Abcs of Development

5180:2-13-13 Clean environment and equipment

“During the inspection, it was determined that unsanitary conditions were in the restroom:The following was observed: There were no individually assigned towels or disposable towels.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.”

5180:2-13-12 Safe Environment

“During the inspection, it was determined the water temperature was 130 degrees Fahrenheit in the following room, the bathroom. 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.”

5180:2-13-12 Safe Environment

“During the inspection, cleaning and sanitizing equipment and supplies were not used or stored properly. The following was observed: (1) Skin cleanser accessible in the bathroom.(2). Isopropyl alcohol accessible in the bathroom.(3). A container of grass killer on the living room floor.Provide staff training. Submit the programs corrective action plan, which includes a statement that the potentially hazardous substance is no longer accessible to children and a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

5180:2-13-12 Safe Environment

“During the inspection, it was observed that a sealed container of alcohol was observed in a space approved or used for child care. The following was observed: There were three sealed bottles of wine on the kitchen counter.These items must be removed or stored in space not approved or used for children as required. Submit the programs corrective action plan to verify compliance with this rule.”

5180:2-13-12 Safe Environment

“During the inspection, it was determined that children were not protected from items or conditions which may threaten their health, safety, or well-being.The following was observed: (1). Surge protector did not have childproof receptable covers.(2). Floor lamp could be a tipping hazard.Provide staff training. Submit the programs corrective action plan, which includes a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

5180:2-13-11 Outdoor Space

“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. The following was observed: The main temporary fence was loose. Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-11 Outdoor Space

“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. The following was observed: There was a large hole in the small temporary fence by the garage. 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 programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-11 Fall Zone

“During the inspection, it was determined the equipment designated for climbing, swinging, balancing and sliding did not meet the requirements as it was place over or next to hard surfaces. The following was observed: There were some bare areas of mulch where the grass was exposed under and around the play equipment.The program is required to provide adequate fall zones under and around outdoor play equipment at all times. Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-13 Clean environment and equipment

“During the inspection, it was determined that unsanitary conditions were in the restroom:The following was observed: There were no individually assigned towels or disposable towels.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.”

5180:2-13-12 Safe Environment

“During the inspection, it was determined the water temperature was 130 degrees Fahrenheit in the following room, the bathroom. 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.”

5180:2-13-12 Safe Environment

“During the inspection, cleaning and sanitizing equipment and supplies were not used or stored properly. The following was observed: (1) Skin cleanser accessible in the bathroom.(2). Isopropyl alcohol accessible in the bathroom.(3). A container of grass killer on the living room floor.Provide staff training. Submit the programs corrective action plan, which includes a statement that the potentially hazardous substance is no longer accessible to children and a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

5180:2-13-12 Safe Environment

“During the inspection, it was observed that a sealed container of alcohol was observed in a space approved or used for child care. The following was observed: There were three sealed bottles of wine on the kitchen counter.These items must be removed or stored in space not approved or used for children as required. Submit the programs corrective action plan to verify compliance with this rule.”

5180:2-13-12 Safe Environment

“During the inspection, it was determined that children were not protected from items or conditions which may threaten their health, safety, or well-being.The following was observed: (1). Surge protector did not have childproof receptable covers.(2). Floor lamp could be a tipping hazard.Provide staff training. Submit the programs corrective action plan, which includes a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

5180:2-13-11 Outdoor Space

“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. The following was observed: The main temporary fence was loose. Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-11 Outdoor Space

“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. The following was observed: There was a large hole in the small temporary fence by the garage. 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 programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-11 Fall Zone

“During the inspection, it was determined the equipment designated for climbing, swinging, balancing and sliding did not meet the requirements as it was place over or next to hard surfaces. The following was observed: There were some bare areas of mulch where the grass was exposed under and around the play equipment.The program is required to provide adequate fall zones under and around outdoor play equipment at all times. Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-16 Medical, Dental, and General Emergency Plan

“During the inspection, it was determined that emergency phone numbers were not posted, readily in view in spaces used by the children.The following was observed: During the inspection, it was determined that emergency numbers were not posted in all spaces used by children as required.Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-13 Smoke Free

“During the inspection, it was determined that the program was not maintaining a smoke free environment.The following was observed: During the inspection, it was determined the program did not post a sign stating no smoking is permitted as required.Submit the programs corrective action plan to verify compliance with the requirements of this rule.”

