TERRY, ALICIA

During the inspection, it was determined the providers license was not in a location visible to parents, as required. 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 information in number 5 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

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 children were not protected from the following item(s) or condition(s) which may threaten their health, safety, or well being as noted in the following numbers 13 and 14 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. Telephone cords.7. Employee(s) purse(s).8. Diaper bags.9. Television not securely anchored.10. Small or lightweight pieces of shelving units are not securely anchored to the wall.11. Staff member stepped over a barrier/gate while holding a child.12. Chipping or peeling paint.13. An area rug did not have a nonskid backing.14. An area rug presented a tripping hazard.15. A floor surface was unsafe in that [ ].16. No platform was provided for the sink or toilet.17. The platform provided for the sink or toilet was not sturdy.18. The platform provided for the sink or toilet posed a safety hazard in that [ ].19. Emergency exits were blocked by the following furniture in that [ ].20. A mercury thermometer was being used to take a childs temperature. 21. Methods of ventilation used did not provide protection from rodents, insects, or other hazards.22. 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 program's records, it was determined that requirements for written permission from the parent/guardian for a field trip or routine trip were not met as listed in number 1 below: 1. Written parental permission was not secured for field trips and/or routine trips off the premises.2. The written permission was missing the childs name.3. The written permission was missing the date(s) of the trip(s) (field trips only).4. The written permission was missing the destination(s) of the trip(s).5. The written permission was missing the departure and return time(s) of the trip(s) (field trips only).6. The written permission was missing the signature of the parent.7. The written permission was missing the date on which the permission was signed.8. The written permission was missing a statement notifying parents how their child will be transported.9. Permission forms for routine trips were not being updated annually.10. Written parental permission forms for field trips and/or routine trips were not being maintained on file for at least one year from the date of the trip.11. Other: [ ].Submit the programs corrective action plan 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, for the items in number 3, 4, 5, 8, 10, 11, 13, 15 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/guardians 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 [ ] 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 childrens 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 7 and 1 below1. No plan was on file.(Page 1)2. Childs 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 missing31. 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.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 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: Returned for Revision

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

During the inspection, it was determined the program did not meet the requirements for keeping an attendance record as listed in number 7 below on Kinder Connect and number 2 below for written attendance. Children need tapped in and out in live time. The provider should always document written attendance in live time.1. No attendance record was being maintained.2. The attendance record was not being consistently completed.3.The record did not include the name of at least one child.4. The record did not include the birth date of at least one child.5.The record did not include the assigned group.6.The record did not include the childs weekly schedule.7.The record did not include the time (hours and minutes) of each childs arrival and departure to the program, including transportation by the program.8. The original attendance record was not kept at the program for a period of one year.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 written instructions for feeding the infants noted on the Children Record Review form were not on file, 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 that medication, topical product, or medical food was at the program which had not been labeled with the child's name. 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 water temperature was 123 degrees in the bathroom. This temperature exceeds the requirement of remaining below 120 degrees Fahrenheit. 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 the programs weekly attendance was not documented upon arrival to program. 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 the program did not have a first aid kit that included either a tooth preservation kit or way to keep milk chilled for trips. Correct the violation and submit the program's corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

In review of the childrens 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". Reginald JFS 1236 form missing info on page 1. 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 the children's records, it was determined the JFS 01234 Child Enrollment and Health Information For Child Care was not compliant and was missing information for children in program. See below:1. Banks/Dean family- Parent information for both parents missing, diaper info on page 4 incomplete for Tamar, Doctor info incomplete for Tameir, and policy acknowledgement for Tre'Mir not checked on page 42. Benefield- 2nd parent info missing, page 2 missing for Reece, Reginald 1234 missing3. Echols kids- 2nd parent info missing, SiYon missing pages 3 and 4 of enrollment4. Henry kids- 2nd parent info missing, doctor info missing on page 15. McKenzie family- 2nd parent work info6. Reed kids- 2nd parent info missing and Desiree missing page 4 of form7. Baby Girl Richardson- 2nd parent info missing and medical question on page 2 missingSubmit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

