Our Buddy's Place

3270.67(a) Trash removed once a day

“A trash can in the outside play space was observed containing garbage from days prior to the inspection.”

Correction date in the state record: Apr 13, 2026

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

“The two most recent parent review and signatures for the emergency contact forms on file for Child #2 (7/9/25 & 2/17/26), Child #5 (1/8/25 & 10/28/25), and Child #8 (7/9/25 & 2/8/26) are dated more than 6 months apart.”

Correction date in the state record: Apr 14, 2026

3270.124(b)(6) Insurance coverage information

“The emergency contact forms for Child #6 lacked the child's health insurance/MA policy number for the child's health care benefits.”

Correction date in the state record: Apr 14, 2026

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

“The emergency contact forms for Child #6 lacked the name of the child's physician or source of medical care.”

Correction date in the state record: Apr 13, 2026

3270.123(b)/3270.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

“The file for Child #1 contained the original financial agreement when the parent is to receive the original agreement.”

Correction date in the state record: Apr 13, 2026

3270.27(c) Training regarding plan

“The most recent emergency plan training on file for Staff #6 is dated 11/6/23, more than 12 months prior.”

Correction date in the state record: Apr 22, 2026

3270.31(f) Health and Safety Training

“Staff #2 did not complete the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): PA Required Health and Safety for Centers-Group Child Care Part 2. The training was completed on 4/13/26.”

Correction date in the state record: Apr 13, 2026

3270.151(c)(5) Physician/CRNP assessment

“The health assessment on file for Staff #1, dated 3/16/26, does not include the physician or health care professional's assessment of the staff person's suitability to provide child care.”

Correction date in the state record: Apr 14, 2026

3270.181(c) Emergency info/agreement updated 6 mos

“The two most recent parent review and signatures for the financial agreement forms on file for Child #2 (7/9/25 & 2/17/26), Child #5 (1/8/25 & 10/29/25), and Child #8 (7/9/25 & 2/8/26) are dated more than 6 months apart.”

Correction date in the state record: Apr 14, 2026

3270.31(e) Age and Training

“The file for Staff Person #3 contained 0 of 12 annual childcare training hours within the training timeframe of 6/2024-6/2025.”

Correction date in the state record: May 15, 2026

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

“The most recent annual traffic letter on file at the facility was dated 11/14/24, more than 12 months prior.”

Correction date in the state record: Apr 14, 2026

3270.133(5) Original label

“In the Older Toddler Room, an Epi-Pen labeled for Child #9 was observed with an expiration date of 11/2025. In the Toddler Room, an Epi-Pen labeled for Child #10 was observed with an expiration date of 3/2026.”

Correction date in the state record: Apr 13, 2026

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

“The immunization record for Child #3 (YT) lacked the following immunizations: 1 dose of DTAP, 1 dose of HiB, and 1 dose of Pneumococcal without a Letter of Exemption in the file. The immunization record for Child #4 (OT) lacked the following immunizations: 1 dose of Hepatitis A without a Letter of Exemption in the file. The immunization record for Child #6 (OT) lacked the following immunizations: 1 dose of DTAP, 1 dose of HiB, 1 dose of Pneumococcal, 1 dose of MMR, 1 dose of Varicella, and 2 doses of Hepatitis A without a Letter of Exemption in the file. Child #3, Child #4, and Child #6 must be dismissed from care by close of business on 4/13/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.”

Correction date in the state record: Apr 27, 2026

3270.131(b)(2)/3270.182(1) Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

“The two most recent health assessments on file for Child #6 (Older Toddler) are dated 1/15/25 & 4/1/26, more than 12 months apart. The two most recent health assessments on file for Child #7 (Preschool Age) are dated 9/24/24 & 11/13/25, more than 12 months apart.”

Correction date in the state record: Apr 13, 2026

3270.131(b)(1)/3270.182(1) Infant: updated health report every 6 months/Initial and subsequent health reports

“The most recent health assessment on file for Child #3 (Young Toddler) is dated 7/30/25, more than 6 months prior. The most recent health assessment on file for Child #5 (Young Toddler) is dated 8/18/25, more than 6 months prior.”

