Little Folks Campus

591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a POI Follow Up conducted on February 22, 2023 ; It was determined based on observation there were thorny vines across the back fence of the playground. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a Complaint Investigation & Monitoring Visit conducted on August 28, 2023 ; It was determined based on observation that there was a fallen tree on the playground that posed a potential hazard to the children. It was further determined that there was an exposed sharp concrete slab and tree roots at the fence gate on the right playground. Exhibit "A"

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation the following hazards were accessible to the children: A 1st Right: - There was a bottle of bleach solution on the sink. - There was a CD player on the changing table. -There was a broom, dust pan, and vacuum next to the trash can. -There was a plunger in the bathroom. - There were gloves and plastic bags in an unlocked drawer under the changing table. D 2nd Left: - There was a cord accessible under the table on the left wall. - There was one staff bag in the cubby area. - There was A&D ointment in a diaper bag. -There was a bottle of Johnson & Johnson baby powder in a diaper bag. -There was a bottle of Totally Awesome cleaning spray, a bottle of hand sanitizer gel, a container of Lysol wipes, plastic trash bags, and a bottle of Stericide on the diaper changing table. C 1st Left: - There were three toilet bowl brushes in the boys bathroom. - There was a broom accessible behind the door. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation the following hazards were accessible to the children: A 1st Right: - There were gloves and plastic bags in an unlocked drawer under the changing table. -There was a bottle of Caldesene, a tube of Calmoseptine Ointment, and a tube of Bourdreaux Butt Paste in a diaper bag on the toy shelf to the right of the entrance door. D 2nd Left: -There was a storage container under the sink that contained a bottle of rubbing Alcohol, three bottles of hand sanitizer, a bottle of Hydrogen Peroxide, one container of Pure Petroleum Jelly, and a box of Staples. -There was a bottle of Stericide on the diaper changing table. C 1st Left: - There was a broom accessible behind the door. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a POI Follow Up conducted on February 22, 2023 ; It was determined based on observation there was a staff bag on the diaper changing table in classroom D 2nd Left accessible to the children. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Complaint Investigation & Monitoring Visit conducted on August 28, 2023 ; It was determined based on observation that the following hazards existed: A 1st Right: -There were three packs of baby wipes on the diaper changing table. -There was a staff bag on the counter next to the sink. B 2nd Right: -There was a bucket containing hand sanitizer, Lysol spray, and Vaseline on the diaper changing table. D 2nd Left: -There were wipes on the diaper changing table. -There was a container of carpet freshener under the diaper changing table in a cabinet.

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591-1-1-.26(4) · Rule 591-1-1-.26(4) requires that playgrounds be protected from traffic or other hazards by a (4) four foot high fence or other barrier approved by this Department. Fencing material shall not present a hazard to children and shall be maintained so as to prevent children from leaving the playground area by any means other than through an approved access route. Fence gates shall be kept closed except when persons are entering or exiting the area.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation that the following fencing hazards were observed: - There was a four inch gap between the fencing and the fence gate on the left side of the playground. - Multiple sections of fencing were observed to be disconnected from the poles, the gaps measured between two inches and up to one foot. - The pole was disconnected from the fencing on the right side corner, near the small playground. - The wooden fencing, around the air conditioning unit, was disconnected. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.26(4) · Rule 591-1-1-.26(4) requires that playgrounds be protected from traffic or other hazards by a (4) four foot high fence or other barrier approved by this Department. Fencing material shall not present a hazard to children and shall be maintained so as to prevent children from leaving the playground area by any means other than through an approved access route. Fence gates shall be kept closed except when persons are entering or exiting the area.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that the following fencing hazards were observed: - There was a four inch gap between the fencing and the fence gate on the left side of the playground. - The pole was disconnected from the fencing on the right side corner, near the small playground. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.26(4) · Rule 591-1-1-.26(4) requires that playgrounds be protected from traffic or other hazards by a (4) four foot high fence or other barrier approved by this Department. Fencing material shall not present a hazard to children and shall be maintained so as to prevent children from leaving the playground area by any means other than through an approved access route. Fence gates shall be kept closed except when persons are entering or exiting the area.

