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 June 7, 2021 ; It was determined based on observation that the bathroom located on the left side of the diaper changing table had a toilet plunger stored beside of the toilet and accessible to the children in care. Additionally, the bathroom located on the right side of the diaper changing table had a toilet brush stored beside of the toilet and accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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 December 2, 2021 ; It was determined based on observation that the bathroom located on the left side of the diaper changing table had a toilet brush stored beside of the toilet and accessible to the children in care. Additionally, there was a bottle of Scrubbing Bubbles Bath Room Grime Fighter stored on top of the tank of the toilet, labeled Keep Out of Reach of Children and accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Licensing Study conducted on December 2, 2020 ; It was determined based on review of staff filed and additional requested documents that one staff member hired January 1, 2018 is beyond her eighteen months of employment and does not have qualifying experience or proof of currently being enrolled in an educational program and actively participating in the program.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Monitoring Visit conducted on June 7, 2021 ; It was determined based on review of all staff files that three lead teachers hired since the last regulatory visit do not have the required educational credentials.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Complaint Investigation & Licensing Study conducted on December 2, 2021 ; It was determined based on review of all staff files that a lead teacher hired on June 1, 2021 did not have an educational credential as required and had not enrolled in a program to obtain a credential within six months.

Open Not marked corrected in the state record

Open / not marked corrected.

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 June 7, 2021 ; It was determined based on review of all staff files that three lead teachers hired since the last regulatory visit had no proof of a written plan to obtain educational credentials.

Open Not marked corrected in the state record

Open / not marked corrected.

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 Complaint Investigation & Licensing Study conducted on December 2, 2021 ; It was determined based on review of all staff files that two lead teachers hired on September 13, 2021 and October 18, 2021 did not have a written plan to obtain educational credentials.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.14(1) · Rule 591-1-1-.14(1) requires the Center Director and, at any given time, at least fifty percent (50%) of the caregiver Staff to successfully complete a biennial training program in cardiopulmonary resuscitation (CPR) and a triennial training program in first aid. The first aid training must be done by certified or licensed health care professionals or trainers and must deal with the provision of emergency care to infants and children. The Center shall maintain current evidence of the successful completion of such training which shall be available to the Department for inspection.

During a Monitoring Visit conducted on June 7, 2021 ; It was determined based on review of all staff files that the center director's CPR / First Aid certificate had expired.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.14(1) · Rule 591-1-1-.14(1) requires the Center Director and, at any given time, at least fifty percent (50%) of the caregiver Staff to successfully complete a biennial training program in cardiopulmonary resuscitation (CPR) and a triennial training program in first aid. The first aid training must be done by certified or licensed health care professionals or trainers and must deal with the provision of emergency care to infants and children. The Center shall maintain current evidence of the successful completion of such training which shall be available to the Department for inspection.

During a Complaint Investigation & Licensing Study conducted on December 2, 2021 ; It was determined based on review of documents produced that four of four staff had no proof of current CPR / First Aid on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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 December 2, 2020 ; It was determined based on review of six random child files that one child's file did not have the doctor's phone number recorded as required.

Open Not marked corrected in the state record

Open / not marked corrected.

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 Complaint Investigation & Licensing Study conducted on December 2, 2021 ; It was determined based on review of records that only one legible enrollment form was submitted when five enrollment forms were requested on November 24, 2021, December 2, 2021, December 6, 2021 and December 19, 2021. The one child's file that was submitted did not have the mother and father's work address and work phone number as required.

Open Not marked corrected in the state record

Open / not marked corrected.

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 December 2, 2020 ; It was determined based on requested documents that no documents were produced as proof that four of four staff members hired over 90 days having completed the required Health and Safety and Orientation Training.

Open Not marked corrected in the state record

Open / not marked corrected.

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 Monitoring Visit conducted on June 7, 2021 ; It was determined based on a review of all staff files that two staff members hired more than 90 days had no proof of completion of Health and Safety and Orientation training as required.

Open Not marked corrected in the state record

Open / not marked corrected.

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 December 2, 2021 ; It was determined based on a review of records that two of four staff members hired on June 1, 2021, and September 13, 2021 did not have proof of completion of Health and Safety Training as required.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.33(1) · Rule 591-1-1-.33(1) requires all Employees and Provisional Employees to receive Initial Center orientation prior to assignment to children or task.

During a Monitoring Visit conducted on June 7, 2021 ; It was determined based on review of all staff files that seven of seven staff had no proof of completion of center orientation prior to assignment to children or task as required.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.33(1) · Rule 591-1-1-.33(1) requires all Employees and Provisional Employees to receive Initial Center orientation prior to assignment to children or task.

During a Complaint Investigation & Licensing Study conducted on December 2, 2021 ; It was determined based on review of all staff files that three of four staff have no proof of completion of center orientation prior to assignment to children or task as required. 8. A. Rule 91-1-1-.33(5) requires that every calendar year after the first year of employment, all supervisory and caregiver Personnel, except independent contractors, Students-in-Training and volunteers shall attend ten (10) clock hours of diverse training which is task-focused in on-going health, safety and early childhood or child development related topics and which is offered by an accredited college, university or vocational program or other Department-approved source. The annual ten (10) clock hours of training shall be chosen from the following fields: child development, including discipline, guidance, nutrition, injury control and safety; health, including sanitation, disease control, cleanliness, detection and disposition of illness; child abuse and neglect, including identification and reporting, and meeting the needs of abused and/or neglected children; and business related topics, including parental communication, recordkeeping, etc.; provided however that such business related training shall be limited to no more than two (2) of the required ten (10) clock hours of training. Records of completion of such training shall be maintained, as required by these rules. During a Licensing Study conducted on December 2, 2020 ; It was determined based on requested documents that one staff member hired 04-02-2018 completed zero hours of annual training for 2020 where 10 hours are required. Additionally, one staff member hired 08-07-2019 completed zero hours of annual training for 2020 where 10 hours are required. Additionally, one staff member hired 01-27-2020 completed 8.5 hours of annual training for 2020 where ten hours are required. Additionally, one staff member hired 01-01-2018 completed zero hours of annual training for 2020 where ten hours are required. 8. B. Rule 91-1-1-.33(5) requires that every calendar year after the first year of employment, all supervisory and caregiver Personnel, except independent contractors, Students-in-Training and volunteers shall attend ten (10) clock hours of diverse training which is task-focused in on-going health, safety and early childhood or child development related topics and which is offered by an accredited college, university or vocational program or other Department-approved source. The annual ten (10) clock hours of training shall be chosen from the following fields: child development, including discipline, guidance, nutrition, injury control and safety; health, including sanitation, disease control, cleanliness, detection and disposition of illness; child abuse and neglect, including identification and reporting, and meeting the needs of abused and/or neglected children; and business related topics, including parental communication, recordkeeping, etc.; provided however that such business related training shall be limited to no more than two (2) of the required ten (10) clock hours of training. Records of completion of such training shall be maintained, as required by these rules. During a Complaint Investigation & Licensing Study conducted on December 2, 2021 ; It was determined based on a review of records that two of four staff members employed over 90 days had no proof of completion of annual training hours for the 2020 calendar year. Documentation of the training was requested on November 24, 2021, December 2, 2021, December 6, 2021, and December 9, 2021. Exhibit "A"