03-01 · Technical assistance was provided to ensure to always adhere to appropriate ratio. • This standard was brought back into compliance when additional Child Care Personnel arrived, and the children were separated between two classrooms. At the time of inspection, ratio was as follows • Infant 11:3 Child Care Personnel • 1-year-old 6:2 Child Care Personnel • 1-year-old 11:2 Child Care Personnel • 1-year-old 11:2 Child Care Personnel • 2-year-old 10:1 Child Care Personnel • 3-year-old 12:2 Child Care Personnel • 3-year-old 4-year-old 13:2 Child Care Personnel • 4-year-old 5-year-old (VPK) 22:1 Child Care Personnel Director

At the time of inspection, Licensing Specialist observed the VPK classroom (4-year-old to 5-year-old) 22 children with 1 Child Care Personnel. It appears that the facility was using the classroom to receive all the VPK children being dropped off. The provider was awaiting additional Child Care Personnel to arrive to be able to move children to their perspective classroom with assigned Child Care Personnel

Corrected Corrected by Apr 15, 2025

Category: ratio. Marked corrected in the state record.

15-03 · Licensed Capacity

At the time of inspection, Licensing Specialist observed a mixed aged classroom (4-year-old to 5-year-old) with 22 children present but had a posted capacity of 16. It appears that the facility was using the classroom to receive all the VPK children being dropped off. The provider was awaiting additional Child Care Personnel to arrive to be able to move children to their perspective classroom with assigned Child Care Personnel. • This standard was brought back into compliance when additional Child Care Personnel arrived, and the children were separated between two classrooms

Corrected Corrected by Apr 15, 2025

Category: ratio. Marked corrected in the state record.

12-02 · Facility Environment

At the time of reinspection, the Licensing specialist observed the rust like stain the VPK classroom near the art room low to the ground near the rug still stained. The provider immediately had a staff clean the area and the stain was removed at time of inspection. The specialist also observed the outdoor door frame leading to the playground in the younger ones classroom still damaged and unstable causing a potential trip hazard for the toddlers. The provider advised that they were not sure why it wasnt repaired but will work on repairing the area at time of inspection. TA was provided to ensure that the areas are in good repair by the due date

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

17-01 · Outdoor Play Area/Fencing

At the time of reinspection, the Licensing specialist observed the wood outdoor play houses on both playground still observed with wood splintered and sharp edges that can be potentially hazardous to children in care. The main area observed were the edges of the roof. Also, the sterling silver and red tricycles were still observed with rust build up on the metal frame. The provider advised that they are replacing all of the tricycles with plastic ones and removed all of the metal bikes off of the playground at time of inspection. TA was provided to ensure that the potential hazards are eliminated by the due date

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

24-24 · Food Preparation Area

At the time of reinspection, the Licensing specialist observed the frozen food stored in the upright double sided freezer in the kitchen not labeled. The specialist reminded the provider that the frozen food removed from original packaging should be labeled with the food item name and expiration date. The staff immediately started to label the food items are time of inspection, appropriately. TA was provided to ensure that the frozen food items are labeled appropriately at all times

Corrected Corrected by Apr 10, 2025

Category: ratio. Marked corrected in the state record.

28-02 · Bottles, Breastmilk, Formula and Infant Food

At the time of reinspection, the Licensing specialist observed childrens water bottles and cups throughout the facility that were still either labeled with only the childs full first name and last initial or not labeled at all. The provider reminded the provider again that water bottles and cups provided from home must be labeled appropriately with childrens full first and last names. The provider immediately had childrens cups labeled at time of inspection. TA was provided to ensure that childrens water bottles and cups are labeled appropriately at all times

Corrected Corrected by Apr 10, 2025

Category: nutrition. Marked corrected in the state record.

45-07 · Background Screening Documents

At the time of reinspection, the Licensing specialist determined that the child care personnel listed on the supplemental left the child care industry in July 2024 and did not return to the industry until she started at the facility on 4/7/2025. The provider failed to resubmit the staff in the Clearinghouse to ensure the staff is eligible for child care. The staff should have been rescreened prior to starting at the facility. TA was provided to ensure that the staff is rescreening in the Clearinghouse with an updated eligibility by the due date

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

04-01 · Supervision

At the time of the complaint inspection, interviews revealed a child in the 1-2's age group was left behind when his class walked through the building doors that lead them to the playground to get the other teacher/and classmates. One teacher had 3 children on the other side of the door, and the teacher that was in direct supervision of the child left outside had 3 children. The teacher walked through the doors with 2 children to get the other children, and left the child standing there. The child was seen by a staff member who was throwing out her trash, and by a parent parked in the parking lot. Administration was immediately called, as both teachers and the class was coming back, they realized the child was left unattended by their supervision. The noncompliance was resolved; both teachers immediately terminated

Corrected Corrected by Apr 9, 2025

Category: supervision. Marked corrected in the state record.

46-07 · Daily Attendance

At the time of the inspection, it was revealed through interview the staff was terminated because the attendance roster was not used during the time of transition outside. The attendance roster for this facility (name to face) is either on their tablets or a paper copy is policy. The teachers failed to do so at this particular incident. The noncompliance was resolved once the class returned to their classrooms with their attendance. All children were accounted for during the inspection

Corrected Corrected by Apr 9, 2025

Marked corrected in the state record.