Correction date in the state record: May 15, 2026

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

“The file for Staff #1 lacked documentation of application of a FBI clearance prior to date of hire (SEE IS CODE SHEET) required for provisional hiring under the CPSL. The FBI clearance for Staff #1 was dated 3/24/26, after Staff #1's date of hire (SEE IS CODE SHEET). The two most recent Child Abuse clearances on file for Staff #4 are dated 1/19/21 and 1/26/26, more than 60 months apart. The two most recent NSOR certificates on file for Staff #7 (2/1/21 & 3/25/26) and Staff #8 (12/17/19 & 1/16/26), more than 60 months apart. The most recent FBI clearance on file for Staff #8 is dated 7/23/20, more than 60 months prior.”

Correction date in the state record: Apr 14, 2026

3270.32(a) Comply with CPSL

“The most recent mandated reporter training on file for Staff #4 (1/20/21) and Staff #8 (11/16/20) are dated more than 60 months prior.”

Correction date in the state record: Apr 13, 2026

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

“The two most recent health assessments on file for Staff #5 (11/27/23 & 2/17/26) and Staff #8 (5/22/23 & 11/5/25) are dated more than 24 months apart.”

Correction date in the state record: Apr 13, 2026

3270.184(a) Release of information

“Based on a conversation with Staff #1, the facility did not provide documentation from a child's file when it was requested by the parent.”

Correction date in the state record: Dec 24, 2025

3270.124(a) Each child emergency contact person

“The emergency contact form on file for Child #4 lacked the contact names and phone numbers for who shall be contacted in an emergency.”

Correction date in the state record: Nov 25, 2025

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

“The emergency contact form on file for Child #4 lacked the enrolling parents work address and work phone number.”

Correction date in the state record: Nov 14, 2025

3270.123(b)/3270.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

“The file for Child #1 contained the original financial agreement when the parent is to receive the original agreement.”

Correction date in the state record: Nov 14, 2025

3270.76 Building Surfaces

“In Pre-K 3, an accessible plastic pipe bracket was observed to be broken with rough edges and could be harmful to children.”

Correction date in the state record: Nov 14, 2025

3270.123(a)(6)/3270.182(2) Admission date/Application, admission, withdrawal dates

“The financial agreement form on file for Child #1 lacked the child's date of admission at the facility.”

Correction date in the state record: Nov 13, 2025

3270.77(a) No peeling paint or plaster

“Peeling paint next to the refrigerator and cracked paint/plaster at the top edge of the sink in the bathroom were observed in the Pre-K 3 classroom.”

Correction date in the state record: Dec 20, 2025

3270.36(b)(5) HS/GED + 2 yrs

“The file for Staff #1, classified as an assistant group supervisor, lacked documentation of a high school diploma or general education development certificate and 2 years of experience with children.”

Correction date in the state record: Nov 12, 2025

3270.124(b)(4)/3270.182(3) Written consent/Consent for emergency medical care required prior to admission

“The emergency contact form on file for Child #1 lacked the parent's signature giving the facility written consent to obtain emergency medical care.”

Correction date in the state record: Nov 13, 2025

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

“The emergency contact form for Child #2 lacked complete addresses and telephone numbers for all listed release persons.”

Correction date in the state record: Nov 21, 2025

3270.131(d)(4) Acute or chronic health problem

“The health assessment on file for Child #3 does not indicate if the child was assessed for acute or chronic health problems, special needs, and recommendations for treatment or services.”

Correction date in the state record: Nov 25, 2025

3270.131(b)(1)/3270.181(c) Infant: updated health report every 6 months/Emergency info/agreement updated 6 mos

“The two most recent health assessments on file Child #4 (Younger Toddler at the time) are dated 9/22/23 & 2/14/25, more than 6 months apart. The two most recent health assessments on file Child #5 (Younger Toddler at the time) are dated 10/7/24 & 10/7/25, more than 6 months apart.”

Correction date in the state record: Nov 24, 2025

3270.102(a) Clean and good repair

“Cracked vinyl was observed on the bench cushion in the Pre-K 4 classroom and was not in good repair. Foam blocks with teeth marks were observed in the K Prep classroom and were not in good repair. In the front outdoor play space, an exposed bolt was observed on a Little Tikes car and could be harmful to children.”

