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 September 8, 2025 ; It was determined based on observation that staff member #3 did not have orientation paperwork on file. Exhibit "A"

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.12(1) · Rule 591-1-1-.12(1) requires each Employee and child in attendance to use all indoor and outdoor furniture, activity materials, and equipment in a safe and appropriate manner and in accordance with the manufacturer's instructions, recommendations, and intended use. All equipment and furniture shall be used only by the age-appropriate group of children.

During a POI Follow Up conducted on September 8, 2025 ; It was determined based on observation that in Room B an infant was placed in a bouncer and the safety straps were not being used as required.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a Monitoring Visit conducted on July 15, 2025 ; It was determined based on observation that a staff member in Room A did not wash hands after diapering.

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 Licensing Study conducted on February 4, 2025 ; It was determined based on a review of records that staff member #7 did not have documentation of orientation on file for viewing.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.10(2) · Rule 591-1-1-.10(2) requires Centers first licensed after March 1, 1991, and Centers that renovate existing plumbing facilities, to have a hand washing sink with running heated water located adjacent to the diapering area. Flush sinks shall not be used for hand washing. Cleansing procedures in other facilities shall be approved by the Department.

During a Monitoring Visit conducted on July 15, 2025 ; It was determined based on observation that the diapering sinks in Room A and Room B were not in working order. Sinks outside the classroom were having to be used.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.10(2) · Rule 591-1-1-.10(2) requires Centers first licensed after March 1, 1991, and Centers that renovate existing plumbing facilities, to have a hand washing sink with running heated water located adjacent to the diapering area. Flush sinks shall not be used for hand washing. Cleansing procedures in other facilities shall be approved by the Department.

During a POI Follow Up conducted on September 8, 2025 ; It was determined based on observation that the diapering sinks in Room A and Room B were not in working order. Sinks outside the classroom were having to be used.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.26(3) · Rule 591-1-1-.26(3) requires that the playground be adjacent to the Center or in an area which can be reached by a safe route or method approved by the Department. Except in School- age Centers, the playground shall have shaded areas.

During a Monitoring Visit conducted on July 15, 2025 ; It was determined based on observation that the Right (Large) playground did not have shade as required.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.26(3) · Rule 591-1-1-.26(3) requires that the playground be adjacent to the Center or in an area which can be reached by a safe route or method approved by the Department. Except in School- age Centers, the playground shall have shaded areas.

During a POI Follow Up conducted on September 8, 2025 ; It was determined based on observation that the Right (Large) playground did not have shade as required.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.12(1) · Rule 591-1-1-.12(1) requires each Employee and child in attendance to use all indoor and outdoor furniture, activity materials, and equipment in a safe and appropriate manner and in accordance with the manufacturer's instructions, recommendations, and intended use. All equipment and furniture shall be used only by the age-appropriate group of children.

During a Monitoring Visit conducted on July 15, 2025 ; It was determined based on observation that in Room B a one-year-old child was placed in a bouncer and the safety straps were not being used as required.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a POI Follow Up conducted on September 8, 2025 ; It was determined based on observation that a staff member in Room B did not wash hands after cleaning a child's nose.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.24(1) · Rule 591-1-1-.24(1) requires the center to maintain a personnel file on the Director, all Employees, Provisional Employees, Personnel, Staff, Students-in-Training, Volunteers, Clerical, Housekeeping, Maintenance, and other Support Staff for the duration of the term of employment plus one calendar year, and it shall contain the following: identifying information to include: name, date of birth, social security number, current address and current telephone number; employment history; as applicable to the position held: evidence of education and qualifying work experience; evidence of all training required by these rules which shall include: title of training, date of training, trainer's signature, location of training and number of clock hours obtained; a statement completed by the staff member that the information provided is true and accurate; any other records required by these rules; and as applicable to the position held, evidence of required orientation including date and signature of person providing the orientation;

