MARY'S LITTLE LAMBS LEARNING CENTER

During the inspection, it was determined that employment records in the Ohio Professional Registry (OPR) were not created or maintained. Javonte was still listed on the OCCRA dashboard as an employee. Please remove him from the dashboard and I will review to ensure this has been completed.Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that written instructions for feeding the infants noted on the Children Record Review form were not on file for Shon, as required by this rule. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that the written record used to document infant routines and activities did not meet the requirements as noted in number 1 below: 1. A daily written record was not provided to the parent or person picking up the infant on a daily basis. 2.Food intake was missing.3.Sleeping patterns was missing.4.Times and results of diaper changes was missing.5.Information about daily activities was missing.Submit the programs corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the program did not meet take attendance in live time. Children were not tapped in and out in live time on Kinder Connect. Also- program did not have written attendance completed in live time.Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the requirements for the JFS 01242 "Medical, Dental and General Emergency Plan" were not followed as noted in number 3 and 4 below:1. The plan was not posted on each level of the home used for child care.2. The name, address and telephone number of the program were not complete.3. The location of the first aid kit, fire extinguisher and fire alarm system, fire alarm pull stations and electrical circuit box were not complete.4. The telephone number for emergency squad, fire department hospital, poison control program, public children services agency, local health department, local emergency management agency and police department were not complete.5. Location of children's records was not complete.6. Emergency information including any medications or supplies needed i the event of an evacuation was not complete.7. The current version of the prescribed form was not used.8. The plan was not implemented when necessary in that [ ].Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

In review 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. See below:1. Shaver/Shaw/Keontae H.- First date at program missing, parent work information incomplete, 2nd parent information incomplete, incomplete doctor info, how to contact parent incomplete, and the name release questions not checked on page 1.2. Ita'lee W.- Missing first date at program3. Jaylen B.- First date at program, parent home telephone number, parent 1 work info, parent 2 info, how parents can be reached4. Ah'yanah W.- Missing first date at program, how to contact parent 1, parent 2 info, and medication history not complete for medical condition checked yes for5. Shon W.- First date at program, parent work missing, name release missing, how to contact missing, 2nd parent work missing, 2nd parent way to contact missing, emergency contact incomplete on how related to child, and emergency transport missing program name6. Jaylan H.- First date at program missing, parent 1 work missing, parent 2 info missing, emergency contacts missing, no doctor info, medical question on page 2 7. Caira J.- Parent 1 work info, how contact parent 1, parent 2 work info, how emergency contacts related, 1st question on page 3, diaper statement- should be every TWO hours8. O'Shay- Update diaper statement, and add first date at program9. Ahmoni H.and Lindsey family- First date at program missing, 1st parent work info missing, 2nd parent info missing, how to reach parent 1 missing, list and explain medical condition on page 210. Mardez H.- First date at program missing, emergency transport program name missing11. Deonius J.- Update diaper statement, first date at program missing12. Jaliyah C.- Child must have own enrollment form- can not be on other child form. Parent work missing, how contact both parents missing, diaper statement on page 4 incomplete, emergency transport missing name, policy acknowledgement not checked, admin and parent signature missing on page 4Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

In review of of the children's records, it was determined that completed medical statements were not on file, as required, for some of the children under age 5. Children must have a completed medical statement along with vaccination record unless the parent declines and indicates that the immunizations are waived.Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule. .