Correction date in the state record: Nov 14, 2025

3270.131(a)(4) Initial health report for school age; accordance with school attendance

“The initial health assessment on file for Child #1 (School Age), dated 8/10/23, was completed when the child was a preschool-aged child and not a school-aged child.”

Correction date in the state record: Jan 9, 2026

3270.123(a)(3) Services proceeded

“The two most recent child service reports on file for Child #4 are dated 2/4/25 & 10/9/25, more than 6 months apart. The most recent child service report on file for Child #5 is dated 2/4/25, more than 6 months prior.”

Correction date in the state record: Dec 1, 2025

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

“The facility's Shaken Baby Syndrome/Abusive Head Trauma policy lacked strategies for coping with a crying, fussing, or distraught child and the prevention and identification of child maltreatment. Staff #24 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 Hours) but has not completed the required health and safety update course listed Pennsylvania Health & Safety Update 2022 (1 hour) training. Staff #24 must complete PA Required Health & Safety for Centers-Group Child Care Part 1 and Part 2.”

Correction date in the state record: Dec 10, 2025

3270.27(a)(3) Contact when arises

“The facility's emergency plan lacked a method for the facility persons to contact parents as soon as reasonably possible when an emergency situation arises.”

Correction date in the state record: Dec 10, 2025

3270.27(a)(4) Contact when ended

“The facility's emergency plan lacked a method for facility persons to inform parents that the emergency plan has ended and how the facility will provide instruction as to how parents can safely be reunited with their children.”

Correction date in the state record: Dec 10, 2025

3270.27(c) Training regarding plan

“The initial emergency plan trainings on file for Staff #1 (10/8/25) and Staff #6 (10/8/25) are dated more than 90 days after the staff person's date of hire (SEE IS CODE SHEET).”

Correction date in the state record: Nov 14, 2025

3270.27(d) Plan posted

“At the time of inspection, the facility's emergency plan was not posted in a conspicuous location.”

Correction date in the state record: Nov 13, 2025

3270.27(e) Letter to parents

“The facility's emergency plan parent letter lacked the method to inform parents the emergency has ended, instructions for how to be safely reunited with their child, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.”

Correction date in the state record: Dec 10, 2025

3270.31(f) Health and Safety Training

“Staff #4, Staff #5, Staff #6 have not completed the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Pediatric First Aid/CPR training. Staff #6 did not complete the following required pre-service training within 90 days of their hire date (SEE IS CODE SHEET): PA Required Health and Safety for Centers-Group Child Care Part 1 & Part 2. The trainings were completed on 10/28/25 and 10/29/25.”

Correction date in the state record: Nov 14, 2025

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

“Staff #4 has not completed mandated reporter training within 90 days of their date of hire (SEE IS CODE SHEET). The two most recent mandated reporter trainings on file for Staff #9 (3/5/20 & 7/18/25), Staff #12 (6/19/20 & 8/8/25), and Staff #15 (11/19/19 & 1/6/25) are dated more than 60 months apart.”

Correction date in the state record: Nov 12, 2025

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

“The PA State Police clearance on file for Staff #3 was requested on 11/7/25, which is more than 45 days after Staff #3's date of hire, and was in a pending status at the time of inspection. The file for Staff #6 contained an NSOR certificate dated 11/10/25, beyond Staff #6's date of hire, as required by Announcement C-25-01 (SEE IS CODE SHEET). The two most recent NSOR certificates on file for Staff #8 (1/16/20 & 7/23/25), Staff #14 (1/17/20 & 9/10/25), Staff #15 (5/19/20 & 10/9/25), and Staff #23 (1/17/20 & 7/25/25) are dated more than 60 months apart. The two most recent PA State Police clearances on file for Staff #9 (3/8/20 & 7/8/25), Staff #11 (5/17/20 & 7/21/25), Staff #19 (5/17/20 & 7/21/25), and Staff #24 (12/6/18 & 11/4/25) are dated more than 60 months apart. The two most recent Child Abuse clearances on file for Staff #9 (6/8/20 & 7/24/25), Staff #11 (5/24/20 & 7/23/25), Staff #14 (5/24/20 & 5/29/25), Staff #19 (5/24/20 & 7/23/25), Staff #21 (5/26/20 & 8/3/25), Staff #23 (5/24/20 & 7/23/25), and Staff #24 (12/12/18 & 11/7/25) are dated more than 60 months apart. The two most recent FBI clearances on file for Staff #9 (3/9/20 & 8/5/25) and Staff #24 (12/27/18 & 8/1/23) are dated more than 60 months apart. The most recent Child Abuse clearance on file for Staff #17 is dated 11/12/20, more than 60 months prior. The most recent FBI clearance on file for Staff #21 is dated 10/14/20, more than 60 months prior. The most recent NSOR certificates on file for Staff #17 (1/14/20) and Staff #21 (1/14/20), Staff #22 (1/14/20), more than 60 months prior.”

