Sprouting Readers Child Care

“During the inspection, a potentially hazardous item or toxic substance was used or stored where children present had access. The potentially hazardous substance or item that posed a risk to children was determined to be accessible to children. The following was observed: bleach stored under the kitchen sink was accessible to children. Lysol spray and other cleaning supplies were accessible to children under the bathroom sink. Provide staff training. Submit the program’s 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.”

“During the inspection, it was determined that information was not up to date in the Ohio statewide licensing system. The following information was not current: services offered. 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 program had not responded to the request for revisions for non-compliances 813440 and 813442 addressed in the inspection report dated 4-10-26. The rule requires the program complete and submit a corrective action plan in the Ohio statewide licensing system to address non- compliances detailed in written inspection reports within the timeframe outlined in the report. Submit the program’s 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.”

“During the inspection, it was determined that the following areas being used for child care were not protected from rodents, insects, or other hazards in that ants were swarming in the kitchen near the patio door and on boxes/items in the kitchen. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

“During the inspection, cleaning and sanitizing equipment and supplies were not used or stored properly. The following was observed: hair and body products, such as shampoo, body wash, and hair oil, were accessible to children in the bathroom in the shower and on the shelves above the toilet. Provide staff training. Submit the program’s corrective action plan, which includes a statement that the potentially hazardous substance is no longer accessible to children and a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that emergency phone numbers were not posted, readily in view in spaces used by the children. The following was observed: the phones numbers for the local emergency squad, hospital, Police Department, Fire Department, poison control, Public Children's Service Agency, Health Department, and Emergency Management Agency were not posted in all spaces children have access to. 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 posted weather and fire alert plan did not meet the requirements in rule. The following was observed: the weather and fire alert plan were not posted in all spaces children have access to. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

“During the inspection, it was determined that hazardous conditions existed in the outdoor play area. The following was observed: large splinter of wood on the deck. was Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

“During the inspection, it was determined the program’s written emergency preparedness and response plan did not meet the requirement or was missing the information. The following was observed missing: - procedures for medical or dental emergencies, including emergency transportation. - the procedures for flash flooding need to include where your program would evacuate to. - procedures for outbreaks, epidemics, or other infectious disease emergencies. - emergency numbers for medical, dental, and transport related emergencies, in addition to 911. - Toddlers need to be included in the section regarding assisting infants, toddlers, and children with special needs. - In the section regarding location of supplies and procedures for gathering necessary supplies, please update the form name for administering medication or health care plans. It is now one combined form, the DCY 01236 "Health Care Plan Documentation & Permission to Administer Medication". - The section regarding procedures for if a disaster occurs during the transport of children/field trips/routine trips needs updated as your program does not provide transportation, field trips, or routine trips. - procedures for making this plan available to all childcare staff members and employees. - procedures for training of staff or reassignments of staff duties. - procedures for updating this plan on a yearly basis. - procedures for how your program will contact emergency management officials. - As discussed, you are not required to provide this document to parents. Please use DCY 01114 "Emergency Preparedness and Response Plan (EPRP) Instructions" for guidance as your complete these requirements. The DCY 01114 is available on the DCY Tips for Compliances webpage found here: https://childrenandyouth.ohio.gov/for-providers/licensing-compliance/resources/tips-for-compliance When you respond to the corrective action plan, please attach the new and corrected sections and not the entire EPRP. Submit the program’s corrective action plan, which includes the missing information, if applicable, to verify compliance with the requirements of this rule.”

“During this inspection, it was determined that food was not stored in a safe manner, The following was observed: The refrigerator temperature was 48 degrees Fahrenheit. The refrigerator must be kept at 40 degrees Fahrenheit or below. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

“During the inspection, it was determined that written instructions for feeding the infants noted on the Children Record Review form were not on file, as required by this rule. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

“During the inspection, it was determined that a crib/playpen, assigned to a child, was used for storage. The playpen in the main room had several toys in it. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

“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(s) at outlined in rule. The following was observed: the lead teacher's communicable disease training is expired. Correct 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.”

“During the inspection, it was determined employment records in the Ohio Professional Registry (OPR) were not maintained. The following was observed: the provider's schedule states that on the weekends, she is done at 11:00pm instead of 11:30pm, and on Saturdays that she starts at 11:15am instead of 6:00am. Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of records, it was determined the provider did not have current valid documentation for training(s) as outlined in the rule. The following was observed: the provider's communicable disease and child abuse/neglect training is expired. Correct 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.”

