Josefina's Daycare

During the inspection, it was determined that the following hazardous conditions existed in the outdoor play area, as noted in number(s) #4 below: 1. There was broken glass. sa i Department of hj Children & Youth 2. There were tall weeds. 3. There was poison ivy. 4. There were tree branches. 5. There was mold visible. 6. The sandbox was contaminated. 7. There were thistles with prickers. 8. There were bird droppings. 9. The outdoor area was littered with trash. 10. The trash can was missing a lid. 11. The trash was not emptied from the day(s) before. 12. The trash can was overflowing with trash. 13. The trash can was infested with insects. 14. The trash can was visibly dirty. 15. Other []. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule. Corrective Action Plan Due: 05/20/2026

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, #4below: 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 [ ] sa i Department of ~ Children & Youth ae Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule. Corrective Action Plan Due: 05/20/2026

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(s) #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 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: 05/20/2026 Rules In-Compliance/Not Verified TG i Department of ~ Children & Youth ae PRule Status | Documenting Statement(s), If applicable 5180:2-13-02 Voluntary Temporary Compliant Closure [Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable ee a [Rule sd Status | Documenting Statement(s), If applicable 5180:2-13-02 Informationin OCLQS —_| Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-02 Provider Medical Compliant ee [Rule 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 PRule Status | Documenting Statement(s), If applicable 5180:2-13-04 Heaters in a Type B Compliant Home TG i Department of ~ Children & Youth ae [Rule —S~S~S~SSSSS*SY Status ——~SS—~*dicmenting Statements), aplicable ee a [Rule Status | Documenting Statement(s), If applicable a [Rule Status | Documenting Statement(s), If applicable 5180:2-13 Written Policies and Compliant Procedures | Rule Cd Status | Documenting Statement(s), If applicable 5180:2-13-07 Type B Provider - Foster | Compliant Parent | Rule Status | Documenting Statement(s), If applicable 5180:2-13-08 Employee Requirements | Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-08 Child Care Staff Compliant Requirements [Rule Status | Documenting Statement(s), If applicable ee a P Rule Status | Documenting Statements), If applicable ee a | Rule Status | Documenting Statement(s), If applicable ee a P Rule Status | Documenting Statement(s), If applicable 5180:2-13-10 Professional Compliant Development P Rule Status | Documenting Statement(s), If applicable 5180:2-13-11 Indoor Space [Compliant TG i Department of ~ Children & Youth ae [Rule Status | Documenting Statement(s), If applicable — a [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 5180:2-13-12 Safe Environment Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-12 Carbon Monoxide Compliant Detectors - Type B Only [Rule Status | Documenting Statement(s), If applicable _ ee | Rule i Status | Documenting Statements), If applicable 5180:2-13-13 Clean environment and | Compliant equipment [Rule Status | Documenting Statements), If applicable ee a | Rule Status | Documenting Statement(s), If applicable — a [Rule Status | Documenting Statement(s), If applicable a sa i Department of ~ Children & Youth ae PRule Status | Documenting Statement(s), If applicable 5180:2-13-14 Requirements for Field Compliant and Routine Trips P Rule Status | Documenting Statement(s), If applicable 5180:2-13-14 Ratio and Supervision Compliant for Field and Routine Trips [Rule Status | Documenting Statements), If applicable —— a [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-13-14 Vehicle Inspections Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-14 Vehicle Requirements Compliant ee [Rule Status | Documenting Statement(s), If applicable 5180:2-13-15 Health Conditions Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-15 Child Records Retention | Compliant and Confidentiality [Rule Status | Documenting Statement(s), If applicable — a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 First Aid Kit/Standard Compliant Precautions PRule Status | Documenting Statement(s), If applicable a a 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 5180:2-13-16 Emergency Compliant Preparedness and Response Plan [Rule Status | Documenting Statement(s), If applicable —e a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-17 Materials and Compliant Equipment [Rule Status | Documenting Statement(s), If applicable 5180:2-13-18 Group Size and Ratios Compliant re [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-13-18 Attendance Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-19 Supervision Compliant re [Rule Status | Documenting Statement(s), If applicable a [Rule Status | Documenting Statements), If applicable 5180:2-13-20 Sleep and Nap Compliant Requirements [Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-20 Crib and Playpen Compliant Requirements TG i Department of ~ Children & Youth ae a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-21 Sanitary Environment Compliant and Hygiene [Rule Status | Documenting Statement(s), If applicable a [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-22 Food Handling Compliant re | Rule i Status | Documenting Statement(s), If applicable ~— “™ ee [Rule Status | Documenting Statement(s), 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 PRule Status | Documenting Statement(s), If applicable oe a [Rule Status | Documenting Statements), If applicable ee a | Rule Status | Documenting Statement(s), If applicable — a P Rule Status | Documenting Statement(s), If applicable 5180:2-13-24 Parent Permission for Compliant Swimming TG i Department of ~ Children & Youth (a | Rule i Status | Documenting Statement(s), If applicable 5180:2-13-25 Medication Compliant Requirements

During the inspection, it was determined the requirements for the JFS 01242 "Medical, Dental and General Emergency Plan" were not followed as noted in number(s) #7 below: 1. The plan was not posted on each level of the home used for child care. 2. The name, address and telephone number of the program were not complete. 3. The location of the first aid kit, fire extinguisher and fire alarm system, fire alarm pull stations and electrical circuit box were not complete. 4. The telephone number for emergency squad, fire department hospital, poison control program, public children services agency, local health department, local emergency management agency and police department were not complete. 5. Location of children's records was not complete. 6. Emergency information including any medications or supplies needed i the event of an evacuation was not complete. 7. The current version of the prescribed form was not used. 8. The plan was not implemented when necessary in that [ ]. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule. Corrective Action Plan Due: 05/20/2026

During the inspection, it was determined the JFS 01201 "Dental First Aid" was not completed/posted. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule. Corrective Action Plan Due: 05/20/2026

During the inspection, it was determined children were sleeping in areas that have not been approved for sleeping. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule. Corrective Action Plan Due: 05/20/2026 Low Risk Non-Compliances