3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. 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 for staff #2 contains first aid/CPR training that was updated late. It was due 6/2024 and obtained 9/2024.

Corrected Corrected by Dec 9, 2024

Category: ratio. 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). 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.

The file for staff #3 contains a child abuse clearance that was updated late. It was due 8/5/24 and obtained 8/14/24.The file for staff #3 contains a state police clearance that was updated late. It was due 7/29/24 and obtained 8/6/24.

Corrected Corrected by Dec 9, 2024

Category: background checks. 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.

The file for staff #1 contains a health assessment that was updated late. It was due 3/2024 and obtained 8/2024.

Corrected Corrected by Dec 9, 2024

Category: ratio. Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Several radiators in child care spaces exceeded 110 degrees F. Rooms #208 and #201 measured 120 degrees F; Rooms #203/205 and #204 measured 112 degrees F.

Corrected Corrected by Feb 10, 2024

Category: physical safety. 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.

The file for staff #1 contains a health assessment that was updated late. It was due 11/9/23 and renewed 12/9/23.

Corrected Corrected by Dec 9, 2023

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections 3270(f)1-10 within 90 days of hire. Staff person #5 will have until 2/10/23 (actual date- 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet) : health and safety basics. Staff #5 completed the health and safety basics training on 9/18/16 but is not approved by DHS.

Corrected Corrected by Dec 7, 2022

Category: supervision. Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Observed radiators in rooms 205 (120degrees F) and 208 (152degrees F) that exceeded 100 degrees F and are accessible to children. The protective covers did not adequately restrict the children from the heat source because they also conducted the heat.

Corrected Corrected by Dec 9, 2022

Category: physical safety. 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.

Observed one exposed toilet bolt on the toilet in the bathroom off of room 208.

Corrected Corrected by Dec 1, 2022

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.

Observed peeling paint on the wall in the bathroom off of room 208.

Corrected Corrected by Dec 2, 2022

Category: physical safety. 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.

The files for staff #6, #7, and #8 contain late health assessments. #6 was due 10/21 and was obtained 11/21, #7 was due 9/22 and was obtained 11/22, #8 was due 1/22 and was obtained 3/22.

Corrected Corrected by Dec 1, 2022

Category: ratio. 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 files for the following staff contain annual training hours for the 12/19/20 - 12/19/21 period, however, some of the trainings were obtained late (after 12/19/21).: #1, #2, #3, #4, and #8.

Corrected Corrected by Dec 16, 2022

Category: recordkeeping. 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 files for the following staff lack one hour of annual child care training: #2, #3, #$, #8.

Corrected Corrected by Dec 16, 2022

Category: recordkeeping. 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.

Peeling paint and flaking plaster was present to the left of and under the window in the gym, and was accessible to children in care.

Corrected Corrected by Dec 22, 2021

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact form for Child #1 and Child #2 did not contain the work address or work telephone number of the enrolling parent.

Corrected Corrected by Dec 22, 2021

Category: recordkeeping. 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.

The Health Assessments for Staff #1 were dated 10.3.19 and 11.09.21, which exceeded the 24 month renewal requirement.

Corrected Corrected by Dec 10, 2021

Category: ratio. Marked corrected in the state record.