Desrosiers, Nicole

During the inspection, it was determined the information in number(s) 5 below was not up to date in the Ohio Child Care Licensing and Quality System: 1. Mailing Address; 2. Telephone Number; 3. Email Address; 4. Days and Hours of Operation; 5. Services Offered; 6. Name of Program, If applicable. 7. Private pay rates. Submit the program's corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 04/03/2026

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 number(s) 2 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” sa i Department of ~ Children & Youth ae 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: 04/03/2026 Rules In-Compliance/Not Verified [Rule Status | Documenting Statement(s), If applicable 5180:2-13-02 Voluntary Temporary Compliant Closure [mule «CY Status ——*d ‘Documenting Statement (9), applicable 5180:2-13-02 License Visible Compliant re [Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-03 Inspection Compliant Requirements P Rule Status | Documenting Statement(s), If applicable 5180:2-13-04 Building Requirements Compliant for Type B Homes sa i Department of ~ Children & Youth ae a [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 Statements), If applicable 5180:2-13-04 Heaters in a Type B Compliant Home | Rule i Status | Documenting Statement(s), If applicable 5180:2-13-07 Staff Records Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-07 Provider Responsibilities | Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13 Written Policies and Compliant Procedures [Rule Status | Documenting Statement(s), If applicable 5180:2-13-07 Type B Provider - Foster | Compliant Parent [Rule Status | Documenting Statement(s), If applicable ———— a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-08 Child Care Staff Compliant Requirements P Rule Status | Documenting Statement(s), If applicable eo a sa i Department of ~ Children & Youth ae P Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statements), If applicable 5180:2-13-10 Professional Compliant Development [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-13-11 Indoor Space Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-11 Outdoor Space Compliant ee [Rule Status | Documenting Statement(s), If applicable 5180:2-13-11 Outdoor Equipment Compliant re P Rule Status | Documenting Statement(s), If applicable eo a [Rule i Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-12 Carbon Monoxide Compliant Detectors - Type B Only PRule i Status | Documenting Statement(s), If applicable TG i Department of ~ Children & Youth ae ee a | Rule Cd Status | Documenting Statement(s), If applicable 5180:2-13-13 Clean environment and | Compliant equipment [Rule Status | Documenting Statement(s), If applicable an a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-13 Handwashing Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-13 Toothbrushing Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-14 Requirements for Field | Compliant and Routine Trips [Rule Status | Documenting Statement(s), If applicable 5180:2-13-14 Ratio and Supervision Compliant for Field and Routine Trips [Rule Status | Documenting Statement(s), If applicable oe a [Rule Status | Documenting Statements), If applicable ee a [Rule Status | Documenting Statement(s), If applicable — a [Rule Status | Documenting Statement(s), If applicable TG i Department of ~ Children & Youth ae 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 Statements), If applicable ee a | Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 First Aid Kit/Standard Compliant Precautions [Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 Communicable Diseases | Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 Incident/Injury Compliant ee [Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 Emergency Compliant Preparedness and Response Plan [Rule Status | Documenting Statements), If applicable oe a | Rule Status | Documenting Statement(s), If applicable 5180:2-13-17 Materials and Compliant Equipment [Rule Status | Documenting Statement(s), If applicable — a TG i Department of ~ Children & Youth ae [Rule ——S~—~S~SSSSS*SdS Status —~SS~*ditcmenting Statements), applicable ee a [Rule i Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable a | Rule Cd 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 5180:2-13-19 Child Guidance Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-20 Crib and Playpen Compliant Requirements P Rule Status | Documenting Statements), If applicable 5180:2-13-21 Sanitary Environment Compliant and Hygiene | Rule Status | Documenting Statement(s), If applicable oe a PRule Status | Documenting Statement(s), If applicable ee a PRule Status | Documenting Statement(s), If applicable 5180:2-13-23 Infant Daily Care [Compliant TG i Department of ~ Children & Youth (a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-23 Infant Bottle and Food Compliant Preparation [Rule Status | Documenting Statement(s), If applicable —e a | Rule i Status | (Documenting Statement(s), If applicable a a [Rule Status | Documenting Statements), If applicable —ov a | Rule Status | Documenting Statement(s), 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

During the inspection, it was determined that a meal or snack at the program did not meet the requirements as noted in number(s) 9 below: 1. The breakfast served did not include foods from three of the four good groups. 2. Snack served did not include foods from two of the four food groups. 3. The meal did not provide 1/3 of the recommended daily dietary allowances as specified by the USDA. 4. Juice used to meet the fruit or snack component was not 100% undiluted fruit or vegetable juice. 5. The meal served did not include an item from the meat or meat alternative group. 6. The meal served did not include an item from the bread or grain group. 7. The meal served did not include two items from the fruit/vegetable group. 8. The meal served did not include a vegetable (two fruits were served). 9. The meal served did not include a serving of fluid milk. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule. Corrective Action Plan Due: 04/03/2026 TG i Department of ~ Children & Youth CT Low Risk Non-Compliances