Lightbridge Academy

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

“A renewal inspection was conducted on 7/20/26 and 7/21/26. At that time, the child files were reviewed. The emergency contact form for Child #4 did not include signed parental consent for administration of minor first-aid procedures by facility staff.”

Correction date in the state record: Jul 29, 2026

3270.27(a)(5)/3270.27(e) Emergency plan/Letter to parents

“A renewal inspection was conducted on 7/20/26 and 7/21/26. At that time, the emergency plan was reviewed. The letter provided to the parents regarding the emergency plan did not include accommodations for the infants and toddlers enrolled at the facility.”

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

“A renewal inspection was conducted on 7/20/26 and 7/21/26. At that time, the child files were reviewed. The files for Child #1, Child #3, Child #4, and Child #5 did not include health assessments or immunization records. All four children have been enrolled at the facility more than 60 days.”

Correction date in the state record: Jul 30, 2026

3270.35(b)(1) Bachelor's

“A renewal inspection was conducted on 7/20/26 and 7/21/26. At that time, the staff files were reviewed. The file for Staff Person #1, a group supervisor, contained a Bachelor of Arts degree from West Virginia University. The college transcripts were not in the file and the degree did not indicate the field of study to verify that the staff had a degree in the human services field.”

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

“A renewal inspection was conducted on 7/20/26 and 7/21/26. At that time, the staff files were reviewed. The most recent fire safety training for Staff Person #7 was completed 8/25/24, more than twelve months prior to the inspection.”

3270.27(c) Training regarding plan

“A renewal inspection was conducted on 7/20/26 and 7/21/26. At that time, the staff files were reviewed. The most recent emergency plan training for Staff Person #7 was completed 9/6/24, more than twelve months prior to the inspection.”

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

“A renewal inspection was conducted on 7/20/26 and 7/21/26. At that time, the staff files were reviewed. The file for Staff Person #2 contained a NY CARI (child abuse clearance) dated 5/7/26, after the staff's start date of working with children. The file for Staff Person #5 contained an FBI Clearance requested and completed 12/30/26, after the staff's start date of working with children. The file for Staff Person #6 contained an FBI Clearance completed 1/8/26, after the staff's start date of working with children. The file did not include the request for the FBI Clearance. The file for Staff Person #7 contained PA State Police Clearances dated 8/3/21 and 7/22/25. Both PA State Police Clearances were in "under review" status. A complete PA State Police Clearance was not in the staff's file. The file for Staff Person #7 contained PA Child Abuse Clearance dated 7/11/26. The clearance was not updated within 60 months of the previous PA Child Abuse clearance on file dated 7/8/21.”

3270.34(a)(6) Staff evaluations

“A renewal inspection was conducted on 7/20/26 and 7/21/26. At that time, the staff files were reviewed. The most recent staff evaluation for Staff Person #7 was completed 8/2024, more than twelve months prior to the inspection.”

3270.36(b)(5)/3270.192(2)(ii) HS/GED + 2 yrs/Exp, educ., training prior to facility

“A renewal inspection was conducted on 7/20/26 and 7/21/26. At that time, the staff files were reviewed. The file for Staff Person #3, an assistant group supervisor, contained verification of high school education but did not include verification of child care experience. The file for Staff Person #5, an assistant group supervisor, included verification of 6 college credits, but did not include verification of high school education or child care experience.”

3270.123(a)(5)/3270.124(b)(7) Designated release persons/Name/address/phone release person

“A renewal inspection was conducted on 7/20/26 and 7/21/26. At that time, the child files were reviewed. The emergency contact form for Child #1 did not include the address of the release persons. The fee agreement for Child #1 did not include the release persons designated by the parent.”

Correction date in the state record: Jul 29, 2026

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

“A renewal inspection was conducted on 7/20/26 and 7/21/26. At that time, the child files were reviewed. The emergency contact form and fee agreement for Child #2 had not been updated since 3/25/25, more than 6 months prior to the date of the inspection.”

