3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

During the renewal inspection on 01/14/25, while reviewing required facility paperwork, Cert Rep did not observe a policy for Prevention of shaken baby syndrome and abusive head trauma, and child maltreatment

Corrected Corrected by Feb 6, 2025

Category: ratio. Marked corrected in the state record.

3270.51 · 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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

During the renewal inspection on 01/14/25, Cert Rep did not observe compliance with ratio, staff person #1 was observed alone in the classroom with 23 older school aged children, which is over the ratio of 1:15

Corrected Corrected by Jan 14, 2025

Category: ratio. 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.

During the renewal inspection on 01/14/25, Cert Rep did not observe children in the school age classroom wash their hands before snack.

Corrected Corrected by Feb 6, 2025

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

3270.27(a)(6)/3270.27(f) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

During the renewal inspection on 01/14/25, Cert Rep did not observe that the facility sent a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Cert Rep also did not observe that the facility has been conducting annual emergency drills, which is beyond the requirement.

Corrected Corrected by Feb 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · 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.

During the renewal inspection on 01/14/25, Cert Rep did not observe that the facility has been conducting fire drills at least once every 60 days, the last fire drill was not documented and not on file at the facility, which is beyond the requirement.

Corrected Corrected by Feb 6, 2025

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.

During the renewal inspection on 01/14/25, while reviewing children's files, Cert Rep did not observe a health assessment in the files of child # 1-2.

Corrected Corrected by Feb 6, 2025

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

3270.27(c)/3270.27(d) · 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 and kept on file at the facility. The operator shall post the emergency plan in the facility at a conspicuous location.

During the initial inspection on 08/23/24, Cert Rep did not observe verification of emergency plan training in the files of staff persons #1 and #2. Cert Rep also did not observe the facility's emergency plan posted in a conspicuous location.

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.33(d) · One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

During the initial inspection on 08/23/24, Cert Rep did not observe verification of Pediatric 1st aid/Pediatric CPR training by a PQAS certified trainer in the staff file of staff persons #1 and #2.

Corrected Corrected by Sep 6, 2024

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