Kidz Choice Academy

591-1-1-.03(9) · Rule 591-1-1-.03(9) requires center staff to refrain from engaging in, or allowing children to other adults to engage in, activities that could be detrimental to a child’s health or well-being, such as but not limited to, horse play, rough play, wrestling, and picking up a child in a manner that could cause injury.

During an investigation, it was determined that on September 3, 2024, center staff failed to protect a one-year-old child from unintentional harm when a staff member grabbed, pulled, and picked up the one-year-old child by the arm in a manner that would cause injury. Professional medical attention was required.

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591-1-1-.29(3) · Rule 591-1-1-.29(3) requires the Director or designated person-in-charge to report or cause to be reported to the Department within twenty-four (24) hours or the next work day: any death of a child while in the care of the Center; any serious illness or injury requiring hospitalization or professional medical attention other than first aid of a child while in the care of the Center; any situation when a child in care becomes missing, such as, but not limited to, a child who is left on a vehicle; a child who leaves the building, playground, or property, or a child who is left behind on any trip; any fire; any structural disaster; any emergency situation that requires temporarily relocating children; and any time the program’s operating status changes (i.e., open to closed or temporality closed and temporarily closed to open.)

During an investigation, it was determined that on September 3, 2024, a one-year-old child sustained a nursemaid’s elbow while in care. Center staff failed to submit a required report to the Department within 24 hours or the next work day as required after becoming aware that the one-year-old child had obtained professional medical attention. Center staff became aware that the child received professional medical attention on September 3, 2024, and did not report the incident as required.

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591-1-1-.29(3) · Rule 591-1-1-.29(3) requires the Director or designated person-in-charge to report or cause to be reported to the Department within twenty-four (24) hours or the next work day: any death of a child while in the care of the Center; any serious illness or injury requiring hospitalization or professional medical attention other than first aid of a child while in the care of the Center; any situation when a child in care becomes missing, such as, but not limited to, a child who is left on a vehicle, a child who leaves the building, playground, or property, or a child who is left behind on any trip; any fire; any structural disaster; any emergency situation that requires temporarily relocating children; and any time the program’s operating status changes (i.e., open to closed or temporarily closed and temporarily closed to open).

It was determined, based on an investigation, that on December 4, 2023, at 11:28 a.m., a three-year-old child was missing for four minutes, the child was later discovered on the playground. The center failed to report the situation of a missing child to the department, as required.

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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 Follow Up conducted on September 6, 2024 ; It was determined based on observation that in Classroom E-1L - all three children's toilets were observed to contain protruding screws on the side.

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591-1-1-.36(4)(b) · Rule 591-1-1-.36(4)(b) requires that the interior of a transportation vehicle be clean, in safe repair and free of hazardous items, objects and/or other non-essential items which could cause injury.

During a Licensing Study conducted on June 5, 2024 ; It was determined based on observation that the first and second row seats were torn with exposed foam on van tag #TEE3016. The second row third seat contained a broken seat belt buckle on van tag #TEE3016. The third row first seat belt was observed to be torn on van tag #SBX6411. 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-.36(4)(b) · Rule 591-1-1-.36(4)(b) requires that the interior of a transportation vehicle be clean, in safe repair and free of hazardous items, objects and/or other non-essential items which could cause injury.

During a Complaint Investigation Follow Up conducted on July 3, 2024 ; It was determined based on observation that the first and second row seats were torn with exposed foam on van tag #TEE3016. The second row third seat contained a broken seat belt buckle on van tag #TEE3016. 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-.36(4)(b) · Rule 591-1-1-.36(4)(b) requires that the interior of a transportation vehicle be clean, in safe repair and free of hazardous items, objects and/or other non-essential items which could cause injury.

During a Complaint Investigation Follow Up conducted on September 6, 2024 ; It was determined based on observation that the first and second row seats were torn with exposed foam on van tag #TEE3016. The second row third seat contained a broken seat belt buckle on van tag #TEE3016.

