8.9.4.22 · E Children's Records

Of the 5 children's records reviewed, 1 is/are missing the name and telephone number of two people in the local area to contact in an emergency when a parent or guardian cannot be reached. See Children's Records 8.9.4.22 form for the child(ren) with missing information. Room(s): Admin/Licensure

Open Not marked corrected in the state record

Open / not marked corrected.

8.9.4.22 · F Personnel Records

From the review of staff records, it was determined that 8 out of 8 staff records does/do not include a professional development plan based on seven areas of competency. See Staff Records 8.9.4.22 form for staff who need a current plan. Room(s): Personnel 04/15/2026 http://www.nmececd.org 2 of 5 Avengers Learning Center 13120716 (continued) F.1: A licensee shall keep and maintain a complete up-to-date file in ECECD’s professional development information system (PDIS), for each staff member, including substitutes and volunteers working more than six hours of any week and having direct contact with the children. If the center chooses to retain duplicate physical copies of these records, these records shall be stored in a secure location for the privacy of the staff members. New information shall be updated in a timely manner in PDIS. Providers will have six months to comply from the date these regulations are promulgated. Records shall contain at a minimum the following: h: documentation of all appropriate training by date, time, hours and area of competency; Finding From the review of staff records, it was determined that 8 out of 8 staff records does/do not include documentation of training by date, time, hours and area of competency or a training certificate. See Staff Records 8.9.4.22 form for staff with missing documentation. Room(s): Personnel Corrective Action Plan Personnel and Staffing Requirements for Centers:

Open Not marked corrected in the state record

Open / not marked corrected.

8.9.4.23 · B Staff Qualifications and Training

From the review of staff records, it was determined that 8 out of 8 staff working more than 20 hours a week, has/have no documentation of at least 24 hours of qualified annual training, See Staff Records 8.9.4.23 form for staff with missing documentation of training. Room(s): Personnel 04/15/2026 http://www.nmececd.org 3 of 5 Avengers Learning Center 13120716 (continued) B.2.c: New staff members working directly with children regardless of the number of hours employed per week shall complete the following, or a three-credit early care and education course or an equivalent approved by the department prior to or within twelve months of employment or the effective date of these regulation amendments. Substitute educators are exempt from this requirement. Training must be approved by ECECD to fulfill the requirements. Approved trainings and substitutions will be listed on ECECD’s website. Finding From the review of staff records, it was determined that 1 out of 8 staff does/do not have documentation of the 3 credit ECE or an approved equivalent within 12 months of employment. Room(s): Personnel Corrective Action Plan B.2: Training: b: All new staff members working directly with children regardless of the number of hours employed per week shall complete the following training within three months of their date of hire. Training must be approved by ECECD to fulfill the following requirements. Approved trainings and substitutions will be listed on the ECECD’s website. All current educators shall have three months to comply with the following training from the date these regulations are promulgated: x: first aid and cardiopulmonary resuscitation (CPR) awareness with a pediatric component. Finding Educators did not complete the following training within 3-months: Health and Safety Training 4 out of 8 Staff), first aid and cardiopulmonary resuscitation (CPR) certification (1 out of 8 Staff) Room(s): Personnel 04/15/2026 http://www.nmececd.org 4 of 5 Avengers Learning Center 13120716 (continued) Corrective Action Plan Food Service Requirements for Centers:

Open Not marked corrected in the state record

Open / not marked corrected.

8.9.4.25 · D Kitchens

A food is not properly stored; the item is not labeled and dated. Room(s): Food Service Additional Comments Onsite follow up to Annual conducted on 3/3/2026. Ratios and group sizes, unattended were verified on site by licensing and are now clear. Other deficiencies remain. 04/15/2026 http://www.nmececd.org 5 of 5

Open Not marked corrected in the state record

Open / not marked corrected.

8.9.4.22 · A ADMINISTRATIVE RECORDS

The center failed to display in a prominent place that is readily visible to parents, staff and visitors the most recent licensing survey, dated weekly menus for meals and snacks, current list of notifiable diseases and communicable diseases published by the office of epidemiology of the New Mexico department of health. Immediate: CORRECTED ON SITE. The director posted required posting on parent bulletin board. Preventative: The director will conduct quarterly reviews on required posting. Monitoring: The director will set a reminder on her phone.

Corrected Corrected by Mar 3, 2026

Marked corrected in the state record.

8.9.4.22 · B MISSION, PHILOSOPHY AND CURRICULUM STATEMENT

The center did not have available for review the mission statement, philosophy statement. Immediate: CORRECTED ON SITE. The director posted required posting on parent bulletin board. Preventative: The director will conduct quarterly reviews on required posting. Monitoring: The director will set a reminder on her phone.

