Carol Ross Family Child Care Home

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On January 15, 2026 during the renewal inspection, the emergency contact form of Child #1 and Child #2 did not contain evidence of release persons address

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: On January 15, 2026 during the renewal inspection, the emergency contact form and fee agreement of Child #1 and Child #2 did not contain evidence of being reviewed and updated at least once in a 6 month period, the documents on file was dated 9/4/2024.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: On January 15, 2026 during the renewal inspection, the file of Staff #1 and Staff #2 did not contain evidence of 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3290.31(f)(4)(i)/3290.31(g)(10)

Description: Age and training/Health and Safety Training - Pediatric first aid/CPR

Noncompliance Area: On January 15, 2026 during the renewal inspection, the file of Staff #1 did not contain evidence of Pediatric First Aid/CPR training, the training on file was dated 5/28/2022.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff person shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3290.31(h)/3290.31(i)

Description: Verification of professional development/Verification of professional development shall be kept in facility person's file

Noncompliance Area: On January 15, 2026 during the renewal inspection, the file of Staff #1 and Staff #2 did not contain evidence of Health and Safety training, the file of Staff #1 did contain Health and Safety Update

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date the professional development was completed. Documentation of the completion of the professional development under subsection (g) taken from September 30, 2016, forward satisfies this requirement. All staff persons shall complete the professional development under subsection §3290.31(g). Documentation of the completion of training shall be kept in the facility person's file or maintained in an electronic system as designated by the Department.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: On January 15, 2026 during the renewal inspection, the file of Staff #1 did not contain evidence of NSOR clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #1 may not work in a child care position at the facility.

Regulation: 3290.106

Description: Refrigerator

Noncompliance Area: Observed 4/10/2023 the refrigerator thermometer temperature exceeded over 45° F when observed, the temperature sat over 55 ° F.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: Observed 4/10/2023 child #3 file did not contain the fee to be charged on the agreement form.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: Observed 4/10/2023 child #1 file agreement form did not contain the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Observed 4/10/2023 Child #2 file of their emergency contact form did not contain the health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3290.131(e)/3290.131(e)(1)

Description: Immunization record/Parent written verification from Doctor.

Noncompliance Area: Observed 4/10/2023 Children 1-3 files did not contain an exemption letter of the recommendation ACIP immunization influenza vaccinations.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Observed 4/10/2023 Children files 1-3 did not contain a 6-month period review of the emergency contact information and the financial agreement.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Observed 4/10/2023 the facility's current certificate of compliance was not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: Observed 4/10/2023 Facility did not conduct the annually emergency drill nor was documented and on file at the facility.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: Observed 4/10/2023 the operator did not send a copy of the emergency plan or subsequent plan updates to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed 4/10/2023 in the child care space where children were located there was Lysol Spray, Clorox Wipes, Purell Disinfectant Wipes, Jergens lotion and Rubbing Alcohol all accessible to children and not locked or stored away.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3290.192(2)

Description: Health assessment, TB test

Noncompliance Area: During the inspection on 5/10/22 continued non-compliance was observed that the records of facility person #1 did not contain and updated written report of subsequent health assessments-document submitted dated 2/4/2020

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: During the verification inspection on 5/10/22 continued non-compliance was observed that the record of facility person #1 did not include training by a professional in the field of first-aid and CPR.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3290.131(a)/3290.131(d)(5)

Description: Within 60 days/Immunization record

Noncompliance Area: During the renewal inspection on 3/16/22, it was observed that -the records of child #1, child #2, and child #5 did not include an initial health report -the records of child #4 did not include a review of the child's immunized status according to recommendations of the ACIP or an exemption letter.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility.A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 3/16/22, it was observed that -the records of child #1, and child #5 did not include an updated emergency contact information and the financial agreement-documents dated 7/19/21 respectively -the records of child #4 did not include an updated financial agreement-document dated 9/2/20

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During the renewal inspection on 3/16/22, it was observed that the records of child #1, child #3 and child #5 did not contain signed parental consent for emergency medical care and did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3290.192(2)

Description: Health assessment, TB test

Noncompliance Area: During the renewal inspection on 3/16/22, it was observed that the records of facility person #1 did not contain and updated written report of subsequent health assessments-document submitted dated 2/4/2020

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: During the renewal inspection on 3/16/2022, it was observed that the record of facility person #1 did not include the annual minimum of 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: During the renewal on 3/16/22 it was observed that the record of facility person #1 did not include training by a professional in the field of first-aid and CPR.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 3/16/22, it was observed that the records of facility person #1, HH member #2 and HH member #3 did not include an updated Child Abuse clearance as required by the CPSL. -the records of Household member #2 did not include the National Sex Offender Registry (NSOR) certificate as required by the CPSL

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 3/16/22, it was observed that there were no receptacle covers on the outlets in the living room and dining room of the facility

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection on 3/16/22, it was observed that there was damaged paint next to the entrance of the living room, peeling paint in the living room and dining rooms of the facility.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: At the time of inspection, the files for staff member #1 and #2 did not contain the National Sex Offender Registry (NSOR).