Correction date in the state record: Jul 29, 2026

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

“A renewal inspection was conducted on 7/20/26 and 7/21/26. At that time, the staff files were reviewed. The file for Staff Person #7 contained health assessments dated 5/8/23 and 7/11/26, more than 24 months between updates.”

Correction date in the state record: Jul 29, 2026

3270.192(5) Two written references

“A renewal inspection was conducted on 7/20/26 and 7/21/26. At that time, the staff files were reviewed. The file for Staff Person #4 contained only one written letter of reference.”

3270.61(h)(2)(i)/3270.61(h)(2)(ii) No more than two 1/2 hour time periods daily/Designated on facility schedule

“An unannounced inspection was conducted 3/26/26. At that time, the measured room capacity in Room 8 was exceeded by 2 children. Room 8 has a measured capacity of 16 children. At 1:00pm, staff stated that they had 18 children in care since about 10:00am, which exceeds 2 half hour periods. Staff stated that there were 18 children in Room 9 from 9:10am-10:00am when a child was moved to another classroom. The measured room capacity for Room 9 is 17 children. The daily schedule does not indicate a time when the capacity of the indoor child care space will be exceeded in either room.”

Correction date in the state record: Apr 6, 2026

3270.192(5) Two written references

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/22/25, the staff files were reviewed. The file for Staff Person #5 only contained one letter of reference.”

Correction date in the state record: Jul 25, 2025

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

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, the child files were reviewed. The emergency contact form and fee agreement of Child #6 had not been updated within six months. This was evidenced by the dates of the updates on the forms: 6/9/24 and 3/1/25.”

Correction date in the state record: Jul 22, 2025

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

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, the child files were reviewed. The emergency contact forms for Child #8 and Child #9 did not include the address of the release person.”

Correction date in the state record: Jul 22, 2025

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

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, the child files were reviewed. The emergency contact forms for Child #1, Child #3, Child #4, Child #5, Child #6, Child #7, and Child #10 did not include the business phone number of the parents. The emergency contact forms for Child #2 and Child #8 did not include the business phone number and business address of the parents.”

Correction date in the state record: Jul 22, 2025

3270.123(a)(3) Services proceeded

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, the child files were reviewed. The most recent child service report on file for Child #2 was dated 12/6/24.”

Correction date in the state record: Jul 22, 2025

3270.103 Small Toys and Objects

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, Ziplock bags were observed in a cubby approximately 30 inches high in the Orange Giraffes Room and Purple Cats Room where they were accessible to the toddler children in the room who staff said are still placing objects in their mouths.”

Correction date in the state record: Jul 18, 2025

3270.67(d) Contaminated trash in closed plastic-lined receptacle

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, an unlidded trash can was observed in the Yellow Ducks Room. The trash can contained discarded tissues and food items.”

Correction date in the state record: Jul 21, 2025

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

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/22/25, the staff files were reviewed. Staff Person #4 did not update their pediatric first aid and cpr training prior to the expiration date of 4/2025. This was evidenced by the pediatric first aid and cpr trainings on file being dated 4/28/23 and 6/14/25.”

Correction date in the state record: Jul 22, 2025

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

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/22/25, the staff files were reviewed. The current PA State Police Clearance on file for Staff Person #3 dated 8/3/21 was in review status. The completed clearance was not on file.”

Correction date in the state record: Jul 22, 2025

3270.34(a)(6) Staff evaluations

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/22/25, the staff files were reviewed. The following staff did not have staff evaluations completed within their past year of employment: Staff Person #5 and Staff Person #6.”

Correction date in the state record: Jul 25, 2025

3270.35(b)(1) Bachelor's

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/22/25, the staff files were reviewed. The file for Staff Person #1, a group supervisor, had a Bachelor's Degree on file, but it was unknown what field of study the degree was in and whether or not it would qualify the staff as a group supervisor. The file for Staff Person #2, a group supervisor, had a Bachelor's Degree on file, but it was unknown what field of study the degree was in and whether or not it would qualify the staff as a group supervisor. The file for Staff Person #6, a group supervisor, had a high school diploma on file, but no verification of high education or experience to qualify the staff as a group supervisor.”

