In Home Aide Certificate

During the inspection, it was determined the In-Home Aide's certificate was not on file, as required. Submit a corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 09/13/2025

In review of records, it was determined that background checks did not meet the requirements of the rule for the IHA as noted in number 4 below: 1. The request for a background check for child care was not submitted in the OPR. 2. The fingerprints were not submitted electronically according to the process established by BCI. 3. Background checks were not updated every five years. 4. The JFS 01176 “Program Notification of Background check Review for Child Care” was not on file at the home, but was on file at the county agency and the individual is eligible. 5 . The JFS 01176 was not on file at the home, but the BCI and FBI results were on file at the home and the IHA had no prohibitive offenses which did not meet the rehabilitation criteria. 6. The JFS 01176 was not on file at the home, but the BCI and FBI results were on file at the county agency and the IHA had no prohibitive offenses which did not meet the rehabilitation criteria. 7. The JFS 01176 “Program Notification of Background Check Review for Child Care” the IHA received from the Department was not on file. 8. The JFS 01177 “Individual Notification of Background Check Review for Child Care” was on file instead of the JFS 01176. 9. The JFS 01176 on file was for a different program. Submit a corrective action plan, which includes a copy of the JFS 01176, to verify compliance with the requirements of this rule. Corrective Action Plan Due: 09/13/2025

During the inspection, it was determined that communicable disease requirements were not met, as indicated in the number 1 below: 1. The JFS 08087 "Communicable Disease Chart" was not readily available to the IHA, parents, and residents. 2. The JFS 08087 was not the current version. 3. The IHA did not follow instructions on the JFS 08087. 4. The IHA did not report a communicable disease that is required to be reported to the local health department to ODJFS in OCLQS by the end of the next business day. Page 2 of 9 sor ier Department of ~ Children & Youth Submit a corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 09/13/2025

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 items or the items were not replaced after use and/or expired listed in numbers 6, 8, 9, 11 and 13 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. 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: 09/13/2025

During the inspection, it was determined that children were not protected from the following item(s) or condition(s) which may threaten their safety as noted in the following number 1 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. Page 3 of 9 sor ier Department of ~ Children & Youth 4. The platform provided for the sink or toilet posed a safety hazard in that [ ]. 5. Other [ ]. Submit a corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 09/13/2025

During the inspection, it was determined the water temperature was 125 in the following room, child 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: 09/13/2025

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 1 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 . Page 5 of 9 sor ier Department of ~ Children & Youth 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: 09/13/2025

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. 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: 09/13/2025

n review of the children’s records, it was determined the program did not meet the requirements for caring for at least one child, indicated on the Children Records Review, with a condition that requires a JFS 01236 ""Child Medical/Physical Care Plan"" as noted in number 1 below: 1. No plan was on file. Page 6 of 9 i or ier Department of ~ Children & Youth (Page 1) 2. Child’s name was missing. 3. Name of the condition was missing. 4. Indication if medication or medical food is required was missing. 5. Signs, symptoms or situations that require the IHA to take action were missing. 6. Activities, foods, environmental conditions to avoid were missing. 7. Training instructions for procedures for the IHA to follow were missing or incomplete. (Page 2) 8. Child's name was missing or not attached. 9. Child's date of birth was missing or not attached. 10. Child's weight was missing or not attached. 11. Name of the medication/medical food was missing or not attached. 12. Dosage of medication/medical food to be administered was missing or not attached. 13. Time for medication/medical food to be administered was missing or not attached. 14. Expiration date for medication/medical food was missing or not attached. 15. Symptoms that require the IHA to administer medication/medical food were missing or not attached. 16. Specific instructions to administer the medication/medical food were missing or not attached. 17. Actions to be taken if the symptoms do not subside were missing or not attached. 18. Physician's signature was missing or not attached. 19. The date of the physician's signature was missing or not attached. (Page 3) 20. Child's name was missing. 21. Instructions regarding emergency evacuation, if applicable, were missing. 22. Signature of parent granting permission to implement the plan and verifying training was missing. 23. Date of parent signature was missing. 24. Certified Professional Trainer information was missing. 25. Signature of certified professional who trained the IHA was missing if parent was not the trainer. 26. Date of trainer signature was missing. 27. Printed name of the IHA who received instructions for care and/or have been trained to perform the procedure was missing. 28. Signature of the IHA who have received instructions for care and/or have been trained to perform the procedure was missing. 29. Date of IHA signature was missing. (Page 4) 30. Child's name was missing. 31. Name of medication or medical food was missing. 32. Date the medication/medical food was administered was missing. 33. Time medication/medical food was administered was missing. 34. Dosage of medication/medical food that was administered was missing. 35. Signature of the IHA administering medication/medical food was missing. 36. The plan was not followed or implemented. 37. The plan was not able to be implemented due to conflicting information. 38. Medication listed in the procedures to follow was not onsite available to administer as instructed and alternate instructions for this situation were not included on the plan. Submit a corrective action plan, which includes a copy of the completed JFS 01236, to verify compliance with the requirements of this rule. Corrective Action Plan Due: 09/13/2025 Page 7 of 9 sor ier Department of 7 Children & Youth [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-14-02 In-Home Aide Compliant Application and Approvals [Rule Status | Documenting Statement(s), If applicable 5180:2-14-02 In-Home Aide Compliant Qualifications [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-05 Handwashing a [Rule Status | Documenting Statement(s), If applicable 5180:2-14-05 Swimming and Water Compliant Safety [Rule Status | Documenting Statement(s), If applicable 5180:2-14-05 Swimming Permission _ | Compliant Po [Rule Status | Documenting Statement(s), If applicable 5180:2-14-05 Pets Compliant | [Rule sd 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 Child Record Retention | Compliant and Confidentiality [Rule Status | Documenting Statement(s), If applicable 5180:2-14-07 Emergency Compliant Preparedness and Response Plan [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-08 Supervision [Compliant | [Rule sd Status | Documenting Statement(s), If applicable 5180:2-14-08 Ratio andGroup Size__| Compliant | [Rule Status | Documenting Statement(s), If applicable 5180:2-14-08 Child Guidance [Compliant ——<i| SCC*d [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-14-08 Child Abuse and Compliant Neglect Reporting [Rule Status | Documenting Statement(s), If applicable 5180:2-14-10 Sleeping and Napping Compliant Requirements Page 8 of 9 sor ier Department of ~ Children & Youth |Rule sd Status | Documenting Statement(s), Ifapplicable | 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 5180:2-14-13 Infant Daily Care [Compliant | [Rule 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 9 of 9

During the inspection, it was determined that the required drills were not completed for item numbers 1 and 2 below: 1. Monthly fire drills at varying times. 2. Monthly weather emergency drills (March through September). Submit a corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 09/13/2025

In review of 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 number 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: 09/13/2025

During this inspection, it was determined that food was not stored in a safe manner as noted in numbers 1 and 5 below: 1. The refrigerator did not maintain a temperature of 40 degrees Fahrenheit or below. 2. Milk was not refrigerated for approximately ( ) minutes after being served. 3. Food was observed thawing on the counter. 4. Spoiled food was served to children. 5. Other - incorrect milk for ages in attendance. Page 4 of 9 sor ier Department of ~ Children & Youth Submit a corrective action plan to verify compliance with the requirement of the rule. Corrective Action Plan Due: 09/13/2025