What Ohio inspectors cite the most

Type B home: each child must have current medical and enrollment records on file before care begins, with required immunization, medical, and emergency-contact information.

• Child medical exam not on file before care began
• Immunization record incomplete
• Emergency contact form missing or out of date

Type A center: each child must have current medical and enrollment records on file before care begins, including immunization, medical exam, and emergency-contact data.

• Child medical exam not on file before care began
• Immunization record incomplete
• Emergency contact information not updated

Type B home: provider and substitute caregivers must meet OAC educational requirements (HS diploma or GED) and have appropriate background documentation.

• Provider HS diploma or GED documentation missing
• Substitute caregiver qualification record missing
• Educational credential not on file

Type A center: child-care staff must meet OAC educational and qualification requirements, including HS diploma/GED and required pre-service or college credit.

• Staff record missing high-school diploma or GED verification
• Pre-service training or college credit not documented
• New hire working without qualification record on file

Type B home: monthly fire and severe-weather emergency drills must be conducted and documented.

• Monthly fire drill not documented within required interval
• Severe weather drill record missing
• Drill log incomplete

Type B home: caregivers and children must wash hands at all required times — arrival, before food, after toileting/diapering, after bodily-fluid contact, etc.

• Staff did not wash hands before food service or after diapering
• Children did not wash hands upon arrival or after outdoor play
• Soap and water not used when visibly soiled

Type A center: monthly fire and severe-weather emergency drills must be conducted, documented, and reviewed.

• Monthly fire drill not documented within required interval
• Severe weather drill record missing
• Drill log incomplete or outdated

Type B in-home aide rules: each child must have current medical and enrollment records on file before care begins.

• Child medical exam not on file before care
• Immunization record incomplete
• Emergency contact form not updated

Type B home: provider must complete required health-and-safety training topics on hire and on renewal schedule (CPR, first aid, child abuse, communicable disease).

• Required health and safety training not completed
• CPR or first-aid certification expired
• Required topic categories not addressed

Type B home: provider must meet OAC qualifications, including required experience or credentialing and current certifications.

• Provider qualification credential not on file
• Required experience documentation missing
• Certification expired or not renewed

Type A center: staff and children must wash hands at all required times — arrival, before food, after toileting/diapering, after outdoor play, after bodily-fluid contact.

• Staff did not wash hands before food service or after diapering
• Children did not wash hands after outdoor play
• Soap and water not used when visibly soiled

Type A center: staff must complete required health-and-safety training topics within the first 30 days and on the renewal schedule (CPR, communicable disease, child abuse, etc).

• Required health and safety training not completed within 30 days of hire
• CPR/first-aid certification expired
• Communicable disease training documentation missing

Type A center: administrator must meet OAC qualifications including 2-year early-childhood credential plus required leadership-track training.

• Administrator credential documentation missing
• Required leadership training not completed
• Administrator role assigned without minimum qualifications

Type B home: program must follow communicable-disease policies — exclusion of sick children, staff health screenings, and required reporting to ODH.

• Sick child not excluded per communicable-disease policy
• Staff health screening not on file
• Required reporting to local health authority not documented

Type B home: caregivers must be appropriately qualified and supervised; specific OAC requirements for caregiver behavior, supervision, and disciplinary practices apply at all times.

• Caregiver discipline practice not consistent with OAC
• Supervision lapse observed during inspection
• Caregiver behavior outside OAC-required standards