Resolution: Compliance Status: Approved

During the inspection, a potentially hazardous item or toxic substance was used or stored where children present had access to it. See below:1. Spray aerosols accessible in bathroom2. Bug spray and other cleaner accessible in lower kitchen cabinetsProvide staff training. Submit the programs corrective action plan, which includes a statement that the potentially hazardous substance or item is no longer accessible to children and/or children will not be outside when machinery is in use and a statement that training was provided, to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the dog at the program did not have a current Hamilton County dog license. Submit the programs corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that the playground did not have adequate fall surface under and around equipment as noted in the following number 1 below:1. No fall surface2. Adequate fall surface to soften the impact of a fall3. Other [ ] Any equipment designed for climbing, swinging, bouncing, or sliding needs a fall zone of protective material resilient under and around the equipment in order to protect children in the event of a fall. Submit the programs corrective action plan, which includes written verification of the discontinued use of this equipment until corrections are made along with a description of the resilient material added, to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the provider did not have a current JFS 01933 "Liability Insurance Statement for Family Child Care Providers" completed for Mardez. Correct the violation and submit proof of insurance with the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the information in number 4 below was not up to date in the Ohio Child Care Licensing and Quality System: 1. Mailing Address; 2. Telephone Number; 3. Email Address; 4. Days and Hours of Operation; 5. Services Offered; 6. Name of Program, If applicable.7. Private pay rates. Submit the program's corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

In review of 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 1 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 birth4. Medical(s) were missing the date of the medical examination5. 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 care7. 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 child8. Medical(s) were missing a record of immunizations the child has had specifying month, day and year9. 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 rule10. Medical(s) were missing a statement from the childs parent or guardian that he or she has declined to have the child immunized against the disease for reasons of conscience, including religious convictions11. Other [ ] Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule. .

Resolution: Compliance Status: Approved

In review of 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 1 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 birth4. Medical(s) were missing the date of the medical examination5. 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 care7. 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 child8. Medical(s) were missing a record of immunizations the child has had specifying month, day and year9. 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 rule10. Medical(s) were missing a statement from the childs parent or guardian that he or she has declined to have the child immunized against the disease for reasons of conscience, including religious convictions11. Other [ ] Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule. .

Resolution: Compliance Status: Approved

In review of the children's records, it was determined that the JFS 01234 Child Enrollment and Health Information For Child Care, as required, for Deonius and O'Shay.Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

In review of the staff records, it was determined that Vincent had not completed the Family Childcare Staff Orientation training.Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the provider did not have the most current JFS 01933 "Liability Insurance Statement for Family Child Care Providers" completed for each child in care, and Deonius and O'Shay need one on file. Correct the violation and submit proof of insurance with the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

In review of records, it was determined Javante had expired CPR/First aid training. Correct the violation and submit the documentation of current certification with the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the provider did not have a completed JFS 01933 "Liability Insurance Statement for Family Child Care Providers" completed for King. Correct the violation and submit proof of insurance with the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

In review of the childrens records, it was determined a JFS 01236 "Child Medical/Physical Care Plan" was not on file for Keziah.Provide staff training. Submit the programs corrective action plan, which includes a copy of the completed JFS 01236, to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

In review of of the children's records, it was determined that Journee's child medical statement had expired.Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule. .

Resolution: Compliance Status: Approved

During the inspection, it was determined that proper licensing and inoculations were not on file for the dog in the home. Submit the programs corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that child care staff member, with preliminary approval on file, had sole responsibility of children and the JFS 01176 "Program Notification of Background Check Review for Child Care" was not on file was required. Submit the programs corrective action plan, which includes a copy of the JFS 01176 or a statement that the child care staff member (s) no longer have sole responsibility of children, to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

The program had not been inspected and approved within 12 months from the date of the last fire approval by the local fire department, as required. Secure and submit an updated fire approval as part of the programs corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

In review of the staff records, it was determined that verification of a high school education was not on file at the program nor verified in the Ohio Professional Registry for Vincent Hill listed on the Employee Record Chart, as required. Submit the programs corrective action plan, which includes a copy of the verification of a high school education, to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that a completed medical examination statement for Vincent Hill listed on the Employee Record Chart was not on file, as required by this rule. Submit the programs corrective action plan, which includes a copy of the completed medical statement with all required information, to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

A written, signed and dated JFS 01236 Child Medical/Physical Care Plan for Child Care must be on file for any child having health conditions which require monitoring for symptoms, or a medical procedure be performed, or ongoing administration of medication or medical foods at the program. In review of the childrens records, it was determined that Keziah did not have one on file.Submit the programs corrective action plan, which includes a copy of the completed JFS 01236, to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved