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 record for Staff Person #1 contains health assessments dated 8/16/2020 and 10/20/2022, which exceeds 24 months.

Corrected Corrected by Jun 20, 2024

Category: ratio. 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 provider's written policy on the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment does not address the prevention and identification of child maltreatment.

Corrected Corrected by Jun 20, 2024

Category: ratio. 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.

It was observed on 6/13/2024 in the Derailers classroom a bookshelf was not sturdy and swayed when touched and had several areas of broken particle board.

Corrected Corrected by Jun 13, 2024

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

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

It was observed on 6/13/2024 Child #1 has DiaZepann Rectal Gel on-site at the facility; however, the prescription medication does not contain a prescription label, nor were written instructions from the individual who prescribed the medication provided.

Corrected Corrected by Jun 14, 2024

Category: ratio. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan does not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jun 20, 2024

Category: physical safety. 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.

The record for Staff Person # 3 (DOH see LIS code sheet) contains a NSOR verification dated 12/2/2022, which is beyond the 45-provisional hire period and therefore not in compliance with the CPSL.

Corrected Corrected by Jul 6, 2023

Category: background checks. 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.

It was observed on 6/28/2023 a plastic picnic table in the playground area was cracked and not in good repair. (CORRECTED ON SITE) It was observed on 6/28/2023 a plastic storage bin on the Toddler side of the playground area was cracked and not in good repair. (CORRECTED ON SITE) It was observed on 6/28/2023 a portion of the chain link fence surrounding the playground area was unraveling and sharp metal pieces are protruding inwards towards the play space creating a potential hazard. It was observed on 6/28/2023 two screws are exposed in between two boards that are secured at the bottom of the fence in between the preschool and toddler playgrounds.

Corrected Corrected by Jul 6, 2023

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

It was observed on 6/28/2023 in the Precious Cargo room (infant room) the hands-free covered trash can was not working properly. Staff indicated that they needed to use their hands to open the can when disposing diapers earlier that day. (CORRECTED ON SITE)

Corrected Corrected by Jun 29, 2023

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

3270.151(a)/3270.151(c)(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 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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The file for Staff Person #1 (DOH see LIS code sheet) contains health assessments dated 7/16/2020 and 8/16/2022. The health assessment which contains TB test results dated 7/16/2020 is more than 12 months prior to providing initial service at the child care facility and is no longer valid. The health assessment dated 8/16/2022 was after the staff person's start date at the child care facility and does not include tuberculosis screening results.

Corrected Corrected by Jul 2, 2023

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.

The record for Staff Person #2 (DOH see LIS code sheet) contained two written references; however, one was from a relative. The record for Staff Person #4 (DOH see LIS code sheet) contained two written references; however, one was from a relative.

Corrected Corrected by Jun 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

On May 24,2023 it was observed while viewing video footage recorded on 5/16/2023, Child #1 (DOB see LIS code sheet) was laying on the floor kicking their legs and screaming obscenities at Staff Person #1. Staff Person #1 used their body to restrict Child #1's movements for approximately one minute. When Child #1 calmed down Staff Person #1 released the child and allowed Child #1 to get up off the floor.

Corrected Corrected by May 16, 2023

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). 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.

The file for Staff Person #1 DOH (see LIS code sheet) contains documentation the NSOR verification was requested after the date of hire, which is not in compliance with CPSL requirements. The file for Staff Person #6 DOH (see LIS code sheet) contains a PSP clearance dated 6/15/2021, a FBI clearance dated 6/1/2021 and NSOR verification dated 6/4/2021, all of which were after the staff person's start date. Copies of the requests for all clearances prior to the start date were not included in the file. The file for Staff Person #7 contains mandated reporter training dated 11/15/2016 and 1/20/2022, which exceeds the CPSL requirement that the training is renewed within a 60 month time period.

Corrected Corrected by Jul 13, 2022

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

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

The file for Staff Person #5, who is classified as an assistant group supervisor does not contain proof of education.

Corrected Corrected by Jul 13, 2022

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

It was observed on 6/17/2022 in the Little Toots room, a protective receptacle cover was not placed in an electrical outlet by the mirror on the wall that is accessible to children 5 years of age or younger. (CORRECTED ON SITE)

Corrected Corrected by Jul 13, 2022

Marked corrected in the state record.

3270.66(a)/3270.66(e) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Arts and crafts materials shall be nontoxic.

It was observed on 6/17/2022 in the Little Whistles room a Bingo Marker, used for art projects was labeled "Keep out of the Reach of Children" and is therefore considered a toxic material, was on a shelf that is accessible to children. (CORRECTED ON SITE)

Corrected Corrected by Jul 13, 2022

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.

It was observed on 6/17/2022 there were three (3) water stained ceiling tiles in the Box Car classroom, two (2) water stained ceiling tiles in the Little Toots room, and one (1) water stained ceiling tile in the Precious Cargo room.

Corrected Corrected by Aug 7, 2022

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

It was observed on 6/17/2022 in the Box Cars room Bingo Markers labeled "Not for children under 3 years. Small Parts. Choking Hazard" were accessible to children 2 years of age who are still placing objects in their mouths.

Corrected Corrected by Jul 13, 2022

Category: physical safety. 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.

It was observed on 6/17/2022 in the Little Engines room a tube of yogurt, which is a potentially hazardous food that was brought from a child's home was in a lunch box being stored in a cubbie and was not refrigerated. (CORRECTED ON SITE)

Corrected Corrected by Jul 13, 2022

Category: nutrition. 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

The file for Staff Person #2 DOH (see LIS code sheet) does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for Staff Person #3 DOH (see LIS code sheet) does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for Staff Person #4 DOH (see LIS code sheet) does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jul 13, 2022

Category: recordkeeping. Marked corrected in the state record.