Sweet Pea Patch

Staff person #6 was observed to be caring for children unsupervised. Staff person #6 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR in an approved curriculum from a PQAS instructor.

The file for Staff Person #6 does not include a DHS FBI Clearance. The NSOR Certificates in the files for Staff Person #7 and 8 were processed more than 45 days after the staff person's first day in child care (See LIS Code Sheet).

The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster).

Observed two pair of adult scissors, which were accessible to children, on a lower shelf in the School Age/Preschool Room.

The facility has not conducted annual emergency plan training in the past 12 months. Hence, only staff hired within the past 12 months have current emergency plan training.

The parent letter regarding the emergency plan did not include lockdown procedures or accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Observed a golden pothos plant in the Pre-K Room.

The first aid kit in the School Age/Preschool Room lacked tweezers.

Observed peeling, flaking paint along the outside of the building, which borders the outdoor play space.

The most recent health reports in the files for Child #3 and #5, preschool children, exceeded 12 months between reports.

Observed alcohol pads and antiseptic wipes, which were not labeled with the name of the child for whom the medication was intended, in the first aid kits in the School Age/Preschool Room and the Toddler Room.

The TB Screening in the file for Staff Person #5 was conducted more than one year prior to the staff person's first day in child care and is not valid. (See LIS Code Sheet).

The fire drill log documents five times in the past year when fire drills exceeded 60 days between drills: 1/2-3/4, 3/4-5/3, 5/3-7/3, 7/3-9/3 and 9/3-11/11.

The fire system test log for the past year documents three times when fire system checks exceeded 30 days between checks: 7/1-8/2, 8/2-9/4 and 11/1-12/3.

The initial health reports in the files for Child #1 and #2 were conducted more than 60 days after the child's first day of attendance at the facility.

The most recent Pediatric First Aid/CPR certification in the files for Staff Person #1, 2 and 4 has expired.

The most recent fire safety trainings in the file for Staff Person #4 exceeded 12 months between trainings.

Staff person #3, 6 and 8 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR in an approved curriculum from a PQAS instructor.

The file for Staff Person #4 does not contain a written evaluation conducted within the past 12 months.

The fee agreements in the files for all the child files reviewed were the original documents.

The emergency contact form in the file for Child #3 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact form in the file for Child # 4 did not include the address of the release persons.

The most recent parent updates for the emergency contact forms and fee agreements in the files for Child #4 and #5 exceeded 6 months between updates.

In the young toddler room there was prescription Nystatin ointment that did not have written doctor instructions from the individual who prescribed the medication.

In the preschool/school age room there was a diazapam medication that was lacking a medicaion log that gives written permission from the parents to administer the medication.

The file for Staff #1 contained an initial health assessment dated 10.23.23 which was after her start date.(see LIS code sheet).

The file for Staff #1 contained a TB screening that was dated 7.30.21 which was more than 12 months prior to their start date.(See LIS code sheet)

The operator failed to notifiy local traffic safety authorities within the last 12 months in writing of the location of the facility and the programs use of pedestrian and vehicular routes around the child care facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety).

The files of Child #4 and #7 both contain emergency contact forms that were lacking the enrolling parents work address and phone numbers.

The file for Staff #3 contained a DHS Child Abuse Clearance that was processed as a volunteer clearance, which is not accepted by our department. The file for Staff #4, who currently resides in the State of Ohio, did not contain clearances required by the State of Ohio to work in a childcare position. Staff #3 and #4 cannot work at the facility until acceptable clearances are obtained and placed on file at the facility.

In the Preschool Room, in an area accessible to children in care, an approximately 4'x2' wooden shelf was observed to be presenting a tipping hazard, which could result in blunt force trauma injury.

In the eating area, containers of bleach/water were observed being stored on a shelf directly above food items to be consumed by children in care. If said containers were to leak, the contents could contaminate the food stored below.

In the each of the two Preschool Room bathrooms, which are used by children in care, exposed, upwardly facing bolts were observed at the base of each toilet where the toilet secures to the floor. Contact with said bolts could cause laceration and/or puncture injuries.

