Childcare Network #101

591-1-1-.15(2) · Rule 591-1-1-.15(2) requires that a signed written feeding plan for children less than one (1) year of age shall be obtained from Parent(s) and that instructions from the Parent(s) shall be updated regularly as new foods are added or other dietary changes are made. The feeding plan shall be posted in the child's assigned room and must include the child's feeding schedule, the amount of formula or breast milk to be given, instructions for the introduction of solid foods, the amount of food to be given and notation of any type(s) of commercially premixed formula which may not be used in an emergency because of food allergies.

During a Licensing Study conducted on January 29, 2025 ; It was determined based on a review of records that the following was missing from infant feeding plans: three of six did not have a parent's signature one of six did not have the type of formula being used The forms were not posted for viewing within the classroom.

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591-1-1-.15(2) · Rule 591-1-1-.15(2) requires that a signed written feeding plan for children less than one (1) year of age shall be obtained from Parent(s) and that instructions from the Parent(s) shall be updated regularly as new foods are added or other dietary changes are made. The feeding plan shall be posted in the child's assigned room and must include the child's feeding schedule, the amount of formula or breast milk to be given, instructions for the introduction of solid foods, the amount of food to be given and notation of any type(s) of commercially premixed formula which may not be used in an emergency because of food allergies.

During a Monitoring Visit conducted on October 8, 2025 ; It was determined based on a review of records that the following was missing from infant feeding plans: -three of seven were not the current plans -one of seven did not list the type of formula -one of seven did not have the parent's initials for introduction to solid foods

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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 January 29, 2025 ; It was determined based on observation that the following hazards were accessible to children in care: Room D: baby wipes on a shelf within reach that pose a suffocation hazard dust pan by the restroom door Dial hand soap that read "keep out of reach of children" stapler and adult scissors Room H: Vinyl gloves by the sinks

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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 October 8, 2025 ; It was determined based on observation that the following hazards were accessible to children in care: Room D: hot glue gun on the shelf adult scissors on shelf Room E: broom and dust pan in an unlocked cabinet Room F: unlocked cabinet drawer: stapler, rubber gloves, Aquaphor and Petroleum Jelly

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591-1-1-.36(7)(b) · Rule 591-1-1-.36(7)(b) requires that an emergency medical information record be maintained in the vehicle for each child being transported. The emergency medical information record for each child shall include a listing of the child's full name, date of birth, allergies, special medical needs and conditions, current prescribed medications that the child is required to take on a daily basis for a chronic condition, the name and telephone number of the child's doctor, the local medical facility that the Center uses in the area where the Center is located and the telephone numbers where the Parents can be reached.

During a Licensing Study conducted on January 29, 2025 ; It was determined based on a review of records that emergency medical forms were not within the center transportation book for six enrolled children. It was further determined that five of seven did not have the parent's work numbers, one of seven did not have the mother's information and two of seven did not have the father's information.

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591-1-1-.36(7)(b) · Rule 591-1-1-.36(7)(b) requires that an emergency medical information record be maintained in the vehicle for each child being transported. The emergency medical information record for each child shall include a listing of the child's full name, date of birth, allergies, special medical needs and conditions, current prescribed medications that the child is required to take on a daily basis for a chronic condition, the name and telephone number of the child's doctor, the local medical facility that the Center uses in the area where the Center is located and the telephone numbers where the Parents can be reached.

During a Monitoring Visit conducted on October 8, 2025 ; It was determined based on a review of records that emergency medical forms were missing the following information: -17 of 32 did not have the parent's work numbers -seven of 32 did not have the parent's information listed -one of 32 did not have an emergency contact listed

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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 January 29, 2025 ; It was determined based on staff statements that hands are only washed after diapering and not prior.

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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 October 8, 2025 ; It was determined based on observation that in the 2nd Left Classroom staff did not wash hands after diapering.

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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 Licensing Study conducted on January 29, 2025 ; It was determined based on a review of records that staff member 2 and 13 were observed to sign off on the transportation logs, but did not have current transportation training on file for viewing.

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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 Monitoring Visit conducted on October 8, 2025 ; It was determined based on a review of records that staff member #1 was the second check for the buses the week of September 29, 2025 and did not have the required two hours of transportation training on file.

