3290.32(a)/3290.192(3) · 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.

Staff person 1 has gone more than 60 months without updating mandated reporter training. Staff 1 has mandated reporter training on file dated 4.3.15. Staff person 1 and household member 2 did not update their state police and child abuse clearance within 60 months from the previous state police and child abuse clearance. Staff 1 and household member 2 have state police clearances on file dated 4.7.15 and updated state police clearances dated 6.4.20. Staff 1 and household member 2 have child abuse clearances on file dated 5.14.15 and updated child abuse clearances on file dated 6.4.20.

Corrected Corrected by Jan 22, 2022

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

3290.64(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Inspector observed toxics (A&D ointment) on the counter to the far left next to a diaper. The toxic is accessible and is labeled keep out of reach of children.

Corrected Corrected by Jan 6, 2022

Category: ratio. Marked corrected in the state record.

3290.121(a)/3290.121(b) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

The provider admitted to not having a handbook or papers to review with parent at the time of application the the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements dismissal policies, transportation and pick-up arrangements. At time of enrollment, a parent does not receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Corrected Corrected by Jan 20, 2022

Category: supervision. Marked corrected in the state record.

3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

None of the five fee agreements reviewed at renewal specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jan 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(4)/3290.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Emergency contact form for children 1 and 3 do not include the written consent signed by a parent for emergency medical care. Child 1's file has yes in the spot for signature and child 3 has the parents initials.

Corrected Corrected by Jan 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)/3290.182(1) · The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Child 3 - DOE - 5.11.20, does not have a health assessment on file.

Corrected Corrected by Jan 21, 2022

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

3290.131(d)(1) · A health report shall include a review of the child's health history.

Child 1's health report does not include a review of the child's health history.

Corrected Corrected by Jan 21, 2022

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

3290.151(a)(2) · 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.

Staff 1's health assessment was not updated within 24 months. Staff 1 has a health assessments on filed dated 5.14.19 and 12.14.21.

Corrected Corrected by Jan 6, 2022

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

3290.161(c) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

At time of inspection, inspector observed lunch bags on the table of the children who were in care this day. Inspector looked inside the lunch bags and observed ice packs in a couple that had yogurt and a meal from home that looked to be chicken, noodles and a creamy sauce. None of these lunches were refrigerated.

Corrected Corrected by Jan 6, 2022

Category: nutrition. Marked corrected in the state record.

3290.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Children 1and 3's record does not contain signed parental consent for administration of minor first-aid procedures by facility staff. Child 1's consent shows "yes" and no signature and child 3's record show parents initials and not signatures.

Corrected Corrected by Jan 21, 2022

Category: ratio. Marked corrected in the state record.

3290.24(a)(1)/3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

The emergency plan on file at facility does not provide accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The emergency plan also does not provide accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jan 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.24(b)/3290.24(g) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept 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.

The last documented review of the facility's emergency plan is dated 11.6.18. Provider has not sent the facility's emergency plan to the local municipality and the emergency plan was last sent to the county emergency management agency in 2006.

Corrected Corrected by Jan 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Provider admitted to not conducting an emergency drill annually. No annual emergency drill is documented at facility.

Corrected Corrected by Jan 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.24(f) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Provider does not provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a).

Corrected Corrected by Jan 21, 2022

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