3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

During the renewal inspection conducted on 2/15/2023 observed staff person #1's FBI clearance was from the department of education.

Corrected Corrected by Mar 2, 2023

Category: supervision. Marked corrected in the state record.

3290.64(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.

During the renewal inspection conducted on 2/15/2023 observed cleaning materials in child accessible areas in the cabinets in the kitchen and bathroom area and Lysol spray child accessible in the bathroom.

Corrected Corrected by Mar 2, 2023

Category: ratio. Marked corrected in the state record.

3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During the renewal inspection conducted on 2/15/2023 observed child #1's agreement did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Mar 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

During the renewal inspection conducted on 2/15/2023 observed child #1's file did not include emergency contact information.

Corrected Corrected by Mar 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During the renewal inspection conducted on 2/15/2023 observed child #2's emergency contact information did not include the address of the child's physician or source of medical care.

Corrected Corrected by Mar 2, 2023

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

3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During the renewal inspection conducted on 2/15/2023 observed child #2, #3 and #4's emergency contact information did not include the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Mar 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(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.

During the renewal inspection conducted on 2/15/2023 observed child #4's emergency contact information did not include the health insurance coverage policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Mar 2, 2023

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

3290.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

During the renewal inspection conducted on 2/15/2023 observed child #2's emergency contact information did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)/3290.182(1) · The operator shall require the parent of an enrolled child 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.

During the renewal inspection conducted on 2/15/2023 observed child #4's record did not contain an initial health report.

Corrected Corrected by Mar 2, 2023

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

3290.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

During the renewal inspection conducted on 2/15/2023 observed child #3's last health report is dated 12/22/2021.

Corrected Corrected by Mar 2, 2023

Category: health medication. 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 renewal inspection conducted on 2/15/2023 observed staff person #1's file did not include subsequent health assessment. The last health assessment on file is dated 11/3/2020.

Corrected Corrected by Mar 2, 2023

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

3290.94(a)(5) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

During the renewal inspection conducted on 2/15/2023 observed that evacuation routes were needed in the first and second floor.

Corrected Corrected by Mar 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.24(e) · The emergency plan shall be posted in the facility at a conspicuous location.

During the renewal inspection conducted on 2/15/2023 observed the emergency plan was not posted in the facility at a conspicuous location.

Corrected Corrected by Mar 1, 2023

Category: physical safety. 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 renewal inspection conducted on 1/26/2022 observed staff person #1 did not have annual emergency plan training on file.

Corrected Corrected by Feb 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.31(f)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and 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.

During the renewal inspection conducted on 1/26/2022 observed staff person #1's first-aid and CPR training expired on 7/2021.

Corrected Corrected by Feb 7, 2022

Category: ratio. Marked corrected in the state record.

3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During the renewal inspection conducted on 1/26/2022 observed child #1's emergency contact information did not include the work address and telephone number of the enrolling parent.

Corrected Corrected by Jan 26, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)/3290.131(b)(2) · The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility.The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the renewal inspection conducted on 1/26/2022 observed child #2's record did not include a health report.

Corrected Corrected by Feb 7, 2022

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