5180:2-13-12 Safe Environment

“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 the program did not protect children from an unsafe item, condition or equipment. The following was observed: 1. An unsecured shelving unit in the dining room.2. An unsecured shelving unit in the living room.3. A large mirror propped up in the corner of the living room. 4. Chipped/peeling paint on the back outside steps.Any hazardous equipment must be removed, replaced, or repaired and any hazardous condition must be corrected and must be made inaccessible to children. Submit the programs corrective action plan, which includes a statement that the item or condition has been removed, to verify compliance with the requirements of this rule.”

5180:2-13-12 Safe Environment

“During the inspection, it was determined that children were not protected from items or conditions which may threaten their health, safety, or well-being.The following was observed: Chipped/peeling paint on the bathroom ceiling.Provide staff training. Submit the programs corrective action plan, which includes a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

5180:2-13-12 Carbon Monoxide Detectors - Type B Only

“During the inspection, it was determined that the Type B Home did not have a working carbon monoxide detector on each floor where care is provided. A working carbon monoxide detector must be placed, installed, tested, and maintained in accordance with manufacturer's recommendations. Submit the programs corrective action plan to verify compliance with this rule.”

5180:2-13-12 Safe Environment

“During the inspection, it was determined the water temperature was 138 degrees Fahrenheit in the following room, the bathroom. 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.”

5180:2-13-11 Outdoor Space

“During the inspection, it was determined that hazardous conditions existed in the outdoor play area. The following was observed: 1. There were tree branches.2. There was a loose brick.3. There was a screwdriver.4. There was a jagged edge tree stump.Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5180:2-13-11 Outdoor Space

“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. The following was observed: There was no barrier on the side of the garage which could lead to children leaving the play area. 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 programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-17 Materials and Equipment

“During the inspection, it was determined that the provider did not have designated storage areas for children's personal belongings. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5180:2-13-16 Medical, Dental, and General Emergency Plan

“During the inspection, it was determined the posted weather and fire alert plan did not meet the requirements in rule.The following was observed: The weather and fire alert plan were not posted in each space used by the children. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5180:2-13-11 Outdoor Equipment

“During the inspection, it was determined that equipment in the outdoor play space posed an imminent risk of harm to a child.The following was observed: The \"S\" hooks on the infant swing was not closed in order to prevent the chain from slipping off the hook and prevent strangulation.Discontinue the use of this equipment until it has been removed, repaired or replaced. Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-11 Fall Zone

“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 programs 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.”

5180:2-13-18 Attendance

“During the inspection, it was determined the program did not meet the requirements for keeping an attendance record as listed in number 4 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 childs weekly schedule.7.The record did not include the time (hours and minutes) of each childs 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 programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-15 Child Medical and Enrollment Records

“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 1 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 birth4. Medical(s) were missing the date of the medical examination5. 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 care7. 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 child8. Medical(s) were missing a record of immunizations the child has had specifying month, day and year9. 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 rule10. Medical(s) were missing a statement from the childs parent or guardian that he or she has declined to have the child immunized against the disease for reasons of conscience, including religious convictions11. Other [ ] Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule. .”

5180:2-13-15 Health Conditions

“In review of the childrens 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 1 below: 1. No plan was on file.(Page 1)2. Childs 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 missing31. 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 programs corrective action plan, which includes a copy of the completed JFS 01236, to the Department to verify compliance with the requirements of this rule.”

