Sheryl Buffingtons Daycare Preschool Palace

3270.76 Building Surfaces

“In the homework hall, the windowsill had visible dirt including dead bugs.”

Correction date in the state record: Feb 13, 2026

3270.102(g) Hazardous toys and equipment

“In the infant room, there was a 4moms baby swing that had been recalled by the United States Consumer Product Safety Commission.”

Correction date in the state record: Feb 13, 2026

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

“The file for child #2 lacked an initial health assessment for a school-age child in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).”

Correction date in the state record: Feb 13, 2026

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

“The file for child #1, a preschooler, had health assessments that exceeded 12 months between assessments.”

Correction date in the state record: Feb 13, 2026

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

“The file for staff person #4 had a health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.”

Correction date in the state record: Feb 17, 2026

3270.31(e) Age and Training

“The file for staff person #1 lacked 2.5 of the 12 required hours of annual child care training. The file for staff person #2 lacked 1.5 of the 12 required hours of annual child care training.”

Correction date in the state record: Feb 16, 2026

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

“The files for staff person #1, #2, and #4 lacked current fire safety training completed within the last year. The file for staff person #5 had fire safety trainings that exceeded a year between trainings.”

Correction date in the state record: Feb 16, 2026

3270.31(f) Health and Safety Training

“Staff person #1 and #6 completed the following required pre-service training on 12-1-25 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.”

Correction date in the state record: Feb 13, 2026

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

“The file for staff person #5 had FBI clearances that exceeded 60 months between clearances.”

Correction date in the state record: Feb 13, 2026

3270.65 Protective Outlet Covers 5 yrs. or less

“In the great hall, there was a power strip on the back wall that had 2 electrical outlets that lacked outlet covers and was accessible to children 5 years of age and younger.”

Correction date in the state record: Feb 13, 2026

3270.72(d) Above ground window opening restricted to 6"

“In the upstairs preschool room on the second floor, the back window that was accessible to children was not restricted to open 6 or fewer inches.”

Correction date in the state record: Feb 13, 2026

3270.75(a) In child care spaces

“The homework hall lacked a first-aid kit.”

Correction date in the state record: Feb 13, 2026

3270.77(a) No peeling paint or plaster

“In the toddler room, there was one area of peeling paint on the far blue wall.”

Correction date in the state record: Feb 13, 2026

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

“According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 2-13-25 to 3-18-25.”

Correction date in the state record: Aug 28, 2025

3270.151(c)(5) Physician/CRNP assessment

“The file for staff person #1 had a health assessment that said the person was not suitable to provide child care and lacked an explanation from the physician or CRNP.”

Correction date in the state record: Aug 28, 2025

3270.135(a)(3) Disposable diapers

“In the 3 year old room, the diapering can near the sink and changing area contained diapers/pull-ups and was not plastic-lined inside the hands-free covered can.”

Correction date in the state record: Aug 28, 2025

3270.65 Protective Outlet Covers 5 yrs. or less

“In the toddler room, a power strip that was plugged into an outlet in the back left corner of the room lacked 6 outlet covers and was accessible to children 5 years of age and younger.”

Correction date in the state record: Aug 28, 2025

3270.66(a) Locked or inaccessible

“On the toddler play space on a shelf, there was a bottle of Purell Hand Sanitizer that was labeled "Keep out of reach of children" and was accessible to children. In the large preschool/school-age room in an unlocked drawer in a desk, there was a bag of Luden's Wild Cherry Throat Drops that was labeled "Keep out of reach of children" and was accessible to children.”

Correction date in the state record: Aug 28, 2025

3270.76 Building Surfaces

“On the upper preschool play space, there were multiple areas of the green carpet surface that were torn, not secured on the ground, and had overlapping areas of the carpet that resulted in a tripping hazard. On the toddler play space, there was a piece of metal wire that was protruding out from the top of the fence that had sharp edges and was accessible to children. In the preschool bathroom downstairs in the last stall, there was a board with knobs attached for hanging coats that was leaning against the wall and was a visible hazard.”

Correction date in the state record: Sep 3, 2025

3270.133(3) Name on bottle

“In the infant room, there was a bottle of Up & Up Infants' Acetaminophen that was not labeled with the child's name. In the toddler room, there was a bottle of Parent's Choice Infant Ibuprofen that was not labeled with the child's name.”