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591-1-1-.36(7)(c)3. · Rule 591-1-1-.36(7)(c)3. requires that the driver or other designated person document in writing the date and time of arrival and departure each time the vehicle departs from the Center, is loaded or unloaded at each school and when the vehicle returns to the Center; each time the vehicle departs from the Center, arrives at the location where any child is picked up or dropped off and when the vehicle returns to the Center; each time the vehicle leaves the Center, arrives at a field trip destination, leaves a field trip destination, and returns to the Center.

During a Licensing Study conducted on January 29, 2025 ; It was determined based on a review of records that individual dates were not listed the week of January 20, 2025 and the week of January 27, 2025 on the form as required for Jordan Hill elementary and Crescent Elementary.

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591-1-1-.36(7)(c)3. · Rule 591-1-1-.36(7)(c)3. requires that the driver or other designated person document in writing the date and time of arrival and departure each time the vehicle departs from the Center, is loaded or unloaded at each school and when the vehicle returns to the Center; each time the vehicle departs from the Center, arrives at the location where any child is picked up or dropped off and when the vehicle returns to the Center; each time the vehicle leaves the Center, arrives at a field trip destination, leaves a field trip destination, and returns to the Center.

During a Monitoring Visit conducted on October 8, 2025 ; It was determined based on a review of records that individual dates were not listed the week of September 29, 2025 through October 3, 2025 on the form as required for Atkinson elementary and Crescent Elementary.

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591-1-1-.36(6) · Rule 591-1-1-.36(6) requires written Parental authorization for routine transportation provided by or on behalf of the Center. Written authorization must include the routine pick-up location, routine pick-up time, routine delivery location, routine delivery times and the name of any person authorized to receive the child.

During a Licensing Study conducted on January 29, 2025 ; It was determined based on a review of records that the center did not have a transportation agreement for six enrolled children, In addition, based on the records reviewed two of seven did not have the pick-up/drop-off locations, and three of seven did not have the pick-up/drop-off times listed.

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591-1-1-.36(6) · Rule 591-1-1-.36(6) requires written Parental authorization for routine transportation provided by or on behalf of the Center. Written authorization must include the routine pick-up location, routine pick-up time, routine delivery location, routine delivery times and the name of any person authorized to receive the child.

During a Monitoring Visit conducted on October 8, 2025 ; It was determined based on a review of records that sixteen of 32 parental agreements did not have the pick-up/delivery times listed.

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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 an Incident Investigation Closure conducted on December 9, 2024 ; It was determined that on October 18, 2023, children were not adequately supervised when a four-year-old child sustained a small cut on the head. The children wear playing with wooden sticks with a ball on the end that connects to make a fort frame. A child was swinging two connected sticks. The wooden ball flew off the end, striking the four-year-old child on the head. The child received professional medical treatment the following day as a precaution and was diagnosed with a contusion.

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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 Monitoring Visit conducted on October 8, 2025 ; It was determined based on observation that upon arrival to the 1st Left Classroom a 1-year-old was eating breakfast and the staff were at the counter area accross the room. Exhibit "A"

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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 April 18, 2023 ; It was determined based on observation that children had access to concrete that was not flush with the sidewalks on Playground A, B, D and E posing a tripping hazard. In addition, there was trash in the manner of paper and cups throughout all four playgrounds. 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 Licensing Study conducted on April 18, 2023 ; It was determined based on observation that the following hazards were accessible to children in care: Room C- Several bottles of ointments, lotions, and baby wipes were accessible in an unlocked diapering station. Room F- Two staff members' purses were accessible in an unlocked cabinet. Room G- A plunger and toilet brush were accessible in the restroom. Room H- A broom and floor cleaner were placed next to the sink. 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 & Licensing Study conducted on August 22, 2023 ; It was determined based on observation that the following hazards were accessible to children in care: Room A- A broom and dust pan were placed by the door. Room C- Two brooms and a dust pan were located in the restroom. Room D- A stapler was placed on the cubbies and there was a broom placed by the door. In addition, 'Comet', 'Lysol' spray, 'Lysol' wipes, bug spray, and rubber gloves that were placed on a shelf in the restroom within reach of school age children. Room E- Rubber gloves and baby wipes were located on the side of the cots and there was 'Lysol' spray placed on the floor of the restroom. Room G- A broom and dust pan were located by the sink. Room H- A broom and dust pan were located by 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 September 18, 2023 ; It was determined based on observation that the following hazards were accessible to children in care: Room C- A dust pan was placed by the sinks and rubber gloves were located on the side of the diapering station. Room E- Rubber gloves, baby wipes, 'Desitin', wet wipes and trash bags were located on a rolling cart in the restroom. A broom and dust pan were located inside the door of the restroom and 'Febreeze' spray on the cubbies and within reach of children in care. Room H- A broom and dust pan were located by the sink. 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. Capitol Corporate Services, Mr. David and Mr. Evans

