Kids R First Learning Center

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

During a Licensing Study conducted on May 26, 2022 ; It was determined based on observation that the speakers on the brown shelf in the 4th Right Classroom and stacked crates in the 2nd Right Classroom were not secured and posed a falling hazard.

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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 May 26, 2022 ; It was determined based on review of records that one of one infant feeding plans was not updated as the form was filled out in December 2021 and stated that infant was eating five ounces and the child was currently being fed eight ounces.

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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 MV POI Follow Up conducted on September 22, 2022 ; It was determined based on review of records that one of four infant feeding plans did not have the type of formula listed and one of four infant feeding plans did not have how much the child was to be given and how often the child was to be fed.

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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 26, 2022 ; It was determined based on observation that the following items were in need of repair: -'O' rings behind the center toilets were rusted -One of three toilets in the 1st Left Classroom's restroom was not in working order -Paint was observed to be chipping off the exit door (leading to outside) of the 2nd Right Classroom -Two small holes in the wall near the entrance door of the 2nd Right Classroom -Brown debris around the back of the toilets in the 3rd Right and 4th right restrooms -Baseboards in the 3rd Right and 4th Right restroom were in need of being cleaned -Bottom left corner of the 4th Right Classroom sink had chipped wood -Rubber in the far front corner of the 3rd Left Classroom was missing

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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 MV POI Follow Up conducted on September 22, 2022 ; It was determined based on observation that the following items were in need of repair: -One of three 'O' rings behind the toilet of the 1st Left Classroom's restroom was rusted -Two of three 'O' rings behind the toilet of the 3rd Left Classroom's restroom were rusted -One of three toilets in the 1st Left Classroom's restroom was not in working order -Two small holes in the wall near the entrance door of the 2nd Right Classroom -Brown debris on the floor tiles throughout the center that were in need of cleaning -The bottom left corner of the 4th Right Classroom's sink had chipped wood -Bolts on the bottom of the the two toilets in the 2nd Right Classroom's restroom were over two threads and in need of caps or being cut

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591-1-1-.30(1)(b)1 · Rule 591-1-1-.30(1)(b)1 requires that cots and mats are of sound construction and of sufficient size to accommodate comfortably the size and weight of the child; and that mats are in good repair, washable, covered with a waterproof material and at least two inches (2") thick.

During a Licensing Study conducted on May 26, 2022 ; It was determined based on observation that mats in the 3rd Right Classroom had exposed foam.

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591-1-1-.30(1)(b)1 · Rule 591-1-1-.30(1)(b)1 requires that cots and mats are of sound construction and of sufficient size to accommodate comfortably the size and weight of the child; and that mats are in good repair, washable, covered with a waterproof material and at least two inches (2") thick.

During a MV POI Follow Up conducted on September 22, 2022 ; It was determined based on observation that mats in the 2nd Right and 3rd Right Classroom had exposed foam.

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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 26, 2022 ; It was determined based on review of records that the following information was missing from the emergency medical information forms: -32 of 79 forms did not have the parent's work numbers -Two of 79 forms did not have listed if the child had any allergies -Two of 79 did not have listed if the child was on any medication -Two of 79 did not have listed if the child had any special conditions -One of 79 did not have the doctor's name and/or phone number listed -One of 79 did not have the emergency contact information listed -One of 79 did not have the child's date of birth

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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 MV POI Follow Up conducted on September 22, 2022 ; It was determined based on review of records that the following information was missing from emergency medical information forms: -32 of 79 forms did not have the parents work numbers -Two of 79 forms did not have listed if the child had any allergies -Two of 79 forms did not have listed if the child was on any medication -Two of 79 forms did not have listed if the child had any special conditions -One of 79 forms did not have the doctor's name and/or phone number listed -One of 79 forms did not have the emergency contact information listed -One of 79 forms did not have the child's date of birth

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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, mental retardation or developmental disabilities which limit the child’s participation in the program.

During a Licensing Study conducted on May 26, 2022 ; It was determined based on review of records that following information was missing from enrollment applications: -One of five did not have the phone number of the emergency contact -Three of five did not have the full addresses of the emergency contacts -Two of five did not have the full addresses of the release person(s) -Four of five did not have if the child had any allergies or special care procedures

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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, mental retardation or developmental disabilities which limit the child’s participation in the program.

