3 Stages Childcare

“During the inspection, it was determined that information was not up to date in the Ohio statewide licensing system. The following information was not current: private pay rates and that meals are provided. Submit the program's corrective action plan to the Department to verify compliance with the requirement of the rule.”

“During the inspection, it was determined that the method for tracking children in each group did not meet the requirements of the rule. The following was observed: - The tracking method did not remain with the group at all times. - The tracking method was not updated throughout the day as children entered the group. 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 the environment, furniture, materials, and/or equipment were not kept in a sanitary condition at all times. The following was observed: Dirt under the changing pad in the infant room. The center shall be cleaned daily. 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 unsanitary conditions were in the staff restroom: The following was observed: There were no individually assigned towels, disposable towels or air dryers. The restroom(s) must be kept sanitary at all times. Submit the program's corrective action plan to the Department to verify compliance with the requirement of this rule.”

“During the inspection, it was determined that handwashing requirements were not followed as required in rule. The following was observed: - At least one staff did not wash their hands after each diaper change. - At least one staff did not wash their hands after contact with bodily fluids. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“During the inspection, equipment was determined to be unsafe, hazardous to children, or in need of repair. The following was observed: A push toy in the infant room was missing a panel, leaving two openings with a small sharp edge. 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 item(s) or condition(s) which may threaten their health, safety, or well-being. The following was observed: - One area of the ceiling in the preschool room was leaking water. A thirteen-gallon trash can placed under the leak was 1/3 full of water. - A fire alarm detector was damaged from leaking water. Submit the program’s corrective action plan, which includes a statement of repairs the program has made to verify compliance with the requirements of this rule. Please email documents of repairs made.”

“During the inspection, it was determined that the program did not meet the requirements for bottle feeding. The following was observed: a bottle was propped for an infant feeding. 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/formula] 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.”

“During the inspection, it was determined that breast milk provided by the parent was not stored appropriately. The following was observed: not labeled with the date milk was pumped. 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 the program was not storing or laundering soiled diapers or clothing according to the rule, in that the program did not meet the following condition: Store soiled disposable diapers in a plastic-lined covered container. The diaper container in the preschool restroom was not covered. 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: - Dental emergencies - Weather emergencies including severe thunderstorms - Emergency numbers for dental related emergencies in addition to 9-1-1 - The procedures for gathering necessary supplies for staff and children if required to shelter in place 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 that handwashing requirements were not followed as required in rule. The following was observed: At least one child did not wash their hands before eating. 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 the program's weekly menu did not meet the requirement. The following was observed: The posted menu at the entry way did not match what was served. 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 background checks did not meet the requirements of the rule for the person(s) listed on the Employee Record Chart as noted in number 1 below: 1. The request for a background check for child care was not submitted in the OPR. 2. The fingerprints were not submitted electronically according to the process established by BCI. 3. The individual(s) had engaged in assigned duties or were near children and preliminary approval from ODJFS was not on file. 4, Background checks were not updated every five years. Submit the program’s corrective action plan, which includes a copy of the JFS 01176, or a copy of the preliminary approval or a statement that the individual(s) are no longer engaged in assigned duties and are not near children until the preliminary approval has been received, to the Department to verify compliance with the requirements of this rule.”

“Children in care shall be protected from any items and conditions which threaten their health, safety, and well-being. During the inspection, it was determined that at least one area of the program or at least one piece of equipment had chipping or peeling paint. 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 equipment and materials in the following categories were not provided in sufficient quantities for children in the Infant/Younger Toddler classroom, as required: 6. 1. Art supplies (excludes infants) 2. Manipulative materials and equipment 3. Blocks 4. Science-nature equipment (excludes infants) 5. Language arts and auditory materials and equipment 6. Pretend or dramatic play materials 7. Music equipment 8. Transportation materials and equipment 9. Gross motor equipment 10. Sensory motor equipment 11. School age children were not provided sufficient equipment and materials in at least five of the first nine categories above. Submit the program's corrective action plan, to the Department, to verify compliance with the rule.”

“During the inspection, it was determined that the program was not storing or laundering soiled diapers or clothing according to the rule, in that the program did not meet the condition indicated in number 6 below. 1. Store for no longer than one day 2. Store in an individual covered container or plastic bag away from children’s belongings 3. Kept out of reach of children 4. Store soiled diapers and diapering washcloths laundered by the center in a covered container with sanitizing solution 5. Hold soiled diapers to be commercially laundered for no more than seven days 6. Store soiled disposable diapers in a plastic-lined covered container, that prevents hand contamination and not easily accessible to children 7. Discard disposable diapers daily or more frequently as needed to eliminate odor 8. Launder diapers according to manufacturer's guidelines 9. Other [ ] 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 sheets, mattresses and/or mattress covers did not meet the rule requirement as noted in number 2 below: 1. At least one crib did not have a sheet. 2. All crib sheets were too large. 3. At least one sheet was too small. 4, At least one sheet was torn. 5. The mattress was not at least one and one-half inches thick. 6. The mattress was not firm. 7. There was space between the mattress and the sides and end panels of the crib which exceeded one and one- half inches. 8. The mattress cover was not waterproof. 9. The mattress cover was torn. 10. 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 the medical statements for the employees listed on the Employee Record Chart did not meet the requirements as listed in numbers 1, 5 (a, b, c) 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.”

“In review of the staff records, it was determined that verification of a high school education for the child care staff member(s) listed on the Employee Record Chart, did not meet the requirements as listed in number 1 below: 1. Verification of completion of a high school education was not on file. 2. Documentation was incomplete or not on file for a high school junior or senior who is enrolled in a career- technical program. 3. Documentation was not on file for a high school junior or senior who is also enrolled in a college credit program in child development or early childhood education. 4. Documentation was not on file for a high school junior or senior who is enrolled in a Child Development Associate (CDA) training program. Submit the program’s corrective action plan, which includes a copy of the education verification, 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(s) did not meet the requirements for completing the online orientation training as noted in number 2 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 the program’s written disaster plan did not meet the requirement or was missing the information in number 19 below: Procedures: 1. The written disaster plan had not been completed 2. The plan was not provided to all child care staff and employees 3. The plan was not used to respond to an emergency or disaster situation 4, Weather emergencies and natural disasters which include severe thunderstorms, tornadoes, flash flooding, major snowfall, blizzards, ice storms or earthquakes 5. Emergency outdoor and indoor lockdown or evacuation due to threats of violence which includes active shooter, bioterrorism or terrorism 6. Emergency or disaster evacuations due to hazardous materials and spills, gas leaks or bomb threats. 7. Outbreaks, epidemics or other infectious disease emergencies 8. Loss of power, water, or heat 9. Other threatening situations that may pose a health or safety hazard to the children in the program Details: 10. Shelter in place or evacuation, how the program will care for and account for the children until they can be reunited with the parent 11. A designated safe site where staff and children can safely remain when evacuated. 12. Assisting infants, toddlers and children with special needs and/or health conditions 13. Emergency contact information for parents and the program 14. Procedures for notifying and communicating with parents regarding the location of the children if evacuated 15. Procedures for communicating with parents during loss of communications, no phone or internet service available 16. The location of supplies and procedures for gathering necessary supplies for staff and children if required to shelter in place 17. What to do if a disaster occurs during the transport of children or when ona field trip or routine trip 18. Making the plan available to all child care staff members and employees 19. Training of staff or reassignment of staff duties as appropriate 20. Updating the plan on a yearly basis 21. Contact with local emergency management officials Make the necessary revisions to the disaster plan. Submit the program’s corrective action plan, which includes the revised information, to the Department to verify compliance with the requirements of this rule.”