Correction Required: The operator shall comply with the Child Protective Services Law (CPSL) and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility.

Noncompliance Area: At the time of inspection, a Pack & Play (sleep equipment) used by an enrolled 1 year old child was observed without a label to indicate that the item is used only by the specified child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: At the time of inspection the facility, did not have Child Service Reports completed in the last 6 months for child #2, #3, #4 and #5.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3290.124(e).

Noncompliance Area: At the time of inspection, the agreement forms for child #1and #4 did not specify the arrival and departure times for the enrolled child.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: At the time of inspection, the agreement forms for the enrolled child #1 and #4 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: At the time of inspection, the agreement forms for the enrolled child #4 did not specify the date of admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: At the time of inspection, emergency contact form for child #4 was missing the addresses of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: At the time of inspection, a written plan identifying the means of transporting a child to emergency care; including facility staffing provisions in the event of an emergency, was not posted in the facility.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: At the time of inspection, the health document for staff member #1, dated 1/2019; did not reflect a physical exam.

Correction Required: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.An adult health assessment must include a physical examination.

Noncompliance Area: At the time of inspection, a written statement giving the formula and feeding schedule was not completed child #2, whom was an infant when enrollment started.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: At the time of inspection, a bottle was observed without a label identifying the name of the child using the item.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: At the time of inspection, the facility's emergency plan did not detail how and where children would be sheltered in place at the facility in the event of an emergency.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises..

Noncompliance Area: At the time of inspection, the file for staff member #1 did not contain verification competence in Pediatric first-aid/ CPR training from a professional in the field.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.A facility person's record shall include records of training required by the Department.

Noncompliance Area: At the time of inspection, staff member #1 and #2 did not have verification of completing the annual minimum of 6 clock hours of child care training.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.A facility person's record shall include records of training required by the Department.

Noncompliance Area: CERTIFICATION REPRESENTATIVE OBSERVED FACILITY WAS MISSING A WRITTEN PLAN OF DAILY ACTIVIITES AND ROUTINES

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: FINANCIAL AGREEMENT FOR CHILD #1, CHILD #2, AND CHILD #5 DID NOT INCLUDE RELEASE PERSONS

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: FINANCIAL AGREEMENTS FOR CHILD #2 AND CHILD #5 DID NOT INCLUDE DATES OF ADMISSION

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: FILE RECORD FOR CHILD #2 DID NOT INCLUDE THE ADDRESS OF THE CHILD'S PHYSICIAN OR SOURCE OF MEDICAL CARE

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: FILE RECORDS FOR CHILD #1 AND CHILD #5 DID NOT INCLUDE HEALTH INSURANCE COVERAGE AND POLICY NUMBER

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: EMERGENCY CONTACT FOR CHILD #1, CHILD #2, CHILD #3, CHILD #4, AND CHILD #5 DID NOT INCLUDE RELEASE PERSON'S ADDRESSES

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: FILE RECORD FOR CHILD #1, CHILD #3 AND CHILD #5 DID NOT INCLUDE AN UPDATED HEALTH ASSESSMENT

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: FILE RECORDS FOR CHILD #2 AND CHILD #3 DID NOT INCLUDE SIGNED REVIEW OF EMERGENCY CONTACT AND FINANCIAL AGREEMENT

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: FILE RECORDS FOR CHILD #5 DID NOT INCLUDE SIGNED CONSENT FOR EMERGENCY MEDICAL CARE AND MINOR FIRST AID

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: FILE RECORD FOR STAFF #3 DID NOT INCLUDE A SUBSEQUENT HEALTH ASSESSMENT AND RESULTS OF TUBERCULIN SKIN TESTS

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: CERTIFICATION REPRESENTATIVE OBSERVED FACILITY WAS MISSING AN EMERGENCY PLAN

Correction Required: The facility shall have an emergency plan.

Noncompliance Area: FILE RECORDS FOR STAFF #1 AND STAFF #3 DID NOT INCLUDE FIRST AID TRAINING

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: CERTIFCATION REPRESENTATIVE OBSERVED THAT FACILITY WAS MISSING ONE PERSON COMPETENT IN FIRST-AID TECHNIQUES WHEN CHILDREN WERE IN CARE

Correction Required: One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.

Noncompliance Area: CERTIFICATION REPRESENTATIVE OBSERVED FACILITY FIRST AID KIT DID NOT INCLUDE SCISSORS, TWEEZERS, AND TAPE

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: CERTIFICATION REPRESENTATIVE OBSERVED RECORDS FOR FIRE EVACUATION DRILLS WERE NOT POSTED AND CONDUCTED IN THE FACILITY

Correction Required: Fire evacuation drills shall be conducted at least four times a year.

Noncompliance Area: On 3/15/17 at renewal inspection certification representative observed that the emergency contact form for child # 1 did not contain written consent for emergency medical care and adminstration of minor first aid by staff.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child`s record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: On 3/15/16 at renewal inspection certification representative observed that the emergency contact form for child # 1 did not contain the child's health insurance coverage or policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: On 3/15/17 at renewal inspection certification representative observed that the file of staff person # 1 did not contain documentation of staff person having completed first aid/CPR training.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.