5180:2-13-15 Child Medical and Enrollment Records

“In review of the children's records, it was determined that information had not been secured from the parent/guardian on the JFS 01234 Child Enrollment and Health Information For Child Care, as required, for the items in numbers 2, 3 and 5 below: 1. No enrollment form was completed for at least one child 2. The current JFS 01234 was not completed for at least one child 3. Complete child information (Missing begin date at program) 4. Complete parent information 5. Complete emergency contact information 6. Complete physician information 7. Information regarding the parent list 8. Health information 9. Additional information for all boxes checked yes 10. Emergency transportation information 11. Parent/guardians signature 12. Diapering Statement 13. Acknowledgement of Policies and Procedures 14. Enrollment form for at least one child was not updated by either the parent or the administrator 15. Enrollment form for at least one child was not signed by the administrator 16. Other [ ] Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-12 Safe Environment

“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 item or condition which may threaten their health, safety, or well being as noted in the following number 22 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.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 childs temperature. 21. Methods of ventilation used did not provide protection from rodents, insects, or other hazards.22. Diaper changing table cover was ripped/torn.Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-12 Safe Environment

“During the inspection, it was determined the gates used were not safe as noted in number 5 below:1. Anchored;2. Mounted;3. Free of Entrapment;4. The Approved Style;5. The two gates were not anchored to the wall.Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.\"”

5180:2-13-11 Outdoor Space

“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 portable fencing approved for use by the Department was loose and not firmly upright. 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 programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-11 Outdoor Space

“During the inspection, it was determined that the following hazardous conditions existed in the outdoor play area, as noted in number 15 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. Dog feces in the play area.Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5180:2-13-15 Child Medical and Enrollment Records

“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 2 below:1. No medical was on file for at least one child 2. Medical on file was not updated every 13 months 3. Medical(s) were missing child's name and date of birth4. Medical(s) were missing the date of the medical examination5. 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 care7. 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 child8. Medical(s) were missing a record of immunizations the child has had specifying month, day and year9. 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 rule10. Medical(s) were missing a statement from the childs parent or guardian that he or she has declined to have the child immunized against the disease for reasons of conscience, including religious convictions11. Other [ ] Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule. .”

5180:2-13-12 Safe Environment

“During the inspection, it was determined the water temperature was 128 degrees Fahrenheit in the following room, the bathroom. 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.”

5180:2-13-12 Safe Environment

“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 item or condition which may threaten their health, safety, or well being as noted in the following number 7 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.6. Telephone cords.7. Employee (provider's) purse.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 childs temperature. 21. Methods of ventilation used did not provide protection from rodents, insects, or other hazards.22. Other [ ].Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-11 Outdoor Space

“During the inspection, it was determined that the following hazardous conditions existed in the outdoor play area, as noted in number 15 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. Dog feces.Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5180:2-13-02 Information in OCLQS

“During the inspection, it was determined the information in number 5 below was not up to date in the Ohio Child Care Licensing and Quality System: 1. Mailing Address; 2. Telephone Number; 3. Email Address; 4. Days and Hours of Operation; 5. Services Offered; 6. Name of Program, If applicable.7. Private pay rates. Submit the program's corrective action plan to verify compliance with the requirements of this rule.”

5180:2-13-16 First Aid Kit / Standard Precautions

“During the inspection, it was determined that the program did not have a first aid kit onsite as required, that included all items listed in the appendix A of the rule. The kit w missing the item or the item was not replaced after use and/or expired listed in number 2 below: 1. One roll of first-aid tape; 2. Individually wrapped sterile gauze; squares in assorted sizes;3. Sterile adhesive bandages in assorted sizes;4.Tweezers;5. Gauze rolled bandage;6. Triangular bandage;7. Rounded end scissors;8. 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);9. A working digital thermometer;10. Disposable non-latex gloves;11. A working flashlight;12. 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;13. 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;14. Pocket mask or face shield, appropriate; for all ages of children in care, for cardiopulmonary resuscitation (CPR) administration;15. Soap or waterless sanitizer (field trip or transporting away from the program only);16. Bottled water (field trip or transporting away from the program only).Correct the violation and submit the program's corrective action plan to verify compliance with the requirements of this rule.”

