Greater Minds Learning Academy Llc

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.

During a Complaint Closure Follow-up, it was determined that on April 15, 2024, there was a lack of supervision and watchful oversight while two staff members who were on the playground did not immediately see a group of children in a huddle as they smoked a vape pin which dropped out of a staff member’s pocket. One staff member was on the phone on a non-emergency call for approximately five minutes. Staff failed to actively supervise and provide watchful oversight to the children on the playground. 2.D.

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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.

During an incident investigation closure, it was determined that on July 25, 2024, at approximately 9:49 a.m., a two- year-old child was found by a staff member on the sidewalk at the center's entrance. The child exited their classroom and was located outside on the sidewalk without staff supervision for approximately three minutes. There were 10 two-year-old children in the classroom. Staff member A was changing a child’s diaper, and staff member B entered the classroom to assist for the day. Staff B exited the classroom and walked to the front office; however, Staff A was unaware that staff B left the classroom. According to video footage, the two-year-old child opened the classroom door, walked down the hall to the front office, and opened the front door of the center’s entrance and exited the center. The two-year-old child walked out of the entrance door unsupervised and was found outside by staff member B. There were six staff members present in the front office as the child walked out the front door of the center. The child remained outside alone for approximately one minute before being retrieved by the staff member. Staff failed to actively supervise and provide watchful oversight to the children in the classroom.

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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.

During a Complaint Investigation & Monitoring Visit on July 8, 2024, it was determined based on observation a ten-year-old child and a five-year-old child were observed to be walking in the hallway of the center alone and unsupervised by staff members. Staff failed to actively supervise and provide watchful oversight to the children in the classroom.

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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 childcare 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 Plan of Improvement Follow-up, it was further determined that in the cafeteria the entire class was eating, which consisted of two-year-old children, and the staff member was at the sink making plates and not seated within the arm’s length of the children. Staff failed to actively supervise and provide watchful oversight to the children in the cafeteria. 2.C.

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591-1-1-.31(2)(c) · Rule 591-1-1-.31(2)(c) requires the Center to maintain a copy and/or written verification of the credential or degree awarded to the lead teacher that is required by these rules in the lead teacher's file, to make the document available for inspection and to provide the document to Department staff upon request.

During a Complaint Investigation Follow Up conducted on April 30, 2024 ; It was determined based on observation that the center did not have a qualified lead teacher for eight of eight classrooms and no professional development plans were on file.

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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 30, 2023 ; It was determined based on observation that the following items were accessible to children in care. Cafeteria: -A broom, dust pan, and 'Swifter' mop were stored in the corner of the room. -Disinfectant spray and rubber gloves were placed on the shelf of the sink area and within reach of children using the stools to wash hands. -A clear backpack containing a first aid kit was located on a table within reach of children. Room C (4L): -Rubber gloves were placed on a cabinet within reach of children. -'Clorox', a toilet brush, broom and dust pan were located in an unlocked restroom. Room D (Middle): -Rubber gloves and three tubes of ointments were located on the side of the sink within reach of children. - A plunger, broom, and dust pan were accessible within the restroom. Room E (2L): -Rubber gloves were located on the side of the diapering station. -Disinfectant solution was located on the bottom of the diapering station within reach of children. -Baby wipes were located in the bottom of the open diapering station and posed a suffocation hazard. Room F (3L): -Baby wipes which posed a suffocation hazard were placed on top of a black cabinet within reach of children. -A staff member's purse was located in the unlocked black cabinet. Room G (4L): -The vacuum, toilet brush, two brooms, two dust pans, and 'Swifter' floor cleaner were accessible within the restroom. -Rubber gloves were placed on a shelf by the restrooms. -Vaseline lotion, a first aid kit, stapler, and adult scissors were in a basket on the cubbies and within reach of children. Room H (3rd Middle): -Four brooms and two boxes of rubber gloves were within reach of children. -A mop, plunger, toilet brush, bleach, and disinfectant cleaner were within reach of children in the restroom.