Correction date in the state record: Aug 29, 2025

3270.133(4) Locked

“In the toddler room, there was an open bag on the floor in a child's cubby that contained a bottle of Parent's Choice Infant Ibuprofen that was accessible to children.”

Correction date in the state record: Aug 28, 2025

3270.77(a) No peeling paint or plaster

“In the infant room, there was peeling paint on the wall in a couple areas in the back left corner behind a chair. In the 3 year old room downstairs, there were multiple areas of peeling paint on the wall to the left of the sink and one area on the wall to the left of the freezer. In the toddler room, there were a couple areas of peeling paint on the right wall.”

Correction date in the state record: Aug 28, 2025

3270.124(c) Each child care space

“On the outdoor toddler play space, the emergency contact forms were not present on the play space for the preschoolers, young toddlers, and older toddlers that were receiving care on the play space.”

Correction date in the state record: Aug 28, 2025

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

“The file for staff person #1 lacked a disclosure statement.”

Correction date in the state record: Aug 28, 2025

3270.66(a) Locked or inaccessible

“In the Great Hall, there were multiple bottles of hand sanitizers, including Bath & Body Works Hand Sanitizer, in an unlocked drawer in the desk that were labeled "Keep out of reach of children" and were accessible to children.”

Correction date in the state record: Feb 13, 2025

3270.32(a) Comply with CPSL

“Staff person #1 completed mandated reporter training on 6-9-24 that was over 90 days after their date of hire. (see LIS code sheet)”

Correction date in the state record: Feb 13, 2025

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

“Staff person #1, prior to their hire date, had completed the health and safety course titled Health and Safety Basics: Requirements for Certification (6 hours) and had the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training dated 6-14-24 that was over 90 days after their date of hire.”

Correction date in the state record: Feb 13, 2025

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

“The file for staff person #3 had current pediatric first-aid/CPR training with a completion date of 6-10-24 that was after the May 2024 expiration of the prior training.”

Correction date in the state record: Feb 13, 2025

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

“The file for staff person #3 had fire safety training that exceeded a year between trainings.”

Correction date in the state record: Feb 13, 2025

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

“The file for staff person #3 had state police clearances, child abuse clearances, FBI clearances, and NSOR verification certificates that exceeded 60 months between clearances/certificates.”

Correction date in the state record: Feb 13, 2025

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

“According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 4-3-24 to 6-19-24 and 7-12-24 to 8-12-24.”

Correction date in the state record: Feb 13, 2025

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

“The files for staff person #2 and #4 had a health assessment that exceeded 24 months between assessments.”

Correction date in the state record: Feb 13, 2025

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 #1 lacked an initial health assessment for a school-age child in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).”

Correction date in the state record: Feb 13, 2025

3270.77(a) No peeling paint or plaster

“In the back left room on the bottom floor, there was peeling paint in a few areas on the small wall that's connected to the back wall and one area in the back right corner. In the toddler towers room, there were a few areas of peeling paint on the left wall and one area on the right wall. In the infant room, there were multiple areas of peeling paint on the back wall.”

Correction date in the state record: Feb 13, 2025

3270.76 Building Surfaces

“On the front preschool play space, there were multiple bolts on the base of the awnings that were protruding upwards and were a visible hazard. On the back preschool play space near the back left corner, a piece of the fence had come apart and was on the ground leaving a gap in the fence. There was a stake in the ground near that area of the fence that had sharp edges on top and was accessible to children.”

Correction date in the state record: Mar 28, 2025

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

“The file for child #7 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.”

Correction date in the state record: Apr 26, 2024

3270.124(b)(6) Insurance coverage information

“The file for child #7 had an emergency contact form that lacked the name of the health insurance and the policy number.”

Correction date in the state record: Apr 26, 2024

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

“The files for child #2 and #4 had an emergency contact form that lacked the telephone number of the child's physician.”

Correction date in the state record: Apr 26, 2024

3270.151(c)(2) Mantoux TB

“The file for staff person #3 had a tuberculosis screening by the Mantoux method that was dated after initial employment at the facility.”

Correction date in the state record: Mar 5, 2024

3270.77(a) No peeling paint or plaster

“In the infant room, there was peeling paint in one area on the back wall.”

Correction date in the state record: Apr 26, 2024

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

“The emergency plan lacked requirements for continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).”