Corrected Corrected by Mar 3, 2026

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 5 children's records reviewed, 1 is/are missing a copy of an up-to-date immunization record or public health division approved exemption. See Children's Records 8.9.4.22 form for the child(ren) with no immunization/exemption. Immediate: The director will update immunizations by requesting immunizations from parent for updated shot record. Preventative: The director will monitor children's files monthly. Monitoring: The director will use a reminder on her phone to check files. 8.9.4.22.E.:Children's Records: A center shall maintain a complete record for each child, including drop-ins, completed before the child is admitted. Records shall be kept at the center for 12 months after the child’s last day of attendance. Records shall contain at least: Finding Of the 5 children's records reviewed, 1 is/are missing the name and telephone number of two people in the local area to contact in an emergency when a parent or guardian cannot be reached. See Children's Records 8.9.4.22 form for the child(ren) with missing information. Corrective Action Plan Immediate: The director will review and have parents add a 2nd emergency contact other than the parents. Preventative: The director will monitor children's files monthly. Monitoring: The director will use a reminder on her phone to check files. 8.9.4.22.E.:Children's Records: A center shall maintain a complete record for each child, including drop-ins, completed before the child is admitted. Records shall be kept at the center for 12 months after the child’s last day of attendance. Records shall contain at least: 03/03/2026 http://www.nmececd.org 3 of 10 Avengers Learning Center 13120716 Admin/Licensure (continued) Finding Of the 5 children's records reviewed, records did not have written authorization for application of diaper cream. See Children's Records 8.9.4.22 form for the child(ren) with missing information and/or authorization. Corrective Action Plan Immediate: The director will have parents sign written authorization for staff to use diaper cream. Preventative: The director will monitor children's files monthly. Monitoring: The director will use a reminder on her phone to check files.

Corrected Corrected by Apr 3, 2026

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 8 out of 8 staff records does/do not include documentation of training by date, time, hours and area of competency or a training certificate. See Staff Records 8.9.4.22 form for staff with missing documentation. Immediate: The director will have staff fill out training log. Preventative: The director will monitor staff files monthly. Monitoring: The director will use a reminder on her phone to check files monthly. 8.9.4.22.F.1.:A licensee shall keep and maintain a complete up-to-date file in ECECD’s professional development information system (PDIS), for each staff member, including substitutes and volunteers working more than six hours of any week and having direct contact with the children. If the center chooses to retain duplicate physical copies of these records, these records shall be stored in a secure location for the privacy of the staff members. New information shall be updated in a timely manner in PDIS. Providers will have six months to comply from the date these regulations are promulgated. Records shall contain at a minimum the following: Finding The center failed to have 6 out of 8 person(s) providing care to sign an annual statement that they have, or have never had, an arrest or substantiated referral to a child protective services agency. See Staff Records 8.9.4.22 form for staff with this missing information. Corrective Action Plan Immediate: CORRECTED ON SITE. The director had staff sign abuse statements. Preventative: The director will monitor staff files monthly. Monitoring: The director will use a reminder on her phone to check files monthly. 03/03/2026 http://www.nmececd.org 4 of 10 Avengers Learning Center 13120716

Corrected Corrected by Apr 3, 2026

Marked corrected in the state record.

8.9.4.23 · A PERSONNEL AND STAFFING REQUIREMENTS

The child(ren) in the School Age classroom room(s) was/were left unattended when left inside eating breakfast by himself while the educator was outside with 14 children. Immediate: Educator had the school age child go outside with the peers. Preventative: The director will address immediately with all staff about leaving children unattended. Preventative: The director will conduct daily walk through's. Monitoring: The director will set a reminder to conduct daily walk through's, 8.9.4.23.A.9.:A program shall maintain staff/child ratios and group sizes at all times based on the age of the majority of children in the group. Children must never be left unattended whether inside or outside the facility. Staff will be onsite, available and responsive to children during all hours of operation. All educators shall perform head counts at regular intervals throughout the day. Finding In the Infant - (6 wk. - 12 mo.) class room(s) the group sizing was exceeded when school age, preschool, mixed with infant classroom. Corrective Action Plan Immediate: The next educator who arrived at work took the children to the appropriate classroom. Preventative: The director will review staff schedule to accommodate ratios. Monitoring: The director will monitor staff to child classroom schedules monthly.

Corrected Corrected by Apr 3, 2026

Marked corrected in the state record.

