3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During a renewal inspection conducted on 8/29/2024, 4 staff files were reviewed. Staff member # 1 ,2 and 3 files did not contain verification of education and/or experience.

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. Marked corrected in the state record.

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. 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.

This is the 3rd monitoring visit for the following complaint conducted on 8/29/2024. During a complaint investigation conducted on 5/2/2024, Certification Representative verified that staff member # 1 left a child in the outdoor play space while transitioning to the indoor child care space.

Corrected Corrected by Aug 2, 2024

Category: supervision. Marked corrected in the state record.

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. 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.

This is the 2nd monitoring visit for the following complaint conducted on 7/11/2024. During a complaint investigation conducted on 5/2/2024, Certification Representative verified that staff member # 1 left a child in the outdoor play space while transitioning to the indoor child care space.

Corrected Corrected by Aug 2, 2024

Category: supervision. Marked corrected in the state record.

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. 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.

This is the 2nd monitoring visit conducted on 7/11/2024. During a complaint investigation conducted on 5/2/2024, Certification Representative verified that staff member # 1 left a child in the outdoor play space while transitioning to the indoor child care space. CORRECTION REQUIRED: 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.

Corrected Corrected by Jul 18, 2024

Category: supervision. Marked corrected in the state record.

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. 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 Southeast Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

This is the 1st monitoring visit conducted on 6/6/2024: During a complaint investigation conducted on 5/2/2024, Certification Representative verified that staff member # 1 left a child in the outdoor play space while transitioning to the indoor child care space.

Corrected Corrected by Aug 2, 2024

Category: supervision. Marked corrected in the state record.

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. 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.

This is the 1st monitoring visit conducted on 6/6/2024: During a complaint investigation conducted on 5/2/2024, Certification Representative verified that staff member # 1 left a child in the outdoor play space while transitioning to the indoor child care space.

Corrected Corrected by Jul 18, 2024

Category: supervision. Marked corrected in the state record.

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. Children must be supervised at all times.

During a complaint investigation conducted on 5/2/2024, Certification Representative verified that staff member # 1 left a child in the outdoor play space while transitioning to the indoor child care space.

Corrected Corrected by May 2, 2024

Category: supervision. Marked corrected in the state record.

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. 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.

During a complaint investigation conducted on 5/2/2024, Certification Representative verified that staff member # 1 left a child in the outdoor play space while transitioning to the indoor child care space.

Corrected Corrected by May 31, 2024

Category: supervision. Marked corrected in the state record.

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. 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 Southeast 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 a complaint investigation conducted on 5/2/2024, Certification Representative verified that staff member # 1 left a child in the outdoor play space while transitioning to the indoor child care space.

Corrected Corrected by Aug 2, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

3/21/2024, Staff member # 1 left the child in the hallway while taking 3 children to the bathroom. Staff member # 1 did not know the whereabouts of the child for an undetermined length of time.

Corrected Corrected by Apr 12, 2024

Category: supervision. Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

During the renewal inspection, child #1 had a bottle of expired Benadryl dated 9/23.

Corrected Corrected by Oct 27, 2023

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

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.

As the self-reported noncompliance states, child #1 was left in the outdoor play space without supervision.

Corrected Corrected by Jul 28, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · Children must be supervised at all times.

As self-reported by the facility, on 2/1/23 a child was left outside of their classroom in the common area for approximately 4 minutes before being taken into the classroom by a teacher.

Corrected Corrected by Feb 1, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · 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.

As self-reported by the facility, on 2/1/23 a child was left outside of their classroom in the common area for approximately 4 minutes before being taken into the classroom by a teacher.

Corrected Corrected by Jul 7, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · 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.

As self-reported by the facility, on 2/1/23 a child was left outside of their classroom in the common area for approximately 4 minutes before being taken into the classroom by a teacher.

Corrected Corrected by May 26, 2023

Category: supervision. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

During the complaint investigation conducted on 2/6/23, Cert Rep observed video showing staff person #1 in the Infant A room classroom holding and pushing children down in their cribs so that they would not stand up and slamming a child down in the crib so that the child hit their head on the bars of the crib.

Corrected Corrected by Feb 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

During the complaint investigation conducted on 2/6/23 there was no incident report in child #1's file regarding the Childline complaint. The parents of the child identified in the complaint were not given a copy of the incident report.

Corrected Corrected by Feb 6, 2023

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

3270.19(b) · A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department.

Staff person #2 did not immediately make a report of suspected child abuse to Childline after seeing video of staff person #1 push children down in their cribs and slam a child down into the crib so that they hit their head.

Corrected Corrected by Feb 6, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #3 may not work in a child care position at the facility. 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. Staff Person #3 may not work in a child care position at the facility.

ON AUGUST 16, 2022 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #3 DID NOT CONTAIN EVIDENCE OF CRIMINAL BACKGROUND CLEARANCE AND FBI CLEARANCE

Corrected Corrected by Sep 16, 2022

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

ON AUGUST 16, 2022 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF DAILY ACTIVITIES SCHEDULE IN 6 OUT OF 8 CLASSROOMS (3D, 2A, TODDLER B, 3A, 2B AND PRE-K)

Corrected Corrected by Aug 18, 2022

Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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.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.