Correction date in the state record: Apr 26, 2024

3270.133(6) Written consent

“In the infant/young toddler room, there was Children's Tylenol for child #8 that lacked written parental consent for administration of the medication. In the infant/young toddler room, there was Mommy Bliss Gripe Water for child #3 that lacked written parental consent for administration of the medication.”

Correction date in the state record: Apr 26, 2024

3270.76 Building Surfaces

“On the preschool play space, there was a wooden stake with sharp edges that was protruding out near the back fence and was accessible to children.”

Correction date in the state record: Mar 5, 2024

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

“The file for child #2, a 6 month old enrolled more than 60 days at the facility, lacked documentation of the 1st & 2nd Hepatitis B, DTAP, HIB, Pneumococcal, & Polio vaccinations and the 2nd Rotavirus vaccination being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #3, a 2 year old enrolled more than 60 days at the facility, lacked documentation of the 2nd Hepatitis A vaccination being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #4, a 1 year old enrolled more than 60 days at the facility, lacked documentation of the 4th DTAP & Pneumococcal vaccinations and the 1st MMR & Varicella vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.”

Correction date in the state record: Mar 11, 2024

3270.67(b) Trash removed grounds once/week

“On the toddler play space, there was a trash can that contained trash inside that had not been removed from the facility grounds in over a week. According to staff, the outdoor play space had not been used in months.”

Correction date in the state record: Mar 5, 2024

3270.27(e) Letter to parents

“The facility lacked a letter to provide to the parent of each enrolled child explaining the emergency procedures.”

Correction date in the state record: Apr 26, 2024

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

“The file for staff person #4, hired provisionally, lacked an FBI clearance or verification of being fingerprinted for the FBI clearance at their start date to be a provisional hire and requires a current FBI clearance.”

Correction date in the state record: Mar 7, 2024

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

“The file for staff person #1, functioning as a staff person, lacked verification of education to qualify as a staff person.”

Correction date in the state record: Apr 26, 2024

3270.37(b)(2)/3270.192(2)(ii) 8th grade & enrolled in training/Exp, educ., training prior to facility

“The file for staff person #2, functioning as an aide, lacked verification of child care experience to qualify as an aide.”

Correction date in the state record: Apr 26, 2024

3270.66(a) Locked or inaccessible

“In the preschool palace room, there were multiple bottles of hand sanitizer that were under the sink in an unlocked cabinet and bottles of Bic Cover-It Correction Fluid and The Original Super Glue in a bin that were labeled "Keep out of reach of children" and were accessible to children. In the great hall, there were multiple bottles of hand sanitizer on the table that were labeled "Keep out of reach of children" and were accessible to children. On the toddler play space, there were multiple bottles of hand sanitizer in a bin on a shelf that were labeled "Keep out of reach of children" and were accessible to children. In the downstairs hallway, there was a container of Boudreaux's Butt Paste labeled "Keep out of reach of children" that was in a child's open backpack that was hanging on a hook on the wall near the entrance and was accessible to children.”

Correction date in the state record: Mar 5, 2024

3270.105 High Chairs

“In the infant room, there was a highchair that was missing the center strap for the T-shaped safety strap.”

Correction date in the state record: Mar 5, 2024

3270.107 Refrigerator

“In the great hall, the refrigerator that contained food for the children had a bottom drawer that had food that was dried and sticking to the inside of the drawer.”

Correction date in the state record: Mar 6, 2024

3270.133(5) Original label

“In the older toddler room, there was a bottle of Infants' Tylenol that was expired.”

Correction date in the state record: Mar 5, 2024

3270.133(3) Name on bottle

“In the infant/toddler room, there was Mommy Bliss Gripe Water that was not labeled with the name of the child for whom the medication was intended. In the older toddler room, there was a bottle of Infants' Tylenol that was not labeled with the name of the child for whom the medication was intended.”

Correction date in the state record: Mar 5, 2024

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

“The file for child #4, a young toddler, lacked a current health assessment updated within the last 6 months.”

Correction date in the state record: Mar 8, 2024

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

“According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.”

Correction date in the state record: Mar 5, 2024

3270.27(a)(2) Emergency plan

“The facility's emergency plan lacked a plan that provides for accommodations for evacuation of children to a location away from the facility premises.”

Correction date in the state record: Apr 26, 2024

3270.27(a)(5) Emergency plan

“The facility's emergency plan lacked a plan that provides for accommodations for infants, toddlers, and children with chronic medical conditions.”