8.9.4.23 · B STAFF QUALIFICATIONS AND TRAINING

From the review of staff records, it was determined that 8 out of 8 staff working more than 20 hours a week, has/have no documentation of at least 24 hours of qualified annual training, See Staff Records 8.9.4.23 form for staff with missing documentation of training. 03/03/2026 http://www.nmececd.org 5 of 10 Avengers Learning Center 13120716 Personnel (continued) Immediate: The director will have staff update and or finish required annual training. Preventative: The director will monitor staff files monthly. Monitoring: The director will set a reminder on her phone, 8.9.4.23.B.2.c.:New staff members working directly with children regardless of the number of hours employed per week shall complete the following, or a three-credit early care and education course or an equivalent approved by the department prior to or within twelve months of employment or the effective date of these regulation amendments. Substitute educators are exempt from this requirement. Training must be approved by ECECD to fulfill the requirements. Approved trainings and substitutions will be listed on ECECD’s website. Finding From the review of staff records, it was determined that 3 out of 8 staff does/do not have documentation of the 3 credit ECE or an approved equivalent within 12 months of employment. Corrective Action Plan Immediate: The director will have staff update and or finish required annual training. Preventative: The director will monitor staff files monthly. Monitoring: The director will set a reminder on her phone, 8.9.4.23.B.2.:Training: Finding Educators did not complete the following training within 3-months: Health and Safety Training ( 4 out of 8 Staff), first aid and cardiopulmonary resuscitation (CPR) certification ( 1 out of 8 Staff) Corrective Action Plan Immediate: The director will have staff finish health and safety on quorum & schedule first aid CPR training. Preventative: The director will monitor staff files monthly. Monitoring: The director will use a reminder on her phone to check files monthly. 03/03/2026 http://www.nmececd.org 6 of 10 Avengers Learning Center 13120716 Personnel and Staffing Requirements for Centers: (continued)

Corrected Corrected by Apr 3, 2026

Marked corrected in the state record.

8.9.4.23 · C STAFF/CHILD RATIOS AND GROUP SIZES

The center groups children by age. The required staff/child ratio for the Age in group: infants - 1:6 or fraction of group thereof. The observed staff/child ratio was 1:7. Immediate: 2nd educator came in to assist now it is 2 staff to 7. Preventative: The director will review staff schedule to accommodate ratios. Monitoring: The director will monitor staff to child classroom schedules monthly. Services and Care of Children in Centers:

Corrected Corrected by Apr 3, 2026

Marked corrected in the state record.

8.9.4.24 · C ADDITIONAL REQUIREMENTS FOR INFANTS AND TODDLERS

A child was observed sleeping in a bouncer chair; the child was not removed to a crib. 03/03/2026 http://www.nmececd.org 7 of 10 Avengers Learning Center 13120716 I/T Classroom (continued) Immediate: Educator removed the bouncer from the crib where the child was asleep in the crib. Preventative: The director will address sleeping patterns with all staff. Monitoring: The director will monitor classrooms by conducting daily walk throughs and set a reminder on her phone. 8.9.4.24.C.13.:Infants shall either be held or fed sitting up for bottle-feeding. Infants unable to sit shall always be held for bottle-feeding. Infants and toddlers shall not be placed in a supine position while drinking via bottles or sippy cups. The carrying of bottles and sippy cups by young children throughout the day or night shall not be permitted. Finding Feeding practices are inappropriate as evidenced by children carry bottles and sipper cups throughout the day. Corrective Action Plan Immediate: Educator placed the child at the table to drink his milk. Preventative: The director address feeding patterns with all staff. Monitoring: The director will monitor classrooms by conducting daily walk through and set a reminder on her phone.

Corrected Corrected by Apr 3, 2026

Marked corrected in the state record.

8.9.4.25 · D KITCHENS

The refrigerator in the infant classroom does not have a working internal thermometer. Immediate: The director will add a thermometer in the infant refrigerator. Preventative: The director will monitor classrooms monthly. Monitoring: The director will use a reminder on her phone to check files monthly. 8.9.4.25.D.4.:A center shall protect food and drink from insects, rodents, and other vermin by properly storing items in an airtight container or by tightly wrapping them. A center shall label and date all leftover food. Finding A food is not properly stored; the item is not labeled and dated. Corrective Action Plan Immediate: The director will discuss labeling and dating with all all staff. Preventative: The director will monitor daily. Monitoring: The director will use a reminder on her phone .

Corrected Corrected by Apr 3, 2026

Marked corrected in the state record.

8.9.4.26 · B FIRST AID REQUIREMENTS

The center’s first aid kit does not contain nonporous gloves. Immediate: CORRECTED ON SITE. Director placed gloves in first aid kit. Preventative: The director will monitor first aid kits monthly. Monitoring: The director will use a reminder on her phone. 03/03/2026 http://www.nmececd.org 9 of 10 Avengers Learning Center 13120716 Health and Safety Requirements for Centers: (continued)

Corrected Corrected by Mar 3, 2026

Marked corrected in the state record.

