3280.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

At the time of the inspection the bottle of a infant in care had no label.

Corrected Corrected by Mar 2, 2023

Marked corrected in the state record.

3280.95(b) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

At the time of the inspection the fire inspection report was not at the facility.

Corrected Corrected by Mar 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.112/3280.113(a) · Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.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. Children must be supervised at all times.

At the time of the inspection two infants were observed to be kept strapped into rocker cots for over one half hour, and one toddler, child #1, was observed to be in a high chair with no meal or activity for the same duration of time. When released from the high chair child #1 did leave the room where care was being given and was out of the eyesight of the provider, when child did not return upon verbal request, care giver did leave one of the infants in the main room to retrieve child #1

Corrected Corrected by Mar 16, 2022

Category: supervision. Marked corrected in the state record.

3280.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

At the time of the inspection the bottle of child #1 was not labeled.

Corrected Corrected by Mar 8, 2022

Marked corrected in the state record.

3280.131(a)/3280.182(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 must contain initial and subsequent health reports.

At the time of the inspection the record of child #1 did not include a current health assessment.

Corrected Corrected by Mar 16, 2022

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

3280.52(b) · 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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

At the time of the inspection the primary staff of the facility was alone in the facility with five children in care including one infant.

Corrected Corrected by Nov 8, 2021

Category: ratio. Marked corrected in the state record.

3280.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

At the time of the inspection certification representative asked the staff person to produce the emergency contact information for child #1 and they did not produce it. When certification representative asked the primary staff person what the child's last name is they said: "they just started I only know their first name".

Corrected Corrected by Nov 8, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.191 · An individual record is required for each facility person.

At the time of the inspection Staff #1 did not have a staff record on site. When Certification Rep dis ask the primary staff for their name staff replied: "I don't know we just call her 'Ms. Na'

Corrected Corrected by Nov 8, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

At the time of the inspection in the rear bathroom of the facility a container of spray cleaner was being kept under the sink. The child proof locking mechanism that was preventing access in the past was (at the time of the inspection not functioning)

Corrected Corrected by Oct 4, 2021

Category: ratio. Marked corrected in the state record.

3280.105(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

At the time of the inspection the rest equipment being used for child #1 was torn and the fabric was sagging in the center of the cot.

Corrected Corrected by Oct 4, 2021

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

3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

At the time of the inspection the record of child #1 did not contain the signed parental consent for emergency medical care for the child, nor did it contain the consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Oct 4, 2021

Category: ratio. Marked corrected in the state record.