During a POI Follow Up conducted on February 22, 2023 ; It was determined based on observation that the following fencing hazards were observed: - The pole was disconnected from the fencing on the right side corner, near the small playground. - There were bolts alongside the left fence gate that measured over two threads. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.26(4) · Rule 591-1-1-.26(4) requires that playgrounds be protected from traffic or other hazards by a (4) four foot high fence or other barrier approved by this Department. Fencing material shall not present a hazard to children and shall be maintained so as to prevent children from leaving the playground area by any means other than through an approved access route. Fence gates shall be kept closed except when persons are entering or exiting the area.

During a Complaint Investigation & Monitoring Visit conducted on August 28, 2023 ; It was determined based on observation that there was a six inch gap at the back left corner of the playground which caused a potential entrapment hazard.

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591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, nonporous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation that a staff member did not clean or disinfect the diaper changing surface after diapering in classroom D 2nd Left. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, nonporous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that a staff member did not clean or disinfect the diaper changing surface after diapering in classroom A 1st Right . An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, nonporous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a Complaint Investigation & Monitoring Visit conducted on August 28, 2023 ; It was determined based on observation that there was a torn disposable diaper changing pad taped to the diaper changing table in the B 2nd Right classroom.

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591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation that a staff member did not wash hands before diapering and a staff member did not wash hands upon entering the classroom. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that a staff member did not wash hands in between diapering multiple children and a staff member did not wash hands upon entering the classroom. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a Complaint Investigation & Monitoring Visit conducted on August 28, 2023 ; It was determined based on observation that staff in classroom B 2nd Right did not wash hands after re- entering the childcare area and handling bodily fluids.

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591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation there were thorny vines across the back fence of the playground, exposed nails on the wooden play structure, sharp edges of concrete on the left fence, It was further determined that a large piece of concrete was exposed at the bottom of the wooden play structure. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation there were thorny vines across the back fence of the playground, exposed nails on the wooden play structure, exposed tree roots, and a large piece of concrete was exposed at the bottom of the wooden play structure. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.30(1)(a)3 · Rule 591-1-1-.30(1)(a)3 requires that each crib shall have only an individual, tight-fitting sheet which is changed daily or more often as needed and prior to a change of occupant.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that three of five crib sheets were dirty in classroom A 1st Right.

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591-1-1-.12(5) · Rule 591-1-1-.12(5) requires Center Staff to provide table space for each child who is able to sit at a table unassisted and an appropriately sized chair or bench for each child who is not an infant and who is able to use a chair or bench.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that chairs in the A 1st right and D 2nd left classrooms were not appropriately sized for the children housed in these classrooms on this date. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.12(5) · Rule 591-1-1-.12(5) requires Center Staff to provide table space for each child who is able to sit at a table unassisted and an appropriately sized chair or bench for each child who is not an infant and who is able to use a chair or bench.

During a POI Follow Up conducted on February 22, 2023 ; It was determined based on observation that children who were able to sit unassisted in the A 1st right classroom were placed in high chairs. It was further determined that there were only nine chairs available when there were eleven children housed in the A 1st Right classroom. $299.00 2.

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591-1-1-.20(4) · Rule 591-1-1-.20(4) requires the Center to keep medication in a cabinet or container that is locked or otherwise not accessible to the children and to be stored separate from cleaning chemicals, supplies or poisons. Medications requiring refrigeration shall be placed in a leak-proof container in a refrigerator that is not accessible to the children.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that there was a bottle of Children's Motrin in a child's bag in classroom A 1st Right accessible to the children.

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591-1-1-.12(5) · Rule 591-1-1-.12(5) requires Center Staff to provide table space for each child who is able to sit at a table unassisted and an appropriately sized chair or bench for each child who is not an infant and who is able to use a chair or bench.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation that chairs in the A 1st right and D 2nd left classrooms were not appropriately sized for the children housed in these classrooms on this date. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.20(4) · Rule 591-1-1-.20(4) requires the Center to keep medication in a cabinet or container that is locked or otherwise not accessible to the children and to be stored separate from cleaning chemicals, supplies or poisons. Medications requiring refrigeration shall be placed in a leak-proof container in a refrigerator that is not accessible to the children.

