In-Home Aide

During the inspection, it was determined that hazardous items were within reach of children as noted in number 3 below: 1. Alcohol was not kept out of the reach of children while in the care of the IHA at the home. 2. Drugs were not kept out of the reach of children while in the care of the IHA at the home. 3. Household medications were not kept out of the reach of children while in the care of the IHA at the home. - Prescription medications were found on the bottom shelf of an upper kitchen cabinet. Kitchen table and chairs were near said cabinet. - A bottle of Tylenol and multiple over the counter medications were found accessible to children on the bottom shelf of the medicine cabinet in the bathroom. - Found accessible to children on the bathroom countertop and in plastic tote drawers were additional over the counter topical products. All stated to be kept out of children's reach. 4. Child medications were not kept out of the reach of the children while in the care of the IHA at the home. Submit a corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 01/16/2026

During the inspection, chemicals, cleaning equipment, sanitizing equipment and supplies were not stored properly as noted in numbers 6, 14 & 19 below: 1. Cosmetics were accessible to children in the [ ] area. 2. Disinfecting wipes were accessible to children in the [ ] area. 3. Fish tank chemicals/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 (2 containers) was accessible to children in the laundry room on the floor. 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. Bleach was accessible to children in the [ ] area. 12. Poison, including insect/rodent poison was accessible to children in the [ ] area. 13. Pesticide was accessible to children in the [] area. 14. Multiple cleaning agents were accessible to children in the bathroom under the sink. One of those items was drain cleaner. 15. Gasoline was accessible to children in the [ ] area. 16. Other potentially hazardous substance [ ] was accessible to children in the [ ] area. 17. Cleaning/sanitizing supplies had not been clearly labeled. 18. A spray aerosol was accessible to children. 19. Other: A bottle of essential oil was found accessible to children on the bottom shelf of the medicine cabinet in the bathroom. Found in the bathroom under the sink, also accessible to children, was peroxide spray. Submit a corrective action plan, which includes a statement that the potentially hazardous substance is no longer accessible to children, to verify compliance with the requirements of this rule. Page 3 of 9 hiv Department of ~ Children & Youth | Corrective Action Plan Due: 01/16/2026 |

During the inspection, it was determined that the home did not have a UL or FM working smoke detector or smoke detectors were not installed or maintained in accordance with manufacturer's recommendations. A working smoke alarm must be placed, installed, tested, and maintained in accordance with manufacturer's recommendations. (Both smoke detectors in the home had been deactivated and were not currently operational.) Submit a corrective action plan to verify compliance with this rule. Corrective Action Plan Due: 01/16/2026

During the inspection, it was determined that the IHA did not provide a sanitary environment when children were present in that the stovetop was found unclean and to have congealed grease on it. IHA stated she had not yet used the stove on said date of inspection. Submit a corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 01/16/2026

During the inspection, it was determined that children were not protected from the following items or conditions which may threaten their safety as noted in the following number 5 below: 1. Surge protectors/outlets did not have childproof receptacle covers. 2. Toys or other items small enough to be swallowed were present in the space where infants and/or toddlers were in care. 3. The platform provided for the sink or toilet was not sturdy. 4. The platform provided for the sink or toilet posed a safety hazard in that [ J. 5. Other - Sharp knives stored in kitchen drawer were found accessible to children. Submit a corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 01/16/2026

During the inspection, it was determined that pet regulations were not met in the child's home, as noted in numbers 5 & 6 below: 1. The animal’s 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. The IHA brought their own pet or animal to the child's home. 8. Other [ ]. Submit a corrective action plan 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 have a first aid kit [onsite/ on the vehicle/ on a field trip] as required, that included all items listed in the appendix C of the rule. The kit was missing the items or the items were not replaced after use listed in numbers 1, 6 & 11 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). 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. Page 4 of 9 hiv Department of ~ Children & Youth 14. Pocket mask or face shield, appropriate; for all ages of children in care, for cardiopulmonary resuscitation (CPR) 7 | 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 numbers 1, 6, 12 & 14 below: 1. No enrollment form was completed for at least one child. (In-home aid's grandchild did not have a file.) 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. (Annual updates need completed.) 15. Enrollment form for at least one child was not signed by the IHA. 16. Other [ ]. Page 6 of 9 re) ier Department of ~ Children & Youth ] Submit a corrective action plan to verify compliance with the requirements of this rule. 7 | Corrective Action Plan Due: 01/16/2026