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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 & Monitoring Visit conducted on September 21, 2023 ; It was determined based on observation that gnats were observed flying around near the sinks in classrooms A, B, C, E and F. 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 POI Follow Up conducted on November 16, 2023 ; It was determined based on observation that the ceiling tiles were missing in classroom C, D and F. In addition, the floor appeared to be dirty. Classroom C and F entrance doors are missing a door handle. 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 June 5, 2024 ; It was determined based on observation that the following items were in need of repair: - Classroom E-1L - All three children's toilets were observed to contain protruding screws on the side. 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 Follow Up conducted on July 3, 2024 ; It was determined based on observation that the following items were in need of repair: - Classroom E-1L - All three children's toilets were observed to contain protruding screws on the side. 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-.14(3) · Rule 591-1-1-.14(3) requires the Center to have a first aid kit in each building of the Center and in any vehicle used by the Center for transportation of children, that contains scissors, tweezers, gauze pads, adhesive tape, thermometer, band-aids, assorted sizes, antibacterial ointment, insect-sting preparation, an antiseptic cleansing solution, triangular bandages, rubber gloves, protective eye wear, a protective face mask, and a cold pack. The first aid kit, together with a first aid instruction manual which must be kept with the kit at all times, shall be stored so that it is not accessible to children but is easily accessible to Staff.

During a Complaint Investigation & Monitoring Visit conducted on September 21, 2023 ; It was determined based on observation that vehicle tag #SBX 6411 was not equipped with a first aid kit on this date and was used to transport children. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.14(3) · Rule 591-1-1-.14(3) requires the Center to have a first aid kit in each building of the Center and in any vehicle used by the Center for transportation of children, that contains scissors, tweezers, gauze pads, adhesive tape, thermometer, band-aids, assorted sizes, antibacterial ointment, insect-sting preparation, an antiseptic cleansing solution, triangular bandages, rubber gloves, protective eye wear, a protective face mask, and a cold pack. The first aid kit, together with a first aid instruction manual which must be kept with the kit at all times, shall be stored so that it is not accessible to children but is easily accessible to Staff.

During a Licensing Study conducted on June 5, 2024 ; It was determined based on observation the following items were missing from the following first aid kits: - Center's first aid kit - Thermometer, scissors, tweezers, insect sting preparation, antibacterial ointment, mask, and protective eye wear. - Van tag #TEE3016 - Thermometer, gloves, scissors, tweezers, insect sting preparation, antibacterial ointment, mask, cold pack, and protective eye wear. - Van tag #SBX6411- Thermometer, antibacterial ointment, mask, insect sting preparation, triangular bandage, and cold pack. 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-.14(3) · Rule 591-1-1-.14(3) requires the Center to have a first aid kit in each building of the Center and in any vehicle used by the Center for transportation of children, that contains scissors, tweezers, gauze pads, adhesive tape, thermometer, band-aids, assorted sizes, antibacterial ointment, insect-sting preparation, an antiseptic cleansing solution, triangular bandages, rubber gloves, protective eye wear, a protective face mask, and a cold pack. The first aid kit, together with a first aid instruction manual which must be kept with the kit at all times, shall be stored so that it is not accessible to children but is easily accessible to Staff.

During a Complaint Investigation Follow Up conducted on July 3, 2024 ; It was determined based on observation the following items were missing from the following first aid kits: - Van tag #TEE3016 - Thermometer, gloves, scissors, tweezers, insect sting preparation, antibacterial ointment, mask, cold pack, and protective eye wear. 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-.14(3) · Rule 591-1-1-.14(3) requires the Center to have a first aid kit in each building of the Center and in any vehicle used by the Center for transportation of children, that contains scissors, tweezers, gauze pads, adhesive tape, thermometer, band-aids, assorted sizes, antibacterial ointment, insect-sting preparation, an antiseptic cleansing solution, triangular bandages, rubber gloves, protective eye wear, a protective face mask, and a cold pack. The first aid kit, together with a first aid instruction manual which must be kept with the kit at all times, shall be stored so that it is not accessible to children but is easily accessible to Staff.

