3280.14/3280.20 · 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 facility's Emergency Plan lacked Continuity of Operations to the Emergency Plan.

Corrected Corrected by Mar 22, 2024

Category: ratio. Marked corrected in the state record.

3280.26(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 letter to parents informing them of the Emergency Plan procedures lacked plans for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Apr 2, 2024

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

3280.31(e)(4)(i)/3280.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and 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 two most recent Pediatric CPR/First Aid trainings on file for Staff #1 are dated 1/9/21 and 12/2/23, more than 24 months apart.

Corrected Corrected by Mar 5, 2024

Category: ratio. Marked corrected in the state record.

3280.32(a)/3280.192(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 disclosure statement on file for Staff #1 lacked a witness signature and a date. The file for Staff #3 did not contain a disclosure statement.

Corrected Corrected by Mar 5, 2024

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

3280.66(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.

A can of paint was observed in the Living Room, which was accessible to children.

Corrected Corrected by Mar 5, 2024

Category: ratio. Marked corrected in the state record.

3280.76 · 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.

A broken fence was observed with exposed pipes with sharp edges, a fence pipe with sharp edges was observed without a fence cap, and the bottom of a fence pole was observed without a cap with exposed rust and broken pipe pieces in the Outside play space, which is hazardous to children.

Corrected Corrected by Apr 15, 2024

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Peeling paint was observed on a baseboard in the Eating Room to the right of the arcade game.

Corrected Corrected by Mar 6, 2024

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

3280.123(b)/3280.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for Child #1, Child #2, Child #3, Child #4, and Child #5 contained a Financial Agreement form that was the original copy.

Corrected Corrected by Apr 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The Emergency Contact form for Child #3 lacked a complete address for the child's physician or medical care provider.

Corrected Corrected by Mar 5, 2024

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact forms for Child #1 and Child #3 lacked the enrolling parent's work address and work telephone number.

Corrected Corrected by Mar 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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 file for Child #4 contained an Emergency Contact form and Financial Agreement form that was not updated within 6 months of the previous date of 1/4/23.

Corrected Corrected by Mar 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.151(a)/3280.192(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 most recent health assessment on file for Staff #2 is dated 8/10/21, more than 24 months ago.

Corrected Corrected by Mar 5, 2024

Category: ratio. Marked corrected in the state record.

3280.26(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The Emergency Plan lacked plans for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Mar 22, 2024

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Documentation of an emergency drill held in the past 12 months was not available at the facility.

Corrected Corrected by Apr 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(4) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The facility's fire drill log contained consecutive hypothetical locations of the fire.

Corrected Corrected by Feb 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(1) · Emergency contact information must include the name and birth date of the child.

The file for Child #3 contained an emergency contact form that was lacking the child's birthdate.

Corrected Corrected by Mar 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file for Child #1 contains an emergency contact form that was lacking the address and phone numbers of their medical provider. The file for Child #2, #4, and #5 all contain emergency contact forms that were lacking the address of their medical provider.

Corrected Corrected by Mar 13, 2023

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for Child #1, 2, and 3 all contain emergency contact forms that were lacking the enrolling parent's address and phone numbers. The files for Child # 4 and 5 contained emergency contactt forms that were lacking the enrolling parent's address.

Corrected Corrected by Mar 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.151(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 and #5 both contain two health assessments that are more than 24 months apart.

Corrected Corrected by Mar 8, 2023

Category: ratio. Marked corrected in the state record.

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The file for Staff 1and 3 and 4 were lacking the Health and Safety Update. The file for Staff #2 was lacking the 10 hour health and safety training.

Corrected Corrected by Apr 14, 2023

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

3280.32(a)/3280.192(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 record for staff #3 included verification of mandated reporter training completed on 7/31/2021, more than 60 months following previous training completed on 4/21/2020.

Corrected Corrected by Feb 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.151(a)/3280.192(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 record for staff #1 included a health assessment and results of TB test dated more than 12 months prior to providing initial service in a child care setting. The record for staff #2 included results of TB test dated more than 12 months prior to providing initial service in a child care setting. The record for staff #3 included a current health assessment dated more than 24 months following the date of their previous health assessment.

Corrected Corrected by Apr 29, 2022

Category: ratio. Marked corrected in the state record.

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Annual emergency drill was not documented and on file at the facility.

Corrected Corrected by Feb 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Evacuation route was not posted in on the 2nd floor of the facility.

Corrected Corrected by Feb 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.24(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Feb 17, 2022

Marked corrected in the state record.