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.

There was an uncovered garbage can that has been contaminated by human secretions in the library. The boys and girl's bathroom lacked closed, plastic-lined receptacles. There was an open cabinet that contained Lysol Disinfectant spray labeled " Keep out of reach of children" accessible to children.

Corrected Corrected by Oct 18, 2024

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). Facility Person # 1 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 #1 may not work in a child care position at the facility.

The file for staff #1 lacked a State Police Clearance Certificate. The file contained a copy of the record request receipt dated 8/21/21. The file for staff # 2 contained a current State Police clearance dated 9/9/24 that was not renewed within 60 months of the prior State Police clearance dated 5/9/19.

Corrected Corrected by Oct 18, 2024

Category: background checks. 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.

There was a clear cracked bin .

Corrected Corrected by Oct 15, 2024

Category: physical safety. 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.

The health report for staff # 3 lacked that date when the TB test was read.

Corrected Corrected by Oct 17, 2024

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

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #2 completed the following required pre-service training on 1-12-23 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.

Corrected Corrected by Jan 23, 2023

Category: health medication. 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 #1 had a staff evaluation that exceeded 12 months between evaluations.

Corrected Corrected by May 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(1) · Emergency contact information must include the name and birth date of the child.

The file for child #1 had an emergency contact form that lacked the child's birthdate.

Corrected Corrected by Nov 21, 2023

Category: recordkeeping. 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 file for staff person #1 had current pediatric first-aid and CPR training with a completion date of 10-4-22 that was after the September 2022 expiration of the prior training.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 file for staff person #2 had fire safety training that exceeded a year between trainings.

Corrected Corrected by Sep 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. Staff Person #3 may not work at the facility.

The file for staff person #3, hired provisionally, had proof of application for the NSOR verification certificate at their start date and lacked the NSOR verification certificate within 45 days of their start date and requires a current NSOR verification certificate. (See LIS CODE SHEET)

Corrected Corrected by Dec 6, 2022

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

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

According to the staff, on Tuesdays, Wednesdays, and Thursdays, a staff person walks a group of school-age children to the cafeteria in the building for dance class and leaves the children with the dance instructor that is not a staff person, and there is no staff person present while the children are attending dance class. The children attend dance class from 3:15-6 pm on these days, and there are a total of 13 children that attend between the 3 days. The children do not have written parental consent to attend the dance class without staff supervision.

Corrected Corrected by Dec 6, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

According to the staff, on Tuesdays, Wednesdays, and Thursdays, a staff person walks a group of school-age children to the cafeteria in the building for dance class and leaves the children with the dance instructor that is not a staff person, and there is no staff person present while the children are attending dance class. The children attend dance class from 3:15-6 pm on these days, and there are a total of 13 children that attend between the 3 days. The children do not have written parental consent to attend the dance class without staff supervision.

Corrected Corrected by Dec 6, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

According to the staff, on Tuesdays, Wednesdays, and Thursdays, a staff person walks a group of school-age children to the cafeteria in the building for dance class and leaves the children with the dance instructor that is not a staff person, and there is no staff person present while the children are attending dance class. The children attend dance class from 3:15-6 pm on these days, and there are a total of 13 children that attend between the 3 days. The children do not have written parental consent to attend the dance class without staff supervision.

Corrected Corrected by Dec 6, 2022

Category: supervision. Marked corrected in the state record.

3270.124(b)(1) · Emergency contact information must include the name and birth date of the child.

The file for child #1 had an emergency contact form that lacked the child's birth date.

Corrected Corrected by Nov 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.182(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. A child's record shall contain initial and subsequent health reports.

The file for child #1, a school-age child, lacked an immunization record and requires a current immunization record.

Corrected Corrected by Nov 11, 2022

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

There was Epinephrine medication for child #2 that was expired.

Corrected Corrected by Nov 11, 2022

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

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

There was Epinephrine medication for child #2 that lacked written parental consent for administration of the medication.

Corrected Corrected by Nov 11, 2022

Category: ratio. 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 file for child #1, a school-age child, lacked an initial health assessment within 60 days of the child's first day of attendance at the facility and requires a current health assessment.

Corrected Corrected by Nov 11, 2022

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