During a Complaint Investigation Follow Up conducted on September 6, 2024 ; It was determined based on observation the following items were missing from the first aid kit on the vehicle with tag number TEE3016: Thermometer, gloves, scissors, tweezers, insect sting preparation, antibacterial ointment, mask, cold pack, and protective eye wear. Exhibit "A"

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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 5, 2024 ; It was determined based on observation that the following items were in need of repair: - Classroom E-1L - All three children's toilets were observed to contain protruding screws on the side.

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

During a Licensing Study conducted on June 5, 2024 ; It was determined based on observation that a bottle of "Tylenol" was observed in a child's backpack sitting on a chair on the back-left side of the classroom in the home living center. The medication contained the label "KEEP OUT OF REACH OF CHILDREN."

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

During a Complaint Investigation Follow Up conducted on July 3, 2024 ; It was determined based on observation that Albuterol and an inhaler were observed in a child's backpack in the cubby area and was accessible.

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591-1-1-.25(12) · Rule 591-1-1-.25(12) requires heating and cooling equipment to be protected to prevent children from touching it. Fans, space heaters, etc. shall be positioned or installed so as to be inaccessible to the children.

During a Licensing Study conducted on June 5, 2024 ; It was determined based on observation that a five to nine and a half inch gap was observed on the fence surrounding the air conditioning unit located on the front-left entrance of playground C-Rear Center creating a potential entrapment hazard. The entry fence surrounding the air conditioning unit was observed to be leaning inward towards the unit.

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591-1-1-.25(12) · Rule 591-1-1-.25(12) requires heating and cooling equipment to be protected to prevent children from touching it. Fans, space heaters, etc. shall be positioned or installed so as to be inaccessible to the children.

During a Complaint Investigation Follow Up conducted on July 3, 2024 ; It was determined based on observation that a five to nine and a half inch gap was observed on the fence surrounding the air conditioning unit located on the front-left entrance of playground C-Rear Center creating a potential entrapment hazard. The gate of the entry fence surrounding the air conditioning unit was observed to be detached and leaning on the unit.

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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 & Monitoring Visit conducted on September 21, 2023 ; It was determined based on observation that gnats were observed flying around near the sinks in classrooms A, B, C, E and F.

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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 November 16, 2023 ; It was determined based on observation that the ceiling tiles were missing in classroom C, D and F. In addition, the floor appeared to be dirty. Classroom C and F entrance doors are missing a door handle.

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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 Follow Up conducted on July 3, 2024 ; It was determined based on observation that the following items were in need of repair: - Classroom E-1L - All three children's toilets were observed to contain protruding screws on the side.

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591-1-1-.36(4)(b) · Rule 591-1-1-.36(4)(b) requires that the interior of a transportation vehicle be clean, in safe repair and free of hazardous items, objects and/or other non-essential items which could cause injury.

During a Licensing Study conducted on June 5, 2024 ; It was determined based on observation that the first and second row seats were torn with exposed foam on van tag #TEE3016. The second row third seat contained a broken seat belt buckle on van tag #TEE3016. The third row first seat belt was observed to be torn on van tag #SBX6411.

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591-1-1-.36(4)(b) · Rule 591-1-1-.36(4)(b) requires that the interior of a transportation vehicle be clean, in safe repair and free of hazardous items, objects and/or other non-essential items which could cause injury.

During a Complaint Investigation Follow Up conducted on July 3, 2024 ; It was determined based on observation that the first and second row seats were torn with exposed foam on van tag #TEE3016. The second row third seat contained a broken seat belt buckle on van tag #TEE3016.