During a POI Follow Up conducted on February 22, 2023 ; It was determined based on observation that there was a bottle of Children's Sudafed PE in a child's bag in classroom D 2nd Left accessible to the children. $299.00 3.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation the following hazards were accessible to the children: A 1st Right: - There was a bottle of bleach solution on the sink. - There was a CD player on the changing table. -There was a broom, dust pan, and vacuum next to the trash can. -There was a plunger in the bathroom. - There were gloves and plastic bags in an unlocked drawer under the changing table. D 2nd Left: - There was a cord accessible under the table on the left wall. - There was one staff bag in the cubby area. - There was A&D ointment in a diaper bag. -There was a bottle of Johnson & Johnson baby powder in a diaper bag. -There was a bottle of Totally Awesome cleaning spray, a bottle of hand sanitizer gel, a container of Lysol wipes, plastic trash bags, and a bottle of Stericide on the diaper changing table. C 1st Left: - There were three toilet bowl brushes in the boys bathroom. - There was a broom accessible behind the door. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation the following hazards were accessible to the children: A 1st Right: - There were gloves and plastic bags in an unlocked drawer under the changing table. -There was a bottle of Caldesene, a tube of Calmoseptine Ointment, and a tube of Bourdreaux Butt Paste in a diaper bag on the toy shelf to the right of the entrance door. D 2nd Left: -There was a storage container under the sink that contained a bottle of rubbing Alcohol, three bottles of hand sanitizer, a bottle of Hydrogen Peroxide, one container of Pure Petroleum Jelly, and a box of Staples. -There was a bottle of Stericide on the diaper changing table. C 1st Left: - There was a broom accessible behind the door. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a POI Follow Up conducted on February 22, 2023 ; It was determined based on observation there was a staff bag on the diaper changing table in classroom D 2nd Left accessible to the children. $299.00 4.

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591-1-1-.26(4) · Rule 591-1-1-.26(4) requires that playgrounds be protected from traffic or other hazards by a (4) four foot high fence or other barrier approved by this Department. Fencing material shall not present a hazard to children and shall be maintained so as to prevent children from leaving the playground area by any means other than through an approved access route. Fence gates shall be kept closed except when persons are entering or exiting the area.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation that the following fencing hazards were observed: - There was a four inch gap between the fencing and the fence gate on the left side of the playground. - Multiple sections of fencing were observed to be disconnected from the poles, the gaps measured between two inches and up to one foot. - The pole was disconnected from the fencing on the right side corner, near the small playground. - The wooden fencing, around the air conditioning unit, was disconnected. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.26(4) · Rule 591-1-1-.26(4) requires that playgrounds be protected from traffic or other hazards by a (4) four foot high fence or other barrier approved by this Department. Fencing material shall not present a hazard to children and shall be maintained so as to prevent children from leaving the playground area by any means other than through an approved access route. Fence gates shall be kept closed except when persons are entering or exiting the area.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that the following fencing hazards were observed: - There was a four inch gap between the fencing and the fence gate on the left side of the playground. - The pole was disconnected from the fencing on the right side corner, near the small playground. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.26(4) · Rule 591-1-1-.26(4) requires that playgrounds be protected from traffic or other hazards by a (4) four foot high fence or other barrier approved by this Department. Fencing material shall not present a hazard to children and shall be maintained so as to prevent children from leaving the playground area by any means other than through an approved access route. Fence gates shall be kept closed except when persons are entering or exiting the area.

During a POI Follow Up conducted on February 22, 2023 ; It was determined based on observation that the following fencing hazards were observed: - The pole was disconnected from the fencing on the right side corner, near the small playground. - There were bolts alongside the left fence gate that measured over two threads. $299.00 5.