During a POI Follow Up conducted on October 5, 2023 ; It was determined based on observation that the following hazards were accessible to children in care: Room C- Rubber gloves were located on the side of the diapering station. In addition, 'Desitin', 'A &D' ointments, and lotions were all stored in a white tub under the unlocked diapering station accessible to children in care. Room E- Rubber gloves and trash bags were located on a rolling cart in the restroom. A broom and dust pan were located inside the door of the restroom. Room D: Children had access to a stapler placed on the desk.

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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 November 30, 2022 ; It was determined based on observation that the fencing was observed to have chipped paint and wood all around the playgrounds. 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 & Licensing Study conducted on August 22, 2023 ; It was determined based on observation that the following hazards were accessible: Playground A- The concrete was not flush with the sidewalks and the wooden platform was not flush in several areas which posed a tripping hazard. Playground B- The concrete was not flush with the sidewalks which posed a tripping hazard. 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 September 18, 2023 ; It was determined based on observation that the following hazards were accessible: Playground A- The concrete was not flush with the sidewalks and the wooden platform was not flush in several areas which posed a tripping hazard. Playground B- The concrete was not flush with the sidewalks which posed a tripping hazard. 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. Capitol Corporate Services, Mr. David and Mr. Evans

During a POI Follow Up conducted on October 5, 2023 ; It was determined based on observation that the following hazards were accessible: Playground A- The concrete was not flush with the sidewalks and the wooden platform was not flush in several areas which posed a tripping hazard. Playground B- An unwrapped water hose was accessible on the playground.

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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 Licensing Study conducted on April 18, 2023 ; It was determined based on a review of records that a new hire did not obtain health and safety orientation within the first 90 days of employment. 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-.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 & Licensing Study conducted on August 22, 2023 ; It was determined based on a review of records that staff members #6, 7, 20 and 21 did not obtain health and safety orientation within the first 90 days of employment. 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. Capitol Corporate Services, Mr. David and Mr. Evans

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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 POI Follow Up conducted on September 18, 2023 ; It was determined based on a review of records that staff member #6 and staff member #19 did not obtain health and safety orientation within the first 90 days of employment. 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-.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 POI Follow Up conducted on October 5, 2023 ; It was determined based on a review of records that staff member #6 did not obtain health and safety orientation within the first 90 days of employment. Exhibit "A"

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591-1-1-.03(7) · Rule 591-1-1-.03(7) requires the center to provide outdoor activities daily, weather permitting.

During a POI Follow Up conducted on September 18, 2023 ; It was determined based on daily schedules that Room C, F and H did not follow the daily schedule and provide the required outside time. Each class was scheduled to go outside between 9:30AM and 10:15AM. As of 10:20AM, all three classes were still inside.

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591-1-1-.10(9) · Rule 591-1-1-.10(9) requires Center Staff to not use the area used for diapering for food preparation and to keep the diapering area clear of formulas, food, food utensils and food preparation items.

During a POI Follow Up conducted on May 1, 2023 ; It was determined based on observation that in Room F empty cups were stored on the diapering station and within the diapering sink.,

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591-1-1-.10(9) · Rule 591-1-1-.10(9) requires Center Staff to not use the area used for diapering for food preparation and to keep the diapering area clear of formulas, food, food utensils and food preparation items.

During a POI Follow Up conducted on September 18, 2023 ; It was determined based on observation that upon arrival to Room F used sippy cups were placed on the diapering station.

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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 April 18, 2023 ; It was determined based on observation that Room B did not have current lesson plans. 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-.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 Complaint Investigation & Licensing Study conducted on August 22, 2023 ; It was determined based on observation that the center classrooms did not have current lesson plans. The lesson plans were dated for the previous weeks and not dated for the current week. 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-.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 Complaint Closure conducted on September 6, 2023 ; It was determined based on investigative findings that the lesson plans were not current during the week of August 17, 2023. Lesson plans for the week of August 7, 2023 were being used for the week of August 17, 2023 in all classrooms. 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-.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 POI Follow Up conducted on September 18, 2023 ; It was determined based on observation that Room E had lesson plans from the week of September 11, 2023 and when asked for current lesson plans the staff did not have any for viewing.