47-01 · Access/Child Safety

At the time of the inspection, information obtained through interviews revealed a teacher on separate occasions with two different students inappropriately interacted with them. One student the teacher yanked their arm to pull them from a cot and yelled directly in their face, and the second incident the teacher held the child's hands firmly, holding her arms up above her head making her cry and leaving a red impression mark on her hands. The facility has since then terminated the teacher after the commencement of this case which resolves the noncompliance of this standard

Corrected Corrected by Apr 4, 2025

Category: recordkeeping. Marked corrected in the state record.

12-03 · Technical assistance provided that to protect a childs hearing, Place the machine several feet away from the infant, not in the crib and/or next to their ears. The machine should always be on a volume that is a low setting. The child is no longer in attendance

At the time of the inspection, the information was obtained revealed a teacher in the infant classroom, placed a speaker playing music next to the infant's head. The parent came in and found the child with the speaker and alerted administration that volume and placement of the speaker with music

Corrected Corrected by Mar 20, 2025

Category: ratio. Marked corrected in the state record.

39-04 · Accident/ Incident Notification and Documentation

At the time of the inspection, an incident report was not given to the parents to document the speaker being placed on the child's boppie pillow. The documentation needs given the day of an incident with parent signature to maintain compliance of this standard. The noncompliance was resolved because the child is no longer in attendance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

03-01 · Technical assistance was provided to always abide by appropriate ratio. Licensing Specialist remained inside the classroom while the Provider moved Child Care Personnel around to correct ratio violation. The corrected ratio was as follows. • Infant 6:4 Child Care Personnel • 1-year-old 9:2 Child Care Personnel • 1-year-old 9:2 Child Care Personnel • 1-year-old 10:2 Child Care Personnel • 2-year-old 13:2 Child Care Personnel • 3-year-old 16:2 Child Care Personnel • 3-year-old 4-year-old 22:2 Child Care Personnel • 4-year-old 13:2 Child Care Personnel • Assistant Director

At the beginning of inspection, ratio was as follows • Infant 12:3 Child Care Personnel • 1-year-old 12:3 Child Care Personnel • 2-year-old 8:1 Child Care Personnel • 3-year-old 14:2 Child Care Personnel • 4-year-old 5:1 Child Care Personnel • Kitchen • Additional Child Care Personnel During a second walk-through of the facility after the inspection began, Licensing Specialist observed the 2-year-old classroom with 12 children and 1 Child Care Personnel

Corrected Corrected by Mar 6, 2025

Category: ratio. Marked corrected in the state record.

21-11 · Technical assistance was provided to ensure that the facility is in good operating condition. • This standard was brought back into compliance as the facilitys sink and toilet is operational

At the time of inspection, Licensing Specialist determined during interviews that the facilitys water was turned off for a period of time and the facility failed to provide adequate source of water and appropriate sink and/or toilet was not maintained in good operating condition

Corrected Corrected by Mar 6, 2025

Category: physical safety. Marked corrected in the state record.

24-21 · Technical assistance was approved to ensure that perishable food and leftover foods are properly covered or sealed. • This standard was brought back into compliance when the food was sealed and covered

At the time of inspection, Licensing Specialist observed a container of applesauce open and children playing, talking, and coughing on and around the food items. The applesauce was not properly stored

Corrected Corrected by Mar 6, 2025

Category: ratio. Marked corrected in the state record.

40-15 · Technical assistance was provided to ensure that medication is stored in either a locked area or inaccessible and out of a childs reach. • This standard was brought back into compliance when provider removed the item from the cabinet and secured out of reach of children

At the time of inspection, Licensing Specialist observed a bag of Ludens Wild Cherry pectin lozenge/oral demulcent on a cabinet accessible to the children in care

Corrected Corrected by Mar 6, 2025

Category: health medication. Marked corrected in the state record.

12-18 · Facility Environment

At the time of inspection, the Licensing specialist observed a couple of electrical outlets not covered in the third building hallway as well as classrooms accessible to children. The provider immediately covered all of the outlet covers throughout the facility. TA was provided to ensure that the outlets in reach of children are covered at all times

Corrected Corrected by Mar 6, 2025

Category: physical safety. Marked corrected in the state record.

12-02 · Facility Environment

At the time of inspection, the Licensing specialist observed the facility not in good repair. This includes paint chipping throughout the facility on walls, corner of walls and door frames. Also, ceiling tiles were observed in the lobby of the third building and in the laundry room stained with wet spots. In the VPK classroom near the art closet had rust observed on the bottom of the wall and floor on the left side wall near the carpet. The outdoor door frames where children exit to go to the playground in the younger one year old classroom and the back VPK classroom step was observed chipped and unstable causing a trip hazard. Also, in the younger one year old classroom had an outlet plate that was coming apart from the wall behind a storage cubby to the right side of the classroom behind the door. TA was provided to ensure that the facility is in good repair by the due date. TS was provided to provider to ensure that the facility is clean and all classrooms indoor areas including floors are cleaned daily utilizing the facilitys daily cleaning schedule. As well as the toilets/sinks cleaned daily as well as, as needed throughout the day. Area rugs that are worn with heavy stains are either spot cleaned or replaced

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

12-09 · Facility Environment

At the time of inspection, the Licensing specialist observed ants both black and red in the kitchen near the exit door and the freezer/refrigerator on the ground. TA was provided to ensure that the ants are eliminated from the kitchen by the due date

