Ella Reese School

“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 name of at least one child. The record did not include the birth date of at least one child. 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 Appendix A of this rule, “Staff/Child Ratios, Age Grouping and Maximum Group Size”, was not posted in a noticeable area in the program. 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 that at least one area of the program or at least one piece of equipment had chipping or peeling paint. 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 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 health and safety trainings. The following was observed: ¢ Child Abuse — child care staff members scheduled during the hours of 6:00 AM and 7:00 PM had expired training 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.”

“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: Observation: ¢ Verification of completion of a high school education was not on file. 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 that at least one child care staff member had not completed required health and safety training. The following was observed: The child abuse and neglect recognition and prevention training was expired Refer to the Employee Record Chart for the name(s) of the child care staff member(s) who must complete the required health and safety training(s). Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the staff records, it was determined that the immunization records for 1 of 3 employees, including child care staff members, did not meet the requirement. The following was observed: Staff did not have immunization records on file Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

“In review of the staff records, it was determined that the tuberculosis (TB) screening for lof 3 employees, including child care staff members, did not meet the requirement. The following was observed: Staff did not have a copy of TB screening 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’s emergency preparedness and response plan (EPRP) did not meet the requirement or was missing the information. The following was observed as missing: ¢ Emergency numbers for medical, dental, and transport-related emergencies in addition to 9-1-1. • Training of staff or reassignment of staff duties as appropriate. Make the necessary revisions to the EPRP. Submit the program’s corrective action plan, which includes the revised information, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined the program’s written policies and procedures provided to the parents/guardians and employees was missing an item(s). The following was observed as missing: ® Social media policy including, but not limited to, addressing publication of child photos or other identifying information, if applicable. ¢ Usage of emergency medical devices and emergency medications, including but not limited to Automated External Defibrillators (AED) and Naloxone, if applicable. Revise the program’s written policies and procedures to include the missing information. Submit the program’s corrective action plan, which includes the revised written policies and procedures, to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined that at least one crib in the infant area did not meet the standards set forth in the rule and the United States Consumer Product Safety Commission (CPSC) safety standards as noted in number(s) 2 below: 1. The crib was manufactured prior to June 28, 2011 and the program did not have a certificate of compliance on file. 2. The crib was broken. 3. The crib was missing hardware. 4. The crib was leaning and/or not stable. 5. The crib had corner posts that exceeded more than one sixteenth of an inch above the top of the end panel. 6. The spaces between the bars of the crib, or between the bars and end panels of a crib, exceeded two and three-eighths inches. 7. Stacked cribs were used for a sleeping infant. Repair or replace the crib(s). Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule.”

“During the inspection, it was determined the information in number(s) 4 and 5 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 that Appendix A of this rule, “Staff/Child Ratios, Age Grouping and Maximum Group Size”, was not posted in a noticeable area in the program. 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 required at this time.”

“During the inspection, it was determined that unsanitary conditions, as noted in number(s) 1,2 and 3 below, were in the restrooms: 1. There was no liquid soap. 2. There was no toilet paper. 3. There were no paper towels. 4. The toilet cleaning brush was accessible to the children. 5. The plunger was accessible to the children. 6. The toilet(s) were 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. 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 the requirements for the JFS 01242 “Medical, Dental, and General Emergency Plan for Child Care” were not followed as noted in number(s) below: 1 1. The plan was not posted in each classroom. 2. The plan was not posted in other spaces used by children. 3. The name, address and telephone number of the program were not complete. A. The location of first aid kit, fire extinguishers and fire alarm system, fire alarm pull stations and electrical circuit box were not complete. 5. The telephone number for emergency squad, fire department, hospital, poison control program, public children services agency, local health department, local emergency management agency, and police department were not complete. 6. Location of children’s records was not complete. 7. Emergency information including any medications or supplies needed in the event of an evacuation was not complete. 8. The current version of the prescribed form was not used. 9. The plan was not implemented when necessary in that [_ ]. 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 following information was not posted for item number(s) 1 and 3 below: 1. Fire alert plan, including a diagram indicating evacuation routes. 2. Weather alert plan was missing details for [ ]. 3, Weather alert plan was missing a diagram indicating evacuation routes, 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 current JFS 01201 “Dental First Aid” was not posted in a location readily available to center staff and parents as required. 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 required at this time.”

“During the inspection, it was determined that a copy of the daily program schedule was not posted in the classroom areas as required. 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 required at this time.”

“During the inspection, it was determined that the JFS 08087 “Ohio Communicable Disease Chart” was not posted as required, as indicated in number(s) 1 below: 1. The chart was not posted. 2. Ina location readily available to program staff and parents. 3. The posted chart was not the current version, and the Child Care Manual Procedural Letter No. 159 was not attached. 4. The posted chart was not displayed in the size available in the ODJFS forms central to be easily read. Technical assistance was provided at the time of 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 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. A written response for this rule noncompliance is not required at this time.”

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

“In review of 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.”