The following items need to be taken on routine trips and field trips:1. First aid supplies;2. JFS 01234 Child Enrollment and Health information (except routine walks);3. A working cellular phone or other means of immediate communication (not to be used while a vehicle is in motion).During the inspection, it was determined item number 2 was missing. Submit the programs action plan to meet the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the program did not meet the requirements for the JFS 01217 "Request for Administration of Medication for Child Care". Baby Girl Richardson missing information on page 1 of the form. 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 medication was in the reach of children. 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 written instructions for feeding the infants noted on the Children Record Review form were not on file for Baby Girl Richardson, 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 program's weekly menu did not include Sunday options.Submit the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

During the inspection, cleaning equipment and bug spray chemicals were determined to be in an area accessible to children. These were accessible in basement bathroom. Bug spray was accessible behind the curtain next to toilet on a lower shelf. Then there were two cleaning sprays located inside the shower that were accessible.Provide staff training. Submit the programs corrective action plan, which includes a statement that the potentially hazardous substance is no longer accessible to children and a statement that training was provided, 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.1. Arianna and Desiree were missing the provider signature on the forms2. Reece and Reginald Benefield needs the enrollment forms corrected on page two. Please email specialist the form once correctedSubmit 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 updated for Tre'mir Dean.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 the program did not have the type of milk on-site to ensure that all children were served age-appropriate fluid milk requirements. Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule. Milk should be Vitamin A, D, or 1% milk.

Resolution: Compliance Status: Approved

During the inspection, it was determined that an area was used which was not protected from traffic and other hazards by a continuous fence in good condition, or natural barrier, that ensured children were not able to leave the playground area. Please put a barrier in the area next to the smaller shed. Discontinue use of the playground and provide a space for outdoor play which is well defined by a continuous fence or natural barrier and protected from other hazards. 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 program did not meet the requirements for the JFS 01217 "Request for Administration of Medication for Child Care" Reece and Reginald need this form filled out for eczema.Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

It was determined, the provider was not responsible for creating, maintaining or implementing the policies and procedures detailed in appendix C and D of 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

In review of the program's records, it was determined that written permission from the parent/guardian for a field trip or routine trip were not updated annually for the Benefield family. The Henry family needs to have the destination listed correctly on their forms.Submit the programs corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

In review of the children's records, it was determined the JFS 01234 Child Enrollment and Health Information For Child Care, needs dated by the parent on Tameir enrollment form.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 childrens 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". A JFS 1236 needs on file still for Reginald's allergies and Reece's allergies. The JFS 1236 asthma form for Reginald was missing a parent signature. The JFS 1236 form for Reginald's headaches/migraines were incomplete.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 a child medical statement needs updated for Arianna.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 programs written emergency preparedness and response plan was not on file.Submit the programs corrective action plan, which includes the missing information, if applicable, to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was observed that a sealed container of alcohol was observed in a space approved or used for child care as noted in the following number 1 below:1. A sealed container was observed but children in care did not gain access to the alcohol.2. A sealed container of alcohol was observed but children in care were not observed in the space at the time of the inspection.These items must be removed or stored in space not approved or used for children as required. Submit the programs corrective action plan to verify compliance with this rule.

Resolution: Compliance Status: Approved

In review of of the children's records, it was determined that M'leeya had an expired medical statement. 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 cleaning supplies were determined to be in reach. There was also rake/shovels in the outside area.Provide 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 that the Ohio Communicable Disease Chart was not posted as required.Submit the programs corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

In review of the childrens 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." Reece did not have a JFS 1236 on file for his medical conditions. Reginald did not have a 1236 on file for Allergies or Eczema. Reginald's JFS 1236s on file were incomplete. Medications were not on file for Reginald migraines. 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 the childrens records, it was determined the JFS 01236 "Child Medical/Physical Care Plan" was missing the last three pages for Reece. The JFS 1236 was missing both the parent and administrator signature on the third page. If the parent does not want the medicines administered anymore at the program, have this be indicated when the new enrollment is filled out.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 the children's records, it was determined the JFS 01234 Child Enrollment and Health for Daniel, Reece, Reginald, Arianna, and Desiree were on the old form. Please have the parent fill out and sign the newest enrollment form. 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 Santana 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, alcohol was determined to be in a space that was accessible to children during hours of operation but no children were present. These items must be removed or stored in space not approved or used for children as required. Submit the programs corrective action plan to verify compliance with this rule.

Resolution: Compliance Status: Approved