Blessed Kids Child Care Centre

“During the inspection, it was determined that children were left unattended while inside the program. The following was observed: • Child care staff member left the school age group to get a cot for a sleeping child. 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, a potentially hazardous item or toxic substance was used or stored in an unlocked cabinet in the preschhol classroom where children had access to it. The following was observed: • Bleach in a spray bottle. 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 the playground did not have adequate shock-absorbing surface under and around playground equipment. Under and around slide/climber. 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.”

“During the inspection, it was determined that children were not being properly supervised. The following was observed: Staff were not aware of an activity a child was engaged in and near enough to protect from harm, meet their basic needs and respond to emergent circumstances. (Infant child was standing on the table as child care staff member was not aware of the situation.) • Child care staff member allowed toddler children on the slide/climber after the licensing specialist explained that children cannot be on the slide/climber as it was missing an adequate fall surface and that falling on the cement could injure a child. • Child care staff member allowed a young toddler child to play outside while eating. 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 method for tracking children in each group did not meet the requirements of the rule. The following was observed: • The method did not include each child's date of birth. ¢ The tracking method did not remain with the group at all times. ¢ The tracking method was not updated throughout the day as children entered or left the group. 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 keeping an attendance record. The following was observed: ¢ The record did not include the birth date of at least one child. • The record did not include the assigned group. • The record did not include the child’s weekly schedule. 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 unsanitary conditions were in the children's restrooms: The following was observed: • There was no liquid soap. ¢ There was no toilet tissue. ¢ There were no individually assigned towels, disposable towels or air dryers. The restroom(s) must be kept sanitary at all times. 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 outdoor play equipment was unsafe or not used as intended. The following was observed: • Outdoor equipment, slide/climber and bus, was not free of conditions that pose a risk of harm to children as the bolts and sharp corners were protruding from the bottom of the structure that should be buried under ground. 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 outdoor play space was not free of conditions that pose a risk of harm to children. The following was observed: • There were thistles with prickers. 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 required drills were not completed. The following was observed as not being complete: • Emergency/lockdown drills in each quarter of the calendar year. was 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: ¢ The written permission was missing the date(s) of the trip(s) (field trips only). ¢ The written permission was missing the departure and return time(s) of the trip(s) (field trips only). • Routine Permission slips were being used for Field Trips. 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 crib was not labeled with the child's name, as required by this rule. 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. The following was observed: • A daily written record was not provided to the parent or person picking up the infant on a daily basis 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 program’s infant daily care did not meet the requirements of this rule. The following was observed: Infants were not removed from the crib, swing, infant seat, exercise seat or other equipment throughout the day so they could sit, crawl, toddle, or walk and play according to the infant’s stage of development. 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.”

“In review of the staff records, it was determined that child care staff member(s) did not meet the requirements for completing the online orientation training. The following was observed: ¢ Achild care staff member had sole responsibility of children and had not completed the online orientation. was 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 at least one child care staff member had not completed required health and safety training. The following was observed: • Child abuse and neglect recognition and prevention training was not completed within sixty days of hire ¢ First aid training was not completed within ninety days of hire • Cardiopulmonary resuscitation (CPR) training was not completed within ninety days of hire 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 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: • Immunization record(s) were not updated no more than every thirteen months was 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 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: • Complete emergency contact information Information regarding the parent list ¢ Health information • Additional information for all boxes checked “yes” ¢ Emergency transportation information • Parent/guardian’s signature ¢ Enrollment form for at least one child was not signed by the administrator 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 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) 2 below: 1. The request for a background check for child care was not submitted in the OPR. 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 that unsanitary conditions, as noted in number(s) 8 below, were in the children's restroom: 1. There was no liquid soap. 2. There was no toilet paper. 3. There were no paper towels. A. 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 required at this time.”

