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.

On 9/22/2023 Compliant alleged that two five year old children were playing with plastic bags over their heads. Teacher was notified at the time of the incident and did not redirect children to put the plastic bags away out of harm of children.

Corrected Corrected by Oct 16, 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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

On 9/22/2023 Compliant alleged that two five year old children were playing with plastic bags over their heads. Teacher was notified at the time of the incident and did not redirect children to put the plastic bags away out of harm of children. Teacher seemed to not be supervising in the classroom.

Corrected Corrected by Oct 16, 2023

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

At the time of the inspection the records of the following people, all having served the facility over 90 days, were lacking in proof of the completion of the required pediatric first aid and CPR. Staff persons #1, #2, #3, #5, and #6 The record of staff person #5 did not have proof of having completed the health and safety training required.

Corrected Corrected by Mar 3, 2023

Category: ratio. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

At the time of the inspection the record of staff person # 6 was lacking the proof of education required to qualify them for the position they have been identified to serve the facility as.

Corrected Corrected by Feb 24, 2023

Category: recordkeeping. 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.

At the time of the inspection in the room known as "Turtles" an aerosol can of insect repellent was in an unlocked cabinet and accessible to the children.

Corrected Corrected by Feb 3, 2023

Marked corrected in the state record.

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

At the time of the inspection in the room known as "The ducks" there was exposed plaster and peeling paint.

Corrected Corrected by Mar 3, 2023

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

At the time of the inspection in the room known as "The Bees" there was no handwashing sign.

Corrected Corrected by Feb 10, 2023

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

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The following rooms did not have lidded waste receptacles at the time of the inspection: "Bear Cubs, Bees, Turtles"

Corrected Corrected by Feb 3, 2023

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

At the time of the inspection the means of egress serving as an exit of the room known as "the ducks" was obstructed by trash and defunct garden equipment.

Corrected Corrected by Feb 3, 2023

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

At the time of the inspection the following rooms did not have a thermometer in their refrigerator: "Bunnies, Ducks"

Corrected Corrected by Feb 3, 2023

Category: nutrition. 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 the time of the inspection the record of staff person #2 revealed that they were considered a provisional hire and they were caring for children unsupervised.

Corrected Corrected by Feb 3, 2023

Category: supervision. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

At the time of the inspection the emergency contact forms of the following children (in care on the day of the inspection) were lacking in the consents required prior to admission: Child #2, #3, #6, #7

Corrected Corrected by Feb 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

At the time of the inspection the records of the following children had emergency contact forms lacking insurance policy information required. #1, #3, #5

Corrected Corrected by Feb 10, 2023

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

3270.151(a)/3270.192(3) · 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. 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 the inspection the records of the following staff persons were lacking in current valid health assesments. Staff persons #4 and #5.

Corrected Corrected by Feb 24, 2023

Category: ratio. Marked corrected in the state record.

3270.181(d) · Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

At the time of the inspection the financial agreement of child #6 was neither dated nor signed.

Corrected Corrected by Feb 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.182(5) · 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.

At the time of the inspection the emergency contact forms of the following children (in care on the day of the inspection) were lacking in the consents required prior to admission: Child #2, #3, #6, #7

Corrected Corrected by Feb 24, 2023

Category: ratio. 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.

At the time of the inspection the records of the following children #6 and #7, all having been in care at the facility over 60 days, were lacking in current valid health assessments.

Corrected Corrected by Feb 17, 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). Facility Person # 5 may not work in a child care position at the facility. 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 # 5 may not work in a child care position at the facility.

At the time of the inspection the record of staff person # 5 did not include the National Sex Offender Clearance Letter, the records of staff person's # 3 and # 4 had disclosure statements that were not complete.

Corrected Corrected by Feb 25, 2022

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

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

At the time of the inspection the 3 year old room had a group of 9 children, all in the care of staff member #1; the record of staff member #1 did not include qualifications for any position other than Aide. The staff Data Worksheet did not indicate a level for staff person #1 at the time of the inspection.

Corrected Corrected by Feb 24, 2022

Category: supervision. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

At the time of the inspection the emergency contact for child #1 was not located in the room where they were being cared for.

Corrected Corrected by Feb 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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.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 the inspection the record of staff person #2 had a health assessment dated and signed over 24 months in the past.

Corrected Corrected by Mar 4, 2022

Category: ratio. Marked corrected in the state record.