3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

During the renewal inspection on 01/28/25, Cert Rep did not observe the children supervised by a staff person at all times, several children were observed walking to the restroom unsupervised.

Corrected Corrected by Jan 28, 2025

Category: supervision. Marked corrected in the state record.

3270.123(a)/3270.123(a)(3) · An agreement shall be signed by the operator and the parent. The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

During the renewal inspection on 01/28/25, while reviewing children's files, Cert Rep did not observe a service agreement in the file of child #1. Cert Rep also did not observe services provided on the service agreement in the file of child #2.

Corrected Corrected by Feb 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

During the renewal inspection on 01/28/25, while reviewing children's files, Cert Rep did not observe information on the child's special needs, which was left blank, on the emergency contact form in the files of child # 3 and 4.

Corrected Corrected by Feb 11, 2025

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

3270.27(a)(6)/3270.27(f) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

During the renewal inspection on 01/28/25, Cert Rep did not observe that the facility has been conducting annual emergency drills, which is beyond the requirement. Cert Rep also did not observe that the facility sent a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Feb 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

During the renewal inspection on 01/28/25, Cert Rep did not observe that the facility has been conducting fire drills at least once every 60 days, the last fire drill was not documented and not on file at the facility, which is beyond the requirement.

Corrected Corrected by Feb 11, 2025

Category: recordkeeping. Marked corrected in the state record.