3270.192(3) · 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.

During the renewal inspection certification rep reviewed staff #1 and #2 record and observed staff #1 physical examination expired, date of physical examination on record: 9/2/21. Staff #2 physical examination is expired, date of physical examination on record 9/3/21.

Corrected Corrected by Feb 29, 2024

Category: health medication. 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.

At the time of renewal inspection, staff persons #3 and #5 had 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.

Corrected Corrected by Mar 17, 2023

Category: ratio. Marked corrected in the state record.

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.

At the time of inspection, file for staff person #1, #2, #3, #4, and #5 did not include verification that staff participated in fire safety training at least annually.

Corrected Corrected by Mar 17, 2023

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 #6 must be removed from childcare position until complete clearances will be provided.

At the time of renewal inspection, file of staff person #6 did not include DHS required FBI clearance.

Corrected Corrected by Mar 17, 2023

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

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

At the time of renewal inspection emergency contact forms and agreements were not updated for all children at least once in a 6-months period.

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

At the time of renewal inspection observed that emergency drill was not conducted annually, written documentation was not available.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

At the time of renewal inspection, files of staff person #1hired on 8/31/21, staff person #2 hired on 10/18/21, staff person #3 hired on 9/13/21, staff person #4 hired on 8/31/21, staff person #5 hired on 8/30/21, staff person #6 hired on 8/30/21, and staff person #7 hired on 8/31/21 did not include Health and Safety training that has to be completed within 90 days of hire.

Corrected Corrected by Mar 17, 2022

Category: health medication. 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. Facility Person #3 may not work in a child care position at the facility.

At the time of renewal inspection, file of staff person #3 hired on 9/13/21 did not include FBI clearance required by DHS and mandated reporter training. Staff person #3 is not a provisional hire.

Corrected Corrected by Feb 18, 2022

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

3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

At the time of renewal inspection, a health assessment of staff person #2 was not complete and was not signed by a physician, physician's assistant or CRNP.

Corrected Corrected by Feb 27, 2022

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

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

At the time of renewal inspection, a health assessment of staff person #2 did not include the physicians assessment of communicable diseases and the suitability to provide child care.

Corrected Corrected by Feb 27, 2022

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

3270.192(2)(iii) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

At the time of renewal inspection, file of staff person #3 did not include complete verification of education.

Corrected Corrected by Feb 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At the time of renewal inspection, files of staff person #1hired on 8/31/21, staff person #3 hired on 9/13/21, staff person #4 hired on 8/31/21, staff person #7 hired on 8/31/21 did not include complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Corrected Corrected by Mar 17, 2022

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

3270.94(a)(1)/3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

At the time of renewal inspection, a written record of fire drills on file at the facility did not include the names of the facility persons and the number of children who participate in the fire drill. The last fire drill was conducted on 12/14/21, more that 60 days ago.

Corrected Corrected by Feb 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

At the time of renewal inspection, verification that local traffic safety authorities are notified annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was not observed.

Corrected Corrected by Feb 23, 2022

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #2 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 and #2 may not work in a child care position at the facility.

At the time of renewal inspection, file of staff person #1 hired on 8/13/21 and #2 hired on 8/13/21 included FBI clearances required by Department of Education which cannot be accepted. File of staff person #1 and #2 did not include a signed disclosure statement and complete NSOR verification. The LE does not have an approved waiver to hire provisionally. File of staff #2 does not contain copies of request(s) for the NSOR verification, and a signed disclosure statement required for provisional hiring under the CPSL. Staff person #1 that holds the position of Director can not start work as a provisional staff person under CPSL.

Corrected Corrected by Aug 30, 2021

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

3270.34(b)/3270.34(b)(1) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

At the time of renewal inspection, file of staff #1 hired for the position of the director included diploma of a bachelor's degree in science. The file did not include a transcript to verify major/credit hours that qualifies staff #1 for a position of the director.

Corrected Corrected by Aug 30, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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.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.

At the time of renewal inspection, file of staff person #1 and #2 did not include a health assessment conducted within 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Sep 6, 2021

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

At the time of renewal inspection, file of staff person #1 and #2 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Aug 30, 2021

Category: recordkeeping. Marked corrected in the state record.