Correction date in the state record: Dec 10, 2025

3270.34(a)(6) Staff evaluations

“The staff evaluation on file for Staff #7 is dated 9/1/25, more than 12 months from the staff person's date of hire (SEE IS CODE SHEET).”

Correction date in the state record: Nov 12, 2025

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

“The most recent health assessment on file for Child #4 (Older Toddler), dated 2/14/25, lacked documentation of immunizations and did not have a letter of exemption on file from the parent. The immunization record for Child #6 (Infant) lacked the following immunizations: 2 doses of DTAP, 1 dose of Hib, 2 doses of Pneumococcal, and 1 dose of Polio without a Letter of Exemption in the file. Child #4 and Child #6 must be dismissed from care by close of business on 11/12/25 and may only return to care when an immunization record is provided or when a parent provides a written, signed exemption letter.”

Correction date in the state record: Nov 13, 2025

3270.133(5) Original label

“An Epi Pen for Child #7, with an expiration date of 11/2024, was observed in the Older Toddler classroom.”

Correction date in the state record: Nov 12, 2025

3270.135(a)(3) Disposable diapers

“In the Older Toddler classroom, diapers were observed in an unlidded garbage can.”

Correction date in the state record: Nov 14, 2025

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

“The initial health assessment on file for Staff #2 (9/18/25) is dated after the staff person's date of hire (SEE IS CODE SHEET). The two most recent health assessments on file for Staff #9 (8/10/22 & 1/5/25), Staff #14 (11/1/22 & 4/7/25), Staff #16 (7/12/23 & 10/1/25), Staff #18 (8/22/23 & 10/31/25), Staff #19 (5/17/23 & 10/28/25), and Staff #20 (3/5/23 & 7/23/25) are dated more than 24 months apart. The most recent health assessment on file for Staff #12 contained a date that was illegible, making the health assessment unacceptable.”

Correction date in the state record: Nov 13, 2025

3270.151(b) Conducted by physician, PA or CRNP

“The most recent health assessment on file for Staff #13, dated 7/29/25, lacked the title of the health care provider who completed the form.”

Correction date in the state record: Nov 21, 2025

3270.151(c)(3) Exam communicable disease

“The current health assessment on file for Staff #10, dated 11/2/25, indicates that the staff person has a communicable/contagious disease, with no additional information given.”

Correction date in the state record: Nov 21, 2025

3270.181(c) Emergency info/agreement updated 6 mos

“The most recent parent review and signature for the financial agreement form on file for Child #1 is dated 3/25/24, more than 6 months prior. The file for Child #4 (1/10/25 & 10/29/25) and Child #5 (11/7/24 & 10/28/25) contained an emergency contact form that was reviewed and updated by the parent more than 6 months apart.”

Correction date in the state record: Nov 21, 2025

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

“The emergency contact form on file for Child #1 lacked the parent's signature giving the facility written consent to administer minor first aid.”

Correction date in the state record: Nov 14, 2025

3270.192(5) Two written references

“The file for Staff #6 contained 1 nonfamily written reference letter.”

Correction date in the state record: Nov 13, 2025

3270.27(a)(5) Emergency plan

“The facility's emergency plan lacked accommodations for children with disabilities and children with chronic medical conditions.”