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591-1-1-.14(3) · Rule 591-1-1-.14(3) requires the Center to have a first aid kit in each building of the Center and in any vehicle used by the Center for transportation of children, that contains scissors, tweezers, gauze pads, adhesive tape, thermometer, band-aids, assorted sizes, antibacterial ointment, insect-sting preparation, an antiseptic cleansing solution, triangular bandages, rubber gloves, protective eye wear, a protective face mask, and a cold pack. The first aid kit, together with a first aid instruction manual which must be kept with the kit at all times, shall be stored so that it is not accessible to children but is easily accessible to Staff.

During a Complaint Investigation & Monitoring Visit conducted on September 21, 2023 ; It was determined based on observation that vehicle tag #SBX 6411 was not equipped with a first aid kit on this date and was used to transport children.

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591-1-1-.14(3) · Rule 591-1-1-.14(3) requires the Center to have a first aid kit in each building of the Center and in any vehicle used by the Center for transportation of children, that contains scissors, tweezers, gauze pads, adhesive tape, thermometer, band-aids, assorted sizes, antibacterial ointment, insect-sting preparation, an antiseptic cleansing solution, triangular bandages, rubber gloves, protective eye wear, a protective face mask, and a cold pack. The first aid kit, together with a first aid instruction manual which must be kept with the kit at all times, shall be stored so that it is not accessible to children but is easily accessible to Staff.

During a Licensing Study conducted on June 5, 2024 ; It was determined based on observation the following items were missing from the following first aid kits: - Center's first aid kit - Thermometer, scissors, tweezers, insect sting preparation, antibacterial ointment, mask, and protective eye wear. - Van tag #TEE3016 - Thermometer, gloves, scissors, tweezers, insect sting preparation, antibacterial ointment, mask, cold pack, and protective eye wear. - Van tag #SBX6411- Thermometer, antibacterial ointment, mask, insect sting preparation, triangular bandage, and cold pack.

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591-1-1-.14(3) · Rule 591-1-1-.14(3) requires the Center to have a first aid kit in each building of the Center and in any vehicle used by the Center for transportation of children, that contains scissors, tweezers, gauze pads, adhesive tape, thermometer, band-aids, assorted sizes, antibacterial ointment, insect-sting preparation, an antiseptic cleansing solution, triangular bandages, rubber gloves, protective eye wear, a protective face mask, and a cold pack. The first aid kit, together with a first aid instruction manual which must be kept with the kit at all times, shall be stored so that it is not accessible to children but is easily accessible to Staff.

During a Complaint Investigation Follow Up conducted on July 3, 2024 ; It was determined based on observation the following items were missing from the following first aid kits: - Van tag #TEE3016 - Thermometer, gloves, scissors, tweezers, insect sting preparation, antibacterial ointment, mask, cold pack, and protective eye wear.

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

During a Licensing Study conducted on June 5, 2024 ; It was determined based on observation that the television was not secured to a blue bookshelf located on the back-left side of classroom F-Front Right. The television was observed to be a potential tipping hazard.

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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 Complaint Investigation Follow Up conducted on July 3, 2024 ; It was determined based on observation that the television was not secured to a blue bookshelf located on the back-left side of classroom F-Front Right. The television was observed to be a potential tipping hazard.

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591-1-1-.12(2) · Rule 591-1-1-.12(2) requires that all equipment and furniture be free from hazardous conditions such as, but not limited to, sharp rough edges or toxic paint; and be kept clean.

During a Licensing Study conducted on June 5, 2024 ; It was determined based on observation that the following equipment must be repaired: - Classroom B-2L Middle - A cow shape board contained a protruding screw. - Classroom E-1L - A blue sofa was observed to be torn with exposed foam located on the front-left entrance of the classroom next to the brown bookshelf. - Classroom F-Front Right - A red sofa and a blue sofa were observed to be torn with exposed foam in the reading center located on the back-right side. Two plastic containers containing toys were cracked creating a potential pinching hazard located on the back-left side of the home living area.

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591-1-1-.12(2) · Rule 591-1-1-.12(2) requires that all equipment and furniture be free from hazardous conditions such as, but not limited to, sharp rough edges or toxic paint; and be kept clean.