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

13-02 · Toxic Substances, Hazardous Materials and Weapons

At the time of inspection, the Licensing specialist observed hazardous material and harmful items throughout the facility accessible to children. The VPK classroom near the art closet in a storage closet had fertilizer labeled with, Keep out of reach of children labeled on the floor and the door was not locked. In the one year old classroom in the main building to the left of the entrance with goo gone, carpet cleaner, and sanitizing wipes at the bottom of a diapering station that was not locked. The older childrens playground was observed in a black toy storage box with a gardening tool kits to include sharp gardening tools. As well as in the childrens restroom in the main building between both the one year old classrooms a mop and mop bucket observed with standing water was observed. The older one year old classroom uses the restroom during the day. All hazardous materials were removed from access to children at time of inspection. TA was provided to ensure that hazardous material as well as harmful items are not accessible to children

Corrected Corrected by Mar 6, 2025

Category: health medication. Marked corrected in the state record.

15-05 · Licensed Capacity

At the time of inspection, the Licensing specialist observed no room capacities posted near all three classrooms in building three. The provider immediately posted the classroom capacity in all three classrooms at time of inspection. TA was provided to ensure that the capacity is posted in each room throughout the facility

Corrected Corrected by Mar 6, 2025

Category: ratio. Marked corrected in the state record.

17-01 · Outdoor Play Area/Fencing

At the time of inspection, the Licensing specialist observed the tricycles on the older childrens playground with rust present. Also, all of the black plastic storage boxes were observed with debris, leaves, branches that need to be removed from toy storage and toys need to be power washed and cleaned. As well as the wooden playhouses on both playgrounds and the tree stump steps on the large wooden outdoor stationary equipment on the older childrens playground were observed with the wood chipped and deteriorated causing sharp edges. The specialist reminded the provider to ensure that the indoor/outdoor log is completed daily checking for potential hazards. TA was provided to ensure that low potentials hazards to the children are removed from the outdoor play area by the due date

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

17-03 · Outdoor Play Area/Fencing

At the time of inspection, the Licensing specialist observed the infants and toddler playground near the front of the building with no shade. The specialist observed a tree providing some shade to the playground, but not an adequate amount of shade. The provider advised that they shade tarp material was damaged by the last storm and has not been replaced. TA was provided to ensure that shade is added to the playground by the due date

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

18-02 · Bedding and Linens

At the time of inspection, the Licensing specialist observed the bedding throughout the facility stored on cots that were stacked on top of each other allowing for all childrens bedding to touch one anothers. Also, in the one year old classroom to the left of the entrance, childrens cots were observed being stored in the childrens adjoining restroom. TS was also provided to ensure that the cots are clean and stain free. Extra time allotted to align due dates. TA was provided to ensure that bedding is stored in a sanitary manner to eliminate germs spread

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

19-02 · Nap/Sleep Space Requirements

At the time of inspection, the Licensing specialist observed sleeping infants in cribs in the infant classroom to the right from the entrance that were not spaced 18 inches apart. The specialist advised the provider that infants napping in cribs must be placed 18 inches apart. TA was provided to ensure that the cribs are placed 18 inches apart for napping infants

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

19-04 · Nap/Sleep Space Requirements

At time of inspection, the Licensing specialist observed children sleeping against furniture. The specialist advised the provider that children must be placed at least 18 inches apart and not sleep under or against furniture. The specialist suggested a nap map for all classrooms to ensure placement of napping children meet requirement per rule. Extra time allotted to align due dates. TA was provided to ensure that children do not sleep under or against furniture that can cause a potential hazard

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

24-13 · Food Preparation Area

At time of inspection, the Licensing specialist observed the kitchen staff preparing lunch in the kitchen and did not wear a head covering. The specialist asked the staff if she had a head covering, she replied yes. The specialist asked if she could place a head covering on her head while preparing food. The staff immediately placed a hair net on her head at time of inspection. TS was provided to ensure all staff who handle food wear a protective head covering especially while serving food items for children in care. TA was provided to ensure that the staff in the kitchen wear a proper head covering

Corrected Corrected by Mar 6, 2025

Category: ratio. Marked corrected in the state record.

24-22 · Food Preparation Area

At time of inspection, the Licensing specialist observed left over dried goods in the facilitys pantry near the kitchen not stored properly. The specialist observed open individual bags of crackers stored in a box with crumbs spilled. Also, graham crackers and open cheerios were observed not labeled or dated. TA was provided to ensure that leftover dried goods are stored properly

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

24-24 · Food Preparation Area

At time of inspection, the Licensing specialist observed frozen foods in the upright two door freezer in the kitchen that was not labeled or stored properly. The specialist observed French toast sticks and frozen chicken breast that were not sealed properly and exposed. Also, bagged frozen foods were not labeled. TA was provided to ensure that the frozen food are sealed and labeled appropriately

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

25-15 · Meals and Snacks

At time of inspection, the Licensing specialist observed the facilitys morning snack to include perishable food items to include milk and apple sauce that sat out longer than 15 minutes throughout the facility. TA was provided to ensure that milk and other perishable foods do no sit out longer than 15 minutes prior to the meal. TS was provided to ensure that food served to children is age appropriate if applicable staff should cut up foods similar in circular shape or that can cause a potential choke hazard to appropriate size as stated in rule

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

26-01 · Meal and Snack Menus

At time of inspection, the Licensing specialist observed the facilitys menu posted in the lobby but reflected last weeks menu and not the current week. Also, the pm snack option offered today was graham crackers and diced pears, but the menu reflected graham crackers and bananas. TA was provided to ensure that the current menu is posted at the beginning of the week and substitutions if applicable are noted on the posted menu

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

28-02 · Bottles, Breastmilk, Formula and Infant Food

At time of inspection, the Licensing specialist observed the childrens water bottled provided from home throughout the facility were not labeled appropriately to include the childrens full first and last names. The provider had staff to label all unlabeled cups throughout the facility at time of inspection. TA was provided to ensure that the childrens cups are labeled appropriately

Corrected Corrected by Mar 6, 2025

Category: nutrition. Marked corrected in the state record.