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591-1-1-.26(6) · Rule 591-1-1-.26(6) requires that playground equipment provide an opportunity for the children to engage in a variety of experiences and shall be age-appropriate. For example, toddlers shall not be permitted to swing in swings designed for School-age Children. The outdoor equipment shall be free of lead-based paint, sharp corners and shall be regularly maintained in such a way as to be free of rust and splinters that could pose significant safety hazard to the children. All equipment shall be arranged so as not to obstruct supervision of children.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation that the following equipment hazards were observed on the playground: - The three Little Tykes climbers were missing slides. - The large metal slide was observed to be rusted. - Protruding nails were observed on the wooden play climber. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.26(6) · Rule 591-1-1-.26(6) requires that playground equipment provide an opportunity for the children to engage in a variety of experiences and shall be age-appropriate. For example, toddlers shall not be permitted to swing in swings designed for School-age Children. The outdoor equipment shall be free of lead-based paint, sharp corners and shall be regularly maintained in such a way as to be free of rust and splinters that could pose significant safety hazard to the children. All equipment shall be arranged so as not to obstruct supervision of children.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that the following equipment hazards were observed on the playground: - The three Little Tykes climbers were missing slides. - The large metal slide was observed to be rusted. - Protruding nails were observed on the wooden play climber. - There was splintering wood on the wooden play structure. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.26(6) · Rule 591-1-1-.26(6) requires that playground equipment provide an opportunity for the children to engage in a variety of experiences and shall be age-appropriate. For example, toddlers shall not be permitted to swing in swings designed for School-age Children. The outdoor equipment shall be free of lead-based paint, sharp corners and shall be regularly maintained in such a way as to be free of rust and splinters that could pose significant safety hazard to the children. All equipment shall be arranged so as not to obstruct supervision of children.

During a POI Follow Up conducted on February 22, 2023 ; It was determined based on observation that there was a basketball goal missing a net and a back board on the left playground. It was further determined that the swing chain coverings were cracked and not in good repair. $299.00 6.

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591-1-1-.30(1)(a)3 · Rule 591-1-1-.30(1)(a)3 requires that each crib shall have only an individual, tight-fitting sheet which is changed daily or more often as needed and prior to a change of occupant.

During a POI Follow Up conducted on February 22, 2023 ; It was determined based on observation that one of four crib sheets were not tight fitting in classroom A 1st Right. It was further determined that one of four crib sheets was torn and had a hole in it. $299.00 7.

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591-1-1-.03(13) · Rule 591-1-1-.03(13) requires Center Staff to develop a daily schedule for each group to reflect routines and activities that is flexible but routinely followed to provide structure. The schedule must be posted in each group's room or area and made available to Parent(s) upon request.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that daily schedules were incorrect in classroom A 1st Right when the schedule was for pre-toddlers and housed infants and one-year-old children and D 2nd Left where the schedule was for Pre-K and housed two-year-old children. It was further determined that there was no daily schedule for classroom C 1st Left. It was also determined that children did not go outside when classrooms schedules indicated a time for outdoor play.

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591-1-1-.03(13) · Rule 591-1-1-.03(13) requires Center Staff to develop a daily schedule for each group to reflect routines and activities that is flexible but routinely followed to provide structure. The schedule must be posted in each group's room or area and made available to Parent(s) upon request.

During a POI Follow Up conducted on February 22, 2023 ; It was determined based on observation that the daily schedules for each operating classrooms were not followed when children in classrooms 1st Left and 1st Right did not go outside when each schedule indicated a time for outdoor play. It was further determined that lunch was scheduled to begin at 11:05 a.m. but was not served until 12:00 p.m. $299.00 8.

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591-1-1-17(7) · Rule 591-1-1-17(7) requires that children wash their hands with liquid soap and warm running water upon arrival for care, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after eating meals and snacks, handling or touching food, playing in water; after toileting and diapering, playing in sand, touching animals or pets, and contact with bodily fluids and after contamination by any other means.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that children did not wash hands after eating lunch.

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591-1-1-17(7) · Rule 591-1-1-17(7) requires that children wash their hands with liquid soap and warm running water upon arrival for care, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after eating meals and snacks, handling or touching food, playing in water; after toileting and diapering, playing in sand, touching animals or pets, and contact with bodily fluids and after contamination by any other means.

During a POI Follow Up conducted on February 22, 2023 ; It was determined based on observation that children did not wash hands after eating lunch in classroom D 2nd Left. It was further determined that children did not wash hand upon arrival in classroom C 1st Left. $299.00 9.