Correction date in the state record: Jul 25, 2025

3270.36(b)(5)/3270.192(2)(ii) HS/GED + 2 yrs/Exp, educ., training prior to facility

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/22/25, the staff files were reviewed. The file for Staff Person #7, an assistant group supervisor, had a high school diploma on file, but no verification of experience to qualify the staff as an assistant group supervisor.”

Correction date in the state record: Jul 22, 2025

3270.65 Protective Outlet Covers 5 yrs. or less

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, an uncovered electrical outlet approximately twelve inches high was observed in the Yellow Ducks Room, where it was accessible to the preschool children in care.”

Correction date in the state record: Jul 18, 2025

3270.66(a) Locked or inaccessible

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, Banana Boat Sunscreen was observed in a cubby approximately 30 inches high in the Blue Horses Room where it was accessible to the children in the room. ThinkBaby Sunscreen and Coppertone Sunscreen were observed in a cubby approximately 30 inches high in the Brown Bears Room where they were accessible to the children in the room. Hello flouride toothpaste was observed in a cubby approximately 30 inches high in the Teal Turtles Room where it was accessible to the four five-year-old children in the room. Neutrogena sunscreen was observed in a cubby approximately 30 inches high in the Orange Giraffes Room where it was accessible to the children in the room. All sunscreen was labeled "keep out of reach of children." The toothpaste was labeled "keep out of reach of children under age six."”

Correction date in the state record: Jul 18, 2025

3270.72(c) Good repair

“A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, a hole was observed in the screen of the middle window in the Khaki Kangaroos. The staff stated that this window is open for ventilation on nice days.”

Correction date in the state record: Jul 22, 2025

3270.113(b)/3270.113(d) No physical punishment /No harsh language

“On 3/21/25, a parent viewed a live action video showing two children playing under a table. Staff Person #1 shoved the table away from the children. When Child #1 stood up and leaned against the table, Staff Person #1 roughly grabbed Child #1 by the arm and pulled the child to another area of the room. During the investigation of this incident at the facility, it was found that Staff Person #1 has on other occasions, roughly grabbed the children by the wrist or bicep and pulled them to another area of the room while the child stumbled to keep up and has yelled harshly enough for the older toddlers to cry or seek out another staff for comfort.”

Correction date in the state record: Apr 16, 2025

3270.123(a)(3) Services proceeded

“A renewal inspection was conducted 7/15/24. At that time, the child files were reviewed. The child service reports on file for Child #1, Child #3, Child #4, and Child #5 were not an OCDEL Approved Child Assessment.”

Correction date in the state record: Jul 24, 2024

3270.66(a) Locked or inaccessible

“A renewal inspection was conducted 7/15/24. At that time, Hello Bello sunscreen, labeled "keep out of reach of children" was observed in an open backpack in a floor level cubby of the Purple Cats Room, where it was accessible to the toddler children in the room.”

Correction date in the state record: Jul 15, 2024

3270.103 Small Toys and Objects

“A renewal inspection was conducted 7/15/24. At that time, plastic bags and plastic gloves were observed on the floor in the Khaki Kangaroos bathroom where they were accessible to the toddlers in care at that time. Plastic bags were observed in an open backpack in a floor level cubby in the Purple Cats room where they were accessible to the toddler children in the room.”

Correction date in the state record: Jul 15, 2024

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

“A renewal inspection was conducted 7/15/24. At that time, the child files were reviewed. The emergency contact form for Child #2, Child #4, and Child #5 did not include the address of the release persons.”

Correction date in the state record: Jul 24, 2024

3270.192(5) Two written references

“A renewal inspection was conducted 7/29/24. At that time, the staff files were reviewed. Staff Person #6 had only one letter of reference on file.”

