside.”

Correction date in the state record: May 5, 2025

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

“The emergency contact information for child #3 did not include the work telephone number of the enrolling parent.”

Correction date in the state record: May 5, 2025

3270.131(c) Completed or signed by physician, PA, or CRNP

“The health report on file for child #5, was a copy of an after-visit summary dated 02/05/2024 which did not include the signature by a physician, physician's assistant or a CRNP with the individual's professional title.”

3270.131(d)(7) Free from contagious/communicable disease

“The health report on file for child #5 was a copy of an after-visit summary dated 02/05/2024 that did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.”

3270.95(b) Director or designated staff person ensure compliance

“The operator did not ensure a manual test of the fire detection system was completed at least once every 30 days between 10/19/2023 - 11/20/2023.”

3270.151(a) 12 months prior to service and every 24 months thereafter

“The health assessment on file for staff person #1 was not updated within 24 months of the previous assessment. The most recent health assessment on file was dated 04/13/2022.”

3270.123(a)(3) Services proceeded

“The file for child #5 did not include a child service report providing information to the family about the child's growth and development at least once every 6 months. The most recent child service report on file was dated 06/15/2023 with no subsequent report on file.”

3270.123(a)(1) Amount of fee

“The agreement for child #1 did not specify the amount of the fee to be charged per day or week.”

3270.124(b)(6) Insurance coverage information

“The emergency contact information for child #2 did not include the health insurance policy number.”

3270.34(c) Employed and present 30 hrs/wk

“The facility did not have an individual that qualifies as a director present at the facility site a minimum of 30 hours per week.”

3270.34(a)(6) Staff evaluations

“The file for staff person #2 and #3 did not include an updated written evaluation within 12 months of the previous evaluation. The file for staff person #2 did not include a current or previous written evaluations. The most recent written evaluation for staff person #3 was dated 03/17/2023 with no subsequent evaluations on file.”

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

“The file for staff person #4 did not include a copy of the child abuse clearance prior to their first day caring for children (see LIS code sheet). The child abuse clearance was requested on 04/04/2024 but the final clearance result was not on file. The file for staff person #4, who has resided outside of PA in the previous 5 years, did not include documentation of a request for the out of state clearances prior to their first day caring for children (see LIS code sheet).”

3270.31(e)(4)(ii) Fire safety - 1 yr.

“The file for staff person #1 and #2 did not include updated fire safety training. The most recent fire safety training on file for staff person #1 was dated 01/18/2023, with no subsequent training on file. The most recent fire safety training on file for staff person #2 was dated 02/28/2023 with no subsequent training on file.”

3270.27(e) Letter to parents

“The letter provided to the parent of each enrolled child explaining the emergency procedures did not include information regarding accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. The letter did not include information regarding emergency drills being conducted annually.”

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

“The emergency plan did not address the continuity of operations.”

3270.123(a)(5) Designated release persons

“The agreement for child #1 did not specify the persons designated by a parent to whom the child may be released.”

3270.124(b)(7) Name/address/phone release person

“The emergency contact information for child #3 did not include the addresses of the individuals designated by the parent to whom the child may be released.”

3270.131(a)(4)/3270.182(1) Initial health report for school age; accordance with school attendance/Initial and subsequent health reports

“The file for child #5 did not include a health report for a school-age child (see LIS code sheet) that was dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2. The most recent health report on file was an after-visit summary dated 02/05/2024, with the previous health report dated 12/10/2022.”

3270.131(a)/3270.131(e) Health information/ACIP recommended immunization record

“The file for child #3 did not include a health assessment with immunization record within 60 days following the first day of attendance at the facility (see LIS code sheet).”

3270.27(f) Emergency plan

“The operator did not send a copy of the most recent emergency plan updates to the local municipality and to the county emergency management agency.”

3270.27(c) Training regarding plan

“The operator did not document the date and the names of all facility persons who received the training of the most recent emergency plan training. The most recent emergency plan training for staff person #1 and #2 was documented on 03/17/2023. The most recent emergency plan training for staff person #3 was documented on 02/09/2023.”