Correction date in the state record: Apr 26, 2024

3270.104(a) Clean, good repair, proper size

“In the older toddler room in the right bathroom, there were 3 loose wooden doors from a toy cabinet that were laying on a shelf in the bathroom and had hinges that had sharp edges that were accessible to children. In the infant/toddler room, there was a cubby in the front left corner of the room that had a partition/divider that was loose and coming apart from the cubby. In the older toddler room, the cabinet near the sink had a plastic drawer that was cracked and had sharp edges that were accessible to children.”

Correction date in the state record: Mar 5, 2024

3270.103 Small Toys and Objects

“In the infant/toddler room with infants and 1 year olds present in the room, there were multiple blocks with tears in multiple areas that had small pieces coming apart with a diameter of less than 1 inch and were accessible to children who are still placing objects in their mouths.”

Correction date in the state record: Mar 5, 2024

3270.102(a) Clean and good repair

“On the preschool play space, there was a red tricycle with a cracked seat that had sharp edges and a circular merry-go-round with bikes that had one bike that had a wheel coming apart from the bike and was missing a pedal.”

Correction date in the state record: Apr 26, 2024

3270.15(b) Building Codes

“The facility lacked a current occupancy permit posted or on file at the facility.”

Correction date in the state record: Apr 26, 2024

3270.75(b) Inaccessible to children

“On the toddler play space, the first-aid kit was in a bin on a shelf that was accessible to children. In the preschool palace room, the first-aid kit was in an unlocked cabinet on a shelf that was accessible to children.”

Correction date in the state record: Mar 5, 2024

3270.75(a) In child care spaces

“The homework hall lacked a first-aid kit.”

Correction date in the state record: Mar 5, 2024

3270.72(c) Good repair

“In the prince and princess room, the left window had a screen that had a large hole and had tears in the screen.”

Correction date in the state record: Mar 5, 2024

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

“The file for child #1, a preschooler, lacked a current health assessment updated within the last 12 months. The files for child #5 and #6, preschoolers, had a health assessment that exceeded 12 months between assessments.”

Correction date in the state record: Apr 26, 2024

3270.181(c) Emergency info/agreement updated 6 mos

“The file for child #4 lacked a current emergency contact form and agreement updated within the last 6 months.”

Correction date in the state record: Apr 1, 2024

3270.161(a) Wholesome

“In the great hall in the refrigerator where food stored for children is contained, there was a bag stored in the refrigerator that contained moldy cheese.”

Correction date in the state record: Mar 5, 2024

3270.106(f) 2 feet apart

“In the Kings & Queens Room during naptime, there was one child observed on a cot that lacked 2 feet of space on three sides.”

Correction date in the state record: Feb 7, 2024

3270.102(g) Hazardous toys and equipment

“In the Kings & Queens Room, there were 2 Boppy Newborn Lounger Pillows, one in use by an infant, that were observed in the room and were recalled by the United States Consumer Product Safety Commission.”

Correction date in the state record: Feb 7, 2024

3270.106(a) Clean, age appropriate

“In the Kings & Queens Room, there were 2 Boppy Newborn Lounger Pillows, one in use by an infant, that were observed in the room and were recalled by the United States Consumer Product Safety Commission and therefore were not age-appropriate rest equipment.”

Correction date in the state record: Feb 7, 2024

3270.119 Infant sleep position

“In the Kings & Queens Room, an infant was observed sleeping on a Boppy Newborn Lounger Pillow and was not placed in the sleeping position recommended by the American Academy of Pediatrics.”

Correction date in the state record: Feb 7, 2024

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

“Staff person #1 did not give a written report to the parent when their 7-month-old child received a serious injury while receiving care in the facility.”

Correction date in the state record: Nov 10, 2023

3270.21 General Health and Safety

“***** From June through August of 2023, Staff Persons # 2, #3, #4, #5, and #6 were interviewed and reported that Staff Person # 1 (1) forcefully tossed infants onto sleeping mats located on the floor from approximately 3 to 4 feet high, (2) aggressively grabbed infants by one arm and pulled them off the ground, (3) grabbed infants by the hand or wrist and snapped them up from the ground, (4) dragged infants on their mats away from other infants, and /or (5) yelled at the infants out of frustration. These Staff Persons reported that Staff Person # 1 acted in these ways with the children when he/she was frustrated. These Staff Persons also reported that the way in which Staff Person #1 handled the children could result in the children breaking their bones or sustaining head injuries due to how hard they hit the ground. Staff Person #6 reported that he/she has observed Staff Person #1 use a flashlight to check the infants' eyes/pupils after he/she threw them to the ground because they hit their heads.”

