2.312.O · Within ninety (90) calendar days of caring for children all qualified substitutes, and staff members must have at least one (1) hour of child development training. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This course is required once and will be counted towards ongoing training requirements if taken after the date of hire.

Reviewed 2 staff files and observed Aid to not have documentation of completed child development training. Correction: Obtain and maintain current and up to date child development training. Correct immediately 2/12/26 and submit compliance by 3/12/26. Correct by 02/12/2026

Corrected Corrected by Feb 12, 2026

Category: recordkeeping. Marked corrected in the state record.

2.312.P · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department- approved training regarding “Injury Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Reviewed 2 staff files and observed both staff to not have documentation of completed injury prevention for homes training. Correction: Obtain and maintain current and up to date injury prevention for homes training. Correct immediately 2/12/26 and submit compliance by 3/12/26. Correct by 02/12/2026

Corrected Corrected by Feb 12, 2026

Category: recordkeeping. Marked corrected in the state record.

2.312.N · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved training for recognizing the impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements;

Reviewed 2 staff files and observed 1 staff to not have documentation of completed recognizing the impact of bias training. Correction: Obtain and maintain current and up to date recognizing the impact of bias training. Correct immediately 2/12/26 and submit compliance by 3/12/26. Correct by 02/12/2026

Corrected Corrected by Feb 12, 2026

Category: recordkeeping. Marked corrected in the state record.

2.312.M · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved introduction to the early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

Reviewed 2 staff files and observed 1 staff to not have documentation of completed introduction to the early intervention and preschool special education programs training. Correction: Obtain and maintain current and up to date introduction to the early intervention and preschool special education programs training. Correct immediately 2/12/26 and submit compliance by 3/12/26. Correct by 02/12/2026

Corrected Corrected by Feb 12, 2026

Category: recordkeeping. Marked corrected in the state record.

2.312.K · Within thirty (30) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved training regarding playground safety for homes. This course is required once and will be counted towards ongoing training requirements;

Reviewed 2 staff files and observed 1 staff to not have documentation of completed playground safety for homes training. Correction: Obtain and maintain current and up to date playground safety for homes training. Correct immediately 2/12/26

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.320.A.7 · An admission record must be completed for each child prior to or at the time of the child’s admission and updated annually or when any changes occur, unless otherwise specified in these rules. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s) or guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 9 children files and observed 5 children to have expired emergency medical authorizations. Correction: Obtain and maintain current and up to date emergency medical authorization for all children. Correct immediately 2/12/26 and submit compliance by 3/12/26. Correct by 02/12/2026

Corrected Corrected by Feb 12, 2026

Category: health medication. Marked corrected in the state record.

2.312.I · Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department-approved safe sleep training. This training must be renewed annually.

Reviewed 2 staff files and observed 1 staff to have an expired safe sleep training (expired 5/6/25) and 1 staff to not have documentation of completed safe sleep training. Correction: Obtain and maintain current and up to date safe sleep training. Correct immediately 2/12/26 and submit compliance by 3/12/26. Correct by 02/12/2026

Corrected Corrected by Feb 12, 2026

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

2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.

Reviewed 2 staff files and observed 1 staff to have an expired child abuse prevention training (expired 5/8/25) and 1 staff to not have documentation of completed training. Correction: Obtain and maintain current and up to date child abuse prevention training. Correct immediately 2/12/26 and

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.312.G · Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed.

Reviewed 2 staff files and observed 1 staff to not have documentation of completed shaken baby training. Correction: Obtain and maintain current and up to date shaken baby training. Correct immediately 2/12/26 and submit compliance by 3/12/26. Correct by 02/12/2026

Corrected Corrected by Feb 12, 2026

Category: recordkeeping. Marked corrected in the state record.

2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Reviewed 2 staff files and observed provider to not have documentation of complete first aid and cpr training. Correction: Obtain and maintain current and up to date first aid and cpr training. Correct immediately 2/12/26 and submit compliance by 3/12/26. Correct by 02/12/2026

Corrected Corrected by Feb 12, 2026

Category: recordkeeping. Marked corrected in the state record.

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a Department-approved training in standard precautions that meets current occupational safety and health administration (OSHA) requirements prior to working with children. This training must be renewed annually.

Reviewed 2 staff files and observed 1 staff to have an expired standard precaution training (expired 9/25/25) and 1 staff to not have documentation of completed standard precaution training. Correction: Obtain and maintain current and up to date standard precaution training. Correct immediately 2/12/26 and

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.311.A.14.a · All equally qualified providers, qualified substitutes, and all staff members must obtain a subsequent health evaluation every two (2) years or as required in a written plan signed by a licensed physician or other health care provider.

Reviewed 2 staff files and observed 1 staff to not have documentation of completed health statement. Correction: Obtain and maintain current and up to date health statements. Submit compliance by 3/12/26. Correct by 03/12/2026

Corrected Corrected by Mar 12, 2026

Category: health medication. Marked corrected in the state record.

2.121.D.3 · Criminal background check requests for volunteers, whose activities involve the care and supervision of children; or who have unsupervised access to children, must be submitted and successfully completed prior to caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 2 staff files and observed 1 staff to not have documentation of complete background checks. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Marisela Diaz has reviewed the powerpoint within 24 hours. Submit documentation of CBI, FBI, TRAILS for staff members Marisela D with written response to the Specialist. Correct immediately 2/12/26 and submit compliance by 3/12/26. Correct by 02/12/2026

Corrected Corrected by Feb 12, 2026

Category: supervision. Marked corrected in the state record.