3270.31(e) Age and Training

“The file for staff person #1 did not include an annual minimum of 12 clock hours of child care training between 12/19/2021 - 12/19/2022.”

Correction date in the state record: Jun 9, 2023

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

“The health report for child #2 and #3 were not updated at least once every 12 months for an older toddler or preschool child (see LIS code sheet). The current health report for child #2 was completed on 05/02/2023 with the previous health report on file dated 03/07/2022. The current health report for child #3 was completed on 12/10/2022 with the previous health report on file dated 11/02/2021.”

Correction date in the state record: May 31, 2023

3270.131(d)(5)/3270.131(e)(1) Immunization record/Exemption documentation from parent/guardian

“The file for child #1 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza immunization. The file for child #2, #3 and #5 (see LIS code sheet) included a record of the child's immunization status which lacked a current influenza immunization. The file for child #4 (see LIS code sheet) included a record of the child's immunization status which lacked a 3rd dose of Hib, a 2nd dose of Hep A and a current influenza immunization.”

Correction date in the state record: Jun 9, 2023

3270.133(4) Locked

“Observed tubs of Vaseline labeled "Keep out of Reach of Children" in an unlocked plastic bin of drawers next to the changing table in the bathroom which were accessible to children.”

Correction date in the state record: May 31, 2023

3270.104(a) Clean, good repair, proper size

“Observed a dowel rod shelf with toys bins, which was not stable in the preschool/toddler classroom; which created a tip hazard.”

Correction date in the state record: May 31, 2023

3270.31(f)(10) Health and Safety Training - Pediatric First Aid and CPR

“The file for staff person #2, included Pediatric First Aid and CPR training which was not completed within 90 days of hire (see LIS code sheet); First & CPR training was completed on 03/29/2023.”

Correction date in the state record: May 31, 2023

3270.103 Small Toys and Objects

“Observed plastic bags in an unlocked plastic bin of drawers next to the changing table in the bathroom used by toddlers which were accessible to children who are still placing objects in their mouths.”

Correction date in the state record: May 31, 2023

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

“The operator has not updated the emergency plan to include a continuity of operations plan. The operator does not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.”

Correction date in the state record: Jun 11, 2023

3270.111(b) Posted in group space

“The back classroom did not have a written plan of daily activities posted in the group space.”

Correction date in the state record: May 31, 2023

3270.123(a)(3) Services proceeded

“The file for child #1, #2, #3, #4 and #5 did not include a completed Child Service Report with information to the family about the child's growth and development at least once every 6 months, the previously suspended regulation was reinstated on 10/31/2022.”

Correction date in the state record: Jun 12, 2023

3270.65 Protective Outlet Covers 5 yrs. or less

“Observed an electrical outlet in the corner of the preschool/toddler classroom which did not have a protective receptacle cover.”

Correction date in the state record: May 29, 2023

3270.69(b) 110º F or less

“The hot water temperature of the sink in the bathroom located in the back classroom reached a temperature of 111° F.”

Correction date in the state record: May 31, 2023

3270.76 Building Surfaces

“Observed a receptacle wall plate on an electrical outlet in the preschool room and the back classroom which were cracked.”

Correction date in the state record: May 31, 2023

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

“Staff person #1 and #2 were observed to be caring for children unsupervised. Staff person #1 and #2 do not have current pediatric first-aid/CPR training in an approved curriculum with a PQAS trainer.”

Correction date in the state record: Jan 27, 2023

3270.32(a) Comply with CPSL

“The file for staff person #1 included an FBI Clearance dated 12/07/2017 which was not updated within 60 months of the previous clearance.”

Correction date in the state record: Jan 27, 2023

3270.192(2)(iii) Exp, educ., training at facility

“On 01/27/2023, the operator was unable to provide complete files for staff person #1, #2, and #3 with documentation of required training certificates. The files were missing the documentation for Mandated Reporter Training, Health and Safety training, Emergency Plan training and Pediatric First Aid & CPR training.”

