3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster).

Corrected Corrected by Dec 18, 2024

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #6 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Staff person #6 was observed to be caring for children unsupervised. Staff person #6 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR in an approved curriculum from a PQAS instructor.

Corrected Corrected by Dec 12, 2024

Category: supervision. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Observed two pair of adult scissors, which were accessible to children, on a lower shelf in the School Age/Preschool Room.

Corrected Corrected by Dec 3, 2024

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 facility has not conducted annual emergency plan training in the past 12 months. Hence, only staff hired within the past 12 months have current emergency plan training.

Corrected Corrected by Jan 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The parent letter regarding the emergency plan did not include lockdown procedures or accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Dec 18, 2024

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

3270.31(e)(4)(i) · 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.

The most recent Pediatric First Aid/CPR certification in the files for Staff Person #1, 2 and 4 has expired.

Corrected Corrected by Dec 12, 2024

Category: ratio. 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.

The most recent fire safety trainings in the file for Staff Person #4 exceeded 12 months between trainings.

Corrected Corrected by Nov 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3, 6 and 8 will have until 12/26/24 to complete the required training. Until such time as the required training has been completed, staff person #3, 6 and 8 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, 6 and 8, staff person #3, 6 and 8 may not work in a child-care position at the facility.

Staff person #3, 6 and 8 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR in an approved curriculum from a PQAS instructor.

Corrected Corrected by Dec 12, 2024

Category: supervision. 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. Facility Person #6 may not work in a child care position at the facility.

The file for Staff Person #6 does not include a DHS FBI Clearance. The NSOR Certificates in the files for Staff Person #7 and 8 were processed more than 45 days after the staff person's first day in child care (See LIS Code Sheet).

Corrected Corrected by Dec 9, 2024

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for Staff Person #4 does not contain a written evaluation conducted within the past 12 months.

Corrected Corrected by Dec 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

Observed a golden pothos plant in the Pre-K Room.

Corrected Corrected by Dec 3, 2024

Category: physical safety. 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.

The first aid kit in the School Age/Preschool Room lacked tweezers.

Corrected Corrected by Dec 3, 2024

Category: health medication. 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, flaking paint along the outside of the building, which borders the outdoor play space.

Corrected Corrected by Dec 20, 2024

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

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The fee agreements in the files for all the child files reviewed were the original documents.

Corrected Corrected by Dec 20, 2024

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 in the file for Child #3 did not 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.

Corrected Corrected by Dec 3, 2024

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 in the file for Child # 4 did not include the address of the release persons.

Corrected Corrected by Dec 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The most recent health reports in the files for Child #3 and #5, preschool children, exceeded 12 months between reports.

Corrected Corrected by Dec 3, 2024

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Observed alcohol pads and antiseptic wipes, which were not labeled with the name of the child for whom the medication was intended, in the first aid kits in the School Age/Preschool Room and the Toddler Room.

Corrected Corrected by Dec 3, 2024

Category: health medication. 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 TB Screening in the file for Staff Person #5 was conducted more than one year prior to the staff person's first day in child care and is not valid. (See LIS Code Sheet).

Corrected Corrected by Dec 4, 2024

Category: ratio. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The most recent parent updates for the emergency contact forms and fee agreements in the files for Child #4 and #5 exceeded 6 months between updates.

Corrected Corrected by Dec 3, 2024

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.

The fire drill log documents five times in the past year when fire drills exceeded 60 days between drills: 1/2-3/4, 3/4-5/3, 5/3-7/3, 7/3-9/3 and 9/3-11/11.

Corrected Corrected by Dec 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The fire system test log for the past year documents three times when fire system checks exceeded 30 days between checks: 7/1-8/2, 8/2-9/4 and 11/1-12/3.

Corrected Corrected by Dec 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The initial health reports in the files for Child #1 and #2 were conducted more than 60 days after the child's first day of attendance at the facility.