n 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 1 below: 1. No medical was on file for at least one child. (IHA's grandchild needs to have a medical on file.) 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 sd Status | Documenting Statement(s), If applicable 5180:2-14-02 In-Home Aide Compliant Application and Approvals [Rule i Status | Documenting Statement(s), If applicable 5180:2-14-02 In-Home Aide Compliant Qualifications [Rule i Status | Documenting Statement(s), If applicable 5180:2-14-02 In-Home Aide Compliant Responsibilities [Rule i Status | Documenting Statement(s), If applicable 5180:2-14-04 Background Checks __| Compliant Pd Page 7 of 9 hiv Department of 7 Children & Youth [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-14-05 Handwashing [Compliant | [Rule sd 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 [Rule i Status | Documenting Statement(s), If applicable 5180:2-14-05 Swimming Permission | Compliant | [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-14-07 Incident/Injury Compliant Po [Rule Status | Documenting Statement(s), If applicable 5180:2-14-06 Health Conditions Compliant Po [Rule Status | Documenting Statement(s), If applicable 5180:2-14-06 Child Record Retention | Compliant and Confidentiality [Rule 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 andGroup Size__| Compliant | [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-08 Child Guidance [Compliant | [Rule Status | Documenting Statement(s), If applicable 5180:2-14-08 Child Abuse and Compliant Neglect Reporting [Rule i Status | Documenting Statement(s), If applicable 5180:2-14-09 Requirements for Field | Compliant Trip Safety [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-09 IHA Driver Compliant Requirements [Rule Status | Documenting Statement(s), If applicable 5180:2-14-10 Sleeping and Napping Compliant Requirements Page 8 of 9 hiv Department of ~ Children & Youth [Rule sd Status, =| DocumentingStatement(s), applicable | 5180:2-14-10 Crib and Playpen Compliant Requirements [Rule Status | Documenting Statement(s), Ifapplicable | 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 sd Status | Documenting Statement(s), If applicable 5180:2-14-11 Meals and Snacks [Compliant | [Rule Status | Documenting Statement(s), If applicable 5180:2-14-13 Infant Daily Care [Compliant | [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-13 Infant Bottle and Food =| Compliant Preparation [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-14-13 Diapering [Compliant Pt Page 9 of 9

During the inspection, it was determined the JFS 01201 "Dental First Aid" was not completed. 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 the IHA's written emergency preparedness and response plan did not meet the requirement or was missing the information in numbers 2 & 3 below: Procedures: 1. The written emergency preparedness and response plan had not been completed. 2. The plan was not dated. 3. The plan was not reviewed with the parent at least annually. Procedures: 4. Weather emergencies and natural disasters which include severe thunderstorms, tornadoes, flash flooding, major snowfall, blizzards, ice storms or earthquakes 5. Emergency evacuations due to hazardous materials and spills, gas leaks or bomb threats including a designated safe site where children can safely remain when evacuated. 6. Outbreaks, epidemics or other infectious disease emergencies. 7. Loss of power, water or heat 8. Emergencies or disasters that occur during the transport of children or when on a field trip or routine trip. 9. Other threatening situations that may pose a health or safety hazard to the children. 10. Shelter in place, disasters or evacuation. 11. Emergency contact information for parents and the IHA. 12. Plan to contact and work with local emergency management officials. 13. The location of supplies. 14. Procedures for gathering necessary supplies for children. 15. Procedures for communicating with parents during loss of communication including loss of phone or internet service. 16. Procedures for assisting infants, toddlers, and children with special needs and/or health conditions. Add the missing information to the emergency preparedness and response plan. Page 5 of 9 hiv Department of ~ Children & Youth Submit a corrective action plan, which includes the missing information, to verify compliance with the requirements of this 7 | rule. Corrective Action Plan Due: 01/16/2026

During the inspection, it was determined that the program had not performed monthly inspections of vehicles used for transporting children. The monthly inspection needs to include the following: 1. A visual inspection of the tires for wear and tire pressure. 2. A visual inspection of headlights, taillights, signals, mirrors, wiper blades, and dash gauges. 3. An inspection for properly functioning child and driver restraints. 4. An inspection for properly functioning doors and windows. 5. An inspection for, and cleaning of, debris from the inside of the vehicle. 6. Other [ ]. Submit a corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 01/16/2026