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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 March 26, 2024 ; It was determined based on observation that the following items were accessible to children in care. Room C: -Baby wipes and rubber gloves were located on the bottom of the diapering station which posed a suffocation hazard. Room D: -Rubber gloves were located on the sink and posed a suffocation hazard. -Plastic bags located under the diapering station and posed a suffocation hazard. -The first aid kit was on a backpack and within reach of children. -A broom, dust pan, plunger, and disinfectant spray located in the restroom were accessible to children. Room E: -Rubber gloves and plastic bags were located at the bottom of the diapering station and posed a suffocation hazard. -'Clorox' Spray and 'Glade' spray were located in an unlocked restroom. Room G: -Rubber gloves were accessible and posed a suffocation hazard. Cafeteria: -Rubber gloves were accessible and posed a suffocation hazard.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Complaint Investigation Follow Up conducted on April 30, 2024 ; It was determined based on observation that the following items were accessible to children in care. Room D: -There were rubber gloves located on the sink and posed a suffocation hazard. -Plastic bags were located under the diapering station and posed a suffocation hazard. Room G: -Rubber gloves, disinfecting wipes, and a first aid kit were placed on a shelf and within reach of children. -A vacuum, broom, and dust pan were placed in the restroom and accessible to children. Room H: -A first aid kit located on a shelf by the door leading to the playground was accessible to children. -A toilet brush located in the restroom was accessible to children. Cafeteria: -Rubber gloves were accessible to children and posed a suffocation hazard.

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591-1-1-.31(2)(c) · Rule 591-1-1-.31(2)(c) requires the Center to maintain a copy and/or written verification of the credential or degree awarded to the lead teacher that is required by these rules in the lead teacher's file, to make the document available for inspection and to provide the document to Department staff upon request.

During a Monitoring Visit conducted on October 30, 2023 ; It was determined based on observation that the center did not have a qualified lead teacher for eight of eight classrooms.

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591-1-1-.31(2)(c) · Rule 591-1-1-.31(2)(c) requires the Center to maintain a copy and/or written verification of the credential or degree awarded to the lead teacher that is required by these rules in the lead teacher's file, to make the document available for inspection and to provide the document to Department staff upon request.

During a Licensing Study conducted on March 26, 2024 ; It was determined based on observation that the center did not have a qualified lead teacher for eight of eight classrooms and no professional development plans on file.

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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 March 26, 2024 ; It was determined based on a review of record that the following information was missing from emergency medical forms reviewed. -Eight of 17 emergency medical forms did not have the medical facility nor the address. -Five of 17 emergency medical forms did not have the parent's work number. -Three of 17 emergency medical forms did not have the doctor's name and number. -One of 17 emergency medical forms did not have the date of birth listed. -One of 17 emergency medical forms did not have an emergency contact listed. -One of 17 emergency medical forms did not have the father's information. -One of 17 emergency medical forms did not have whether the child has any medications or allergies. -Three children did not have an emergency medical form.

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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 Complaint Investigation Follow Up conducted on April 30, 2024 ; It was determined based on a review of record that the following information was missing from emergency medical forms. -Fifteen of 43 emergency medical forms did not list the medical facility nor the address. -Twelve of 43 emergency medical forms did not have the parent's work number. -Seven of 43 emergency medical forms did not have the doctor's name and number. -One of 43 emergency medical forms did not have an emergency contact listed. -eight of 43 emergency medical forms not have the father's information. -Two of 43 emergency medical forms did not have the home number listed. -Five of 43 emergency medical forms did not list allergies. -Five of 43 emergency medical forms did not list whether the child was on any medication. -Four of 43 emergency medical forms did not list any special conditions. -Six of 43 emergency medical forms did not have an emergency medical forms on file.

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591-1-1-17(7) · Rule 591-1-1-17(7) requires that children wash their hands with liquid soap and warm running water upon arrival for care, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after eating meals and snacks, handling or touching food, playing in water; after toileting and diapering, playing in sand, touching animals or pets, and contact with bodily fluids and after contamination by any other means.

During a Licensing Study conducted on March 26, 2024 ; It was determined based on observation that a child entered Room C and was not required to wash their hands.

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591-1-1-17(7) · Rule 591-1-1-17(7) requires that children wash their hands with liquid soap and warm running water upon arrival for care, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after eating meals and snacks, handling or touching food, playing in water; after toileting and diapering, playing in sand, touching animals or pets, and contact with bodily fluids and after contamination by any other means.

During a Complaint Investigation Follow Up conducted on April 30, 2024 ; It was determined based on observation that a child entered Room A and was not required to wash their hands.

