The center director, site director, family child care provider, and all staff used to meet staff to child ratios shall: (1) Be certified in pediatric cardiopulmonary resuscitation (CPR) and first aid within 90 days of the first date of employment; (2) Obtain certification in (m)(1) above by the American Red Cross, American Heart Association, Emergency Care and Safety Institute, National Safety Council, or other nationally recognized organization; and (3) Maintain current certifications required in (m)(1) above.

The licensing coordinator’s review of two staff records revealed thatone staff, who has been employed at the program more than 90 days and is used to meet staff to child ratios, was not currently certified in First Aid and CPR. Corrective action: The renewal of the CPR and first aid certificate was obtained on April 19, 2025. Please see attachment. Moving forward, the provider will ensure that First Aid and CPR training is scheduled at least three months before the current certification expires.

He-C 4002.20(m)(1) · Correction status not published

The program shall request and maintain on file for each child documentation of immunizations in accordance with RSA 141-C:20-a, RSA 141-C:20-b, and He-P 301.14.

The licensing coordinator’s review of seven children’s records revealed that there was no record of physical examination on file for four children, and there was no updated physical examination record on file for one child. Corrective action: The missing physical examination forms were obtained on April 11, 2025. Moving forward, the provider will ensure that all physical examination forms are obtained on time and kept up to date to remain in compliance with licensing requirements.

He-C 4002.10(d) · Correction status not published

The program shall maintain daily child attendance records, in either paper or electronic format, including the child’s full name, date of birth, and their arrival and departure times in the program and each room or group throughout the day, as applicable, recorded in real time by staff or parents.

The program is not completing daily child and staff attendance records. Corrective action: The child care facility has obtained an attendance sheet for daily attendance recording, and we are dedicated to ensuring that attendance is consistently recorded at all times to uphold compliance with relevant regulations.

He-C 4002.08(a) · Correction status not published

Licensees shall have and implement written policies regarding a retention plan to prevent expulsion of children, which outlines how the program will address children’s behaviors that pose a serious safety risk, which includes at a minimum: (1) A retention plan to prevent expulsion of children, which outlines how the program will address children’s behaviors that pose a serious safety risk, which includes at a minimum: a. Parent notification and ongoing communicating regarding their child’s behavior; b. The steps the program will take to assist the child in maintaining enrollment; c. Parent notification when the child’s enrollment cannot be maintained; and d. The responsibilities of the program if the child’s behavior results in a serious safety risk to the child or others within the program.

The program didn’t have a retention plan to prevent the expulsion of children. Corrective action: The child care facility has finalized a retention plan and uploaded it here. We will diligently maintain this plan to ensure regulatory compliance.

He-C 4002.16(a)(1) · Correction status not published

Programs shall have a safe supply of water under pressure available for drinking and household use in accordance with the following: hot water at taps which are accessible to children shall have an automatic control to maintain a temperature at the tap of not higher than 120 degrees Fahrenheit.