75-03-10-08 · (2a)(1)-Ratio-2. a. The operator shall ensure that the childcare 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 childcare 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.

While doing an unannounced visit to discuss and accident that occurred, I went into one of the staff's rooms that was present at the time of the accident. The staff Savannah Close was in the infant room. There were no other staff in the room. She had 5 infants.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-22 · . Records. 2. 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.

Upon document review, it was found that 18 Statement of Health forms were expired.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-08 · . 2a and b(3) Staffing and group size requirements-2, a. The operator shall ensure that the 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. b. When there are mixed-age groups in the same room, the operator shall ensure: (3) The mixed-age group does not exceed the acceptable ratio pursuant to subdivision d of subsection 2 of section 75-03-10-08 and the maximum number of children per staff member pursuant to subdivision a of subsection 2 of section 75-03-10-08;

Infant room had 6 children under 18 months and one staff member. Preschool room ratio for one staff member was: (2)2 year olds = .4 (4)3 year olds = .56 (3)4 year olds = .3 (2)5 year olds = .16 (1)7 year old = .05 1.47 ratio

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-12 · . (1)d. Minimum qualifications for all staff members responsible for caring for or teaching children.-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 by the department;

One staff member working without current pediatric First Aid/CPR/AED training.

Open Not marked corrected in the state record

Open / not marked corrected.

75-03-10-27 · (5)-Effect of conviction on licensure and employment. An operator shall submit an application for a fingerprint-based criminal history record check at the time of application and within five years from the date of initial approval and at least once every five years thereafter. The operator shall ensure that each staff member submits an application for a fingerprint-based criminal history record check upon hire and within five years from the date of initial approval and at least once every five years thereafter. The department may excuse a person from providing fingerprints if usable prints have not been obtained after two sets of prints have been submitted and rejected. If a person is excused from providing fingerprints, the department shall submit a request to the bureau of criminal investigation for a nationwide name-based criminal history record check.

One staff was on site without a completed and cleared background check.

Open Not marked corrected in the state record

Open / not marked corrected.