Over The Rainbow Learning Center

“During the inspection, it was determined 6 children with 4 under two years of age were in the care of one child care staff member which resulted in more than three children under two years of age. Submit the program’s corrective action plan to verify compliance with the requirements of this rule.”

“During the inspection, it was determined the program did not meet the requirements for keeping an attendance record. The following was observed: the attendance was not being consistently completed and there were several DOB missing 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 children were not protected from condition which may threaten their health, safety, or well-being. The following was observed: there were 3 unplugged outlets in the program room and the stone corners on the fireplace needs a child safety corner cover Provide staff training. Submit the program’s corrective action plan, which includes 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 DCY 08087 “Communicable Disease Chart” was not posted as required. The following was observed: the chart posted was out dated Submit the program’s corrective action plan to verify compliance with the requirements of this rule..”

“During the inspection, it was determined the program’s written emergency and preparedness, and response plan did not meet the requirement for training child care staff members and employees on the plan annually. The following was observed: the annual training was not completed Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the program's records, it was determined that requirements for written permission from the parent/guardian for a routine trip were not met. The following was observed: the routine trip forms were dated annually, but on the same form. A new form needs to be completed annually. 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 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.”

“During the inspection, it was determined employment records in the Ohio Professional Registry (OPR) were not created or maintained. The following was observed: the provider needs to update their program organizational dashboard. 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 a child care staff member did not meet the annual professional development requirement. The following was observed: the float CCSM, that works everyday, did not have the required annual PD hours completed. 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 CCSM or Substitute CCSM was left alone with children and did not have current valid documentation for trainings listed in numbers 10 and 14 below: Chir Department of i eg Children & Yout! 1. First Aid - expired training 2. First Aid - did not have verification of 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 the program serves 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 by staff 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 the 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 records, it was determined the provider did not have current valid documentation for trainings listed in numbers 10 and 14 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 Chir Department of i eg Children & Yout! 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 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 8 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 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. Chir Department of i eg Children & Yout”

“On the day of the inspection, the program’s written policies and procedures provided to the parents/guardians and employees was missing item numbers 3, 15, 17, 18, 19, 20, 21, 25 and 27 below: General Information 1. Name, address, email address and telephone number. 2. Description of the provider's program philosophy. 3. Days and hours of operation, scheduled closings and basic daily schedule. A, Staff/child ratios and group size. 5. Opportunities for parent involvement in activities. 6. Opportunities for parents to meet with the provider regarding their child. 7. Payment schedule, overtime charges and registration fees if applicable. 8. Programs shall have a policy in place describing supports for onsite breastfeeding or pumping for mothers who wish to do so (if the program serves infants or toddlers). Provider Policies and Procedures 9. Enrollment including required enrollment information. 10. Care of children without immunizations. 11. Attendance including procedures for arrival and departure, the program's absent day policy, releasing child to persons other than the parent, releasing a child according to a custody agreement and follow up when a child scheduled to arrive from another program or activity does not arrive. 12. Supervision of children, including a separate supervision policy for school-age children, if applicable. 13. Child guidance. 14. Suspension and expulsion. 15. Ensure compliance with the Americans and Disabilities (ADA) including administering medication to children with disabilities and administering care procedures for children with disabilities. 16. Outdoor play, including limitations placed on outdoor play due to weather or safety issues (considerations may include but are not limited to temperature, humidity, wind chill, ozone levels, pollen count, lightning, rain or ice). 17. Food and dietary policy, including information regarding meeting one-third of the child's recommended daily dietary allowance, policy regarding formula, breast milk, meals, and snacks and policy on providing supplemental food. 18. Management of illness including isolation precautions, symptoms for discharge and return, notification of parent of ill child and whether or not the provider will care for sick children. 19. Summary of procedures taken in the event of an emergency, serious illness or injury. 20. Administration of medication and topical products policy, medical foods, modified diets, and whether school age children are permitted to carry their own medical and ointments. 21. Transportation policy for field trips, routine walks, if applicable, and emergencies including if the provider will provide child care services to children whose parents refuse to grant consent for transportation to the source of emergency treatment. Chir Department of i eg Children & Yout! 22. Water activities/swimming. 23. Infant care, if applicable, including feeding, frequency of diaper checks, and information about daily activities. 24. Sleeping, napping and resting. 25. Evening and overnight care, if applicable. 26. Policy on hours of operation, closing due to weather, school delays or closings and any other factors. 27. Use of a substitute child care staff member or child care staff member pursuant to 5101:2-13-08 of the Administrative Code for sick days, vacations or other time off. 28. Situations that may require disenrollment of a child, if applicable. 29. Problem or issue resolution for parents or employees to follow when needing assistance in resolving problems related to the family child care home. 30.Formal screenings and assessments conducted on enrolled children and if the program reports child level data to ODJFS pursuant to Chapter 5101:2-17 of the Administrative Code. 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 meal or snack at the program did not meet the requirements as noted in number 9 below: 1. The breakfast served did not include foods from three of the four good groups. 2. Snack served did not include foods from two of the four food groups. 3. The meal did not provide 1/3 of the recommended daily dietary allowances as specified by the USDA. 4, Juice used to meet the fruit or snack component was not 100% undiluted fruit or vegetable juice. 5. The meal served did not include an item from the meat or meat alternative group. 6. The meal served did not include an item from the bread or grain group. 7. The meal served did not include two items from the fruit/vegetable group. 8. The meal served did not include a vegetable (two fruits were served). 9. The meal served did not include a serving of fluid milk. 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 an outdoor play area was used which was not protected from traffic and other hazards by a fence in good repair, or other barrier. Although the fence or natural barrier was not meeting the rule requirements, it was determined to not present an immediate risk for a child to be able to leave the playground. The fence or gate was not in good repair and/or being used inappropriately as noted in number 12 below: 1. The fencing had missing slat boards. 2. The fencing was broken. 3. The fencing was loose. 4. The fencing was rotting. 5. The gate was broken and did not close. 6. The gate was locked. 7. The latch on the gate was broken. 8. The latch was easily opened by children on the playground. 9, The latch was not engaged to prevent children from opening the gate. 10. The gate had no latch. 11. There were bolts with more than two threads exposed along a fence line or gate on a playground. 12. Other: The backdoor exit patio, underground exterior is unsafely accessible, 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’s written emergency preparedness and response plan did not meet the requirement or was missing the information in number 19 below: Procedures: 1. The written emergency and preparedness and response plan had not been completed Chir Department of i Le Children & Yout! 2. The plan was not provided to all child care staff and employees 3. Weather emergencies and natural disasters which include severe thunderstorms, tornadoes, flash flooding, major snowfall, blizzards, ice storms or earthquakes 4. Emergency outdoor and indoor lockdown or evacuation due to threats of violence which includes active shooter, bioterrorism or terrorism including a designated safe site where staff and children can safely remain when evacuated 5. Emergency or disaster evacuations due to hazardous materials and spills, gas leaks or bomb threats including a designated safe site where staff and children can safely remain when evacuated 6. Outbreaks, epidemics or other infectious disease emergencies 7. Loss of power, water, or heat 8. Other threatening situations that may pose a health or safety hazard to the children in the program Details: 9. Shelter in place or evacuation, how the program will care for and account for the children until they can be reunited with the parent 10. Assisting infants, toddlers and children with special needs and/or health conditions 11. Emergency contact information for parents and the program 12. Procedures for notifying and communicating with parents regarding the location of the children if evacuated 13. Procedures for communicating with parents during loss of communications, no phone or internet service available 14. The location of supplies and procedures for gathering necessary supplies for staff and children if required to shelter in place 15. What to do if a disaster occurs during the transport of children or when ona field trip or routine trip 16. Making the plan available to all child care staff members and employees 17. Training of staff or reassignment of staff duties as appropriate 18. Updating the plan on a yearly basis 19. Contact with local emergency management officials 20. The plan was unable to be implemented in that, [ ]. Submit the program’s corrective action plan, which includes the missing information, if applicable, 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 that children were not protected from the following items which may threaten their health, safety, or well being as noted in the following number 5 below: 1. Surge protectors/outlets did not have childproof receptacle covers. 2. Open pull cords that are not closed loop. 3. Toys or other items small enough to be swallowed were present in the space where infants and/or toddlers were in care. 4. Electrical/extension cords attached to an object that would not likely result in a severe injury if pulled. 5. Stacked chairs, on top of table during nap time. Would not cause serious injury if knocked down and stacked chairs on the porch. 6. Telephone cords. 7. Employee(s) purse(s). 8. Diaper bags. 9. Television not securely anchored. 10. Small or lightweight pieces of shelving units are not securely anchored to the wall. 11. Staff member stepped over a barrier/gate while holding a child. 12. Chipping or peeling paint. 13. An area rug did not have a nonskid backing. 14. An area rug presented a tripping hazard. 15. A floor surface was unsafe in that [ ]. 16. No platform was provided for the sink or toilet. 17. The platform provided for the sink or toilet was not sturdy. 18. The platform provided for the sink or toilet posed a safety hazard in that [ ]. 19. Emergency exits were blocked by the following furniture in that [ ]. 20. A mercury thermometer was being used to take a child’s temperature. 21. Methods of ventilation used did not provide protection from rodents, insects, or other hazards. 22. 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 the water temperature was 125 in the kitchen. This temperature exceeds the requirement of remaining below 120 degrees Fahrenheit. 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 the following hazardous conditions existed in the outdoor play area, as noted in number 9 below: 1. There was broken glass. 2. There were tall weeds. 3. There was poison ivy. 4. There were tree branches. 5. There was mold visible. 6. The sandbox was contaminated. 7. There were thistles with prickers. 8. There were bird droppings. 9. The outdoor area was littered with trash. 10. The trash can was missing a lid. 11. The trash was not emptied from the day(s) before. 12. The trash can was overflowing with trash. 13. The trash can was infested with insects. 14. The trash can was visibly dirty. 15. Other []. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

