75-03-10-23 · Discipline - Punishment prohibited. 2. Discipline must be constructive or educational in nature and may include diversion, separation from the problem situation, talking with the child about the situation, praising appropriate behavior, or gentle physical restraint, such as holding. A child may not be subjected to physical harm, fear, or humiliation.

Staff held child's hand, raising the arm up when moving child away from the table.

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75-03-10-12 · . Minimum qualifications for all staff members responsible for caring for or teaching children.-f. Shall certify the staff member's own successful completion of the department-approved training related to child care each year, and annually thereafter, as set forth below: (5) Completion of one hour of department-approved safe sleep prior to the staff member providing care to infants;

Staff working with infants has not completed ND Safe Sleep

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75-03-10-12 · Violation

Child to staff ratios were in compliance Staff members were in compliance with supervision Ratio forms were completed at the time of re - inspection

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75-03-10-08 · Violation

Child to staff ratios were in compliance Staff members were in compliance with supervision Ratio forms were completed at the time of re - inspection

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75-03-10-12 · subsection 3 75-03-10-08 subsection 2(a)-75-03-10-12. Minimum qualifications for all staff members responsible for caring for or teaching children. 3. Ensure safe care for children under supervision. Supervision means a staff member responsible for caring for or teaching children being within sight or hearing range of an infant, toddler, or preschooler at all times so the staff member is capable of intervening to protect the health and safety of the child. For the school-age child, it means a staff member responsible for caring for or teaching children being available for assistance and care so that the child's health and safety is protected. 75-03-10-08. Staffing and group size requirements. 1. The number of staff members and their responsibilities must reflect program requirements and individual differences in the needs of the children enrolled, and may permit mixed-age groups, if necessary. Service personnel engaged in housekeeping and food preparation may not be counted in the child to staff ratio for periods of time when they are engaged in housekeeping or food preparation. 2. a. The operator shall ensure that the child care center is sufficiently staffed at all times to meet the child to staff ratios for children in attendance and that no more children than the licensed capacity are served at one time. The minimum ratio of staff members responsible for caring for or teaching children to children in child care centers and maximum group size of children must be: (1) For children less than eighteen months of age, one staff member may care for four children, a ratio of .25 in decimal form, with a maximum group size of ten children; (2) For children eighteen months of age to thirty-six months of age, one staff member may care for five children, a ratio of .20 in decimal form, with a maximum group size of fifteen children; (3) For children three years of age to four years of age, one staff member may care for seven children, a ratio of .14 in decimal form, with a maximum group size of twenty children; (4) For children four years of age to five years of age, one staff member may care for ten children, a ratio of .10 in decimal form, with a maximum group size of twenty-five children; (5) For children five years of age to six years of age, one staff member may care for twelve children, a ratio of .08 in decimal form, with a maximum group size of thirty children; and (6) For children six years to twelve years of age, one staff member may care for twenty children, a ratio of .05 in decimal form, with a maximum group size of forty children.

Staff was left alone with 7 infants. Children were un-supervised in the room without staff members within view. Staff member was not supervising children in the room for 20 minutes or more.

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75-03-10-12 · . Minimum qualifications for all staff members responsible for caring for or teaching children. -3. Ensure safe care for children under supervision. Supervision means a staff member responsible for caring for or teaching children being within sight or hearing range of an infant, toddler, or preschooler at all times so the staff member is capable of intervening to protect the health and safety of the child. For the school-age child, it means a staff member responsible for caring for or teaching children being available for assistance and care so that the child's health and safety is protected.

A visit was made regarding a concern and documentation was shown on 11/16/23 and 11/21 during the breakfast hour (7:30 - 8:30 am) staff had walked away from a table of 4 children and another day there were 5 infants, all from Infant 2.

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75-03-10-12 · Minimum qualifications for all staff members responsible for caring for or teaching children. -3. Ensure safe care for children under supervision. Supervision means a staff member responsible for caring for or teaching children being within sight or hearing range of an infant, toddler, or preschooler at all times so the staff member is capable of intervening to protect the health and safety of the child. For the school-age child, it means a staff member responsible for caring for or teaching children being available for assistance and care so that the child's health and safety is protected.

A visit was made regarding a concern and documentation was shown 9 children were left unattended during drop off, on 10/13/23.

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75-03-09-09 · . Staffing requirements -2. c. When there is a mixed-age group, the number of children in each age category is multiplied by the corresponding ratio number, converted to decimal form, and carried to the nearest hundredth. To determine the number of staff members responsible for caring for or teaching children necessary at any given time, numbers of staff members for a age categories are added, and any fractional staff member count is then rounded to th next highest whole number whenever the fractional staff member count amounts t thirty-five hundredths or more. If lower than thirty-five hundredths, the fractional amount is dropped.

Worker was made aware of a concern on ratio. A visit was made on Monday, 10/16/23 and it was confirmed that on Thursday, 10/12/23 during the morning transition 11 children were left with 1 staff and ratio was at 1.71.

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