8.9.4.31 · A Licensing Requirements

The licensee did not obtain background checks on all staff, volunteers, and prospective staff as per the requirements outlined in the department's most current version of the Background Check and Employment History Verification provisions. **FOR HHM OVER THE AGE OF 18** Will schedule fingerprints within the next 24 hours, complete background check application and submit to Background Check Unit. Will ensure to have any adult 18+ that lives in the home or spends a significant amount of time in the home complete fingerprints and background check applications before turning 18, or before moving into the home.

Corrected Corrected by Jun 5, 2025

Marked corrected in the state record.

8.9.4.32 · D Children's Records

Of the 11 children's records reviewed, 4 does/do not have any personal or emergency information on file. See the Children's Records 8.9.4.32 D(1)(e) form for the name of any child needing a complete record. Will ensure to gather enrollment documentation from parents. Place in an accessible area where secondary caregivers have access to when needed. Will not allow children to start care until enrollment documentation is received. Finding Of the 11 children's records reviewed, 7 is/are missing a copy of an up-to-date immunization record or public health division approved exemption. See Children's Records 8.9.4.32 D(1)(e) form for the child(ren) with no immunization/exemption. Corrective Action Plan Will request up to date immunization records from the parents will ensure to request up to date immunizations records yearly and review records children records quarterly. 06/04/2025 http://www.nmececd.org 2 of 6 MARY HENDRICKS 3398

Corrected Corrected by Jul 4, 2025

Marked corrected in the state record.

8.9.4.32 · D Children's Records (continued)

Of the 11 children's records reviewed, 4 is/are missing information on allergies or medical conditions. See Children's Records 8.9.4.32 D(1)(e) form for the child(ren) with missing information. Will have parents completely fill out enrollment forms and will ensure at time of enrollment that parents are filling out the forms completely. Will review children records quarterly to maintain them up to date.

Corrected Corrected by Jul 4, 2025

Marked corrected in the state record.

8.9.4.32 · E Personnel Records

Home educators do not have a signed statement that they would or would not be disqualified as a direct provider of care under the most current version of the Background Checks and Employment History Verification provisions pursuant to 8.8.3 NMAC. Will have educators sign statement and ensure to create a reminder on the phone to sign yearly. Review records quarterly to ensure they are maintained up to date. Finding The home does not have a record of the time the second care giver(s) arrived at and left work including breaks and lunch. Corrective Action Plan Will ensure educators are signing in and signing out at arrival and departure. Will place sign in and sign out sheet at the front door. Will check weekly to ensure educators are signing in daily. Finding The home does not have a written plan for ongoing professional development for each staff member, including the director, that is based on the seven areas of competency, consistent with the career lattice, and based on the individual's goals. Corrective Action Plan Will ensure to have written plan for ongoing professional development for each staff member. Will ensure to place in employee file and review files quarterly to ensure they are kept up to date. Finding The home does not have documentation of a care giver(s) for background check. **FOR ONE SECONDARY CAREGIVER** Corrective Action Plan Will ensure to reach out to background check unit by this week and ensure to keep a copy on file for employees. Will review employee records quarterly to ensure documentation is up to date. 06/04/2025 http://www.nmececd.org 3 of 6 MARY HENDRICKS 3398

Corrected Corrected by Jul 4, 2025

Marked corrected in the state record.

8.9.4.33 · B Staff Qualifications and Training

The home failed to keep a training log on file with training certificate, source of training, competency area, clock hours, date of training for 3 out of 3 staff. See Staff Records 8.9.4.33B(3) form for staff who are missing a complete training log. Will update training logs to reflect current year and enter any trainings that have been completed. Will review staff records quarterly to ensure all documentations, trainings are up to date and logged. Finding Educator does not have health and safety training. **FOR ONE SECONDARY CAREGIVER** Corrective Action Plan Will ensure to print out certificate and place in staff file. Will make sure to print any online training certificates and place in staff file and training log. Will review staff records quarterly to ensure all is up to date. Finding The home does not have all educators certified in first aid and cardiopulmonary resuscitation (CPR) with a pediatric component. **SECOND CAREGIVER DOES NOT HAVE FIRST AID/CPR CERTIFICATE** Corrective Action Plan Will locate a local First Aid/CPR training class to register for, will ensure that secondary caregiver is not left alone with any children until training is completed. Will ensure to keep copy of training certificate on staff record. Services & Care of Children

Corrected Corrected by Jul 4, 2025

Marked corrected in the state record.

8.9.4.34 · D Diapering and Toileting

The diaper changing surface is not waterproof. **HAS A TEAR** Will purchase new diaper changing mat on or by the end of the week. Will ensure to replace diaper changing mat once it tears and keep a replacement on hand to replace onsite if needed. 06/04/2025 http://www.nmececd.org 4 of 6 MARY HENDRICKS 3398 Services & Care of Children (continued) 8.9.4.34 E Additional Requirements for Children with Special Needs N/A 8.9.4.34 F Night Care N/A

Corrected Corrected by Jul 4, 2025

Marked corrected in the state record.

8.9.4.34 · J Outdoor Play

The fall zone underneath the slide structures is not adequate as evidenced by the absence of energy absorbent material - the surface is grass, the absence of energy absorbent material - the surface is rubber play mat. Will remove structures or ensure to add approved energy absorbent material per the regulations. Will remove rubber play mats and artificial turf and replace with approved energy absorbent material and ensure to replace as needed.

Corrected Corrected by Jul 4, 2025

Marked corrected in the state record.

