Extraordinary Care

Regulation: 3290.106

Description: Refrigerator

Noncompliance Area: At the time of inspection, the refrigerator thermometer measured at 50 degrees 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: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: At the time of inspection, a cat was present and there was no file present with documentation of current rabies immunization.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of inspection, Emergency Contact forms kept in the "To Go Bag" in the classroom for Child #1, #2, #3, #4, and #5 did not include the addresses of the individuals designated by the parents to whom their child(ren) 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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: During the inspection on 10/24/25 the file for child #1 did not include a child service report/ observation.

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).

Regulation: 3290.151(c)(4)

Description: Information re: medical problems

Noncompliance Area: During the inspection on 10/24/25 the file record for child #2 included a health assessment that did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: During the inspection 10/24/25 the file record for staff person # 1 did not include 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: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: At the time of the inspection, child #1 did not have an updated health assessment.

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 child's record must contain initial and subsequent health reports.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of the inspection, child #1 did not have an updated review of the emergency contact form and the 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: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: At the time of the inspection, staff person #2 did not obtain their annual 12 hours of child care training.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: At the time of the inspection, a bug repellant spray labeled to keep out of reach of children was observed on the outdoor play space step.

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: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: While conducting the renewal inspection on 10/11/23 it was observed staff person# 2 left child# 1 and 2 alone taking a nap in the child care space.

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). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: While conducting the renewal inspection on 10/11/23 it was observed child #1 emergency form did not include insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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: While conducting a renewal inspection on 10/11/23 it was observed child# 1 emergency form did not include address 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: 3290.151(a)

Description: Within 3 months, then 12 months

Noncompliance Area: While conducting the renewal inspection on 10/11/23 it was observed volunteer person #1 file did not include a health assessment on file at the facility.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: While conducting the renewal inspection on 10/11/23 it was observed volunteer person #1 file did not include verification of training regarding the emergency plan at the time of initial employment.

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.