Happy Hearts Learning Academy

“In review of the staff records, it was determined that the tuberculosis (TB) screening for employees 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.”

“During the inspection, it was determined that an area was used which did not ensure that children are not able to leave the outdoor play area unsupervised or that any hazards from the outside cannot enter the outdoor player area without the staff being aware of them. The following was observed: The fencing was broken. Nails were protruding. Discontinue use of the playground and provide a space for outdoor play which meets the requirement. 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 the program did not meet the requirements for caring for at least one child, indicated on the Children's Records Review, with a condition that requires a DCY 01236 ""Health Care Plan Documentation & Permission to Administer Medication"" or equivalent form. The following was observed: • No plan was on file. 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 the program did not meet the requirements for keeping an attendance record. The following was observed: • No attendance record was being maintained. ¢ The record did not include the name of at least one child. ¢ The record did not include the birth date of at least one child. • The record did not include the assigned group. ¢ The record did not include the child’s weekly schedule. The record did not include the time (hours and minutes) of each child’s arrival and departure to the program, including transportation by the program. 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 being properly supervised. The following was observed: Situational awareness was not maintained by a staff member during indoor play. (CCSM was on the cell phone for an extended amount of time in mixed group of Toddler, Preschool and School Age children in the Toddler room. Also, CCSM was on personal cell phone while supervising sleeping a sleeping child in the School Age Classroom.) 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 the environment, furniture, materials, and/or equipment were not kept in a sanitary condition at all times. The following was observed: Children's blankets were stored in an unsanitary manner as they were stacked in a pile on top of the stack of cots in the preschool and toddler rooms. 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.”

“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. (Peeling paint in Preschool and Toddler rooms. Hole in drywall in Infant room.)”

“During the inspection, it was determined that equipment and materials in the following categories were not provided in sufficient quantities for children in the Preschool and Infant classroom, as required: ¢ Language arts and auditory materials and equipment • Music equipment ¢ Transportation materials and equipment • Sensory motor equipment 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 equipment, materials and furnishings provided for indoor and outdoor play did not meet the requirement of the rule. The following was observed: Play materials were not arranged in an orderly manner so that children have opportunities to select, remove and replace play materials with minimal assistance during the day in the Toddler classroom. 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 the program's environment did not provide for a quiet area in the all classroom. 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 outdoor play space was not free of conditions that pose a tisk of harm to children. The following was observed: ¢ The outdoor area was littered with trash. ¢ There were tall weeds. ¢ Wasp nest on wooden shelter structure. 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 daily outdoor play was not provided for the all 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 program's weekly menu did not meet the requirement. The following was observed: ¢ The menu was not posted. 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 a meal or snack served at the program did not meet the requirements. The following was observed: • The meal offered did not include an item from the vegetable 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 at least one crib was not labeled with the child's name, as required by 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 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 written instructions for feeding the infants noted on the Children Record Review were missing information. The following was observed: ¢ Written instructions were not on file. 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 written record used to document infant routines and activities did not meet the requirements. The following was observed: Sleeping patterns were missing. • Information about daily activities was missing. 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. The following was observed: At least one sheet was too large. 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 DCY 01234 “Child Enrollment Form for Early Care and Education Programs” or equivalent form as required. The following was observed as missing: • No enrollment form was completed for at least one child • Complete parent information • Complete emergency contact information Information regarding the parent list ¢ Emergency transportation information • Diapering Statement ¢ Acknowledgement of Policies and Procedures ¢ Enrollment form for at least one child was not signed by the administrator 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 complete child immunization records were not on file, as required, for children listed on the DCY Children's Record Review for Child Care. The following was observed: • Immunization record(s) were not on file at the center within thirty days of the child's first day of attendance 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 for training child care staff members and employees on the plan annually. The following was observed: • Written documentation of the training was not kept on-site. 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 as noted in number(s) 3,22 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. (Toddler) 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. 12. An area rug presented a tripping hazard. 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 (Blinds in Toddler room.) 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.”

“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. (Drywall)”

“During the inspection, it was determined that unsanitary conditions, as noted in number(s) 5 below, were in the restroom: 1. There was no liquid soap. 2. There was no toilet paper. 3. There were no paper towels. 4. The toilet cleaning brush was accessible to the children. 5. The plunger was accessible to the children. 6. The toilet(s) were not flushed. 7. The trash was not emptied from the day before. 8. There was a strong urine odor. 9. Other [ ]. The restroom(s) must be kept sanitary at all times. 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 the following information was not posted for item number(s) 1,2 below: 1. Fire alert plan, including a diagram indicating evacuation routes. (Add details regarding procedure.) 2. Weather alert plan was missing. (Add details regarding procedure.) 3. Weather alert plan was missing a diagram indicating evacuation routes. 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, materials and furnishings provided for indoor and outdoor play did not meet the requirement of the rule as noted in number(s) 5 below. 1. Equipment and materials were not varied and adequate to meet the developmental needs of the children. 2. Equipment and materials were not provided in a sufficient quantity that each child can be actively involved in an activity. 3. Play materials were not readily accessible to the children in the [ ] classroom. 4. Play materials were not arranged in an orderly manner so that children have opportunities to select, remove and replace play materials with minimal assistance during the day in the [ ] classroom. 5. Durable, child-sized or safely adapted furniture was not provided for children in the Toddler classroom. (Table and chairs too large for age group.) 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 an outdoor play area was used which was not protected from traffic and other hazards by a fence in good repair, or other barrier. Although the fence or natural barrier was not meeting the rule requirements, it was determined to not present an immediate risk for a child to be able to leave the playground. The fence or gate was not in good repair and/or being used inappropriately as noted in number(s) 1,7 below: 1. The fencing had missing slat boards. 2. The fencing was broken. 3. The fencing was loose. 4. The fencing was rotting. 5. The gate was broken and did not close. 6. The gate was locked. 7. The latch on the gate was broken. 8. The latch was easily opened by children on the playground. 9. The latch was not engaged to prevent children from opening the gate. 10. The gate had no latch. 11. There were bolts with more than two threads exposed along a fence line or gate on a playground. 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 JFS 08087 “Ohio Communicable Disease Chart” was not posted as required, as indicated in number(s) 4 below: 1. The chart was not posted. 2. Ina location readily available to program staff and parents. 3. The posted chart was not the current version, and the Child Care Manual Procedural Letter No. 159 was not attached. 4. The posted chart was not displayed in the size available in the ODJFS forms central to be easily read. Technical assistance was provided at the time of 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 sheets, mattresses and/or mattress covers did not meet the rule requirement as noted in number(s) 3 below: 1. At least one crib did not have a sheet. 2. At least one sheet was 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 number(s) 1,2,6 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 employment records in the Ohio Professional Registry (OPR) were not created or maintained as noted in number(s) 5,6 below: 1. At least one administrator, employee or child care staff member (including substitutes) had not created a profile. 2. At least one administrator, employee or child care staff member had not created an employment record for the program on or before their first day of employment. 3, At least one administrator, employee or child care staff member had not updated changes to positions or roles within five calendar days of the change. 4. The administrator had not assigned at least one employee or child care staff member to the program's organization dashboard. 5. At least one individual's schedule was not current. 6. At least one individual's position or role did not include an applicable group assignment. 7. At least one individual's employment had not been end dated. 8. Other: [ ] Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”