Jrc Learning Center

“During the inspection, it was determined that a child care staff member had used prohibited techniques as a means to control or discipline children. The following prohibited technique was observed: Astaff person utilized cruel, harsh, unusual or extreme techniques including but not limited to grabbing children by the wrist and twisting, dragging children across the floor, screaming at children, and withholding food. Child-care staff members and other employees must always use appropriate guidance and management methods with children. Provide staff training. Submit the program’s corrective action plan, which includes a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that child-care staff did not meet the basic needs of a child. The following was observed: CCSM did not assist a child with toileting in that they were left in dirty soiled diapers all day. Submit the program's corrective action plan to the Department to verify compliance with the requirements of the rule.”

“During the inspection, it was determined that children were not being properly supervised. The following was observed: A staff member did something unsafe being sleep while in ratio. Provide staff training. Submit the program’s corrective action plan, which includes a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

“In review of the children’s medication needs, it was determined the program did not meet the requirements for caring for at least one child by carrying out the requirements of a care plan as medical conditions were listed that requires a DCY 01236 ""Health Care Plan Documentation & Permission to Administer Medication"" or equivalent form. The following was observed: The health care plan would not have been able to be implemented due to the center not having immediate access to life saving medications in that they were locked and the lock jammed and medications could not be immediately retrieved. During the inspection, it was determined that the program staff did not have immediate access to medications, emergency life saving medications, medical foods and topical products at all times. Provide staff training. Submit the program’s corrective action plan, which includes a copy of the completed DCY 01236 or equivalent form, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that a child care staff member used a discipline technique to guide or discipline child that was not developmentally appropriate, consistent, or occurred at the time of the incident in that a crying preschool child was yelled at harshly and demanded to lay down two times during nap time. Provide staff training. Submit the program's corrective action plan, which includes a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that indoor swings, slides, climbers, and climbing apparatus did not have required shock absorbent protective covering under and around the equipment. The following was observed: A shock absorbent protective covering was not used. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that children were not protected from items or conditions which may threaten their health, safety, or well-being. The following was observed: The straps were attached, but were not used on the diaper changing stations. Astep stool was on a low sink and a water table cover was propped against a wall both of which could fall and cause an injury to a child. Provide staff training. Submit the program’s corrective action plan, which includes a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that bottles containing milk for a particular infant were not labeled with the child’s name and date of preparation. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the staff records, it was determined that child care staff members did not meet the requirements for completing the online orientation training. The following was observed: The training was not completed within 30 days of starting employment at the program as a child care staff member. Documentation of completing the training after December 31, 2016 was not on file. Achild care staff member had sole responsibility for children and had not completed the online orientation. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule. This was a rule noncompliance on previous annual inspection dated 9.18.2025.”

“In review of the staff records, it was determined that at least one child care staff member had not completed required health and safety training. The following was observed: The child abuse and neglect recognition and prevention training was expired The first aid training was expired The CPR training was expired First aid training was not completed within ninety days of hire Cardiopulmonary resuscitation (CPR) training was not completed within ninety days of hire Refer to the Employee Record Chart for the names of the child care staff members who must complete the required health and safety trainings. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule. This was a rule noncompliance on previous annual inspection dated 9.18.2025.”

“In review of the staff records, it was determined that the immunization records for employees, including child care staff members, did not meet the requirement. The following was observed: ¢ The immunization records were not on file within the first thirty days from start of employment. • The immunization record did not have written evidence that the employee is immunized against measles, mumps, and rubella (MMR). ¢ The immunization record did not have written evidence that the employee is immunized against tetanus, diphtheria, and pertussis (Tdap) from a licensed physician. Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule. This was a rule noncompliance on previous annual inspection dated 9.18.2025.”

“In review of the staff records, it was determined that the tuberculosis (TB) screening for employees, including child care staff members, did not meet the requirement. The following was observed: ¢ ATB screening was not on file prior to the first day of employment. Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule. This was a rule noncompliance on previous annual inspection dated 9.18.2025.”

