101216.3(b) · Teacher-Child Ratio (b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance.

Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in Pre-K2 room with an Aide (missing curriculum class) supervising 7 children and Preschool Room 2 with 16 children with a fully qualified teacher and 2 aide. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/30/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229(a)(1) · Responsibility for Providing Care and Supervision No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. Director tated that she provide the Primrose face to name policy and procedure during today's inspection to staff members. She will be ordering safety gates for the preschool rooms that leads to the playground to ensure children's safety.

A 3 year old child was left without supervision at the playground on 2/7/2023 and a 2 year old child got out of the class onto the connected toddler playground and was returned to class by a toddler staff on 2/27/23. This poses a potential health and safety risk to clients in care Director will sumit the written

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101223(a)(2) · Personal Rights. The licensee shall ensure that each child is accorded the following personal rights...To be accorded safe, healthful...accommodations...to meet his/her needs. This requirement has not been met as evidenced by Director states that the faciilty has a bite policy in place that the teachers and parents are aware of. Since this situation, they have determined that the amount of chances a child has before formally addressing a biting situation should be less and each situation should be taken on a case by case basis.

Based on interviews and review of relevant documentation, although extra staffing was in place, Child #1 was still bitten three times over a period of two weeks. This is not a safe or healthful environment and is a potential risk to the health and safey of children in care Licensee was also present and states that documentation will be submitted to licensing in addition to the current bite policy that will prevent this situation from reoccurring. The documentation will be sent to Licensing by 9/30.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.