2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 15 staff files and staff member 14 (DOH 8/18/2025) was lacking a trails submission form and trails cleanace letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member 14 has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for staff member 14 with written response to the Specialist by 1/17/2026. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Category: supervision. Marked corrected in the state record.

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 15 staff files and staff member #1 and staff member #12 were lacking current Standard Precaustions Training. Correction: All staff members must complete a Standard Precaustions training and update annually. Correct immedaitely and respond with verification of complaince by 1/17/2026. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Reviewed 15 staff files and staff member 12 was lacking a current Child Abuse Prevention training. Correction: Review and ensure that all staff members must comeplete a Child Abuse Prevention training and renew annually. Correct immediately and respond with verification of complaince by 1/17/2026. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Category: recordkeeping. Marked corrected in the state record.

2.212.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 15 staff files and staff member 14 (DOH 8/18/2025) was lacking a health statement that was signed and date by a health care professional. Correction: Review and ensure that all staff members must obtain a health statement signed and dated by a health care professional within the first 30 days of hire. Correct and respond with verification of compliance by 1/17/2026. Correct by

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

In toddler classroom 120 there were small animals in a basket that were accessible to children under the age of 3 years old. The small animals were posing a possible choking hazard. Also there was a child with a chewy necklace that the clasp was posing a possible chocking hazard. Correction: All choking hazard must be inaccessible to children under the age of 3 years old. **Corrected at the time of the visit the staff member removed all items making all items inaccessible to the children under the age of 3 years old.*** This violation was cited on 5/15/2025 and 9/25/2025. Respond with a plan of on going compliance by 1/17/2026. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Category: physical safety. Marked corrected in the state record.

2.230.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

Outside on the Preschool playground near the mud kitchen there were 3 black sprinkler hoses sticking up out of the ground posing a possible tripping hazard. Outside on the preschool there was weed matting sticking up out the ground posing a possible tripping hazard throughout the playground. Outside on the Toddler playground there was a loose board on a brown box that covers a water pipe. The loose board was posing a possible safety hazard. Correction: All outside areas used for children's activities must be check daily and kept safe and free from hazards. ***Corrected at the time of a staff member cut the black sprinkler hoses, cut the weed matting, and fixed the brown box on

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.