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591-1-1-.36(4)(a) · Rule 591-1-1-.36(4)(a) requires an annual safety check for each vehicle. The annual safety check, completed by a trained individual, should include a check of the: tires, headlights, horn, taillight, turn signals, brake lights, brakes, suspension, exhaust system, steering, windows, windshield and windshield wipers. A copy of the annual safety check will be kept in the Center or on the vehicle and should include evidence of any repairs and/or replacements that were identified as needed on the inspection report.

During a Monitoring Visit conducted on October 30, 2023 ; It was determined based on a review of records that the van ending in tag 9722 was noted as needing an alignment and the center had no documentation that the repair was made. It was further determined that the van ending in tag number 9723 was noted as having worn front brake pads and based on the receipt from the mechanic, the replacement was declined by the center.

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591-1-1-.36(4)(a) · Rule 591-1-1-.36(4)(a) requires an annual safety check for each vehicle. The annual safety check, completed by a trained individual, should include a check of the: tires, headlights, horn, taillight, turn signals, brake lights, brakes, suspension, exhaust system, steering, windows, windshield and windshield wipers. A copy of the annual safety check will be kept in the Center or on the vehicle and should include evidence of any repairs and/or replacements that were identified as needed on the inspection report.

During a Complaint Investigation Follow Up conducted on January 22, 2024 ; It was determined based on a review of records that the van ending in tag 9722 was noted as needing an alignment and the center had no documentation of repair. It was further determined that the van ending in tag number 9723 was noted as needing front brake pads and based on the receipt from the mechanic, the replacement was declined by the center.

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591-1-1-.36(4)(a) · Rule 591-1-1-.36(4)(a) requires an annual safety check for each vehicle. The annual safety check, completed by a trained individual, should include a check of the: tires, headlights, horn, taillight, turn signals, brake lights, brakes, suspension, exhaust system, steering, windows, windshield and windshield wipers. A copy of the annual safety check will be kept in the Center or on the vehicle and should include evidence of any repairs and/or replacements that were identified as needed on the inspection report.

During a Licensing Study conducted on March 26, 2024 ; It was determined based on a review of records that the van ending in tag 9722 and 9723 did not have the facility address or odometer reading listed on the form.

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591-1-1-.36(4)(a) · Rule 591-1-1-.36(4)(a) requires an annual safety check for each vehicle. The annual safety check, completed by a trained individual, should include a check of the: tires, headlights, horn, taillight, turn signals, brake lights, brakes, suspension, exhaust system, steering, windows, windshield and windshield wipers. A copy of the annual safety check will be kept in the Center or on the vehicle and should include evidence of any repairs and/or replacements that were identified as needed on the inspection report.

During a Complaint Investigation Follow Up conducted on April 30, 2024 ; It was determined based on a review of records that the van ending in tag 9722 and 9723 did not have the facility address nor odometer reading listed on the annual vehicle inspection. Exhibit "A"

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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 POI Follow Up conducted on October 4, 2022 ; It was determined based on review of documents that five staff members did not have documentation of orientation.

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591-1-1-.15(4) · Rule 591-1-1-.15(4) requires that a feeding chair or similar equipment designed for feeding children shall be provided for the use of each child being fed who is capable of sitting up but who is unable to sit unassisted at a table and must be cleaned with a disinfectant after each use. Such chair or similar equipment shall have a broad base to prevent tipping, a surface that the child cannot raise, a strap or other device which prevents the child from sliding out of the chair, and a feeding surface free of cracks.

During a Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on observation that an infant was placed in a bouncer and provided a bottle in the 2nd Left (R) Classroom. The infant was not provided a feeding chair.

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591-1-1-.15(4) · Rule 591-1-1-.15(4) requires that a feeding chair or similar equipment designed for feeding children shall be provided for the use of each child being fed who is capable of sitting up but who is unable to sit unassisted at a table and must be cleaned with a disinfectant after each use. Such chair or similar equipment shall have a broad base to prevent tipping, a surface that the child cannot raise, a strap or other device which prevents the child from sliding out of the chair, and a feeding surface free of cracks.

During a POI Follow Up conducted on October 4, 2022 ; It was determined based on observation that four infants were placed in feeding chairs but the feeding chair's straps were not used.

