Precious Treasures Preschool & Learning Center, Llc.

“During the inspection, it was determined the program was using space for child care in a manner that was not approved by the Ohio Department of Commerce or local certified building authority as noted in number(s) 6 below: 1. The [ ] room or space was not approved. 2. Children under school age were being cared for in a building only approved for school age. 3. The space had been modified and not yet re-inspected and approved. 4. The [ ] floor, which had not been approved by the building department for child care, was being used. 5. The building limitation had been exceeded. [ ] children were being cared for and the building had been approved for [ ] children. 6. The Pre-school room(s) occupancy had been exceeded. 14 children were being cared for in this space that had been approved for 13 children. 7. Care was provided to [ ] children less than two and one-half years of age. This violated the program’s building code limitation in that, [ ]. Submit the program’s corrective action plan, which includes building approval for use of this space, a written statement that the building occupancy limitations are being maintained, or a written statement that it is no longer being used, to the Department to verify compliance with the requirements of this rule.”

“In review of the children’s records, it was determined the program did not meet the requirements for caring for at least one child, indicated on the Children Records Review, with a condition that requires a JFS 01236 "Child Medical/Physical Care Plan" as noted in number(s) 1 below: 1. No plan was on file (mild asthma). (Page 1) 2. Child’s name was missing. 3. Name of the condition was missing. 4. Indication if medication or medical food is required was missing. 5. Signs, symptoms or situations that require staff to take action were missing. 6. Activities, foods, environmental conditions to avoid were missing. 7. Training instructions for procedures for staff to follow were missing or incomplete. (Page 2) 8. Child's name was missing or not attached. 9. Child's date of birth was missing or not attached. 10. Child's weight was missing or not attached. 11. Name of the medication/medical food was missing or not attached. 12. Dosage of medication/medical food to be administered was missing or not attached. 13. Time for medication/medical food to be administered was missing or not attached. 14. Expiration date for medication/medical food was missing or not attached. 15. Symptoms that require staff to administer medication/medical food were missing or not attached. 16. Specific instructions to administer the medication/medical food were missing or not attached. 17. Actions to be taken if the symptoms do not subside were missing or not attached. 18. Physician's signature was missing or not attached. 19. The date of the physician's signature was missing or not attached. (Page 3) 20. Child's name was missing. 21. Instructions regarding emergency evacuation, if applicable, were missing. 22. Signature of parent granting permission to implement the plan and verifying training was missing. 23. Date of parent signature was missing. 24. Certified Professional Trainer information was missing. 25. Signature of certified professional who trained the program staff was missing, if parent was not the trainer. 26. Date of trainer signature was missing. 27. Printed name(s)of child care staff member(s) who have received instructions for care and/or have been trained to perform the procedure were missing. 28. Signature(s) of child care staff member(s) who have received instructions for care and/or have been trained to perform the procedure were missing. 29. Date of staff signature was missing. 30. Administrator/Provider signature was missing 31. Date of administrator/Provider was missing. (Page 4) 32. Child's name was missing. 33. Name of medication or medical food was missing. 34, Date the medication/medical food was administered was missing. 35. Time medication/medical food was administered was missing. 36. Dosage of medication/medical food that was administered was missing. 37. Signature of person administering medication/medical food was missing. 38. The plan was not followed or implemented. 39. The plan was not able to be implemented due to conflicting information. 40. None of the child care staff members trained in the procedures on the JFS 01236 were onsite when a child requiring the plan was present. 41. Child care staff members trained in the procedures on the JFS 01236 were not scheduled to be present the entire the time the child requiring the plan was onsite. 42. None of the child care staff members trained in the procedures on the JFS 01236 accompanied the child requiring the plan during a trip. 43. A child care staff member who had not been trained in the procedures on the JFS 01236 performed the procedure. 44, Medication listed in the procedures to follow was not onsite available to administer as instructed and alternate instructions for this situation were not included on the plan. Provide staff training. Submit the program’s corrective action plan, which includes a copy of the completed JFS 01236, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined the information in number(s) 7 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.”

“During the inspection, it was determined the program did not meet the requirements for keeping an attendance record as listed in number(s) 2,4, 7 below: 1. No attendance record was being maintained. 2. The attendance record was not being consistently completed (transitioning child). 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 (school age). 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 (school age). 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 child-care staff did not meet the basic needs of a child as noted in number(s) 5 below: 1. Assisting children with toileting 2. Assisting children with handwashing 3. Assisting children with basic hygiene 4, Responding appropriately to a child in distress 5. Assisting a child wiping his/her nose (infant/toddler room) 6. Washing a child’s face 7. Assisting a child in tying his/her shoes 8. Assisting a child in changing his/her clothes when needed 9. A child's developmental needs were not met 10. A child's behavioral needs were not met 11. Parental preferences, that were not in conflict with a licensing rule, were not followed 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.”

“During the inspection, it was determined that a medication, medical food or topical product was at the program which had not been labeled with the child's name. 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 a Serious Incident was not reported in the Ohio Child Licensing and Quality System (OCLQS), as required, by the program administrator or designee for an incident(s) as listed in number(s) 2 & 4 below: 1. An incident, injury or illness that required professional medical consultation or treatment. 2. An unusual or unexpected incident which jeopardizes the safety of a child, child care staff member or employee of the program. 3. An incident defined as a serious risk non-compliance in appendix A to rule 5101:2-12-03 of the Administrative Code. 4, The program did not submit the report in OCLQS by the next business day as required by rule. Submit the program’s corrective action plan, which includes a statement that the program administrator or designee has completed the Serious Incident Report in OCLQS, to the Department to verify compliance with the requirements of this rule.”

“In review of the records, it was determined the program did not meet the requirements for completing a JFS 01299 “Incident/Injury Report” as noted in number(s) 4 below: 1. The JFS 01299 was not completed when a child became ill or received an injury which required first aid treatment. 2.The JFS 01299 was not completed when a child was transported to a source for emergency assistance. 3. The JFS 01299 was not completed when a child received a bump or blow to the head. 4. The JFS 01299 was not completed when an unusual or unexpected incident which jeopardized the safety of a child or employee of a program. 5. The parent or a person picking up the child did not receive the JFS 01299 on the day of the incident. 6. The program information (program name, number, address) was incomplete on the JFS 01299, 7. Child’s name was incomplete on the JFS 01299. 8. Child’s birthdate was incomplete on the JFS 01299. 9. Name of person(s) responsible for the child at the time of the incident was incomplete on the JFS 01299. 10. Number of children present in the group at the time of the incident was incomplete on the JFS 01299. 11. Date and/or time of the incident was incomplete on the JFS 01299. 12. Whether or not parents were contacted was incomplete on the JFS 01299. 13. Complete summary of the incident was incomplete on the JFS 01299. 14. Accurate summary of the incident was incomplete on the JFS 01299. 15. Name and/or signature of the person completing the form was incomplete on the JFS 01299. 16. The JFS 01299 was not kept on file at the program for at least one year. 17. 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.”