5180:2-13-15 Child Medical and Enrollment Records

“In review of the children's records, it was determined that information had not been secured from the parent/guardian on the JFS 01234 Child Enrollment and Health Information For Child Care, as required, for the items in numbers 4 and 12 below: 1. No enrollment form was completed for at least one child 2. The current JFS 01234 was not completed for at least one child 3. Complete child information 4. Complete parent information 5. Complete emergency contact information 6. Complete physician information 7. Information regarding the parent list 8. Health information 9. Additional information for all boxes checked yes 10. Emergency transportation information 11. Parent/guardians signature 12. Diapering Statement 13. Acknowledgement of Policies and Procedures 14. Enrollment form for at least one child was not updated by either the parent or the administrator 15. Enrollment form for at least one child was not signed by the administrator 16. Other [ ] Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-15 Health Conditions

“In review of the childrens 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 1 below: 1. No plan was on file.(Page 1)2. Childs 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 missing31. 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 programs corrective action plan, which includes a copy of the completed JFS 01236, to the Department to verify compliance with the requirements of this rule.”

5180:2-13-14 Driver Requirements

“During the inspection, it was determined that the requirements for drivers was not met as listed in number 1 below:1. The driver noted on the Employee Record Chart used for trips did not have a copy of a current driver's license on file.2. At least one employee or child care staff member who is responsible for transporting children did not have documentation of completion of the prescribed driver training on file.3. The driver used to transport children was not an employee or child care staff member of the program, a public transportation driver, or employed by a company contracted to provide transportation service.4. The driver who was not a child care staff member or employee who is used in accordance with the requirements in rule 5101:2-13-08 transported children without the provider present.Remove this individual from transporting children until the requirements are met. Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-11 Outdoor Space

“During the inspection, it was determined that the following hazardous conditions existed in the outdoor play area, as noted in number 15 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. Dog feces in the route to the play area.Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5180:2-13-11 Outdoor Space

“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 numbers 10 and 11 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. New portable fencing is being used and is too short in height.11. A barrier is needed on the side of the garage. 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 programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5101:2-13-22 Meals and Snacks

“During the inspection, it was determined that the program's weekly menu did not meet the requirement as noted in number 3 below. 1. The menu was not posted.2. The posted menu was not in a visible place readily accessible to parents.3. The menu was not currently dated.4. The entire menu was substituted.5. At least one item on menu did not match what was served.6. The meal or snack served did not match the posted menu.Submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5101:2-13-16 Emergency Preparedness and Response Plan

“During the inspection, it was determined the programs written emergency preparedness and response plan did not meet the requirement or was missing the information in number 1 below:Procedures:1. The written emergency and preparedness and response plan had not been completed2. The plan was not provided to all child care staff and employees3. Weather emergencies and natural disasters which include severe thunderstorms, tornadoes, flash flooding, major snowfall, blizzards, ice storms or earthquakes4. 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 evacuated5. 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 evacuated6. Outbreaks, epidemics or other infectious disease emergencies7. Loss of power, water, or heat8. Other threatening situations that may pose a health or safety hazard to the children in the programDetails:9. Shelter in place or evacuation, how the program will care for and account for the children until they can be reunited with the parent10. Assisting infants, toddlers and children with special needs and/or health conditions11. Emergency contact information for parents and the program12. Procedures for notifying and communicating with parents regarding the location of the children if evacuated13. Procedures for communicating with parents during loss of communications, no phone or internet service available14. The location of supplies and procedures for gathering necessary supplies for staff and children if required to shelter in place15. What to do if a disaster occurs during the transport of children or when on a field trip or routine trip16. Making the plan available to all child care staff members and employees17. Training of staff or reassignment of staff duties as appropriate18. Updating the plan on a yearly basis19. Contact with local emergency management officials20. The plan was unable to be implemented in that, [ ].Submit the programs corrective action plan, which includes the missing information, if applicable, to verify compliance with the requirements of this rule.”