Correction date in the state record: Dec 10, 2025

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

“The fire alarm 30-day test log includes test dates 1/10/25-2/10/25, 3/10/25-4/10/25, 5/9/25-6/9/25, 6/9/25-7/9/25, and 8/8/25-9/8/25, more than 30 days apart. The most recent documented fire alarm testing was dated 10/8/25, more than 30 days prior.”

Correction date in the state record: Nov 12, 2025

3270.27(a)(1) Emergency plan

“The facility's emergency plan lacked plans for the sheltering of children during an emergency including lock-down, shelter in place at the facility, and shelter at locations away from the facility premises.”

Correction date in the state record: Dec 10, 2025

3270.27(a)(2) Emergency plan

“The facility's emergency plan lacked plans for evacuating children from the facility building and evacuating children to a location away from the facility premises.”

Correction date in the state record: Dec 10, 2025

3270.31(e) Age and Training

“The file for Staff #22 (contained 11 of 12) and Staff #23 (contained 3 of 12) lacked 12 annual childcare training hours within the training timeframe of 12/2023-12/2024.”

Correction date in the state record: Nov 13, 2025

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

“The most recent parent review and signature for the emergency contact form on file for Child #1 is dated 3/25/24, more than 6 months prior. The file for Child #4 (1/10/25 & 10/29/25) and Child #5 (11/7/24 & 11/3/25) contained an emergency contact form that was reviewed and updated by the parent more than 6 months apart.”

Correction date in the state record: Nov 21, 2025

3270.37(b)(1)/3270.192(2)(iii) HS/GED/Exp, educ., training at facility

“The file for Staff #14, classified as an Aide, lacked documentation of a high school diploma or general education development certificate.”

Correction date in the state record: Nov 30, 2024

3270.34(a)(6) Staff evaluations

“The two most recent evaluations on file for Staff #3 are dated 4/12/23 & 10/9/24, more than 12 months apart.”

Correction date in the state record: Dec 11, 2024

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

“The most recent Child Abuse clearance on file for Staff #2 is dated 10/18/19, more than 60 months prior. The most recent NSOR certificate on file for Staff #4 is dated 11/6/19, more than 60 months prior. The file for Staff #13 contained an FBI application dated 4/9/24, which is after the date of hire for Staff #13 (SEE IS CODE SHEET). The file for Staff #15 lacks an NSOR certificate and contained an NSOR request form dated 8/13/24. The file for Staff #16 contained a State Police clearance dated 8/24/19, a Child Abuse clearance dated 9/3/19, and a FBI clearance dated 8/27/19, which the State Police, Child Abuse, and FBI clearances are more than 60 months prior. The two most recent Child Abuse clearances dated 10/9/19 & 10/17/24 are more than 60 months apart. The most recent NSOR certificate on file for Staff #17 is dated 10/5/19, more than 60 months prior. Staff Person #2, #4, #15, #16, and #17 may not work in a child care position at the facility.”

Correction date in the state record: Dec 20, 2024

3270.123(b)/3270.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

“The files for Child #1-Child #10 contained the original agreement form. The parent is to receive the original agreement form and the facility shall retain a copy of the agreement.”

Correction date in the state record: Nov 18, 2024

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

“The Emergency Contact form on file for Child #9 lacked the enrolling parent's work phone number.”

Correction date in the state record: Nov 18, 2024

3270.124(b)(6) Insurance coverage information

“The Emergency Contact form on file for Child #2 lacked the child's health insurance/medical assistance policy number.”

Correction date in the state record: Nov 18, 2024

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

“The Emergency Contact forms on file for Child #4 and Child #7 lacked complete addresses of the individual designated by the parent to whom the child may be released.”

Correction date in the state record: Nov 18, 2024

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

“The most recent mandated reporter training on file for Staff #7 is dated 7/3/19, more than 60 months prior.”

Correction date in the state record: Dec 20, 2024

3270.31(f)/3270.192(2)(iii) Health and Safety Training/Exp, educ., training at facility

“The files for Staff #12, #13, and #16 lacked Pediatric First Aid/CPR training within 90 days of their date of hire (SEE IS CODE SHEET).”

