Amy A McGraw

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

“The file for child #3 was observed to lack and emergency contact form, therefore, lacking written consent signed by a parent for emergency medical care.”

3290.124(b)(6) Insurance coverage information

“The file for child #1 was observed to contain an emergency contact form that lacked the child's health insurance coverage and policy number.”

3290.31(f) Age and training

“The file for staff person #1 was observed to lack documentation of obtaining a minimum of 12 clock hours of child care training. This was evidenced by documentation of only 11 hours of child care training present in the file.”

3290.113(f) Supervision of children

“The facility was observed to have only one operator present during the inspection and the operator admitted they do not have an installed and operating camera/electronic monitoring device.”

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

“The file for child #3 was observed to lack an emergency contact form, therefore, lacking written consent signed by a parent for administration of minor first-aid procedures by facility staff.”

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

“The files for children #1, #2, #3 and #5 were observed to lack documentation that the child's immunized status is in accordance with the recommendations of the ACIP.”

3290.131(b)(2)/3290.182(1) Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

“The files for children #4 and #5, preschool aged children were observed to lack an updated health report obtained at least every 12 months. This was evidenced by the only health report observed in the file of child #4 was dated 03/23/23 a period of 34 months, and the health report observed in the file of child #5 was dated 04/21/2023 a period of 33 months.”

3290.131(b)(1)/3290.182(1) Updated infant health report: every 6 months/Initial and subsequent health assessments

“The files for children #2 and #3, both young toddlers were observed to lack an updated health report obtained at least every 6 months. This was evidenced by the only health report present in child #2's file is dated 04/19/24, a period of 21 months. The most recent health report observed in child #3's file was a health report dated 4/30/25 a period of 9 months.”

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

“The files for children #1 and #5 were observed to contain emergency contact forms that lacked to include the name, address and telephone number of the individual designated by the parent to whom the child may be released.”

3290.105(a) Clean, age appropriate

“The facility was observed to have rest equipment that lacked any labels with the child's name.”

3290.117(c) Vet's certificate required

“The facility was observed to lack a veterinarian's certificate of current rabies immunizations for pets Loki, Yogi and Savannah.”

3290.123(a)(3) Services provided

“The files for children #3, #4 and #5 were observed to lack the Department's approved form (Child Service Report) to provide information to the family about the child's growth and development in the context of the services being provided.”

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

“The file for child #1 was observed to contain an agreement that did not specify the date of the child's admission.”

3290.124(a) Each child emergency contact person

“The file for child #3 was observed to lack an emergency contact form.”

3290.124(e)/3290.181(c) Updated every 6 months/Emergency info/agreement updated 6 mos

“The file for child #3 was observed to lack an update in writing of the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.”

3290.32(d) Age and training

“The facility was observed to lack one or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques as evidenced by certificates dated 11/16/2022 present in the files of Staff persons #1 and #2.”

3290.73(c) Has all items

“The facility was observed to have first-aid kit that lacked the following: sterile gauze pads and tape.”

3290.31(f)(4)(i) Age and training

“The files for staff persons #1 and #2 were observed to lack documentation verifying the renewal of their competence in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certificate. This was evidenced by a Certificate of competence dated 11/16/2022 being present in both staff files.”

3290.111(b) Posted in area used by parents

“The facility was observed to lack a written plan of daily activities and routines posted in a traffic area used by parents.”

3290.117(c) Vet's certificate required

“The facility lacked a veterinarian's certificate of current rabies immunization on file for dog Harley. This was evidenced by a Rabies immunization good for 1-year dated10/10/2023 present in the file.”

3290.123(a) Signed

“The files for children #1, #2 and #4 were observed to contain agreements that were not signed by the operator.”

3290.123(a)(3) Services provided

“The files for children #1, #2, #3, #4, and #5 were observed to lack verification the operator completed and/or updated the Department's approved form (Child Service Report) and provided a copy to the family in accordance with the updates regarding emergency contact information.”

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

“The file for Child #1 was observed to Lack an Agreement that specified the date of the child's admission.”

3290.124(e)/3290.181(c) Updated every 6 months/Emergency info/agreement updated 6 mos

“The files for Children #1, #2, #3, #4, and #5 were observed to contain emergency contact forms, and financial agreements that had not been updated in writing by the parent at least once in a 6-month period. This was evidenced by only one of each form dated with the date of admission present in their files.”

3290.131(c) Written and signed by physician, PA, CRNP.

“The file for child #2 was observed to lack a health report written and signed by a physician, physician's assistant or a CRNP and included the individual's professional title.”