Corrected Corrected by Dec 3, 2024

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #2 will have until January 14, 2024 to complete the required training. Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety).

Corrected Corrected by Dec 22, 2023

Category: supervision. 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 files of Child #4 and #7 both contain emergency contact forms that were lacking the enrolling parents work address and phone numbers.

Corrected Corrected by Dec 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

In the young toddler room there was prescription Nystatin ointment that did not have written doctor instructions from the individual who prescribed the medication.

Corrected Corrected by Dec 6, 2023

Category: ratio. Marked corrected in the state record.

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

In the preschool/school age room there was a diazapam medication that was lacking a medicaion log that gives written permission from the parents to administer the medication.

Corrected Corrected by Jan 5, 2024

Category: ratio. 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 file for Staff #1 contained an initial health assessment dated 10.23.23 which was after her start date.(see LIS code sheet).

Corrected Corrected by Dec 6, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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.

The file for Staff #1 contained a TB screening that was dated 7.30.21 which was more than 12 months prior to their start date.(See LIS code sheet)

Corrected Corrected by Dec 6, 2023

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

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The operator failed to notifiy local traffic safety authorities within the last 12 months in writing of the location of the facility and the programs use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Dec 6, 2023

Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

In the Preschool Room, in an area accessible to children in care, an approximately 4'x2' wooden shelf was observed to be presenting a tipping hazard, which could result in blunt force trauma injury.

Corrected Corrected by Feb 3, 2023

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

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. 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 #5, who has been employed in a childcare position for more than 90 days, did not contain documentation of the completion of Health and Safety Basics Training.

Corrected Corrected by Dec 9, 2022

Category: health medication. 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. Facility Person #3 may not work in a childcare position at the facility.

The file for Staff #3 contained a DHS Child Abuse Clearance that was processed as a volunteer clearance, which is not accepted by our department. The file for Staff #4, who currently resides in the State of Ohio, did not contain clearances required by the State of Ohio to work in a childcare position. Staff #3 and #4 cannot work at the facility until acceptable clearances are obtained and placed on file at the facility.

Corrected Corrected by Dec 9, 2022

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

3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

In the eating area, containers of bleach/water were observed being stored on a shelf directly above food items to be consumed by children in care. If said containers were to leak, the contents could contaminate the food stored below.

Corrected Corrected by Nov 28, 2022

Category: ratio. Marked corrected in the state record.

3270.76/3270.82(g) · 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. Toilet areas and fixtures shall be cleaned daily and be in good repair.

In the each of the two Preschool Room bathrooms, which are used by children in care, exposed, upwardly facing bolts were observed at the base of each toilet where the toilet secures to the floor. Contact with said bolts could cause laceration and/or puncture injuries.

Corrected Corrected by Nov 28, 2022

Category: ratio. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the Young Toddler Room, in an area accessible to children, loose framing along a wooden play kitchen were observed to create pinch points.

Corrected Corrected by Nov 28, 2022

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

In the Preschool Room, a staff member indicated that there are children who receive care in the room who are still placing objects in their mouths. Numerous Lego pieces were observed in the room that were less than 1" in diameter.

Corrected Corrected by Nov 28, 2022

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.

Although the file for Staff #1 contained a current health assessment, the previously completed health assessment was administered more than 24 months ago.

Corrected Corrected by Nov 28, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The file for Staff #2 contained a health assessment that did not include an examination for communicable diseases.

Corrected Corrected by Dec 30, 2022

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for staff person #6, whom was hired as an assistant group supervisor on 4/16/18, lacked an NSOR verification certificate. The file for staff person #8, whom was hired as an assistant group supervisor on 3/10/21, lacked an NSOR verification certificate. In a phone conversation with the director on 1/13/22 the director stated that she did not remove staff #6 and #8 from a child care position at the facility.

Corrected Corrected by Feb 4, 2022

Category: supervision. Marked corrected in the state record.