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591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation there were thorny vines across the back fence of the playground, exposed nails on the wooden play structure, sharp edges of concrete on the left fence, It was further determined that a large piece of concrete was exposed at the bottom of the wooden play structure. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation there were thorny vines across the back fence of the playground, exposed nails on the wooden play structure, exposed tree roots, and a large piece of concrete was exposed at the bottom of the wooden play structure. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a POI Follow Up conducted on February 22, 2023 ; It was determined based on observation there were thorny vines across the back fence of the playground. Exhibit "A"

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591-1-1-.03(2) · Rule 591-1-1-.03(2) requires the Center to keep current lesson plans on site that reflect appropriate instruction practices and activities to support children's development The Center shall have sufficient and varied play and learning equipment and materials to support the above program of activities in all developmental areas.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation there were no lesson plans available for two of two operating classrooms.

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591-1-1-.03(2) · Rule 591-1-1-.03(2) requires the Center to keep current lesson plans on site that reflect appropriate instruction practices and activities to support children's development The Center shall have sufficient and varied play and learning equipment and materials to support the above program of activities in all developmental areas.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation there were no lesson plans available for three of three operating classrooms.

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591-1-1-.12(5) · Rule 591-1-1-.12(5) requires Center Staff to provide table space for each child who is able to sit at a table unassisted and an appropriately sized chair or bench for each child who is not an infant and who is able to use a chair or bench.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation that chairs in the A 1st right and D 2nd left classrooms were not appropriately sized for the children housed in these classrooms on this date.

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591-1-1-.12(5) · Rule 591-1-1-.12(5) requires Center Staff to provide table space for each child who is able to sit at a table unassisted and an appropriately sized chair or bench for each child who is not an infant and who is able to use a chair or bench.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that chairs in the A 1st right and D 2nd left classrooms were not appropriately sized for the children housed in these classrooms on this date.

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591-1-1-.36(4)(f)1. · Rule 591-1-1-.36(4)(f)1. requires that all transported children be secured in a child passenger restraining system or seat safety belt in accordance with current state and federal laws and regulations and according to manufacturer's directions.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation there were two no-back booster seats on a twelve to fifteen passenger van.

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591-1-1-.15(4) · Rule 591-1-1-.15(4) requires that a feeding chair or similar equipment designed for feeding children shall be provided for the use of each child being fed who is capable of sitting up but who is unable to sit unassisted at a table and must be cleaned with a disinfectant after each use. Such chair or similar equipment shall have a broad base to prevent tipping, a surface that the child cannot raise, a strap or other device which prevents the child from sliding out of the chair, and a feeding surface free of cracks.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation that three of four high chairs in classroom A 1st Right did not have safety straps and two of two high chairs in classroom D 2nd Left did not have any safety straps.

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591-1-1-.15(4) · Rule 591-1-1-.15(4) requires that a feeding chair or similar equipment designed for feeding children shall be provided for the use of each child being fed who is capable of sitting up but who is unable to sit unassisted at a table and must be cleaned with a disinfectant after each use. Such chair or similar equipment shall have a broad base to prevent tipping, a surface that the child cannot raise, a strap or other device which prevents the child from sliding out of the chair, and a feeding surface free of cracks.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that five of five high chairs in classroom A 1st Right did not have safety straps and two of two high chairs in classroom D 2nd Left did not have any safety straps.

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591-1-1-.25(11) · Rule 591-1-1-.25(11) requires that floor coverings be tight, smooth, free of odors and washable or cleanable.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation that the carpet in classroom A 1st Left and D 2nd Right were frayed and torn.

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591-1-1-.25(11) · Rule 591-1-1-.25(11) requires that floor coverings be tight, smooth, free of odors and washable or cleanable.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that the carpet in classroom A 1st Left and D 2nd Right were frayed and torn.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation the following hazards were accessible to the children: A 1st Right: - There was a bottle of bleach solution on the sink. - There was a CD player on the changing table. -There was a broom, dust pan, and vacuum next to the trash can. -There was a plunger in the bathroom. - There were gloves and plastic bags in an unlocked drawer under the changing table. D 2nd Left: - There was a cord accessible under the table on the left wall. - There was one staff bag in the cubby area. - There was A&D ointment in a diaper bag. -There was a bottle of Johnson & Johnson baby powder in a diaper bag. -There was a bottle of Totally Awesome cleaning spray, a bottle of hand sanitizer gel, a container of Lysol wipes, plastic trash bags, and a bottle of Stericide on the diaper changing table. C 1st Left: - There were three toilet bowl brushes in the boys bathroom. - There was a broom accessible behind the door.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation the following hazards were accessible to the children: A 1st Right: - There were gloves and plastic bags in an unlocked drawer under the changing table. -There was a bottle of Caldesene, a tube of Calmoseptine Ointment, and a tube of Bourdreaux Butt Paste in a diaper bag on the toy shelf to the right of the entrance door. D 2nd Left: -There was a storage container under the sink that contained a bottle of rubbing Alcohol, three bottles of hand sanitizer, a bottle of Hydrogen Peroxide, one container of Pure Petroleum Jelly, and a box of Staples. -There was a bottle of Stericide on the diaper changing table. C 1st Left: - There was a broom accessible behind the door.

