Firetree Place

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the inspection, the file for Child #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 contained an emergency contact form, developed by the operator, that did not include the telephone number of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the inspection, the emergency contact information did not include the release person's address for Child #3, #6 and #10.

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(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During the inspection, the emergency contact information and the financial agreement were not updated at least once in a 6-month period for Child #2, #3, #4, #5, #6, #7, #8, #9, and #10.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: During the inspection, the health assessment for Staff #10 was received two months after the first day working with children.

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.

Regulation: 3270.151(c)/3270.192(3)

Description: Health Assessment Requirements/Health assessment, TB test

Noncompliance Area: During the inspection, the file for Staff #6 contained a letter that was not an acceptable health assessment.

Correction Required: The health assessment must include the following specified in §3270.151(c)(1-5) A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the inspection, the operator had not notified local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the inspection, the file contained none or only one written, nonfamily reference for Staff #1, #2, #3, #5, #6, #7, #8, #9 and #10.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection, the NSOR certificate for Staff #4 had not been updated within 60 months as required under the CPSL. The file for Staff #6, a group supervisor, contained volunteer state police and child abuse clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Record for Staff #5 was observed to be lacking an initial health assessment but had the TB test dated 5/5/2025. DOH: 5/3/25.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Records for Staff #1, #2, #3, #4 and #6 were observed to have current clearances, but obtained after the prior clearances had expired. (Staff #1 - SP 12/10/19-1/27/25, CA - 1/30/20, 2/2/25, NSOR - 11/6/19, 1/16/25), (Staff #2 -SP - 10/7/19, 1/15/25, CA- 10/16/19, 1/23/25, FBI - 10/16/19, 1/22/25), (Staff #3 - NSOR - 11/6/19, 1/16/25) (Staff #4 - SP - 7/1/19, 1/15/25, CA - 7/9/19, 1/23/25), (Staff #6 - CA - 3/5/20, 4/15/25, NSOR - 11/6/19, 1/16/25) All corrected at time of inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: File for Staff #5 was observed to contain no evidence of education or experience.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Record for Staff #5 contained a health assessment dated 04/10/2024 at time of hire but contained no evidence of a TB test.

Correction Required: 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Record for Staff #3 reflected a date of hire as 04/15/2024, with no health assessment on file.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.