R 400.8182(3)(b-d) Ratio and group size requirements. (3) In each room or well-defined space, the maximum group size and ratio of child care staff members to children, including children related to a staff member or the licensee, must be as shown in Table 4: TABLE 4 Child Care Staff Member to Child Ratios Age Child Care Staff Maximum Group ...., ..........................................................M........e....m....b...e...r.. .t.o... .C....h..i.l..d.. .R....a..t..i.o... S.i.z...e... ............................... (a) infants and toddlers, birth until 30 1 to 4 12 months of age (b) Preschoolers. 30 months of age Ito 8 16 until 3 ears of age (c) Preschoolers. 3 years of age until Ito 10 30 4 ears of age, (d) Preschoolers. 4 years of age until I to 12 36 school-a (eL School-agers 1 to 18 36

On September 20, 2022, 1 completed an unannounced on-site inspection at the facility. I spent the time observing programming. I spoke with child care staff member, Vicki St. Martin. When I arrived Ms. St. Martin and Ms. Quakenbush were supervising the children on a green space next to the playground. Ms. St. Martin informed me that there were 10 child care children in attendance but that some more children would be arriving later in the day. She said that the children enrolled in the program were aged 2 years and 9 months to 5 years. While outside Ms. St. Martin and Ms. Quakenbush ensured children stayed within sight. If children moved too far, they used reminders to have them come closer. Ms. St. Martin took a few of the children to use the bathroom leaving Ms. Quakenbush outside alone with the remainder of the children. The group was in compliance with staff to child ratio 2 requirements. When Ms. St. Martin returned outside with the children, the group went into the playground area to play. There were elementary aged children using the playground. There was a total of 22 children on the playground including the elementary aged children. Ms. St. Martin and Ms. Quakenbush ensured children were using age-appropriate equipment. More child care children arrived and joined the child care program on the playground. The elementary aged children went inside. Ms. Quakenbush left for the day and child care staff member Cindy Miller arrived. There were a total of 17 child care children on the playground. Ms. St. Martin had children line up by the gate and counted the children before transitioning back to the building. While walking back to the building, some of the children ran ahead on the sidewalk and turned a corner and were out of sight of Ms. St. Martin and Ms. Miller until they turned the corner and joined the children at the door. As children entered the building, Ms. St Martin sent some children to the classroom (last room at the end of the hallway) and some to the restroom (a couple of doors down from the doorway). Ms. St. Martin and Ms. Miller were still at the door when some children arrived at the classroom and restroom. Ms. St. Martin ensured children washed their hands and used the restroom if needed. Ms. Miller ensured the children in the classroom washed their hands. After they finished washing their hands, the children looked at books and Ms. Miller read a book to some of the children. When Ms. St. Martin returned to the room with her group of children, she led the children in prayer and had the children line up to go to the gym/cafeteria for lunch. As children transitioned to the cafeteria children grabbed their lunches from their lockers. Ms. Miller washed her hands prior to leaving the room. The children sat at two tables near the door of the cafeteria and ate their lunches. Staff helped children get their lunches or open packages. As children finished eating lunch. Ms. St. Martin took eight children back to the room and nine children stayed in the cafeteria and finished lunch. A third staff member, Amanda Cusack joined the group in the cafeteria. While transitioning back to the room, the elementary students who had been on the playground entered the hallway and were walking towards the child care children. They entered the building as a mass filling the whole hallway. Some of the child care children ran ahead of Ms. St. Martin, arriving at the room ahead of her. One child got "pushed" along with the elementary students and entered the room a few seconds after Ms. St. Martin entered the room. A few minutes later, I heard a child whining in the hallway and looked out and saw a child kneeling on the floor. Ms. St. Martin also looked out toward the hallway and saw the child. She asked the child if he had been sent down from the cafeteria. I looked out in the hallway and did not see a staff member with the child or at the doorway of the cafeteria. After the rest of the group had arrived with Ms. Miller, Ms. St. Martin t