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591-1-1-.26(4) · Rule 591-1-1-.26(4) requires that playgrounds be protected from traffic or other hazards by a (4) four foot high fence or other barrier approved by this Department. Fencing material shall not present a hazard to children and shall be maintained so as to prevent children from leaving the playground area by any means other than through an approved access route. Fence gates shall be kept closed except when persons are entering or exiting the area.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation that the following fencing hazards were observed: - There was a four inch gap between the fencing and the fence gate on the left side of the playground. - Multiple sections of fencing were observed to be disconnected from the poles, the gaps measured between two inches and up to one foot. - The pole was disconnected from the fencing on the right side corner, near the small playground. - The wooden fencing, around the air conditioning unit, was disconnected.

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591-1-1-.26(4) · Rule 591-1-1-.26(4) requires that playgrounds be protected from traffic or other hazards by a (4) four foot high fence or other barrier approved by this Department. Fencing material shall not present a hazard to children and shall be maintained so as to prevent children from leaving the playground area by any means other than through an approved access route. Fence gates shall be kept closed except when persons are entering or exiting the area.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that the following fencing hazards were observed: - There was a four inch gap between the fencing and the fence gate on the left side of the playground. - The pole was disconnected from the fencing on the right side corner, near the small playground.

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591-1-1-.26(6) · Rule 591-1-1-.26(6) requires that playground equipment provide an opportunity for the children to engage in a variety of experiences and shall be age-appropriate. For example, toddlers shall not be permitted to swing in swings designed for School-age Children. The outdoor equipment shall be free of lead-based paint, sharp corners and shall be regularly maintained in such a way as to be free of rust and splinters that could pose significant safety hazard to the children. All equipment shall be arranged so as not to obstruct supervision of children.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation that the following equipment hazards were observed on the playground: - The three Little Tykes climbers were missing slides. - The large metal slide was observed to be rusted. - Protruding nails were observed on the wooden play climber.

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591-1-1-.26(6) · Rule 591-1-1-.26(6) requires that playground equipment provide an opportunity for the children to engage in a variety of experiences and shall be age-appropriate. For example, toddlers shall not be permitted to swing in swings designed for School-age Children. The outdoor equipment shall be free of lead-based paint, sharp corners and shall be regularly maintained in such a way as to be free of rust and splinters that could pose significant safety hazard to the children. All equipment shall be arranged so as not to obstruct supervision of children.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that the following equipment hazards were observed on the playground: - The three Little Tykes climbers were missing slides. - The large metal slide was observed to be rusted. - Protruding nails were observed on the wooden play climber. - There was splintering wood on the wooden play structure.

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591-1-1-.36(4)(f)1. · Rule 591-1-1-.36(4)(f)1. requires that all transported children be secured in a child passenger restraining system or seat safety belt in accordance with current state and federal laws and regulations and according to manufacturer's directions.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation there were three no-back booster seats on a twelve to fifteen passenger van.

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591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, nonporous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation that a staff member did not clean or disinfect the diaper changing surface after diapering in classroom D 2nd Left.

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591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, nonporous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that a staff member did not clean or disinfect the diaper changing surface after diapering in classroom A 1st Right .

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591-1-1-.12(8) · Rule 591-1-1-.12(8) requires toys for children under three years of age to be age- appropriate; non- toxic and lead-free; too large to be swallowed by a child and not capable of causing asphyxiation or strangulation; free of sharp pieces, edges or points; free of small parts which may be pried off by a child, free of rust; and easily cleaned with a disinfectant daily.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation there were small beads in a sand table in the classroom that housed one and two-year-old children.

