3270.131(a) · 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.

The files for Children #1 and #2 lacked an initial health assessment within 60 days of their enrollment at the facility.

Corrected Corrected by Dec 2, 2024

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for Staff Person #1 lacked 12 hours of child care training in their assessed training year of October 2023 and October 2024.

Corrected Corrected by Nov 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

An EpiPen was observed in an unlocked backpack on the ground in the outdoor play space where the children were playing. The backpack was accessible to children receiving care in the space.

Corrected Corrected by Jul 23, 2024

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Lunchboxes containing potentially hazardous food were observed in many of the lunch boxes being maintained in the individual hallway lockers. These potentially hazardous foods included several Lunchables, meats and cheeses, yogurt cups and tubes, and left over meals from home to include pasta and pizza.

Corrected Corrected by Jul 23, 2024

Category: nutrition. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The file for staff person #3, who had worked with children more than 90 days, did not include first-aid/CPR training.

Corrected Corrected by Dec 21, 2023

Category: health medication. 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). 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 #2 may not work in a child care position at the facility.

The disclosure statement in the file for person #2 was from previous employment in the legal entity's unlicensed summer camp.

Corrected Corrected by Dec 19, 2023

Category: background checks. Marked corrected in the state record.

3270.33(a) · 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.

The file for staff person #1 included a foreign degree that had not been translated by an acceptable agency, so the level of education could not be determined.

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The most recent emergency drill documented at the facility was dated 11/1/23. Documentation of the previous emergency drill could not be located, so timeliness could not be assessed.

Corrected Corrected by Dec 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

There were two excursion bags observed lying near the fence in the grassy area of the pool, making them accessible to children.. The bags contained several medications, including inhalers and epi-pens.

Corrected Corrected by Aug 3, 2023

Category: health medication. 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.

At approximately 1:30 pm, staff person #5 was observed in the pool 6 children. At approximately 2 pm, staff person #5, was observed walking from the pool to the grassy area with 4 children. It was determined that 2 of the children had run off and staff person #5 did not know where they were, for approximately 2-3 minutes. Staff person #5 was heard telling the two children that they scared them because the staff person did not know where they were. Based on conversation with staff, staff person #6 spotted the 2 children near the mushroom fountain, which is at the other end of the grassy area, and sent them back over to join staff person #5..

Corrected Corrected by Jul 6, 2023

Category: ratio. 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.

There were two excursion bags observed lying near the fence in the grassy area of the pool, making them accessible to children. The bags contained hand sanitizer, which included instructions to keep out of the reach of children.

Corrected Corrected by Jul 6, 2023

Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At approximately 1:30 pm, staff person #5 was observed in the pool 6 children. At approximately 2 pm, staff person #5, was observed walking from the pool to the grassy area with 4 children. It was determined that 2 of the children had run off and staff person #5 did not know where they were, for approximately 2-3 minutes. Staff person #5 was heard telling the two children that they scared them because the staff person did not know where they were. Based on conversation with staff, staff person #6 spotted the 2 children near the mushroom fountain, which is at the other end of the grassy area, and sent them back over to join staff person #5.

Corrected Corrected by Jul 6, 2023

Category: supervision. 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 approximately 1:30 pm, upon entering Highland Park swimming pool, staff person #1 was observed standing near the edge of the pool, speaking to staff person #2, the lifeguard. At the same time, staff persons #3 and #4 were observed with 29 school-age children in the grassy area near the fence on the parking lot side of the pool, a combination of 20 young school-agers and 9 older school-agers. After a brief conversation with staff person #2, staff person #1 joined the staff and children in the grassy area. All three staff were wearing supervision ID tags with the children's names. When asked to identify their groups, staff person #1 identified 6 children, staff person #3 identified 10 children and staff person #4 identified 12 children, leaving one child not identified by anyone. As each staff person was asked to identify their groups, the names of the children they identified were read back to them to confirm the names and number of children in their group. Staff were then told that there was a child who hadn't been identified by anyone. The names of children in each staff person's group were reviewed with them a second time, again, to confirm names and number of children in their supervision groups. Since staff could not identify the name of the child who was forgotten, they were then asked to identify the name of every child in the grassy area to determine which child was not yet identified. When the name of child was identified by the cert rep, none of the 3 staff claimed responsibility for the child. Based on conversation with staff, today was the child's first day. Originally, staff person #4 had the child's tag, but staff thought the child went home, so the tag was returned to the excursion bag. 4 staff said "no." When asked who would take responsibility for that child, staff person #10 stated they would be responsible for the child. When staff person #1 was then asked who had responsibility for their group of children when they went to the edge of the pool to speak with staff person #2, the staff person stated that they thought it was okay to walk to the pool, if they could see the children in their supervision group. It was explained that because they could not hear, direct or assess those 6 children, it wasn't proper supervision. At approximately 1:30 pm, staff person #5 was observed in the pool 6 children. At approximately 2 pm, staff person #5, was observed walking from the pool to the grassy area with 4 children. It was determined that 2 of the children had run off and staff person #5 did not know where they were, for approximately 2-3 minutes. Staff person #5 was heard telling the two children that they scared them because the staff person did not know where they were. Based on conversation with staff, staff person #6 spotted the 2 children near the mushroom fountain, which is at the other end of the grassy area, and sent them back over to join staff person #5..