5101:2-13-16 First Aid Kit / Standard Precautions

“During the inspection, it was determined that the program did not have a first aid kit onsite as required, that included all items listed in the appendix A of the rule. The kit(s) were missing the item(s) or the item(s) were not replaced after use and/or expired listed in number 4 below: 1. One roll of first-aid tape; 2. Individually wrapped sterile gauze; squares in assorted sizes;3. Sterile adhesive bandages in assorted sizes;4.Tweezers;5. Gauze rolled bandage;6. Triangular bandage;7. Rounded end scissors;8. 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);9. A working digital thermometer;10. Disposable non-latex gloves;11. A working flashlight;12. 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;13. 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;14. Pocket mask or face shield, appropriate; for all ages of children in care, for cardiopulmonary resuscitation (CPR) administration;15. Soap or waterless sanitizer (field trip or transporting away from the program only);16. Bottled water (field trip or transporting away from the program only).Correct the violation and submit the program's corrective action plan to verify compliance with the requirements of this rule.”

5101:2-13-15 Child Medical and Enrollment Records

“In review of the children's records, it was determined that information had not been secured from the parent/guardian on the JFS 01234 Child Enrollment and Health Information For Child Care, as required, for the items in numbers 4 and 13 below: 1. No enrollment form was completed for at least one child 2. The current JFS 01234 was not completed for at least one child 3. Complete child information 4. Complete parent information 5. Complete emergency contact information 6. Complete physician information 7. Information regarding the parent list 8. Health information 9. Additional information for all boxes checked yes 10. Emergency transportation information 11. Parent/guardians signature 12. Diapering Statement 13. Acknowledgement of Policies and Procedures 14. Enrollment form for at least one child was not updated by either the parent or the administrator 15. Enrollment form for at least one child was not signed by the administrator 16. Other [ ] Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

5101:2-13-13 Handwashing

“During the inspection, it was determined the handwashing requirements were not being followed by the provider, program staff, residents, or a child in that the children did not wash their hands upon returning from outside. Submit the programs corrective action plan to verify compliance with the requirements of this rule.”

5101:2-13-12 Carbon Monoxide Detectors - Type B Only

“During the inspection, it was determined that the Type B Home did not have a working carbon monoxide detector on each floor where care is provided in accordance with manufacturer's recommendations. A working carbon monoxide detector must be placed, installed, tested, and maintained in accordance with manufacturer's recommendations. Submit the programs corrective action plan to verify compliance with this rule.”

5101:2-13-11 Outdoor Space

“During the inspection, it was determined that the following hazardous conditions existed in the outdoor play area, as noted in numbers 15 and 16 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. Dog feces in the play area.16. Chipped/peeling paint on the back porch.Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5101:2-13-11 Outdoor Space

“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 9 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. 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 programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5101:2-13-25 Medication Requirements

“During the inspection, it was determined medication was in the reach of children. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5101:2-13-08 Child Care Staff Requirements

“In review of the staff records, it was determined that child care staff member(s) or substitute child care staff member(s) did not meet the requirements for completing the online orientation training as noted in number 4 below:1. The training was not completed within 30 days of starting employment at the program as a child care staff member.2. No documentation of completing the training after December 31, 2016.3. Completion of the training was not verified in the OPR.4. A child care staff member had sole responsibility of children and had not completed the online orientation.Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5101:2-13-07 Staff Records

“During the inspection, it was determined that employment records in the Ohio Professional Registry (OPR) were not created or maintained as noted in number 11 below: 1. The provider had not created or updated their individual profile in the OPR.2. The provider had not created or updated the program's organizational dashboard in the OPR.3. At least one employee, child care staff member, or substitute child care staff member had not created or updated their individual profile in the OPR. 4. At least one employee, child care staff member, or substitute child care staff member had not created an employment record in the OPR for the program on or before the first day of employment, including date of hire.5. At least one employee, child care staff member, or substitute child care staff member had not updated changes to positions or roles in the OPR within five calendar days of the change.6. The program's organizational dashboard in the OPR was not updated within five business days when at least one employee, child care staff member, or substitute child care staff member's scheduled days and hours changed.7. The program's organizational dashboard in the OPR was not updated within five business days when at least one employee, child care staff member, or substitute child care staff member's group assignments changed, if applicable.8. The program's organizational dashboard in the OPR was not updated with the employment end date within five business days when at least one employee, child care staff member, or substitute child care staff member ended employment.9. At least one resident over the age of eighteen had not created a profile and employment record for the family child care provider within five days of becoming a resident or turning eighteen.10. The program's organizational dashboard in the OPR was not updated within five calendar days of a change in residency for at least one resident over the age of eighteen.11. No staff schedules were listed.Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