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591-1-1-.12(8) · Rule 591-1-1-.12(8) requires toys for children under three years of age to be age- appropriate; non- toxic and lead-free; too large to be swallowed by a child and not capable of causing asphyxiation or strangulation; free of sharp pieces, edges or points; free of small parts which may be pried off by a child, free of rust; and easily cleaned with a disinfectant daily.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation there were small beads in a sand table in the classroom that housed two-year-old children.

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591-1-1-.12(4) · Rule 591-1-1-.12(4) requires that equipment and furniture is secured if it is of a weight or mass that could cause injury from tipping, falling, or being pulled or pushed over.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation the following equipment was not secured: A 1st Right: -Brown wooden shelf on the left wall. -A square black fan sitting on top of the sink. D 2nd Left: - A brown wooden clothes structure on the left wall. -A yellow and red PVC pipe structure on the left wall. C 1st Left: -The brown wooden cubby shelves near the entrance door. - A black Vizio television was sitting on top of the cubby shelf.

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591-1-1-.12(4) · Rule 591-1-1-.12(4) requires that equipment and furniture is secured if it is of a weight or mass that could cause injury from tipping, falling, or being pulled or pushed over.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation the following equipment was not secured: A 1st Right: -There were stacked chairs near the exit door. C 1st Left: -There were stacked chairs next to the bathroom. D 2nd Left: - A brown wooden clothes structure on the left wall. -A yellow and red PVC pipe structure on the left wall.

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591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation that a staff member did not wash hands before diapering and a staff member did not wash hands upon entering the classroom.

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591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation that a staff member did not wash hands in between diapering multiple children and a staff member did not wash hands upon entering the classroom.

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591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a Licensing Study conducted on September 1, 2022 ; It was determined based on observation there were thorny vines across the back fence of the playground, exposed nails on the wooden play structure, sharp edges of concrete on the left fence, It was further determined that a large piece of concrete was exposed at the bottom of the wooden play structure.

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591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on observation there were thorny vines across the back fence of the playground, exposed nails on the wooden play structure, exposed tree roots, and a large piece of concrete was exposed at the bottom of the wooden play structure. 14. A. Rule 91-1-1-.33(5) requires that every calendar year after the first year of employment, all supervisory and caregiver Personnel, except independent contractors, Students-in-Training and volunteers shall attend ten (10) clock hours of diverse training which is task-focused in on-going health, safety and early childhood or child development related topics and which is offered by an accredited college, university or vocational program or other Department-approved source. The annual ten (10) clock hours of training shall be chosen from the following fields: child development, including discipline, guidance, nutrition, injury control and safety; health, including sanitation, disease control, cleanliness, detection and disposition of illness; child abuse and neglect, including identification and reporting, and meeting the needs of abused and/or neglected children; and business related topics, including parental communication, recordkeeping, etc.; provided however that such business related training shall be limited to no more than two (2) of the required ten (10) clock hours of training. Records of completion of such training shall be maintained, as required by these rules. During a Licensing Study conducted on September 1, 2022 ; It was determined based on a review of records that three of five required employees did not complete 10 clock hours of diverse training for the year 2021. 14. B. Rule 91-1-1-.33(5) requires that every calendar year after the first year of employment, all supervisory and caregiver Personnel, except independent contractors, Students-in-Training and volunteers shall attend ten (10) clock hours of diverse training which is task-focused in on-going health, safety and early childhood or child development related topics and which is offered by an accredited college, university or vocational program or other Department-approved source. The annual ten (10) clock hours of training shall be chosen from the following fields: child development, including discipline, guidance, nutrition, injury control and safety; health, including sanitation, disease control, cleanliness, detection and disposition of illness; child abuse and neglect, including identification and reporting, and meeting the needs of abused and/or neglected children; and business related topics, including parental communication, recordkeeping, etc.; provided however that such business related training shall be limited to no more than two (2) of the required ten (10) clock hours of training. Records of completion of such training shall be maintained, as required by these rules. During a Monitoring Visit conducted on January 10, 2023 ; It was determined based on a review of records that staff #4 did not complete 10 clock hours of diverse training for the year 2022. Exhibit "A"

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