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

During a Complaint Investigation & Monitoring Visit conducted on November 16, 2022 ; It was determined based on observation that "Lysol" spray was stored on the changing table and diaper wipes on a table by the classroom door accessible to children in classroom B-2R, diaper wipes were in an open box on the floor in the bathroom in classroom E, and a plunger stored behind the toilet in the boys' restroom located between classrooms C-1L and D-2L.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Complaint Investigation Follow Up conducted on December 5, 2022 ; It was determined based on observation that diaper wipes were on the tank of a toilet accessible to children in classroom B-2R, diaper wipes were on a shelf in the bathroom on the right in classroom E.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Licensing Study conducted on March 22, 2022 ; It was determined based on a review of records that the center did not immediately document in writing, with a check or other mark/symbol to account for each child listed on the passenger transportation checklist each time a child enters and exits the vehicle during the following times of afternoon transportation: - a mark/ symbol was not present for the unloading of two of three children during afternoon transportation on March 24, 2022 and March 25, 2022 from Holsenbeck Elementary School. - a mark/ symbol was not present for the unloading of four of six children during afternoon transportation on March 25, 2022 from Kennedy Elementary School. - a mark/ symbol was not present for the unloading of four of five children during afternoon transportation on March 25, 2022 from Winder Elementary School. - a mark/ symbol was not present for the unloading of three of four children during afternoon transportation on March 25, 2022 from County Line Elementary School. - a mark/ symbol was not present for the unloading of three of five children during afternoon transportation on March 29, 2022 from Kennedy Elementary School. 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(4) · Rule 591-1-1-.32(4) requires that children under three years old be housed in separate physical areas from older children and cannot be mixed with older children except at specified times and circumstances.

During a Complaint Investigation Follow Up conducted on December 5, 2022 ; It was determined based on observation that a four-year-old child was housed with two two-year-old children and twenty-one three-year-old children in classroom E/Lower L.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Complaint Investigation & Monitoring Visit conducted on November 16, 2022 ; It was determined based on review of records that the center did not document the unloading of ten of ten children after completing a school transportation route from Kennedy Elementary School on Tuesday, November 15, 2022. Staff did not document the loading and unloading of one of ten children after completing a school transportation route from Kennedy Elementary School Wednesday, November 16, 2022. 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-.36(7)(c)2. · Rule 591-1-1-.36(7)(c)2. requires that the driver or other designated person shall immediately document in writing, with a check or other mark/symbol to account for each child listed on the passenger transportation checklist each time a child enters and exits the vehicle. The driver or other designated staff person shall document in writing with a different mark/symbol to account for each child listed on the passenger transportation checklist who was not present on the vehicle for any reason. An explanation shall be documented in writing whenever a child is transported to a field trip site but is not present on the return trip to the Center.

During a Complaint Investigation Follow Up conducted on December 5, 2022 ; It was determined based on review of records that the center did not document the unloading of ten of ten children after completing a school transportation route from Winder Elementary School on Thursday, November 17, 2022.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.36(7)(d)2. · Rule 591-1-1-.36(7)(d)2. requires that the second designated Staff person conduct a check of the vehicle immediately upon the completion of the first check of the vehicle. The responsible person shall physically walk through the entire vehicle; visually inspect all seat surfaces, under all seats and in all compartments or recesses in the vehicle's interior; and sign the passenger transportation checklist(s), indicating all of the children have exited the vehicle. There shall be continuous watchful oversight of the vehicle between the first check and second check.

During a Complaint Investigation & Monitoring Visit conducted on November 16, 2022 ; It was determined based on review of records that the center did not document the second check of the vehicle upon completing a school transportation route on November 11, 2022, to Holsenbeck Elementary School.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.36(7)(d)2. · Rule 591-1-1-.36(7)(d)2. requires that the second designated Staff person conduct a check of the vehicle immediately upon the completion of the first check of the vehicle. The responsible person shall physically walk through the entire vehicle; visually inspect all seat surfaces, under all seats and in all compartments or recesses in the vehicle's interior; and sign the passenger transportation checklist(s), indicating all of the children have exited the vehicle. There shall be continuous watchful oversight of the vehicle between the first check and second check.

During a Complaint Investigation Follow Up conducted on December 5, 2022 ; It was determined based on review of records that the center did not document the second check of the vehicle upon completing a school transportation route on November 17, 2022, and November 18, 2022, to Winder Elementary School.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Complaint Investigation & Monitoring Visit conducted on November 16, 2022 ; It was determined based on observation that four two-year-old children were housed with five four-year-old children in classroom A-1R.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During an Incident Investigation by Phone conducted on April 27, 2022 ; It was determined based on investigative findings that on an undetermined date a child was not instructed to wash their hands upon a staff member completing the diapering procedures in the two-year-old classroom. Furthermore, children were not instructed to wash their hands prior to snack time upon a staff member redirecting the children towards the table to receive their snacks. 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.

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

During a Complaint Investigation & Monitoring Visit conducted on November 16, 2022 ; It was determined based on observation that children's hands were not washed after staff completed the diaper changing process in classroom F. Further, children's hands were not washed with liquid soap and warm running water before being served snack in classroom F. 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.