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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 September 8, 2022 ; It was determined based on review of records that the center had not conducted a lock down drill for the year of 2022. It was further determined that the center's fire drill log noted that a fire drill was conducted on June 18, 2022, however, that date was a Saturday and the center was closed.

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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 October 4, 2022 ; It was determined based on review of records that the center had not conducted a lock down drill for the year of 2022.

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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 March 1, 2022 ; It was determined based on observation that the following items were accessible to children in care. Middle Classroom- gloves and plastic bags located in unlocked drawers of the diapering station and a broom and dust pan placed by the door 2R Classroom- a broom and dust pan placed by the cubbies 4L Classroom- plastic bags, gloves, baby wipes, "Aquaphor", and "Eucerin" located in unlocked drawers on the diapering station 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. Jamie Comer and Temeko Smith

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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 September 8, 2022 ; It was determined based on observation that the following items were accessible to children in care. 2L Classroom- vinyl gloves located in an unlocked drawer on the diapering station Middle Classroom- a plunger and toilet brush placed in the restroom 4L Classroom- baby wipes located in an unlocked drawer on the diapering station 2R Classroom- "Mr. Clean" floor cleaner, a first aid kit, "Clorox", "Clorox" wipes, and other bathroom cleaner located in an unlocked cabinet of the restroom 3R Classroom- a broom and dust pan placed 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.

During a POI Follow Up conducted on October 4, 2022 ; It was determined based on observation that the following items were accessible to children in care. Middle Classroom- a plunger/toilet brush placed in the restroom next to the toilet, and "Mr. Clean", glass cleaner, "Clorox" and "Lysol" wipes located in the bathroom's unlocked cabinet 3R Classroom- a broom and dust pan placed beside the sink

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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 Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on review of records that three of five children transported did not have a transportation agreement form.

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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 Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on review of records that three of five children being transported did not have an emergency transportation form. It was further determined that two of five children did not have the date of birth listed nor the physician's name and/or phone number listed.

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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 POI Follow Up conducted on October 4, 2022 ; It was determined based on review of records that the following information was missing from emergency medical forms: -four of 18 did not have the child's physician and/or phone number listed -five of 18 did not have an emergency contact listed -six of 18 did not have work numbers for the parents -three of 18 did not have the father's information -three of 18 did not have an emergency medical form completed

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591-1-1-.36(7)(c)1 · Rule 591-1-1-.36(7)(c)1 requires that children be listed individually on the passenger transportation checklist using their first and last names. Jamie Comer and Temeko Smith

During a Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on review of records that during the week of August 27, 2022, the last names of four children being transported were not listed.

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591-1-1-.36(7)(c)1 · Rule 591-1-1-.36(7)(c)1 requires that children be listed individually on the passenger transportation checklist using their first and last names.

During a POI Follow Up conducted on October 4, 2022 ; It was determined based on review of records that during the week of October 3, 2022, last names of four children being transported were not listed.

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591-1-1-.36(7)(c)2. · Rule 591-1-1-.36(7)(c)2. requires that the driver or other designated person shall immediately document in writing, with a check or other mark/symbol to account for each child listed on the passenger transportation checklist each time a child enters and exits the vehicle. The driver or other designated staff person shall document in writing with a different mark/symbol to account for each child listed on the passenger transportation checklist who was not present on the vehicle for any reason. An explanation shall be documented in writing whenever a child is transported to a field trip site but is not present on the return trip to the Center.

During a Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on review of records that on August 31, 2022, children from Walnut Creek were not marked as being loaded/unloaded during afternoon transportation. It was further determined that on August 17, 2022 and August 18, 2022, children were not marked as being unloaded when the bus returned to the center from Walnut Creek.

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591-1-1-.36(7)(c)2. · Rule 591-1-1-.36(7)(c)2. requires that the driver or other designated person shall immediately document in writing, with a check or other mark/symbol to account for each child listed on the passenger transportation checklist each time a child enters and exits the vehicle. The driver or other designated staff person shall document in writing with a different mark/symbol to account for each child listed on the passenger transportation checklist who was not present on the vehicle for any reason. An explanation shall be documented in writing whenever a child is transported to a field trip site but is not present on the return trip to the Center.

