Abc Childrens Center

Regulation: 3270.151(a)

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

Noncompliance Area: Staff #1 had a health assessment dated 1/19/26, which was not completed prior to employment. Staff #2 had a health assessment dated 10/27/23 and updated 12/9/25, which is greater than 24 months apart. Staff #4 had a health assessment dated 12/1/23 and updated 1/28/26, which is greater than 24 months apart. Staff #5 had a health assessment dated 9/10/25, which was not completed prior to initial employment.

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 conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: Health assessment for staff #2 did not specify if staff #2 had any communicable disease. Health assessment for staff #4 did not specify if staff #4 had any communicable disease.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: Health assessment for staff #2 and #4 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: CPR on file for staff #3 was not in an approved curriculum. CPR on file was listed as Basic Life Support, not Pediatric. Staff person #3 must be supervised at all times by a qualified staff person, an AGS or higher who has completed all preservice trainings. If there is no qualified staff to supervise staff #3, then staff #3 may not work in a child care position until updated Pediatric CPR is on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (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 #3 must be supervised at all times by a qualified staff person, an AGS or higher who has completed all preservice trainings. If there is no qualified staff to supervise staff #3, then staff #3 may not work in a child care position until updated Pediatric CPR is on file.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 had an NSOR dated 10/14/25, which was obtained after staff #1's start date. Staff #3 had a child abuse clearance dated 12/22/20 and updated 2/25/26, which was greater than 60 months apart. NSOR for staff #3 was dated 5/5/25, which was obtained after staff #3's start date. FBI clearance for staff #3 was dated 4/24/25, which was obtained after staff #3's start date. Staff #5 had an FBI clearance dated 9/9/25 and an NSOR clearance dated 2/19/26 on file, both of which were completed after the staff's start date. Staff #5 had mandated reporter training dated 2/17/26, which was completed more than 90 days from employment.

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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During an unannounced investigation on 4-30-25 it was determined that staff person #1 grabbed child #1 by the arm in an attempt to change a diaper.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On Tuesday 3-25-25, the PS room was out of ratio. Once in the AM when a child arrived and the PS group was on the playground and this child made staff #2's ratio 1:11. Later in the classroom, Staff #1 left the room on 2 occasions leaving the classroom out if ratio by 1:12.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: During an unannounced complaint investigation 9-6-24, it was discovered that Staff #1 and #2 did not have completed PSP or Child Abuse Clearance on file or copies of requests for clearnces.

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 #1 and #2 may not work in a child care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During an unannounced complaint investigation 9-6-24, it was discovered that Staff #1 and #2 did not have completed PSP or Child Abuse Clearance on file or copies of requests for clearnces.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During Renewal Inspection 7-1-24, the refrigerators in Rooms #2 and #4 did not have 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.