BEATRIZ CASTILLO

During the inspection, it was determined that outdoor play equipment was unsafe as noted in the number 13 below: 1. There was rust exposed.2. There was protruding bolts. 3. There were cracks.4. There were holes.5. There was splintering wood.6. There were sharp edges or points.7. There were lead hazards.8. There were toxic substances.9. There were tripping hazards.10. The sandbox was not covered when the program was closed or during non-daylight hours. 11. Outdoor equipment, [ ], was not developmentally appropriate.12. Outdoor equipment, [ ], was placed in the main traffic pattern.13. Outdoor play equipment, backyard slides - placed closed together, and to close along fence, was positioned too closely together, posing a risk of injury if a child were to fall from one piece of equipment into another.14. Outdoor equipment, [ ], was not securely anchored but did not present a risk of imminent danger of the structure collapsing when children are using the equipment15. Outdoor equipment, [ ], was 30 inches or more from the ground and did not have a protective barrier that would prevent a child from falling off this piece of equipment.16. The manufacturer's guidelines for assembly and installation were not followed for the [ ].17. 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, a potentially hazardous item or toxic substance was used or stored where children present had access to it as noted in number 14 below. The potentially hazardous substance or item that posed a risk to children was determined to be accessible to children in main bathroom shower. 1. Bleach.2. Cleaning agent.3. Fish tank chemicals. 4. Gasoline. 5. Pesticide.6. Poison, including insect/rodent poison. 7. Flammable substance.8. Windshield washer fluid.9. Aerosol cans. 10. A lawn mower. 11. A weed trimmer. 12. Hedge trimmers. 13. A snow blower.14. Other potentially hazardous substance, equipment or machinery: [ Razor in shower ]. 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

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 8 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

During the inspection, it was determined that the playground did not have adequate fall surface under and around equipment as noted in the following numbers 1 & 2 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

In review of records, it was determined the Child Care Staff Member indicated on the Employee Record Chart did not meet the annual professional development requirement as noted in number 1 .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 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 4,5,6,8,13, and16 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 Basic infant form missing.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 the programs written emergency preparedness and response plan did not meet the requirement or was missing the information in number 2 below:Procedures:1. The written emergency and preparedness and response plan had not been completed2. The plan was not provided to all child care staff and employees3. Weather emergencies and natural disasters which include severe thunderstorms, tornadoes, flash flooding, major snowfall, blizzards, ice storms or earthquakes4. Emergency outdoor and indoor lockdown or evacuation due to threats of violence which includes active shooter, bioterrorism or terrorism including a designated safe site where staff and children can safely remain when evacuated5. Emergency or disaster evacuations due to hazardous materials and spills, gas leaks or bomb threats including a designated safe site where staff and children can safely remain when evacuated6. Outbreaks, epidemics or other infectious disease emergencies7. Loss of power, water, or heat8. Other threatening situations that may pose a health or safety hazard to the children in the programDetails:9. Shelter in place or evacuation, how the program will care for and account for the children until they can be reunited with the parent10. Assisting infants, toddlers and children with special needs and/or health conditions11. Emergency contact information for parents and the program12. Procedures for notifying and communicating with parents regarding the location of the children if evacuated13. Procedures for communicating with parents during loss of communications, no phone or internet service available14. The location of supplies and procedures for gathering necessary supplies for staff and children if required to shelter in place15. What to do if a disaster occurs during the transport of children or when on a field trip or routine trip16. Making the plan available to all child care staff members and employees17. Training of staff or reassignment of staff duties as appropriate18. Updating the plan on a yearly basis19. Contact with local emergency management officials20. The plan was unable to be implemented in that, [ ].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 determined the program did not meet the requirements for keeping an attendance record as listed in number 8 below: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

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 numbers 8, 11 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 Wrong medical statement on file.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 Type B Home did not have a working carbon monoxide detector in the building/on each floor where care is provided or carbon monoxide detector were not placed/installed/tested/maintained in Basement accordance with manufacturer's recommendations. A working carbon monoxide detector must be placed, installed, tested, and maintained in accordance with manufacturer's recommendations. Submit the programs corrective action plan to verify compliance with this rule.