3270.192(4) · 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 person #6, whom was hired as an assistant group supervisor on 4/16/18, lacked an NSOR verification certificate. The file for staff person #8, whom was hired as an assistant group supervisor on 3/10/21, lacked an NSOR verification certificate. In a phone conversation with the director on 1/13/22 the director stated that she did not remove staff #6 and #8 from a child care position at the facility.

Corrected Corrected by Feb 4, 2022

Category: supervision. 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.

The files for staff persons #1, #2, #4 #5, #6, and #7 lacked firesafety training that was conducted one year from the previous training. The firesafety training in the file is dated 9/28/20 and 11/3/21. The file for staff person #3 lacked firesafety training that was conducted within the last year.

Corrected Corrected by Jan 11, 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. Facility Person #1, #3, #6, and #8 may not work in a child care position at the facility.

The file for staff person #1, whom is the director of the child care, lacked a state police clearance that was completed within the past 60 months. The state police clearance in the file is dated 3/17/15. The file for staff person #1 lacked child abuse and FBI clearances that were completed 60 months from the previous clearances. The child abuse clearances in the file are dated 2/18/16 and 2/22/21.The FBI clearances in the file are dated 4/1/15 and 2/24/21. The file for staff person #3, whom was hired as an assistant group supervisor on 6/5/20, lacked a state police clearance. The file for staff person #5, whom was hired as an assistant group supervisor on 8/24/17, lacked an NSOR certificate that was dated by the deadline of 7/1/20. The NSOR in the file is dated 10/27/21. The file for staff person #6, whom was hired as an assistant group supervisor on 4/16/18, lacked an NSOR verification certificate. The file for staff person #8, whom was hired as an assistant group supervisor on 3/10/21, lacked an NSOR verification certificate.

Corrected Corrected by Jan 31, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).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 person #1 lacked mandated reporter training that was completed 60 months from the previous mandated reporter training. The mandated reporter training in the file is dated 3/10/15 and 12/10/21. The file for staff person #6 lacked mandated reporter training that was completed within the past 60 months. The mandated reporter training in the file is dated 2/17/16.

Corrected Corrected by Jan 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for staff person #3 lacked a staff evaluation that was completed within a year from the hire date of 6/5/20. The staff evaluation in the file is dated 10/14/21.

Corrected Corrected by Jan 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #8 lacked 2 years experience with children.

Corrected Corrected by Jan 13, 2022

Category: supervision. 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 file for child #1 lacked emergency contact information that included the work address of the enrolling parent. The files for children #3, #4, and #6 lacked emergency contact information that included work addresses and work phone numbers for the enrolling parent. The file for child #5 lacked emergency contact information that included work addresses, home phone number, and work phone number for the enrolling parent.

Corrected Corrected by Jan 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The files for children #1, #2, and #4 lacked emergency contact information that included the written consent signed by a parent for emergency medical care required prior to admission.

Corrected Corrected by Jan 13, 2022

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 files for children #1, #2, #5, and #6 lacked emergency contact information that included 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.

Corrected Corrected by Jan 13, 2022

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.

The file for staff person #2 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 12/12/18 and 3/3/21.

Corrected Corrected by Jan 13, 2022

Category: ratio. 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 person #1 lacked a health assessment that was completed within the past 24 months. The health assessment in the file is dated 3/18/19. The file for staff person #6 lacked a health assessment that was completed within the past 24 months. The health assessment in the file is dated 4/18/18. The file for staff person #7 lacked a health assessment that was completed within the past 24 months. The health assessment in the file is dated 3/6/19.

Corrected Corrected by Jan 13, 2022

Category: ratio. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The files for children #1, #2, and #4 lacked signed parental consent for administration of minor first-aid procedures by facility staff required prior to admission.

Corrected Corrected by Jan 13, 2022

Category: ratio. Marked corrected in the state record.

3270.31(h) · All staff persons shall complete the professional development under subsection (f).

The file for staff person #8 lacked training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f).

Corrected Corrected by Jan 31, 2022

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