3290.72 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

At the time of renewal inspection, the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted

Corrected Corrected by Dec 10, 2024

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

3290.111(a)/3290.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities and routines shall be posted in a traffic area used by parents.

At the time of renewal inspection, a written plan of daily activities and routines including a time for free play was not established and posted in the area used by parents.

Corrected Corrected by Dec 10, 2024

Marked corrected in the state record.

3290.124(d) · A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

At the time of renewal inspection, a written plan which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency was not posted.

Corrected Corrected by Dec 10, 2024

Category: transportation. Marked corrected in the state record.

3290.31(f)/3290.192(4) · A staff person shall obtain an annual minimum of 12 clock hours of childcare training. A facility person's record shall include records of training required by the Department.

At the time of renewal inspection, file of staff person #1 included only 11 hours of childcare training.

Corrected Corrected by Dec 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.151(a)/3290.192(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility. 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 renewal inspection, the name on staff health assessment of staff person #1 from 11/22/22 was doctored, the form was not valid.

Corrected Corrected by Dec 15, 2023

Category: ratio. Marked corrected in the state record.

3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

At the time of renewal inspection, emergency plan did not include information about accommodations for toddlers.

Corrected Corrected by Dec 12, 2023

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

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

At the time of renewal inspection, a policy and procedure to identify the potential signs and symptoms of baby shaken syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment were not observed. In addition, the emergency plan did not contain a statement regarding volunteers and continuity of operations in the event of an emergency that includes managing financial issues such as paying employees and bills during the aftermath of the disaster.

Corrected Corrected by Dec 12, 2023

Category: ratio. Marked corrected in the state record.

3290.24(a)(3)/3290.24(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

At the time of renewal inspection, emergency plan did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises, a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Dec 12, 2023

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

3290.76(a) · If the facility is located in a residence, weapons and firearms shall be contained in a locked cabinet.

At the time of renewal inspection observed that firearm was not contained in a locked cabinet.

Corrected Corrected by Dec 12, 2023

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

3290.111(a)/3290.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities and routines shall be posted in a traffic area used by parents.

At the time of renewal inspection observed that a written plan of daily activities is not developed and posted in a traffic area used by parent.

Corrected Corrected by Dec 12, 2023

Marked corrected in the state record.

3290.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e).

At the time of the inspection, file of child #1 and #2 did not include child service report on the Department's approved form that provides information to the family about the child's growth and development.

Corrected Corrected by Dec 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(3)/3290.124(b)(5) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

At the time of renewal inspection, emergency contact form of child #3 and #4 did not include the work address and phone number of the enrolling parent; emergency contact form of child #3 did not include information on the child special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Corrected Corrected by Dec 12, 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.

At the time of the inspection, emergency contact information of child #2 and #3 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.24(g) · 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.

At the time of renewal inspection observed that provider did not send a copy of the emergency plan to the local municipality and to the county emergency management agency.

Corrected Corrected by Dec 12, 2023

Category: physical safety. 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.

At the time of renewal inspection observed that evacuation routes are not posted in a conspicuous location on each floor.

Corrected Corrected by Dec 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.95(b) · The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

At the time of renewal inspection documentation of smoke detector testing of every 30 days was not observed.

Corrected Corrected by Dec 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

At the time of renewal inspection observed that emergency drill was not conducted annually, written documentation was not available.

Corrected Corrected by Dec 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.31(f)/3290.192(4) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

At the time of renewal inspection, files of staff person #1 and #2 included only 4.5. hours of child care training.

Corrected Corrected by Dec 18, 2023

Category: recordkeeping. Marked corrected in the state record.