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. 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 person #7 did not have TB screening at initial hire. This is evidenced by the TB screening on file dated 2/22/18 (see LIS code sheet for date of hire).

3270.151(a)/3270.151(c)(2) · Corrected Sep 25, 2024

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 OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily 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.

The emergency plan did not include continuity of operations during and after an emergency that includes continuing daily 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.

A facility person may not use any form of physical punishment, including spanking a child. Based on the complaint investigation findings and the facility staff immediately reporting the violations to the facility director and OCDEL, only facility staff # 1 will be required to complete training at least 3 hours of PQAS approved training in appropriate behavior expectations and positive redirection techniques for children. The training needs to be approved by the NE regional certification representative prior to facility staff # 1 completing the trainings.

During a complaint investigation on 3/1/24, certification representative observed video coverage of facility staff # 1 grab and pick up child # 1 with one hand by the back of child #1's pants as child # 1 was attempting to crawl over another infant on 2/28/24. It was reported that facility staff # 1 admitted to the facility director that they knew immediately that it was wrong the way they picked up child # 1 and moved them on 2/28/24.

3270.113(b) · Corrected Mar 12, 2024

A facility person may not use any form of physical punishment, including spanking a child.

During a complaint investigation on 3/1/24, certification representative observed video coverage of facility staff # 1 grab and pick up child # 1 with one hand by the back of child #1's pants as child # 1 was attempting to crawl over another infant on 2/28/24. It was reported that facility staff # 1 admitted to the facility director that they knew immediately that it was wrong the way they picked up child # 1 and moved them on 2/28/24.

3270.113(b) · Corrected Feb 29, 2024

Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. ALL staff will participate in training related to this citation. Training must be approved by OCDEL.

CHILD #1 has a known allergy to milk/dairy products. Allergy is documented on child's emergency contact form and health assessment. Parent of CHILD #1 provides a milk substitute for the facility to give CHILD #1. STAFF #1 accidentally gave CHILD #1 whole milk on 12/18/23. CHILD #1 had an allergic reaction. Staff initiated child's medical action plan and 911 was called. Staff reported incident to OCDEL.

3270.21/3270.133 · Corrected Dec 29, 2023

Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs.

CHILD #1 has a known allergy to milk/dairy products. Allergy is documented on child's emergency contact form and health assessment. Parent of CHILD #1 provides a milk substitute for the facility to give CHILD #1. STAFF #1 accidentally gave CHILD #1 whole milk on 12/18/23. CHILD #1 had an allergic reaction. Staff initiated child's medical action plan and 911 was called. Staff reported incident to OCDEL.

3270.21/3270.133 · Corrected Dec 29, 2023

The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

CHILD #1 (see code sheet for details) is a young toddler. Most recent health assessment in file is dated 1/9/23. This is more than 6 months ago.

3270.131(b)(1) · Corrected Sep 29, 2023

Staff persons shall complete professional development in the topics of 3270.31(f)(10), ) within 90 days of hire. Staff person # 1-2-3-4-5-6-7-8-9-10-11 -12-13-14-15-16-17-18-19-20-21-22-23- must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff person #-1-2-3-4-5-6-7-8-9-10-11-12-13-14-15-16-17-18-19-20-21-22-23- have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

3270.31(f) · Corrected Sep 30, 2022