“In review of the children's records, it was determined that the DCY 01236 “Health Care Plan Documentation & Permission to Administer Medication” or equivalent form did not meet the requirements of the rule. The following was observed: The form had not been updated as needed and at least annually. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined the program’s emergency preparedness and response plan (EPRP) did not meet the requirement or was missing the information. The following was observed as missing: Medical or dental emergencies, including emergency transportation. Emergency outdoor and indoor lockdown due to threats of violence, including active shooter, bioterrorism, or terrorism. Emergency or evacuation and relocation procedures due to threats of violence which include active shooter, bioterrorism, or terrorism. Other threatening situations that may pose a health or safety hazard to the children in the program. Emergency numbers for medical, dental, and transport-related emergencies in addition to 9-1-1. Shelter-in-place or evacuation procedures, including how the program will care for and account for children until they can be reunited with a parent. Emergency contact information for parents and the program. Procedures for notifying and communicating with parents regarding the location of children if evacuated. Procedures for communicating with parents during loss of communications when no phone or internet service is available. The location of supplies and procedures for gathering necessary supplies for staff and children if required to shelter in place. Making the plan available to all child care staff members and employees. Training of staff or reassignment of staff duties as appropriate. Updating the plan on a yearly basis. Make the necessary revisions to the EPRP. Submit the program’s corrective action plan, which includes the revised information, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined the center did not follow the rule requirement when implementing a specific behavior plan as noted in numbers 1,2 below: 1. The center did not communicate and consult with the parent prior to implementing the plan which involved the use of a weighted vest on a child. 2. The center did not put the plan in writing and/or the plan was not signed by the parent which involved the use of a weighted vest on a child. 3. The plan was not consistent with the requirements of this rule. Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that children were not protected from items or conditions which may threaten their health, safety, or well-being as noted in numbers 11,12 below: 1. Surge protectors/outlets did not have childproof receptacle covers. 2. Open pull cords that are not closed loop. 3. Toys or other items small enough to be swallowed were present in the space where infants and/or toddlers were in care. 4, Electrical/extension cords attached to an object that would not likely result in a severe injury if pulled. 5. Stacked chairs. 6. Employee(s) purse(s). 7. Diaper bags. 8. Television not securely anchored. 9. Small or lightweight pieces of shelving units are not securely anchored to the wall. 10. Smoke detector needing batteries replaced. 11. An area rug did not have a nonskid backing (preschool) 12. An area rug presented a tripping hazard (preschool). 13. A floor surface that was unsafe in that [ ]. 14. No platform was provided for the sink or toilet in the [ ] classroom. 15. The platform provided for the sink or toilet in the [ ] classroom was not sturdy. 16. The platform provided for the sink or toilet in the [ ] classroom posed a safety hazard in that [ ]. 17. Telephone cords. 18. Staff member stepped over a barrier/gate while holding a child. 19. Emergency exits were blocked by the following classroom furniture: [ ]. 20. A mercury thermometer was being used to take a child’s temperature. 21. Methods of ventilation used did not provide protection from rodents, insects, or other hazards. 22. Other [ ]. Provide staff training. Submit the program’s corrective action plan, which includes a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

“In the review of the program’s records, it was determined that the written parental permission requirement for swimming/water activities was not met as noted in number 7 below: 1. The child’s name and date of birth was missing. 2. Statement indicating whether the child is a non-swimmer or capable of swimming was missing. 3. Location of the water activities or swimming site by water of eighteen or more inches in depth was missing. 4. A statement of whether or not the program is providing additional adults or child care staff members above the licensing ratio requirements for this activity was missing. 5. A signature and date from the parent indicating permission for the activity was missing. 6. Permission was not obtained when water was directly accessible to children. 7. Permission was not obtained prior to a child swimming or playing in water eighteen inches or more in depth. 8. Permission was not obtained prior to a child participating in activities in or on water eighteen inches or more in depth. 9. Permission was not obtained prior to infants and toddlers using wading pools. 10. Written permission was not updated annually for on-going activities. Technical assistance was provided at the time of the inspection, and as discussed, please correct this rule noncompliance. A written response for this rule noncompliance is required at this time.”

