Kreative Dreams Learning Center 2.0

“During the inspection, required staff/child ratios were not maintained for the same group on multiple occasions, as noted below: The ratio determined for the Schoolage group was 1 Child Care Staff Member(s) for 24 children when one staff member was in the kitchen preparing lunch. Additionally, a ratio of 1 Child Care Staff Member(s) for 24 children was determined for the Schoolage group when a staff member left the room to obtain items from the office. Additional staff members must be hired or current Child Care Staff Members must be rescheduled to maintain compliance. 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 playground did not have adequate shock-absorbing surface under and around playground equipment. Any equipment designed for climbing, swinging, bouncing, or sliding should not be placed over, or immediately next to, hard surfaces such as asphalt, concrete, dirt, grass, or flooring covered by carpet or gym mats not intended for use as as surfacing for climbing equipment. Submit the program’s corrective action plan, which includes written verification of the discontinued use of this equipment until corrections are made along with a description of the shock-absorbing surface added, to the Department to verify compliance with the requirements of this rule.”

“In review of the staff records, it was determined that background checks did not meet the requirements of the rule for the person(s) listed on the Employee Record Chart. The following was observed: the individual(s) had engaged in assigned duties or were near children and neither preliminary approval from DCY, nor a DCY 1176 Background Check approval were 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.”

“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's Records Review, with a condition that requires a DCY 01236 ""Health Care Plan Documentation & Permission to Administer Medication"" or equivalent form. The following was observed: the date, time and amount of a medical food provided to a child is not being documented. Provide staff training. Submit the program’s corrective action plan, which includes a copy of the completed DCY 01236 or equivalent form, to the Department 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 record did not include the time (hours and minutes) of each child's arrival and departure to the program in that several attendance sheets for multiple groups did not include complete attendance from previous days in the week. -there was no current attendance form in the infant room. 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 method for tracking children in each group did not meet the requirements of the rule. The following was observed: the tracking method was not updated throughout the day as children entered or left the group (22 schoolage children were present at arrival but only 19 were indicated as present on the attendance sheet; 2 infants were present at arrival; none were marked in on attendance). 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 at least one piece of equipment, furnishings, or material at the program was not constructed of materials to facilitate cleaning. The following was observed: the couch in the Infant room had worn areas, exposing foam which cannot be cleaned or sanitized. Equipment, furnishings, and furniture shall be constructed of materials to facilitate cleaning. Submit the program's corrective action plan to the Department to verify compliance with the requirement of this rule.”

“During the inspection, it was determined that the program's weekly menu did not meet the requirement. The following was observed: the menu was not posted, 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 field trip or routine trip were not met. The following was observed: many of the summer field trip permission forms were missing the mode of transportation. 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 requirements for drivers was not met. The following was observed: at least one employee who is responsible for transporting children did not have documentation of completion of the prescribed driver training on file. Remove this individual from transporting children until the requirements are met. 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 barrier between the play and sleeping space did not meet the requirements. The following was observed: no barrier was provided. 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 bottles containing formula for a particular infant were not labeled with the child’s name and date of preparation, including an insulated container of formula provided by the parent to be added to the infant's bottles. 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 sheets, mattresses and/or mattress covers did not meet the rule requirement. The following was observed: at least one sheet was too large (2 porta cribs had full size sheets). 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. The following was observed: -verification of completion of a high school education was not on file. verification of required documentation for enrollment in either a career tech program, a CDA program or college credit in child development was not on file for two staff indicated as high school seniors. 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.”