During a POI Follow Up conducted on October 4, 2022 ; It was determined based on observation that on October 4, 2022 children were not marked as being loaded or unloaded during afternoon transportation to Walnut Creek. It was further determined that on October 4, 2022 one child was not marked as load/unload or absent during morning and afternoon transportation to Timber Ridge.

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591-1-1-.36(7)(d)1. · Rule 591-1-1-.36(7)(d)1. requires that the first check be conducted immediately upon unloading the last child at any location including, but not limited to, a field trip destination, arrival at the Center, and the last stop during transportation to home or school. The responsible person on the vehicle shall physically walk through the entire vehicle; visually inspect all seat surfaces, under all seats and in all compartments or recesses in the vehicle’s interior; sign the passenger transportation checklist (s), indicating all of the children have exited the vehicle; and give the passenger transportation checklist(s) to the second designated Staff person.

During a Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on review of records that on August 24, 2022 and August 28, 2022, a first check of the center van was not conducted when the van returned from Walnut Creek.

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591-1-1-.36(7)(d)1. · Rule 591-1-1-.36(7)(d)1. requires that the first check be conducted immediately upon unloading the last child at any location including, but not limited to, a field trip destination, arrival at the Center, and the last stop during transportation to home or school. The responsible person on the vehicle shall physically walk through the entire vehicle; visually inspect all seat surfaces, under all seats and in all compartments or recesses in the vehicle’s interior; sign the passenger transportation checklist (s), indicating all of the children have exited the vehicle; and give the passenger transportation checklist(s) to the second designated Staff person.

During a POI Follow Up conducted on October 4, 2022 ; It was determined based on review of records that on September 27, 2022 and September 29, 2022 a first check was not completed when the bus returned from Timber Ridge Elementary. Jamie Comer and Temeko Smith

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591-1-1-.32(4) · Rule 591-1-1-.32(4) requires that children under three years old be housed in separate physical areas from older children and cannot be mixed with older children except at specified times and circumstances.

During a Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on observation that a two-year-old child in Classroom 2R was housed with three-year-old and four- year-old children.

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591-1-1-.32(4) · Rule 591-1-1-.32(4) requires that children under three years old be housed in separate physical areas from older children and cannot be mixed with older children except at specified times and circumstances.

During a POI Follow Up conducted on October 4, 2022 ; It was determined based on observation during the initial walk through that children ranging in age from one-year-old to three-years-old were housed in the cafeteria.

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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 27, 2021 ; It was determined based on review of records that the staff member #2 who performed the second check during the week of October 18, 2021 did not have the required transportation training.

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

During a Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on review of records that the director (staff member #7) did not have transportation training as required.

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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 POI Follow Up conducted on October 4, 2022 ; It was determined based on review of records that the center's director did not have transportation training as required. 10. A. Rule 591-1-1-.36(7)(c )3. requires that the driver or other designated person document in writing the 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 Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on review of records that on August 17, 2022 and August 19, 2022, the return time to the center from Walnut Creek was not listed. Jamie Comer and Temeko Smith 10. B. Rule 591-1-1-.36(7)(c )3. requires that the driver or other designated person document in writing the 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 POI Follow Up conducted on October 4, 2022 ; It was determined based on review of records that on September 29, 2022 and September 27, 2022, no return time to the facility was listed when the bus returned from Timber Ridge Elementary. In addition, on September 30, 2022, no load/unload times at Timber Ridge Elementary were listed and no return time to the facility was listed.

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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 March 1, 2022 ; It was determined based on review of records that staff member # 2 hired in April 2021, did not have health and safety orientation training. 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 September 8, 2022 ; It was determined based on review of records that staff member # 2 which was hired in May 2022 did not have health and safety orientation. 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. Jamie Comer and Temeko Smith

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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 4, 2022 ; It was determined based on review of records that one staff member, hired in May 2022, did not have health and safety orientation.

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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 March 1, 2022 ; It was determined based on review of documents that six of seven staff members (#1, #3, #4, #5,, #7, #9) had orientation paperwork dated March 7, 2022 and all employees had hire dates prior to when the orientation was completed. It was further determined that staff member # 2 did not have documentation of orientation. 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(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 September 8, 2022 ; It was determined based on review of documents that three staff members (#2, #3, and #4) did not have documentation of orientation. 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(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. Jamie Comer and Temeko Smith

During a POI Follow Up conducted on October 4, 2022 ; It was determined based on review of records that five of 18 transported children did not have a transportation agreement form.