Correction date in the state record: Jan 27, 2023

3270.33(d) General requirements for facility persons

“On 01/27/2023, staff person #1 and #2 were working at the facility. Staff person #1 and #2 did not have pediatric first-aid and pediatric cardiopulmonary resuscitation from a PQAS-approved trainer through an approved curriculum. There was no other staff person competent in Pediatric first-aid and CPR in the facility while children were receiving care.”

Correction date in the state record: Jan 27, 2023

3270.31(f) Health and Safety Training

“Staff person #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid & CPR from a PQAS-approved trainer through an approved curriculum.”

Correction date in the state record: Mar 29, 2023

3270.182(7) Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

“A copy of the incident report was not immediately available at the time of the complaint investigation. The original copy was mailed to the Central Regional Office. The provider did not retain a copy of the incident report in the facility or the child's file. The original copy was not provided to the parent on the day of the incident.”

Correction date in the state record: Jan 27, 2023

3270.21 General Health and Safety

“On 01/11/2023, at approximately 3:00 pm, Staff person #1, #2 and #3 attempted to wake child #1 from their nap. During this time, the child was difficult to wake up. After a few minutes, staff person #1 and #2 tried sitting child #3 up while rubbing their back to wake-up the child. Staff person #1 and #2 observed that it appeared child's eyes were going to the back of her head. At that time, they thought the child was having a seizure. At approximately 3:15 pm, staff person #2 attempted to call the child's mother. Staff person #1 and #2 then moved the child to the futon in the back room, where the child walked with assistance, but still would not open their eyes. Staff person #3 then laid her down while staff person #1 attempted to call the grandparent. Staff person #1 then called the next Emergency Contact Person on the list. Staff person #1 called EMS at approximately 3:20 pm. Staff person #1, #2 and #3 did not immediately call for emergency medical care, therefore, the overall safety of the child, due to the severity of the symptoms observed, posed a threat to the health and safety of that child. During this time, staff person #1, #2, and #3 did not separate the remaining children in care from the child in need of emergency medical care.”

Correction date in the state record: Apr 13, 2023

3270.21 General Health and Safety

“On 01/11/2023, at approximately 3:00 pm, Staff person #1, #2 and #3 attempted to wake child #1 from their nap. During this time, the child was difficult to wake up. After a few minutes, staff person #1 and #2 tried sitting child #3 up while rubbing their back to wake-up the child. Staff person #1 and #2 observed that it appeared child's eyes were going to the back of her head. At that time, they thought the child was having a seizure. At approximately 3:15 pm, staff person #2 attempted to call the child's mother. Staff person #1 and #2 then moved the child to the futon in the back room, where the child walked with assistance, but still would not open their eyes. Staff person #3 then laid her down while staff person #1 attempted to call the grandparent. Staff person #1 then called the next Emergency Contact Person on the list. Staff person #1 called EMS at approximately 3:20 pm. Staff person #1, #2 and #3 did not immediately call for emergency medical care, therefore, the overall safety of the child, due to the severity of the symptoms observed, posed a threat to the health and safety of that child. During this time, staff person #1, #2, and #3 did not separate the remaining children in care from the child in need of emergency medical care.”

Correction date in the state record: Mar 27, 2023

3270.21 General Health and Safety

“On 01/11/2023, at approximately 3:00 pm, Staff person #1, #2 and #3 attempted to wake child #1 from their nap. During this time, the child was difficult to wake up. After a few minutes, staff person #1 and #2 tried sitting child #3 up while rubbing their back to wake-up the child. Staff person #1 and #2 observed that it appeared child's eyes were going to the back of her head. At that time, they thought the child was having a seizure. At approximately 3:15 pm, staff person #2 attempted to call the child's mother. Staff person #1 and #2 then moved the child to the futon in the back room, where the child walked with assistance, but still would not open their eyes. Staff person #3 then laid her down while staff person #1 attempted to call the grandparent. Staff person #1 then called the next Emergency Contact Person on the list. Staff person #1 called EMS at approximately 3:20 pm. Staff person #1, #2 and #3 did not immediately call for emergency medical care, therefore, the overall safety of the child, due to the severity of the symptoms observed, posed a threat to the health and safety of that child. During this time, staff person #1, #2, and #3 did not separate the remaining children in care from the child in need of emergency medical care.”