8.9.4.37 · A-G Transportation Requirements for Homes

A vehicle used for transporting children is not equipped with a first-aid kit. **MISSING THERMOMETER AND SOAP** Will purchase items on or by end of the week, will replace items in first aid kit as needed. Will do a walkthrough of vehicle every 6 months to ensure all items are kept in vehicle. 06/04/2025 http://www.nmececd.org 5 of 6 MARY HENDRICKS 3398 (continued) Buildings, Grounds & Safety

Corrected Corrected by Jul 4, 2025

Marked corrected in the state record.

8.9.4.38 · I Pets

The home failed to inform parents or guardians before a pet was allowed in the home. ** FOR 13 CHILDREN RECORDS** Will distribute pet acknowledgement forms to each parent on or by the end of the week. Ensure to have all parents sign and place in children records. Will ensure to have parents sign yearly, review records quarterly. Additional Comments This is an annual inspection provider was out on field trip arrived during inspection with more children, census was updated to reflect the amount of children at her arrival with 4 children over the age of 2. TA was given on new staff being hired. Secondary caregiver was present during annual inspection. Signatures Please Note: Per ECECD regulation NMAC 8.9.4, failure to comply with the corrective action plans noted above, may result in further action taken against the licensee. Surveyor: Jessica Pineda Facility Representative: Mary Hendricks 06/04/2025 http://www.nmececd.org 6 of 6

Corrected Corrected by Jul 4, 2025

Marked corrected in the state record.

8.9.4.32 · D Children's Records

Of the 3 children's records reviewed, 3 is/are missing a copy of an up-to-date immunization record or public health division approved exemption. See Children's Records 8.9.4.32 D(1)(e) form for the child(ren) with no immunization/exemption. Provider stated one child is working on exemption paperwork and one is a newly enrolled child. Provider will have all parents bring in required paperwork right away and ensure that this is done during the admission period Finding Of the 3 children's records reviewed, 1 is/are missing information on allergies or medical conditions. See Children's Records 8.9.4.32 D(1)(e) form for the child(ren) with missing information. Corrective Action Plan Provider will have parents complete this right away and have parents complete this during admission moving forward Finding Of the 3 children's records reviewed, 1 is/are missing the name and telephone number of a physician or emergency medical center authorized by a parent or guardian to contact in case of illness or emergency. See Children's Records 8.9.4.32 D(1)(e) form for the child(ren) with missing information. Corrective Action Plan Provider will have this completed by the parent right away and will have parents complete all areas of paperwork during admission moving forward

Corrected Corrected by Feb 17, 2025

Marked corrected in the state record.

8.9.4.32 · D Children's Records

Of the 12 children's records reviewed, 6 is/are missing a copy of an up-to-date immunization record or public health division approved exemption. See Children's Records 8.9.4.32 D(1)(e) form for the child(ren) with no immunization/exemption. Will make sure to have all immunizations updated. Finding Of the 12 children's records reviewed, 2 is/are missing the date the child first attended the home. See Children's Records 8.9.4.32 D(1)(e) form for the child(ren) with missing information and/or authorization. Corrective Action Plan Will make sure to have all records on file for all children. Finding Of the 12 children's records reviewed, 2 does/do not have any personal or emergency information on file. See the Children's Records 8.9.4.32 D(1)(e) form for the name of any child needing a complete record. Corrective Action Plan Will make sure to have all records on file, when children enroll.

Corrected Corrected by Jul 23, 2024

Marked corrected in the state record.

8.9.4.33 · B Staff Qualifications and Training

1 educators did not complete the health and safety training within three (3) months of their date of hire. Will make sure all employees complete trainings on a timely manner. Services & Care of Children

Corrected Corrected by Jul 23, 2024

Marked corrected in the state record.

8.9.4.32 · E Personnel Records

Home educators do not have a signed statement that they would or would not be disqualified as a direct provider of care under the most current version of the Background Checks and Employment History Verification provisions pursuant to 8.8.3 NMAC. My staff and I will sign statement on a yearly basis. Finding The home does not have a written plan for ongoing professional development for each staff member, including the director, that is based on the seven areas of competency, consistent with the career lattice, and based on the individual's goals. Corrective Action Plan Will have written plan for ongoing professional development fer each staff member available yearly.

Corrected Corrected by Mar 20, 2024

Marked corrected in the state record.

8.9.4.33 · B Staff Qualifications and Training

The home failed to keep a training log on file with date of hire, position, date of training, employee's name, clock hours, competency area, source of training for 3 out of 3 staff. See Staff Records 8.9.4.33B(3) form for staff who are missing a complete training log. Will complete training log for my staff and I in a timely manner. 02/21/2024 http://www.nmececd.org 2 of 4 MARY HENDRICKS 3398 (continued) Finding 1 educators did not complete the health and safety training within three (3) months of their date of hire. Corrective Action Plan Will have staff member take training and provide certificate. Services & Care of Children

Corrected Corrected by Mar 20, 2024

Marked corrected in the state record.

8.9.4.38 · C Mechanical Systems

Water coming from a faucet was not below 110 degrees (Fahrenheit). Will lower hot water to be no more than 110 degrees Fahrenheit.

Corrected Corrected by Mar 20, 2024

Marked corrected in the state record.

8.9.4.38 · G Safety Compliance

The home failed to conduct a fire drill for the month(s) of October, November, and December of 2023 and January of 2024. Will conduct and document fire drills are conducted in a monthly basis. Finding The home failed to conduct an emergency preparedness practice drills for at least once a quarter. Corrective Action Plan Will conduct and document emergency preparedness drills once a quarter. 8.9.4.38 H Smoking, Firearms, Alcoholic Beverages, Illegal Drugs and Controlled Substances N/A

Corrected Corrected by Mar 20, 2024

Marked corrected in the state record.

8.9.4.32 · E Personnel Records

Open Not marked corrected in the state record

Open / not marked corrected.