Correction date in the state record: Aug 29, 2024

3270.36(b)(5)/3270.192(2)(ii) HS/GED + 2 yrs/Exp, educ., training prior to facility

“A renewal inspection was conducted 7/29/24. At that time, the staff files were reviewed. Staff Person #6 had verification of high school education on file but did not have verification of any child care experience to qualify as an assistant group supervisor. Staff Person #7 had verification of high school education on file but did not have verification of any child care experience to qualify as an assistant group supervisor. Staff Person #9 had verification of high school education on file but only had verification of 1.25 years of child care experience. Staff Person #9 needs an additional .75 years of child care experience to qualify as an assistant group supervisor.”

Correction date in the state record: Aug 12, 2024

3270.124(c) Each child care space

“A renewal inspection was conducted 7/15/24. At that time, there was no emergency contact information for the children in the infant group on the playground during the inspection.”

Correction date in the state record: Jul 19, 2024

3270.37(b)(1) HS/GED

“A renewal inspection was conducted 7/29/24. At that time, the staff files were reviewed. Staff Person #8 had education on file from El Salvador that had not been evaluated by a service that is a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE).”

Correction date in the state record: Aug 29, 2024

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

“A renewal inspection was conducted 7/15/24. At that time, information on how to access the regulations electronically had not been provided to parents.”

Correction date in the state record: Jul 15, 2024

3270.31(f) Health and Safety Training

“A renewal inspection was conducted 7/29/24. At that time, the staff files were reviewed. Staff Person #5, who was employed more than 90 days, has not yet completed the one hour health and safety training.”

Correction date in the state record: Aug 15, 2024

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

“A renewal inspection was conducted 7/15/24 and 7/29/24. At that time, the staff files were reviewed. The mandated reporter training for Staff Person #1 had not been updated within 60 months. The mandated reporter training on file for Staff Person #1 is 9/22/18. The PA state police clearance, PA child abuse clearance, and the DHS FBI Clearance for Staff Person #2 had not been updated within 60 months. The dates of the PA state police clearance for Staff Person #2 were 8/31/18 and 3/12/24. The dates of the PA child abuse clearance for Staff Person #2 were 9/10/18 and 3/12/24. The dates of the FBI Clearance for Staff Person #2 were 9/13/18 and 3/14/24. The PA state police clearance for Staff Person #3 had not been updated within 60 months. The dates of the PA state police clearance were 2/22/19 and 6/17/24. The FBI Clearance on file for Staff Person #3 was dated 2/27/19, which is more than 60 months old. There was no NSOR on file for Staff Person #5, who has been employed longer than 45 days. The NSOR certificate on file was not dated within 45 days of hire of Staff Person #8. The NSOR was dated 6/21/24. The requests for the NSOR were 3/25/24 and 4/22/24.”

Correction date in the state record: Jul 29, 2024

3270.135(a)(3) Disposable diapers

“A renewal inspection was conducted 7/15/24. At that time, the trash cans used for diapering were not hands-free in the infant room, the mobile infant room, the purple cats room, the orange giraffes room, the khaki kangaroos room, or the yellow ducks room.”

Correction date in the state record: Jul 24, 2024

3270.133(4) Locked

“A renewal inspection was conducted 7/15/24. At that time, diaper cream, labeled "keep out of reach of children" was observed in an open cubby in the Orange Giraffes Room, where it was accessible to the preschool children in the room.”

Correction date in the state record: Jul 15, 2024

3270.124(e) Written emergency plan posted

“A renewal inspection was conducted 7/15/24. At that time, an emergency transportation plan, including staffing provisions, was not displayed in each child care space or in the emergency backpacks.”

Correction date in the state record: Jul 16, 2024

3270.151(c)(3)/3270.151(c)(5) Exam communicable disease/Physician/CRNP assessment

“A renewal inspection was conducted 7/29/24. At that time, the staff files were reviewed. Staff Person #9 did not have a health assessment on file that included whether the staff was free from communicable diseases or suitable to provide child care.”

