Wishing Well Preschool - North Royalton

“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. The following was observed: The fingerprints were not submitted electronically according to the process established by BCI. In addition, the individual was near children and had access to children and preliminary approval from DCY was not on file. Submit the program’s corrective action plan, which includes a copy of the DCY 01176, or a copy of the preliminary approval or a statement that the individual(s) are no longer engaged in assigned duties and are not near children until the preliminary approval has been received, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that child care staff member had sole responsibility of children in the afternoon group and neither a preliminary approval nor the DCY 01176 "Program Notification of Background Check Review for Child Care" were on file as required. Submit the program’s corrective action plan, which includes a copy of the DCY 01176 or a statement that the child care staff member no longer have sole responsibility of children, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined the program had not been inspected by the local fire safety inspector and secured documentation of a fire inspection without any uncorrected violations within 12 months from the date of the last fire inspection without any uncorrected violations, as required. The program had requested the new inspection at least 30 days prior to the expiration date of the previous fire inspection. Submit the program’s corrective action plan, which includes an updated fire inspection without any uncorrected violations, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that the afternoon classroom did not have a well-balanced, developmentally appropriate program. The following was observed: The classroom did not provide opportunities for a balance of quiet and active play with routines to promote the children’s physical, social-emotional, cognitive and language development. 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. Submit the program's corrective action plan to the Department to verify compliance with the requirements of the rule.”

“During the inspection, it was determined that equipment and materials in the following categories were not provided in sufficient quantities for children in the preschool classroom, as required: the following categories were not available in sufficient quantities and accessible: Art supplies * Science-nature equipment * Language arts and auditory materials « Pretend or dramatic play materials * Music equipment * Sensory motor equipment. Submit the program's corrective action plan to the Department to verify compliance with the requirements of the rule.”

“During the inspection, it was determined employment records in the Ohio Professional Registry (OPR) were not created or maintained. The following was observed: At least one administrator, employee or child care staff member had not updated changes to positions or roles within ten calendar days of the change. The administrator had not assigned at least one employee or child care staff member to the program's organization dashboard. At least one individual's schedule was not current. Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the staff records, it was determined that the immunization records for 1 of 6 employees, including child care staff members, did not meet the requirement. The following was observed: the immunization record was not on file. Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the staff records, it was determined that the tuberculosis (TB) screening for 1 of 6 employees, including child care staff members, did not meet the requirement. The following was observed: the TB screening was not on file. Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined the information in number 4 below was not up to date in the Ohio Child Licensing and Quality System (OCLQS): 1. Mailing address 2. Telephone number 3. Email address 4. Days and hours of operation 5. Services offered 6. Name of program 7. Private pay rates Technical assistance was provided, and as discussed, log on to OCLQS and update the information, as required.”

“In review of the staff records, it was determined that the medical statements for the employees listed on the Employee Record Chart did not meet the requirements as listed in number 4 below. 1. A medical statement was not on file for at least one employee; 2. The medical statement(s) on file did not have a date of examination within 12 months of the employee’s first day of employment; 3. Date of examination was missing; 4. Signature, business address, or telephone number of the licensed physician, physician assistant, advanced practice nurse, certified midwife, or certified nurse practitioner who completed the examination was not able to be verified; 5. A statement was missing that verifies the employee is: a. Physically fit for employment in a program caring for children; b. Immunized against Tetanus, Diphtheria, Pertussis (Tdap); c. Immunized against Measles, Mumps, and Rubella (MMR); 6. Tuberculosis (TB) screening/test information was missing: a. Documentation of the screening process to determine if the employee resided in a country identified by the world health organization as having a high burden of TB and arrived in the United States within the five years preceding the date of application for employment. b, Results of a TB test for employees meeting both criteria in 6a. c. Results of additional testing for employees with a positive TB test. d. Written statement, signed by a representative of the TB control unit, that the employee's TB is no longer infectious or the individual is receiving a TB treatment regimen for employees with a positive TB test. Submit the program’s corrective action plan, which includes a copy of the completed employee medical statement, or TB results/documentation, to the Department to verify compliance with the requirements of this rule.”

“In review of 25% 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 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/guardian’s 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 [ ] Technical assistance was provided at the time of the inspection, and as discussed, please correct this rule noncompliance. A written response for this rule noncompliance is not required at this time.”

“In review of 25% 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 1 & 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 birth 4. Medical(s) were missing the date of the medical examination 5. 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 care 7. 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 child 8. Medical(s) were missing a record of immunizations the child has had specifying month, day and year 9. 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 rule 10. Medical(s) were missing a statement from the child’s parent or guardian that he or she has declined to have the child immunized against the disease for reasons of conscience, including religious convictions 11. Other [ ] Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the children's records, it was determined that the JFS 01236 “Child Medical/Physical Care Plan for Child Care” did not meet the requirements of the rule as noted in number 1 below: 1. The JFS 01236 had not been updated as needed and at least annually by the physician & child care staff. 2. A separate JFS 01236 had not been used for each condition. 3. The program used an old version of the JFS 01236. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the staff records, it was determined that verification of a high school education for the child care staff member(s) listed on the Employee Record Chart, did not meet the requirements as listed in number 1 below: 1. Verification of completion of a high school education was not on file. 2. Documentation was incomplete or not on file for a high school junior or senior who is enrolled in a career- technical program. 3. Documentation was not on file for a high school junior or senior who is also enrolled in a college credit program in child development or early childhood education. 4. Documentation was not on file for a high school junior or senior who is enrolled in a Child Development Associate (CDA) training program. Submit the program’s corrective action plan, which includes a copy of the education verification, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined the program’s written disaster plan did not meet the requirement or was missing the information in numbers 11, 12, 13, 14 & 15 below: Procedures: 1. The written disaster plan had not been completed 2. The plan was not provided to all child care staff and employees 3. The plan was not used to respond to an emergency or disaster situation 4. Weather emergencies and natural disasters which include severe thunderstorms, tornadoes, flash flooding, major snowfall, blizzards, ice storms or earthquakes 5. Emergency outdoor and indoor lockdown or evacuation due to threats of violence which includes active shooter, bioterrorism or terrorism 6. Emergency or disaster evacuations due to hazardous materials and spills, gas leaks or bomb threats. 7. Outbreaks, epidemics or other infectious disease emergencies 8. Loss of power, water, or heat 9, Other threatening situations that may pose a health or safety hazard to the children in the program Details: 10. Shelter in place or evacuation, how the program will care for and account for the children until they can be reunited with the parent 11. Assisting infants and children with special needs and/or health conditions 12. Emergency contact information for parents and the program 13. Procedures for notifying and communicating with parents regarding the location of the children if evacuated 14. Procedures for communicating with parents during loss of communications, no phone or internet service available 15. The location of supplies and procedures for gathering necessary supplies for staff and children if required to shelter in place 16. What to do if a disaster occurs during the transport of children or when on a field trip or routine trip 17. Making the plan available to all child care staff members and employees 18. Training of staff or reassignment of staff duties as appropriate 19. Updating the plan on a yearly basis 20. Contact with local emergency management officials Make the necessary revisions to the disaster plan. Submit the program’s corrective action plan, which includes the revised information, to the Department to verify compliance with the requirements of this rule.”