30-14 · Diapering

At time of inspection, the Licensing specialist observed there were no diapering procedures posted in the infant classroom and the older one classrooms that have a conjoined restroom to the right from the entrance. As well as in the third building classrooms that are diapering preschool aged children in restrooms and near the middle two year old classroom. The provider immediately posted diapering procedures near all diapering stations at time of inspection. TA was provided to ensure the diapering procedures are posted at all times where diapering takes place

Corrected Corrected by Mar 6, 2025

Category: health medication. Marked corrected in the state record.

31-01 · Indoor Equipment

At the time of inspection, the Licensing specialist observed the two year old classroom with a sensory table include hard dime sized balls that are not appropriate for toddler aged children. The indoor toy causes a potential choking hazard to children in care. The provider immediately had staff removed the small toys from the classroom at time of inspection. TA was provided to ensure that indoor toys are age appropriate for children in care

Corrected Corrected by Mar 6, 2025

Category: physical safety. Marked corrected in the state record.

31-05 · Indoor Equipment

At the time of inspection, the Licensing specialist observed throughout the facility soft pillows heavily stained with spots and missing pillow covers. The provider also observed in the younger one year old classroom to the left from the entrance a wooden climbing toy with carpeted stairs that was heavily stained with glitter and food debris present. Also, in the same classroom a wooden car toy was observed also stained with food and food debris needing to be cleaned. The older one year old classroom with a restroom conjoined to the younger one year old classroom had a pillowed seat resembling a nest that was not maintained in good condition and sanitary. The childrens books in this same classroom were torn apart with ripped pages and chewed up; limiting the books they had in good repair for childrens use. As well as the climbing equipment with carpeted stairs needs to be spot cleaned to eliminate stains. The specialist suggested the couch furniture that have marker and crayons markings should be wiped clean. TA was provided to ensure that the indoor toys and furniture are cleaned and maintained in sanitary condition

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

32-03 · Outdoor Equipment

At the time of inspection, the Licensing specialist observed the sandboxes on both the older and younger playgrounds with tree branches and leaves and some litter to include storage bags in the sand. The provider stated that they do not have a sand box covering. The specialist advised that sand boxes have to be covered each day to ensure the sand is maintained sanitary. Extra time allotted to align due dates. TA was provided to ensure that the provider has sand box covers by the due date

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

32-07 · Outdoor Equipment

At the time of inspection, the Licensing specialist observed the resilient surface of mulch near the stationary wood outdoor equipment with slide on the older childrens measured to about 5 inches in depth. TA was provided to ensure that the resilient surface measures to 6 inches and 6 feet in perimeter by the due date

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

33-09 · Training Requirements

At the time of inspection, the Licensing specialist determined that the child care personnel listed on the supplemental did not complete safe sleep training course with 30 days of starting at the facility which offers infant care in their program. Staff 1 started at the facility on 3/18/2024. Staff 2 started at the facility on 1/25/2025. Staff 2 started, Health Safety and Nutrition course but did not complete the course within 30 days of hire by 2/25/2025. TA was provided to ensure that the child care personnel completed the training course by the due date

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

35-01 · Communicable Disease Control

At the time of inspection, the staff in the third building two year old classroom advised that a child vomited. Later on in the inspection, the staff notified the administration that the child vomited again and the childs parents were called. The specialist advised the staff that the child needs to be removed from the classroom and placed in the isolation area. The provider was not aware of an isolation area. Another staff notified the administration later on in the day that they suspect a child has pink eye, the childs parents were called. The specialist again advised the provider that the child needs to be removed from the classroom while waiting to be picked up by parents. The provider advised the specialist that both children were removed from the classroom and picked up. The specialist offered suggestions of creating an isolation area in the front office and discussed thoroughly with the provider when a child should be removed from the classroom and also reminded the provider to follow their policy on communicable disease. TA was provided to ensure that children suspected on having a communicable disease are removed from the classroom and parents are notified to pick the child up to prevent the spread of communicable disease

Corrected Corrected by Mar 6, 2025

Category: ratio. Marked corrected in the state record.

41-02 · Immunization Records

At the time of inspection, the Licensing specialist determined that the children listed on the supplemental had an expired Immunization record. Child1's form was last dated on 2/6/2025. Child 2's form was last dated on 1/31/2025. TA was provided to ensure that the child has a current Immunization on file by the

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-02 · Student Health and Records

At the time of inspection, the Licensing specialist determined that the child listed on the supplemental had an expired medical physical. The form was last dated on 2/6/2023. The form is valid for two years. TA was provided to ensure that the child has a current medical physical on file by the

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

45-02 · Background Screening Documents

At the time of inspection, the Licensing specialist determined child care personnel listed on the supplemental did not have an eligible screening on file prior to starting at the facility in the classroom with children in care. The staff started at the facility on 2/24/2025 but did not have an eligible status for child care in the Clearinghouse until 2/28/2025. TA was provided to ensure that all staff have an eligible background screening prior to starting at the facility

Corrected Corrected by Mar 6, 2025

Category: background checks. Marked corrected in the state record.