During a MV POI Follow Up conducted on September 22, 2022 ; It was determined based on review of records that the following information was missing from enrollment forms: -One of five did not have the parent(s) work information -Four of five did not have if the child had any allergies or special care procedures

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

During a MV POI Follow Up conducted on September 22, 2022 ; It was determined based on observation that the speaker and fan placed on the window sill in the 2nd Right Classroom and the fan placed on the window sill in the 2nd Left Classroom were not secured and posed a falling hazard.

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591-1-1-.26(8) · Rule 591-1-1-.26(8) requires climbing and swinging equipment to have a resilient surface beneath the equipment and the fall zone from such equipment must be adequately maintained by the Center to assure continuing resiliency.

During a Licensing Study conducted on May 26, 2022 ; It was determined based on observation that resilient surface around the blue and red metal climber and the sliding equipment was inadequate in that grass was growing through the resilient surface. Consultant observed approximately two inches around the fall zones when six inches were required.

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591-1-1-.26(8) · Rule 591-1-1-.26(8) requires climbing and swinging equipment to have a resilient surface beneath the equipment and the fall zone from such equipment must be adequately maintained by the Center to assure continuing resilient.

During a MV POI Follow Up conducted on September 22, 2022 ; It was determined based on observation that the resilient surface around the blue and red metal climber had grass growing throughout the fall zones. It was further determined that resilient surface beneath the sliding equipment measured at approximately one inch when six inches were required.

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591-1-1-.31(1)(b)2 · Rule 591-1-1-.31(1)(b)2 requires the Director to possess at least one of the sets of minimum academic requirements and qualifying child care experience listed in Rule 591-1-1-.31(1)(b)2.(i-xiii).

During a Licensing Study conducted on May 26, 2022 ; It was determined based on review of records that the director (staff member #13) did not meet the requirements in that her CDA was expired.

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591-1-1-.31(1)(b)2 · Rule 591-1-1-.31(1)(b)2 requires the Director to possess at least one of the sets of minimum academic requirements and qualifying child care experience listed in Rule 591-1-1-.31(1)(b)2.(i-xiii).

During a MV POI Follow Up conducted on September 22, 2022 ; It was determined based on review of records that staff member #13 did not meet the minimum academic requirements in that her CDA was expired.

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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 May 26, 2022 ; It was determined based on review of records that the person (staff member #11) who conducted the second check during the week of May 9, 2022 through May 13, 2022 did not have the required transportation training. The training was not completed until requested for the Administrative Review on June 2, 2022.

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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 MV POI Follow Up conducted on September 22, 2022 ; It was determined based on review of records that staff member #13 did not have current transportation training on file.

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591-1-1-.15(7) · Rule 591-1-1-.15(7) requires that food be served according to manufacturer’s instructions and recommendations. Foods that are associated with young children’s choking incidents, such as, but not limited to, peanuts, hot dogs, raw carrots, popcorn, fish with bones, cheese cubes, grapes and any other food that is of similar shape and size of the trachea/windpipe shall not be served to the children less than four (4) years of age. Children older than four (4) years of age may be served these foods provided that the foods are cut in such a way as to minimize choking. Food shall not be accessible or served to children until it has been chopped, diced, cut or mashed and is appropriate for each child’s age and individual eating, chewing and swallowing ability.

During a Licensing Study conducted on May 26, 2022 ; It was determined based on review of the center's menu that on May 11, 2022, corn dogs were served to children.

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591-1-1-.15(7) · Rule 591-1-1-.15(7) requires that food be served according to manufacturer’s instructions and recommendations. Foods that are associated with young children’s choking incidents, such as, but not limited to, peanuts, hot dogs, raw carrots, popcorn, fish with bones, cheese cubes, grapes and any other food that is of similar shape and size of the trachea/wind pipe shall not be served to the children less than four (4) years of age. Children older than four (4) years of age may be served these foods provided that the foods are cut in such a way as to minimize choking. Food shall not be accessible or served to children until it has been chopped, diced, cut or mashed and is appropriate for each child’s age and individual eating, chewing and swallowing ability.

During a MV POI Follow Up conducted on September 22, 2022 ; It was determined based on review of the center's menu that on September 9, 2022 and September 13, 2022 corn dogs were served to children less than four years of age. In addition, popcorn was served on September 5, 2022 and grapes were served on September 5-6, 2022 and September 15, 2022 to children less than four years of age. Exhibit "A"

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