Correction date in the state record: Aug 29, 2024

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

“Staff person # 3 did not completed mandated reporter training in 60 months from 5/4/18 to 5/27/23. Staff person # 4 did not completed mandated reporter training in 60 months from 2/22/16 to 7/15/22. Staff person #5 did not completed mandated reporter training in 60 months from 5/5/18 to 6/10/23.”

Correction date in the state record: Jul 24, 2023

3270.27(f) Emergency plan

“The emergency plan was not sent to the emergency management agency or a local municipality in over 12 months since 10/1/21.”

Correction date in the state record: Jul 24, 2023

3270.133(3)/3270.133(5) Name on bottle/Original label

“Child # 3 has albuterol at facility that is not labeled. Child # 4 has Children's Allertec that expired in May 2023. Child # 8 has an Epi Pen at facility that has no prescription or label on the medication for the child.”

Correction date in the state record: Jul 24, 2023

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

“Staff person # 1 did not renew their pediatric first aid and cpr before expiration on 1/30/23. Staff person # 1 received pediatric first aid and cpr on 2/25/23. Staff person # 2 did not renew their pediatric first aid and cpr before expiration on 6/19/23. Staff person # 2 received pediatric first aid and cpr on 7/7/23.”

Correction date in the state record: Jul 24, 2023

3270.131(e)/3270.131(e)(1) ACIP recommended immunization record /Exemption documentation from parent/guardian

“Child # 2, 5 & 6 have influenza immunizations on file that are over 12 months old from 2020. Child # 2,5 & 6 do not have a note on file that they do not receive the influenza shot due to strong personal or religious reasons.”

Correction date in the state record: Jul 24, 2023

3270.123(a)(3) Services proceeded

“Child # 7 did not have a child service report completed in over 6 months from 10/24/22 o 5/1/23. The child service report on file does not have a parent or guardian signature.”

Correction date in the state record: Jul 24, 2023

3270.121(a)/3270.121(b) Review policies and procedures/Given parents in writing

“Child # 1 & # 2 enrolled and attending the facility did not have emergency contact forms completed at time of enrollment.”

Correction date in the state record: Jul 24, 2023

3270.76 Building Surfaces

“There are steak knives in an unlocked cabinet above a handwashing sink in the blue horse classroom accessible to the children.”

Correction date in the state record: Jul 24, 2023

3270.171(a) Pick-up and drop-off points

“The facility has not notified the local traffic safety authority the facilities use of pedestrian and vehicular routes around the facility in over 12 months since 10/1/21.”

Correction date in the state record: Jul 24, 2023

3270.66(a) Locked or inaccessible

“There is hand sanitizer spray on top of the paper towel dispenser accessible to the children in the teal turtle's classroom.”

Correction date in the state record: Jul 24, 2023

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

“Facility does not have a policy developed and implemented for understanding staff role and responsibility in prevention of shaken baby syndrome, abusive head trauma and child maltreatment.”

Correction date in the state record: Aug 10, 2022

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

“Facility staff # 1 did not complete fire safety training in over 12 months from 7/23/19 to 9/22/21.”

Correction date in the state record: Jul 28, 2022

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

“Staff person # 2 & # 3 have not completed the following pre-service training within 90 days of their date of hire: pediatric first aid and cpr. Facility staff # 3 did not complete professional development in health and safety within 90 days from time of hire.”

Correction date in the state record: Aug 13, 2022

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

“Staff person # 4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/17/16. Staff person # 6 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/22/16. Facility staff # 3 who has not lived in PA the past 5 years and is working in child care does not have out of state clearances on file. Facility staff # 5 who has not lived in PA the past 5 years and is working in child care does not have out of state clearances on file.”