“During the inspection, it was determined that breast milk provided by the parent was not stored appropriately as noted in number 1 below: 1. Not labeled with infant's name, date pumped, and date bottle was prepared; 2. Not immediately refrigerated or frozen; 3. Stored at room temperature longer than eight hours; 4. Stored at the program for more than five days after it was expressed; 5. Stored longer than two weeks in the freezer compartment of the refrigerator; 6. Stored longer than six months in the refrigerator/freezer; 7. Stored longer than twelve months in the deep freezer; 8. Other [ ]. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the staff records, it was determined that at least one child care staff member had not completed required health and safety training as noted in number4 below: 1. Child abuse and neglect recognition and prevention training was not completed within sixty days of hire. 2. First aid training was not completed within ninety days of hire. 3. Cardiopulmonary resuscitation (CPR) training was not completed within ninety days of hire. 4. The child abuse and neglect recognition and prevention training was expired. 5. The first aid training was expired. 6. The CPR training was expired. Refer to the Employee Record Chart for the names of the child care staff members who must complete the required health and safety trainings. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the staff records, it was determined that the medical statements for the employees listed on the Employee Record Chart did not meet the requirements as listed in numbers 2,3 5b,5c below. 1. A medical statement was not on file for at least one employee; 2. The medical statement on file did not have a date of examination within 12 months of the employee’s first day of employment; 3. Date of examination was missing; 4, Signature, business address, or telephone number of the licensed physician, physician assistant, advanced practice nurse, certified midwife, or certified nurse practitioner who completed the examination was missing; 5. A statement was missing that verifies the employee is: a. Physically fit for employment in a program caring for children; b. Immunized against Tetanus, Diphtheria, Pertussis (Tdap); c. Immunized against Measles, Mumps, and Rubella (MMR); 6. Tuberculosis (TB) screening/test information was missing: a. Documentation of the screening process to determine if the employee resided in a country identified by the world health organization as having a high burden of TB and arrived in the United States within the five years preceding the date of application for employment. b. Results of a TB test for employees meeting both criteria in 6a. c. Results of additional testing for employees with a positive TB test. d. Written statement, signed by a representative of the TB control unit, that the employee's TB is no longer infectious or the individual is receiving a TB treatment regimen for employees with a positive TB test. Submit the program’s corrective action plan, which includes a copy of the completed employee medical statement, or TB results/documentation, to the Department to verify compliance with the requirements of this rule.”

“In review of the staff records, it was determined that at least one child care staff member did not meet the annual professional development requirement as noted in number 1 below: 1. The child care staff member had not completed at least six hours of professional development. 2. Documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule. 3. Training topic did not meet the requirements listed in appendix A of this rule. 4. Documentation of training did not meet the requirements of this rule. 5. The substitute(s) had been used more than ninety days annually between July first and June thirtieth and had not completed at least six hours of professional development 6. Other [ ]. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the staff records, it was determined that child care staff member did not meet the requirements for completing the online orientation training as noted in number 1 below: 1. The training was not completed within 30 days of starting employment at the program as a child care staff member. 2. Documentation of completing the training after December 31, 2016 was not on file. 3. Completion of the training was not verified in the OPR. 4. A child care staff member had sole responsibility of children and had not completed the online orientation. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that medication, medical foods and/or topical products did not meet the requirements for administering medication, medical foods, and/or medical products as noted in number 2 below: 1. The medication, medical food, or topical product was no longer needed and had not been removed from the program. 2. The medication, medical food, or topical product had expired and had not been removed from the program. 3. The prescription label had expired. Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of 25% of the children's records, it was determined that information had not been secured from the parent/guardian on the JFS 01234 “Child Enrollment and Health Information For Child Care”, as required, for the items in numbers 4,6 below. 1. No enrollment form was completed for at least one child 2. The current JFS 01234 was not completed for at least one child 3. Complete child information 4. Complete parent information 5. Complete emergency contact information 6. Complete physician information 7. Information regarding the parent list 8. Health information 9. Additional information for all boxes checked “yes” 10. Emergency transportation information 11. Parent/guardian’s signature 12. Diapering Statement 13. Acknowledgement of Policies and Procedures 14. Enrollment form for at least one child was not updated by either the parent or the administrator 15. Enrollment form for at least one child was not signed by the administrator 16. Other [ ] Technical assistance was provided at the time of the inspection, and as discussed, please correct this rule noncompliance. A written response for this rule noncompliance is not required at this time.”