8.9.4.21 · C INCIDENT REPORTING REQUIREMENTS

The center failed to make a report to the licensing authority within 24 hours after the incident occurred regarding an injury that required medical care beyond on-site first aid. Immediate Action Plan: Effective immediately, Director created an emergency contact list to have it in each classroom. Preventative Action Plan: Director will call the parents immediately right after any incident and will notify licensing. Monitoring Action Plan: Director will have an extra educator to ensure people in charge is able to notify parents and licensing of any incident and provide care to children. Administrative Requirements for Centers:

Corrected Corrected by Feb 9, 2026

Marked corrected in the state record.

8.9.4.23 · A PERSONNEL AND STAFFING REQUIREMENTS

The child(ren) in the School Age, Infant - (6 wk. - 12 mo.) Class room(s) was/were left unattended when school 11/25/2025 http://www.nmececd.org 2 of 4 Avengers Learning Center 13120716 Personnel (continued) age educator left classroom to open the door for Licensing and a second time to walk out to the hallway to check on the food project and infant teacher left the classroom to open the door. Immediate Action Plan: Director talk to educators about not letting children unattended. Corrected Onsite Preventative Action Plan: Director will have educators use phones in the classrooms to call when needed. Monitoring Action Plan: Director will have an extra staff to assist educators if needed. Director will give educators 15 minutes to get all the stuff needed before going into the classrooms.

Corrected Corrected by Nov 25, 2025

Marked corrected in the state record.

8.9.4.23 · C STAFF/CHILD RATIOS AND GROUP SIZES

The center groups children by age. The required staff/child ratio for the Age in group: infants - 1:6 or fraction of group thereof. The observed staff/child ratio was 1 to 9. Immediate: On 8/28/25 The Director will hire more staff to help cover ratio's. Preventative: 8/22/25 The Director has begin the hiring process of new staff and will discuss licensing regulations on ratios. The Director will meet with staff to schedule training "back to the basics 101" in Quorum. Monitoring: 8/29/25 The Director will continue to monitor ratios and work with staff through daily conversations and staff meeting. The Director will submit certificates and sign in sheet for training. 8.9.4.23.C.2.:The number of children who may be in a group and the number of caregivers is specified in Paragraph (1) of Subsection C of 8.9.4.23 NMAC. More than one group of children may occupy a room, provided the following conditions are met: Finding The center combines age groups of children. The required group size for the Age in group: six weeks through 24 months - 1:6 or fraction of group thereof, Age in group: 18 to 24 months with children ages 24 through 35 months - 1:6 or fraction of group thereof. The observed group size was the infant classroom ratio was 1 to 9 that consisted of infant and one three year old. Corrective Action Plan Immediate: On 8/28/25 The Director will hire more staff to help cover ratio's. Preventative: 8/22/25 The Director has begin the hiring process of new staff and will discuss licensing 08/28/2025 http://www.nmececd.org 3 of 5 Avengers Learning Center 13120716 I/T Classroom (continued) regulations on ratios. The Director will meet with staff to schedule training "back to the basics 101" in Quorum. Monitoring: 8/29/25 The Director will continue to monitor ratios by verifying daily hour checks in the classrooms. The Director work with staff through daily conversations and staff meeting. The Director will submit certificates and sign in sheet for training. Services and Care of Children in Centers:

Corrected Corrected by Aug 28, 2025

Marked corrected in the state record.

8.9.4.21 · B CAPACITY OF CENTERS

It was observed that children were cared for in an unlicensed area. The child was in licensed area. The three year old was combined with infants. Immediate: 7/23/25 The Director removed the three year old from the infant room and put him back in the correct classroom. Preventative: 7/23/25 The Director will not combine age groups at any time to stay in compliance. Monitoring: 7/23/25 The Director will monitor classrooms daily to ensure age groups are not mixed. The Director will add walkthroughs in her agenda as a reminder.

Corrected Corrected by Aug 23, 2025

Marked corrected in the state record.

8.9.4.25 · D KITCHENS

The refrigerator in the infant does not have a working internal thermometer. Immediate: 7/23/25 CORRECTED ON SITE. The Director added a new thermometer in the infant room refrigerator. Preventative: 7/23/25 The Director will use the kitchen checklist licensing provided a sample form. Monitoring: 7/23/25 The Director will use licensing checklist for all areas of the building to stay in compliance with licensing and use her agenda as a reminder. 8.9.4.25.D.4.:A center will protect food and drink from insects, rodents and other vermin by properly storing items in an airtight container or by tightly wrapping them. A center will label and date all leftover food. Finding A food is not properly stored; the item is not labeled and dated. Corrective Action Plan Immediate: 7/23/25 CORRECTED ON SITE. The Director labeled all food in the refrigerator. Preventative: 7/23/25 The Director will use the kitchen checklist licensing provided a sample form. Monitoring: 7/23/25 The Director will use licensing checklist for all areas of the building to stay in compliance with licensing and use her agenda as a reminder.