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591-1-1-.33(4) · Rule 591-1-1-.33(4) requires within the first year of employment, the Director and person with primary responsibility for food preparation shall have four clock hours of training in food nutrition planning, preparation, serving, proper dish washing and food storage.

During a Complaint Investigation & Licensing Study conducted on March 1, 2022 ; It was determined based on a review of records that the director (staff member #6) completed two of four hours of food preparation training. 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(4) · Rule 591-1-1-.33(4) requires within the first year of employment, the Director and person with primary responsibility for food preparation shall have four clock hours of training in food nutrition planning, preparation, serving, proper dish washing and food storage.

During a Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on review of records that the director (staff member # 8) did not have two of four food service and nutrition training hours. 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(4) · Rule 591-1-1-.33(4) requires within the first year of employment, the Director and person with primary responsibility for food preparation shall have four clock hours of training in food nutrition planning, preparation, serving, proper dish washing and food storage.

During a POI Follow Up conducted on October 4, 2022 ; It was determined based on review of records that the center's director did not have two of the four food service and nutrition training hours 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 & Licensing Study conducted on March 1, 2022 ; It was determined based on observation that a two-year-old child was left for a brief moment in the front foyer area while center staff were in the hallway area. In addition, a one-year-old child was observed to briefly leave the classroom and enter the hallway without adult supervision. 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. Jamie Comer and Temeko Smith

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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 & Licensing Study conducted on September 8, 2022 ; It was determined based on observation that a 10-month-old child was fed a bottle and the staff member was not seated and within arms length. The staff was at the refrigerator putting bottles away. It was further determined that a center staff member in the Middle Classroom stepped out of the room for a brief moment into the hallway while leaving children in the classroom unattended. 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-.32(7) · Rule 591-1-1-.32(7) requires that children be supervised at all times appropriate to the individual age, needs and capabilities of each child. Such supervision must include, but not be limited to, indoor and outdoor activities, mealtimes, naptime, transportation, field trips, and transitions between activities. "Supervision" means that the appropriate number of Staff members are physically present in the area where children are being cared for and are providing watchful oversight to the children, volunteers and Students-in-Training. The persons supervising in the child care area must be alert, positioned to maximize their ability to hear and see the children at all times, and able to respond promptly to the needs and actions of the children being supervised, as well as the actions of the volunteers and Students-in-Training, and provide timely attention to the children's actions and needs. Staff shall be attentive and participating with all children during mealtimes and shall be seated within an arm’s length away from children thirty-six (36) months of age and younger.

During a POI Follow Up conducted on October 4, 2022 ; It was determined based on observation that a two-year-old in Classroom 2L was eating breakfast and the staff member was not within an arm’s length away from the children. The staff member was observed changing a diaper at the diaper changing table. 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 teachers 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 September 8, 2022 ; It was determined based on review of documents that no professional development plan was submitted for staff member #2 who did not possess the required educational credentials.

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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 March 1, 2022 ; It was determined based on review of records that staff member # 2 hired in April 2021, did not have health and safety orientation training.

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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 September 8, 2022 ; It was determined based on review of records that staff member # 2 which was hired in May 2022 did not have health and safety orientation.

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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 September 8, 2022 ; It was determined based on observation that the following items were accessible to children in care. 2L Classroom- vinyl gloves located in an unlocked drawer on the diapering station Middle Classroom- a plunger and toilet brush placed in the restroom 4L Classroom- baby wipes located in an unlocked drawer on the diapering station 2R Classroom- "Mr. Clean" floor cleaner, a first aid kit, "Clorox", "Clorox" wipes, and other bathroom cleaner located in an unlocked cabinet of the restroom 3R Classroom- a broom and dust pan placed by the sink

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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 March 1, 2022 ; It was determined based on observation that all four classrooms did not have current lesson plans. Two classrooms did not have a lesson plan and the other two classrooms had lesson plans but no dates were listed to show that they were current.

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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 September 8, 2022 ; It was determined based on observation that four of five classrooms did not have current lesson plans.