5101:2-13-15 Child Medical and Enrollment Records

“In review of the children's records, it was determined that information had not been secured from the parent/guardian on the JFS 01234 Child Enrollment and Health Information For Child Care, as required, for the items in numbers 4, 13 and 14 below: 1. No enrollment form was completed for at least one child 2. The current JFS 01234 was not completed for at least one child 3. Complete child information 4. Complete parent information 5. Complete emergency contact information 6. Complete physician information 7. Information regarding the parent list 8. Health information 9. Additional information for all boxes checked yes 10. Emergency transportation information 11. Parent/guardians signature 12. Diapering Statement 13. Acknowledgement of Policies and Procedures 14. Enrollment form for at least one child was not updated by either the parent or the administrator 15. Enrollment form for at least one child was not signed by the administrator 16. Other [ ] Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

5101:2-13-14 Vehicle Inspections

“During the inspection, it was determined that the program had not documented weekly inspections of vehicles used for transporting children. The weekly inspection needs to include the following:1. A visual inspection of the tires for wear and tire pressure;2. A visual inspection of headlights, taillights, signals, mirrors, wiper blades, and dash gauges;3. An inspection for properly functioning child and driver restraints;4. An inspection for properly functioning doors and windows;5. An inspection for, and cleaning of, debris from the inside of the vehicle;6. Other [ ].Submit the programs corrective action plan to verify compliance with the requirements of this rule.”

5101:2-13-14 Requirements for Field and Routine Trips

“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 as listed in number 9 below: 1. Written parental permission was not secured for field trips and/or routine trips off the premises.2. The written permission was missing the childs name.3. The written permission was missing the date(s) of the trip(s) (field trips only).4. The written permission was missing the destination(s) of the trip(s).5. The written permission was missing the departure and return time(s) of the trip(s) (field trips only).6. The written permission was missing the signature of the parent.7. The written permission was missing the date on which the permission was signed.8. The written permission was missing a statement notifying parents how their child will be transported.9. Permission forms for routine trips were not being updated annually.10. Written parental permission forms for field trips and/or routine trips were not being maintained on file for at least one year from the date of the trip.11. Other: [ ].Submit the programs corrective action plan to verify compliance with the requirements of this rule.”

5101:2-13-12 Safe Environment

“During the inspection, cleaning and sanitizing equipment and supplies were not used or stored properly as noted in number 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. Disinfectant spray was accessible in the bathroom.Provide staff training. Submit the programs corrective action plan, which includes a statement that the potentially hazardous substance is no longer accessible to children and a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

5101:2-13-12 Safe Environment

“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 item(s) or condition(s) which may threaten their health, safety, or well being as noted in the following number 1 below:1. Surge protectors/outlets did not have childproof receptacle covers in the infant sleeping room and living room.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.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 childs temperature. 21. Methods of ventilation used did not provide protection from rodents, insects, or other hazards.22. Other [ ].Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5101:2-13-12 Pets

“During the inspection, it was determined pets at the program were not properly housed or cared for or posed a threat to the safety or health of the children as noted in number 5 below: 1. The animals cage was dirty with feces.2. The aquarium was unclean.3. The litter box was dirty with feces.4. A pet posed a threat to the safety of a child in that [ ].5. A pet requiring a license did not have a current license. Missing for two dogs.6. Proper inoculation records were not on file at the program for a pet requiring inoculations.7. Children were exposed to the pet's urine and/or feces.8. Other [ ].A pet that poses a threat to the children shall not be at the program. All pets at the program must receive proper care and housing. Submit the programs corrective action plan to verify compliance with the requirements of this rule.”

