Beth Thomas Daycare

3290.135(a)(3) Disposable diapers

“On the day of inspection, it was observed that the provider tied a soiled diaper in a grocery bag and then disposed of it in an outside trash can.”

Correction date in the state record: Nov 20, 2024

3290.124(b)(5) Information re: disability

“The Emergency contact form on file for Child #1 was observed not to have documentation of information on the child's special needs, which is needed in an emergency situation.”

Correction date in the state record: Jan 2, 2025

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

“The file for child #5, who is an infant, lacks a health report within the past six months. This is evidenced by the most current health report on file dated 3/6/23.”

Correction date in the state record: Nov 29, 2023

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

“The most current health report on file for child #3 lacks a written signature from a physician, physician's assistant or a CRNP.”

Correction date in the state record: Dec 18, 2023

3290.123(a)(3) Services provided

“The files for children #1, 2, 3, 4 and 5 lack a child service report within the past six months.”

Correction date in the state record: Dec 6, 2023

3290.18 General Health and Safety

“The facility's emergency plan lacks a continuity plan for the aftermath of a disaster.”

Correction date in the state record: Dec 15, 2023

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

“The file for child #3 lacks a flu shot within the past 12 months as in accordance with the schedule recommended by the ACIP. The file for child #5 contains 2 of the 3 recommended doses of DTAP and PCV immunizations as in accordance with the schedule recommended by the ACIP and lacks a flu shot within the past 12 months.”

Correction date in the state record: Dec 18, 2023

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

“The most current health report on file for child #3 lacks the statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.”

Correction date in the state record: Dec 18, 2023

3290.182(3)/3290.182(5) Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

“The most current emergency contact information on file for child #5 lacks signed parental consent for emergency medical care and signed parental consent for administration of minor first-aid procedures by facility staff.”

Correction date in the state record: Nov 30, 2023

3290.24(f) Emergency plan

“The operator did not provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a) including subsequent updates to the plan.”

Correction date in the state record: Dec 15, 2023

3290.64(a) Locked or inaccessible - in original container

“Observed toxic gel in the bathroom which was in reach of children.”

Correction date in the state record: Nov 28, 2022

3290.105(a) Clean, age appropriate

“Observed 2 infant pack n plays which lack a label with the child's name.”

Correction date in the state record: Nov 28, 2022

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

“There was more than 60 months between the previous and most current State Police clearance on file for staff #1. Dates are as follows: 9/18/17 and 10/22/22. There was more than 60 months between the State Polce and Child Abuse clearances on file for household member #2. Dates are as follows: State Police- 7/28/17 and 10/22/22 and Child Abuse - 5/11/17 and 6/27/22. There is no FBI clearance on file for household member #2 which has been completed within the past 60 months. FBI clearance on file is dated 8/5/17. There was more than 60 months between State Police clearances on file for household member #3. Dates are as follows: 7/28/17 and 10/22/22.”

Correction date in the state record: Oct 22, 2022

3290.18 General Health and Safety

“Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/12/17.”

Correction date in the state record: Nov 30, 2022

3290.18 General Health and Safety

“The facility lacks a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment which incudes but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment. The facility's emergency plan lacks a continuity of operations plan for the aftermath of a disaster.”

Correction date in the state record: Dec 28, 2022

3290.31(g) Age and training

“Staff person/facility person/volunteer #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/12/17.”

Correction date in the state record: Nov 30, 2022

3290.24(a)(1) Emergency plan

“The emergency plan on file did not include the word "lockdown".”

Correction date in the state record: Dec 28, 2022

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

“There was more than 24 months between the previous and most current health assessments on file for staff #1. Dates are as follows: 2/13/20 and 9/27/22.”

Correction date in the state record: Dec 16, 2022

3290.131(e)(1)/3290.182(1) Parent written verification from Doctor./Initial and subsequent health assessments

“The current immunization record on file for child #2 contains 1 of the 2 Hep B vaccines and 0 of 1 MMR/Varicella vaccines administered in accordance with the schedule recommended by the ACIP.”

Correction date in the state record: Dec 16, 2022

3290.131(c)/3290.131(d)(7) Written and signed by physician, PA, CRNP./Free from contagious/communicable disease

“The current health reports on file for children #1 and 4 lack a signature by a physician, physician's assistant or CRNP which includes the individual's professional title and lack a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.”

Correction date in the state record: Dec 16, 2022

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

“There was more than 12 months between the previous and most current and updated health reports on file for children #1 and 4. There are now current health reports on file.”

Correction date in the state record: Dec 16, 2022

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

“The file for child #2, who is a young toddler, lacks a health assessment which has been completed within the past six months. This is evidenced by the most current health report on file being completed on 1/18/22.”

Correction date in the state record: Dec 6, 2022

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

“There was more than 6 months between reviews/updates of the fee agreement/emergency contact information on file for child #1, 3. Dates for both updates are as follows for child #1: 9/23/21 and 11/9/22 and child #3 - 6/14/21 and 11/9/22. The fee agreement and emergency contact information on file for child #2, 4 and 5 were not reviewed/updated within the past six months. Last review/update for child #2 was completed on 12/30/21, child #4 - 1/28/22 and child #5 - 9/22/20.”

Correction date in the state record: Dec 16, 2022

3290.124(d) Written emergency plan posted

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

Correction date in the state record: Dec 29, 2022

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

“At the time of the inspection, there was not documentation of testing the smoke detector system every 30 days; nor was there proof of purchase on file for the type of smoke detector system in place at the Family Child Care home.”

Correction date in the state record: Dec 4, 2021

3290.24(a)(5) Emergency plan

“At the time of the inspection, the emergency plan did not have accommodations for children with disabilities, and children with chronic medical conditions.”

Correction date in the state record: Dec 6, 2021

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

“The file of child #5 lacked an agreement; none was on file.”

Correction date in the state record: Dec 6, 2021

3290.123(a)(5) Designated release persons

“The files of children #1, #2, #3, and #4 lacked agreements with the persons designated by a parent to whom the child may be released.”

Correction date in the state record: Dec 6, 2021

3290.24(c)/3290.192(4) Training regarding plan/Required training

“At the time of the inspection, there was not documentation of staff #1 completing annual training regarding the emergency plan.”

Correction date in the state record: Dec 6, 2021

3290.22(b) Availability of certificate of compliance and applicable regulations

“At the time of the inspection, there was not information on how to access the regulations in this chapter electronically posted or available for the parents.”

Correction date in the state record: Dec 6, 2021