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 October 21, 2024 ; It was determined based on a review of records that Staff #5, with a hire date of July 20, 2023, and Staff #8, with a hire date of June 9, 2024, did not complete health and safety orientation within 90 days of their hire date 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 Monitoring Visit conducted on May 12, 2025 ; It was determined based on a review of records that Staff #4 did not complete health and safety orientation as required.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Monitoring Visit conducted on June 3, 2024 ; It was determined based on observation that staff #3 walked out of classroom B twice, leaving 5 children, the ages of 1 and 2 unsupervised for approximately 5 minutes. Additionally, 5 one and two year olds, located in classroom B, were seated at the table eating lunch and no staff member was sitting at the table or within arm¶s reach of the children. Additionally, staff #1 and staff #2 walked in and out of classroom A several times while serving lunch, leaving 12 three and four year old children unsupervised. Additionally, 12 three and four year olds, located in classroom A, were seated at tables eating lunch and no staff member was sitting at the table or within arm¶s reach of the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Monitoring Visit conducted on May 12, 2025 ; It was determined based on observation that upon the Consultant¶s arrival in the Main Building Room B One Year Olds classroom to conduct the first count, there were five, 1-year old children unsupervised, as there was no Staff Member present in the classroom. Approximately two minutes later a Staff Member entered the classroom. Additionally, the Staff Member briefly stepped out of the classroom to put the feeding chairs on a shelf in the hallway, leaving the children unsupervised. It was determined based on observation that when the Consultant arrived to take the count for the Main Building Classroom B, there was not a Staff Member in the room where five 1-year-old children were present. The staff member arrived from down the hall two minutes later. Additionally, the Staff Member later stepped out of the room briefly to put away feeding chairs on the shelf in the hallway. Exhibit "A"

Open Not marked corrected in the state record

Open / not marked corrected.