Correction date in the state record: Mar 27, 2023

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

“Staff person #1 and #2 were observed to be caring for children unsupervised. Staff person #1 and #2 do not have current pediatric first-aid/CPR training in an approved curriculum with a PQAS trainer.”

Correction date in the state record: Jan 27, 2023

3270.32(a) Comply with CPSL

“The file for staff person #1 included an FBI Clearance dated 12/07/2017 which was not updated within 60 months of the previous clearance.”

Correction date in the state record: Jan 27, 2023

3270.192(2)(iii) Exp, educ., training at facility

“On 01/27/2023, the operator was unable to provide complete files for staff person #1, #2, and #3 with documentation of required training certificates. The files were missing the documentation for Mandated Reporter Training, Health and Safety training, Emergency Plan training and Pediatric First Aid & CPR training.”

Correction date in the state record: Jan 27, 2023

3270.33(d) General requirements for facility persons

“On 01/27/2023, staff person #1 and #2 were working at the facility. Staff person #1 and #2 did not have pediatric first-aid and pediatric cardiopulmonary resuscitation from a PQAS-approved trainer through an approved curriculum. There was no other staff person competent in Pediatric first-aid and CPR in the facility while children were receiving care.”

Correction date in the state record: Jan 27, 2023

3270.31(f) Health and Safety Training

“Staff person #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid & CPR from a PQAS-approved trainer through an approved curriculum.”

Correction date in the state record: Mar 29, 2023

3270.182(7) Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

“A copy of the incident report was not immediately available at the time of the complaint investigation. The original copy was mailed to the Central Regional Office. The provider did not retain a copy of the incident report in the facility or the child's file. The original copy was not provided to the parent on the day of the incident.”

Correction date in the state record: Jan 27, 2023

3270.21 General Health and Safety

“On 01/11/2023, at approximately 3:00 pm, Staff person #1, #2 and #3 attempted to wake child #1 from their nap. During this time, the child was difficult to wake up. After a few minutes, staff person #1 and #2 tried sitting child #3 up while rubbing their back to wake-up the child. Staff person #1 and #2 observed that it appeared child's eyes were going to the back of her head. At that time, they thought the child was having a seizure. At approximately 3:15 pm, staff person #2 attempted to call the child's mother. Staff person #1 and #2 then moved the child to the futon in the back room, where the child walked with assistance, but still would not open their eyes. Staff person #3 then laid her down while staff person #1 attempted to call the grandparent. Staff person #1 then called the next Emergency Contact Person on the list. Staff person #1 called EMS at approximately 3:20 pm. Staff person #1, #2 and #3 did not immediately call for emergency medical care, therefore, the overall safety of the child, due to the severity of the symptoms observed, posed a threat to the health and safety of that child. During this time, staff person #1, #2, and #3 did not separate the remaining children in care from the child in need of emergency medical care.”

Correction date in the state record: Apr 13, 2023

3270.21 General Health and Safety

“On 01/11/2023, at approximately 3:00 pm, Staff person #1, #2 and #3 attempted to wake child #1 from their nap. During this time, the child was difficult to wake up. After a few minutes, staff person #1 and #2 tried sitting child #3 up while rubbing their back to wake-up the child. Staff person #1 and #2 observed that it appeared child's eyes were going to the back of her head. At that time, they thought the child was having a seizure. At approximately 3:15 pm, staff person #2 attempted to call the child's mother. Staff person #1 and #2 then moved the child to the futon in the back room, where the child walked with assistance, but still would not open their eyes. Staff person #3 then laid her down while staff person #1 attempted to call the grandparent. Staff person #1 then called the next Emergency Contact Person on the list. Staff person #1 called EMS at approximately 3:20 pm. Staff person #1, #2 and #3 did not immediately call for emergency medical care, therefore, the overall safety of the child, due to the severity of the symptoms observed, posed a threat to the health and safety of that child. During this time, staff person #1, #2, and #3 did not separate the remaining children in care from the child in need of emergency medical care.”

