Grace Learning Academy

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 December 1, 2022 ; It was determined based on observation that there was a hanging light cord on the left wall in the second left classroom. It was further determined that bleach solution in a spray bottle was observed on the table in the second left classroom.

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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 LS POI Follow Up conducted on June 15, 2023 ; It was determined based on observation that the following hazards were observed: 1st Right - Two plastic grocery bags in the cubby. - Broom and the dust pan accessible to children in care. Restroom - Toilet brush cleaner next to the first toilet.

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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 Follow Up conducted on July 31, 2023 ; It was determined based on observation that the following hazards were observed: 1st Left- There were baby wipes on the changing table that read "keep out of the reach of children". The wipes were accessible to the children in the classroom. 1st Left- Thumbtacks used to hold the sleeping mats on the wall were exposed to the children.

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591-1-1-.14(2) · Rule 591-1-1-.14(2) requires a Staff member who is trained in CPR and first aid to be on the premises and on any field trip whenever any child is present. In addition, Staff who provide direct care to children must satisfactorily obtain certification in first aid and CPR by December 29, 2016 if employed prior to September 30, 2016 and within 90 days of their hire date if employed after September 30, 2016.

During a LS POI Follow Up conducted on June 15, 2023 ; It was determined based on a review of records that staff #5 did not have the certification for CPR and first aid as of this date.

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591-1-1-.14(2) · Rule 591-1-1-.14(2) requires a Staff member who is trained in CPR and first aid to be on the premises and on any field trip whenever any child is present. In addition, Staff who provide direct care to children must satisfactorily obtain certification in first aid and CPR by December 29, 2016 if employed prior to September 30, 2016 and within 90 days of their hire date if employed after September 30, 2016.

During a Complaint Investigation Follow Up conducted on July 31, 2023 ; It was determined based on a review of records that staff member #5 did not have the certification for CPR and first aid as of this date.

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591-1-1-.31(2)(b)2. · Rule 591-1-1-.31(2)(b)2. requires teachers and lead caregivers to meet minimum academic requirements and qualifying experience at the time of employment.

During a LS POI Follow Up conducted on June 15, 2023 ; It was determined based on a review of records that staff #5 did not meet the lead caregivers academic requirements as of this date.

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591-1-1-.31(2)(b)2. · Rule 591-1-1-.31(2)(b)2. requires teachers and lead caregivers to meet minimum academic requirements and qualifying experience at the time of employment.

During a Complaint Investigation Follow Up conducted on July 31, 2023 ; It was determined based on a review of records that staff member #5 did not meet the lead caregivers minimum academic requirements as required, as of this date.

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591-1-1-.08(1) · Rule 591-1-1-.08(1) requires the Center Staff to maintain a file for each child while such child is in care and for one year after that child is no longer enrolled. In order for the file to be complete, the file shall contain the following: child¶s name, birth date, sex, address, living arrangement, name of school if applicable; names of both Parents, home and work addresses, and home and work telephone numbers; name(s) and addresses of the person(s) to whom the child may be released including address, telephone numbers, relationship to child and to Parent(s), and other identifying information; name(s) and telephone number(s) of person(s) to contact in emergencies when the Parent cannot be reached; name and telephone number of the child¶s primary source of health care; and a statement regarding known allergies, physical problems, mental health disorders, intellectual disabilities or developmental disabilities which limit the child¶s participation in the program.

During a LS POI Follow Up conducted on June 15, 2023 ; It was determined based on a review of records that four out of five children were missing the parent work number and the name and or telephone number of the child¶s primary source of health care on this date.

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591-1-1-.08(1) · Rule 591-1-1-.08(1) requires the Center Staff to maintain a file for each child while such child is in care and for one year after that child is no longer enrolled. In order for the file to be complete, the file shall contain the following: child¶s name, birth date, sex, address, living arrangement, name of school if applicable; names of both Parents, home and work addresses, and home and work telephone numbers; name(s) and addresses of the person(s) to whom the child may be released including address, telephone numbers, relationship to child and to Parent(s), and other identifying information; name(s) and telephone number(s) of person(s) to contact in emergencies when the Parent cannot be reached; name and telephone number of the child¶s primary source of health care; and a statement regarding known allergies, physical problems, mental health disorders, intellectual disabilities or developmental disabilities which limit the child¶s participation in the program.

During a Complaint Investigation Follow Up conducted on July 31, 2023 ; It was determined based on a review of records that four out of five children's files were missing the parents work number and the name and or telephone number of the child¶s primary source of health care on this date.

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591-1-1-.36(3)(a-b) · Rule 591-1-1-.36(3)(a-b) requires any Center that provides any type of transportation to obtain two (2) hours of state-approved or state-accepted transportation training, biannually, for the Director and for each person responsible for or who participates in the transportation of children. The training shall include, but is not limited to, a review of the transportation rules, a review of approved transportation forms and procedures, and instruction on the usage and completion of the forms and procedures. This training may be counted as part of the annual training requirements for Staff.

During a LS POI Follow Up conducted on June 15, 2023 ; It was determined based on a review of records that Staff #3 did not obtain the biannually two hours of state-approved transportation training as of this date.

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591-1-1-.36(3)(a-b) · Rule 591-1-1-.36(3)(a-b) requires any Center that provides any type of transportation to obtain two (2) hours of state-approved or state-accepted transportation training, biannually, for the Director and for each person responsible for or who participates in the transportation of children. The training shall include, but is not limited to, a review of the transportation rules, a review of approved transportation forms and procedures, and instruction on the usage and completion of the forms and procedures. This training may be counted as part of the annual training requirements for Staff.

During a Complaint Investigation Follow Up conducted on July 31, 2023 ; It was determined based on a review of records that Staff member #3 did not obtain the biannual two hours of state-approved transportation training as required, as of this date.

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591-1-1-.33(3) · Rule 591-1-1-.33(3) requires each Staff member with direct care responsibilities to complete health and safety orientation training within the first 90 days of employment. The state-approved training hours obtained will count toward required first year training hours. The training must address the following health and safety topics: prevention and control of infectious diseases (including immunizations); prevention of sudden infant death syndrome and use of safe sleeping practices; administration of medication, consistent with standards for parental consent; prevention of and response to emergencies due to food and allergic reactions; building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; prevention of shaken baby syndrome, abusive head trauma and child maltreatment; emergency preparedness and response planning for emergencies resulting from a natural disaster or a human-caused event (such as violence at a child care facility); handling and storage of hazardous materials and the appropriate disposal of bio contaminants; precautions in transporting children; recognition and reporting of child abuse and neglect; and child development.

During a LS POI Follow Up conducted on June 15, 2023 ; It was determined based on a review of records that staff # 5 did not complete the health and safety orientation training within the first 90 days of employment.

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591-1-1-.33(3) · Rule 591-1-1-.33(3) requires each Staff member with direct care responsibilities to complete health and safety orientation training within the first 90 days of employment. The state-approved training hours obtained will count toward required first year training hours. The training must address the following health and safety topics: prevention and control of infectious diseases (including immunizations); prevention of sudden infant death syndrome and use of safe sleeping practices; administration of medication, consistent with standards for parental consent; prevention of and response to emergencies due to food and allergic reactions; building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; prevention of shaken baby syndrome, abusive head trauma and child maltreatment; emergency preparedness and response planning for emergencies resulting from a natural disaster or a human-caused event (such as violence at a child care facility); handling and storage of hazardous materials and the appropriate disposal of bio contaminants; precautions in transporting children; recognition and reporting of child abuse and neglect; and child development.

During a Complaint Investigation Follow Up conducted on July 31, 2023 ; It was determined based on a review of records that staff member # 5 did not complete the health and safety orientation training within the first 90 days of employment as required.