During a Licensing Study conducted on February 4, 2025 ; It was determined based on a review of records that staff member #5 did not have an application on file for viewing.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.24(1) · Rule 591-1-1-.24(1) requires the center to maintain a personnel file on the Director, all Employees, Provisional Employees, Personnel, Staff, Students-in-Training, Volunteers, Clerical, Housekeeping, Maintenance, and other Support Staff for the duration of the term of employment plus one calendar year, and it shall contain the following: identifying information to include: name, date of birth, social security number, current address and current telephone number; employment history; as applicable to the position held: evidence of education and qualifying work experience; evidence of all training required by these rules which shall include: title of training, date of training, trainer's signature, location of training and number of clock hours obtained; a statement completed by the staff member that the information provided is true and accurate; any other records required by these rules; and as applicable to the position held, evidence of required orientation including date and signature of person providing the orientation;

During a POI Follow Up conducted on September 8, 2025 ; It was determined based on a review of records that staff member #3 did not have an application on file.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.30(2)(c) · Rule 591-1-1-.30(2)(c) requires that infants shall not sleep in equipment other than safety- approved cribs, such as, but not limited to, a car safety seat, bouncy seat, highchair, or swing. Infants who arrive at the Center asleep or fall asleep in such equipment, on the floor or elsewhere, shall be transferred to a safety-approved crib.

During a Licensing Study conducted on February 4, 2025 ; It was determined based on observation that an infant was placed in a bassinet to sleep.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.30(2)(c) · Rule 591-1-1-.30(2)(c) requires that infants shall not sleep in equipment other than safety- approved cribs, such as, but not limited to, a car safety seat, bouncy seat, highchair, or swing. Infants who arrive at the Center asleep or fall asleep in such equipment, on the floor or elsewhere, shall be transferred to a safety-approved crib.

During a POI Follow Up conducted on September 8, 2025 ; It was determined based on observation that an infant was sleeping in a bouncer upon arrival to Room B.

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 Monitoring Visit conducted on August 7, 2024 ; It was determined based on observation that the following items were accessible to children in care: Room B: baby wipes on a shelf that posed a suffocation hazard to children in care -hand soap that read "keep out of reach of children" -hand sanitizer that read "keep out of reach of children" -trash bags on the brown shelf that posed a suffocation hazard to children in care -Glade air freshener spray and baby lotion on the brown shelf that read "keep out of reach of children" -broom and dustpan behind the door Room C: -air freshener spray on the sink that read "keep out of reach of children" Room D: air freshener, and hand soap on the sink that read "keep out of reach of children" An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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 Licensing Study conducted on February 4, 2025 ; It was determined based on observation that the following items were accessible to children in care: Room A: -Jergens hand lotion and hand sanitizer on a shelf within reach -broom by the cubbies Room B: baby wipes on a shelf that posed a suffocation hazard to children in care -Zip lock bags Room C:- -broom and dust pan by the door -hand sanitizer on 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.

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 POI Follow Up conducted on March 5, 2025 ; It was determined based on observation that the following items were accessible to children in care: Room A: -baby wipes and plastic bags under the diapering station -adult scissors in a shelf within reach Room BD: baby wipes in a book bag -Goo Gone under an easel 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.

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 POI Follow Up conducted on April 16, 2025 ; It was determined based on observation that the following items were accessible to children in care: Room D: two staff bags accessible to children in care located by the sink area 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.

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 Monitoring Visit conducted on July 15, 2025 ; It was determined based on observation that the following items were accessible to children in care: Room A: rubber gloves, Bactine, Odoban, and Vaseline were present in an unlocked drawer under the diapering table.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, non porous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a Monitoring Visit conducted on August 7, 2024 ; It was determined based on observation that the diapering pad in Room A (infants) was observed to be quilted and did not meet rule requirements in that it was not nonporous. 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.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, non porous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a Licensing Study conducted on February 4, 2025 ; It was determined based on observation that the diapering pad in Room A and Room B was observed to be quilted and did not meet rule requirements that it was not nonporous. 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.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, non porous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a POI Follow Up conducted on March 5, 2025 ; It was determined based on observation that the diapering pad in Room A and Room B was observed to be quilted and did not meet rule requirements that it was not nonporous. 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.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, nonporous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a Monitoring Visit conducted on July 15, 2025 ; It was determined based on observation that the diapering station in Room A was not cleaned after diapering.

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 Licensing Study conducted on February 4, 2025 ; It was determined based on observation that in Room A two staff members were present within the classroom while two-year-old children were eating and the staff were not seated within arm's length of the children in that one was sweeping the room and another was cleaning up milk. 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.

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 POI Follow Up conducted on March 5, 2025 ; It was determined based on observation that in Room A two staff members were present within the classroom while a two-year-old child was eating breakfast at the table and staff were walking the classroom and not seated within arms length of the child. 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.

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 July 15, 2025 ; It was determined based on observation that a child in Room D walked alone to Room C to place supplies back in the room. Exhibit "A"

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.19(1) · Rule 591-1-1-.19(1) requires a Center to provide 35 square feet of usable space per child, which will determine the Center's License capacity.

During a Licensing Study conducted on March 20, 2024 ; It was determined based on observation that Room B had 15 children present in a room that was licensed for 12 children.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.19(1) · Rule 591-1-1-.19(1) requires a Center to provide 35 square feet of usable space per child, which will determine the Center's License capacity.

During a POI Follow Up conducted on March 5, 2025 ; It was determined based on observation that Room D had 10 children present in a room that was licensed for 9 children.

Open Not marked corrected in the state record

Open / not marked corrected.

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 Licensing Study conducted on February 4, 2025 ; It was determined based on observation that lesson plans throughout were not dated for the current week.

Open Not marked corrected in the state record

Open / not marked corrected.

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 POI Follow Up conducted on March 5, 2025 ; It was determined based on observation that lesson plans throughout were from the week of February 24, 2025.

Open Not marked corrected in the state record

Open / not marked corrected.

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 Licensing Study conducted on February 4, 2025 ; It was determined based on a review of records that the center did not have a record of fire drills and emergency drills for the 2024/2025 year.

Open Not marked corrected in the state record

Open / not marked corrected.

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 March 5, 2025 ; It was determined based on a review of records that the center did not have a record of emergency drills for the 2024/2025 year.

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 Monitoring Visit conducted on August 7, 2024 ; It was determined based on observation that the following items were accessible to children in care: Room B: baby wipes on a shelf that posed a suffocation hazard to children in care -hand soap that read "keep out of reach of children" -hand sanitizer that read "keep out of reach of children" -trash bags on the brown shelf that posed a suffocation hazard to children in care -Glade air freshener spray and baby lotion on the brown shelf that read "keep out of reach of children" -broom and dustpan behind the door Room C: -air freshener spray on the sink that read "keep out of reach of children" Room D: air freshener, and hand soap on the sink that read "keep out of reach of children" An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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 Licensing Study conducted on February 4, 2025 ; It was determined based on observation that the following items were accessible to children in care: Room A: -Jergens hand lotion and hand sanitizer on a shelf within reach -broom by the cubbies Room B: baby wipes on a shelf that posed a suffocation hazard to children in care -Zip lock bags Room C:- -broom and dust pan by the door -hand sanitizer on 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.

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 POI Follow Up conducted on March 5, 2025 ; It was determined based on observation that the following items were accessible to children in care: Room A: -baby wipes and plastic bags under the diapering station -adult scissors in a shelf within reach Room BD: baby wipes in a book bag -Goo Gone under an easel by the sink

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, non porous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a Monitoring Visit conducted on August 7, 2024 ; It was determined based on observation that the diapering pad in Room A (infants) was observed to be quilted and did not meet rule requirements in that it was not nonporous.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, non porous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a Licensing Study conducted on February 4, 2025 ; It was determined based on observation that the diapering pad in Room A and Room B was observed to be quilted and did not meet rule requirements that it was not nonporous.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, non porous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a POI Follow Up conducted on March 5, 2025 ; It was determined based on observation that the diapering pad in Room A and Room B was observed to be quilted and did not meet rule requirements that it was not nonporous.

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 August 7, 2024 ; It was determined based on a review of records that three staff members (1,4 and 6) were over 90 days of hire did not have health and safety for viewing. 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.

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 February 4, 2025 ; It was determined based on a review of records that three staff members(4,6 and 7) over 90 days of hire did not have health and safety for viewing. 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.

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 POI Follow Up conducted on March 5, 2025 ; It was determined based on a review of records that one staff member (#8) was over 90 days of hire and did not have health and safety for viewing.

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 Licensing Study conducted on March 20, 2024 ; It was determined based on observation that in Classroom B two-year-old children were eating breakfast and the staff members in the room were not seated within arm's length of the children and were performing other job duties. It was further determined that in Room C two one-year-old children were eating breakfast and one staff member was feeding infants and not within arm's length and the other staff member was putting up bottles. 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.

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 POI Follow Up conducted on May 6, 2024 ; It was determined based on observation that in Classroom B two-year-old children were eating breakfast and the staff members in the room were not seated within arm's length of the children and were performing other job duties. It was further determined that in Room D the staff member walked out of the classroom for a brief moment into the hallway area. 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.

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 Licensing Study conducted on February 4, 2025 ; It was determined based on observation that in Room A two staff members were present within the classroom while two-year-old children were eating and the staff were not seated within arm's length of the children in that one was sweeping the room and another was cleaning up milk. 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.

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 POI Follow Up conducted on March 5, 2025 ; It was determined based on observation that in Room A two staff members were present within the classroom while a two-year-old child was eating breakfast at the table and staff were walking the classroom and not seated within arms length of the child. Exhibit "A"

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 Licensing Study conducted on March 20, 2024 ; It was determined based on a review of records that staff members #2, #3, and #5 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.

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 Licensing Study conducted on February 4, 2025 ; It was determined based on a review of records that staff member #7 did not have documentation of orientation on file for viewing.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.15(2) · Rule 591-1-1-.15(2) requires that a signed written feeding plan for children less than one (1) year of age shall be obtained from Parent(s) and that instructions from the Parent(s) shall be updated regularly as new foods are added or other dietary changes are made. The feeding plan shall be posted in the child's assigned room and must include the child's feeding schedule, the amount of formula or breast milk to be given, instructions for the introduction of solid foods, the amount of food to be given and notation of any type(s) of commercially premixed formula which may not be used in an emergency because of food allergies.

During a Licensing Study conducted on February 4, 2025 ; It was determined based on a review of records that one of 3 infant plans were posted in the classroom and available to the staff. It was further determined that one of three infant plans did not have the parents initials for introduction to solid foods.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.15(2) · Rule 591-1-1-.15(2) requires that a signed written feeding plan for children less than one (1) year of age shall be obtained from Parent(s) and that instructions from the Parent(s) shall be updated regularly as new foods are added or other dietary changes are made. The feeding plan shall be posted in the child's assigned room and must include the child's feeding schedule, the amount of formula or breast milk to be given, instructions for the introduction of solid foods, the amount of food to be given and notation of any type(s) of commercially premixed formula which may not be used in an emergency because of food allergies.

During a Licensing Study conducted on March 20, 2024 ; It was determined based on a review of records that the infant feeding plans for Room C were not posted or present within the classroom.

