In Gods Hands FCC Center

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.”

5180:2-13-11 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: [ ]. Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-11 Outdoor Equipment

“During the inspection, it was determined that outdoor play equipment was unsafe or not used as intended.The following was observed: Outdoor equipment, swing set, was not free of conditions that pose a risk of harm to children ; The manufacturer's guidelines for assembly and installation were not followed for the slide.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 hazardous conditions existed in the outdoor play area. The following was observed: There were tall weeds & grass. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5180:2-13-07 Provider Responsibilities

“During the inspection, it was determined the provider did not have a completed DCY 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.”

5180:2-13-07 Staff Records

“During the inspection, it was determined employment records in the Ohio Professional Registry (OPR) were not created or maintained.The following was observed: The provider had not created or updated the program's organizational dashboard in the OPR ; The program's organizational dashboard in the OPR was not updated with the employment end date within ten business days when at least one employee, child care staff member, or substitute child care staff member ended employment.Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-07 Written Policies and Procedures

“On the day of the inspection, the programs written policies and procedures provided to the parents/guardians and employees was missing item(s). The following was observed as missing: Days and hours of operation, scheduled closings and basic daily schedule ; Payment schedule, overtime charges and registration fees as applicable. 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 Ohio statewide licensing system

“During the inspection, it was determined that information was not up to date in the Ohio statewide licensing system.The following information was not current: Days and hours of operation & Private pay rates (hourly rates incorrect).Submit the program's 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: Emergency phone numbers were not posted in all areas used for childcare ; Emergency squad number was missing ; Police department number was missing ; Poison control number was missing ; Health department number was missing.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 the posted weather and fire alert plan did not meet the requirements in rule.The following was observed: Weather alert plan was missing a diagram indicating evacuation routes. 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 Immunization Records

“In review of of the children's records, it was determined that immunization records were not on file, as required. The following was observed: Immunization record(s) were not updated no more than every thirteen months & Exemption documentation was not on file as required per rule.. Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule..”

5180:2-13-15 Child Enrollment Records

“In review of the children's records, it was determined that information had not been secured from the parent/guardian on the DCY 01234 Child Enrollment and Health Information For Child Care or equivalent as required.The following was observed as missing: Complete physician information, Emergency transportation information, Diapering Statement, Acknowledgement of Policies and Procedures, & Enrollment form for at least one child was not signed by the administrator. Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-14 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.The following was observed: The written permission was missing the childs name.Submit the programs corrective action plan 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 134 degrees Fahrenheit in the restroom. 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 Equipment

“During the inspection, equipment was determined to be unsafe, hazardous to children, or in need of repair.The following was observed: A child was not strapped in to the bouncer chair.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, a potentially hazardous item or toxic substance was used or stored where children present had access. The potentially hazardous substance or item that posed a risk to children was determined to be accessible to children.The following was observed: Cleaning agent ; Pesticide. 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.”

5180:2-13-12 Safe Environment

“During the inspection, it was determined that children were not protected from item(s) or condition(s) which may threaten their health, safety, or well-being.The following was observed: Surge protectors/outlets did not have childproof receptacle covers ; Diaper bags were accessible to 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.”

5180:2-13-12 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: A sealed container was observed but children in care did not gain access to the alcohol. 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.”

5180:2-13-21 Evening and Overnight Care

“During the inspection, it was determined children were not supervised during evening and overnight care.The following was observed: Children under the age of five did not sleep on the same floor as the child care staff member. Submit the programs corrective action plan to verify compliance with the requirements of this rule.”

5180:2-13-14 Vehicle Inspections

“During the inspection, it was determined that the program had not performed/documented weekly inspections of vehicles used for transporting children. Submit the programs corrective action plan 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 the requirements for the JFS 01242 \"Medical, Dental and General Emergency Plan\" were not followed as noted in number 1 below:1. The plan was not posted on each level of the home used for child care.2. The name, address and telephone number of the program were not complete.3. The location of the first aid kit, fire extinguisher and fire alarm system, fire alarm pull stations and electrical circuit box were not complete.4. The telephone number for emergency squad, fire department hospital, poison control program, public children services agency, local health department, local emergency management agency and police department were not complete.5. Location of children's records was not complete.6. Emergency information including any medications or supplies needed i the event of an evacuation was not complete.7. The current version of the prescribed form was not used.8. The plan was not implemented when necessary in that [ ].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, as noted in the following numbers 3 & 5 below, were in the restroom:1. There was no liquid soap.2. There was no toilet tissue.3. There were no individually assigned towels or disposable towels.4. The toilet cleaning brush was accessible to the children.5. The plunger was accessible to the children.6. The toilet was not flushed.7. The trash was not emptied from the day before.8. There was a strong urine odor.9. Other [ ].The restroom(s) must be kept sanitary at all times. Submit the program's corrective action plan to verify compliance with the requirement of the rule.”

5180:2-13-12 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.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.”

5180:2-13-12 Safe Environment

“During the inspection, it was determined the water temperature was 131 degrees Fahrenheit in the restroom. 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 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

“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(s) 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. Other: Scissors in kitchen drawer.Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-10 Health Training

“In review of records, it was determined the provider did not have current valid documentation for training listed in number 14 below:1. First Aid - expired training2. First Aid - did not have verification of the completion of First Aid training3. First Aid - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule4. CPR - expired training5. CPR - had not taken CPR training6. CPR - did not have verification of the completion of CPR training7. CPR - training taken did not include all age groups and developmental levels of all children in care8. CPR - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule9. CPR- audiovisual or electronic media training taken did not include an in-person component of the training10. Communicable Disease - expired training11. Communicable Disease - had not taken CD training12. Communicable Disease - did not have verification of the completion of CD training13. Communicable Disease - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule 14. Child Abuse - expired training15. Child Abuse - had not taken Child Abuse training16. Child Abuse - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the ruleCorrect the violation and submit the documentation of current certification with the program's corrective action plan to verify compliance with the requirement of the rule.”

5180:2-13-07 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 2 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.Other: [] Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.”

5180:2-13-22 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.”

5180:2-13-20 Crib and Playpen Requirements

“During the inspection, it was determined that sheets, mattresses and/or mattress covers did not meet the rule requirement as noted in number 1 below:1. At least one crib or playpen did not have a sheet.2.At least one sheet was too large.3.At least one sheet was too small.4.At least one sheet was torn.5.The mattress was not at least one and one-half inches thick.6.The mattress was not firm. 7.There was space between the mattress and the sides and end panels of the crib or playpen which exceeded one and one-half inches. 8.The mattress cover was not waterproof.9.The mattress cover was torn.10. Other: [ ].Submit the programs corrective action plan to the Department 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 was missing the item(s) or the item(s) were not replaced after use and/or expired listed in numbers 15 & 16 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.”

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

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

5180:2-13-04 Fire Safety for Type B Homes

“During the inspection, it was determined that the Type B Home did not have a working smoke alarm in the basement/on each level of the home. A working smoke alarm 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.”

5180:2-13-02 Information in OCLQS

Corrected during the visit