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.

Facility did not have documentation of continuity of operations in their emergency plan.

Corrected Corrected by Jan 10, 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). 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.

FBI and NSOR clearances were on file for all staff. However, staff #6 (see code sheet for date of hire) did not have a submission of receipt on file showing proof of FBI fingerprint clearance (prior to working with children). Staff #6 also did not have receipt or application for NSOR Clearance.

Corrected Corrected by Jan 10, 2024

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

3270.33(a)/3270.192(2)(iv) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Staff #1, #3, #4 #5, and #6 and #8 are working in the capacity of group supervisor. They did not have transcripts of their bachelor's or associates degree on file. Staff # 2 and # 9 did not have documentation of experience or their transcripts in their file.

Corrected Corrected by Jan 10, 2024

Category: supervision. Marked corrected in the state record.

3270.35(b)(2) · A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

Staff #8, working in the capacity of a group supervisor, did not have the 30 credits in human services or education fields and therefore cannot be qualified to be a group supervisor.

Corrected Corrected by Jan 10, 2024

Category: supervision. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

On 11/20/23 during renewal inspection, hand sanitizer was accessible to children in room 250. The sanitizer states keep out of reach of children due to alcohol content.

Corrected Corrected by Nov 20, 2023

Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

During renewal inspection on 11/20/23, water was tested in rooms 254 and 257 of the facility. Water temperature reached 120 degrees Fahrenheit.

Corrected Corrected by Nov 20, 2023

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

There was not a thermometer placed inside of the refrigerator in room 257.

Corrected Corrected by Nov 20, 2023

Category: nutrition. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Child #2 did not have an approved physical on file. The physical that was presented was on the department of Ed health assessment form and is not approved for preschool children.

Corrected Corrected by Nov 24, 2023

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

3270.133(1)/3270.133(5) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

During renewal inspection on 11/20/23, it was observed that child #3's Auvi -Q inhaler was not in its original box and did not have a prescription label.

Corrected Corrected by Nov 20, 2023

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

3270.131(a)/3270.131(c) · 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 must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Child files were observed on 11/20/23. Child #1 did not have an initial physical on file and has been enrolled at the facility for longer than 60 days. (See LIS code sheet for date of enrollment). Facility was informed that child cannot return until a physical was completed. Child #1's physical is scheduled for 11/22/2023.

Corrected Corrected by Nov 24, 2023

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