ON AUGUST 16, 2022 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #3 DID NOT CONTAIN EVIDENCE OF A HEALTH ASSESSMENT

Corrected Corrected by Aug 19, 2022

Category: ratio. Marked corrected in the state record.

3270.192(1)/3270.192(2)(i) · A facility person's record shall include the name, address and telephone number of the facility person.A facility person's record shall include verification of age.

ON AUGUST 16, 2022 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #4, STAFF #5, STAFF #7 AND STAFF #8 DID NOT CONTAIN EVIDENCE OF VERIFICATION OF ADDRESS AND AGE

Corrected Corrected by Aug 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

ON AUGUST 16, 2022 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #1, STAFF #2, STAFF #3 AND STAFF #8 DID NOT CONTAIN EVIDENCE OF VERIFICATION OF EDUCATION, STAFF #1 AND STAFF #8 HAD EDUCATION DOCUMENTS THAT NEED TO BE TRANSLATED AND EVALUATED

Corrected Corrected by Aug 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · 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

ON AUGUST 16, 2022 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #2 DID NOT CONTAIN EVIDENCE OF 2 WRITTEN NONFAMILY REFERENCES FROM INDIVIDUALS ATTESTING TO THE PERSON'S SUITABILITY TO SERVE AS A FACILITY PERSON

Corrected Corrected by Aug 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

ON AUGUST 16, 2022 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #5, STAFF #6, STAFF #7 AND STAFF #8 DID NOT CONTAIN EVIDENCE OF AN ANNUAL MINIMUM OF 12 CLOCK HOURS OF CHILD CARE TRAINING

Corrected Corrected by Aug 28, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the investigation the provider acknowledged that Staff 1 left Child 1 alone and unsupervised.

Corrected Corrected by May 25, 2022

Category: supervision. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

During the investigation the provider acknowledged that the parent was not provided a written report.

Corrected Corrected by Jun 29, 2022

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

3270.27(c) · 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.

The file of Staff 1 did not include documentation of completion of emergency plan training.

Corrected Corrected by May 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file of Staff 1 did not include verification of completion of annual fire safety training.

Corrected Corrected by May 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the following topics within 90 days of hire:A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file of Staff 1 did not include verification of completion of Health and Safety Pre-service training.

Corrected Corrected by May 25, 2022

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file of Staff 1 included international education documents that were not evaluated to verify qualifications for the position the person is performing.

Corrected Corrected by May 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

The file of Staff 1 included an expired health assessment (5/20/19) in which the physician indicated that a physical exam was not conducted.

Corrected Corrected by May 25, 2022

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

3270.192(1) · A facility person's record shall include the name, address and telephone number of the facility person.

The file of Staff 1 did not include verification of her address or phone number.

Corrected Corrected by May 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · 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

The file of Staff 1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by May 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file of Staff 1 did not include verification of completion of professional development in pediatric first aid and pediatric cardiopulmonary resuscitation.

Corrected Corrected by May 25, 2022

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

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file of Staff 1 did not include verification of 12 hours of annual childcare training.

Corrected Corrected by May 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Staff#1 left daycare child#1 in the classroom while they were out on the playground. Staff#2 was still in the classroom and realized the Staff#1 left the daycare child behind in the classroom still asleep on the cot.

Corrected Corrected by Apr 15, 2022

Category: supervision. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

During a complaint investigation on 12/3/21, it was reported by other staff members that staff person #3 was observed grabbing a child by their wrists and dragging them when they refused to walk.

Corrected Corrected by Dec 17, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

During a complaint investigation on 12/3/21, staff reported that on 11/23/21, staff person #3 was screaming into the face of a small child. Staff person #3 admitted to the center's director that she used a harsh tone directly in the face of this child.

Corrected Corrected by Dec 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.19(b) · A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department.

During a complaint investigation on 12/3/21, it was determined that on 11/23/21, staff persons 1, 2, 3, 4, and 5 had reasonable cause to suspect child abuse and failed to report it immediately to Childline.

Corrected Corrected by Dec 9, 2022

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During an unannounced monitoring visit on 12/3/21 in follow up to a renewal inspection on 11/10/21, the windowsill in Room 2027 has chipping paint in multiple locations. Ongoing non-compliance.

Corrected Corrected by Dec 10, 2021

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

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

During an unannounced monitoring visit on 12/3/21 in follow up to a renewal inspection on 11/10/21, Room 2021's bathroom has an unlabeled bottle with purple liquid in it on the window sill. The same unlocked cabinet has toxics such as Aquaphor, multiple containers of baby wipes and Vaseline accessible to children. Ongoing non-compliance.

Corrected Corrected by Dec 10, 2021

Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During an unannounced monitoring visit on 12/3/21 in follow up to a renewal inspection on 11/10/21, the first aid kit in the Diaper Room did not have tweezers in it. Ongoing non-compliance.