Resolution: Compliance Status: Approved

In review of records, it was determined the Child Care Staff Member(s) indicated on the Employee Record Chart did not meet the annual professional development requirement as noted in number 61. The child care staff member(s) 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 Provider didn't have enough PD hours.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 numbers 4.6. 11 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

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 1 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 records, it was determined the provider did not have current valid documentation for training(s) listed in numbers 1 & 4 below:1. First Aid - expired training2. First Aid - did not have verification of the completion of First Aid training3. First Aid - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule4. CPR - expired training5. CPR - had not taken CPR training6. CPR - did not have verification of the completion of CPR training7. CPR - training taken did not include all age groups and developmental levels of all children in care8. CPR - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule9. CPR- audiovisual or electronic media training taken did not include an in-person component of the training10. Communicable Disease - expired training11. Communicable Disease - had not taken CD training12. Communicable Disease - did not have verification of the completion of CD training13. Communicable Disease - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule 14. Child Abuse - expired training15. Child Abuse - had not taken Child Abuse training16. Child Abuse - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the ruleCorrect 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 JFS 01201 "Dental First Aid" was not [completed/posted]. 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 program had not responded to the non-compliances addressed in the inspection report dated 04/25/2023. The rule requires the program complete and submit a corrective action plan in OCLQS to address non-compliances detailed in written inspection reports within the timeframe outlined in the report. Submit the programs corrective action plan, which includes a statement that current and future corrective action plans will be submitted timely, to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that an infant was placed in a crib with the following suffocation or strangulation hazard which was a pacifier clip attached to infant in the crib. 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 bottles containing milk/formula for a particular infant were not labeled with the childs name and date of preparation. 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 provider did not [obtain or maintain the required liability insurance/have a completed JFS 01933 "Liability Insurance Statement for Family Child Care Providers" completed for each child in care]. 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 that the following equipment was not being used in accordance with the manufacturer's guidelines, no straps on the diaper changing table to keep the infant from falling. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the 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 number 9 below:1. Telephone cords;2. Stacked chairs;3. Employee(s) purse(s);4. Diaper bags;5. Television not securely anchored;6. Small or lightweight pieces of shelving units are not securely anchored to the wall;7. Staff member stepped over a barrier/gate while holding a child;8. Chipping or peeling paint;9. Other Mouthwash is kept in reach of children, where they use the bathroom.Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the 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 the program did not protect children from an unsafe item or condition or equipment due to the following number 15 below: 1. Pull cord(s) on the window blind(s). 2. Extension cord(s); electrical cord(s) attached to an object that could result in a severe injury if pulled.3. Stacked tables. 4. Folding tables. 5. Matches and/or a lighter. 6. Power tool(s). 7. Live wires. 8. Stove(s) that are either on or able to be turned on by a child. 9. Asbestos. 10. Traffic. 11. A body of water. 12. A well. 13. Environmental hazard(s) confirmed by local authorities having jurisdiction over the hazard.14. A crockpot used to heat bottles. 15. Immediate access to a knife. 16. Large or heavy pieces of shelving units are not securely anchored to the wall. 17. Other [ ]. Any hazardous equipment must be removed, replaced, or repaired and any hazardous condition must be corrected and must be made inaccessible to children.Provide staff training. Submit the programs corrective action plan, which includes a statement that the item or condition has been removed 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 program's records, it was determined that permission forms for routine trips were not being updated annually, as required. Submit the program's corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Closed - Not Addressed

In review of the program's records, it was determined that the form used to secure the written permission of the parent for a field trip or routine trip was missing the required information listed in number 5, 6, 7 below:1. Child's name;2. Date of the trip (field trips only);3. Destination of the trip;4. Departure and return time of the trip (field trips only);5. Signature of the parent/guardian;6. Date on which the permission was signed;7. Statement notifying parents how their child will be transported;8. Other [ ].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 written parental permission was not secured for field trips and/or routine trips off the premises or out of the areas approved for child care, 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 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 16 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 - The current JFS 01234 enrollment form was not completed for two children. Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Closed - Not Addressed

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 numbers 2 &10 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 Provider not using the current version of the medical form.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 following information was not posted for item number 1 &3 below:1. Fire alert plan, including a diagram indicating evacuation routes.2. Weather alert plan was missing details for [ ]. 3. Weather alert plan was missing a diagram indicating evacuation routes. 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 JFS 01201 "Dental First Aid" was not [completed/posted]. 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 requirements for the JFS 01242 "Medical, Dental and General Emergency Plan" were not followed as noted in numbers 1 & 7 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

During the inspection, it was determined that the activities in classroom did not have a well-balanced program as noted in numbers 2 & 3 below:1. The classroom(s) did not did provide opportunities for a balance of quiet and active play.2. The classroom(s) did not provide activities to promote the childrens physical, social-emotional, cognitive and language development. 3. The classroom(s) did not provide opportunities for child initiated activities. A well-balanced program of activities suitable to the developmental levels and abilities of each child in care shall be implemented on a daily basis. 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 daily outdoor play was not provided as required by rule. 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 attendance records did not include the required information listed in number 5 below:1. The name of the child;2. The birth date of the child;3. The assigned group for the child;4. The childs weekly schedule;5. The time (hours and minutes) of each child's arrival and departure to the program, including transportation by the program.The missing information must be added to the form used to maintain attendance records. Submit the programs corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved