591-1-1-.32(2) · Rule 591-1-1-.32(2) requires the Center maintain Staff:child ratios in mixed-age groups based on the age of the youngest group of children that includes more than twenty percent of the total number of children in the mixed-age group.

During a Licensing Study conducted on March 19, 2024 ; It was determined based on observation that there was a staff:child ratio of 1:8 among two one-year-old children and six infants in Room E. A ratio of 2:8 was required. 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(2) · Rule 591-1-1-.32(2) requires the Center maintain Staff:child ratios in mixed-age groups based on the age of the youngest group of children that includes more than twenty percent of the total number of children in the mixed-age group.

During a POI Follow Up conducted on May 6, 2024 ; It was determined based on observation that a staff member walked inside the building leaving one staff member on the playground with nine two- year-old children, 14 three-year-old children and one four-year-old child when two staff were required. 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(2) · Rule 591-1-1-.32(2) requires the Center maintain Staff:child ratios in mixed-age groups based on the age of the youngest group of children that includes more than twenty percent of the total number of children in the mixed-age group.

During a Complaint Closure conducted on December 19, 2024 ; It was determined based on investigative findings that on December 9, 2024 the infant classroom had a ratio of one staff member to seven children. There were five one-year-old children and two infants present in the classroom. It was further determined that in three-year-old and four-year-old classroom a ratio of one staff member to 22 children were present. Exhibit "A"

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 29, 2023 ; It was determined based on observation that the following hazards were accessible to children in care. Room A: -A mop was placed next to the restroom door. -Rubber gloves were placed on a shelf. Room C: -The toilet bowl cleaner was placed on the back of the toilet. -Cleaning solution located on the side of the cubbies. Room H: -Two bottles of 'Glade' air freshener and four bottles of bug spray located on a shelf. 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 March 19, 2024 ; It was determined based on observation that the following hazards were accessible and within reach of school age children. Room H: -bathroom cleaner, rubber gloves, and disinfectant cleaner placed on a shelf 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 May 6, 2024 ; It was determined based on observation that the following hazards were accessible and within reach of children: Room B: broom and dust pan by the restroom Room H: -rubber gloves on a shelf by the door

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.32(2) · Rule 591-1-1-.32(2) requires the Center maintain Staff:child ratios in mixed-age groups based on the age of the youngest group of children that includes more than twenty percent of the total number of children in the mixed-age group.

During a Monitoring Visit conducted on August 29, 2023 ; It was determined based on observation that there was a staff:child ratio of 1:7 among three one-year-old children and four infants in Room D. A staff:child ratios of 2:7 was required. 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(2) · Rule 591-1-1-.32(2) requires the Center maintain Staff:child ratios in mixed-age groups based on the age of the youngest group of children that includes more than twenty percent of the total number of children in the mixed-age group.

During a Licensing Study conducted on March 19, 2024 ; It was determined based on observation that there was a staff:child ratio of 1:8 among two one-year-old children and six infants in Room E. A ratio of 2:8 was required. 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(2) · Rule 591-1-1-.32(2) requires the Center maintain Staff:child ratios in mixed-age groups based on the age of the youngest group of children that includes more than twenty percent of the total number of children in the mixed-age group.

During a POI Follow Up conducted on May 6, 2024 ; It was determined based on observation that a staff member walked inside the building leaving one staff member on the playground with nine two- year-old children, 14 three-year-old children and one four-year-old child when two staff were 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 6, 2023 ; It was determined based on observation that a staff member left children in Room H unattended as the staff member was seen standing outside the door of the classroom upon the consultant's arrival. 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 August 29, 2023 ; It was determined based on observation during breakfast that staff members in Room C, Room D, and Room G were walking around the classrooms completing other job responsibilities and not seated within arm¶s length of children under the age of 36 months. 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 March 19, 2024 ; It was determined based on observation that in Room B children under the age of 36 months were being served breakfast and the staff members in the room were not seated within arms length of the children and were observed to be walking the classroom doing other job duties. 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 Room E children under the age of 36 months were being served breakfast and the staff member in the room was not seated within arms length of the children and was observed to be at the door and diapering station area. It was further determined that the staff member in Room D was observed to leave the classroom through the closet area and look into the classroom of Room E leaving five infants unsupervised for a brief moment. Exhibit "A"

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 March 19, 2024 ; It was determined based on observation that the following hazards were accessible and within reach of school age children. Room H: -bathroom cleaner, rubber gloves, and disinfectant cleaner placed on a shelf

Open Not marked corrected in the state record

Open / not marked corrected.

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 August 29, 2023 ; It was determined based on a review of records that the lead staff member for Room D (infants) did not meet the education requirement.

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 29, 2023 ; It was determined based on observation that the following hazards were accessible to children in care. Room A: -mop placed next to the restroom door -rubber gloves placed on a shelf Room C: -toilet bowl cleaner placed on the back of the toilet -cleaning solution located on the side of the cubbies Room H: -two bottles of Glade air freshener and four bottles of bug spray on a shelf

Open Not marked corrected in the state record

Open / not marked corrected.

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 19, 2024 ; It was determined based on a review of records that the lead staff member for Room D (infants) did not meet the education requirement.

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 29, 2023 ; It was determined based on a review of records that two staff members did not obtain first aid and CPR training within 90 days of hire.

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 March 19, 2024 ; It was determined based on a review of records that four staff members did not complete State-approved first aid and CPR training within 90 days of hire. Their training was taken online and did not include a hands-on component.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.32(2) · Rule 591-1-1-.32(2) requires the Center maintain Staff:child ratios in mixed-age groups based on the age of the youngest group of children that includes more than twenty percent of the total number of children in the mixed-age group.

During a Monitoring Visit conducted on August 29, 2023 ; It was determined based on observation that there was a staff:child of 1:7 among three one-year-old children and four infants in Room D. A staff:child ratios of 2:7 was required.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.32(2) · Rule 591-1-1-.32(2) requires the Center maintain Staff:child ratios in mixed-age groups based on the age of the youngest group of children that includes more than twenty percent of the total number of children in the mixed-age group.

During a Licensing Study conducted on March 19, 2024 ; It was determined based on observation that there was a staff:child ratio of 1:8 among two one-year-old children and six infants in Room E. A ratio of 2:8 was required.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Monitoring Visit conducted on August 29, 2023 ; It was determined based on a review of records that the center did not have 50 percent of staff training in first aid and CPR in that three staff members out of nine had current training. It was further determined that the center director did not have current first aid and CPR training.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Licensing Study conducted on March 19, 2024 ; It was determined based on a review of records that the center did not have 50 percent of staff training in first aid and CPR in that the training was taken through an online course for the majority of the center staff.

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 6, 2023 ; It was determined based on observation that the staff member in Room H was standing outside the door of the classroom upon arrival.

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 29, 2023 ; It was determined based on observation during breakfast that staff members were not seated within arm¶s length of children, under the age of 36 months, in Room C, D and G. Staff members were observed walking around the classroom doing other job duties.

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 19, 2024 ; It was determined based on observation that in Room B children under the age of 36 months were being served breakfast and the staff members in the room were not seated within arms length of the children and were observed to be walking the classroom doing other job duties. Exhibit "A"

Open Not marked corrected in the state record

Open / not marked corrected.