45-04 · Background Screening Documents

At the time of inspection, the Licensing specialist determined the provider failed to verify all employment history for the child care personnel listed on the supplemental. The staff worked at a child care facility in May of 2020 for a couple of month. The provider immediately verified the additional work history at time of inspection. TA was provided to ensure that the provider verify all employment for staff within the past five years and documents on file for Licensing to review

Corrected Corrected by Mar 6, 2025

Category: background checks. Marked corrected in the state record.

45-11 · Background Screening Documents

At the time of inspection, the Licensing specialist determined that the provider failed to initiate an out of state Sexual offender search and a Child Abuse Registry search for the child care personnel listed on the supplemental. The staff lived and worked in Ohio in 2021, which was within the past five years. The staff started at the facility on 3/3/2025. TA was provided to ensure that the provider initiates an out of state search for the staff and documents on file by the due date

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

04-01 · Technical assistance was provided that child care personnel must position themselves in the outdoor play area so that all children can be observed and directly supervised. And ensure that all children are accounted for when entering the facility. • This standard was brought back into compliance when another Child Care Personnel retrieved the Child from the playground

At the time of inspection, Licensing Specialist determined via facilitys video footage that the Child Care Personnel listed on the supplemental left a child on the playground unsupervised

Corrected Corrected by Mar 6, 2025

Category: supervision. Marked corrected in the state record.

33-03 · Technical assistance was given to the provider to have the staff start a class in Part 1 or Part 2 prior to the due date

At the time of the inspection, the licensing specialist reviewed all staff files and determined that the staff listed on the supplemental did not start the required DCF training within 90 days of employment in the industry

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-07 · Technical assistance was given to the provider to have the staff complete prior to the

At the time of the inspection, the licensing specialist reviewed all staff files and observed the staff listed on the supplemental did not have documentation of completing the required 10-hour annual in-service hours for the fiscal year 2023 - 2024

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

42-01 · Student Health and Records

At the time of the inspection, the licensing specialist observed the child listed on the supplemental was missing a health record in their file and had been enrolled more than 30 days. The provider obtained a current copy of the physical from the parent/guardian placing the facility back in compliance for this standard

Corrected Corrected by Jul 17, 2024

Category: health medication. Marked corrected in the state record.

43-02 · Technical assistance was given to the provider to complete prior to the due date. The provider was also encouraged to review all children's files to ensure each file is complete and has an enrollment date

At the time of the inspection, the licensing specialist observed the children listed on the supplemental were missing enrollment dates on their application/registration form

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

45-04 · Technical assistance was given to the provider to complete prior to the due date. The provider was reminded that 5-year employment history's must include the following: 1. (3) attempts must be made and documented and failed attempts to obtain employment history must be documented in the personnel file and include date, time, and the reason the information was not obtained 2. A complete 5 years' worth of prior employment must be documented and verified 3. The documentation must include the applicants job title and description of his/her regular duties, confirmation of employment dates, and level of job performance

At the time of the inspection, the licensing specialist reviewed all staff files and determined the staff listed on the supplemental had an incomplete 5-year work history in their file. (only 1 attempt made or missing a verification)

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-07 · Technical assistance was given to the provider to complete prior to the due date

At the time of the inspection, the licensing specialist determined the staff listed on the supplemental had a 90-day break in service and was not rescreened prior to employment

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

47-08 · Access/Child Safety

At the time of the inspection the licensing specialist observed the documents that were submitted to the licensing agent to not be the proper format, documentation, or correct agency signature. The department was informed through several agencies' investigations including building/zoning, fire department, and law enforcement that the documents provided were fraudulent. The noncompliance was resolved once the provider complied with the agencies to get the right documents filed with the county and submitted to the department

Corrected Corrected by Jul 1, 2024

Category: recordkeeping. Marked corrected in the state record.

35-10 · Communicable Disease Control

At the time of the complaint inspection, the counselor obtained information revealed through interviews that a communicable outbreak occurred for the entire staff/children and parents of the facility over a span of 3 weeks in April and it was not reported to the health department. The provider was advised to ensure when 2 or more children/adults have the same symptoms it is reported to maintain compliance. This was resolved due to the staff and children being well at the time of the report

Corrected Corrected by May 20, 2024

Category: health medication. Marked corrected in the state record.

15-03 · Licensed Capacity

At the time of the inspection, the licensing specialist observed 16 children in the 2 year old classroom. The posted capacity for the classroom is 15. The child was leaving with their parent resolving the noncompliance. through interviews, it was revealed 16 children were in the supervision of 3 teachers all day. The provider was advised to ensure all classroom meet capacity and ratio standards to maintain compliance

Corrected Corrected by Mar 28, 2024

Category: supervision. Marked corrected in the state record.

12-01 · Facility Environment

At the time of inspection, the counselor observed the air conditioning vent throughout the facility by the classroom doors with heavy dust build up in need of cleaning. The counselor advised the provider that the air conditioning vents need to be dusted. TA was provided to ensure that the vents are cleaned by the due date

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

12-18 · Facility Environment

At the time of inspection, the counselor observed the electrical outlet in the two and three year old classroom near the rug used for circle time with no outlet cover and children were present in the area dancing. The provider advised that the outlet needs to be covered in area where children have access. Provider covered the outlet at time of inspection. TA was provided to ensure that electrical outlets are covered at all times when in reach of children in care

Corrected Corrected by Mar 8, 2024

Category: physical safety. Marked corrected in the state record.