3270.115(a)(5) · The staff-child ratios while children are swimming are Infant 1:1; Young or older toddler 1:2; Preschool 1:5; Young school-age 1:6; Older school-age1:8.

At approximately 1:30 p m, upon entering Highland Park swimming pool, it was observed that there were 2 staff in the pool with 12 children and 3 staff in the grassy area with 29 children, for a total of 41 children, a combination of 32 young schoolagers and 9 schoolagers.Because the children and staff were all within the boundaries of the pool area, they could not maintain swim ratios. They would need at least 7 staff to maintain proper swim ratios.

Corrected Corrected by Jul 19, 2023

Category: ratio. Marked corrected in the state record.

3270.115(a)(6) · When children are swimming, supervision shall include one person certified in lifeguard training, as described in § 3270.31(e)(4)(iii) (relating to age and training).

Staff person #2, the lifeguard who was on duty for this facility, was also the acting lifeguard for a separate facility at the pool, under the same legal entity.

Corrected Corrected by Jul 6, 2023

Category: supervision. Marked corrected in the state record.

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

There was an unlabeled epi-pen in one of the excursion bags at the pool. Based on conversation with staff, it belonged to child #1.

Corrected Corrected by Aug 2, 2023

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

There were two excursion bags observed lying near the fence in the grassy area of the pool, making them accessible to children.. The bags contained several medications, including inhalers and epi-pens.

Corrected Corrected by Jul 19, 2023

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

The epi-pen for child #1 expired in June 2023

Corrected Corrected by Aug 2, 2023

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

On 7/5/23, the following medications were observed in the excursion bags at the pool: There was a medication log on site for the epi-pen for child #1, but it was not signed and dated by a parent. There was no medication log/parental consent on site for the inhaler for child #2 and #3. There was a med log and a care plan on site for the epi-pen for child #4, but neither documents were signed and dated by a parent. On 7/6/23, when photos of the medication logs were texted to this certification representative, the logs were signed by a parent, but the dates appeared altered. The original date on the log for child #1 appeared to be 7/6/23, but the number "3" was written over top of the number "6," making the date 7/3/23. The original date on the log for child #2 appeared to be 7/6/23, but the number "5" was written over the top of the number "6," changing the date to 7/5/23. The original date on the log for child #3 appeared to be 7/6/23, but the entire date was scratched out and "6/26/23" was written above it. The log and care plan texted to this rep for child #4 still did not include a parent signature.

Corrected Corrected by Jul 19, 2023

Category: ratio. Marked corrected in the state record.

3270.131(d)(3) · A health report shall include a list of the child's current medication and the reason for the medication.

The 2nd box on the health report for child #1 was not checked and there was no information from the physician regarding the child's current medications and the reasons for the medications.

Corrected Corrected by Mar 1, 2023

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

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The last two fire safety trainings in the file for staff person #1, #3, #4 and #5 were dated more than 12 months apart.

Corrected Corrected by Nov 26, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The only acceptable FA/CPR training in the file for staff person # 2. employed before 4/29/22 and beyond their first 90 days working with children was dated 11/7/22. The file for staff person #3. #4 and #5, all hired before 4/29/22 and beyond their first 90 days working with children, was dated 6/9/22..

Corrected Corrected by Jan 25, 2023

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

3270.124(b)(1) · Emergency contact information must include the name and birth date of the child.

The emergency contact information in the file for child #1 did not include the child's date of birth.

Corrected Corrected by Feb 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(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.

The emergnecy contact information in the file for child #1 did not include addresses for 5 of the 6 release persons.

Corrected Corrected by Feb 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The title of the individual who signed the health report in the file for child #1 was listed as "chiropractor."

Corrected Corrected by Feb 23, 2023

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

3270.131(d)(4) · A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

The health report in the file for child #2 did not include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Corrected Corrected by Feb 24, 2023

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At approximately 4:40 PM on 11/16/21, Facility Person #1 left the classroom where she and Facility Person #2 were supervising 16 young schoolagers and one older schoolager to walk down the hall and answer the door, leaving Facility Person #2 the only staff person in classroom supervising the 17 schoolagers.

Corrected Corrected by Nov 16, 2021

Category: supervision. Marked corrected in the state record.

3270.124(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.

The emergency contact form on file for child #1 did not include all release persons listed on the agreement or the addresses of the three release persons listed.

Corrected Corrected by Nov 30, 2021

Category: recordkeeping. Marked corrected in the state record.