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591-1-1-.21(3) · Rule 591-1-1-.21(3) requires that the Center conduct drills for fire, tornado and other emergency situations. The fire drills will be conducted monthly and tornado and other emergency situation drills will be conducted every six months. The Center shall maintain documentation of the dates and times of these drills for two years.

During a Complaint Investigation & Licensing Study conducted on August 22, 2023 ; It was determined based on a review of records that the center had not conducted a fire drill since April 2023. Capitol Corporate Services, Mr. David and Mr. Evans

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591-1-1-.21(3) · Rule 591-1-1-.21(3) requires that the Center conduct drills for fire, tornado and other emergency situations. The fire drills will be conducted monthly and tornado and other emergency situation drills will be conducted every six months. The Center shall maintain documentation of the dates and times of these drills for two years.

During a POI Follow Up conducted on September 18, 2023 ; It was determined based on a review of records that the center had not conducted a lockdown or tornado drill for the 2023 year.

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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 April 18, 2023 ; It was determined based on observation that the following hazards were accessible to children in care: Room C- Several bottles of ointments, lotions, and baby wipes were accessible in an unlocked diapering station. Room F- Two staff members' purses were accessible in an unlocked cabinet. Room G- A plunger and toilet brush were accessible in the restroom. Room H- A broom and floor cleaner were placed next to the sink. 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 & Licensing Study conducted on August 22, 2023 ; It was determined based on observation that the following hazards were accessible to children in care: Room A- A broom and dust pan were placed by the door. Room C- Two brooms and a dust pan were located in the restroom. Room D- A stapler was placed on the cubbies and there was a broom placed by the door. In addition, 'Comet', 'Lysol' spray, 'Lysol' wipes, bug spray, and rubber gloves that were placed on a shelf in the restroom within reach of school age children. Room E- Rubber gloves and baby wipes were located on the side of the cots and there was 'Lysol' spray placed on the floor of the restroom. Room G- A broom and dust pan were located by the sink. Room H- A broom and dust pan were located by 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 September 18, 2023 ; It was determined based on observation that the following hazards were accessible to children in care: Room C- A dust pan was placed by the sinks and rubber gloves were located on the side of the diapering station. Room E- Rubber gloves, baby wipes, 'Desitin', wet wipes and trash bags were located on a rolling cart in the restroom. A broom and dust pan were located inside the door of the restroom and 'Febreeze' spray on the cubbies and within reach of children in care. Room H- A broom and dust pan were located by the sink.

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591-1-1-.03(7) · Rule 591-1-1-.03(7) requires the center to provide outdoor activities daily, weather permitting.

During a Complaint Investigation & Licensing Study conducted on August 22, 2023 ; It was determined based on daily schedules that Room C, F and H did not follow the daily schedule and provide the required outside time. Each class was scheduled to go outside between 10:00AM and 10:15AM. As of 10:20AM, all three classes were still inside.

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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. Capitol Corporate Services, Mr. David and Mr. Evans

During a Monitoring Visit conducted on November 30, 2022 ; It was determined based on observation that the following items were in need of being cleaned or repaired: Center Room- The floors had debris throughout and in the corners. Room E- The wall and baseboards were observed to have chipped paint. Room F- The window sills were in need of being cleaned due to debris and the baseboards were observed to have chipped paint. Room C- The baseboards were observed to have chipped paint. 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(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 an Incident Investigation & Follow Up conducted on March 2, 2023 ; It was determined based on observation that the following items were in need of being kept clean or repaired: Room E- The wall and baseboards were observed to have chipped paint. Room F- The baseboards were observed to have chipped paint and wood. Room C- The baseboards were observed to have chipped paint and wood. 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(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 April 18, 2023 ; It was determined based on observation that the rugs and baseboards throughout the center were in need of being cleaned and the spaces between the sinks in each classroom were in need of being cleaned due to dirt and debris. Room E- The bathroom's toilet bolts were over two threads and a toilet was missing the toilet seat. Room D- Trash such as used cups, paper, and lids were throughout 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-.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 Complaint Investigation & Licensing Study conducted on August 22, 2023 ; It was determined based on observation that the following items were in need of being cleaned/repaired: Room D- There was trash in the manner of paper and cups on the floor, baseboards and rugs were in need of being cleaned, there was a hole in the back wall, the bolts on the bottom of the restroom toilet were in need of being cut down or capped due to it being over two threads in length. Room C- The rugs were in need of being cleaned. 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. Capitol Corporate Services, Mr. David and Mr. Evans

