Bloom and Grow Christian Learning Center

5180:2-12-19 Supervision

“During the inspection, it was determined that children were left unattended while inside the program.The following was observed: Upon arrival, 9 preschool and school age children were left unattended in the upper-level preschool room when the staff person responsible for the group left them alone when answering the door in the lower level of the building. 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.”

5180:2-12-19 Child Guidance

“During the inspection, it was determined that a child care staff member had used prohibited techniques as a means to control or discipline children.The following prohibited technique was observed: A staff person confined a toddler to a highchair during nap time to prevent them from running around the room.Child-care staff members and other employees must always use appropriate guidance and management methods with children. 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.”

5180:2-12-18 Attendance Records

“During the inspection, it was determined that the method for tracking children in each group did not meet the requirements of the rule.The following was observed: The attendance tracking method was not updated throughout the day as children entered or left the group.Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-12-18 Group Size

“During the inspection, group size limitations were not maintained for the mixed group of infants, toddlers and school age as it was determined there were 13 children grouped together. The group size shall not exceed twice the maximum number of children allowed per Child Care Staff Member. Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-12-18 Ratio

“During the inspection, required staff/child ratios were not maintained for the same group on multiple occasions, as noted below:The ratio determined for the infant/toddler group was 1 Child Care Staff Member for 12 children. Additionally, a ratio of 2 Child Care Staff Members for 13 children and 1 Child Care Staff Member for 8 infants and toddlers was determined for the same infant/toddler group. Additional staff members must be hired or current Child Care Staff Members must be rescheduled to maintain compliance. 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.”

5180:2-12-12 Safe Environment

“During the inspection, it was determined that children were not protected from item or condition which may threaten their health, safety, or well-being.The following was observed: 1. In the infant toddler room, children were not protected from a condition which may threaten their safety when a staff member stepped over a safety gate while holding an infant. 2. Open pull cords attached to the television in the preschool room that are not closed, loop.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.”

5180:2-12-12 Safe Equipment

“During the inspection, equipment was determined to be unsafe, hazardous to children, or in need of repair.The following was observed: The safety gate in the infant classroom was not sturdy. Part of the gate was wobbly and leaning over. Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-12-08 Staff Immunization Records

“In review of the staff records, it was determined that the immunization records for 3 of 6 employees, including child care staff members, did not meet the requirement. The following was observed: There was no immunization record on file.Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-12-20 Cribs - Safe Environment and Practices

“During the inspection, it was determined that a child was assigned to a crib inappropriately.The following was observed: Toddlers 35 tall or more were assigned and placed in cribs for nap.Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-12-20 Cribs - Safe Environment and Practices

“During the inspection, it was determined that the equipment had been used for sleeping infants and did not allow the infant to sleep on a firm mattress.The following equipment was used: An infant swing.Infants must be provided with a crib, which meets requirements specified in this rule, for resting and sleeping. Provide staff training. Submit the programs corrective action plan, which includes a statement that staff training was provided, to the Department to verify compliance with the requirements of this rule.”

5180:2-12-20 Cots and Napping - Practices

“During the inspection, it was determined that at least one child who had not fallen asleep after an appropriate length of time was not provided with an opportunity to engage in quiet activities. Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-12-08 Staff TB Screening Requirements

“In review of the staff records, it was determined that the tuberculosis (TB) screening for 3 of 6 employees, including child care staff members, did not meet the requirement.The following was observed: There was no TB screening on file.Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-12-08 Child Care Staff Member Educational Requirements

“In review of the staff records, it was determined that verification of a high school education for the child care staff member(s) listed on the Employee Record Chart, did not meet the requirements.The following was observed: There was no education verification for at least one staff person. Submit the programs corrective action plan, which includes a copy of the education verification, to the Department to verify compliance with the requirements of this rule.”

5180:2-12-18 Attendance Records

“During the inspection, it was determined the program did not meet the requirements for keeping an attendance record as listed in number 7 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.”

5180:2-12-15 Child Medical and Enrollment Records

“In review of 25% 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 8 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 birth 4. Medical(s) were missing the date of the medical examination 5. 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 care 7. 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 child 8. Medical was missing a record of immunizations the child has had specifying month, day and year 9. 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 rule 10. 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 convictions 11. Other [ ] Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-12-15 Medical / Physical Care Plans

Corrected during the visit

5180:2-12-13 Sanitary Equipment and Environment

“During the inspection, it was determined that unsanitary conditions, as noted in number 4 below, were in both restrooms:1. There was no liquid soap.2. There was no toilet paper.3. There were no paper towels.4. The toilet cleaning brush was accessible to the children.5. The plunger was accessible to the children.6. The toilet(s) were not flushed.7. The trash was not emptied from the day before.8. There was a strong urine odor.9. Other [ ]. The restroom must be kept sanitary at all times. Technical assistance was provided at the time of the inspection, and as discussed, please correct this rule noncompliance. A written response for this rule noncompliance is required at this time. Please submit a corrective action plan verifying the toilet brushes have been removed and staff have been trained on the rule.”

5180:2-12-12 Safe Environment

“During the inspection, a potentially hazardous item or toxic substance was used or stored in the restroom where children had access to it, as noted in number 9 below. 1. Bleach. 2. Cleaning agent. 3. Fish tank chemicals. 4. Gasoline. 5. Pesticide. 6. Poison, including insect/rodent poison. 7. Flammable substance. 8. Windshield washer fluid. 9. Aerosol cans. 10. A lawn mower. 11. A weed trimmer. 12. Hedge trimmers. 13. A snow blower. 14. Other potentially hazardous substance, equipment or machinery: [ ].Provide staff training. Submit the programs corrective action plan, which includes a statement that the potentially hazardous substance or item is no longer accessible to children and/or children will not be outside when machinery is in use and a statement that training was provided, to the Department to verify compliance with the requirements of this rule.”

5180:2-12-12 Safe Environment

“During the inspection, a potentially hazardous substance, which was determined to not present a serious risk to a child, was not used or stored properly as noted in number 2 below: 1. Cosmetics were accessible to children in the [ ] area.2. Disinfecting wipes were accessible to children in the infant/toddler area on a counter accessible to children.3. Fish food was accessible to children in the [ ] area.4. Hand lotion was accessible to children in the [ ] area.5. Hand sanitizer (for children under 24 months) was accessible to children in the [ ] area.6. Laundry detergent was accessible to children in the [ ] area.7. Powder dish washing soap was accessible to children in the [ ] area.8. Paint cans were accessible to children in the [ ] area.9. White out was accessible to children in the [ ] area.10. Potting Soil was accessible to children in the [ ] area.11. Other potentially hazardous substance [ ] was accessible to children in the [ ] area.12. Cleaning/sanitizing supplies had not been clearly labeled.13. School-age children were using cleaning supplies, agents and/or equipment without adult supervision.14. A spray aerosol was used in the [ ] group while children were in attendance. 15. Other: [ ].Provide staff training. Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-12-11 Outdoor Space Requirements

“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 as noted in number 1 below: 1. The fencing had missing slat boards.2. The fencing was broken.3. The fencing was loose.4. The fencing was rotting.5. The gate was broken and did not close.6. The gate was locked.7. The latch on the gate was broken.8. The latch was easily opened by children on the playground.9. The latch was not engaged to prevent children from opening the gate.10. The gate had no latch. 11. There were bolts with more than two threads exposed along a fence line or gate on a playground.Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”