“During the inspection, a potentially hazardous substance, which was determined to not present a serious risk to a child, was not used or stored properly as noted in number(s) 15 below: 1. Cosmetics were accessible to children in the [ ] area. 2. Disinfecting wipes were accessible to children in the [ ] area. 3. Fish food was accessible to children in the [ ] area. 4. Hand lotion was accessible to children in the [ ] area. 5. Hand sanitizer (for children under 24 months) was accessible to children in the [ ] area. 6. Laundry detergent was accessible to children in the [ ] area. 7. Powder dish washing soap was accessible to children in the [ ] area. 8. Paint cans were accessible to children in the [ ] area. 9, White out was accessible to children in the [ ] area. 10. Potting Soil was accessible to children in the [ ] area. 11. Other potentially hazardous substance [ ] was accessible to children in the [ ] area. 12. Cleaning/sanitizing supplies had not been clearly labeled. 13. School-age children were using cleaning supplies, agents and/or equipment without adult supervision. 14. A spray aerosol was used in the[ ] group while children were in attendance. 15. Other: (Sanitizer Spray in Kitchen.) 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 the requirements for the JFS 01242 “Medical, Dental, and General Emergency Plan for Child Care” were not followed as noted in number(s) 8 below: 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. (In the Lobby and rooms not currently in use.) 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 outdoor play space was not free of trash or foreign objects as noted in number(s) 15 below: 1. The outdoor area was littered with trash. 2. The trash can was missing a lid. 3. The trash can was not emptied from the day(s) before. 4. The trash can was overflowing with trash. 5. The trash can was infested with insects. 6. The trash can was visibly dirty. 7. There was broken glass. 8. There were tall weeds. 9. There was poison ivy. 10. There were tree branches. 11. There was mold visible. 12. There were thistles with prickers. 13. There were bird droppings. 14. The sandbox was contaminated. 15. Other (Turf created a tripping hazard.) 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 outdoor play equipment was unsafe or not used as intended as noted in number(s) 2,10 below: 1. There was rust exposed. 2. There were protruding screws. 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. There was chipped and/or peeling paint. (Bouncer) 11. The sandbox was not covered when the program was closed or during non-daylight hours. 12. Outdoor equipment, [ ] was not developmentally appropriate. 13. Outdoor equipment, [ ], was placed in the main traffic pattern. 14. Outdoor play equipment, [ ], was positioned too closely together, posing a risk of injury if a child were to fall from one piece of equipment into another. 15. 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 16. 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. 17. The manufacturer's guidelines for assembly and installation were not followed for the [ ]. 18. Functionally linked equipment was used by preschool-age children and the distance between two adjacent pieces of equipment exceeded 12 inches. 19. Functionally linked equipment was used by school-age children and the distance between two adjacent pieces of equipment exceeded 18 inches. 20. 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 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) 2 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, (On bus) 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. A written response for this rule noncompliance is 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) 1,3,5a,5b,5c 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; (Altered) 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 the child care staff member listed on the Employee Record Chart had educational information on file that could not be verified as recognized by the state board of education or the appropriate agency of another state or country as equivalent to the completion of a high school education. The rule requires a child care staff member to provide evidence of the completion of a high school education, Submit the program’s corrective action plan, which includes a copy of the educational information and/or equivalency report, 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.”

“During the inspection, it was determined employment records in the Ohio Professional Registry (OPR) were not created or maintained as noted in number(s) 3,4,5,6 below: 1. At least one administrator, employee or child care staff member (including substitutes) had not created a profile. 2. At least one administrator, employee or child care staff member had not created an employment record for the program on or before their first day of employment. 3. At least one administrator, employee or child care staff member had not updated changes to positions or roles within five calendar days of the change. 4. The administrator had not assigned at least one employee or child care staff member to the program's organization dashboard. 5. At least one individual's schedule was not current. 6. At least one individual's position or role did not include an applicable group assignment. 7. At least one individual's employment had not been end dated. 8. Other: [ ] Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”