13-01 · Toxic Substances, Hazardous Materials and Weapons

At the time of inspection, the counselor observed the infant classroom with a spray bottle storing a chemical that was not labeled with the chemical name. Staff was unaware of the substance in the bottle and stated it may be soap and water, however the counselor smelled the product and it was a chemical. Counselor advised the blue substance may be Windex and also advised staff that if they were unsure of what it was to pour it out and refill it and or find the chemical and label what the substance is on the spray bottle. Staff labeled the spray bottle at time of inspection and confirmed that it was Windex being stored. TA was provided to ensure that spray bottles that store chemicals or hazard items and or toxic materials are labeled

Corrected Corrected by Mar 8, 2024

Category: nutrition. Marked corrected in the state record.

19-02 · Nap/Sleep Space Requirements

At the time of inspection, the counselor observed multiple classrooms throughout the facility with children not sleeping 18 inches apart. The staff advised that they soothe multiple children to sleep and or allow the lunch area to be cleaned while children lay down to nap. Counselor advised the staff that children must sleep 18 inches apart during nap time to remain compliance. Counselor offered suggestions on sleeping areas and moved children at time of inspection and reminded staff that they have the floor space to spread children out while sleeping. Counselor also suggested that the facility create a nap map for each classroom to ensure compliance for this standard. TA was provided to ensure that the children are spaced 18 inches apart during nap time

Corrected Corrected by Mar 8, 2024

Category: physical safety. Marked corrected in the state record.

19-04 · Nap/Sleep Space Requirements

At the time of inspection, the counselor observed children sleeping throughout the facility against furniture and or under furniture. The counselor observed the children sleeping near chairs and stacked chairs stored right by the sleeping children in care. The provider asked staff to remove the chairs by the sleeping children at time of inspection. Staff moved the chairs away from children at time of inspection. TA was provided to ensure that the children in care are not sleeping against furniture or near other potential hazards

Corrected Corrected by Mar 8, 2024

Category: physical safety. Marked corrected in the state record.

19-05 · Nap/Sleep Space Requirements

At the time of inspection, the counselor observed the children in multiple classrooms sleeping that are interfering with emergency exit doors within the classroom. The counselor advised staff that children can not block or interfere with exits. Counselor offered suggestions on sleeping areas and moved children at time of inspection. TA was provided to ensure that exit doors are not blocked or interfered with by sleeping children or any other objects

Corrected Corrected by Mar 8, 2024

Category: physical safety. Marked corrected in the state record.

25-08 · Meals and Snacks

At the time of inspection, the counselor observed both mini refrigerators with freezer combos in the infant classroom in the freezer section with no thermometer observed. TA was provided to ensure that the thermometers are placed in the freezers by the due date

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

28-02 · Bottles, Breastmilk, Formula and Infant Food

At the time of inspection, the counselor observed several childrens bottles throughout the facility that were not labeled or labeled with childs first name only or first name and last initial. Provider advised all staff to label every childs cup and bottle appropriately at time of inspection. TA was provided to ensure that the childrens bottles are labeled with the childs full name at all times

Corrected Corrected by Mar 8, 2024

Category: nutrition. Marked corrected in the state record.

30-14 · Diapering

At the time of inspection, the counselor observed the staff in the one and two year old classroom changing a childs diaper and then move on to change another childs diaper. The counselor asked staff if she washed the childs hands that she just changed while pushing on the handwashing sink faucet and the water stream was very low, the staff replied, Oh no and also stated that they turn off the water because children play at the sink. Counselor also asked staff if she changed her gloves between changes and she states, yes. The staff waited to change the next childs diaper and washed the hands of the previous child and washed their own hands and changed gloves to diaper the next child at time of inspection. Counselor reviewed the diaper changing procedures with staff and encouraged her to follow the steps. TA was provided to ensure that the diaper changing procedures are followed each diaper change

Corrected Corrected by Mar 8, 2024

Category: health medication. Marked corrected in the state record.

33-01 · Training Requirements

At the time of inspection, the counselor determined that the child care personnel listed on the supplemental did not complete required DCF introductory courses within 12 months of working in the industry. Staff 1 started in the industry on 10/31/2022 and 15 months in the industry was 1/31/2024. Staff did not complete 40 hour training until 2/3/2024. Staff 2 started in the industry on 1/25/2023 and did not complete training until 3/13/2024. The counselor advised provider that staff has 12 months from their industry start date to complete required training. TA was provided to ensure that child care personnel complete introductory training within 12 months of industry start date

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. Marked corrected in the state record.