Correction date in the state record: Dec 15, 2023

3270.21 General Health and Safety

“* From June through August of 2023, Staff Persons # 2, #3, #4, #5, and #6 were interviewed and reported that Staff Person # 1 (1) forcefully tossed infants onto sleeping mats located on the floor from approximately 3 to 4 feet high, (2) aggressively grabbed infants by one arm and pulled them off the ground, (3) grabbed infants by the hand or wrist and snapped them up from the ground, (4) dragged infants on their mats away from other infants, and /or (5) yelled at the infants out of frustration. These Staff Persons reported that Staff Person # 1 acted in these ways with the children when he/she was frustrated. These Staff Persons also reported that the way in which Staff Person #1 handled the children could result in the children breaking their bones or sustaining head injuries due to how hard they hit the ground. Staff Person #6 reported that he/she has observed Staff Person #1 use a flashlight to check the infants' eyes/pupils after he/she threw them to the ground because they hit their heads.”

Correction date in the state record: Sep 29, 2023

3270.21 General Health and Safety

“** From June through August of 2023, Staff Persons # 2, #3, #4, #5, and #6 were interviewed and reported that Staff Person # 1 (1) forcefully tossed infants onto sleeping mats located on the floor from approximately 3 to 4 feet high, (2) aggressively grabbed infants by one arm and pulled them off the ground, (3) grabbed infants by the hand or wrist and snapped them up from the ground, (4) dragged infants on their mats away from other infants, and /or (5) yelled at the infants out of frustration. These Staff Persons reported that Staff Person # 1 acted in these ways with the children when he/she was frustrated. These Staff Persons also reported that the way in which Staff Person #1 handled the children could result in the children breaking their bones or sustaining head injuries due to how hard they hit the ground. Staff Person #6 reported that he/she has observed Staff Person #1 use a flashlight to check the infants' eyes/pupils after he/she threw them to the ground because they hit their heads.”

Correction date in the state record: Nov 24, 2023

3270.113(b) No physical punishment

“From June through August of 2023, Staff Persons # 2, #3, #4, #5, and #6 were interviewed and reported that Staff Person # 1 (1) forcefully tossed infants onto sleeping mats located on the floor from approximately 3 to 4 feet high, (2) aggressively grabbed infants by one arm and pulled them off the ground, (3) grabbed infants by the hand or wrist and snapped them up from the ground, (4) dragged infants on their mats away from other infants, and /or (5) yelled at the infants out of frustration. These Staff Persons reported that Staff Person # 1 acted in these ways with the children when he/she was frustrated. These Staff Persons also reported that the way in which Staff Person #1 handled the children could result in the children breaking their bones or sustaining head injuries due to how hard they hit the ground. Staff Person #6 reported that he/she has observed Staff Person #1 use a flashlight to check the infants' eyes/pupils after he/she threw them to the ground because they hit their heads.”

Correction date in the state record: Sep 11, 2023

3270.21 General Health and Safety

“*** From June through August of 2023, Staff Persons # 2, #3, #4, #5, and #6 were interviewed and reported that Staff Person # 1 (1) forcefully tossed infants onto sleeping mats located on the floor from approximately 3 to 4 feet high, (2) aggressively grabbed infants by one arm and pulled them off the ground, (3) grabbed infants by the hand or wrist and snapped them up from the ground, (4) dragged infants on their mats away from other infants, and /or (5) yelled at the infants out of frustration. These Staff Persons reported that Staff Person # 1 acted in these ways with the children when he/she was frustrated. These Staff Persons also reported that the way in which Staff Person #1 handled the children could result in the children breaking their bones or sustaining head injuries due to how hard they hit the ground. Staff Person #6 reported that he/she has observed Staff Person #1 use a flashlight to check the infants' eyes/pupils after he/she threw them to the ground because they hit their heads.”