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591-1-1-.32(7) · Rule 591-1-1-.32(7) requires that children be supervised at all times appropriate to the individual age, needs and capabilities of each child. Such supervision must include, but not be limited to, indoor and outdoor activities, mealtimes, naptime, transportation, field trips, and transitions between activities. "Supervision" means that the appropriate number of Staff members are physically present in the area where children are being cared for and are providing watchful oversight to the children, volunteers and Students-in-Training. The persons supervising in the child care area must be alert, positioned to maximize their ability to hear and see the children at all times, and able to respond promptly to the needs and actions of the children being supervised, as well as the actions of the volunteers and Students-in-Training, and provide timely attention to the children's actions and needs. Staff shall be attentive and participating with all children during mealtimes and shall be seated within an arm¶s length away from children thirty- six (36) months of age and younger.

During a POI Follow Up conducted on February 24, 2023 ; It was determined based on observation that a staff member left nine children unsupervised in the 1st right classroom to open the door for the Consultant. It was further determined that a four-year-old child was observed to walk out of the 1st right classroom into the 2nd left classroom without adult supervision. It was also determined based on observation that a four-year-old child was observed to walk out of the 1st right classroom into the back rear restroom without adult supervision.

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591-1-1-.32(7) · Rule 591-1-1-.32(7) requires that children be supervised at all times appropriate to the individual age, needs and capabilities of each child. Such supervision must include, but not be limited to, indoor and outdoor activities, mealtimes, naptime, transportation, field trips, and transitions between activities. "Supervision" means that the appropriate number of Staff members are physically present in the area where children are being cared for and are providing watchful oversight to the children, volunteers and Students-in-Training. The persons supervising in the child care area must be alert, positioned to maximize their ability to hear and see the children at all times, and able to respond promptly to the needs and actions of the children being supervised, as well as the actions of the volunteers and Students-in-Training, and provide timely attention to the children's actions and needs. Staff shall be attentive and participating with all children during mealtimes and shall be seated within an arm¶s length away from children thirty- six (36) months of age and younger.

During a Complaint Investigation Follow Up conducted on July 31, 2023 ; It was determined based on observation, that on July 31, 2023, the staff member in the classroom was not alert, and positioned to see when a two-year-old child was observed with a green thumbtack in their hand. The child picked it up from the floor of the classroom. Exhibit "A"

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591-1-1-.03(1) · Rule 591-1-1-.03(1) requires the Center to provide a daily planned program of varied and developmentally appropriate activities to promote social, emotional, physical, cognitive, language and literacy growth. Center Staff shall use a variety of teaching methods to accommodate the needs of the children¶s different learning styles.

During a Licensing Study conducted on June 15, 2022 ; It was determined based on observation that the lesson plan in the first left room was not dated with the current week's date. It was further determined that lesson plan in the first right room was dated for May 2, 2022 and there was no lesson plan available for review in the second left room.

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591-1-1-.03(1) · Rule 591-1-1-.03(1) requires the Center to provide a daily planned program of varied and developmentally appropriate activities to promote social, emotional, physical, cognitive, language and literacy growth. Center Staff shall use a variety of teaching methods to accommodate the needs of the children¶s different learning styles.

During a Monitoring Visit conducted on December 1, 2022 ; It was determined based on review of records that lesson plans in the 1st right class room and the 2nd left classroom were not accessible for the Consultant to review on this date.

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591-1-1-.06(6) · Rule 591-1-1-.06(6) requires Center Staff to equip bathrooms with soap, toilet tissue and single-use towels or cloth towels used only once between launderings.

During a Licensing Study conducted on June 15, 2022 ; It was determined based on observation that the bathroom located near the kitchen was not equipped with single-use towels.

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591-1-1-.06(6) · Rule 591-1-1-.06(6) requires Center Staff to equip bathrooms with soap, toilet tissue and single-use towels or cloth towels used only once between launderings.

During a Monitoring Visit conducted on December 1, 2022 ; It was determined based on observation that the bathroom located across from the 2nd left classroom was not equipped with single-use towels.

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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 June 15, 2022 ; It was determined based on observation that Pine Sol cleaning solution, a teacher's purse, and hand sanitizer with the words, "keep out of the reach of children" were accessible to children on a shelf accessible to children in the first left room. It was further determined that an electric hair appliance was on a shelf accessible to children in the second left room.

