ANGELA'S DAYCARE

In review of records, it was determined the Child Care Staff Member / Sub indicated on the Employee Record Chart did not meet the annual professional development requirement as noted in number 1, for the timeframe of 7/1/2024 to 6/30/2025.1. 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 [ ].Submit the programs 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 2 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 staff records, it was determined that background checks did not meet the requirements of the rule for the person listed on the Employee Record Chart as noted in number 4 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 programs corrective action plan, which includes a copy of the JFS 01176, or a copy of the preliminary approval or a statement that the individual is no longer engaged in assigned duties and is not near children until the preliminary approval has been received, to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that the programs First Aid Kit in the white Ford Expedition had an item that was expired...the item is listed in number 8 below: 1. One roll of first-aid tape; 2. Individually wrapped sterile gauze; squares in assorted sizes;3. Sterile adhesive bandages in assorted sizes;4.Tweezers;5. Gauze rolled bandage;6. Triangular bandage;7. Rounded end scissors;8. Tooth preservation system or fresh chilled liquid milk in which to transport a lost permanent tooth, including a written reference indicating location of the refrigerator/freezer where milk is stored if a tooth preservation system is not part of the first aid kit (for programs serving school age children only);9. A working digital thermometer;10. Disposable non-latex gloves;11. A working flashlight;12. An instant cold pack that has not been activated or ice, including a written reference indicating location of the refrigerator/freezer where the ice is stored if an instant cold pack is not part of the first aid kit;13. Sealable leak-proof plastic bags in assorted sizes or double bagged plastic bags that can be securely tied for materials soiled with blood or bodily fluids;14. Pocket mask or face shield, appropriate; for all ages of children in care, for cardiopulmonary resuscitation (CPR) administration;15. Soap or waterless sanitizer (field trip or transporting away from the program only);16. Bottled water (field trip or transporting away from the program only).Correct the violation and submit the program's corrective action plan 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 program's corrective action plan to verify compliance with the requirement of the rule.Date of last inspection was 12/21/2022

Resolution: Compliance Status: Approved

In review of records, it was determined the CCSM or Substitute CCSM was left alone with children and did not have current valid documentation for training listed in numbers 10 and 14 below:1. First Aid - expired training2. First Aid - did not have verification of 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 rule 4. 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 the program serves 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 by staff did not include an in-person component of the training 10. Communicable Disease - expired training11. Communicable Disease - had not taken CD training12. Communicable Disease - did not have verification of the completion of the CD training13. Communicable Disease - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule14. 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

In review of records, it was determined the provider did not have current valid documentation for training listed in number 14 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

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 2 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 programs written disaster plan did not meet the requirement or was missing the information in number 18 below:Procedures:1. The written disaster 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 terrorism5. Emergency or disaster evacuations due to hazardous materials and spills, gas leaks or bomb threats.6. 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 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 officialsAdd the missing information to the disaster plan. Submit the programs corrective action plan, which includes the missing information, to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the program had administered medication to a child and the written instructions on the JFS 01217 Request for Administration of Medication for Child Care form or attached prescription label were not followed as noted in number 3 below: 1. Medication had been administered to a child at the center at a different time than directed. 2. Medication was administered to a child for a longer or shorter period of time than directed. 3. The dose administered did not match the dosage required by the manufacturers directions. 4. The dose administered did not match the dosage required by the written physicians instructions or the prescription label. 5. A child was administered the wrong medication provided to the program for that child. Provide training to the staff designated to administer medication that the parents and physician's instructions on the prescribed form, as well as instructions on the prescription label, must be followed to avoid over or under medicating a child. Submit the programs corrective action plan, which includes 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 records, it was determined the CCSM or Substitute CCSM was left alone with children and did not have current valid documentation for training listed in number 10 below:1. First Aid - expired training2. First Aid - did not have verification of 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 rule 4. 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 the program serves 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 by staff did not include an in-person component of the training 10. Communicable Disease - expired training11. Communicable Disease - had not taken CD training12. Communicable Disease - did not have verification of the completion of the CD training13. Communicable Disease - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule14. 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 programs written disaster plan did not meet the requirement or was missing the information in numbers 17 & 18 below:Procedures:1. The written disaster 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 terrorism5. Emergency or disaster evacuations due to hazardous materials and spills, gas leaks or bomb threats.6. 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 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 officialsAdd the missing information to the disaster plan. Submit the programs corrective action plan, which includes the missing information, to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the program had administered medication to a child and the written instructions on the JFS 01217 Request for Administration of Medication for Child Care form or attached prescription label were not followed as noted in numbers 2 & 3 below: 1. Medication had been administered to a child at the center at a different time than directed. 2. Medication was administered to a child for a longer or shorter period of time than directed. 3. The dose administered did not match the dosage required by the manufacturers directions. 4. The dose administered did not match the dosage required by the written physicians instructions or the prescription label. 5. A child was administered the wrong medication provided to the program for that child. Provide training to the staff designated to administer medication that the parents and physician's instructions on the prescribed form, as well as instructions on the prescription label, must be followed to avoid over or under medicating a child. Submit the programs corrective action plan, which includes 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 program did not meet the requirement for administering to a child a prescription topical product or a medication that is not required by a JFS 01236 "Child Medical/Physical Care Plan for Child Care" as noted in number 18 below:1. No JFS 01217 Request for Administration of Medication for Child Care was on file. 2. The childs name was missing on the JFS 01217. 3. The childs date of birth was missing on the JFS 01217. 4. The childs weight was missing on the JFS 01217. 5. The name of the medication was missing on the JFS 01217. 6. The exact dose was missing on the JFS 01217. 7. The time to administer was missing on the JFS 01217. 7. The time period to administer was missing on the JFS 01217.8. The Parent/Guardians dated signature was missing on the JFS 01217. 9. Possible side effects were missing on the JFS 01217. 10. Expiration date was missing on the JFS 01217. 11. Physician instructions were missing on the JFS 01217. 12. Physicians dated signature was missing on the JFS 01217. 13. Physicians phone number was missing on the JFS 01217. 14. Date medication was administered was missing on the JFS 01217. 15. Time medication was administered was missing on the JFS 01217. 16. Dosage administered was missing on the JFS 01217. 17. Staff members signature was missing on the JFS 01217. 18. A current prescription label was not attached to the prescription medication. 19. The medication or product, [ ], was not brought to the program in its original container. Submit the programs corrective action plan, which includes the completed JFS 01217 for each child needed, verification that the prescription label is now attached, and/or verification that the medication or product is now in its original container, and a statement that training was provided, to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved