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. Until such time as the required pre-service trainings are completed, Staff person #1 must be supervised, when interacting with children, by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

During an unannounced inspection on 10/28/2025, Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service trainings required prior to caring for children unsupervised: The required pre-service health and safety training and pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Oct 30, 2025

Category: supervision. 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. FBI clearances and clearance requests must be made through Department of Human Services (DHS). Staff #2 may not work in a childcare position with routine interaction and direct contact with children at the facility until the completed DHS FBI clearance is on file.

During an unannounced inspection on 10/28/2025, Staff #2 had all required clearances on file except for the DHS FBI clearance. The FBI proof of fingerprinting receipt on file for Staff #2 dated 9/10/2025 was from the Department of Education. In addition, Staff #1, Staff #2, Staff #3 and Staff #4 did not have the completed disclosure statements on file. See LIS code sheet.

Corrected Corrected by Oct 29, 2025

Category: background checks. 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.

On 10/28/2025, Staff #1 did not have a health assessment completed within the previous 12 months with a tuberculosis screening on file that is required at initial employment. See LIS code sheet.

Corrected Corrected by Oct 30, 2025

Category: ratio. Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

On 4/15/2025, the rest mats the older toddler classroom were not labeled for the use of any specific children.

Corrected Corrected by Apr 15, 2025

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

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

On 4/15/2025, the record/emergency contact information form for Child #2 did not contain signed parental consent for emergency medical care for the child and also did not contain signed parental consent for administration of minor first-aid procedures by facility staff. See LIS code sheet.

Corrected Corrected by Apr 15, 2025

Category: ratio. Marked corrected in the state record.

3270.131(a)/3270.131(e) · 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 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.

On 4/15/2025. Child #1 did not have an initial health report on file. Child #1 also did not have an immunization report on file to show that the child has been administered immunizations in accordance with the recommendations of the ACIP. See LIS code sheet.

Corrected Corrected by Apr 17, 2025

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