Abi Bush Family Child Care Home

3290.31(f)/3290.192(4) Age and training/Required training

“The file of staff #3 lacked documentation of completing 12 annual training hours.”

Correction date in the state record: Sep 19, 2025

3290.32(a)/3290.192(3) Comply with CPSL/CPSL information

“The files of household members #1 and #2 lacked DHS FBI clearances (see LIS code sheet for information).”

Correction date in the state record: Oct 1, 2025

3290.95(a)/3290.95(b) System in compliance/Operator or designated staff responsibility

“According to the smoke detection testing log, the smoke detection system was not tested every 30 days on the following dates: 4-4-25 to 5-14-25 which is more than 30 days.”

Correction date in the state record: Sep 19, 2025

3290.94(a)(1) Every 60 days

“Based on documentation a fire drill was not done every 60 days due to the fact the last one held was 3-7-25. On the day of the unannounced inspection 5-14-25 was 68 days since the last documented fire drill.”

Correction date in the state record: May 14, 2025

3290.95(a)/3290.95(b) System in compliance/Operator or designated staff responsibility

“Based on the documentation of testing the smoke detection system they were tested more than 30 days apart due to the fact the last testing date was 4-4-25. At the time of the unannounced inspection, 5-14-25 it was 40 days since last tested.”

Correction date in the state record: May 14, 2025

3290.131(d)(5)/3290.131(e)(3) Immunization record/Dismissal policy

“2nd citation. Previously cited 9/12/23. Child #1, a 1-year-old, lacked an influenza immunization according to the recommendations of the ACIP.”

Correction date in the state record: Nov 16, 2023

3290.95(a)/3290.95(b) System in compliance/Operator or designated staff responsibility

“The facility lacked interconnected smoke alarms on each floor and in the basement. The facility did not have an interconnected smoke alarm on the 2nd floor but did have on the 1st floor and in the basement. The operator lacked documentation of the proof and date of purchase of the interconnected smoke alarms.”

3290.124(b)(6) Insurance coverage information

“Emergency contact information for Child #3 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.”

3290.124(b)(7) Name/address/phone release person

“Emergency contact information for Children #1 and #2 did not include the address and telephone number of the individual designated by the parent to whom the child may be released.”

3290.24(g) Emergency plan

“The operator lacked documentation of sending a copy of the emergency plan updates to the local municipality and to the county emergency management agency.”

3290.131(d)(5)/3290.131(e)(3) Immunization record/Dismissal policy

“Child #3, a 1-year-old, lacked Hepatitis B, Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, Polio, and influenza immunizations according to the recommendations of the ACIP. Child #3 had documentation of 1 Hepatitis B, 1 Rotavirus, 1 DTAP/DTP/TD, 1 HIB, 1 Pneumococcal, 1 Polio, and no influenza immunizations.”

3290.102(a) Clean and good repair

“Observed a cracked bin labeled "balls" in the playroom. Observed a cracked tricycle with rough edges in the outdoor play space.”

3290.64(a) Locked or inaccessible - in original container

“Observed 3 tubes of Crest toothpaste which indicated "keep out of the reach of children under 6" on the bathroom sink counter which were accessible to children.”

3290.131(b)(1) Updated infant health report: every 6 months

“The file of Child #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained a health report dated 10/20/22.”

3290.124(b)(5) Information re: disability

“Emergency contact information for Child #3 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.”

3290.151(a)(2) 12 months prior to service and every 24 months thereafter

“Staff #1 lacked a health assessment conducted every 24 months. The file of Staff #1 contained a health assessment conducted on 11/6/20.”

3290.123(a)(6)/3290.182(2) Admission date/Application, admission, withdrawal dates

“The agreements for Children #1 and #2 lacked the date of the child's admission.”

3290.123(b)/3290.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

“The files of Children #1 and #2 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.”

3290.131(d)(7) Free from contagious/communicable disease

“The file of Child #3 contained a health report which indicated the child was not able to participate in child care and did not appear to be free from contagious or communicable disease.”

3290.18 General Health and Safety

“Observed adult scissors in the 1st cabinet of the dining hutch located in the dining room which were accessible to children.”

3290.95(a)/3290.95(b) System in compliance/Operator or designated staff responsibility

“2nd citation. Previously cited on 9/27/22. The facility was unable to provide a written record that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 9/28/21, 10/29/21, 11/22/21, 12/20/21, 1/31/22, 2/25/22, 3/31/22, 4/27/22, 5/27/22, 6/24/22, 7/27/22, 8/19/22, and 10/27/22.”