“In review of 25% of the children's records, it was determined that completed medical statements were not on file, as required, for children listed on the JFS Children's Record Review For Child Care as indicated in number 8 below: 1. No medical was on file for at least one child 2. Medical(s) on file was not updated every 13 months 3. Medical(s) were missing child's name and date of birth 4. Medical(s) were missing the date of the medical examination 5. The date of the exam was more than 13 months prior to the date the form was signed. 6. Medical(s) were missing a statement that the child has been examined and is in suitable condition for participation in group care 7. Medical(s) were missing the signature, business address and telephone number of the physician, physician's assistant(PA), advance practice nurse (APN) or certified nurse practitioner (CNP) who examined the child 8. Medicals were missing a record of immunizations the child has had specifying month, day and year 9. Medical(s) were missing a statement from the physician, PA, APN, or CNP that the child has been immunized or is in the process of being immunized against the diseases required by division 5104.014 of the Revised Code and found in appendix A to this rule 10. Medical(s) were missing a statement from the child’s parent or guardian that he or she has declined to have the child immunized against the disease for reasons of conscience, including religious convictions 11. Other [ ] Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the children's records, it was determined that the JFS 01236 “Child Medical/Physical Care Plan for Child Care” did not meet the requirements of the rule as noted in number 1 below: 1. The JFS 01236 had not been updated as needed and at least annually. 2. A separate JFS 01236 had not been used for each condition. 3. The program used an old version of the JFS 01236. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the staff records, it was determined that at least one child care staff member had not completed required health and safety training as noted in numbers 4,5,6 below: 1. Child abuse and neglect recognition and prevention training was not completed within sixty days of hire. 2. First aid training was not completed within ninety days of hire. 3. Cardiopulmonary resuscitation (CPR) training was not completed within ninety days of hire. 4. The child abuse and neglect recognition and prevention training was expired. 5. The first aid training was expired. 6. The CPR training was expired. Refer to the Employee Record Chart for the names of the child care staff members who must complete the required health and safety trainings. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the staff records, it was determined that at least one child care staff member did not meet the annual professional development requirement as noted in number 1 below: 1. The child care staff member had not completed at least six hours of professional development. 2. Documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule. 3. Training topic did not meet the requirements listed in appendix A of this rule. 4, Documentation of training did not meet the requirements of this rule. 5. The substitute(s) had been used more than ninety days annually between July first and June thirtieth and had not completed at least six hours of professional development 6. Other [ ]. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of 25% of the children's records, it was determined that information had not been secured from the parent/guardian on the JFS 01234 “Child Enrollment and Health Information For Child Care”, as required, for the items in numbers 4,6,7,10,13 below. 1. No enrollment form was completed for at least one child 2. The current JFS 01234 was not completed for at least one child 3. Complete child information 4. Complete parent information 5. Complete emergency contact information 6. Complete physician information 7. Information regarding the parent list 8. Health information 9. Additional information for all boxes checked “yes” 10. Emergency transportation information 11. Parent/guardian’s signature 12. Diapering Statement 13. Acknowledgement of Policies and Procedures 14. Enrollment form for at least one child was not updated by either the parent or the administrator 15. Enrollment form for at least one child was not signed by the administrator 16. Other [ ] Technical assistance was provided at the time of the inspection, and as discussed, please correct this rule noncompliance. A written response for this rule noncompliance is not required at this time.”