“During the inspection, equipment was determined to be unsafe, hazardous to children, or in need of repair as noted in numbers 16 and 18 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 onthe [ ]. 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. Chir Department of i Le Children & Yout! 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. Water hose laying in the yard, not rolled up. 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’s written emergency preparedness and response plan did not meet the requirement or was missing the information in numbers 3, 4, 5, 6, 7, 9,10, 12, 15 and 18 below: Procedures: 1. The written emergency and preparedness and response plan had not been completed 2. The plan was not provided to all child care staff and employees 3. Weather emergencies and natural disasters which include severe thunderstorms, tornadoes, flash flooding, major snowfall, blizzards, ice storms or earthquakes 4. Emergency outdoor and indoor lockdown or evacuation due to threats of violence which includes active shooter, bioterrorism or terrorism including a designated safe site where staff and children can safely remain when evacuated 5. Emergency or disaster evacuations due to hazardous materials and spills, gas leaks or bomb threats including a designated safe site where staff and children can safely remain when evacuated 6. Outbreaks, epidemics or other infectious disease emergencies 7. Loss of power, water, or heat 8. Other threatening situations that may pose a health or safety hazard to the children in the program Details: 9. Shelter in place or evacuation, how the program will care for and account for the children until they can be reunited with the parent 10. Assisting infants, toddlers and children with special needs and/or health conditions 11. Emergency contact information for parents and the program 12. Procedures for notifying and communicating with parents regarding the location of the children if evacuated 13. Procedures for communicating with parents during loss of communications, no phone or internet service available Chir Department of i Le Children & Yout! 14. The location of supplies and procedures for gathering necessary supplies for staff and children if required to shelter in place 15. What to do if a disaster occurs during the transport of children or when ona field trip or routine trip 16. Making the plan available to all child care staff members and employees 17. Training of staff or reassignment of staff duties as appropriate 18. Updating the plan on a yearly basis 19. Contact with local emergency management officials 20. The plan was unable to be implemented in that, []. Submit the program’s corrective action plan, which includes the missing information, if applicable, to verify compliance with the requirements of this 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 trainings listed in numbers 1 and 4 below: 1. First Aid - expired training 2. First Aid - did not have verification of 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 the program serves 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 by staff 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 the 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. Chir Department of i Le Children & Yout!”

“During the inspection, it was determined the program did not meet the requirements for keeping an attendance record as listed in number 2 below: 1. No attendance record was being maintained. 2. The attendance record was not being consistently completed. 3. The record did not include the name of at least one child. 4. The record did not include the birth date of at least one child. 5. The record did not include the assigned group. 6. The record did not include the child’s weekly schedule. 7. The record did not include the time (hours and minutes) of each child’s arrival and departure to the program, including transportation by the program. 8. The original attendance record was not kept at the program for a period of one year. 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 Ohio Communicable Disease Chart was not posted as required, as indicated in the number 3 below: 1. Ina location readily available to provider, child care staff members, employees, and residents; 2. The chart was not posted. 3. The posted chart was not the current version and the Child Care Manual Procedural Letter No. 159 was not posted next to the chart. 4. The posted chart was not displayed in the size available in the ODJFS forms central to be easily read. Submit the program’s corrective action plan to verify compliance with the requirements of this rule.”