3270.34(a)(3) · A director is responsible for designating a staff person who is responsible for compliance with this chapter in the Director's absence.

On 11/17/23, the executive and child care directors were out of the building. Staff did not know which staff was designated in charge.

Corrected Corrected by Dec 13, 2023

Category: recordkeeping. 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.

Facility did not provide documentation annual emergency plan training was completed.

Corrected Corrected by Nov 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(1)(iv) · Training conducted with audio-visual materials recognized by child care professionals is acceptable and may count toward the annual requirement for 12 clock hours of child care training.

Facility did not provide documentation for staff #1 annual 12 hours of training.

Corrected Corrected by Nov 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · 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.

Facility did not provide documentation annual firesafety training was completed.

Corrected Corrected by Nov 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Child #1 did not have on file documentation of a flu shot or a letter from the parent for an exemption of flu shot.

Corrected Corrected by Nov 4, 2023

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

3270.151(a) · 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.

Staff #1 did not have on file a current health assessment.

Corrected Corrected by Nov 4, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(1)/3270.151(c)(2) · An adult health assessment must include a physical examination. 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.

Staff #2 did not have on file an initial health assessment or results from a tuberculosis screening.

Corrected Corrected by Nov 20, 2023

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

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Child #1's agreement that is on file does not specify the persons designated whom the child may be released to.

Corrected Corrected by Oct 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.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.

Facility person #1 did not have on file documentation of education or verification of child care experience.

Corrected Corrected by Oct 12, 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

Facility person #1 has on file 1 written, nonfamily reference.

Corrected Corrected by Oct 12, 2022

Category: recordkeeping. 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 of facility person #1, hired 1/22/21, had an NSOR verification dated 7/28/21. The file of facility person #2, hired 10/8/18, had an NSOR verification dated 8/3/21.

Corrected Corrected by Sep 21, 2021

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

3270.71/3270.76 · 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.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.

In Classroom #3, three heat lamps were observed above an aquarium and accessible to the children. The heat lamp shades were hot to the touch. The heat lamp pose a risk of a burn hazard to the children.

Corrected Corrected by Dec 28, 2021

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.

The window sill in Classroom 1 was observed to have areas where the paint was worn down to previous coats of paint. The window sill in Classroom 2 was observed to have areas where the paint was worn down to previous coast of paint.

Corrected Corrected by Dec 28, 2021

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

3270.76/3270.77(a) · 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 . Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

The doorways to class room #1, the closet adjacent to classroom #1, and the closet across from class room #1 were observed to have peeling paint from the doorways.

Corrected Corrected by Dec 28, 2021

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

3270.151(a) · 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.

The health assessment on file for Facility staff person #1, dated 8/3/18, exceeds 24 months.

Corrected Corrected by Dec 28, 2021

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). LACKING REQUIRED HIRING DOCUMENTS: Facility 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. Facility Person #3 may not work in a child care position at the facility.

Facility person #3 does not have a hire date on file. The file for facility person # 3 does not contain a completed PSP criminal history clearance or DHS required FBI clearance. Although the LE has an approved waiver on file effective 1/7/20, the requirement to have either the completed PSP or DHS required FBI clearance on file was not met. At approx. 12:00 pm, Facility person #3 was observed alone with 9 preschool aged children supervising naptime. Facility person #3 did not have a signed, completed disclosure statement and documentation of mandated reporting. Facility person #4 did not have on file a witnessed disclosure statement.

Corrected Corrected by Aug 10, 2021

Category: supervision. Marked corrected in the state record.

3270.34(b)(1)/3270.192(2)(iv) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.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.

Executive director of facility child care, who was hired last week, does not have documentation of 1 year's experience on file. Facility person #2 wo was hired, September 2020, is designated as child care coordinator. Facility person does not have on file documentation of degree on file.

Corrected Corrected by Aug 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.55(b) · Staff persons who are on duty but are not providing child care during naptime shall remain in the child care portion of the facility premises.

On 7/19/21 between 1:00 pm and 1:35 pm, Facility person #3 was observed supervising preschool children during naptime. No other members were observed in the child care portion of the facility during naptime.

Corrected Corrected by Aug 10, 2021

Category: supervision. 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.

In the outside left corner of the entrance into the childcare facility, a grill, a crow bar like tool and a pair of shears were observed.

Corrected Corrected by Jul 19, 2021

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

3270.121(a)/3270.123(a) · 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. An agreement shall be signed by the operator and the parent.

Child #2 was enrolled by a stepparent. Facility does not have a court order on file from a competent court of jurisdiction that allows stepparent to make decisions on behalf of child.

Corrected Corrected by Aug 10, 2021

Category: supervision. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreements on file for children #7, #9 were observed missing the fee amount to be paid each week.

Corrected Corrected by Aug 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement on file for child,#7 was observed not to have arrival and departure times listed.

Corrected Corrected by Aug 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement on file for child #3 does not designate whom child can be released to.

Corrected Corrected by Aug 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The agreements on file for children #1, #2, #3, #4, #5,#6, #7,#8, #9 were observed not to have the admission date listed.

Corrected Corrected by Aug 10, 2021

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.

The emergency contact form on file for children #5,#6 were observed not have information as to if child has a disability / special needs.

Corrected Corrected by Aug 10, 2021

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form on file for children #2,#3, #6 did not provide the name of the insurance coverage. The emergency contact form on file for children #1,#2,#3,#6,#9 did not provide the insurance policy number.

Corrected Corrected by Aug 10, 2021

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

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact form on file for children #1,#2,#2,#5,#6,#7did not provide the addresses of the individuals designated whom children could be released to.

Corrected Corrected by Aug 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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. 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.

Facility person #3 does not have on file an initial, subsequent health assessments or results of a Mantoux test. Facility person #4 does not have on file dates documenting when the health assessment was completed and Mantoux test was read.

Corrected Corrected by Aug 10, 2021

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

3270.192(2)(ii)/3270.192(2)(iii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Facility person #1 is designated as the executive director of child care with a hire date the week of July 12, 2021. Facility person #1 does not have on file child care experience or verification of child care experience on file.

Corrected Corrected by Aug 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.33(d) · One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Facility staff persons #1,#2,#3,#4 did not have on file documentation of pediatric first-aid and CPR.

Corrected Corrected by Aug 10, 2021

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