Corrected Corrected by Aug 23, 2025

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The premises in the boys bathroom for the 3 year old and school age are not clean as evidenced by urine on the floor. Immediately: 7/23/25 CORRECTED ON SITE. The Director cleaned the urine immediately. Preventative: 7/23/25 The Director will remind staff during her staff meeting. And remind staff about the health and safety of the children and having urine on the floor. Monitoring: 7/23/25 The Director will remind staff during her staff meeting and check bathrooms daily and add it to her agenda.

Corrected Corrected by Aug 23, 2025

Marked corrected in the state record.

8.9.4.29 · E LIGHTING, LIGHTING FIXTURES AND ELECTRICAL

Electrical outlets within reach of children in the infant room are not safety outlets and they do not have protective covers. Immediate: 7/23/25 CORRECTED ON SITE. The Director covered the outlet covers. Preventative: 7/23/25 The Director will create a new classroom checklist for all rooms. Monitoring: 7/23/25 The Director will use licensing checklist for all classrooms and use her agenda as a reminder.

Corrected Corrected by Aug 23, 2025

Marked corrected in the state record.

8.9.4.29 · H SAFETY COMPLIANCE

The center’s record of fire drills does not include the following: the date 07/23/2025 http://www.nmececd.org 5 of 6 Avengers Learning Center 13120716 Admin/Licensure (continued) . The center did not have a fire drill for February through June 2025 Immediate: 7/23/25 The Director will conduct a fire drill by the end of the week. 7/25/25. Preventative: 7/23/25 The Director will do monthly fire drills to be in compliance. Monitoring: 7/23/25 The Director will add and phone alarm and add it to her agenda to conduct monthly fire drills. 8.9.4.29.H.1.:A center will conduct emergency preparedness practice drills at least quarterly beginning January of each calendar year. Finding The center failed to conduct an emergency preparedness practice drills for at least once a quarter. Corrective Action Plan Immediate: 7/23/25 The Director will conduct July and August emergency preparedness drills by 7/25/25. Preventative: 7/23/25 The Director will do monthly fire drills to be in compliance. Monitoring: 7/23/25 The Director will add and phone alarm and add it to her agenda to conduct monthly fire drills.

Corrected Corrected by Aug 23, 2025

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 5 out of 7 staff records does/do not include the required Form I-9. See Staff Records 8.9.4.22 form for staff missing the form. Immediate: The director states the I-9 will be completed. The director will send corrections to licensing via email on or before 4/11/2025 for verification. Preventive/Monitoring: The director will check staff files regularly to make sure they are complete. I-9 will be completed during new employee orientation. 03/27/2025 http://www.nmececd.org 2 of 5 Avengers Learning Center 13120716 Administrative Requirements for Centers: (continued)

Corrected Corrected by Apr 11, 2025

Marked corrected in the state record.

8.9.4.23 · B STAFF QUALIFICATIONS AND TRAINING

The center failed to keep a training log on file with Date of hire, Date of training, Employee's name, Position, Clock hours, Competency area, Source of training, Training certificate for 5 out of 7 staff. See Staff Records 8.9.4.23 form for staff who are missing a complete training log. Immediate: The director states the training logs will be completed. The director will send corrections to licensing via email on or before 4/11/2025 for verification. Preventive/Monitoring: The director will check staff files regularly to make sure they are complete.

Corrected Corrected by Apr 11, 2025

Marked corrected in the state record.

8.9.4.24 · C ADDITIONAL REQUIREMENTS FOR INFANTS AND TODDLERS

A child was observed sleeping in a bassinet; the child was not removed to a crib. On 3/27/2025 this was corrected on site. The educator removed the child from the bassinet and moved to the crib. Ongoing director states she will talk to the parent and inform them; they are not able to use the bassinet. Director states she will install it on the classroom checklist and make sure they are not using unusual sleeping arrangements.

Corrected Corrected by Mar 27, 2025

Marked corrected in the state record.

8.9.4.24 · I EQUIPMENT AND PROGRAM

Children under the age of two were permitted to watch ipad. On 3/27/2025 this was corrected on site. The educator in the class removed the iPad from the children. Ongoing the center director states she will remind educators viewing of media is not permitted in the room. Director will do daily classroom walk throughs to ensure media viewing is not occurring. TA was given by licensing reminding them, music can be played on iPad, however the children cannot be 03/27/2025 http://www.nmececd.org 2 of 3 watching. Center director states she understands. Avengers Learning Center 13120716 Food Service Requirements for Centers:

Corrected Corrected by Mar 27, 2025

Marked corrected in the state record.

8.9.4.21 · B CAPACITY OF CENTERS

The center failed to post the maximum capacity of the playground on the doors to the playground. Immediate: The assistant will have the playground capacity posted. Preventative/Monitoring: The assistant will have a reminder added to the plan when checking monthly for required items.