“In review of 25% of the children's records, it was determined that information had not been secured from the parent/guardian on the DCY 01234 “Child Enrollment Form for Early Care and Education Programs” or equivalent form as required. The following was observed as missing: emergency transportation authorization, written receipt of parent policies, parent signature, administrator signature, an enrollment form was not on file for two children, Submit the program's corrective action plan 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 complete child immunization records were not on file, as required, for children listed on the DCY Children's Record Review for Child Care. The following was observed: there was at least one child with no immunization record 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 program did not meet the requirements for administering medication to a child. The following was observed: no written instructions from the child's doctor, nor parent permission were on file for a child who was served a medical food, 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 an area was used which was not protected from traffic and other hazards by a continuous fence in good condition, or natural barrier, that ensured children were not able to leave the playground area. The fence or natural barrier was determined to present an immediate risk for a child to be able to leave the playground as noted in number 10 below: 1. The fence, natural barrier, or combination of fence and natural barrier was not continuous. 2. The fencing had missing slat boards through which children could leave the playground. 3. The gate was broken and did not close. 4. The latch on the gate was broken. 5. The gate had no latch. 6. The fencing was broken. 7. The latch was easily opened by children on the playground. 8. The latch was not engaged to prevent children from opening the gate. 9. The portable fencing approved for use by the Department was not being used. 10. The playground had no gate. Discontinue use of the playground and provide a space for outdoor play which is well defined by a continuous fence or natural barrier and protected from other hazards. 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 used a vehicle to transport children that was not approved and/or did not have a current annual vehicle inspection indicating the vehicle was mechanically safe as noted in number(s) 7 below: 1. The program used a converted cargo van or passenger vans designed to carry ten or more passengers. The program must cease the use of this vehicle immediately. 2. The vehicle was not inspected. 3. The vehicle was inspected by someone other than an ASE certified mechanic, federal motor carrier safety administration (FMCSA) safety inspector or the Ohio State Highway Patrol. 4. The vehicle inspection was not updated annually. 5. The vehicle inspection completed from the Ohio Highway Patrol did not meet the rule requirement. 6. The annual safety check of the vehicle(s) used by the program to transport children noted repairs or corrections that had not been completed and/or documented. The safety violations need to be corrected immediately. 7. No Annual Inspection was available to verify during the inspection. Submit the program’s corrective action plan, which includes either discontinuing the use of the vehicle, documentation for any new vehicle now being used to transport children, or a copy of the JFS 01230 “Vehicle Inspection Report for Child Care Centers”, to the Department to verify compliance with the requirements of this rule.”

“In review of the staff records, it was determined that background checks did not meet the requirements of the rule for the person(s) listed on the Employee Record Chart as noted in number(s) 1 below: 1. The request for a background check for childcare was not submitted in the OPR or the results are not back yet; one staff had a DCY 1176 Background Check approval with the incorrect address. 2. The fingerprints were not submitted electronically according to the process established by BCI. 3. The individual(s) had engaged in assigned duties or were near children and preliminary approval from ODJFS was not on file. 4. Background checks were not updated every five years. Submit the program’s corrective action plan, which includes a copy of the JFS 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 the information in number(s) 2, 4, 5 (swimming) 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. 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 being properly supervised as noted in number(s) 5 below: 1. Child(ren) were not within both sight and hearing of a child care staff member during indoor play. 2. Child(ren) were not within both sight and hearing of a child care staff member during outdoor play. 3. Child(ren) were not within both sight and hearing of a child care staff member more than once. 4. Staff were not physically present in the space and near enough to respond and reach the child(ren) immediately. 5. The toddler classroom had no gate to block children from exiting the classroom into the lobby/office area. Children must be supervised according to rule and within both sight and hearing of a child care staff member at alltimes. Provide staff training. 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 at least one piece of equipment, furnishings, or material at the program was not constructed of materials to facilitate cleaning as noted in number(s) 2 below (a fabric covered diaper changing pad in the Infant Room): 1. The material had a tear. 2. The material was not washable. 3. The material was porous. 4. The surface was cracked. 5. The surface was repaired, but in a manner that still did not facilitate cleaning. 6. Other [ ]. Equipment, furnishings, and furniture shall be constructed of materials to facilitate cleaning. Technical assistance was provided at the time of the inspection, and as discussed, please correct this rule noncompliance. Submit a written response for this rule noncompliance.”

“During the inspection, it was determined that a "No Smoking" sign was not displayed in a conspicuous place at the main entrance. Technical assistance was provided at the time of the inspection, and as discussed, please correct this rule noncompliance. Submit a written response for this rule noncompliance.”

“During the inspection, it was determined that a copy of the daily program schedule was not posted for any group as required. Technical assistance was provided at the time of the inspection, and as discussed, please correct this rule noncompliance. Submit a written response for this rule noncompliance.”