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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 POI Follow Up conducted on September 18, 2023 ; It was determined based on observation that the following items were in need of being cleaned/repaired: Room D- Baseboards and rugs were in need of being cleaned and the bolts on the bottom of the restroom toilet were in need of being cut down or capped due to it being over two threads in length. Room C- The rugs were in need of being cleaned. 5. A. Rule 591-1-1-.36(8) restricts a child's travel time to forty-five minutes on each trip between the Center and destination unless accompanied by the Parent and excluding field trips. During a Complaint Investigation & Licensing Study conducted on August 22, 2023 ; It was determined based on a review of records that travel times to Crescent Elementary exceeded 45 minutes in that times ranged to be from 56 minutes to one hour and 21 minutes. 5. B. Rule 591-1-1-.36(8) restricts a child's travel time to forty-five minutes on each trip between the Center and destination unless accompanied by the Parent and excluding field trips. During a POI Follow Up conducted on September 18, 2023 ; It was determined based on a review of records that travel times to Crescent Elementary exceeded 45 minutes in that times ranged to be from 46 minutes to 57 minutes the week of September 11, 2023.

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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 November 30, 2022 ; It was determined based on observation that the fencing was observed to have chipped paint and wood all around the playgrounds. 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. Capitol Corporate Services, Mr. David and Mr. Evans

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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 April 18, 2023 ; It was determined based on observation that children had access to concrete that was not flush with the sidewalks on Playground A, B, D and E posing a tripping hazard. In addition, there was trash in the manner of paper and cups throughout all four playgrounds. 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 & Licensing Study conducted on August 22, 2023 ; It was determined based on observation that the following hazards were accessible: Playground A- The concrete was not flush with the sidewalks and the wooden platform was not flush in several areas which posed a tripping hazard. Playground B- The concrete was not flush with the sidewalks which posed a tripping hazard. 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 September 18, 2023 ; It was determined based on observation that the following hazards were accessible: Playground A- The concrete was not flush with the sidewalks and the wooden platform was not flush in several areas which posed a tripping hazard. Playground B- The concrete was not flush with the sidewalks which posed a tripping hazard.

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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 Licensing Study conducted on April 18, 2023 ; It was determined based on a review of records that a new hire did not obtain health and safety orientation within the first 90 days of employment. 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. Capitol Corporate Services, Mr. David and Mr. Evans

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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 & Licensing Study conducted on August 22, 2023 ; It was determined based on a review of records that staff members #6, 7, 20 and 21 did not obtain health and safety orientation within the first 90 days of employment. 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-.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 POI Follow Up conducted on September 18, 2023 ; It was determined based on a review of records that staff member #6 and staff member #19 did not obtain health and safety orientation within the first 90 days of employment. Exhibit "A"

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591-1-1-.31(2)(b)3.(ii)(I)-(VIII) · Rule 591-1-1-.31(2)(b)3.(ii)(I)-(VIII) requires the Center develop a written plan for newly hired teacher's who do not possess the educational credential or degree listed in 591-1-1-.31(2) (b)2.(i) through (xii).

During a Licensing Study conducted on April 18, 2023 ; It was determined based on a review of records that the center does not have a professional development plan for lead teachers.

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591-1-1-.18(7) · Rule 591-1-1-.18(7) requires each Center to have a designated space for storage of food and kitchen items and that the area be kept clean and free of accumulation of dust, dirt, food particles and grease deposits.

During a Licensing Study conducted on May 17, 2022 ; It was determined based on observation that the kitchen cabinets were not free of debris as spilled food and spices were observed.

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591-1-1-.18(7) · Rule 591-1-1-.18(7) requires each Center to have a designated space for storage of food and kitchen items and that the area be kept clean and free of accumulation of dust, dirt, food particles and grease deposits.

During a Monitoring Visit conducted on November 30, 2022 ; It was determined based on observation that the kitchen cabinets were not free of debris as spilled food and spices were observed.

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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 May 17, 2022 ; It was determined based on observation that the fencing had chipped paint and wood all around the playgrounds.

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591-1-1-.18(7) · Rule 591-1-1-.18(7) requires each Center to have a designated space for storage of food and kitchen items and that the area be kept clean and free of accumulation of dust, dirt, food particles and grease deposits.