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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 March 1, 2022 ; It was determined based on observation that the following items were accessible to children in care. Middle Classroom- gloves and plastic bags located in unlocked drawers of the diapering station and a broom and dust pan placed by the door 2R Classroom- a broom and dust pan placed by the cubbies 4L Classroom- plastic bags, gloves, baby wipes, "Aquaphor", and "Eucerin" located in unlocked drawers on the diapering station

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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 teachers 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 March 1, 2022 ; It was determined based on review of documents that no professional development plan was submitted for staff member #4 who did not possess educational credentials.

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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 March 1, 2022 ; It was determined based on observation that children had access to black tarp exposed around the sliding equipment and bouncer, fallen tree limbs, and a hole at the end of the sidewalk on the back left where mulch had washed away on the Left 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 & Licensing Study conducted on September 8, 2022 ; It was determined based on observation that the following hazards were present. Left Side Front Playground- fallen tree limbs, exposed tree roots, and the concrete was not flush posing a tripping hazard Left Side Back Playground- the concrete was not flush posing a tripping hazard and vines were coming through the fencing

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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 27, 2021 ; It was determined based on review of records that the staff member #2 who performed the second check during the week of October 18, 2021 did not have the required transportation training.

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

During a Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on review of records that the director (staff member #7) did not have transportation training as required.

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591-1-1-.14(1)(a) · Rule 591-1-1-.14(1)(a) requires, in a Center that provides transportation, that either the driver or another Staff person present on the vehicle have current evidence of successful completion of a biennial training program in cardiopulmonary resuscitation (CPR) and a triennial training program in first aid offered by certified or licensed health care professionals or trainers and which dealt with the provision of emergency care to infants and children.

During a Complaint Investigation & Licensing Study conducted on March 1, 2022 ; It was determined based on review of documents that the center bus driver (staff member # 5) did not have approved First Aid and CPR training. Staff member #5 completed First Aid and CPR training that was solely taken online without hands-on training.

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591-1-1-.14(1)(a) · Rule 591-1-1-.14(1)(a) requires, in a Center that provides transportation, that either the driver or another Staff person present on the vehicle have current evidence of successful completion of a biennial training program in cardiopulmonary resuscitation (CPR) and a triennial training program in first aid offered by certified or licensed health care professionals or trainers and which dealt with the provision of emergency care to infants and children.

During a Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on review of documents that the center bus driver (staff member # 6) did not have current First Aid and CPR training.

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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 March 1, 2022 ; It was determined based on review of documents that six of seven staff members (#1, #3, #4, #5,, #7, #9) had orientation paperwork dated March 7, 2022 and all employees had hire dates prior to when the orientation was completed. It was further determined that staff member # 2 did not have documentation of orientation.

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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 September 8, 2022 ; It was determined based on review of documents that three staff members (#2, #3, and #4) did not have documentation of orientation.

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591-1-1-.33(4) · Rule 591-1-1-.33(4) requires within the first year of employment, the Director and person with primary responsibility for food preparation shall have four clock hours of training in food nutrition planning, preparation, serving, proper dish washing and food storage.

During a Complaint Investigation & Licensing Study conducted on March 1, 2022 ; It was determined based on a review of records that the director (staff member #6) completed two of four hours of food preparation training.

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591-1-1-.33(4) · Rule 591-1-1-.33(4) requires within the first year of employment, the Director and person with primary responsibility for food preparation shall have four clock hours of training in food nutrition planning, preparation, serving, proper dish washing and food storage.

During a Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on review of records that the director (staff member # 8) did not have two of four food service and nutrition training hours.

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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 Complaint Investigation & Licensing Study conducted on March 1, 2022 ; It was determined based on review of the center's menu that string cheese and meat balls were served to children in care both of which are choking hazards.

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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 Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on review of the center's menu for the week of August 20, 2022 and August 19, 2022 that three- year-old children were served corn dogs.

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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 & Licensing Study conducted on March 1, 2022 ; It was determined based on observation that a two-year-old child was left for a brief moment in the front foyer area while center staff were in the hallway area. In addition, a one-year-old child was observed to briefly leave the classroom and enter the hallway without adult supervision.

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

During a Complaint Investigation & Licensing Study conducted on September 8, 2022 ; It was determined based on observation that a 10-month-old child was fed a bottle and the staff member was not seated and within arms length. The staff was at the refrigerator putting bottles away. It was further determined that a center staff member in the Middle Classroom stepped out of the room for a brief moment into the hallway while leaving children in the classroom unattended. Exhibit "A"

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