3270.107/3270.161(d) · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

At the time of inspection, the thermometers facility refrigerators; which were used to store food for the children was not at the 45 degree temperatures as required by regulations. It was warmer then 45 degrees.

Corrected Corrected by Dec 29, 2023

Category: nutrition. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Child #1-5 did not have designated name of release person documented on their agreement forms as required.

Corrected Corrected by Dec 30, 2022

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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1,2,4 and 6- may not work in a childcare position at the facility. 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. Facility Person # #1,2,4 and 6- may not work in a childcare position at the facility.

Staff person #1 did not have the required FBI clearance documented in their record within 45 days of required. Staff person #2 did not have required NSOR certificate documented in her record at time of inspection. Staff person #4 did not have required Child Abuse clearance and Mandated reporter training documented in their record. Staff person #6 did not have the required child abuse clearance documented in their record.

Corrected Corrected by Dec 30, 2022

Category: supervision. Marked corrected in the state record.

3270.37(b)(1)/3270.192(2)(iii) · An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person #4-6 , all recorded as Aides at facility did not have evaluations of their educational documents obtained outside of the U.S. evaluated to determine their qualifications and education level completed.

Corrected Corrected by Dec 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.106(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 time of inspection, the rest equipment (cots) weren't labeled for specific child use as required.

Corrected Corrected by Dec 30, 2022

Category: physical safety. 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 time of inspection, the staff in the young toddler room were not assigned specific children to supervise as required.

Corrected Corrected by Dec 30, 2022

Category: supervision. Marked corrected in the state record.

3270.124(b)(6)/3270.124(b)(7) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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.

At time of inspection, the parents of child #2 did not have health insurance provider and policy number documented on their child's emergency contact form.

Corrected Corrected by Dec 30, 2022

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

At time of inspection, staff in the toddler room did not wash the child's hand s or their own hands after diapering.

Corrected Corrected by Dec 30, 2022

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

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

At time of inspection, the parents of child # 4 did not have written parental consent on their emergency contact form for emergency medical care and administration of minor first aid.

Corrected Corrected by Dec 30, 2022

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 time of inspection, staff person#3, #5 and # 6 did not have two non-family references documented in their records.

Corrected Corrected by Dec 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.61 · Measurement and use of inodoor child care space.

At time of inspection, room # 8 measured for childcare space was being used for storage and will need to be removed for capacity or cleaned out to remain childcare space.

Corrected Corrected by Dec 30, 2022

Category: ratio. Marked corrected in the state record.

3270.63/3270.76 · 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. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

In order to access the outdoor play area of the facility children would need to exit the building from the front area into an unsafe parking lot area which does not currently have a fence or natural barrier to restrict the children from these unsafe visible hazardous areas.

Corrected Corrected by Jun 10, 2022

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

3270.72(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.

At time of initial inspection, the windows in all rooms located on the second floor were not modified or adapted to restrict the openings to fewer than 6 inches.

Corrected Corrected by Jun 10, 2022

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

3270.75(a) · A first-aid kit shall be in a child care space.

During time of initial inspection, there was only one first aid kit available for inspection. However, there are a total of 10 child care spaces that need to have first-aid kits.

Corrected Corrected by Jun 10, 2022

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

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

During time of inspection, there was no visual identification on the front glass door of the facility and in the rooms were there are glass doors present between the rooms that will be used by the children in the child care space.

Corrected Corrected by Jun 10, 2022

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

During time of initial inspection, the hand washing requirement was not posted in all the toilet areas of the facility.

Corrected Corrected by Jun 10, 2022

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

3270.101(c)(1)/3270.101(c)(5) · Play equipment and materials shall include materials for dramatic role playing. Play equipment and materials shall include toys to handle and manipulate and art materials for tactile development.

At time of initial inspection, there were no dramatic role playing equipment and art materials for tactile development present.

Corrected Corrected by Jun 10, 2022

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