“In review of of the children's records, it was determined that immunization records were not on file, as required. The following was observed: the immunization records for two children were not up to date. 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 that the Type B Home did not have a working smoke alarm on the second floor or smoke alarm(s) were not maintained in accordance with manufacturer's recommendations. Chir Department of i eg Children & Yout A working smoke alarm must be placed, installed, tested, and maintained in accordance with manufacturer's recommendations. Submit the program’s corrective action plan to verify compliance with this rule.”

“In review of the program's records, it was determined that requirements for written permission from the parent/guardian for a field trip or routine trip were not met as listed in number(s) 1 below: 1. Written parental permission was not secured for field trips and/or routine trips off the premises. 2. The written permission was missing the child’s name. 3. The written permission was missing the date(s) of the trip(s) (field trips only). 4. The written permission was missing the destination(s) of the trip(s). 5. The written permission was missing the departure and return time(s) of the trip(s) (field trips only). 6. The written permission was missing the signature of the parent. 7. The written permission was missing the date on which the permission was signed. 8. The written permission was missing a statement notifying parents how their child will be transported. 9. Permission forms for routine trips were not being updated annually. 10. Written parental permission forms for field trips and/or routine trips were not being maintained on file for at least one year from the date of the trip. 11. Other: [ ]. Submit the program’s corrective action plan to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that written instructions for feeding the infants noted on the Children Record Review form were not on file, as required by this rule. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

“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(s) 14 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 [ ] Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

“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(s) 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 Chior Department of i eg Children & Yout! 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.”

“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(s) 8 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. Awell. 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. Chir Department of i Le Children & Yout! 17. Marijuana was accessible to children. 18. 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 program’s 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.”

“During the inspection, it was determined that the Type B Home did not have a working carbon monoxide detector [in the basement] or carbon monoxide detector(s) were not [placed/installed/tested/maintained] in 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 program’s corrective action plan to verify compliance with this rule.”

“During the inspection, it was determined that the Type B Home did not have a working smoke alarm [in the basement] or smoke alarm(s) were not [placed/installed/tested/maintained] in accordance with manufacturer's recommendations. A working smoke alarm must be placed, installed, tested, and maintained in accordance with manufacturer's recommendations. Submit the program’s corrective action plan to verify compliance with this rule.”

“During the inspection, it was determined that unsanitary conditions, as noted in the following number(s) 5 below, were in the restroom: 1. There was no liquid soap. 2. There was no toilet tissue. 3. There were no individually assigned towels or disposable towels. 4. The toilet cleaning brush was accessible to the children. 5. The plunger was accessible to the children. 6. The toilet was not flushed. 7. The trash was not emptied from the day before. 8. There was a strong urine odor. 9, Other []. The restroom(s) must be kept sanitary at all times. Submit the program's corrective action plan to verify compliance with the requirement of the rule.”

“During the inspection, it was determined that outdoor play equipment was unsafe as noted in the number(s) 9, 17 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, [_], was positioned too closely together, posing a risk of injury if a Chir Department of i Le Children & Yout! 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 equipment 15. 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: there was a cord hanging from the playset in reach of children. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“During the inspection, equipment was determined to be unsafe, hazardous to children, or in need of repair as noted in number(s) 7 below: 1. Manufacturer's guidelines for the [ ] were not followed in that [ ]. 2. The straps were missing on the [_ ]. 3. The straps were attached, but were not used on the [ ]. 4. The straps were attached and were used, but were not used in a safe manner. 5. The equipment had sharp points or corners. 6. The equipment had splinters. 7. The equipment had protruding nails. 8. The equipment had loose or rusty parts. 9. The equipment had paint which contains lead or other poisonous materials. 10. The equipment had hazardous features. 11. A fan was unstable and could easily tip over. 12. A fan had openings a finger could enter. 13. The pipes from the heat pump felt hot to the touch 14. A space heater felt hot to the touch 15. The position of a space heater was a tripping hazard 16. The air conditioning unit was not enclosed and was accessible to children on the playground. 17. A ball pit, trampoline, inflatable bounce house, inflatable slide, inflatable equipment used for climbing and bouncing was used. 18, Other [ ]. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule. Chir Department of i Le Children & Yout! | Corrective Action Plan Due: 08/29/2025”