“In review of 25% of the children's records, it was determined that completed medical statements were not on file, as required, for children listed on the JFS Children's Record Review For Child Care as indicated in numbers 1,2,8 below: 1. No medical was on file for at least one child 2. Medicals on file was not updated every 13 months 3. Medical(s) were missing child's name and date of birth 4. Medical(s) were missing the date of the medical examination 5. The date of the exam was more than 13 months prior to the date the form was signed. 6. Medical(s) were missing a statement that the child has been examined and is in suitable condition for participation in group care 7. Medical(s) were missing the signature, business address and telephone number of the physician, physician's assistant(PA), advance practice nurse (APN) or certified nurse practitioner (CNP) who examined the child 8. Medicals were missing a record of immunizations the child has had specifying month, day and year 9. Medical(s) were missing a statement from the physician, PA, APN, or CNP that the child has been immunized or is in the process of being immunized against the diseases required by division 5104.014 of the Revised Code and found in appendix A to this rule 10. Medical(s) were missing a statement from the child’s parent or guardian that he or she has declined to have the child immunized against the disease for reasons of conscience, including religious convictions 11. Other [ ] Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the children's records, it was determined that the JFS 01236 “Child Medical/Physical Care Plan for Child Care” did not meet the requirements of the rule as noted in number 1 below: 1. The JFS 01236 had not been updated as needed and at least annually. 2. A separate JFS 01236 had not been used for each condition. 3. The program used an old version of the JFS 01236. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined a child with a condition that required a JFS 01236 "Child Medical/Physical Care Plan" had been present and the program did not ensure there was at least one child care staff member caring for the child at all times who had signed the JFS 01236 on the child's condition. Provide staff training. Submit the program’s corrective action plan, which includes a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that a child care staff member used a discipline technique to guide or discipline children that was not developmentally appropriate, consistent, or occurred at the time of the incident. Provide staff training. Submit the program's corrective action plan, which includes a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined the administrator, child care staff, and/or employees of the program did not protect or remove children from a situation and/or person determined to be unsafe or inappropriate as noted in number 1 below: 1. Verbal argument involving adults. 2. Staff member(s) allowed child(ren) to do something unsafe. 3. Staff member(s) did something unsafe. 4. Children were exposed to inappropriate [language; conversation; behavior; video; music; DVD] by a [staff member/child/parent]. 5. Other [ ]. While the program did not protect the children from an unsafe or inappropriate situation and/or person, it was determined the situation would not or did not result in a serious incident or injury to a child. All program employees must take actions to protect children in care. Provide staff training. Submit the program’s corrective action plan, which includes a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

“In review of the children’s records, it was determined the program did not meet the requirements for caring for at least one child, indicated on the Children Records Review, with a condition that requires a JFS 01236 "Child Medical/Physical Care Plan" as noted in number 38 below: 1. No plan was on file. (Page 1) 2. Child’s name was missing. 3. Name of the condition was missing. 4, Indication if medication or medical food is required was missing. 5. Signs, symptoms or situations that require staff to take action were missing. 6. Activities, foods, environmental conditions to avoid were missing. 7. Training instructions for procedures for staff to follow were missing or incomplete. (Page 2) 8. Child's name was missing or not attached. 9. Child's date of birth was missing or not attached. 10. Child's weight was missing or not attached 11. Name of the medication/medical food was missing or not attached. 12. Dosage of medication/medical food to be administered was missing or not attached. 13. Time for medication/medical food to be administered was missing or not attached. 14. Expiration date for medication/medical food was missing or not attached. 15. Symptoms that require staff to administer medication/medical food were missing or not attached. 16. Specific instructions to administer the medication/medical food were missing or not attached. 17. Actions to be taken if the symptoms do not subside were missing or not attached. 18. Physician's signature was missing or not attached. 19. The date of the physician's signature was missing or not attached. (Page 3) 20. Child's name was missing. 21. Instructions regarding emergency evacuation, if applicable, were missing. 22. Signature of parent granting permission to implement the plan and verifying training was missing. 23. Date of parent signature was missing. 24. Certified Professional Trainer information was missing. 25. Signature of certified professional who trained the program staff was missing, if parent was not the trainer. 26. Date of trainer signature was missing. 27. Printed name(s)of child care staff member(s) who have received instructions for care and/or have been trained to perform the procedure were missing. 28. Signature(s) of child care staff member(s) who have received instructions for care and/or have been trained to perform the procedure were missing. 29. Date of staff signature was missing. 30. Administrator/Provider signature was missing 31. Date of administrator/Provider was missing. (Page 4) 32. Child's name was missing. 33. Name of medication or medical food was missing. 34. Date the medication/medical food was administered was missing. 35. Time medication/medical food was administered was missing. 36. Dosage of medication/medical food that was administered was missing. 37. Signature of person administering medication/medical food was missing. 38. The plan was not followed or implemented as required/daily. 39. The plan was not able to be implemented due to conflicting information. 40. None of the child care staff members trained in the procedures on the JFS 01236 were onsite when a child requiring the plan was present. 41. Child care staff members trained in the procedures on the JFS 01236 were not scheduled to be present the entire the time the child requiring the plan was onsite. 42. None of the child care staff members trained in the procedures on the JFS 01236 accompanied the child requiring the plan during a trip. 43. A child care staff member who had not been trained in the procedures on the JFS 01236 performed the procedure. 44. Medication listed in the procedures to follow was not onsite available to administer as instructed and alternate instructions for this situation were not included on the plan. Provide staff training. Submit the program’s corrective action plan, which includes a copy of the completed JFS 01236, to the Department to verify compliance with the requirements of this rule.”