Corrected Corrected by Dec 10, 2021

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

During an unannounced monitoring visit on 12/3/21 in follow up to a renewal inspection on 11/10/21, Rooms 2027 and 1004 both had trash, food and crumbs on the floors. Ongoing non-compliance.

Corrected Corrected by Dec 10, 2021

Category: nutrition. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During a renewal inspection on 11/10/21, there was an outlet without a cover in room 1004 on the right wall of the classroom which was accessible to children 5 years of age and younger.

Corrected Corrected by Nov 10, 2021

Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

During a renewal inspection on 11/10/21, the emergency plan was not posted in the facility at a conspicuous location.

Corrected Corrected by Nov 10, 2021

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

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

During a renewal inspection on 11/10/21, the Pre-K bathroom had rubber gloves and Pamper's wipes accessible to children on the windowsill . In an unlocked closet in room 2022, bleach in a bottle was accessible to children. In an unlocked bathroom cabinet in Room 2021, Cerave, Aquaphor, Vaseline and Coppertone sunblock were accessible to children. Two bottles of bleach were observed on the sink countertop in Room 1003. In Room 1004, a bottle of bleach was on the sink countertop and in an unlocked changing table there were wipes, Triple Paste and sunblock all accessible to the children. In room 107 there was a bottle of Gain dish detergent on the countertop sink. In Room 1006, the unlocked changing table had baby wipes, 3 jars of Vaseline and Kavia Diaper rash crème. In Room 1001, there was a bottle of Fiber Powder in an unlocked blue cabinet accessible to children. In the Indoor Play Area bathroom, wipes were observed on a windowsill accessible to children. In Carriage House 2 there was a box of Antacid Pain observed on a counter accessible to children. In the hallway attached to Carriage House #2, a box of Borax was observed in an unlocked closet, hand sanitizer and bleach in a bottle.

Corrected Corrected by Nov 10, 2021

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

3270.75(a)/3270.75(c) · A first-aid kit shall be in a child care space. A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During a renewal inspection on 11/10/21, the Diaper Room did not have a first aid kit in the child care space. In Room 2027, there were no tweezers in the first aid kit. In Room 2026, the first aid kit did not have disposable, nonporous gloves. In Room 1007, the first aid kit did not have sterile gauze pads. In the Carriage House 2, the first aid kit did not have soap.

Corrected Corrected by Nov 10, 2021

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

During a renewal inspection on 11/10/21, the Alphabet Rug in room 2027 was heavily soiled. In the bathroom of Room 2023, there are exposed pipes on an old bathtub with missing tiles appearing hazardous to the children using this bathroom. There was a step stool leaning against the wall in room 2027 presenting a hazard. Rooms 2033, 2023, 1005, 1006, and 2022 had dirty floors and woodwork. The cove base in Carriage house 2 needs repair. There was an unlocked door in room 1004 leading to 1005 that when opened presented a hazardous condition because a young child was sleeping on the floor behind the door. In the bathroom attached to Room 2030, the floor tiles need replacing and the bathroom floor needs to be cleaned to remove the dirt. In Room 2028, the jungle and pond rug are both heavily soiled. In Pre-K Room 2033 , the pond rug is soiled. The floor in room 2028 is dirty and needs to be cleaned. The Pre-K bathroom floor is dusty, dirty and needs to be cleaned. The caterpillar rug in room 2021 is soiled. There was a stapler in room 1005 in an unlocked drawer.

Corrected Corrected by Nov 22, 2021

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During a renewal inspection on 11/10/21, there was chipping paint on the walls and trim throughout the following rooms: 2022, 2027,2026, 2023, 2033, 2027 including the fireplace, Pre-K Hallway blue wall. There was damaged and missing plaster on the walls throughout Rooms 1007, 1003 and Carriage House 2. In Room 2026, the unlocked closet had holes in the wall and missing plaster.

Corrected Corrected by Nov 29, 2021

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

During a renewal inspection on 11/10/21, toilets in 2 bathrooms in Carriage House 2 did not have signs posted stating that a facility person and an able child shall wash their hands after toileting and before eating.

Corrected Corrected by Nov 10, 2021

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

3270.107 · 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.

During a renewal inspection on 11/10/21, the refrigerator in room 2030 read 50° F. There was a dirty refrigerator in Room 2027.

Corrected Corrected by Nov 10, 2021

Category: nutrition. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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.

During a renewal inspection on 11/10/21, Staff Person #1 did not have a health assessment in their file. Staff Person #5 did not have a tuberculosis screening by the Mantoux method in their file.

Corrected Corrected by Nov 15, 2021

Category: ratio. Marked corrected in the state record.

3270.183(a)/3270.193(a) · Child records are confidential and shall be stored in a locked cabinet. Facility persons' records are confidential and shall be stored in a locked cabinet.

During a renewal inspection on 11/10/21, children's and facility persons' confidential records were observed in an unlocked office in an unlocked cabinet.

Corrected Corrected by Nov 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

During a renewal inspection on 11/10/21, Staff persons 2, 3 and 4 did not have individual records.

Corrected Corrected by Nov 30, 2021

Category: recordkeeping. Marked corrected in the state record.