Timber Ridge Program INC

A handwashing sign was not posted at every sink and toilet in the Transition Room bathroom and in the Preschool Room.

A wood toy bin in the outdoor Toddler Play Space was observed with a piece of split wood on the edge of the lid and was accessible, which could cause injury to children.

The most recent health assessment on file for Child #1 (Preschool Age) is dated 10/25/24, more than 12 months prior.

The immunization record for Child #2 (5 months) lacked the following immunizations: 1 dose of Rotavirus, 1 dose of DTAP, 1 dose of HiB, 1 dose of Pneumococcal, and 1 dose of Polio without a Letter of Exemption in the file. Child #2 must be dismissed from care by close of business on 11/20/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Fire extinguishers in the Infant, Toddler, Preschool, and Transition rooms were observed with an expiration date of January 2025.

The emergency contact form on file for Child #3 lacked the address of the child's physician or source of medical care.

The emergency contact form on file for Child #3 lacked complete addresses for all listed release persons.

The file for Facility Person #1 lacked a NSOR certificate, Ohio State Child Abuse clearance, Ohio State Sex Offender clearance by Facility Person #1's start date (SEE IS CODE SHEET). The file for Facility Person #1 contained a Department of Education FBI clearance, which is unacceptable, making it invalid.

The file for Facility Person #1 lacked a disclosure statement.

In the Infant Room, bottles of toxic cleaning products were observed on a shelf above loose diapers, which could be hazardous to children if leaking occurred.

Exposed bolts were observed in the Outdoor Preschool/School Age space.

A box of Top Care Acetaminophen for Child #1, with an expiration date of 01/2025, was observed in the Toddler Classroom. A box of Motrin Drops for Child #2, with an expiration date of 02/2025, was observed in the Infant Classroom.

The file for Facility Person #1, observed interacting with children, lacked two written nonfamily reference letters.

The file for Staff #1 contained a disclosure statement missing the date it was signed, making it invalid.

Staff #2 was observed resting an Older Toddler on Staff #2's leg for the child to wash their hands after snack, when the child is walking and able to use a stool or steps to reach the sink.

A plastic bin with broken edges was observed in the Transition Room, which could be harmful to children. Exposed bolts were observed in the Outdoor Preschool space, Outdoor Preschool/School Age space, and Outdoor Toddler space.

The Emergency Contact form for Child #1 lacked a complete address for the child's physician or source of medical care.

The Emergency Contact form for Child #2 lacked the child's health insurance/medical assistance policy number.

The Emergency Contact form for Child #3 was not present in the space that the child was receiving care.

On the windows of the toddler room, observed decorative plastic decals on the windows, which were falling off and had a diameter of less than an inch. In the infant room, observed an Allen wrench, with a diameter of less than an inch in a plastic bag and located in the bottom of an unlocked cabinet accessible to children who are still placing objects in their mouths.

In each of the Infant, Toddler and Transition Rooms, observed a wooden toy shelf which was not secured and could be pulled over by the children.

The initial health assessment on file for child #1 did not include a date that the health assessment was conducted, and it could not be determined if it was within 1 year prior to the first day of attendance at the facility.

The current health report on file for child #1 lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted.

The emergency contact information on file for children #2 and 3 lack the physician's telephone number.