Correction date in the state record: Jul 28, 2022

3270.75(c) Has all items

“The first aid kit in the toddler classroom does not have gloves.”

Correction date in the state record: Jul 28, 2022

3270.82(h) Handwashing signs

“The toddler classroom does not have a hand washing sign posted at the classroom sink to wash hands.”

Correction date in the state record: Jul 28, 2022

3270.106(a) Clean, age appropriate

“The toddler classroom and young toddler classroom do not have cot list for assigned cot numbers.”

Correction date in the state record: Jul 28, 2022

3270.124(b)(6) Insurance coverage information

“Child # 1 does not have medical policy number on file. Child # 4 does not have medical policy number on file. Child # 5 does not have the medical insurance policy name or number on file.”

Correction date in the state record: Aug 9, 2022

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

“Facility staff # 1 has a health assessment on file that is more than 24 months old from 7/23/20.”

Correction date in the state record: Aug 4, 2022

3270.182(3)/3270.182(5) Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

“Child # 1,2 & 5 do not have signed consent on file for emergency medical care or minor first aid treatment.”

Correction date in the state record: Sep 29, 2022

3270.192(2)(iv)/3270.192(5) Transcript, diploma and letters/Two written references

“Facility staff # 7 hired and working in child care does not have proof of education on file nor do they have 2 references on file. Facility staff # 8 hired and working in childcare only has 1 reference on file.”

Correction date in the state record: Aug 4, 2022

3270.131(a)/3270.131(e)(4) Health information/Annual immunization reporting to DOH

“Child # 2 & # 3 enrolled and attending facility, did not have a health assessment on file for over 60 days from date of enrollment.”

Correction date in the state record: Sep 29, 2022

3270.123(a)(6) Admission date

“Child # 3 does not have date of admission listed on file.”

Correction date in the state record: Aug 9, 2022

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

“On 12/20/21 a unannounced inspection was conducted on site. At the time of the inspection, fire alarm system testing and fire drill logs were reviewed. Facility has not tested the alarm system in over 30 days since 10/24/21 , which is the last documented alarm testing on file at facility.”

Correction date in the state record: Dec 20, 2021

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“A complaint investigation was conducted on 12/20/21. Certification rep spoke with facility staff regarding a concern that 7 school aged children were alone on the play ground outside sometime in Oct or Nov 2021 by another staff. Facility staff reported she did not witness it, however was told and was aware of it taking place. Cert rep then spoke with another facility staff member who reported they were made aware of the allegations but were told a staff member was watching the children on the playground from inside the facility peeking their head out to the playground.”

Correction date in the state record: Feb 12, 2022

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“A complaint investigation was conducted on 12/20/21. Certification rep spoke with facility staff regarding a concern that 7 school aged children were alone on the play ground outside sometime in Oct or Nov 2021 by another staff. Facility staff reported she did not witness it, however was told and was aware of it taking place. Cert rep then spoke with another facility staff member who reported they were made aware of the allegations but were told a staff member was watching the children on the playground from inside the facility peeking their head out to the playground.”

Correction date in the state record: Feb 12, 2022

3270.135(e) 2 hour diaper check

“A complaint investigation was conducted 12/20/21. Upon entering the infant and mobile infant classrooms, certification rep asked to see the diaper logs of a child in each classroom that arrived first for the day. Cert rep observed child #1's log and observed they arrived at 7:01 am, were diapered at 8:26 am last. It was 11:07 am when rep observed the log. In the mobile infant classroom, child # 2 arrived at 7:16 am and was just being diapered at 11 am when rep asked to see log. Both infants diapers were not checked or changed in over 2 hours.”

Correction date in the state record: Feb 12, 2022

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“A complaint investigation was conducted on 12/20/21. Certification rep spoke with facility staff regarding a concern that 7 school aged children were alone on the play ground outside sometime in Oct or Nov 2021 by another staff. Facility staff reported she did not witness it, however was told and was aware of it taking place. Cert rep then spoke with another facility staff member who reported they were made aware of the allegations but were told a staff member was watching the children on the playground from inside the facility peeking their head out to the playground.”

