3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children.

During the initial inspection, certification representative reviewed facility files and there was no policy for Shaken Baby Syndrome and Child Maltreatment per Announcement C-22-03 that was issued on January 24,2022.

Corrected Corrected by Nov 16, 2023

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

3290.24(a) · The facility shall have an emergency plan.

During the initial inspection, certification representative reviewed the facility files and there is no emergency plan.

Corrected Corrected by Nov 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.24(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

During the initial inspection, certification representative reviewed 1 staff file and the file for staff #1did not contain a record of emergency plan training.

Corrected Corrected by Nov 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.61/3290.64(a) · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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.

During the initial inspection, certification representative did a facility walkthrough, and the outdoor play area is in disrepair. The deck/stairs need repair and the paint cans and supplies that were on the deck need to be removed and put in an area that is locked or inaccessible to children.

Corrected Corrected by Nov 16, 2023

Category: ratio. Marked corrected in the state record.

3290.70(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

During the initial inspection, certification representative conducted a facility walkthrough and the window in the upstairs bathroom opened more than 6 inches.

Corrected Corrected by Nov 16, 2023

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

3290.151(c)(1)/3290.192(2) · An adult health assessment must include a physical examination. 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 initial inspection, certification representative reviewed 1 staff file and the file for staff #1 did not contain a health assessment,

Corrected Corrected by Nov 16, 2023

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

3290.151(c)(2)/3290.192(2) · An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, 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.

During the renewal inspection, certification representative reviewed 1 staff file and the file for staff #1 did not have TB results.

Corrected Corrected by Nov 16, 2023

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

3290.192(3) · 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.

During the renewal inspection, certification representative reviewed 1 staff file and the file for staff #1 did not have a signed/updated disclosure statement.

Corrected Corrected by Nov 16, 2023

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