3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Although inaccessible from children, multiple cleaning products were observed on a shelf above stacks of individual diapers in Younger Toddler area, which could cause contamination of the items below if leaking occurred.

Corrected Corrected by Dec 12, 2023

Category: ratio. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The agreement on file for Child #2 and #4 does not include the child's date of admission

Corrected Corrected by Dec 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form on file for Child #1 and #3 does not include the work address for the enrolling parent.

Corrected Corrected by Dec 15, 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 emergency contact form on file for Child #3 does not include a complete address for all listed release persons.

Corrected Corrected by Dec 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The most recent 6 month review signature for the emergency contact form and financial agreement on file for Child #2 are dated 4/13/23, more than 6 months prior.

Corrected Corrected by Dec 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)/3270.131(e)(1) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Immunization record in the file for Child #2 was dated more than 60 days after initial enrollment.

Corrected Corrected by Dec 12, 2023

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

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

In the Older Toddler room, an inhaler for Child #5 did not have the original container.

Corrected Corrected by Dec 12, 2023

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

3270.151(c)(4) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The health assessment on file for Staff #3 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

Corrected Corrected by Dec 29, 2023

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.

Staff #1 completed 2 of 12 hours of childcare training between annual training dates 9/15/22-9/15/23 and 10 hours of childcare training hours beyond the annual training dates.

Corrected Corrected by Dec 12, 2023

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.

The initial health assessment on file for Child #2, with an enrollment date of 3/14/22, is dated 12/23/22, more than 60 days after enrollment.

Corrected Corrected by Dec 12, 2023

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

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.

The facility emergency plan was not updated by 7/1/22 to include volunteer emergency preparedness training, drills, and continuity of operations.

Corrected Corrected by Jan 13, 2023

Category: ratio. 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 Persons #1 and #3 may not work at the facility until complete clearances are on file.

The file for staff person #1 (SEE LIS CODE SHEET) who has resided out of state in previous five years. lacks a NSOR issued from the state where staff person #1 previously resided. The file for staff person #1 and staff person #4 (SEE LIS CODE SHEET) contains an expired version of the disclosure statement, making it invalid. The file for staff person #2, who has been employed in a childcare taking position more than 45 days, lacks a NSOR. (SEE LIS CODE SHEET)

Corrected Corrected by Jan 20, 2023

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

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The hot water at the sink used by children for handwashing in the bathroom adjacent to the older toddler room measured at 116° F.

Corrected Corrected by Jan 13, 2023

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

3270.102(a)/3270.102(e) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

In the older toddler space, observed three rest mats which are torn at the corner, exposing the foam, which causes a potential choking hazard. In the older preschool space, observed four torn rest mats.

Corrected Corrected by Jan 13, 2023

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

A plastic toy bin used by children was observed to be cracked, which creates a potential pinch point.

Corrected Corrected by Jan 13, 2023

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

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file for child #4 contains emergency contact information which lacks the address of the child's physician.

Corrected Corrected by Jan 13, 2023

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child #4 contains emergency contact information which lacks the work address of the enrolling parent.

Corrected Corrected by Jan 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The most recent health report on file for child #5, a young toddler, is dated more than six months ago.

Corrected Corrected by Jan 14, 2023

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #1, #2, #3, and #4 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Jan 17, 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.

Observed a bottle of child's allergy medicine in the main classroom which has an expiration date of 7/2022.

Corrected Corrected by Jan 13, 2023

Category: ratio. Marked corrected in the state record.

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

Observed a bottle of infant Tylenol in the infant room which lacks written parental consent for administration.

Corrected Corrected by Jan 13, 2023

Category: ratio. Marked corrected in the state record.

3270.151(a) · 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.

The two most recent health assessments on file for staff person #3 are dated in an interval which exceeds 24 months.

Corrected Corrected by Jan 13, 2023

Category: ratio. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The two most recent updates to the emergency contact form and agreement on file for child #1 are dated in an interval which exceeds 6 months.

Corrected Corrected by Jan 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.76 · 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.

There was 1 silver, metal "tie" from the fence to the pole, was unattached and poking into the play space, which created a cutting/scraping hazard for children in care

Corrected Corrected by Dec 7, 2022

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was peeling paint / surface coating on a low particle board divider in back of the Young Toddler room, near the gate, accessible to children in care

Corrected Corrected by Dec 28, 2021

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

There were a tractor riding toy with a crack, a bike with a pealing plastic on the seat area and the roll between the handles, a pink riding car with a crack and a play house with a crack accessible to children . This cracked creates pinching hazards.

Corrected Corrected by Dec 11, 2021

Category: physical safety. 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.

There was Tylenol in the medication box in the older toddler room with an Expiration date of 7/7/21.

Corrected Corrected by Dec 7, 2021

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.

A staff person in the infant room didn't washed the child hands after diapering .

Corrected Corrected by Dec 8, 2021

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.

The manual Fire Detection testing passed 30 days. 8/24/21-10/21/21.

Corrected Corrected by Dec 7, 2021

Category: recordkeeping. Marked corrected in the state record.