Correction date in the state record: Nov 28, 2022

3290.24(d) Emergency plan

“An emergency drill was not conducted annually.”

3290.31(g) Age and training

“Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-aid and CPR.”

3290.24(a)(1) Emergency plan

“The facility did not have an emergency plan that provides for accommodations for shelter of children during an emergency including shelter in place at the facility.”

3290.31(f) Age and training

“The file of Staff #1 lacked documentation of an annual minimum of 12 clock hours of child care training.”

3290.95(a)/3290.95(b) System in compliance/Operator or designated staff responsibility

“The facility was unable to provide a written record that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 9/28/21, 10/29/21, 11/22/21, 12/20/21, 1/31/22, 2/25/22, 3/31/22, 4/27/22, 5/27/22, 6/24/22, 7/27/22, and 8/19/22.”

3290.131(e)(1) Parent written verification from Doctor.

“The file of Child #5, a 2 year old, lacked DTAP/DTP/TD immunizations, Pneumococcal immunizations, a current influenza immunization, and Hepatis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #5 contained documentation of 3 DTAP/DTP/TD immunizations, 2 Pneumococcal immunizations, and 1 Hepatis A immunization.”

3290.94(a)(1) Every 60 days

“The operator or designated staff person did not ensure that fire drills are conducted at least once every 60 days. The operator provided documentation that fire drills were conducted on 9/28/21, 11/22/21, 1/31/22, 3/31/22, 5/27/22, 7/27/22.”

3290.182(5) Consent for administration of minor first-aid required prior to admission

“The file of Child #5 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form. Child #5 had an admission date of 9/1/22 with an emergency contact form signed on 9/26/22.”

3290.182(8) Copy of initial and subsequent agreements. Parent receives original.

“It was observed that an agreement was not on file at the date of enrollment for Child #5. Child #5's admission date was 9/1/22. The agreement was dated on 9/26/22.”

3290.131(b)(2) Updated toddler/preschool health report: every 12 months

“The file of Child #4 lacked an updated health report at least every 12 months for an older toddler or preschool child with the reinstating of this regulation on 1/6/22. The most recent health report in the file of Child #4 is dated 8/9/21.”

3290.124(b)(7) Name/address/phone release person

“The files of Children #1, #2, and #3 lacked the complete address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #4 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.”

3290.94(a)(5) Evacuation routes posted

“The operator did not ensure that evacuation routes are posted in a conspicuous location on each floor of the facility. Evacuation routes are posted on the first floor but not the basement or 2nd floor.”

3290.18 General Health and Safety

“Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First-aid and CPR. The facility did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, and distraught child, and the prevention and identification of child maltreatment. The emergency plan did not include requirements for continuity of operations.”

3290.124(b)(4)/3290.182(3) Written consent/Consent for emergency medical care required prior to admission

“The file of Child #5 lacked written consent signed by a parent for emergency medical care prior to admission on the emergency contact form. Child #5 had an admission date of 9/1/22 with an emergency contact form signed on 9/26/22.”

3290.124(b)(3) Parent home/work address, phone

“The files of Children #1, #2, and #3 lacked the complete work address of the enrolling parent on the emergency contact form. The file of Child #4 lacked the work telephone number of the enrolling parent on the emergency contact form.”

3290.124(b)(2) Physician name, address, phone

“The files of Children #1, #2, and #3 lacked the complete address of the child's physician or source of medical care on the emergency contact form.”

3290.123(b) Parent receives original

“The files of Children #1, #2, #3, #4, and #5 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.”

3290.117(c) Vet's certificate required

“A veterinarian's certificate of current rabies immunization was not on file for a cat who was present at the facility.”

3290.105(a) Clean, age appropriate

“Observed rest equipment not labeled with the child's name.”

3290.102(a) Clean and good repair

“Observed a Little Tykes riding toy with an exposed screw behind the seat in the outdoor play space. Observed a metal riding toy with rust on the seat and steering wheel in the outdoor play space.”

3290.64(a) Locked or inaccessible - in original container

“Observed Quick Drying Epoxy which indicated "keep out of the reach of children" in the 1st drawer beside the refrigerator in the kitchen which was accessible to children.”

3290.32(a)/3290.192(3) Comply with CPSL/CPSL information

“The file of Household Member #2 lacked a Child Abuse Clearance updated every 60 months. Household Member #2 had a Child Abuse Clearance dated 9/9/21 with a previous one dated 11/30/15.”