During a Licensing Study conducted on April 18, 2023 ; It was determined based on observation that the bottom of the kitchen cabinets, behind the stove, and between the refrigerator and cabinets needed to be cleaned due to dirt, debris, and grease build up.

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591-1-1-.15(2) · Rule 591-1-1-.15(2) requires that a signed written feeding plan for children less than one (1) year of age shall be obtained from Parent(s) and that instructions from the Parent(s) shall be updated regularly as new foods are added or other dietary changes are made. The feeding plan shall be posted in the child's assigned room and must include the child's feeding schedule, the amount of formula or breast milk to be given, instructions for the introduction of solid foods, the amount of food to be given and notation of any type(s) of commercially premixed formula which may not be used in an emergency because of food allergies.

During a Monitoring Visit conducted on November 30, 2022 ; It was determined based on observation that infant feeding plans were not posted in the infant classroom.

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591-1-1-.15(2) · Rule 591-1-1-.15(2) requires that a signed written feeding plan for children less than one (1) year of age shall be obtained from Parent(s) and that instructions from the Parent(s) shall be updated regularly as new foods are added or other dietary changes are made. The feeding plan shall be posted in the child's assigned room and must include the child's feeding schedule, the amount of formula or breast milk to be given, instructions for the introduction of solid foods, the amount of food to be given and notation of any type(s) of commercially premixed formula which may not be used in an emergency because of food allergies.

During an Incident Investigation & Follow Up conducted on March 2, 2023 ; It was determined based on observation that infant feeding plans were not posted in the infant classroom.

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591-1-1-.15(2) · Rule 591-1-1-.15(2) requires that a signed written feeding plan for children less than one (1) year of age shall be obtained from Parent(s) and that instructions from the Parent(s) shall be updated regularly as new foods are added or other dietary changes are made. The feeding plan shall be posted in the child's assigned room and must include the child's feeding schedule, the amount of formula or breast milk to be given, instructions for the introduction of solid foods, the amount of food to be given and notation of any type(s) of commercially premixed formula which may not be used in an emergency because of food allergies.

During a Licensing Study conducted on April 18, 2023 ; It was determined based on observation that one infant feeding plan did not have the parent's signature. Another infant feeding plan did not have the amount the child was to be eating and the plans were not the most current plans that required initials from parents for introduction of solid foods.

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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 May 17, 2022 ; It was determined based on observation that the following hazards were accessible to children: 2nd Right Classroom: -stapler and scissors placed on the desk -hand sanitizer and glass cleaner located in the cubbies -glass cleaner located in the restroom 4th Left Classroom: -staff purse placed on the cubbies -a stapler placed on a shelf

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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 April 18, 2023 ; It was determined based on observation that the following hazards were accessible to children in care: Room C: -several bottles of ointments, lotions, and baby wipes were accessible in an unlocked diapering station Room F: -two staff members' purses located in an unsecured cabinet Room G: -a plunger and toilet brush located in the restroom Room H: -a broom and floor cleaner placed next to the sink

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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 May 17, 2022 ; It was determined based on observation that the following items were in need of being kept clean or repaired: -center floors had debris throughout and in corners 3rd Right Classroom: -wall was observed to be chipping paint -window sill was observed to be chipping wood and paint -baseboards were observed to be chipping wood -one of two sinks was not in working order 3rd Left Classroom: -window sills were in need of being cleaned due to debris -tops of wooden toy storage was in need of being cleaned due to debris -baseboards were observed to be chipping wood - 4th Right brown debris behind the toilets

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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 November 30, 2022 ; It was determined based on observation that the following items were in need of being cleaned or repaired: Center -the floors had debris throughout and in corners 3rd Right Classroom: -wall was observed to have chipped paint -baseboards were observed to be chipped 3rd Left Classroom: -window sills were in need of being cleaned due to debris -baseboards were observed to have chipped paint and wood 2nd Left Classroom: -baseboards were observed to have chipped paint

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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 an Incident Investigation & Follow Up conducted on March 2, 2023 ; It was determined based on observation that the following items were in need of being kept clean or repaired: 3rd Right Classroom: -wall was observed to have chipped paint -baseboards were observed to have chipped wood 3rd Left Classroom: -baseboards were observed to have chipped paint and wood 2nd Left: -baseboards were observed to have chipped paint and wood

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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 April 18, 2023 ; It was determined based on observation that the toilet bolts were over two threads in Room E. It was further determined that the rugs and baseboards throughout the center were in need of being cleaned. The space between the sinks in each classroom were in need of being cleaned due to dirt and debris. In addition, Room D had trash such as used cups, paper, and lids throughout the classroom. Also, the restroom in Room E was missing a toilet seat.