Correction date in the state record: Nov 24, 2023

3270.21 General Health and Safety

“**** From June through August of 2023, Staff Persons # 2, #3, #4, #5, and #6 were interviewed and reported that Staff Person # 1 (1) forcefully tossed infants onto sleeping mats located on the floor from approximately 3 to 4 feet high, (2) aggressively grabbed infants by one arm and pulled them off the ground, (3) grabbed infants by the hand or wrist and snapped them up from the ground, (4) dragged infants on their mats away from other infants, and /or (5) yelled at the infants out of frustration. These Staff Persons reported that Staff Person # 1 acted in these ways with the children when he/she was frustrated. These Staff Persons also reported that the way in which Staff Person #1 handled the children could result in the children breaking their bones or sustaining head injuries due to how hard they hit the ground. Staff Person #6 reported that he/she has observed Staff Person #1 use a flashlight to check the infants' eyes/pupils after he/she threw them to the ground because they hit their heads.”

Correction date in the state record: Dec 2, 2023

3270.77(a) No peeling paint or plaster

“In the Royal Nursery, there was one area of peeling paint on the wall in the back right corner near a cubby. In the preschool room, there was peeling paint in a few areas on the left wall near the entrance to the room.”

Correction date in the state record: Oct 24, 2022

3270.102(a) Clean and good repair

“In the Royal Nursery, there was one rest mat that had a tear in the fabric exposing the stuffing inside.”

Correction date in the state record: Oct 14, 2022

3270.133(5) Original label

“In the Kings and Queens room, child #5 had Auvi-Q medication that was expired.”

Correction date in the state record: Oct 20, 2022

3270.32(a) Comply with CPSL

“Staff person #1 had not completed mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 11-3-15 and 12-2-20. Staff person #5 had not completed mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 9-14-16 and 10-6-21. Staff person #8 had mandated reporter training dated 3-5-22 that was not completed within 90 days of their date of hire (see LIS code sheet).”

Correction date in the state record: Oct 14, 2022

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

“The file for staff person #6 lacked a disclosure statement and had state police and child abuse clearances that were dated after their start date. The file for staff person #2 had state police and FBI clearances that exceeded 60 months between clearances.”

Correction date in the state record: Oct 14, 2022

3270.34(a)(6) Staff evaluations

“The file for staff person #7 lacked a current staff evaluation completed within the last 12 months.”

Correction date in the state record: Oct 24, 2022

3270.131(e)(1)/3270.182(1) Exemption documentation from parent/guardian/Initial and subsequent health reports

“The files for child #1, a 22 month old, and child #3, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.”

Correction date in the state record: Nov 11, 2022

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

“The file for child #4 had a health assessment that lacked 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: Oct 18, 2022

3270.31(e) Age and Training

“The file for staff person #7 lacked 12 hours of child care training completed within a year of their start date.”

Correction date in the state record: Oct 14, 2022

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

“The files for staff person #1 and #9 had a health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.”

Correction date in the state record: Nov 30, 2022

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

“The files for staff person #1 and #4 had a health assessment that exceeded 24 months between assessments.”

Correction date in the state record: Oct 14, 2022

3270.124(c) Each child care space

“In the preschool room at approximately 9:30 a.m., there were 3 children receiving care in the room that lacked emergency contact forms in the room.”

Correction date in the state record: Oct 14, 2022

3270.135(b) Surfaces cleaned

“In the Prince and Princess room, the Royal Nursery, and the Toddler Towers room, the diaper changing pad had a fabric cover that was not being changed after each use between diapering.”

Correction date in the state record: Oct 14, 2022

3270.133(6) Written consent

“In the Kings and Queens room, child #5 had Auvi-Q medication that lacked written parental consent for administration of the medication.”

Correction date in the state record: Oct 20, 2022

3270.75(c) Has all items

“In the Great Hall, the first-aid kit lacked tweezers.”

Correction date in the state record: Oct 14, 2022

3270.105 High Chairs

“In the Prince and Princess room with 1 and 2 year olds in the room, there was a table with 8 high chair seats that lacked a T-shaped safety strap.”

Correction date in the state record: Oct 18, 2022

3270.103 Small Toys and Objects

“In the Royal Nursery, there was a mat on the floor that had multiple areas with small pieces of fabric coming apart that were less than 1 inch in diameter and were accessible to infants in the room who are still placing objects in their mouths.”

Correction date in the state record: Oct 14, 2022

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

“The facility had a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment that did not address the prevention of child maltreatment as required to comply with 45 CFR 98.41(a)(1)(vi). The emergency plan lacked requirements for volunteer emergency preparedness training and continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).”