Correction date in the state record: Dec 7, 2024

3270.31(e)(4)(i)/3270.192(2)(iii) Age and Training/Exp, educ., training at facility

“The two most recent Pediatric First Aid/CPR trainings on file for Staff #7 are dated 11/1/21 & 3/16/24, more than 24 months apart. The most recent Pediatric First Aid/CPR training on file for Staff #17 is dated 9/24/22, more than 24 months prior.”

Correction date in the state record: Dec 7, 2024

3270.27(c) Training regarding plan

“The Emergency Plan training on file for Staff #2, #4, #5, #8, and #9 were dated 8/11/23 & 10/10/24, more than 12 months apart. The initial Emergency Plan training on file for Staff #6, #13, and #14 were dated 10/10/24, more than 90 days beyond their date of hire (SEE IS CODE SHEET). The only Emergency Plan training on file for Staff #17 and Staff #18 are dated 10/10/24 and none prior.”

Correction date in the state record: Dec 3, 2024

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

“The facility's Emergency Plan lacked a Continuity of Operations Policy. Staff #1 completed the 6-hour Health and Safety Basics training prior to 9/30/16, but lacked the 10 hour Get Started with Center-Based Care: Building Blocks for Quality.”

Correction date in the state record: Nov 24, 2024

3270.131(b)(2)/3270.182(1) Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

“The most recent health assessment on file for Child #3 (dated 2/13/23) and Child #4 (dated 8/17/23) are dated more than 12 months prior.”

Correction date in the state record: Dec 20, 2024

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

“Child file #1 (Infant) lacked updated written verification of ongoing administered vaccines: 2 Doses of Hep B, 2 Doses of Rotavirus, 1 Dose of DTAP, 1 Dose of HiB, 2 Doses of Pneumococcal and 2 Doses of Polio with no Letter of Exemption in the File. Child file #2 (Infant) lacked updated written verification of ongoing administered vaccines: 1 Dose of DTAP and 1 Dose of Pneumococcal with no Letter of Exemption in the File. Child file #3 (Older Toddler) lacked updated written verification of ongoing administered vaccines: 1 Dose of Hep B, 2 Doses of Rotavirus, 4 Doses of DTAP, 3 Doses of HiB, 4 Doses of Pneumococcal, 3 Doses of Polio, 1 Dose of MMR, 1 Dose of Varicella, and 1 Dose of Hepatitis A with no Letter of Exemption in the File. Child file #4 (Older Toddler) lacked updated written verification of ongoing administered vaccines: 2 Doses of DTAP, 1 Doses of HiB, 2 Doses of Pneumococcal, 1 Doses of Polio, 1 Dose of MMR, 1 Dose of Varicella, and 1 Dose of Hepatitis A with no Letter of Exemption in the File. Child file #8 (Preschool Age) lacked updated written verification of ongoing administered vaccines: 3 Doses of Rotavirus, 3 Doses of HiB, 3 Doses of Pneumococcal with no Letter of Exemption in the File. Child #1, #2, #3, #4, and #8 must be dismissed from care by close of business on 11/14/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.”

Correction date in the state record: Dec 20, 2024

3270.133(1) Original container

“In Room 2, a medication for Child #11 lacked a prescription and the original container in which it was received.”

Correction date in the state record: Nov 15, 2024

3270.134(a) Child's hands washed

“In the Older Toddler room, Staff #15 was observed during a diaper change and did not wash the Child #12's hands after being diapered.”

Correction date in the state record: Dec 2, 2024

3270.27(a)(6) Emergency plan

“The facility lacked documentation that an Emergency Drill was conducted within the last 12 months.”

Correction date in the state record: Dec 11, 2024

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

“Based on a conversation with the operator, the facility has the ability to test the fire detection system and has not tested and documented it every 30 days.”

Correction date in the state record: Nov 18, 2024

3270.27(f) Emergency plan

“The facility lacked documentation that the Emergency Plan and subsequent plan updates were sent to the local municipality and to the county emergency management agency.”

Correction date in the state record: Dec 10, 2024

3270.31(e) Age and Training

“The file for Staff #8 contained 10 of 12 annual training hours during the timeframe of 1/21/23-1/21/24. The file for Staff #18 contained 6 of 12 annual training hours during the timeframe of 12/19/22-12/19/23.”

