Nuryantika Ismail

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a toy piano on the patio in the outdoor play area which had a loose leg. *Corrected at the time of the inspection.

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.

Regulation: 3290.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: Observed areas in the outdoor play space with mulch under 1 inch in diameter which was accessible to toddlers receiving care.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: Observed a box of plastic trash bags on the lower shelf on the changing table which was accessible to older toddlers who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: Observed the rest equipment was not labeled with the child's name for whom the equipment was intended.

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: 3290.106

Description: Refrigerator

Noncompliance Area: Observed the refrigerator used to store food lacked a thermometer.

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: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: Observed preschool age children walking down the hallway to use the restrooms without being supervised by a staff person.

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).

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The operator did not ensure a child service report with information to the family about the child's growth and development was completed at least once every 6 months. The files for child #1, #2 and #4 included The Ounce Scale assessment tool which have not been completed since 02/2025.

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: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement for child #1, #2, #3, #4 and #5 did not specify the date of the child's admission. The file for child #5 did not include the date of withdrawal from the program.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #3 did not include the complete address of the child's physician or source of medical care. The emergency contact information for child #5 did not include the telephone 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.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #5 did not include the addresses of the individuals 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: The emergency contact information and financial agreement for child #1, #2, #3, #4 and #5 were not updated by a parent at least once every 6 months. The forms for child #1 were reviewed on 03/25/2026 and 02/04/2025 with no subsequent review documented in-between. The forms for child #2 were reviewed on 04/02/2026 and 01/29/2025 with no subsequent review documented in-between. The forms for child #3 have not been reviewed since initial enrollment (see LIS code sheet). The forms for child #4 were reviewed on 03/26/2026 and 01/30/2025 with no subsequent review documented in between. The forms for child #5 have not been reviewed since initial enrollment (see LIS code sheet).

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(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: The file for child #2 did not include an initial health report within 60 days of enrollment (see LIS code sheet). The file included an immunization record dated 02/09/2025 and a Well Child Report dated 12/01/2025. The file includes a current health report dated 04/23/2026. The file for child #3 did not include an initial health report within 60 days of enrollment (see LIS code sheet). The file includes a current health report dated 01/06/2026 with no prior health report on file. The file for child #4 did not include an initial health report within 60 days of enrollment (see LIS code sheet). The file includes a current health report dated 03/25/2026, with a previous health report dated 03/27/2025, with no initial health report within 60 days of enrollment. The file for child #5 did not include an initial or subsequent health reports within 60 days of enrollment (see LIS code sheet). The file did not include any health reports.

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: 3290.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for child #4 included an After Visit Summary dated 03/25/2026 which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3290.151(a)/3290.151(c)(2)

Description: Within 3 months, then 12 months/Mantoux TB

Noncompliance Area: The file for staff person #2 did not include the results of a Tuberculosis screening prior to caring for children. The file for facility person #3 did not include a health assessment with the results of a Tuberculosis screening prior to preparing food for the children.

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. An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The emergency plan did not address continuity of operations. The operator was unable to locate a copy of the Shaken Baby / Abusive Head Trauma / Child Maltreatment policy.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parent of each child enrolled with information on how to access the Family Child Care Home regulations electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3290.24(a)(5)/3290.24(f)

Description: Emergency plan/Emergency plan

Noncompliance Area: The facility emergency plan did not include accommodations for children with disabilities and chronic medical conditions. The parent letter provided to the parent did not include information regarding accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions. The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: The operator did not have documentation of an annual review of the emergency plan within the previous 12 months.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The operator did not have documentation of an annual emergency drill completed within the previous 12 months.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 included a NSOR clearance which was not updated within 60 months of the previous clearance. The current NSOR on file was dated 11/14/2025 with the previous clearance dated 08/04/2020. The file for staff person #2 did not include a signed disclosure statement at the time of initial hire (see LIS code sheet). *Corrected at the time of the inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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.

Regulation: 3290.61

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: Observed the side door leading into the garage from the outdoor play space was unlocked allowing access. Observed a ladder lying on the ground in the outdoor play space creating a hazard. Observed a garden hose hanging down from the retractable wall mounted holder creating a hazard.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed electrical outlets in the bathrooms, hallways and the classroom which did not have protective receptacle covers and were accessible to children 5 years of age and younger.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed a spray bottle of cleaning solution which was not labeled with its contents. *Corrected at the time of the inspection. The bottle was on the windowsill behind the changing table which was accessible to children. Observed hand sanitizer, Aquaphor diaper cream and an off-brand diaper cream labeled "Keep out of reach of children" on the windowsill behind the changing table which was accessible to children. Observed sunscreen labeled "Keep out of reach of children" in the children's cubbies which were accessible to children. Observed the backpack containing the first aid kit was unzippered and, on the floor. The first aid kit included triple antibiotic ointment labeled "Keep out of reach of children". Observed a large bottle of bleach, dish detergent and other cleaning supplies in an open space next to the sink in the laundry room which was accessible to children. Observed a bottle of laundry detergent accessible in the shower stall in the bathroom / laundry room; the shower stall door was open. Observed Salon Pas - pain relief patches, mouthwash, Aveeno lotion and toothpaste in an unlocked cabinet in the bathroom which 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.