“In review of the program's records, it was determined that requirements for written permission from the parent/guardian for a field trip or routine trip were not met as listed in number(s) 1 below: 1. Written parental permission was not secured for field trips and/or routine trips off the premises. 2. The written permission was missing the child’s name. 3. The written permission was missing the date(s) of the trip(s) (field trips only). 4. The written permission was missing the destination(s) of the trip(s). 5. The written permission was missing the departure and return time(s) of the trip(s) (field trips only). 6. The written permission was missing the signature of the parent. 7. The written permission was missing the date on which the permission was signed. 8. The written permission was missing a statement notifying parents how their child will be transported. 9. Permission forms for routine trips were not being updated annually. 10. Written parental permission forms for field trips and/or routine trips were not being maintained on file for at least one year from the date of the trip. 11. Other: [ ]. Submit the program’s corrective action plan to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that bottles containing [milk/formula] for a particular infant were not labeled with the child’s name and date of preparation. Submit the program’s corrective action plan to verify compliance with the requirements of this rule.”

“In review of records, it was determined the provider did not have current valid documentation for training(s) listed in number(s) 1 below: 1. First Aid - expired training 2. First Aid - did not have verification of the completion of First Aid training 3. First Aid - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule 4. CPR - expired training 5. CPR - had not taken CPR training 6. CPR - did not have verification of the completion of CPR training 7. CPR - training taken did not include all age groups and developmental levels of all children in care 8. CPR - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule 9. CPR- audiovisual or electronic media training taken did not include an in-person component of the training 10. Communicable Disease - expired training 11. Communicable Disease - had not taken CD training 12. Communicable Disease - did not have verification of the completion of CD training 13. 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 training 15. Child Abuse - had not taken Child Abuse training 16. Child Abuse - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule Correct 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.”

“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(s) 14 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 [ ] Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

“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(s) 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 hier Department of i Le Children & Yout! 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.”

“During the inspection, it was determined that the written record used to document infant routines and activities did not meet the requirements as noted in number(s) [1 ] below: 1. A daily written record was not provided to the parent or person picking up the infant on a daily basis. 2. Food intake was missing. 3. Sleeping patterns was missing. 4. Times and results of diaper changes was missing. 5. Information about daily activities was missing. Submit the program’s corrective action plan to verify compliance with the requirements of this rule.”

“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.”

“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(s) [ 14] 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” Chir Department of i Le Children & Yout! 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 [ ] Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

“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(s) [6 ] 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.”

“During the inspection, it was determined flammable and combustible materials and substances were stored near number(s) 2 below: 1. Heater; 2. Furnace; 3. Water Heater; 4. Gas Appliance. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule. MATERIAL AROUND FURNANCE”

“During the inspection, it was determined the fire extinguisher was not meeting the requirements in the following number(s) 4 listed below: 1. There was no fire extinguisher. 2. The fire extinguisher was not working. 3. The fire extinguisher was not rated at the minimum rating. 4. The fire extinguisher had expired. 5. The fire extinguisher was not located in the kitchen where food is provided for child care or cooking area. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

“During the inspection it was determined the item(s) noted in number(s) 4 below were not in working condition: 1. Kitchen Sink; 2. Refrigerator; 3. Stove or Microwave Oven; 4, Other [ ]. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule." thermometer was missing in refrigerator.”

“During the inspection, it was determined that the program's weekly menu did not meet the requirement as noted in number(s) 1 below. 1. The menu was not posted. 2. The posted menu was not in a visible place readily accessible to parents. 3. The menu was not currently dated. 4. The entire menu was substituted. 5. At least one item on menu did not match what was served. 6. The meal or snack served did not match the posted menu. Submit the program's corrective action plan to verify compliance with the requirement of the rule. 1. MENU WAS NOT POSTED DURING INSPECTION”

“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(s) 5 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. RULE 5 MEDICAL RECORD OF CHILD HAD EXPIRED hier Department of i Le Children & Yout! | Corrective Action Plan Due: 01/08/2025”

“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(s) were not [placed/installed/tested/maintained] in 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 program’s corrective action plan to verify compliance with this rule.”

“During the inspection, it was determined that while there was adequate fall surface material in the outdoor play space, proper distribution had not been maintained under and around equipment as required. Submit the program’s corrective action plan, which includes a statement that fall surface material has been properly redistributed, to the Department to verify compliance with the requirements of this rule.”

“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(s) [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.”