33-06 · Training Requirements

At the time of inspection, the counselor determined that the child care personnel listed on the supplemental did not complete the required 5 hour Literacy course within 12 months of employment in the industry. Staff one started in the indus38try on 12/14/2022 and has not completed the training as of today. Staff two started in the industry on 1/5/2023 and has not completed the training as of today. TA was provided to ensure that the staff complete the required 5 hr. Literacy training by the due date

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

42-01 · Student Health and Records

At the time of inspection, the counselor determined that the child listed on the supplemental did not have a medical physical form on file for Licensing to review. TA was provided to ensure that the medical physical form is on file by the due date

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

45-11 · Background Screening Documents

At the time of inspection, the counselor determined that the facility failed to request a sexual offender search for the child care personnel listed on the supplemental who lived out of state within the past five years. The counselor observed that the provider completed a national search but not a state specific search for the staff. Staff one lived in the state of GA and Staff two lived in OH. The provider completed the requested search and documented the results on file at time of inspection. TA was provided to ensure that the provider request a state specific search of the sexual offender search for staff who lives out of state within the past five years

Corrected Corrected by Mar 8, 2024

Category: background checks. Marked corrected in the state record.

39-04 · Accident/ Incident Notification and Documentation

At the time of the inspection information obtained revealed the facility did not give the guardian documentation of the incident that occurred to a child in their supervision. the provider was advised to ensure incident reports are written and signed by parent/guardians the same day to maintain compliance. The noncompliance is resolved because the child is no longer in attendance

Corrected Corrected by Mar 4, 2024

Category: supervision. Marked corrected in the state record.

33-01 · Technical assistance was given to the provider to have the staff start complete/pass tests prior to the due date

At the time of the inspection, the CCR counselor reviewed all staff files and determined that the staff listed on the supplemental did not successfully complete the Departments training within 12 months from the date training began, not to exceed 15 months from the date of employment in the child care industry

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-03 · Technical assistance was given to the provider to have the staff start a class in Part 1 or Part 2 prior to the due date

At the time of the inspection, the CCR counselor reviewed all staff files and determined that the staff listed on the supplemental did not start the required DCF 40 hour training within 90 days of employment/industry start date

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-06 · Technical assistance was given to the provider to have the staff complete prior to the due date

At the time of the inspection, the CCR counselor reviewed all staff files and determined that the staff listed on the supplemental had not completed Early Literacy training within 1 year of employment/industry start date

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

41-01 · Technical assistance was given to the provider to obtain a current form from the parent/guardian prior to the due date

At the time of the inspection, the CCR counselor determined the child listed on the supplemental was missing an immunization record in their file and had been enrolled more than 30 days

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Technical assistance was given to the provider to obtain a current form from the parent/guardian prior to the due date

At the time of the inspection, the CCR counselor the child listed on the supplemental was missing a health record in their file and had been enrolled more than 30 days

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-03 · Technical assistance was given to the provider to have the staff start a class in Part 1 or Part 2 prior to the due date

At the time of the inspection, the CCR counselor reviewed all staff files and determined that the staff listed on the supplemental did not start the required DCF 40 hour training within 90 days of employment/industry start date

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-07 · Technical assistance was given to the provider to have the staff complete prior to the

At the time of the inspection, the CCR counselor reviewed all staff files and observed the staff listed on the supplemental did not have documentation of completing the required 10 hour annual in-service hours for the fiscal year 2022 - 2023

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-09 · Technical assistance was given to the provider to have the staff complete prior to the due date. Additional technical assistance was given to the provider as a reminder that all child care personnel shall be trained in the use and operation of a fire extinguisher, at each facility they are employed, within 30 days of date of hire

At the time of the inspection, the CCR counselor reviewed all staff files and determined that the staff listed on the supplemental did not have documentation of fire extinguisher training in their file and had been employed more than 30 days

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

35-12 · Technical assistance was given to the provider to review with the staff and document the training prior to the due date. Lastly, the provider was reminded that a refresher education of the facilitys exposure plan must be conducted with all staff annually

At the time of the inspection, the CCR counselor reviewed all staff files and observed the staff listed on the supplemental did not have documentation of training on the facilitys exposure plan

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

39-04 · Technical assistance was given to the provider as a reminder that all accidents/incidents must be documented on the same day they occur, must be shared & signed with the parent/guardian on the date of the occurrence, signed by any child care personnel that witnessed, involved and/or responded to the incident and the documentation must be kept for 12 months. Additional technical assistance was given to the provider to have the form(s) completed prior to the due date

At the time of the inspection, the CCR counselor reviewed children's files N - Z and determined the children listed on the supplemental had incomplete accident/incident reports that were missing parent/guardian signature and/or was missing dates

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

42-01 · Technical assistance was given to the provider to obtain a current form from the parent/guardian prior to the due date

At the time of the inspection, the CCR counselor reviewed childrens files N - Z and determined the children listed on the supplemental were missing health records in their file and had been enrolled more than 30 days

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-02 · Technical assistance was given to the provider to have the staff complete prior to the due date

At the time of the reinspection, the CCR counselor reviewed new staff files and determined that the staff listed on the supplemental did not have an employment application in their file

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-01 · Background Screening Documents

At the time of the inspection, the CCR counselor reviewed all staff files & observed the staff listed on the supplemental had incomplete 5131 forms in their file. The provider completed the forms while the counselor was present placing them back into compliance for this standard

Corrected Corrected by Jul 11, 2023

Category: background checks. Marked corrected in the state record.