Correction date in the state record: Feb 12, 2022

3270.51 Similar Age Level

“A complaint investigation was conducted on 12/20/21. Upon arrival to the Pre K classroom (4 and 5 year old children), certification rep observed 1 staff with 16 children. Immediately following cert rep, facility person # 1 entered the classroom. When rep asked facility person # 1 where they came from, facility person # 1 stated the bathroom that is outside of the classroom.”

Correction date in the state record: Dec 20, 2021

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

“On 12/20/21 a unannounced inspection was conducted on site. At the time of the inspection, fire alarm system testing and fire drill logs were reviewed. Facility has not tested the alarm system in over 30 days since 10/24/21 , which is the last documented alarm testing on file at facility.”

Correction date in the state record: Dec 20, 2021

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“A complaint investigation was conducted on 12/20/21. Certification rep spoke with facility staff regarding a concern that 7 school aged children were alone on the play ground outside sometime in Oct or Nov 2021 by another staff. Facility staff reported she did not witness it, however was told and was aware of it taking place. Cert rep then spoke with another facility staff member who reported they were made aware of the allegations but were told a staff member was watching the children on the playground from inside the facility peeking their head out to the playground.”

Correction date in the state record: Feb 12, 2022

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“A complaint investigation was conducted on 12/20/21. Certification rep spoke with facility staff regarding a concern that 7 school aged children were alone on the play ground outside sometime in Oct or Nov 2021 by another staff. Facility staff reported she did not witness it, however was told and was aware of it taking place. Cert rep then spoke with another facility staff member who reported they were made aware of the allegations but were told a staff member was watching the children on the playground from inside the facility peeking their head out to the playground.”

Correction date in the state record: Feb 12, 2022

3270.135(e) 2 hour diaper check

“A complaint investigation was conducted 12/20/21. Upon entering the infant and mobile infant classrooms, certification rep asked to see the diaper logs of a child in each classroom that arrived first for the day. Cert rep observed child #1's log and observed they arrived at 7:01 am, were diapered at 8:26 am last. It was 11:07 am when rep observed the log. In the mobile infant classroom, child # 2 arrived at 7:16 am and was just being diapered at 11 am when rep asked to see log. Both infants diapers were not checked or changed in over 2 hours.”

Correction date in the state record: Feb 12, 2022

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“A complaint investigation was conducted on 12/20/21. Certification rep spoke with facility staff regarding a concern that 7 school aged children were alone on the play ground outside sometime in Oct or Nov 2021 by another staff. Facility staff reported she did not witness it, however was told and was aware of it taking place. Cert rep then spoke with another facility staff member who reported they were made aware of the allegations but were told a staff member was watching the children on the playground from inside the facility peeking their head out to the playground.”

Correction date in the state record: Feb 12, 2022

3270.51 Similar Age Level

“A complaint investigation was conducted on 12/20/21. Upon arrival to the Pre K classroom (4 and 5 year old children), certification rep observed 1 staff with 16 children. Immediately following cert rep, facility person # 1 entered the classroom. When rep asked facility person # 1 where they came from, facility person # 1 stated the bathroom that is outside of the classroom.”

Correction date in the state record: Dec 20, 2021

3270.27(c)/3270.34(a)(6) Training regarding plan/Staff evaluations

“Facility person # 1 has been employed at facility since 5/22/18 and does not have a staff evaluation on file and has not had emergency plan training in over a year since 5/29/18.”

Correction date in the state record: Nov 15, 2021

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

“Facility did not test alarm system in over 30 days from 2/7/21 to 4/2/21.”

Correction date in the state record: Nov 15, 2021

3270.161(a) Wholesome

“There is milk that expired 11/13/21 for the children in the Kacky Kangaroos classroom refrigerator.”

Correction date in the state record: Nov 15, 2021