Brown, Carmen G

During the inspection, it was determined the provider did not [obtain or maintain the required liability insurance/have a completed JFS 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. Corrective Action Plan Due: 03/04/2026

In review of records, it was determined the Child Care Staff Member(s) indicated on the Employee Record Chart did not meet the annual professional development requirement as noted in numbers 1. 1. The child care staff member(s) had not completed at least six hours of professional development. 2. Documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule. 3. Training topic did not meet the requirements listed in appendix A of this rule. sa i Department of ~ Children & Youth ae 4. Documentation of training did not meet the requirements of this rule. 5. The substitute(s) had been used more than ninety days annually between July first and June thirtieth and had not completed at least six hours of professional development. 6. Other [ ]. Submit the program’s corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 03/04/2026

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 as listed in numbers 1 below: 1. Written parental permission was not secured for field trips and/or routine trips off the premises. 2. The written permission was missing the child’s name. 3. The written permission was missing the date(s) of the trip(s) (field trips only). 4. The written permission was missing the destination(s) of the trip(s). 5. The written permission was missing the departure and return time(s) of the trip(s) (field trips only). 6. The written permission was missing the signature of the parent. 7. The written permission was missing the date on which the permission was signed. 8. The written permission was missing a statement notifying parents how their child will be transported. 9. Permission forms for routine trips were not being updated annually. 10. Written parental permission forms for field trips and/or routine trips were not being maintained on file for at least one year from the date of the trip. 11. Other: [ ]. Submit the program’s corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 03/04/2026

In review of the children's records, it was determined that information had not been secured from the parent/guardian on the JFS 01234 “Child Enrollment and Health Information For Child Care”, as required, for the items in numbers 1,14 below: 1. No enrollment form was completed for at least one child 2. The current JFS 01234 was not completed for at least one child 3. Complete child information 4. Complete parent information 5. Complete emergency contact information 6. Complete physician information 7. Information regarding the parent list 8. Health information 9. Additional information for all boxes checked “yes” 10. Emergency transportation information 11. Parent/guardian’s signature 12. Diapering Statement 13. Acknowledgement of Policies and Procedures 14. Enrollment form for at least one child was not updated by either the parent or the administrator 15. Enrollment form for at least one child was not signed by the administrator 16. Other [ ] Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule. Corrective Action Plan Due: 03/04/2026

In review of 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 numbers 1,9 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(s) were 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 child’s 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 program’s corrective action plan to the Department to verify compliance with the requirements of this rule. Corrective Action Plan Due: 03/04/2026 Rules In-Compliance/Not Verified [Rule Status | Documenting Statement(s), If applicable 5180:2-13-02 Voluntary Temporary Compliant Closure P Rule Status | Documenting Statement(s), If applicable ee a TG i Department of ~ Children & Youth ae | Rule sd Status | Documenting Statement(s), If applicable a [Rule Status | Documenting Statement(s), If applicable —, a [Rule Status | Documenting Statement(s), If applicable ee a | Rule Cd Status | Documenting Statement(s), If applicable 5180:2-13-03 Inspection Compliant Requirements | Rule Status | Documenting Statement(s), If applicable 5180:2-13-04 Building Requirements Compliant for Type B Homes [Rule Status | Documenting Statement(s), If applicable 5180:2-13-04 Fire Safety for Type B Compliant Homes [Rule Status | Documenting Statement(s), If applicable 5180:2-13-04 Flammable and Compliant Combustible Materials in a Type B Home [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-04 Heaters in a Type B Compliant Home [Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable 5180:2-13 Written Policies and Compliant Procedures PRule i Status | Documenting Statement(s), If applicable TG i Department of ~ Children & Youth ae 5180:2-13-07 Type B Provider - Foster | Compliant Parent [Rule sd Status | Documenting Statement(s), If applicable ON a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-08 Child Care Staff Compliant Requirements [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-08 Whistle Blower Compliant re [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-09 Background Checks Compliant re [Rule Status | Documenting Statements), If applicable 5180:2-13-10 Health Training Compliant re [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-11 Indoor Space Compliant re [Rule i Status | Documenting Statement(s), If applicable ee a pRue Status | Documenting Statement(s), If applicable ee a [Rule i Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable TG i Department of ~ Children & Youth ae a [Rule Status | Documenting Statement(s), If applicable a a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-12 Carbon Monoxide Compliant Detectors - Type B Only [Rule i Status | Documenting Statements), If applicable a a | Rule Status | Documenting Statement(s), If applicable 5180:2-13-13 Clean environment and | Compliant equipment | Rule Status | Documenting Statement(s), If applicable ee ™ ee [Rule Status | Documenting Statement(s), If applicable 5180:2-13-13 Handwashing Compliant ee [Rule Status | Documenting Statement(s), If applicable oe a [Rule Status | Documenting Statements), If applicable 5180:2-13-14 Ratio and Supervision Compliant for Field and Routine Trips | Rule Status | Documenting Statement(s), If applicable oo a P Rule Status | Documenting Statement(s), If applicable a a TG i Department of ~ Children & Youth ae [Rule SCS Status ——~SCS~S Do curenting Statements), Paplcab le — a [Rule i Status | Documenting Statements), If applicable ee a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-15 Child Records Retention | Compliant and Confidentiality [Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 Medical, Dental, and Compliant General Emergency Plan [Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 Emergency Drills Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 First Aid Kit/Standard Compliant Precautions [Rule sd Status | Documenting Statement(s), If applicable ee a [Rue i Status | Documenting Statement(s), If applicable — a [Rule Status | Documenting Statements), If applicable 5180:2-13-16 Emergency Compliant Preparedness and Response Plan [Rule Status | Documenting Statements), If applicable oe a PRule CCéd Status Documenting Statement(s), If applicable TG i Department of ~ Children & Youth ae 5180:2-13-17 Materials and Compliant Equipment | Rule sd Status | Documenting Statement(s), If applicable a a [Rule Status | Documenting Statement(s), If applicable es a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-19 Supervision Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-19 School Age Supervision | Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-21 Evening and Overnight Compliant Care [Rule Status | Documenting Statement(s), If applicable 5180:2-13-20 Sleep and Nap Compliant Requirements [Rule Status | Documenting Statement(s), If applicable ee a [Rule i Status | Documenting Statements), If applicable 5180:2-13-20 Crib and Playpen Compliant Requirements [Rule Status | Documenting Statement(s), If applicable 5180:2-13-21 Sanitary Environment Compliant and Hygiene [Rule Status | Documenting Statement(s), If applicable TG i Department of ~ Children & Youth (a a [Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable ee a [Rule i Status | Documenting Statements), If applicable 5180:2-13-23 Infant Daily Care Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-23 Infant Bottle and Food Compliant Preparation [Rule Status | Documenting Statement(s), If applicable ™ ee [Rule Status | Documenting Statement(s), If applicable 5180:2-13-24 On-site Pools Compliant ee PRule Status | Documenting Statement(s), If applicable — a [Rule Status | Documenting Statements), If applicable 5180:2-13-24 Parent Permission for Compliant Swimming | Rule Status | Documenting Statement(s), If applicable 5180:2-13-25 Medication Compliant Requirements