OLIVERs TREEHOUSE LEARNING CENTER

Noncompliance Area: DURING THE MONITORING INSPECTION STAFF 2 DID NOT HAVE A FILE. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: DURING THE MONITORING INSPECTION THE FILE OF STAFF 1 ONLY INCLUDED DOCUMENTAITON OF 4 HOURS OF BIENNIAL TRAINING. THIS IS CONTINUED NON-COMPLIANCE.

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: DURING THE COMPLAINT INVESTIGATION A CHILD WAS OBSERVED USING THE FRONT OUTSIDE STAIRS TO LEAVE THE FACILITY. THE STAIRS WERE CRUMBLING AND IN DISREPAIR CAUSING A TRIPPING HAZARD.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE SURFACE OF THE CHILDREN'S TABLE IN THE FRONT CHILD CARE SPACE WAS TORN AND PEELING. IN THE REAR CHILD CARE SPACE THERE WAS A SHELF MOUNTED ON THE WALL ABOVE THE CHILDREN'S BOOKCASE THAT WAS LEANING AND UNSTABLE DUE TO THE MOUNTING BEING LOOSE. THE SHELF ALSO HAD TOXIC CHEMICALS DRIPPING ON IT FROM THE CABINET ABOVE THAT CONTAINED PAINT AND LEAKING WOOD STAINER..

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE AGREEMENT FOR CHILD 1, CHILD 2 AND CHILD 3 DID NOT INCLUDE A CHILD SERVICE REPORT IN THE LIST OF SERVICES TO BE PROVIDED.

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: DURING THE RENEWAL INSPECTION THE AGREEMENT FOR CHILD 1 DID NOT INCLUDE THE DATE OF THE CHILD'S ADMISSION.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD 3 DID NOT INCLUDE THE PARENT'S WORK TELEPHONE NUMBER.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 1 DID NOT INCLUDE EMERGENCY CONTACT INFORMATION WITH A 6 MONTH REVIEW AND UPDATE. THE FILE OF CHILD 2 AND CHILD 3 DID NOT INCLUDE EMERGENCY CONTACT INFORMATION OR AN AGREEMENT WITH A 6 MONTH REVIEW AND UPDATE.

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 informationA 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: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 2 (DOB 11/7/17) DID NOT INCLUDE AN UPDATED HEALTH ASSESMENT. THE FILE OF CHILD 3 (DOB 2/27/18) DID NOT INCLUDE A HEALTH ASSESSEMENT.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 1 (DOB 4/5/16) DID NOT INCLUDE A SIGNED HEALTH OR CURRENT 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. A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 2 (DOB 11/1/17) INDICATED THAT THE CHILD HAD NOT RECEIVED THE RECOMMENDED DOSES OF THE FOLLOWING IMMUNIZATIONS: DTAP; POLIO; HEP B; HIB; MMR, VARICELLA, PNEUMOCOCCAL; INFLUENZA, AND HEP A.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.A child's record must contain initial and subsequent health reports.

Noncompliance Area: DURING THE RENEWAL INSPECTION A CHILD DID NOT WASH HANDS BEFORE EATING A SNACK.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: DURING THE RENEWAL INSPECTION STAFF 1 DID NOT HAVE VALID HEALTH ASSESSMENT.

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.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: DURING THE RENEWAL INSPECTION A SIPPY CUP WAS NOT LABLED WITH THE CHILD'S NAME.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE CERTIFICATION TAG ON THE FIRE EXTINGUISHER INDICATED THAT THE UNIT WAS LAST SERVICED IN MARCH 2017 AND THE TAG INCLUDED THE FOLLOWING STATEMENT 'VOID 1 YR FROM MO PUNCHED, SYSTEM 6 MOS'.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children including requirements under Chapter 34 403.23 (i.e. smoke detectors, fire extinguishers and exiting requirements).

Noncompliance Area: DURING THE RENEWAL INSPECTION STAFF 2 DID NOT HAVE A RECORD.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WAS NO DOCUMENTATION OF AN ANNUAL UPDATE AND REVIEW OF THE EMERGENCY PLAN.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF STAFF 1 DID NOT INCLUDE DOCUMENTAITON OF 12 HOURS OF BIENNIAL 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: DURING THE RENEWAL INSPECTION POWER STRIP WITH UN-USED ELECTRICAL OUTLETS AND AN ELETRICAL OUTLET ACCESSIIBLE TO CHILDREN DID NOT HAVE A PROTECTIVE COVERS.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WAS A CABINET IN THE REAR CARE SPACE THAT WAS FULL OF PAINT AND WOOD STAINING CHEMICALS. THE CABINET WAS NOT LOCKED AND THE CHEMICALS WERE SPILLING ON THE SHELF AND DRIPPING OUT OF THE CABINET ONTO A SHELF LOCATED ABOVE THE CHILDREN'S BOOK SHELF. THERE WAS ALSO LIQUID LAUNDRY DETERGENT AND INSECTICIDE SPRAY ACCESSIBLE TO CHILDREN IN THE CHILD CARE SPACE.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE TOILET IN THE BATHROOM WAS LEAKING AND THE PIPE COVER WAS RUSTY. THE CARPET LOCATED IN THE REAR CHILD CARE SPACE WAS DIRTY.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WAS DAMAGED PAINT ON A WOODEN COLUMN LOCATED IN THE REAR CHILD CARE SPACE.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/19/18, MATS WERE NOT LABELED WITH THE CHILDREN'S NAME OR COT NUMBER.