Correction date in the state record: Mar 27, 2023

3270.21 General Health and Safety

“On 01/11/2023, at approximately 3:00 pm, Staff person #1, #2 and #3 attempted to wake child #1 from their nap. During this time, the child was difficult to wake up. After a few minutes, staff person #1 and #2 tried sitting child #3 up while rubbing their back to wake-up the child. Staff person #1 and #2 observed that it appeared child's eyes were going to the back of her head. At that time, they thought the child was having a seizure. At approximately 3:15 pm, staff person #2 attempted to call the child's mother. Staff person #1 and #2 then moved the child to the futon in the back room, where the child walked with assistance, but still would not open their eyes. Staff person #3 then laid her down while staff person #1 attempted to call the grandparent. Staff person #1 then called the next Emergency Contact Person on the list. Staff person #1 called EMS at approximately 3:20 pm. Staff person #1, #2 and #3 did not immediately call for emergency medical care, therefore, the overall safety of the child, due to the severity of the symptoms observed, posed a threat to the health and safety of that child. During this time, staff person #1, #2, and #3 did not separate the remaining children in care from the child in need of emergency medical care.”

Correction date in the state record: Mar 27, 2023

3270.31(e)(4)(ii) Fire safety - 1 yr.

“Annual fire safety training for staff person #2 and #3 was not completed within 12 months of the previous training. Current fire safety training for staff person #2 was completed on 05/22/2022 and the previous training was completed on 04/13/2021. Current fire safety training for staff person #3 was completed on 05/22/2022 and the previous training was completed on 04/13/2021.”

Correction date in the state record: May 9, 2022

3270.32(a)/3270.192(2)(iii) Comply with CPSL/Exp, educ., training at facility

“The file for staff person #2 included mandated reporter training which was not updated at least once every 60 months as required by the CPSL; the current mandated reporter training on file was completed on 03/09/2022 and the previous one was dated 08/30/2016.”

Correction date in the state record: May 9, 2022

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

“At the time of rehire, the file for staff person #1 included a volunteer state police clearance dated 03/01/2020, a request for the state police clearance for the purpose of employment was not requested until 05/01/2022 after she had already started at the facility; the file contains a copy of the state police clearance for the purpose of employment dated 05/01/2022. The file for staff person #4 did not include a copy of the request or results of the NSOR clearance prior to their first day caring for children. The file for staff person #5 did not include the results of the Child Abuse Clearance, NSOR clearance and the State Police or FBI clearance prior to their initial date hire. The file for staff person #5 included a request for the state police clearance dated 03/07/2022, a request for the child abuse clearance dated 05/05/2022, a request for the FBI clearance dated 05/06/2022 and documentation that the NSOR clearance was mailed on 04/25/2022.”

Correction date in the state record: May 27, 2022

3270.66(a) Locked or inaccessible

“Observed cleaning products under the cabinet and next to the sink in the kitchen area; the gate to the kitchen area was unlocked”

Correction date in the state record: May 9, 2022

3270.76 Building Surfaces

“Observed rust at the doorframe leading out the back door of the facility which is used to access the outdoor play space.”

Correction date in the state record: May 9, 2022

3270.82(g) Clean and good repair

“Observed the toilet paper holder in the bathroom in the school-age classroom which was broken..”

Correction date in the state record: May 9, 2022

3270.82(i) Lidded waste receptacles

“Observed the lid to the trash can used to discard paper towels after handwashing located in the preschool/toddler bathroom was removed. *Lid was replaced at the time of the inspection.”

Correction date in the state record: May 9, 2022

3270.102(a) Clean and good repair

“Observed bolts on the gate of the outdoor play space which were not cut or capped.”

Correction date in the state record: May 10, 2022

3270.104(a) Clean, good repair, proper size

“Observed a rest mat in the preschool/toddler area which was torn, exposing the foam inside. Observed a white 9 cubby shelf and a grey 9 cubby shelf in the front room which was not anchored to prevent a tip hazard. Observed 2 grey 9 cubby shelves placed side by side to create a barrier between the infant/young toddler area and the older toddler area which was not anchored to prevent a tip hazard.”