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 5 children's records reviewed, 1 is/are missing a copy of an up-to-date immunization record or public health division approved exemption. See Children's Records 8.9.4.22 form for the child(ren) with no immunization/exemption. Immediate: The assistant director will remind parents to bring shot records and add it to file. Preventative/Monitoring: The director checks the children's files regularly. The director had a note posted to remind parents to bring required items. 8.9.4.22.E.:CHILDREN’S RECORDS: A center will maintain a complete record for each child, including drop-ins, completed before the child is admitted. Records will be kept at the center for 12 months after the child’s last day of attendance. Records will contain at least: Finding Of the 5 children's records reviewed, 1 is/are missing the name and telephone number of two people in the local area to contact in an emergency when a parent or guardian cannot be reached. See Children's Records 8.9.4.22 form for the child(ren) with missing information. Corrective Action Plan Immediate: The assistant director will talk with the parent to add an emergency contact and add it to file. Preventative/Monitoring: The director checks the children's files regularly. The director had a note posted to remind parents to bring required items.

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 1 out of 8 staff having direct contact with the children, does/do not have a complete file as required in 8.9.4.22F. See Staff Records 8.9.4.22 form for staff with an incomplete file. Immediate: The assistant will let the director know that the educator's file will need to be completed. Preventative/Monitoring: The director check's staff files regularly to make sure that they are complete. 02/12/2025 http://www.nmececd.org 3 of 11 Avengers Learning Center 13120716 Personnel (continued) 8.9.4.22.F.1.:A licensee will keep a complete file for each staff member, including substitutes and volunteers working more than six hours of any week and having direct contact with the children. A center will keep the file for one year after the staff member’s last day of employment. Records will contain at least the following: Finding From the review of staff records, it was determined that 2 out of 8 staff records does/do not include dates of hire and termination. See Staff Records 8.9.4.22 form for staff with this missing information. Corrective Action Plan Immediate: The assistant will let the director know that information is missing. Preventative/Monitoring: The director check's staff files regularly to make sure that they are complete. 8.9.4.22.F.1.:A licensee will keep a complete file for each staff member, including substitutes and volunteers working more than six hours of any week and having direct contact with the children. A center will keep the file for one year after the staff member’s last day of employment. Records will contain at least the following: Finding From the review of staff records, it was determined that 1 out of 8 staff records does/do not include an emergency contact number. See Staff Records 8.9.4.22 form for staff with this missing information. Corrective Action Plan Immediate: The assistant will let the director know that information is missing. Preventative/Monitoring: The director check's staff files regularly to make sure that they are complete. 8.9.4.22.F.1.:A licensee will keep a complete file for each staff member, including substitutes and volunteers working more than six hours of any week and having direct contact with the children. A center will keep the file for one year after the staff member’s last day of employment. Records will contain at least the following: Finding The center failed to have 3 out of 8 person(s) providing care to sign an annual statement that they have, or have never had, an arrest or substantiated referral to a child protective services agency. See Staff Records 8.9.4.22 form for staff with this missing information. Corrective Action Plan Immediate: The assistant will let the director know that information is missing. Preventative/Monitoring: The director check's staff files regularly to make sure that they are complete. 8.9.4.22.F.1.:A licensee will keep a complete file for each staff member, including substitutes and volunteers working more than six hours of any week and having direct contact with the children. A center will keep the file for one year after the staff member’s last day of employment. Records will contain at least the following: Finding From the review of staff records, it was determined that 8 out of 8 staff records does/do not include the required Form I-9. See Staff Records 8.9.4.22 form for staff missing the form. Corrective Action Plan Immediate: The assistant will let the director know that information is missing. Preventative/Monitoring: The director check's staff files regularly to make sure that they are complete. 02/12/2025 http://www.nmececd.org 4 of 11 Avengers Learning Center 13120716 Personnel (continued) 8.9.4.22.F.1.:A licensee will keep a complete file for each staff member, including substitutes and volunteers working more than six hours of any week and having direct contact with the children. A center will keep the file for one year after the staff member’s last day of employment. Records will contain at least the following: Finding From the review of staff records, it was determined that 1 out of 8 staff records does/do not include a background check. See Staff Records 8.9.4.22 form for staff with this missing information. Corrective Action Plan Immediate: The assistant sent the educator home, notified the director and will have educator call the background check unit to see if they need anything for the paperwork that was submitted in December. Preventative/Monitoring: The director will notify Licensing when the CRC is received so the educator can return to work. The assistant stated they thought because they submitted the paperwork, the educator could start working. 8.9.4.22.F.1.:A licensee will keep a complete file for each staff member, including substitutes and volunteers working more than six hours of any week and having direct contact with the children. A center will keep the file for one year after the staff member’s last day of employment. Records will contain at least the following: Finding From the review of staff records, it was determined that 4 out of 8 staff records does/do not include documentation of current first-aid and cardiopulmonary resuscitation training. See Staff Records 8.9.4.22 form for staff without verification of training. Corrective Action Plan Immediate: The assistant stated CPR is scheduled for next month. Preventative/Monitoring: The assistant will let the director know. The director is aware that staff need trainings and checks files regularly.

