3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

Emergency form for Child #4 contained no guardian consent signature granting permission for emergency medical care or minor first aid.

Corrected Corrected by Feb 20, 2026

Category: ratio. Marked corrected in the state record.

3270.131(a)/3270.131(d)(5) · 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 health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Records for Children #1, #2, #3, and #4 did not contain evidence of health reports completed by a medical professional and were enrolled past the required 60-day interval. Child #2 was provided immediately; corrected at time of inspection. Records for Children #2 and #4 did not contain evidence of an immunization record. Child #2 was provided immediately; corrected at time of inspection.

Corrected Corrected by Feb 20, 2026

Category: health medication. 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.