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 Monitoring Visit conducted on August 7, 2024 ; It was determined based on observation that the following items were accessible to children in care: Room B: baby wipes on a shelf that posed a suffocation hazard to children in care -hand soap that read "keep out of reach of children" -hand sanitizer that read "keep out of reach of children" -trash bags on the brown shelf that posed a suffocation hazard to children in care -Glade air freshener spray and baby lotion on the brown shelf that read "keep out of reach of children" -broom and dustpan behind the door Room C: -air freshener spray on the sink that read "keep out of reach of children" Room D: air freshener, and hand soap on the sink that read "keep out of reach of children"

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 Licensing Study conducted on February 4, 2025 ; It was determined based on observation that the following items were accessible to children in care: Room A: -Jergens hand lotion and hand sanitizer on a shelf within reach -broom by the cubbies Room B: baby wipes on a shelf that posed a suffocation hazard to children in care -Zip lock bags Room C:- -broom and dust pan by the door -hand sanitizer on the sink

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.14(2) · Rule 591-1-1-.14(2) requires a Staff member who is trained in CPR and first aid to be on the premises and on any field trip whenever any child is present. In addition, Staff who provide direct care to children must satisfactorily obtain certification in first aid and CPR by December 29, 2016 if employed prior to September 30, 2016 and within 90 days of their hire date if employed after September 30, 2016.

During a Monitoring Visit conducted on August 7, 2024 ; It was determined based on a review of records that two staff members were over 90 days of hire did not have first aid and CPR training for viewing.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.14(2) · Rule 591-1-1-.14(2) requires a Staff member who is trained in CPR and first aid to be on the premises and on any field trip whenever any child is present. In addition, Staff who provide direct care to children must satisfactorily obtain certification in first aid and CPR by December 29, 2016 if employed prior to September 30, 2016 and within 90 days of their hire date if employed after September 30, 2016.

During a Licensing Study conducted on February 4, 2025 ; It was determined based on a review of records that three staff members (5, 6 and 7) were over 90 days of hire did not have first aid and CPR training for viewing.

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, intellectual disabilities or developmental disabilities which limit the child¶s participation in the program.

During a Licensing Study conducted on March 20, 2024 ; It was determined based on a review of records that the following information was missing from the enrollment applications: five of five did not have the parents work information three of five did not have listed if the child had any allergies or special conditions.

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, intellectual disabilities or developmental disabilities which limit the child¶s participation in the program.

During a Licensing Study conducted on February 4, 2025 ; It was determined based on observation that the following information was missing from enrollment applications: -three of five did not have addresses for release person(s) -one of five did not have the relationship for the release person -two of five did not have listed if the child had any allergies -two of five did not have the child's physician and physician phone number

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, non porous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a Monitoring Visit conducted on August 7, 2024 ; It was determined based on observation that the diapering pad in Room A (infants) was observed to be quilted and did not met rule requirements in that it was not nonporous.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, non porous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a Licensing Study conducted on February 4, 2025 ; It was determined based on observation that the diapering pad in Room A and Room B was observed to be quilted and did not meet rule requirements that it was not nonporous.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.30(2) · Rule 591-1-1-.30(2) requires the Center to provide a safe sleep environment in accordance with American Academy of Pediatrics (AAP), Consumer Product Safety Commission (CPSC) and American Society for Testing and Materials (ASTM) recommendations as listed in these rules for all infants. Center Staff shall place an infant to sleep on the infant¶s back in a crib unless the Center has been provided a physician¶s written statement authorizing another sleep position for that particular infant that includes how the infant shall be placed to sleep and a time frame that the instructions are to be followed. When an infant can easily turn over from back to front and back again, Staff shall continue to put the infant to sleep initially on the infant¶s back but allow the infant to roll over into his or her preferred position and not re-position the infant. Sleepers, sleep sacks and wearable blankets that fit according to the commercial manufacturer¶s guidelines and will not slide up around the infant¶s face may be used when necessary for the comfort of the sleeping infant. Swaddling shall not be used unless the Center has been provided a physician¶s written statement authorizing its use for a particular infant that includes instructions and a time frame for swaddling the infant. Center Staff shall not place objects or allow objects to be placed in or on the crib with an infant such as but not limited to toys, pillows, quilts, comforters, bumper pads, sheepskins, stuffed toys, or other soft items and shall not attach objects or allow objects to be attached to a crib with a sleeping infant, such as, but not limited to, crib gyms, toys, mirrors and mobiles.