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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 December 1, 2022 ; It was determined based on observation that there was a hanging light cord on the left wall in the second left classroom. It was further determined that bleach solution in a spray bottle was observed on the table in the second left classroom.

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591-1-1-.25(3) · Rule 591-1-1-.25(3) requires the Center and surrounding premises to be kept clean, free of debris and in good repair. Hygienic measures such as, but not limited to, screened windows and proper waste disposal procedures shall be utilized to minimize the presence of rodents, flies, roaches and other vermin at the Center.

During a Monitoring Visit conducted on December 14, 2021 ; It was determined, based on observation, that two of the three toilets were not working on this date. It was further determined that one of the toilets did not have a lid on the top, which exposed the water and inside of the toilet to the children in care.

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591-1-1-.25(3) · Rule 591-1-1-.25(3) requires the Center and surrounding premises to be kept clean, free of debris and in good repair. Hygienic measures such as, but not limited to, screened windows and proper waste disposal procedures shall be utilized to minimize the presence of rodents, flies, roaches and other vermin at the Center.

During a Licensing Study conducted on June 15, 2022 ; It was determined, based on observation, that the toilet in the first left room and one of the three toilets near the back of the center were not working on this date. It was further determined that there was no hot water available in the kitchen.

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591-1-1-.25(3) · Rule 591-1-1-.25(3) requires the Center and surrounding premises to be kept clean, free of debris and in good repair. Hygienic measures such as, but not limited to, screened windows and proper waste disposal procedures shall be utilized to minimize the presence of rodents, flies, roaches and other vermin at the Center.

During a Monitoring Visit conducted on December 1, 2022 ; It was determined based on observation that the toilet in the restroom in back of the center across from the 2nd left classroom would not flush on this date. It was further determined that the large white pipe on the ceiling in the hallway was leaking water on the floor.

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591-1-1-.21(1)(p) · Rule 591-1-1-.21(1)(p) requires the Center to have a written plan for handling emergencies, including but not limited to severe weather, loss of electrical power or water and death, serious injury or loss of a child, a threatening event, or natural disaster which may occur at the Center; to have in place procedures for evacuation, relocation, shelter-in-place, lock-down, communication and reunification with families, and continuity of operations. The plan must apply to all children in care and include specific accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions and shall include assurance that no Center Personnel will impede in any way the delivery of emergency care or services to a child by licensed or certified emergency health care professionals.

During a Licensing Study conducted on June 15, 2022 ; It was determined based on review of records that the Center did not have evidence of a written emergency preparedness plan on file.

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591-1-1-.21(1)(p) · Rule 591-1-1-.21(1)(p) requires the Center to have a written plan for handling emergencies, including but not limited to severe weather, loss of electrical power or water and death, serious injury or loss of a child, a threatening event, or natural disaster which may occur at the Center; to have in place procedures for evacuation, relocation, shelter-in-place, lock-down, communication and reunification with families, and continuity of operations. The plan must apply to all children in care and include specific accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions and shall include assurance that no Center Personnel will impede in any way the delivery of emergency care or services to a child by licensed or certified emergency health care professionals.

During a Monitoring Visit conducted on December 1, 2022 ; It was determined based on review of records that the Center did not have evidence of a completed written emergency preparedness plan on file on this date.

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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 Licensing Study conducted on June 15, 2022 ; It was determined based on observation that there was no warm running water available for children to wash their hands properly in the first left, second left, and the rear bathroom sinks.

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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 December 1, 2022 ; It was determined based on observation that there was no warm running water available for children to wash their hands properly in the first left, second left, and the rear bathroom sinks. It was also determined based on observation that a one-year- old child did not wash their hands after diapering.

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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 June 15, 2022 ; It was determined based on observation that there was no warm running water available for staff to wash their hands properly in the first left, second left, and the rear bathroom sinks.

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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 December 1, 2022 ; It was determined based on observation that there was no warm running water available for staff to wash their hands properly in the first left, second left, and the rear bathroom sinks. It was further determined that there was no hot water available in the kitchen. It was also determined based on observation that staff did not wash their hands after diapering a one-year-old child. Exhibit "A"

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