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591-1-1-.36(7)(b) · Rule 591-1-1-.36(7)(b) requires that an emergency medical information record be maintained in the vehicle for each child being transported. The emergency medical information record for each child shall include a listing of the child's full name, date of birth, allergies, special medical needs and conditions, current prescribed medications that the child is required to take on a daily basis for a chronic condition, the name and telephone number of the child's doctor, the local medical facility that the Center uses in the area where the Center is located and the telephone numbers where the Parents can be reached.

During a Licensing Study conducted on May 17, 2022 ; It was determined based on a review of records that the following information was missing emergency medical information: -1 of 20 was missing the child's date of birth -1 of 20 was missing the mother's information -14 of 20 did not have work numbers listed for the parents.

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591-1-1-.36(7)(b) · Rule 591-1-1-.36(7)(b) requires that an emergency medical information record be maintained in the vehicle for each child being transported. The emergency medical information record for each child shall include a listing of the child's full name, date of birth, allergies, special medical needs and conditions, current prescribed medications that the child is required to take on a daily basis for a chronic condition, the name and telephone number of the child's doctor, the local medical facility that the Center uses in the area where the Center is located and the telephone numbers where the Parents can be reached.

During a Monitoring Visit conducted on November 30, 2022 ; It was determined based on a review of records that the following information was missing emergency medical information: -10 of 19 were missing the home phone number -12 of 19 were missing the work phone number -2 of 19 were missing the medical facility that the center uses and the address

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591-1-1-.36(7)(b) · Rule 591-1-1-.36(7)(b) requires that an emergency medical information record be maintained in the vehicle for each child being transported. The emergency medical information record for each child shall include a listing of the child's full name, date of birth, allergies, special medical needs and conditions, current prescribed medications that the child is required to take on a daily basis for a chronic condition, the name and telephone number of the child's doctor, the local medical facility that the Center uses in the area where the Center is located and the telephone numbers where the Parents can be reached.

During an Incident Investigation & Follow Up conducted on March 2, 2023 ; It was determined based on a review of records that the following information was missing from emergency medical information: -3 of 17 were missing the home phone number -3 of 17 were missing the work phone number -1 of 17 were missing the medical facility the center uses and the address

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591-1-1-.36(7)(b) · Rule 591-1-1-.36(7)(b) requires that an emergency medical information record be maintained in the vehicle for each child being transported. The emergency medical information record for each child shall include a listing of the child's full name, date of birth, allergies, special medical needs and conditions, current prescribed medications that the child is required to take on a daily basis for a chronic condition, the name and telephone number of the child's doctor, the local medical facility that the Center uses in the area where the Center is located and the telephone numbers where the Parents can be reached.

During a Licensing Study conducted on April 18, 2023 ; It was determined based on a review of records that the following information was missing: -2 of 22 were missing the home phone number -2 of 12 were missing the work phone number -1 of 22 did not have the father's information listed

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591-1-1-.31(2)(b)3.(ii)(I)-(VIII) · Rule 591-1-1-.31(2)(b)3.(ii)(I)-(VIII) requires the Center develop a written plan for newly hired teacher's who do not possess the educational credential or degree listed in 591-1-1-.31(2) (b)2.(i) through (xii).

During a Monitoring Visit conducted on November 30, 2022 ; It was determined based on a review of records that the center does not have a professional development plan for lead teachers.

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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 November 30, 2022 ; It was determined based on observation that the fencing was observed to have chipped paint and wood all around the playgrounds.

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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 April 18, 2023 ; It was determined based on observation that the following hazards were accessible: -concrete was not flush with the sidewalks on Playground A, B, D and E posing a tripping hazard -trash in the manner of paper and cups were observed on Playground A, B, D and E Exhibit "A"

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591-1-1-.32(7) · Rule 591-1-1-.32(7) requires that children shall 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.

It was determined that on October 29, 2021, a one-year-old child closed the door on their finger while playing on a glass door while in the classroom. Staff observed the one-year-old child playing on the door and failed to intervene to prevent the child from being injured. Professional medical attention was not obtained. (PAGE 1 of 1)

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