During a POI Follow Up conducted on May 6, 2024 ; It was determined based on observation that two infants were sleeping with bibs attached to their necks, and both with pacifier clips attached to the bibs.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.30(2) · Rule 591-1-1-.30(2) requires the Center to provide a safe sleep environment in accordance with American Academy of Pediatrics (AAP), Consumer Product Safety Commission (CPSC) and American Society for Testing and Materials (ASTM) recommendations as listed in these rules for all infants. Center Staff shall place an infant to sleep on the infant¶s back in a crib unless the Center has been provided a physician¶s written statement authorizing another sleep position for that particular infant that includes how the infant shall be placed to sleep and a time frame that the instructions are to be followed. When an infant can easily turn over from back to front and back again, Staff shall continue to put the infant to sleep initially on the infant¶s back but allow the infant to roll over into his or her preferred position and not re-position the infant. Sleepers, sleep sacks and wearable blankets that fit according to the commercial manufacturer¶s guidelines and will not slide up around the infant¶s face may be used when necessary for the comfort of the sleeping infant. Swaddling shall not be used unless the Center has been provided a physician¶s written statement authorizing its use for a particular infant that includes instructions and a time frame for swaddling the infant. Center Staff shall not place objects or allow objects to be placed in or on the crib with an infant such as but not limited to toys, pillows, quilts, comforters, bumper pads, sheepskins, stuffed toys, or other soft items and shall not attach objects or allow objects to be attached to a crib with a sleeping infant, such as, but not limited to, crib gyms, toys, mirrors and mobiles.

During a Licensing Study conducted on February 4, 2025 ; It was determined based on observation that an infant was placed in a bassinet to sleep with a boppy pillow.

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 August 7, 2024 ; It was determined based on a review of records that three staff members (1,4 and 6) were over 90 days of hire did not have health and safety for viewing.

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 February 4, 2025 ; It was determined based on a review of records that three staff members(4,6 and 7) over 90 days of hire did not have health and safety for viewing.

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 Licensing Study conducted on March 20, 2024 ; It was determined based on observation that in Classroom B two-year-old children were eating breakfast and the staff members in the room were not seated within arm's length of the children and were performing other job duties. It was further determined that in Room C two one-year-old children were eating breakfast and one staff member was feeding infants and not within arm's length and the other staff member was putting up bottles. 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.

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 POI Follow Up conducted on May 6, 2024 ; It was determined based on observation that in Classroom B two-year-old children were eating breakfast and the staff members in the room were not seated within arm's length of the children and were performing other job duties. It was further determined that in Room D the staff member walked out of the classroom for a brief moment into the hallway area. 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.

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 Licensing Study conducted on February 4, 2025 ; It was determined based on observation that in Room A two staff members were present within the classroom while two-year-old children were eating and the staff were not seated within arm's length of the children in that one was sweeping the room and another was cleaning up milk. Exhibit "A"

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.30(1)(b)3 · Rule 591-1-1-.30(1)(b)3 requires that sheets or similar coverings for cots or mats shall either be marked for individual use or laundered daily. If marked for individual use, they must be laundered weekly or more frequently if needed.

During a Licensing Study conducted on March 20, 2024 ; It was determined based on staff statements that the cots in Room B only had blankets to cover up with no sheets.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.30(1)(a)3 · Rule 591-1-1-.30(1)(a)3 requires that each crib shall have only an individual, tight-fitting sheet which is changed daily or more often as needed and prior to a change of occupant.

During a Monitoring Visit conducted on August 3, 2023 ; It was determined based on observation that one of three crib sheets were observed not to be tight-fitting.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.30(1)(a)3 · Rule 591-1-1-.30(1)(a)3 requires that each crib shall have only an individual, tight-fitting sheet which is changed daily or more often as needed and prior to a change of occupant.