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

8.9.4.23 · A PERSONNEL AND STAFFING REQUIREMENTS

In the absence of the director, the center does not have a notice posted naming the person designated to be in charge. Immediate: The assistant will let the director know and post the persons in charge. Preventative/Monitoring: The assistant will work with the director on things that need to be posted and check regularly. 02/12/2025 http://www.nmececd.org 5 of 11 Avengers Learning Center 13120716 Personnel and Staffing Requirements for Centers: (continued)

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

8.9.4.23 · B STAFF QUALIFICATIONS AND TRAINING

Educators did not complete the following training within 3-months: Health and Safety Training (4) of (8) staff missing Immediate: The assistant will let the director know that training is missing. Preventative/Monitoring: The director check's staff files regularly to make sure that they are complete. 8.9.4.23.B.2.k.: A center will keep a training log on file for all staff with the employee’s name, date of hire, and position. The log must include date of training, clock hours, competency area, source of training, and training certificate. Finding The center failed to keep a training log on file with Date of hire, Date of training, Employee's name, Position, Clock hours, Competency area, Source of training for 8 out of 8 staff. See Staff Records 8.9.4.23 form for staff who are missing a complete training log. Corrective Action Plan Immediate: The assistant will let the director know that training logs need to be completed. Preventative/Monitoring: The director check's staff files regularly to make sure that they are complete. 8.9.4.23.B.2.j.:Infant and toddler educators must have at least four hours of training in infant and toddler care annually and within three months of starting work. The four hours will count toward the 24-hour requirement. Finding It was observed that 2 out of 8 infant and toddler care givers failed to complete at least four hours of training in infant and toddler care annually or within three months of starting work. Corrective Action Plan Immediate: The assistant will let the director know that Infant/Toddler educators need additional infant and toddler training. Preventative/Monitoring: The director check's staff files regularly to make sure that they are complete and that all trainings are finished. 8.9.4.23.B.2.a.:The director will develop and document an orientation and training plan for new staff members and volunteers and will provide information on training opportunities. The director will have on file a signed acknowledgment of completion of orientation by employees, volunteers and substitutes as well as the director. New staff members will participate in an orientation before working with children. Initial orientation will include training on the following: 02/12/2025 http://www.nmececd.org 6 of 11 Avengers Learning Center 13120716 Personnel (continued) Finding From the review of staff records, it was determined that 1 out of 8 new staff does/do not have documentation of orientation training. See Staff Records 8.9.4.23 form for staff with missing documentation. Corrective Action Plan Immediate: The assistant will let the director know that information is missing. Preventative/Monitoring: The director check's staff files regularly to make sure that they are complete.

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

8.9.4.23 · C STAFF/CHILD RATIOS AND GROUP SIZES

The center failed to post the capacity for each activity/interest area. 3 out of 3 classrooms failed to post the capacity for each activity/interest area. All classrooms Immediate: The assistant will let all classrooms know that capacities need to be posted in each area and work with educators on getting them posted. Preventative/Monitoring: The assistant director and director check the classrooms monthly for things that need to be replaced. The director will remind staff to notify them if something is missing or needs to be replaced. Services and Care of Children in Centers:

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

8.9.4.24 · B NAPS OR REST PERIOD

The center does not provide a clearly labeled individual bed, cot or mat for each child to ensure each child uses the same items between washing. Immediate: The assistant will create a numbered cot list for all children so the children don't pull off the labels. Preventative/Monitoring: The assistant will work with director on reminding staff to keep all mats labeled/numbered. The assistant uses the daily plan as a reminder. 02/12/2025 http://www.nmececd.org 7 of 11 Avengers Learning Center 13120716 Services and Care of Children in Centers: (continued)

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

8.9.4.24 · G PHYSICAL ENVIRONMENT

Functional identifiable learning areas are not provided in the Infant - (6 wk. - 12 mo.), 18 mo. - 35 mo. class room(s). Immediate: The assistant director will have educator's post labels for areas. Preventative/Monitoring: The assistant director and director check the classrooms monthly for things that need to be replaced. The director will remind staff to notify them if something is missing or needs to be replaced.

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

8.9.4.25 · D KITCHENS

A leftover is not properly stored; the item is not labeled and dated. Items in pantry Immediate: The assistant will remind the cook that all open items need to be labeled and dated. Preventative/Monitoring: The assistant will work with director on setting up a reminder to check the items in the kitchen regularly.

