Creative Caterpillars Early Learning Nursery

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the refrigerator in the infant room did not have a thermometer to monitor the refrigerator temperature.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency contact information for child #1 did not include the address and of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the facility did not have a written and posted plan which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the facility did not have a written policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Staff person #4 was observed caring for children unsupervised. Staff person #4 has not completed the following pre- service training required prior to caring for children unsupervised: health and safety training topics, Pediatric First Aid and CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(c)(4)/3270.151(c)(5)

Description: Information re: medical problems/Physician/CRNP assessment

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the health report for staff #2 did not have the answers to the questions on the DHS health form included in their health report.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: At the time of the unannounced inspection the certification representative observed that staff # 3 did not have verification of experience in childcare on file at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: DURING RENEWAL INSPECITN ON 8/9/2019, CERT REP SUP OBSERVED THAT THE FILE FOR CHILD #1 DID NOT CONTAIN INFORMATION ABOUT THE CHILD'S INSURANCE POLICY NUMBER.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: DURING RENEWAL INSPECTION ON 8/0/2019, CERT REP SUP OBSERVED THAT FILES FOR STAFF #1, 3 DID NOT CONTAINM DOCUMENTATION OF TB TESTING. FILES FOR STAFF #1, 2 AND 3 DID NOT CONTAIN DOUCMENTATION OF A PHYSICAL EXAM.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: DURING RENEWAL INSPECTION ON 8/9/2019, CERT REP SUP OBSERVED THAT THE FILES FOR STAFF #1,2 AND 3 DID NOT CONTAIN DOCUMENTATION OF EMERGENCY PLAN TRAINING.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: .DURING RENEWAL INSPECTION ON 8/9/2019, CERT REP SUP OBSERVED THAT IN THE INFANT ROOM, ONE STAFF WAS PRESENT WITH THREE INFANTS AND ONE TODDLERS. THIS GROUPING WOULD REQUIRE TWO STAFF.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: DURING RENEWAL INSPECTION ON 8/9/2019, CERT REP SUP OBSERVED THAT THE FIRE DRILL LOG ONLY LISTED ONE FIRE DRILL OCCURRING ON 6/10/2019. OWNER CONFIRMED THAT THIS WAS THE ONLY FIRE DRILL SINCE THEY HAD OPENED.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.