During a Licensing Study conducted on March 20, 2024 ; It was determined based on observation that two of three crib sheets were observed not be tight-fitting.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.30(1)(b)3 · Rule 591-1-1-.30(1)(b)3 requires that sheets or similar coverings for cots or mats shall either be marked for individual use or laundered daily. If marked for individual use, they must be laundered weekly or more frequently if needed.

During a Monitoring Visit conducted on August 3, 2023 ; It was determined based on staff statements that the cots in Room B only had blankets to cover up with no sheets.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a Monitoring Visit conducted on August 3, 2023 ; It was determined based on observation that a staff member in Room B did not wash hands after diapering.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a Licensing Study conducted on March 20, 2024 ; It was determined based on staff statements that hands are washed after diapering and not before diapering. Pastor Dumas and Pastor Dumas III

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.33(2) · Rule 591-1-1-.33(2) requires the initial Center orientation to include the following subjects: the Center's policies and procedures; the portions of these rules dealing with the care, health and safety of children; the Staff person's assigned duties and responsibilities; reporting requirements for suspected cases of child abuse, neglect or deprivation; communicable diseases and serious injuries; emergency weather plans; the program's emergency preparedness plan; childhood injury control; the administration of medicine; reducing the risk of Sudden Infant Death Syndrome (SIDS); hand washing; fire safety; water safety; and prevention of HIV/AIDS and blood borne pathogens.

During a Monitoring Visit conducted on August 3, 2023 ; It was determined based on observation that staff members #1 and #2 did not have completed evidence of orientation as the form was not signed by the person providing the training.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.33(2) · Rule 591-1-1-.33(2) requires the initial Center orientation to include the following subjects: the Center's policies and procedures; the portions of these rules dealing with the care, health and safety of children; the Staff person's assigned duties and responsibilities; reporting requirements for suspected cases of child abuse, neglect or deprivation; communicable diseases and serious injuries; emergency weather plans; the program's emergency preparedness plan; childhood injury control; the administration of medicine; reducing the risk of Sudden Infant Death Syndrome (SIDS); hand washing; fire safety; water safety; and prevention of HIV/AIDS and blood borne pathogens.

During a Licensing Study conducted on March 20, 2024 ; It was determined based on a review of records that staff members #3 and #6 did not have completed evidence of orientation as the form was not signed by the person providing the training.

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 August 3, 2023 ; It was determined based on a review of records that staff member #6 did not have documentation of orientation.

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 Licensing Study conducted on March 20, 2024 ; It was determined based on a review of records that staff members #2, #3, and #5 did not have documentation of orientation.

Open Not marked corrected in the state record

Open / not marked corrected.

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 Monitoring Visit conducted on August 3, 2023 ; It was determined based on observation that whole strawberries were being served to two-year-old and three-year-old enrolled children for breakfast which posed a choking hazard.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Licensing Study conducted on March 20, 2024 ; It was determined based on observation that uncut meat balls were being served for enrolled children under the age of four which posed a choking hazard. Pastor Dumas and Pastor Dumas III

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 August 3, 2023 ; It was determined based on observation that upon arrival, that a staff member in Room B walked across the hall while infants and one-year-old children were in the classroom eating breakfast. It was further determined that the staff member in Room B was not seated within arms length of the two-year-old children eating breakfast as they were observed sitting near the entrance wall. In addition, the staff member in Room B was changing a diaper with their back to the class.

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 Licensing Study conducted on March 20, 2024 ; It was determined based on observation that in Classroom B two-year-old children were eating breakfast and the staff members in the room were not seated within arm's length of the children and were performing other job duties. It was further determined that in Room C two one-year-old children were eating breakfast and one staff member was feeding infants and not within arm's length and the other staff member was putting up bottles. Exhibit "A"

Open Not marked corrected in the state record

Open / not marked corrected.