Correction date in the state record: May 10, 2022

3270.123(b) Parent receives original

“The original agreement for child #1, #2, #3, #4 and #5 were observed in the child's file; the parents are not being provided the original agreement.”

Correction date in the state record: May 9, 2022

3270.124(b)(2) Physician name, address, phone

“The emergency contact information for child #3 did not include the address of the child's physician or source of medical care.”

Correction date in the state record: May 9, 2022

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

“The emergency contact information for child #5 did not include the work telephone number of the enrolling parent.”

Correction date in the state record: May 13, 2022

3270.124(c) Each child care space

“Emergency contact information was not present in the toddler, preschool and school-age children for all of the children receiving care in the child care space.”

Correction date in the state record: May 11, 2022

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

“An updated health report was not on file for child #2 at least once every 12 months for a preschool child; the most recent health report on file was dated 04/07/2022 and the previous health report was dated 08/29/2019.”

Correction date in the state record: May 16, 2022

3270.131(d)(7) Free from contagious/communicable disease

“The health report on file for child #4 was a Clinical Visit Summary that did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.. The health report on file for child #5 was an After Visit Summary that did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease..”

Correction date in the state record: May 26, 2022

3270.131(e)(1) Exemption documentation from parent/guardian

“The After Visit Summary for child #5, a 5-year old, did not include an updated immunization record. The file for child #2, a 5 year old, included a record of the child's immunization status which lacked an influenza and Hep A immunizations. The file for child #4, a 3-year-old, included a record of the child's immunization status which lacked an influenza immunization.”

Correction date in the state record: May 26, 2022

3270.182(1) Initial and subsequent health reports

“The file for child #5 did not contain the initial and subsequent health reports.”

Correction date in the state record: May 26, 2022

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

“The file for staff person #1 did not include verification of child care experience and education prior to service at the facility; the file contained a copy of a Bachelors degree without a transcript to verify the degree held is in a Human Services Field. The file for staff person #4 & #5 did not include verification of education at the time of initial hire.”

Correction date in the state record: Jun 9, 2022

3270.192(5) Two written references

“The file for staff person #5 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.”

Correction date in the state record: May 10, 2022

3270.27(a)(5) Emergency plan

“The emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.”

Correction date in the state record: May 16, 2022

3270.27(a)(6) Emergency plan

“Documentation of an annual emergency drill was not conducted between 12/2020 - 12/2021.”

Correction date in the state record: May 16, 2022

3270.94(a)(9) Written record

“A fire drill conducted on 05/04/2022 was not documented on the fire drill log.”

Correction date in the state record: May 9, 2022

3270.95(b) Director or designated staff person ensure compliance

“The operator did not maintain proof of purchase of the fire detection devices with the fire drill log. *An attestation form was completed at the time of the inspection. The operator did not ensure the fire detection devices were being tested at least once every 30 days; a test of greater than 30 days was documented on 06/12/2021 - 07/20/2021, 08/10/2021 - 09/17/2021, 10/08/2021 - 11/15/2021, 02/01/2022 - 03/07/2022 and 03/07/2022 - 04/18/2022.”

Correction date in the state record: May 9, 2022

3270.25(a) Availability of certificate of compliance and applicable regulations

“Observed the current certificate of compliance was not posted in a conspicuous location used by parents, the certificate displayed was valid from 08/07/2020-08/07/2021.”

Correction date in the state record: May 10, 2022

3270.27(f) Emergency plan

“A copy of the most recent update of the emergency plan was not sent to the county emergency management agency.”

Correction date in the state record: May 16, 2022

3270.131(c) Completed or signed by physician, PA, or CRNP

“The health report on file for child #4 was a Clinical Visit Summary that did not include the signature of the physician, physician's assistant or a CRNP that completed the assessment. The health report on file for child #5 was an After Visit Summary that did not include the signature of the physician, physician's assistant or a CRNP that completed the assessment.”

Correction date in the state record: May 26, 2022

3270.17(b) Permit specialized services

“On 11/15/2021, staff person #1, stated that due to COVID, they are not currently allowing outside agencies into the facility to provide specialized services to children with special needs..”

Correction date in the state record: Nov 15, 2021