75-03-10-22 · Violation

The forms were there but for two children with missing immunizations. The parent was there at the time and will bring to Kiana today.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-12 · Violation

Open Not marked corrected in the state record

75-03-10-09 · Violation

All documents and request for director added is now complete.

Open Not marked corrected in the state record

Open / not marked corrected.

50-11.1 · Violation

All documents and request for director added is now complete.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-12 · . Minimum qualifications for all staff members responsible for caring for or teaching children. #5.-(5) Completion of one hour of department-approved safe sleep prior to the staff member providing care to infants;

During the review of training for an unannounced visit, it was discovered that the baby teacher had not completed North Dakota Safe Sleep since 10/16/2023.

Open Not marked corrected in the state record

Open / not marked corrected.

50-11.1-02 · Violation

Gave Kiana more non- smoking stickers. When asking the staff if Kiana discussed with them 1 said yes and 2 said no. Discussed with Kiana the importance discussing with staff about not smoking. Still working on policies and procedures.

Open Not marked corrected in the state record

Open / not marked corrected.

50-11.1-02 · .2. Smoking prohibited on premises where early childhood services are provided.-As provided by section 23-12-10, smoking is not permitted on the premises where early childhood services are provided. For purposes of sections 23-12-09 and 23-12-10, a person providing early childhood services as a registrant or pursuant to a self-declaration is considered a child care facility subject to licensure by the department.

During a concerned visit it was determined that smoking occurred at least 1 time within the facility

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-09 · . Duties of child care center operator.-19-Report to the department within twenty-four hours: a. A death or a serious accident or illness requiring hospitalization of a child while in the care of the child care center or attributable to care received in the child care center; b. An injury to any child which occurs while the child is in the care of the child care center and which requires medical treatment; c. Poisonings or errors in the administering of medication; d. Closures or relocations of the child care center due to emergencies; and e. Fire that occurs or explosions that occur in or on the premises of the child care center;

During a concern call, an ex-employee sent the licensing specialist a picture of an injured child. During a concern visit when asking Kiana about the situation, she did a Pro-Care form but did not notify the department.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-14 · . Minimum qualifications for volunteers.-If a volunteer is providing child care, the volunteer shall meet the qualifications of a staff member responsible for caring for or teaching children and shall receive orientation for all assigned tasks.

During a concern visit, a volunteer was present that was interaction with children and during small amounts of time was alone with children. Volunteers need to meet the following requirements. 1. Complete Getting Started 2. Complete North Dakota Safe Sleep (yearly) 3. Complete Mandated reporting (yearly) 4. Complete Pediatric CPR/First Aid 5. Completed CBCU fingerprint memo.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-17 · Violation

Received a completed fire inspection from the fire department. Two items will need to be reinspected when annual visit is completed.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-17 · . Fire inspections.--The operator shall ensure that annual fire inspections are completed by local or state fire authorities. The operator shall correct or have corrected any code violations noted by the fire inspector and shall file reports of the inspections and any corrections with the department.

During the annual review prep-work by the licensing specialist, it was determined the last fire inspection was January, 2023.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-10 · . Minimum qualifications of child care center director.-4.-Certify annual completion of a minimum of thirteen hours of departmentapproved training related to child care, including one hour on safe sleep prior to the director providing care to infants and one hour on mandated reporter of suspected child abuse or neglect.. A department-approved basic child care course must be completed within ninety days of employment. The same training courses may be counted toward licensing annual requirements only if at least three years has passed since the last completion date of that training course, with the exception of safe sleep and mandated reporter annual training

During prep-work by the licensing specialist, it was determined that Kiana has only completed 3 hours of the required 13 hours of training.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-12 · . Minimum qualifications for all staff members responsible for caring for or teaching children.-c.-Shall certify completion of a department-approved basic child care course within ninety days of employment;

During annual review prep-work by the licensing specialist, it was determined a staff member that started in February has not completed Getting Started

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-27 · Violation

Jon Stewart did not pass his CBCU background check. He will not be allowed on site.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-12 · Violation

Jon did not pass his background check so is unable to work in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-10 · Violation

Kiana completed North Dakota Safe Sleep on 4/2/24.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-28 · . Child abuse and neglect decisions.-2. Each applicant, owner, operator, director, supervisor, emergency designee, substitute staff member, and staff member shall complete, and the operator shall submit to the department, a department-approved authorization for background check form no later than the first day of employment.