In the Young Toddler Room, in an area accessible to children, loose framing along a wooden play kitchen were observed to create pinch points.

In the Preschool Room, a staff member indicated that there are children who receive care in the room who are still placing objects in their mouths. Numerous Lego pieces were observed in the room that were less than 1" in diameter.

Although the file for Staff #1 contained a current health assessment, the previously completed health assessment was administered more than 24 months ago.

The file for Staff #2 contained a health assessment that did not include an examination for communicable diseases.

The file for Staff #5, who has been employed in a childcare position for more than 90 days, did not contain documentation of the completion of Health and Safety Basics Training.

The file for staff person #6, whom was hired as an assistant group supervisor on 4/16/18, lacked an NSOR verification certificate. The file for staff person #8, whom was hired as an assistant group supervisor on 3/10/21, lacked an NSOR verification certificate. In a phone conversation with the director on 1/13/22 the director stated that she did not remove staff #6 and #8 from a child care position at the facility.

The file for staff person #6, whom was hired as an assistant group supervisor on 4/16/18, lacked an NSOR verification certificate. The file for staff person #8, whom was hired as an assistant group supervisor on 3/10/21, lacked an NSOR verification certificate. In a phone conversation with the director on 1/13/22 the director stated that she did not remove staff #6 and #8 from a child care position at the facility.

The file for staff person #1, whom is the director of the child care, lacked a state police clearance that was completed within the past 60 months. The state police clearance in the file is dated 3/17/15. The file for staff person #1 lacked child abuse and FBI clearances that were completed 60 months from the previous clearances. The child abuse clearances in the file are dated 2/18/16 and 2/22/21.The FBI clearances in the file are dated 4/1/15 and 2/24/21. The file for staff person #3, whom was hired as an assistant group supervisor on 6/5/20, lacked a state police clearance. The file for staff person #5, whom was hired as an assistant group supervisor on 8/24/17, lacked an NSOR certificate that was dated by the deadline of 7/1/20. The NSOR in the file is dated 10/27/21. The file for staff person #6, whom was hired as an assistant group supervisor on 4/16/18, lacked an NSOR verification certificate. The file for staff person #8, whom was hired as an assistant group supervisor on 3/10/21, lacked an NSOR verification certificate.

The file for staff person #2 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 12/12/18 and 3/3/21.

The file for staff person #1 lacked a health assessment that was completed within the past 24 months. The health assessment in the file is dated 3/18/19. The file for staff person #6 lacked a health assessment that was completed within the past 24 months. The health assessment in the file is dated 4/18/18. The file for staff person #7 lacked a health assessment that was completed within the past 24 months. The health assessment in the file is dated 3/6/19.

The files for staff persons #1, #2, #4 #5, #6, and #7 lacked firesafety training that was conducted one year from the previous training. The firesafety training in the file is dated 9/28/20 and 11/3/21. The file for staff person #3 lacked firesafety training that was conducted within the last year.

The file for staff person #1 lacked mandated reporter training that was completed 60 months from the previous mandated reporter training. The mandated reporter training in the file is dated 3/10/15 and 12/10/21. The file for staff person #6 lacked mandated reporter training that was completed within the past 60 months. The mandated reporter training in the file is dated 2/17/16.

The file for staff person #3 lacked a staff evaluation that was completed within a year from the hire date of 6/5/20. The staff evaluation in the file is dated 10/14/21.

The file for staff person #8 lacked 2 years experience with children.

The file for child #1 lacked emergency contact information that included the work address of the enrolling parent. The files for children #3, #4, and #6 lacked emergency contact information that included work addresses and work phone numbers for the enrolling parent. The file for child #5 lacked emergency contact information that included work addresses, home phone number, and work phone number for the enrolling parent.

The files for children #1, #2, and #4 lacked emergency contact information that included the written consent signed by a parent for emergency medical care required prior to admission.

The files for children #1, #2, #5, and #6 lacked emergency contact information that included information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The files for children #1, #2, and #4 lacked signed parental consent for administration of minor first-aid procedures by facility staff required prior to admission.

The file for staff person #8 lacked training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f).