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: DURING THE RENEWAL INSPECTION ON 11/19/18, PROVIDER LEFT CHILDREN UNATTENEDED TO ANSWER THE DOOR RANGING FROM AGES YOUNG TODDLER TO PRESCHOOL.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/19/18, CHILD 1,2,3 AND 4 AGREEMENT FORM DID NOT STATE THE RELEASE PERSON ON THE FORM.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/19/18, CHILD 2,3 AND 4 AGREEMENT DID NOT STATE THE DATE OF ADMISSION ON THE FORM.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/19/18, CHILD 4 FILE DID NOT CONTAIN AN EMERGENCY CONTACT FORM ON FILE.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/19/18, THERE WAS NO WRITTEN PLAN IDENTIGYING THE MEANS OF TRANSPORTING A CHILD TO EMERGENCY CARE AND STAFFING PROVIONS IN THE EVENT OF AN EMERGENCY DISPLAYED IN A CONSPICUOUS LOCATION IN THE CLASSROOM AND THE QUIET AREA.

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: DURING THE RENEWAL INSPECTION ON 11/19/18, CHILD 2 AND 4 FILE DID NOT CONTAIN A PHYSICAL.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/19/18, THERE WERE BOTTLES AT THE FACILITY NOT LABELED.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/19/18, IT WAS POBSERVED THAT THE FACILITY DID NOT SEND THE EMERGENCY PLAN TO THE COUNTY EMERGENCY MANAGEMENT AGENCY.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/19/18, STAFF 1 FILE DID NOT CONTAIN 12 HOURS OF CHILD CARE TRAINING IN THE LAST TWO YEARS. STAFF FILE WAS MISSING 3.5 HOURS OF TRAINING FROM THE FILE.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/19/18, THERE WERE ELECTRICAL SOCKET OUTLETS PRESENT WITHOUT A PROTECTIVE OUTLET COVER ACCESSIBLE TO CHILDREN CAUSING A POTENTIAL HAZARD.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/19/18, THERE WAS BLEACH IN THE LAUNDRY SINK ACCESSIBLE TO SCHOOL AGE CHILDREN CAUSING A POTENTIAL HAZARD IN THE CLASSROOM.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/19/18, THE FIRST AID KIT IN THE CLASSROOM WAS MISSING TAPE AND SOAP.

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: DURING THE RENEWAL INSPECTION ON 11/19/18, THE FACILITY HAS NOT CONDUCTED A FIRE DRILL SINCE 9/20/17 ACCORDING TO THE FIRE DRILL LOG.

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

Noncompliance Area: FILE RECORD FOR CHILD #1 DID NOT INCLUDE AN AGREEMENT SPECIFYING 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: FILE RECORD FOR CHILD #1 DID NOT INCLUDE AN AGREEMENT WITH THE DATE OF CHILD'S ADMISSION

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

Noncompliance Area: FILE RECORD FOR CHILD #1 DID NOT INCLUDE THE ADDRESS AND PHONE NUMBER 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 RECORD FOR CHILD #1 DID NOT INCLUDE THE ENROLLING PARENT'S WORK ADDRESS

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: FILE RECORD FOR CHILD #1 DID NOT INCLUDE HEALTH INSURANCE COVERAGE AND POLICY NUMBER FOR A CHILD UNDER A FAMILY POLICY OR MEDICAL ASSISTANCE BENEFITS

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: FILE RECORD FOR CHILD #1 DID NOT INCLUDE THE ADDRESSES AND PHONE NUMBERS THE PERSONS DESIGNATED BY A 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: FILE RECORD FOR STAFF #1 DID NOT INCLUDE A HEALTH ASSESSMENT COMPLETED WITHIN TWENTY FOUR MONTHS; LAST COMPLETED ON 11/21/14

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.

Noncompliance Area: FACILITY WAS MISSING INDIVIDUAL FILE RECORDS FOR CHILD #3, CHILD#4, AND CHILD #5

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: FILE RECORD FOR CHILD #1 DID NOT INCLUDE A REVIEW AND UPDATE OF THE EMERGENCY CONTACT INFORMATION AND THE FINANCIAL AGREEMENT AT LEAST ONCE IN A SIX MONTH PERIOD

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 RECORD FOR CHILD #1 DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE FOR THE CHILD

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.

Noncompliance Area: FILE RECORD FOR CHILD #1 DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR MINOR FIRST-AID PROCEDURES BY FACILITY STAFF

Correction Required: 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.