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

During a Complaint Investigation Follow Up conducted on December 5, 2022 ; It was determined based on observation that a child's hands were not washed after using the restroom in classroom D/2L Pre-K 1.

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 Complaint Investigation & Monitoring Visit conducted on November 16, 2022 ; It was determined based on observation that staff were not providing watchful oversight of two-year-old children during lunch time in that staff member A was observed to be standing against wall opposite the children's table and staff member B was observed retrieving the children's cots. Further, a staff member briefly left five four-year-old children unattended in classroom A-1R to escort two two-year-old children to classroom B-2R.

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 Complaint Investigation Follow Up conducted on December 5, 2022 ; It was determined based on observation that staff were not providing watchful oversight of two-year-old children during lunch time in that staff member A was observed to be standing by the trash can more than an arm¶s length away from children and staff member B was observed around the corner retrieving the children's cots. Exhibit "A"

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.25(3) · Rule 591-1-1-.25(3) requires the Center and surrounding premises to be kept clean, free of debris and in good repair. Hygienic measures such as, but not limited to, screened windows and proper waste disposal procedures shall be utilized to minimize the presence of rodents, flies, roaches and other vermin at the Center.

During a Licensing Study conducted on March 22, 2022 ; It was determined based on observation that one of two toilets in classroom 1L (preschool) was not in good repair as it was broken and unable to be used. In addition, the consultant discussed with the provider to ensure that the bathroom is cleaned and marked so that the broken toilet is not used by the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.25(3) · Rule 591-1-1-.25(3) requires the Center and surrounding premises to be kept clean, free of debris and in good repair. Hygienic measures such as, but not limited to, screened windows and proper waste disposal procedures shall be utilized to minimize the presence of rodents, flies, roaches and other vermin at the Center.

During a Complaint Investigation & Monitoring Visit conducted on November 16, 2022 ; It was determined based on observation that the outside wall on either side of the door from classroom B-2R contained a cracked siding that was accessible to children and the toilet lid located in the restroom of classroom 3-2R was observed to be on the floor and accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Licensing Study conducted on March 22, 2022 ; It was determined based on a review of records that the center did not immediately document in writing, with a check or other mark/symbol to account for each child listed on the passenger transportation checklist each time a child enters and exits the vehicle during the following times of afternoon transportation: - a mark/ symbol was not present for the unloading of two of three children during afternoon transportation on March 24, 2022 and March 25, 2022 from Holsenbeck Elementary School. - a mark/ symbol was not present for the unloading of four of six children during afternoon transportation on March 25, 2022 from Kennedy Elementary School. - a mark/ symbol was not present for the unloading of four of five children during afternoon transportation on March 25, 2022 from Winder Elementary School. - a mark/ symbol was not present for the unloading of three of four children during afternoon transportation on March 25, 2022 from County Line Elementary School. - a mark/ symbol was not present for the unloading of three of five children during afternoon transportation on March 29, 2022 from Kennedy Elementary School.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Complaint Investigation & Monitoring Visit conducted on November 16, 2022 ; It was determined based on review of records that the center did not document the unloading of ten of ten children after completing a school transportation route from Kennedy Elementary School on Tuesday, November 15, 2022. Staff did not document the loading and unloading of one of ten children after completing a school transportation route from Kennedy Elementary School Wednesday, November 16, 2022.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.10(9) · Rule 591-1-1-.10(9) requires Center Staff to not use the area used for diapering for food preparation and to keep the diapering area clear of formulas, food, food utensils and food preparation items.

During an Incident Investigation by Phone conducted on April 27, 2022 ; It was determined based on investigative findings that on an undetermined date a staff member placed a drink on a clipboard located on the diaper changing table in the two-year-old classroom while a child was on the table getting their shoes put on their feet.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.10(9) · Rule 591-1-1-.10(9) requires Center Staff to not use the area used for diapering for food preparation and to keep the diapering area clear of formulas, food, food utensils and food preparation items.

During a Complaint Investigation & Monitoring Visit conducted on November 16, 2022 ; It was determined based on observation that the tray containing food was on the diaper changing table during breakfast and the milk container was on the changing table during lunch in classroom B-2R.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During an Incident Investigation by Phone conducted on April 27, 2022 ; It was determined based on investigative findings that on an undetermined date a child was not instructed to wash their hands upon a staff member completing the diapering procedures in the two-year-old classroom. Furthermore, children were not instructed to wash their hands prior to snack time upon a staff member redirecting the children towards the table to receive their snacks.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During a Complaint Investigation & Monitoring Visit conducted on November 16, 2022 ; It was determined based on observation that children's hands were not washed after staff completed the diaper changing process in classroom F. Further, children's hands were not washed with liquid soap and warm running water before being served snack in classroom F.

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 an Incident Investigation by Phone conducted on April 27, 2022 ; It was determined based on investigative findings that on an undetermined date a staff member did not wash their hands upon completing the diapering procedures in the two-year-old classroom.

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 Complaint Investigation & Monitoring Visit conducted on November 16, 2022 ; It was determined based on observation that a staff member did not wash their hands upon completing the diapering procedures in the classroom F. Exhibit "A"

Open Not marked corrected in the state record

Open / not marked corrected.