“During the inspection, it was determined first aid kit(s) at the program had missing, or expired, items that are required by appendix A of this rule to be contained in a first aid kit, as noted in number(s) 9 below: 1. The program did not have a first aid kit [onsite, on the vehicle, on a field trip]. 2. One roll of hypoallergenic first-aid tape. 3. Individually wrapped sterile gauze squares in assorted sizes. A, Sterile adhesive bandages in assorted sizes. 5. Tweezers. 6. Gauze rolled bandage. 7. Triangular bandage. 8. Rounded end scissors. 9. Tooth preservation system or fresh chilled liquid milk in which to transport a lost permanent tooth, including a written reference indicating location of the refrigerator/freezer where milk is stored if a tooth preservation system is not part of the first aid kit (for programs serving school age children only). 10. A working digital thermometer. 11. Disposable non-latex gloves. 12. A working flashlight. 13. An instant cold pack that has not been activated or ice, including a written reference indicating location of the refrigerator/freezer where the ice is stored if an instant cold pack is not part of the first aid kit. 14. Sealable leak-proof plastic bags in assorted sizes or double bagged plastic bags that can be securely tied for materials soiled with blood or bodily fluids. 15. Pocket mask or face shield, appropriate for all ages of children in care, for cardiopulmonary resuscitation (CPR) administration. 16. Soap or waterless sanitizer (field trip or transporting away from the program only). 17. Bottled water (field trip or transporting away from the program only). Technical assistance was provided at the time of the inspection, and as discussed, please correct this rule noncompliance. Submit a written response for this rule noncompliance.”

“During the inspection, it was determined that the barrier between the play and sleeping space did not meet the requirements as noted in number(s) 1 below: 1. No barrier had been provided 2. The barrier did not prevent the infants from entering the sleeping area. 3. The barrier was not safe. 4. The barrier was not sturdy. 5. The barrier impaired staff's ability to see and hear all sleeping infants in their cribs. 6. The barrier was inadequate. 7. Other [ ]. Technical assistance was provided at the time of the inspection, and as discussed, please correct this rule noncompliance. Submit a written response for this rule noncompliance.”

“During the inspection, it was determined that sheets, mattresses and/or mattress covers did not meet the rule requirement as noted in number(s) 1 below: 1. At least one crib did not have a sheet (none of the porta cribs). 2. At least one sheet was too large. 3. At least one sheet was too small. 4. At least one sheet was torn. 5. The mattress was not at least one and one-half inches thick. 6. The mattress was not firm. 7. There was space between the mattress and the sides and end panels of the crib which exceeded one and one- half inches. 8. The mattress cover was not waterproof. 9. The mattress cover was torn. 10. 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 required supplies were not available for diaper changing as noted in number(s) 4 below: 1. There was no disposable separation material; 2. There was no germicidal solution for sanitizing; 3. There were no plastic containers or bags for the storage of soiled clothing; 4. There was no hand sanitizer available in the Infant and Toddler rooms where there are no sinks for hand washing. 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 current licensing rules were not available or available in a noticeable area on the premises. Technical assistance was provided at the time of the inspection, and as discussed, please correct this rule noncompliance. Submit a written response for this rule noncompliance.”

“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(s) 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.”

“In review of the staff records, it was determined the program did not have at least one child care staff member present/scheduled to be present during all hours of operation with currently valid documentation for the training(s) listed in number(s) 10, 13 below: 1. First Aid — child care staff members scheduled during the hours of [ ] and [ ] had expired training 2. First Aid — child care staff members scheduled during the hours of [ ] and [ ] did not have verification of completion of First Aid 3. First Aid — trained child care staff member was not present in each building used by the program. 4. CPR — child care staff members scheduled during the hours of [ ] and[ ] had expired training 5. CPR — child care staff scheduled during the hours of [ ] and[ ] had did not have verification of completion of CPR 6. CPR — trained child care staff member was not present in each building used by children 7. CPR — training taken by staff was not appropriate for all ages and developmental levels of the children in care 8. CPR - audiovisual or electronic media training taken by staff did not include an in-person component of the training 9, Communicable Disease — child care staff members scheduled during the hours of [ ] and [ ] had expired training 10. Communicable Disease — child care staff scheduled during the hours of 6:00-7:30 PM, Monday through Friday, had not taken Communicable Disease training 11. Communicable Disease — trained child care staff member was not present in each building used by the program 12. Child Abuse — child care staff members scheduled during the hours of [ ] and [ ] had expired training 13. Child Abuse — child care staff scheduled during the hours of 6:00-7:30 PM, Monay through Friday, had not taken Child Abuse training 14. Child Abuse — trained child care staff was not in each building used by the program Refer to the Employee Record Chart for specific details. Submit the program’s corrective action plan, which includes verification of complete coverage for any training listed, to the Department to verify compliance with the requirements of this rule.”