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.

It was confirmed, through interviews, that Staff #1 used a walking rope to strap Child #1 to a fence spindle on the outdoor playground, for approximately 1 to 1 1/2 minutes, while gathering the children to return inside.

Corrected Corrected by Oct 27, 2023

Category: recordkeeping. 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.

Two expired pain relievers were observed in the medication box of the office.

Corrected Corrected by Oct 11, 2022

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.

The file for Staff #1 contained consecutive state police clearances dated more than 60 months apart.

Corrected Corrected by Dec 13, 2022

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

3270.75(b) · A first-aid kit must be inaccessible to children.

The first-aid kits in the SA Room and on the playground were observed to be accessible to children.

Corrected Corrected by Oct 11, 2022

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 loose sink faucet on the toy kitchen set was observed in the OT area of the main room, causing a pinch point.

Corrected Corrected by Oct 11, 2022

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

An unsecured microwave was observed setting on a table in the Kind/Elem Room, which could be pulled down by a child.

Corrected Corrected by Oct 11, 2022

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.

Upon assessment of ratio and supervision on the Playground at 11:25 AM on 10/11/22, Staff #2 named 9 PS and Staff #3 named 8 PS. There were 18 children on the playground at this time. When asked to re-name their supervisory groups, both staff named the same children.

Corrected Corrected by Oct 11, 2022

Category: supervision. Marked corrected in the state record.

3270.114 · Weather permitting, children shall be taken out doors daily.

According to staff report, infants are not being taken outdoors daily, weather permitting.

Corrected Corrected by Oct 11, 2022

Category: physical safety. 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 file for Child #3 contained an emergency contact from which lacked the full address of the release person(s).

Corrected Corrected by Dec 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The files for Child #1 and #2 contained consecutive health reports dated more than 12 months apart.

Corrected Corrected by Dec 16, 2022

Category: health medication. 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.

During an observed diaper change in the YT area of the main room, a staff was observed using her hand to open the diaper can to dispose of the soiled diaper, without using the hands-free mechanism on the can.

Corrected Corrected by Oct 11, 2022

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

3270.31(e)(4)(ii)/3270.192(2)(iii) · 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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for staff #1 through #5 contain current fire safety training that was updated one month late.

Corrected Corrected by Oct 13, 2021

Category: recordkeeping. Marked corrected in the state record.