During a Complaint Investigation Follow Up conducted on July 3, 2024 ; It was determined based on observation that the following equipment must be repaired: - Classroom B-2L Middle - A cow shape board contained a protruding screw. - Classroom F-Front Right - A red sofa and a blue sofa were observed to be torn with exposed foam in the reading center located on the back-right side. Two plastic containers containing toys were cracked creating a potential pinching hazard located on the back-left side of the home living area.

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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 June 5, 2024 ; It was determined based on observation that the following hazards were observed on the playground area: - Playground B-1L Toddler - Exposed tarp was observed on the left side of the slide attached to the red, blue, yellow, and brown sliding structure. Exposed tarp was also observed at the base of the wooden border surrounding the sliding structure. - Playground C-Rear Center - An unwrapped hose and a broken table were observed to be sitting on the front-left side of the playground. Equipment and furniture wrapped in plastic and in boxes and silver poles were sitting on the back-left side of the playground accessible to the children. Exposed tree roots were observed throughout the grounds of the playground. The PVC piping surrounding the sliding structure was separated. The exposed tree roots and the separated PVC created a potential tripping hazard. Broken tree branches were observed on the ground and hanging over the fence located on the back-left side of the playground.

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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 Follow Up conducted on July 3, 2024 ; It was determined based on observation that the following hazards were observed on the playground area: - Playground B-1L Toddler - A white tarp was observed to be covering equipment to the left of the playground. Also, there was exposed screws in two areas at the border of the pavilion. A shovel and pitch fork were observed on the playground. - Playground C-Rear Center - An unwrapped hose and a broken table were observed to be sitting on the front-left side of the playground. Equipment and furniture wrapped in plastic and in boxes and silver poles were sitting on the back-left side of the playground accessible to the children. Exposed tree roots were observed throughout the grounds of the playground. The PVC piping surrounding the sliding structure was separated. The exposed tree roots and the separated PVC created a potential tripping hazard. Broken tree branches were observed on the ground and hanging over the fence located on the back-left side of the playground. Further, there was a deflated splash and slide accessible on the playground.

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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 June 5, 2024 ; It was determined based on observation that the following playground equipment did not have the required amount of resilient surface: - Playground B-1L - The fall zone surrounding the slide attached to the red, blue, yellow and brown sliding structure contained approximately one inch of resilient surface. - Playground C-Rear Center - The fall zone surrounding the slide attached to the red, green, blue, and yellow sliding structure contained approximately one inch of resilient surface. Three inches of resilient surface was 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 resiliency.

During a Complaint Investigation Follow Up conducted on July 3, 2024 ; It was determined based on observation that the following playground equipment did not have the required amount of resilient surface: - Playground C-Rear Center - The fall zone surrounding the slide attached to the red, green, blue, and yellow curved slide structure contained approximately two inches of resilient surface. Three inches of resilient surface was required. Exhibit "A"

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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 & Monitoring Visit conducted on March 15, 2023 ; It was determined based on observation that an infant was sitting in a high chair eating during mealtime and two one-year- old children were sitting at a table alone and the staff member was not sitting within arm's length away from the child. The staff member was observed to be walking around the play area, rather than sitting closely to the children, 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 Complaint Investigation & Monitoring Visit conducted on September 21, 2023 ; It was determined based on observation that: - Staff member on playground C did not provide watchful oversight, staff member was observed outside standing at the door when a child came inside to use the restroom. - Staff member in classroom D left a child alone in the restroom and left the classroom. - Staff member in classroom E was not sitting within arms reach of the two-year-old children during snack.

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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 18, 2023 ; It was determined, based on an investigation that on December 4, 2023, at 11:28 a.m., a three-year-old child was left unattended on the playground for four minutes. The child was reported to begin knocking on the window at 11:32 a.m., and staff then became aware that the child was missing. Exhibit "A"

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