5101:2-13-11 Outdoor Space

“During the inspection, it was determined that the following hazardous conditions existed in the outdoor play area, as noted in numbers 15 and 16 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. A shovel was accessible.16. A large open tote filled with water, trash and other debris.Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5101:2-13-11 Outdoor Space

“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 portable fencing was completely on the ground and not upright as a barrier. 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 programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5101:2-13-25 Medication Requirements

“During the inspection, it was determined medication was in the reach of children in the bathroom medicine cabinet. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5101:2-13-23 Diapering

“During the inspection, it was determined that the staff did not use a separation material between each diaper change, as required by the rule, at the infant/toddler diaper changing station. Submit the programs corrective action plan to verify compliance with the requirements of this rule.”

5101:2-13-22 Fluid Milk

“During the inspection, it was determined that the program did not have the type of milk on-site to ensure that all children were served age-appropriate fluid milk requirements. Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5101:2-13-22 Meals and Snacks

“During the inspection, it was determined that the program's weekly menu did not meet the requirement as noted in number 1 below. 1. The menu was not posted.2. The posted menu was not in a visible place readily accessible to parents.3. The menu was not currently dated.4. The entire menu was substituted.5. At least one item on menu did not match what was served.6. The meal or snack served did not match the posted menu.Submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5101:2-13-18 Attendance

“During the inspection, it was determined the program did not meet the requirements for keeping an attendance record as listed in numbers 2 and 3 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 childs weekly schedule.7.The record did not include the time (hours and minutes) of each childs 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 programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5101:2-13-16 Medical, Dental, and General Emergency Plan

“During the inspection, it was determined the following information was not posted for item numbers 1 and 3 below:1. Fire alert plan, including a diagram indicating evacuation routes was missing in the infant sleeping room.2. Weather alert plan was missing details for [ ]. 3. Weather alert plan, including a diagram indicating evacuation routes was missing in the infant sleeping room. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5101:2-13-16 First Aid Kit / Standard Precautions

“During the inspection, it was determined that the program did not have a first aid kit onsite as required, that included all items listed in the appendix A of the rule. The kit was missing the item or the item was not replaced after use and/or expired listed in number 5 below: 1. One roll of first-aid tape; 2. Individually wrapped sterile gauze; squares in assorted sizes;3. Sterile adhesive bandages in assorted sizes;4.Tweezers;5. Gauze rolled bandage;6. Triangular bandage;7. Rounded end scissors;8. 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);9. A working digital thermometer;10. Disposable non-latex gloves;11. A working flashlight;12. 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;13. 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;14. Pocket mask or face shield, appropriate; for all ages of children in care, for cardiopulmonary resuscitation (CPR) administration;15. Soap or waterless sanitizer (field trip or transporting away from the program only);16. Bottled water (field trip or transporting away from the program only).Correct the violation and submit the program's corrective action plan to verify compliance with the requirements of this rule.”

5101:2-13-15 Child Medical and Enrollment Records

“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 2 below:1. No medical was on file for at least one child 2. Medical on file was not updated every 13 months 3. Medical(s) were missing child's name and date of birth4. Medical(s) were missing the date of the medical examination5. 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 care7. 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 child8. Medical(s) were missing a record of immunizations the child has had specifying month, day and year9. 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 rule10. Medical(s) were missing a statement from the childs parent or guardian that he or she has declined to have the child immunized against the disease for reasons of conscience, including religious convictions11. Other [ ] Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule. .”

5101:2-13-09 Background Checks

“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 1 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 programs 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.”

5101:2-13-07 Provider Responsibilities

“During the inspection, it was determined the provider did have a completed JFS 01933 \"Liability Insurance Statement for Family Child Care Providers\" completed for each child in care. Correct the violation and submit proof of insurance with the program's corrective action plan to verify compliance with the requirement of the rule.”

5101:2-13-20 Crib and Playpen Requirements

“During the inspection, it was determined that an infant was placed in a crib with the following suffocation or strangulation hazard, a \"boppy\" type circular pillow. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”