Correction date in the state record: Dec 10, 2024

3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports

“The initial health assessment on file for Child #2 lacked a date, making the health assessment invalid.”

Correction date in the state record: Nov 18, 2024

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

“The facility lacked an annual written notification to local traffic safety authorities of the location of the facility & the program's use of pedestrian and vehicular routes around the facility.”

Correction date in the state record: Dec 11, 2024

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

“The most recent health assessments on file for Staff #4 (dated 4/11/22) and Staff #9 (dated 8/10/22) are dated more than 24 months prior.”

Correction date in the state record: Dec 20, 2024

3270.151(c)(2)/3270.192(3) Mantoux TB/Health assessment, TB test

“The files for Staff #5 (dated 10/11/16) and Staff #17 (dated 5/16/08) contained TB tests dated more than 1 year prior to their date of hire (SEE IS CODE SHEET). The file for Staff #6 did not contain a TB test by date of hire (SEE IS CODE SHEET).”

Correction date in the state record: Dec 9, 2024

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

“The most recent Pediatric First Aid/CPR training dated 3/16/24 for Staff #11 was not in the file at the time of inspection.”

Correction date in the state record: Nov 15, 2024

3270.123(a)(3) Services proceeded

“The Financial Agreement form on file for Child #6 lacked the services provided by the facility.”

Correction date in the state record: Nov 18, 2024

3270.102(a) Clean and good repair

“Broken magnatiles were observed in Room 4, a piece of cracked wood was observed on top of a play kitchen in Room 1, and a broken faucet on a play kitchen in Room 2 was completely detached, which could be harmful to children. In the Outdoor Play Space, a large hole in the grassy area near the fence was observed and could be a tripping hazard to children.”

Correction date in the state record: Nov 15, 2024

3270.69(b) 110º F or less

“The water in the sink in the Pre-K 3 classroom measured 119 degrees Fahrenheit.”

Correction date in the state record: Nov 15, 2024

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

“In the Older Toddler room, a trash can in the bathroom was observed unlined and containing human secretions.”

Correction date in the state record: Nov 16, 2024

3270.123(a)(4) Arrival/departure times

“The Financial Agreement form on file for Child #6 lacked arrival and departure times.”

Correction date in the state record: Nov 18, 2024

3270.123(a)(5) Designated release persons

“The Financial Agreement forms for Child #3, Child #6, and Child #9 lacked persons designated by the parent to whom the child may be released.”

Correction date in the state record: Nov 18, 2024

3270.37(c) Aides supervised all times

“In the Older Toddler room, Staff #3 and Staff #15, both classified as Aides, were observed working together and were not supervised by a staff person qualified at minimum as an assistant group supervisor.”

Correction date in the state record: Nov 15, 2024

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

“Immunization record in the file for Child #1 (INF) was dated more than 60 days after initial enrollment.”

Correction date in the state record: Dec 14, 2023

3270.131(a) Health information

“The initial health assessment for Child File #1 was dated 10/30/2023 which is later than 60 days from the first day of attendance at the facility.”

Correction date in the state record: Dec 14, 2023

3270.131(b)(1)/3270.182(1) Infant: updated health report every 6 months/Initial and subsequent health reports

“The file for Child #3 (YT) lacked an Updated Health Report within the last year.”

Correction date in the state record: Jan 2, 2023

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

“The Emergency Contact Form for Child #5 and #6 lacked a signature for "Consent for Minor First Aid."”

Correction date in the state record: Jan 23, 2023

3270.124(b)(4)/3270.182(3) Written consent/Consent for emergency medical care required prior to admission

“The emergency contact form for Child #5 and #6 lacked written parental consent for emergency medical care.”

Correction date in the state record: Jan 23, 2023

3270.131(b)(2)/3270.182(1) Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

“The file for Child #7 (OT) had an Updated Health Assessment more than 12 months past the initial health assessment.”

Correction date in the state record: Jan 20, 2023

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

“The Emergency Contact forms for child files #1, #2, #3 and #4 lacked the address of the listed release person.”

