Swords, Brandy

In review of the staff records, it was determined that background check requirements had not been followed, for the individual(s) listed on the Employee Record Chart, as noted in number(s) 1 below: 1. The JFS 01176 “Program Notification of Background Check Review for Child Care” the program received from the Department was not on file and the individual was not left alone with children. 2. The JFS 01177 “Individual Notification of Background Check Review for Child Care” was on file instead of the JFS 01176. 3. The JFS 01176 on file was for a different program. Submit the program’s corrective action plan, which includes a statement that the correct form is now on file, to verify compliance with the requirements of this rule. Corrective Action Plan Due: 09/21/2025 Rules In-Compliance/Not Verified se ier Department of ~ Children & Youth nl [Rule SCS Status ——~SCSCS~S Do crenting Statement), 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 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 re [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 Statements), 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 Status | Documenting Statement(s), If applicable 5180:2-13-04 Heaters in a Type B Compliant Home PRule Cd Status | Documenting Statement(s), If applicable se ier Department of ~ Children & Youth nl 5180:2-13-05 Denial, Revocation, and | Compliant Suspension [Rule Status | Documenting Statement(s), If applicable a a [Rule i Status | Documenting Statement(s), If applicable a [Rule i Status | Documenting Statement(s), If applicable 5180:2-13 Written Policies and Compliant Procedures [Rule i 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 i Status | Documenting Statement(s), If applicable 5180:2-13-08 Child Care Staff Compliant Requirements [Rule i Status | Documenting Statement(s), If applicable ee a PRue Status | Documenting Statement(s), If applicable ee a ee [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-10 Professional Compliant Development [Rule Status | Documenting Statement(s), If applicable se ier Department of ~ Children & Youth nl a [Rule i Status | Documenting Statement(s), If applicable a [Rule Status | Documenting Statement(s), If applicable eo i [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-12 Safe Equipment Compliant re | 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 Status | Documenting Statement(s), If applicable 5180:2-13-13 Clean environment and | Compliant equipment [Rule Status | Documenting Statements), If applicable a a | Rule Status | Documenting Statement(s), If applicable 5180:2-13-15 Child Medical and Compliant Enrollment Records P Rule Status | Documenting Statement(s), If applicable —e a se ier Department of ~ Children & Youth nl | Rule i Status | Documenting Statement(s), If applicable ee a [Rule Cd 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 ee 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 re [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 5180:2-13-16 Medical, Dental, and Compliant General Emergency Plan | Rule Status | Documenting Statement(s), If applicable oe a PRule Status | Documenting Statement(s), If applicable ee a P Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 Incident/Injury [Compliant se ier Department of ~ Children & Youth nl [Rule 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 Status | Documenting Statement(s), If applicable 5180:2-13-18 Attendance Compliant re [Rule Status | Documenting Statement(s), If applicable oo _ ee | Rule Status | Documenting Statements), If applicable a [Rule 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 ee a se ier Department of ~ Children & Youth nl PRule Status | Documenting Statement(s), If applicable 5180:2-13-20 Crib and Playpen Compliant Requirements P Rule Status | Documenting Statement(s), If applicable 5180:2-13-21 Sanitary Environment Compliant and Hygiene [Rule Status | Documenting Statements), If applicable rr [Rule Status | Documenting Statement(s), If applicable 5180:2-13-22 Food Handling Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-23 Infant Daily Care Compliant ee [Rule Status | Documenting Statement(s), If applicable 5180:2-13-23 Infant Bottle and Food Compliant Preparation [Rule Status | Documenting Statement(s), If applicable oo a [Rule i Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable oo a P Rule Status | Documenting Statement(s), If applicable 5180:2-13-24 Parent Permission for Compliant Swimming PRue Cd Status | Documenting Statement(s), If applicable se ier Department of = Children & Youth 5180:2-13-25 Medication Compliant Requirements

During the inspection, it was determined that the following hazardous conditions existed in the off-site outdoor play area, as noted in number(s) 15 below: se ier Department of “ale Children & Youth 1. There was broken glass. 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 : Splintered wood on ground Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule. Corrective Action Plan Due: 09/21/2025

In review of the program's 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(s) 1 below: se ier Department of ~ Children & Youth Sor ig 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: 09/21/2025

During the inspection, it was determined that required documentation for substitutions for fluid milk was not as file noted in number(s) 3 below: 1. Written instructions from a licensed physician, physician's assistant, or certified nurse practitioner when Infants up to 12 months of age were served anything other than formula or breast milk . 2. Written instructions from a licensed physician, physician's assistant, or certified nurse practitioner when Infants and toddlers 12 months of age up to 24 months of age were served anything other than unflavored whole homogenized vitamin D fortified cow's milk, breast milk, or non-cow milk substitutions that is nutritionally equivalent to milk. 3. Written instructions from a licensed physician, physician's assistant, or certified nurse practitioner when toddlers and children 24 months of age and older are served anything other than unflavored one percent milk that is vitamin A and D fortified, unflavored fat free or skim milk that is vitamin A and D fortified, or non-cow milk substitutions that are nutritionally equivalent to milk. 4. Written parental consent for non-cow milk substitutions that are nutritionally equivalent to 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: 09/21/2025