“In review of the records, it was determined the program did not meet the requirements for completing a JFS 01299 “Incident/Injury Report” as noted in number 4 below: 1, The JFS 01299 was not completed when a child became ill or received an injury which required first aid treatment. 2.The JFS 01299 was not completed when a child was transported to a source for emergency assistance. 3. The JFS 01299 was not completed when a child received a bump or blow to the head. 4. The JFS 01299 was not completed when an unusual or unexpected incident occurred when children were exposed to inappropriate media. 5. The parent or a person picking up the child did not receive the JFS 01299 on the day of the incident. 6. The program information (program name, number, address) was incomplete on the JFS 01299. 7. Child’s name was incomplete on the JFS 01299, 8. Child’s birthdate was incomplete on the JFS 01299. 9, Name of person(s) responsible for the child at the time of the incident was incomplete on the JFS 01299. 10. Number of children present in the group at the time of the incident was incomplete on the JFS 01299. 11. Date and/or time of the incident was incomplete on the JFS 01299. 12. Whether or not parents were contacted was incomplete on the JFS 01299. 13. Complete summary of the incident was incomplete on the JFS 01299. 14. Accurate summary of the incident was incomplete on the JFS 01299. 15. Name and/or signature of the person completing the form was incomplete on the JFS 01299. 16. The JFS 01299 was not kept on file at the program for at least one year. 17. Other [ ]. Technical assistance was provided at the time of the inspection, and as discussed, please correct this rule noncompliance. A written response for this rule noncompliance is required at this time.”

“In review of the staff records, it was determined that the medical statements for the employees listed on the Employee Record Chart did not meet the requirements as listed in number 1 below. 1. A medical statement was not on file for at least one employee; 2. The medical statement(s) on file did not have a date of examination within 12 months of the employee’s first day of employment; 3. Date of examination was missing; 4. Signature, business address, or telephone number of the licensed physician, physician assistant, advanced practice nurse, certified midwife, or certified nurse practitioner who completed the examination was missing; 5. A statement was missing that verifies the employee is: a. Physically fit for employment in a program caring for children; b. Immunized against Tetanus, Diphtheria, Pertussis (Tdap); c. Immunized against Measles, Mumps, and Rubella (MMR); 6. Tuberculosis (TB) screening/test information was missing: a. Documentation of the screening process to determine if the employee resided in a country identified by the world health organization as having a high burden of TB and arrived in the United States within the five years preceding the date of application for employment. b. Results of a TB test for employees meeting both criteria in 6a. c, Results of additional testing for employees with a positive TB test. d. Written statement, signed by a representative of the TB control unit, that the employee's TB is no longer infectious or the individual is receiving a TB treatment regimen for employees with a positive TB test. Submit the program’s corrective action plan, which includes a copy of the completed employee medical statement, or TB results/documentation, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that a child care staff member used a discipline technique to guide or discipline child that was not developmentally appropriate, consistent, or occurred at the time of the incident. A staff member guided a 12 month year old away from the gate by inappropriately grabbing them by the upper arm. The staff person was holding another infant at the time and was trying to prevent the 12 month old from getting their foot stuck under the gate. Provide staff training. Submit the program's corrective action plan, which includes a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that children were not supervised while outside the program as noted in number 1 below: 1. Child left unattended outside the facility building. A non-verbal, preschool age child was left unattended in a fenced in, grassy area, outdoor play space when a group of 15 children with 2 staff members went back into the building from the outdoor play space. 2. Child(ren) left unattended outside the facility building more than once. 3. Child(ren) left unattended off the program’s premises. 4. Child(ren) left unattended during a swimming activity. 5. Child(ren) left unattended in a vehicle. 6. Child(ren) left unattended inside the building and no adults were present in the building. 7. Other[ ]. Children must be supervised and within sight and hearing of a child care staff member at all times. Provide staff training. Submit the program’s corrective action plan, which includes a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”