3270.113(a)/3270.113(a)(1) · 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. 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.

During the renewal inspection on 11/3/22, there was a school age child alone in the hallway. When the director asked him what he was doing, he stated that he had to wash his hands and went into the bathroom that is located across the hall from the classroom. The classroom door was closed and no staff were present in the hallway. The child was unsupervised for approximately 2 minutes. On 11/8/22, a kindergarten age child was alone in an L-shaped hallway hanging her coat in her cubby. There were no staff present in any part of the hallway when the director helped her with her coat and then walked the child back to her classroom. The child was unattended for approximately 1 minute.

Corrected Corrected by Dec 1, 2022

Category: supervision. 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.

During the renewal inspection on 11/1/22, there was Albuterol for child #1 that expired 9/2022. There was an Epi-pen for child #2 that expired 9/2022.

Corrected Corrected by Nov 28, 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.

During the renewal inspection on 11/1/22, there was no parental permission for the administration of medication that was onsite for the following: Saline drops for child #3; EpiPen and Diphenhydramine for child #4; EpiPen for child #5; Albuterol for child #6; and Hydrocortisone cream for child #7.

Corrected Corrected by Nov 28, 2022

Category: ratio. Marked corrected in the state record.

3270.70(a) · The indoor temperature shall be at least 65° F.

During the complaint investigation Staff #1 confirmed classrooms 303 and 304 did not have heat.

Corrected Corrected by Feb 24, 2022

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

3270.76 · 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.

On 11/2/21 during the renewal inspection, there was damage to the wood around the bottom of the walls in the infant room.

Corrected Corrected by Nov 10, 2021

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

On 11/2/21 during the renewal inspection, the emergency contact information for child #1 did not include the health insurance policy number.

Corrected Corrected by Nov 15, 2021

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

3270.94(a)(4) · The Director 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.

On 11/2/21 during the renewal inspection, the hypothetical location for many of the recorded fire drills was listed as "NA".

Corrected Corrected by Nov 8, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

On 11/2/21 during the renewal inspection, a review of the emergency plan was done. The plan did not include accommodations for infants and toddlers or lock down procedures.

Corrected Corrected by Nov 15, 2021

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

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

On 11/2/21 during the renewal inspection, there was no documentation that the emergency plan was submitted to the local municipality and to the county emergency management agency.

Corrected Corrected by Nov 15, 2021

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