3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

At the time of the inspection the records of staff persons #1 and #2 were lacking in the verification of childcare experience to qualify them for the position they hold at the facility.

Corrected Corrected by Apr 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

On the date of the inspection in the cabinet beneath the sink on the first-floor room bathroom, there was toxic cleaning material accessible to the children in care. The closet in the kitchen which contains all of the toxic cleaning materials was unlocked, leaving the toxics accessible to the children in care.

Corrected Corrected by Apr 14, 2023

Marked corrected in the state record.

3270.131(a)/3270.182(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 shall contain initial and subsequent health reports.

At the time fo the inspection the record of child #1 was lacking in a current valid health assessment.

Corrected Corrected by Apr 14, 2023

Category: health medication. 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 the inspection the record of staff person #1 was lacking a current valid health assessment.

Corrected Corrected by May 27, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f)(6) · Staff persons shall complete professional development in the prevention of shaken baby syndrome and abusive head trauma within 90 days of hire.

At the time of the inspection the record of staff person #1 did not include proof of complete professional development in the prevention of shaken baby syndrome and abusive head trauma.

Corrected Corrected by Jun 10, 2022

Category: health medication. 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 the inspection the first aide training completed by all staff was done completely online and with no in person training.

Corrected Corrected by Jun 10, 2022

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

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

At the time of the inspection the fire drill was incomplete and there were corrections that were requested by the fire professionals during the annual inspection which could not be verified as completed.

Corrected Corrected by Jun 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(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 shall contain initial and subsequent health reports.

At the time of the inspection the records of child #1 and Child #2 were lacking health assessments.

Corrected Corrected by May 12, 2022

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

3270.33(a)/3270.192(2)(iv) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

At the time of the inspection the record of staff person #2 was lacking in any proof of educational level.

Corrected Corrected by Jan 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)(1) · 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.

At the time of the inspection non compliance from the previous inspection continued. Staff person #1 did not report to have a primary care group, stating " . . . . we all just watch them all"

Corrected Corrected by Jan 17, 2022

Category: supervision. 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 the inspection the records of staff person #1 and #2 had no verification of child care experience included.

Corrected Corrected by Dec 22, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)(1) · 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.

At the time of the inspection neither staff person #2 nor Person #3 did report to have a primary care group. Staff person #3 stated " When there are only a few kids here, we all just watch them all"

Corrected Corrected by Dec 22, 2021

Category: supervision. Marked corrected in the state record.

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.

At the time of the inspection the record of staff person #1 and staff person #2 had no 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.

Corrected Corrected by Dec 22, 2021

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

3270.192(4) · 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 facility person #2 may not work in a child care position at the facility.

At the time of the inspection the record of staff person #1 had no proof of application for any of the following CPSL requirements: State Police, FBI, NSOR and Child Abuse clearance. The record of facility person #2 was lacking only in the NSOR clearance information.

Corrected Corrected by Dec 22, 2021

Category: background checks. 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 the inspection staff person #1 had no letters of reference, staff person #2 had no letters of reference and staff person #3 had one letter of reference.

Corrected Corrected by Dec 23, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.24(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records

Provider did fail to produce the requested documents for the first part of the "blended model" renewal inspection.

Corrected Corrected by Nov 22, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.35(c) · In a facility in which 45 or fewer children are enrolled, a group supervisor or a director/group supervisor shall be employed by and be present at the facility site for a minimum of 30 hours per week.

Staff person #1 did state that "Director is only here in the afternoon's, maybe 20 hours a week"

Corrected Corrected by Nov 22, 2021

Category: supervision. Marked corrected in the state record.

3270.51/3270.52 · 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 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

During the physical site review staff person #2 did answer the door for the certification representative leaving staff person #3 in the main room on the first floor of the facility with a group of 8 children including a one year old child. When asked about the ratio requirement both staff person's #2 and #3 did verbalize an understanding of the violation.

Corrected Corrected by Nov 22, 2021

Category: ratio. Marked corrected in the state record.

3270.124(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 the emergency contact information for child #1 and Child #2 was not in the room where they were receiving care.

Corrected Corrected by Nov 29, 2021

Category: recordkeeping. Marked corrected in the state record.