Donnetta Hill-hooks Family Child Care Home

Regulation: 3290.166(4)

Description: Bottles labeled

Noncompliance Area: Observed bottles unlabeled.

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

Regulation: 3290.192(3)

Description: CPSL information

Noncompliance Area: Observed file with expired child abuse clearance.

Correction Required: 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: 3290.121(a)

Description: Review policies and procedures

Noncompliance Area: Observed 11/6/2024 child file # 5, and 6 did not include an agreement between the operator and the parent.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: Observed 11/6/2024 child file # 3, 5, and 6 agreement form were missing the specify date of the child's admission.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Observed 11/6/2024 child #5 and 6 file was missing health insurance information were missing from emergency contact form.

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: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Observed 11/6/2024 child file # 2 emergency contact form were 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.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: Observed 11/6/2024 Child # 1,3 & 4 file were missing a periodic review the emergency contact and agreement form.

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: 3290.131(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: Observed 11/6/2024 children files #1 did not contain an updated health report on file. Child # 1 last physical was 11/2/2023.

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.

Regulation: 3290.131(d)(5)/3290.131(e)(2)(i)

Description: Immunization record/Religious belief/strong personal objection

Noncompliance Area: Observed On 11/6/2024 child #5 file did not contain an exemption letter from the parents for the vaccinations not completed in accordance with the schedule recommended by the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: Observed 11/6/2024 Staff #1 was completing a diaper change and after completing the diaper change staff #1 did not handwash child #1 hands after being diapered.

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

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: Observed 11/6/2024 it was observed that no emergency drill was conducted or documented since 9/18/2023.

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 11/6/2024 it was observed that the emergency plan was not sent 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: 3290.31(f)

Description: Age and training

Noncompliance Area: Observed 11/6/2024 Staff #1 was missing 12 hours from their annual 12 hours of childcare training.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed 11/6/2024 there were Lotion, baby powder and Windex located in the childcare space not locked and accessible to children. In the bathroom there was Lysol bleach spray labeled "Keep out of Reach of Children" located in the toilet unlocked and accessible to children.

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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: Observed crib unlabeled.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.166(4)

Description: Bottles labeled

Noncompliance Area: Observed children's bottles unlabeled.

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

Regulation: 3290.131(a)(2)

Description: Initial health report dated for young toddler < 6 months.

Noncompliance Area: Children #3 was admitted 3/1/2022, but the health exam in his file was not dated, so it is uncertain when it occurred.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility.

Regulation: 3290.131(a)(2)

Description: Initial health report dated for young toddler < 6 months.

Noncompliance Area: Child #5 was admitted 1/31/2022, but his last physical exam was dated 10/7/2021.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: During the renewal inspection child #1 fee agreement was not signed by the parent.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3290.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: During the renewal inspection the fee agreement for child #4 did not include the arrival and departure time of the child on file.

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

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: During the renewal inspection the fee agreement for child #1-3 and 5 did not include the child's admission date on file.

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

Regulation: 3290.131(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: During the renewal inspection child #1-3 did not have a complete health assessment on file.

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.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection the fee agreement for child 1 and 4 was not updated once in a 6-month period and on file.

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(4)

Description: Consent for emergency medical care required prior to admission/Consent for administration of medications or special dietary needs

Noncompliance Area: During the renewal inspection the emergency contact for child #3 did not contain signed parental consent for emergency medical care and administration of medications or special needs on file.

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 medications or special dietary needs.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: During the renewal inspection staff #1 did not have 12 clock hours of child care training on file.

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

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: During the renewal inspection staff #1 did not have health and safety training on file.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of the date of hire:

Noncompliance Area: During the renewal inspection the agreement for child #1 and 3 did not have the release person on file and child #1 file did not include the date of the child's admission.

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

Noncompliance Area: During the renewal inspection the emergency contact for child #1 and 2 did not include the parents work address and phone number on file.

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 child #1 and 2 emergency contact did not include the release persons address on file.

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: During the renewal inspection child #2 and 3 file did not include a current health assessment.

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

Noncompliance Area: During the renewal inspection child #2 emergency contact was not updated at least once in a 6-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: During the renewal inspection child #2 emergency contact did not include written parental consent for emergency medical care and administration of minor first-aid on file.

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: During the renewal inspection staff #1 did not have emergency plan training on file.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Noncompliance Area: During the renewal inspection child #1-5 emergency contact and financial agreement had various areas of missing information that was not 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.An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: During the renewal inspection child #1 and 4 emergency contact was not updated at least once in a 6-month period. Child #3 financial agreement was not updated at least once in a 6-month period.

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 child #1-4 did not have a current health assessment on file.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerThe 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: During the renewal inspection staff #1 did not have a current health assessment on file.

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 staff #1 did not have 6 hours of child care training and emergency plan training on file.

Correction Required: A facility person's record shall include records of training required by the Department.

Noncompliance Area: During the renewal inspection staff #1 did not have first-aid training on file.

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: During the renewal inspection there were toxics in the bathroom sink under cabinet and on top of the file cabinet that was accessible to children.

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 RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING PARENT SIGNATURE ON THE AGREEMENT OF CHILD 5.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING FEE AMOUNT ON THE AGREEMENT OF CHILD 2.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING DATE IN WHICH FEE IS TO BE PAID FOR CHILD 2.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING SERVICES TO BE PROVIDED FOR CHILD 2.

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 RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING ARRIVAL AND DEPARTURE TIMES FOR CHILD 2 AND CHILD 6.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING NAMES OF DESIGNATED RELEASE PERSONS ON THE AGREEMENT OF CHILD 2.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING ADDRESS AND TELEPHONE NUMBER OF THE SOURCE OF MEDICAL CARE FOR CHILD 6.

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: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING SIGNED CONSENT FOR EMERGENCY MEDICAL CARE FOR CHILD 1 AND CHILD 6.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING HEALTH INSURANCE COVERAGE AND POLICY NUMBER FOR CHILD 1, CHILD 2, CHILD 4, CHILD 5 AND CHILD 6.

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: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING EMERGENCY TRANSPORTATION PLAN POSTED AT 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: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED OUT OF DATE SIGNATURES ON THE EMERGENCY CONTACT AND AGREEMENT FORMS FOR CHILD 2

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: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING CONSENT FOR EMERGENCY MEDICAL CARE FOR CHILD 1, CHILD 2, CHILD 4, CHILD 5 AND CHILD 6.

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: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING CONSENT FOR ADMINISTRATION OF MEDICATIONS OR DIETARY NEEDS FOR CHILD 1, CHILD 2, CHILD 4, CHILD 5 AND CHILD 6.

Correction Required: A child's record must contain signed parental consent for administration of medications or special dietary needs.

Noncompliance Area: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING CONSENT FOR ADMINISTRATION OF MINOR FIRST AID PROCEDURES BY FACILITY STAFF FOR CHILD 1, CHILD 2, CHILD 4, CHILD 5 AND CHILD 6.

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING CONSENT FOR TRANSPORTATION, WALKING EXCURSIONS, SWIMMING AND WADING FOR CHILD 1, CHILD 2, CHILD 4, CHILD 5 AND CHILD 6.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING MANDATED REPORTER TRAINING FOR STAFF 2 AND MISSING FBI CLEARANCE FOR HOUSEHOLD MEMBER 7.

Correction Required: 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED STAFF 2 MISSING 6 HOURS OF CHILD CARE TRAINING.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 11-3-17, CERT REP OBSERVED MISSING DOCUMENTATION OF FIRE DRILLS BEING CONDUCTED AT THE FACILITY.

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