A concern from a parent mentioned that Jon was there often and had a great relationship with her child. During the investigation 4 staff confirmed that Jon was there around 10 hours a week, works in the office, and fills in the rooms as needed.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-10 · . Minimum qualifications of child care center director.-4. Certify annual completion of a minimum of thirteen hours of department- approved training related to child care, including one hour on safe sleep prior to the director providing care to infants and one hour on mandated reporter of suspected child abuse or neglect.. A department-approved basic child care course must be completed within ninety days of employment. The same training courses may be counted toward licensing annual requirements only if at least three years has passed since the last completion date of that training course, with the exception of safe sleep and mandated reporter annual training.

During the preparation for a concern visit, it was determined that Kiana had not completed the approved North Dakota Safe Sleep training through Growing Futures since 7/2022. All staff that work with infants must complete North Dakota Safe Sleep through Growing Futures annually and prior to working with infants.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-12 · . Minimum qualifications for all staff members responsible for caring for or teaching children. (C, D, E and F 5&6)-1. e.-Shall be currently certified within ninety days of employment and prior to staff member having unsupervised access to children under care, in pediatric first aid by a program approved by the department; C. Shall certify completion of a department-approved basic child care course within ninety days of employment; D. Shall be currently certified within ninety days of employment and prior to staff member having unsupervised access to children under care, in infant and pediatric cardiopulmonary resuscitation and the use of an automated external defibrillator by the American heart association, American red cross, or other similar cardiopulmonary resuscitation and automated external defibrillator training programs that are approved bythe department; F. (5) Completion of one hour of department-approved safe sleep prior to the staff member providing care to infants; (6) Completion of one hour of department-approved mandated reporter of suspected child abuse or neglect training;

During a concern visit on 3/27/24 the licensing specialist asked staff the role of Jon Stewart, it was mentioned that he worked in the office and helped in the rooms. This correction order was refuted and during that process it was noted that a correction order was not issued for Jon having required initial and annual training.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-18 · . Minimum sanitation and safety requirements.-The operator shall ensure that in child care centers licensed for more than thirty- The operator shall ensure that in child care centers licensed for more than thirty children, where meals are prepared, comply with the public health division of the department child care food service establishment license requirements pursuant to North Dakota Century Code chapter 23-09. If only snacks or occasional cooking projects are prepared, an inspection by the public health division of the department is not required. The operator shall correct any code violations noted by the health inspector and shall file reports of the inspections and corrections made with the department.

During a concern investigation a working kitchen was noticed to be a new addition. According to the supervisor, Kiana has been cooking meals and they are no longer catering as much. The licensing specialist contacted the health department and an inspection is not on file

Open Not marked corrected in the state record

Open / not marked corrected.

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 on sudden infant death prevention prior to the staff member providing care to infants;

During an unannounced review of training records, it was determined that the staff in the infant room had not completed SIDS.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-22 · . Records-The operator shall maintain the following records: a. The child's full name, birth date, and current home address; b. Legal names of the child's parents and current business and personal telephone numbers where they can be reached; c. Names and telephone numbers of individuals who may assume responsibility for the child if the individuals legally responsible for the child cannot be reached immediately in an emergency; 21 d. A written statement from the parents authorizing emergency medical care; e. Names and telephone numbers of individuals authorized to take the child from the child care center; f. Verification that the child has received all immunizations appropriate for the child's age, as prescribed by the public health division of the department of health and human services, or have on file a document stating that the child is medically exempt or exempt from immunizations based on religious, philosophical, or moral beliefs; and g. A current health assessment or a health assessment statement completed by the parent, obtained at the time of initial enrollment of the child which must indicate any special precautions for diet, medication, or activity. This assessment must be completed annually.

During an unannounced visit 2 children files were complete out of 18 enrolled children.

Open Not marked corrected in the state record

Open / not marked corrected.