Correction date in the state record: Jan 23, 2023

3270.21 General Health and Safety

“In the Pre-K 3 room, thumb tacks were in the upper right-hand drawer of the teacher's desk which pose a cutting or puncture hazard.”

Correction date in the state record: Jan 20, 2023

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

“Mandated Reporter Training for staff #1, #2 #4, #5 and #10 was dated more than 60 months ago.”

Correction date in the state record: Jan 20, 2023

3270.66(a) Locked or inaccessible

“In the Pre-K 3 Room, Bath and Body hand sanitizer which was labeled, "Keep out of the reach of children" and a safety pin was accessible to children while they were in the room in the unlocked upper right-hand drawer of the teacher's desk.”

Correction date in the state record: Jan 20, 2023

3270.102(a) Clean and good repair

“In the Pre-K 1 room, a clear bin with instruments had a crack on the side and a green bin with a chipped corner which poses a cutting hazard. In the Pre-K 2 room a clear bin with toys was cracked on the top corner which poses a cutting hazard. In the Pre-K 3 room, a wooden box, with toys, had wood which was cracked posing a cutting or splintering hazard.”

Correction date in the state record: Jan 20, 2023

3270.103 Small Toys and Objects

“Styrofoam blocks (Soft Blocks) had teeth marks and pieces bitten off various Styrofoam blocks which were accessible to children who are still placing objects in their mouths.”

Correction date in the state record: Jan 20, 2023

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

“Facility Files lacked proof of purchase for the fire detection system.”

Correction date in the state record: Jan 20, 2023

3270.32(a) Comply with CPSL

“The two most recent FBI Clearances for Staff #1, #4, and #5 were dated more than 60 months apart.”

Correction date in the state record: Jan 20, 2023

3270.27(c) Training regarding plan

“Staff files #4, and #5 lacked documentation of emergency plan training conducted at initial hire. Staff file #6 lacked documentation of emergency plan training conducted annually.”

Correction date in the state record: Jan 7, 2022

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

“Staff file #8 contained documentation of mandated reporter training completed 1/21/15 and 11/12/20 which exceeded the 60 months as required by CPSL.”

Correction date in the state record: Jan 7, 2022

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

“Staff file #1 contained an NSOR Verification Form dated 11/12/20 which was after the required date of 7/1/20. Staff file #5, DOH 9/13/21, contained a request for NSOR Verification dated 9/20/21 which was after hire.”

Correction date in the state record: Jan 7, 2022

3270.34(a)(6) Staff evaluations

“Staff files #6, #7, #8 and #9 contained staff evaluations which were completed more than 12 months apart.”

Correction date in the state record: Jan 7, 2022

3270.74/3270.124(e) Emergency Numbers Posted/Written emergency plan posted

“The preschool/school age room lacked the telephone numbers for the hospital, police, fire, ambulance and poison control and the emergency transportation plan posted in the room.”

Correction date in the state record: Jan 7, 2022

3270.82(h) Handwashing signs

“The preschool/school age room bathrooms lacked handwashing signs at each toilet stall.”

Correction date in the state record: Jan 7, 2022

3270.102(a) Clean and good repair

“The grey and white shelves in the preschool/school age room were loose posing pinch points to the children.”

Correction date in the state record: Jan 7, 2022

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

“Staff files #2, #3 and #4 lacked documentation of completion of training in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.”

Correction date in the state record: Jan 7, 2022

3270.27(a)(6) Emergency plan

“The facility lacked documentation of an emergency drill conducted annually.”

Correction date in the state record: Jan 7, 2022

3270.133(6)/3270.133(7) Written consent/Medication log

“An infant child had Orajel to be administered that lacked parental consent and a medication log.”

Correction date in the state record: Jan 7, 2022

3270.135(a)(3) Disposable diapers

“The older toddler room had a hands free can in the bathroom for disposal of diapers that lacked a plastic liner.”

Correction date in the state record: Jan 7, 2022

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

“Child file #4 lacked parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.”

Correction date in the state record: Jan 7, 2022

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

“Child files #1, #2, #3, #4, #5 and #6 lacked documentation of influenza vaccination in accordance with the schedule recommended by the ACIP.”

Correction date in the state record: Jan 7, 2022