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

“The file for child #2 was observed to lack a written exemption or written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.”

3290.24(f) Emergency plan

“The facility was observed to be providing a letter to the parent of each enrolled child informing them about the facilities emergency plan however, the letter lacked information detailing the accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.”

3290.151(a)(2)/3290.192(2) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“The files for staff persons #1 and #2 were observed to lack a valid health assessment as evidenced by health assessments dated 10/19/2022 in the file of staff person #1 and a health assessment dated 10/07/2022 in the file of Staff person #2.”

3290.166(7) Meals for Infant

“Staff person #1 was observed heating a bottle of formula in the microwave.”

3290.24(e) Emergency plan

“The facility was observed to lack a posting of the emergency plan in a conspicuous location.”

3290.65(b) Trash removed grounds once/week

“The facility was observed to have a white trash bag on the ground at the bottom of the blacktop, torn open with trash spilling out.”

3290.123(a)(5) Designated release persons

“The files for children #1, #2, #3, #4 and #5 were observed to contain agreement forms that failed to specify the persons designated by a parent to whom the child may be released.”

3290.117(c) Vet's certificate required

“The facility was observed to have expired certificate of rabies immunizations on file for Savannah (10/27/2023) and Yogi (10/27/2023).”

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

“The files for children #1, #2, #3, #4 and #5 were observed to contain original agreement forms.”

3290.24(c) Training regarding plan

“The file for Staff person #2 was observed to lack documentation that staff person #2 was trained regarding the emergency plan at the time of initial employment.”

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

“The file for child #5 was observed to contain an emergency contact form that did not include the address of the child's physician.”

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

“The files for children #1, #3, #4 and #5 contained emergency contact forms that did not include the work address and work phone numbers for the enrolling parent.”

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

“The file for Child #5 was observed to contain an emergency contact form that failed to include written consent signed by a parent for emergency medical care.”

3290.124(b)(5) Information re: disability

“The files for children #1, #3 and #5 were observed to contain emergency contact forms that did not include the information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which are needed in an emergency situation.”

3290.124(b)(6) Insurance coverage information

“The files for children #1, #2 and #5 were observed to contain emergency contact forms that failed to include health insurance coverage and policy number.”

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

“The files for children #1, #3 and #5 were observed to contain emergency contact forms that failed to include the name, address and telephone number of the individual designated by the parent to whom the child may be released.”

3290.124(d) Written emergency plan posted

“The facility was observed to lack a written plan which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency posted in a conspicuous location.”

3290.131(a)/3290.182(1) Within 60 days/Initial and subsequent health assessments

“The files for Children #1, #3, #4 and #5 were observed to lack initial health reports obtained no later than 60 days following the first day of attendance at the facility.”

3290.64(a) Locked or inaccessible - in original container

“Observed a Tiki torch cannister accessible to children on a table outside of the entrance door.”

Correction date in the state record: Oct 9, 2023

3290.18 General Health and Safety

“Observed the facility did not have a shaken baby/abusive head trauma/child maltreatment policy which is required to have been completed by all certified child care providers.”

Correction date in the state record: Oct 9, 2023

3290.65(a) Trash removed once a day

“Observed 2 bags of trash located next to the path used by children to enter the facility.”

Correction date in the state record: Oct 9, 2023

3290.74(a) Requirements

“Observed a yellow jacket nest under the flashing above the entrance door to the facility. Observed a fan in the childcare space which needed to be cleaned. Observed a loose cord hanging in the childcare space. Observed splintering edges on 2 exposed paneling edges. Observed standing water in a plastic bin outside of the facility near the entrance of the facility.”

Correction date in the state record: Oct 9, 2023

3290.115(a)(2) Above-ground pool inaccessible

“Observed an aboveground swimming pool which was secured without a lock to prevent access. Observed a hot tub filled with water did not have the cover straps locked at the time of inspection.”

Correction date in the state record: Oct 9, 2023

3290.117(c) Vet's certificate required

“Observed the records for the animals present at the facility, revealed the rabies immunization for the two dogs were expired.”

Correction date in the state record: Oct 9, 2023

3290.24(g) Emergency plan

“Observed the facility did not have a complete emergency plan and did not send a copy of the completed emergency plan to the local municipality and to the county emergency management agency.”

Correction date in the state record: Oct 9, 2023

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

“Observed the facility did not have proof of purchase for the interconnected fire alarm system. Observed the facility did not have an acceptable class of fire extinguisher located in cooking areas of the facility.”

Correction date in the state record: Oct 9, 2023