Correction date in the state record: Nov 30, 2022

3270.66(a) Locked or inaccessible

“In the Great Hall, there were a bottle of Bic Wite Out, Elmer's Rubber Cement, Micro Ban Sanitizing Spray, and Assured Men's Shave Cream in unlocked drawers and Anker Multi-purpose Adhesive Spray on a shelf that were labeled "Keep out of reach of children" and were accessible to children.”

Correction date in the state record: Oct 14, 2022

3270.27(c) Training regarding plan

“The file for staff person #7 lacked current emergency plan training completed within the last year. The files for staff person #1, #2, #4, and #10 had emergency plan training that exceeded a year between trainings.”

Correction date in the state record: Oct 14, 2022

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

“The file for staff person #7 had fire safety training that was completed over a year after their start date.”

Correction date in the state record: Oct 14, 2022

3270.31(f) Health and Safety Training

“Staff person #11 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training. Staff person #3 had not completed the following required pre-service training within 90 days of their date of hire with a completion date of 9-10-22 (see LIS code sheet): Pediatric first-aid/CPR training. Staff person #8 had not completed the following required pre-service training within 90 days of their date of hire with a completion date of 9-10-22 (see LIS code sheet): Pediatric first-aid/CPR training. Staff person #8 had not completed the following required pre-service training within 90 days of their date of hire with a completion date of 3-21-22 (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9).”

Correction date in the state record: Oct 24, 2022

3270.76 Building Surfaces

“On the back play space, the fence in the back left corner and on the left side of the play space had multiple areas with sharp edges along the top of the chain-link fence. On the back play space in the 2 year old covered pavilion area, there were multiple areas of the turf surface that were not laying flat and were raised causing potential tripping hazards.”

Correction date in the state record: Oct 24, 2022

3270.131(d)(8) Age appropriate screenings complete

“The file for child #2 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report.”

Correction date in the state record: Oct 20, 2022

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

“According to staff statements, when an incident report is completed for a child, the original report is given to the parent and a second original report is placed in the facility's accident file. A third copy of the report is not being made and kept in the child's file.”

Correction date in the state record: Apr 20, 2022

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

“There was no documentation of an influenza vaccine from the previous year on file for chidl #6.”

Correction date in the state record: Oct 25, 2021

3270.151(a)/3270.151(c)(2) 12 months prior to service and every 24 months thereafter/Mantoux TB

“The current health assessment on file for Facility Person #6 was completed after her start date in a child care position, and did not include the results of a TB screening. The current health assessment on file for Facility Person #1 was completed more than 24 months after the previous health assessment on file.”

Correction date in the state record: Oct 13, 2021

3270.151(c)(3) Exam communicable disease

“The health assessment on file for Facility Person #1 did not include an examination for communicable diseases and the results of that examination”

Correction date in the state record: Oct 22, 2021

3270.151(c)(5) Physician/CRNP assessment

“The current health assessment on file for Facility Person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.”

Correction date in the state record: Oct 22, 2021

3270.27(c) Training regarding plan

“There was no documentation of initial emergency plan training on file for Facility Person #8.”

Correction date in the state record: Sep 24, 2021

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

“There was no signed parental consent for emergency medical care on file for child #3.”

Correction date in the state record: Oct 29, 2021

3270.27(d) Plan posted

“The faciility's emergency plan was not posted conspicuously in the downstairs portion of the facility.”

Correction date in the state record: Oct 22, 2021

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

“There was no signed parental consent for administration of minor first-aid procedures by facility staff on file for child #3.”

Correction date in the state record: Oct 29, 2021

3270.27(f) Emergency plan

“The operator indicated they had not yet sent a copy of the emergency plan to the local municipality.”

Correction date in the state record: Dec 28, 2021

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

“The certification contact information was not posted in a conspicuous location used by parents who only access the downstairs portion of the facility. The operator indicated parents were not yet provided with information on how to access the regulations in this chapter electronically.”

Correction date in the state record: Oct 25, 2021

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

“There was no proof of purchase of the interconnected fire detection system on file at the facility.”

Correction date in the state record: Oct 22, 2021

3270.27(a)(5) Emergency plan

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

Correction date in the state record: Dec 28, 2021

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

“The current mandated reporter training documentation on file for Facility Person #4 was completed more than 60 months after the previous mandated reporter training documented and on file. the current mandated reporter training documented and on file for Facility Person #7 was completed more than 90 days after her first day in a childcare position at the facility.”