Regulation: 3290.65(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Observed a strip of ground at the back end of the outdoor play area which was used for compost. Observed a child take their plate after lunch and discard their leftover food into the compost pile. The paper plate was discarded into an uncovered trash can. Observed food remains decomposing without fencing surrounding the area to keep the area inaccessible to the children; the low garden fence did not extend the entire length of the compost area leaving large gaps on the left and right sides.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3290.73(b)

Description: Inaccessible to children

Noncompliance Area: Observed the first-aid kit on the floor in the classroom which was accessible to children.

Correction Required: A first-aid kit shall be inaccessible to children.

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: Observed the first aid kit did not include sterile gauze pads. *Corrected at the time of the inspection.

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.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: Observed electrical outlets in the bathroom / laundry room and in the hallway which did not have protective plate covers exposing the wires to the outlets. Observed wooden climbing equipment in the classroom which was approximately 4 - 4 1/2 feet in height with a climbing wall, a rope swing and ladders with no fall zones established. The operator did not have protective padding around the equipment. The equipment was placed less than 2 feet from the wall / closet doors. There was a folded up wooden crib placed between the equipment and the closets. Observed children 2 - 5 years old climbing on the equipment and sitting on top the equipment without staff nearby directly supervising the children on the equipment. The warning label on the side of the equipment states, "Only for domestic outdoor Use", "Do not use without adult supervision. Risk of falling." and the "The minimum user age is 36 months". Observed a broken plastic tote on the left back corner of the outdoor play area, and broken wooden bridge and a pile of broken wooden boards in the right back corner of the outdoor play area which were accessible to the children. Observed the board with the hose attached to the fence near the pear tree was splintering at the bottom creating sharp, rough edges. Observed a rose bush in the outdoor play space, the thorns on the bush create sharp points. Observed a hole in the door leading to the utility closet which created rough edges. The door was unlocked allowing access to the hot water heater and other utilities in the room. Observed the door leading into the mudroom at the end of the hall next to the bathroom was unlocked. Observed a deck chair folded up against the wall which was unstable and packets of "Little Hotties" hand warmers which are labeled "Keep out of reach of children" on a shelf accessible to children. Observed a child size chair at the sink in the bathroom for the children to stand on to wash their hands in lieu of a step stool.

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.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Evacuation routes were not posted in a conspicuous location in the basement or on the main level of the home.

Correction Required: Evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3290.95(b)

Description: Operator or designated staff responsibility

Noncompliance Area: The operator did not ensure a manual test of the fire detection system was tested at least once every 30 days; tests exceeded 30 days: 01/09/2026 - 02/10/2026; 03/10/2026 - 04/10/2026. A test was not documented in May 2026 and was due by 05/10/2026. *A manual test of the fire detection system was completed at the time of the inspection.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 5/15/25, it was observed that child 5 did not have documentation of the address of one of their release persons. CORRECTED ON SITE.

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: 3290.182(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: On 5/15/25, it was observed that child 1 did not have signed parental 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.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: On 5/15/25, it was observed that there was not documentation of an emergency drill in the previous 12 months.

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: On 5/20/24, it was observed that the emergency contact information for child 3 did not have the work address for the enrolling parent.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 5/20/24, it was observed that children 3 and 5 did not have a health insurance policy number on file.

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: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: On 5/20/24, it was observed that Household member 1 had turned 18 in the previous year and did not have a NSOR (National Sex Offender Registry) certificate on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3290.61

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: On 5/22/23, it was observed that a pile of boards was stored in the right corner of the outside play area that had protruding screws and bolts.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: On 5/22/23, it was observed that the plastic fencing, near the gate in the outside play area had a large crack, creating a possible pinching hazard to the children.

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.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 5/23/22, it was observed that child 1 did not have addresses on file for their release persons.

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)(2)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: On 5/23/22, it was observed that staff person 1 had a health assessment on file that expired on 10/18/21 and had not been updated. Health Assessments must be completed every 24 months.

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.