45-05 · Background Screening Documents

At the time of the inspection, the CCR counselor reviewed all staff files and determined the staff listed on the supplemental had an incomplete 5-year work history in their file. (no verifications completed and/or not a full 5-years' worth of employment). Technical assistance was given to the provider to complete prior to the due date. The provider was reminded that 5-year employment history's must include the following: 1. (3) attempts must be made and documented and failed attempts to obtain employment history must be documented in the personnel file and include date, time, and the reason the information was not obtained 2. A complete 5 years' worth of prior employment must be documented and verified 3. The documentation must include the applicants job title and description of his/her regular duties, confirmation of employment dates, and level of job performance

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-07 · Technical assistance was given to the provider to complete prior to the due date

At the time of the inspection, the CCR counselor reviewed all staff files & observed the staff listed on the supplemental had a 90 day break in service and was not rescreened prior to employment

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-11 · Technical assistance was given to the provider to obtain prior to the due date

At the time of the inspection, the CCR counselor reviewed all staff files & observed the staff listed on the supplemental had resided outside of the state of Florida within the past 5 years and had no documentation that abuse & neglect or sexual offender checks were completed

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

33-05 · Training Requirements

At the time of the reinspection, the staff listed on the supplemental has not completed DCF training. The provider emailed the CCR counselor documentation that the staff is scheduled to test on 4/29/23

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-11 · Technical assistance was given to the provider to reach out to the state(s) either by phone or email to request the reports prior to the due date. Note: the reports were requested after the

At the time of the reinspection, the provider stated the facility has not received out of state sexual offender checks for the staff listed on the supplemental

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

01-03 · License Displayed/Citation Posted/Advertising

At the time of the inspection, the CCR counselor observed the facility did not have the license number posted on the front doors or the sign by the road. The provider placed the license number on the sign and on the window near the front door while the counselor was present placing them back into compliance for this standard

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. Marked corrected in the state record.

33-05 · Technical assistance was given to the provider to have the staff start complete/pass tests prior to the due date

At the time of the inspection, the CCR counselor reviewed all staff files and determined that the staff listed on the supplemental did not successfully complete the Departments training within 12 months from the date training began, not to exceed 15 months from the date of employment in the child care industry

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-06 · Technical assistance was given to the provider to have the staff listed on the supplemental complete the training prior to the

At the time of the inspection, the CCR counselor reviewed all staff files and determined that the staff listed on the supplemental had not completed Early Literacy training within 1 year of employment/industry start date. One staff completed late and the other staff has not completed

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

41-02 · Technical assistance was given to the provider to obtain a current form from the parent/guardian prior to the due date. Additional technical assistance was given regarding FL shots. The provider was shown & given the link to their website and how to register to view FL shot records. The link given was: www.flshotsusers.com and the provider was reminded to go to the bottom of page under schools & licensed child care providers to register

At the time of the inspection, the provider stated there were 91 children enrolled and 31 children's files A - G including newly enrolled were reviewed. The children listed on the supplemental had expired immunization records in their file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

43-03 · Technical assistance was given to the provider to complete prior to the due date. Additional technical assistance specific to this standard is notated on the supplemental. A copy of the children's file checklist was left with the provider on today's date for use/reference

At the time of the inspection, the CCR counselor reviewed children's files A - G and observed none of the children had acknowledgment of receiving the Know Your Child Care Facility brochure

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-01 · Technical assistance was given to the provider to obtain prior to the due date

At the time of the inspection, the CCR counselor reviewed all staff files and determined the staff listed on the supplemental did not have a file onsite available for review

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-02 · Technical assistance was given to the provider to have the staff complete prior to the due date. A copy of the staff file checklist was left with the provider on today's date for use/reference

At the time of the inspection, the CCR counselor reviewed all staff files and determined the staff listed on the supplemental did not have an employment application in their file

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-02 · Technical assistance was given to the provider to initiate a new screening including the staff's prior state(s) prior to the due date

At the time of the inspection, the CCR counselor reviewed all staff files and observed the staff listed on the supplemental had lived outside the state of Florida within the past 5-years that was not included with the original screening

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-04 · Background Screening Documents

At the time of the inspection, the CCR counselor reviewed all staff files and determined the staff listed on the supplemental had an incomplete 5-year work history in their file. (no verifications completed and/or not a full 5-years' worth of employment). Technical assistance was given to the provider to complete prior to the due date. The provider was reminded that 5-year employment history's must include the following: 1. (3) attempts must be made and documented and failed attempts to obtain employment history must be documented in the personnel file and include date, time, and the reason the information was not obtained 2. A complete 5 years' worth of prior employment must be documented and verified 3. The documentation must include the applicants job title and description of his/her regular duties, confirmation of employment dates, and level of job performance

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-07 · Technical assistance was given to the provider to complete prior to the due date

At the time of the inspection, the CCR counselor reviewed all staff files & observed the staff listed on the supplemental had a 90 day break in service and was not rescreened prior to employment

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-10 · Technical assistance was given to the provider to reach out to the corporate rep to see if the letter is in their email and to forward to the facility. The staff was entered in the Clearinghouse as a provisional hire dated 1/6/23. The staff is over their 45 days and the provider is aware the staff cannot return until a cleared screening has been obtained

At the time of the inspection, the CCR counselor reviewed all staff files & observed the staff listed on the supplemental had resided outside of the state of Florida within the past 5 years and did not have the 45-day provisional hire letter in their file

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-11 · Technical assistance was given to the provider to initiate a resubmission including the prior state(s) prior to the due date. Lastly, the provider was reminded that any staff who resided outside the state of Florida within 5 years must have the above-mentioned documentation in their file

At the time of the inspection, the CCR counselor reviewed all staff files & observed the staff listed on the supplemental had resided outside of the state of Florida within the past 5 years and did not have documentation that abuse & neglect or sexual offender checks were completed

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.