In Home Aide

During the inspection, it was determined the IHA had not responded to the non-compliances addressed in the inspection report dated 10/15/2024. The rule requires the IHA complete and submit a corrective action plan in OCLQS to address non-compliances detailed in written inspection reports within the timeframe outlined in the report. Submit a corrective action plan, which includes a statement that current and future corrective action plans will be submitted timely, to verify compliance with the requirements of this rule. Corrective Action Plan Due: 01/16/2026

During the inspection, it was determined that the IHA did not cooperate with an inspection or complaint investigation, as required, as noted in number below 2: 1. Required records and documentation were not available or provided to department staff upon request. 2. Department staff were denied access to the home by the IHA. Submit a corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 01/16/2026

In review of records, it was determined the IHA did not have current valid documentation for trainings listed in numbers 2, 7, 13, 15 below: 1. First Aid - expired training. 2. First Aid - did not have verification of the completion of First Aid training. 3. First Aid - training taken did not include all age groups and developmental levels of all children in care. 4. First Aid - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule. 5. CPR - expired training. 6. CPR - had not taken CPR training. Page 2 of 7 hiv Department of ~ Children & Youth 7. CPR - did not have verification of the completion of CPR training. 7 | 8. CPR - training taken did not include all age groups and developmental levels of all children in care. 9. CPR - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule. 10. CPR- audiovisual or electronic media training taken did not include an in-person component of the training. 11. Communicable Disease - expired training. 12. Communicable Disease - had not taken CD training. 13. Communicable Disease - did not have verification of the completion of full CD training. 14. Communicable Disease - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule. 15. Child Abuse - expired training 16. Child Abuse - had not taken Child Abuse training 17. Child Abuse - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule Submit the documentation of current certification with a corrective action plan to verify compliance with the requirement of the rule. Corrective Action Plan Due: 01/16/2026

During the inspection, it was determined the water temperature was 130 in the following room, bathroom. This temperature exceeds the requirement of remaining below 120 degrees Fahrenheit. Submit a corrective action plan to verify compliance with the requirement of the rule. Corrective Action Plan Due: 01/16/2026

During the inspection, it was determined that the IHA did not have a first aid kit onsite as required, that included all items listed in the appendix C of the rule. The kit was missing the item or the item was not replaced after use and/or expired listed in number 8 below: 1. One roll of first-aid tape. 2. Individually wrapped sterile 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). Page 3 of 7 hiv Department of ~ Children & Youth 9. A working digital thermometer. 7 | 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 a corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 01/16/2026

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 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 IHA. 15. Enrollment form for at least one child was not signed by the IHA. 16. Other [ ]. Submit a corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 01/16/2026

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 number 2 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 of the immunization. 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 a corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 01/16/2026 [Rule i Status | Documenting Statement(s), If applicable 5180:2-14-02 In-Home Aide Compliant Application and Approvals [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-02 In-Home Aide Compliant Qualifications [Rule Status | Documenting Statement(s), If applicable 5180:2-14-04 Background Checks | Compliant Pe [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-05 Handwashing Compliant Pt [Rule i Status | Documenting Statement(s), If applicable 5180:2-14-05 Communicable Compliant Diseases [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-05 Swimming and Water Compliant Safety Page 5 of 7 hiv Department of ~ Children & Youth |Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-05 Swimming Permission | Compliant | [Rule Status | Documenting Statement(s), If applicable 5180:2-14-05 Pets [Compliant | [Rule —~—=S=~*~“*~*~*S*S*S~S~CSCSC~*d Status —=~SCS*S*S*&di*i cureniting Statement) applicable 5180:2-14-07 incident/Injury a [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-06Health Conditions [Compliant —s<d|SSSCS~* [Rule Status | Documenting Statement(s), If applicable 5180:2-14-06 Child Record Retention | Compliant and Confidentiality [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-14-07 Medical, Dental, and Compliant General Emergency Requirements/Drills [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-07 Emergency Compliant Preparedness and Response Plan [Rule i Status | Documenting Statement(s), If applicable 5180:2-14-08 Supervision Compliant Po [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-08 Ratio and Group Size _| Compliant Po [Rule Status | Documenting Statement(s), If applicable 5180:2-14-08 Child Guidance [Compliant [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-08 Child Abuse and Compliant Neglect Reporting [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-09 Requirements for Field | Compliant Trip Safety [Rule Status | Documenting Statement(s), If applicable 5180:2-14-09 IHA Driver Compliant Requirements [Rule sd Status | Documenting Statements), If applicable 5180:2-14-09 Vehicle Inspections | Compliant. | [Rule Cd Status | Documenting Statement(s), If applicable Page 6 of 7 hiv Department of ~ Children & Youth 5180:2-14-10 Sleeping and Napping Compliant i Requirements [Rule Status | Documenting Statement(s), Ifapplicable | 5180:2-14-10 Crib and Playpen Compliant Requirements [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-14-12 Medication Compliant Requirements [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-14-10 Evening and Overnight | Compliant Care [Rule Status | Documenting Statement(s), If applicable 5180:2-14-11 Meals and Snacks [Compliant | [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-13 Infant Daily Care [Compliant | [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-14-13 Infant Bottle and Food | Compliant Preparation [Rule i Status | Documenting Statement(s), If applicable 5180:2-14-13 Diapering [Compliant | Page 7 of 7