Correction date in the state record: Oct 6, 2021

3270.36(b)(3)/3270.192(2)(ii) HS/GED, 15 credits + 1 yr/Exp, educ., training prior to facility

“Facility Persons #5 and #6 were classified as assistant group supervisors. There was documentation of 12 credits in a human services field on file for Facility Person #5. There was documentation of 18 credits in a human services field on file for Facility Person #6. There was no child care experience documented and on file for either Facility Person #5 or #6.”

Correction date in the state record: Oct 22, 2021

3270.27(e) Letter to parents

“The letter to the parents explaining the emergency plan did not include the procedures involved in a lockdown.”

Correction date in the state record: Dec 28, 2021

3270.66(a) Locked or inaccessible

“There were cleaning supplies in a cabinet in a low unlocked cabinet in the unlocked kitchen adjacent to the preschool/ schoolage and preschool rooms.”

Correction date in the state record: Oct 22, 2021

3270.72(c) Good repair

“There was a tear in a screen in a window in the older toddler room.”

Correction date in the state record: Oct 22, 2021

3270.75(b) Inaccessible to children

“The first aid kit in the preschool/schoolage room was stored low enough to be in reach of children in care.”

Correction date in the state record: Oct 22, 2021

3270.77(a) No peeling paint or plaster

“There were small areas of peeling paint on walls in the preschool/schoolage room and the preschool room.”

Correction date in the state record: Oct 22, 2021

3270.105 High Chairs

“There were two children in high chairs in the infant room, not secured with a t-shaped strap. There was an additional high chair in the infant room without a t-shaped strap.”

Correction date in the state record: Oct 22, 2021

3270.27(b) Plan reviewed/updated annually

“There was no documentation the facility's emergency plan had been reviewed and updated in the previous 12 months.”

Correction date in the state record: Oct 22, 2021

3270.21 General Health and Safety

“There were sharp adult scissors on a desk in the Preschool/Schoolage room, in reach of preschoolers in care.”

Correction date in the state record: Oct 22, 2021

3270.123(a) Signed

“There was no current agreement on file for child #2.”

Correction date in the state record: Dec 27, 2021

3270.123(a)(4) Arrival/departure times

“The agreement on file for child #1 did not specify the arrival and departure times.”

Correction date in the state record: Oct 28, 2021

3270.123(a)(5) Designated release persons

“The release persons were not specified on the agreements on file for children #1, #4, #5, #6, and #8.”

Correction date in the state record: Nov 19, 2021

3270.123(a)(6) Admission date

“The agreement on file for child #6 did not specify the admission date.”

Correction date in the state record: Oct 22, 2021

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

“The most recent firesafety training completed and documented on file for Facility Person #3 was completed more than 12 months after the prior firesafety training documented and on file.”

Correction date in the state record: Sep 22, 2021

3270.31(f)/3270.31(h) Health and Safety Training/Health and Safety Training

“Facility Persons #1, #3, #4, #6, and #7 completed pediatric first aid and CPR more than 90 days after their start date, according to training documented and on file. There was no documentation of completion of pediatric first aid and CPR on file for Facility Person #2, employed at the facility more than 90 days. Facility Persons #6, and #7 completed the remaining nine health and safety training topics more than 90 days after their start date, according to training documented and on file.”

Correction date in the state record: Sep 18, 2021

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

“The most recent FBI clearance on file for Facility Person #1 was more than 60 months old. The current child abuse and criminal history clearances on file for Facility Person #1 were completed more than 60 months after the previous respective clearances on file. Current clearances on file for Facility Person #6 were invalid as the child abuse clearance was a volunteer clearance, and the FBI clearance was not processed through the Department of Human Services.”

Correction date in the state record: Nov 2, 2021

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

“The emergency contact forms on file for children #3 and #9 did not include the release persons' addresses.”

Correction date in the state record: Oct 29, 2021

3270.124(c) Each child care space

“There was not an emergency contact form in the Kings & Queens room for one of the children receiving care in that room.”

Correction date in the state record: Oct 22, 2021

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

“The documentation of the two most recent inspections of the facility's fire detection system indicate the inspections were completed on 8/29/20 and 10/6/21, more than a year apart.”

Correction date in the state record: Oct 6, 2021