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The premises are not in good repair as evidenced by both the handwashing sink has dirty dishes; handwashing sink used for food prep/cleaning. Immediate: The assistant director will remind staff to only use the handwashing sink for handwashing and the other sink for food prep. Preventative: The assistant director will talk with the cook also to let her know that dishes should not be in the handwashing sink. 2 Year Old Classroom 8.9.4.29.A.1.:A center will keep the premises, including furniture, fixtures, floors, drinking fountains, toys and equipment clean, safe, and in good repair. The center and premises will be free of debris and potential hazards. 02/12/2025 http://www.nmececd.org 9 of 11 Avengers Learning Center 13120716 2 Year Old Classroom (continued) Finding The premises are not in good repair as evidenced by outlet plate cover broken in the music area. Corrective Action Plan Immediate: The assistant will let the director know that the outlet plate needs to be replaced. Preventative/Monitoring: The assistant will check the classrooms regularly to ensure that nothing needs to be replaced. The assistant director and director check the classrooms monthly for things that need to be replaced. The director will remind staff to notify them if something is missing or needs to be replaced. 8.9.4.29.A.1.:A center will keep the premises, including furniture, fixtures, floors, drinking fountains, toys and equipment clean, safe, and in good repair. The center and premises will be free of debris and potential hazards. Finding The premises are not in good repair as evidenced by naptime mats are torn. Corrective Action Plan Immediate: The assistant will let the director know and they have new mats that they can replace the old ones with. Preventative/Monitoring: The assistant will check the classrooms regularly to ensure that nothing needs to be replaced. The assistant director and director check the classrooms monthly for things that need to be replaced. The director will remind staff to notify them if something is missing or needs to be replaced.

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

8.9.4.29 · C MECHANICAL SYSTEMS

Water coming from a faucet is above 110 degrees Fahrenheit. Infants, Two's and preschool restroom in hallway Immediate: The assistant director will let the owner know that the water heater needs to be adjusted. Preventative/Monitoring: The assistant will check the water temperature regularly to ensure it is not too hot.

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

8.9.4.29 · E LIGHTING, LIGHTING FIXTURES AND ELECTRICAL

Electrical outlets within reach of children in the hallway of the classroom are not safety outlets and they do not have protective covers. Immediate: The assistant will add covers to outlets. Preventative/Monitoring: The assistant will remind all staff that outlets need to be covered. The director will remind staff to notify them if something is missing or needs to be replaced. 02/12/2025 http://www.nmececd.org 10 of 11 Avengers Learning Center 13120716 Building, Ground and Safety Requirements for Centers: (continued)

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

8.9.4.23 · C STAFF/CHILD RATIOS AND GROUP SIZES

The center failed to post the capacity for each activity/interest area. 2 out of 4 classrooms failed to post the capacity for each activity/interest area. 1. 7/29/24- Immediate: Director will post today. 2. 7/29/24- Preventive: Director will speak to educators about maintaining the postings. 3. 7/29/24- Maintain: Director will conduct monthly checks using checklist to ensure posting are current. Services and Care of Children in Centers:

Corrected Corrected by Aug 29, 2024

Marked corrected in the state record.

8.9.4.24 · B NAPS OR REST PERIOD

The center does not provide a clearly labeled individual bed, cot or mat for each child to ensure each child uses the same items between washing. 1. 7/29/24- Immediate: Sheets will be placed on mattresses. 2. 7/29/24- Preventive: Sheets will be available in classroom. 3. 7/29/24- Maintain: Director will use checklist monthly to ensure room is equipped with materials and supplies.

Corrected Corrected by Aug 29, 2024

Marked corrected in the state record.

8.9.4.24 · C ADDITIONAL REQUIREMENTS FOR INFANTS AND TODDLERS

Feeding practices are inappropriate as evidenced by children sleep with a bottle in their mouth. 1. 7/29/24- Immediate: Director will speak to educator regarding bottles in cribs. 2. 7/29/24- Preventive: Director will check daily to ensure bottles are not in cribs. 3. 7/29/24- Maintain: Director will use a checklist monthly to ensure classroom is in compliance. 07/29/2024 http://www.nmececd.org 3 of 6 Avengers Learning Center 13120716 Services and Care of Children in Centers: (continued)

Corrected Corrected by Jul 29, 2024

Marked corrected in the state record.

8.9.4.24 · D DIAPERING AND TOILETING

Soiled diapers in the 18 mo. - 35 mo. class room(s) are not stored in a secure container with a tight-fitting lid to assure proper hygiene and control of odors. 1. 7/29/24- Immediate: New pail provided today. 2. 7/29/24- Preventive: Speak to educators to let her know when items are needed. 3. 7/29/24- Maintain: Will use checklist monthly to ensure all repairs and needed items are available. 8.9.4.24 E ADDITIONAL REQUIREMENTS FOR CHILDREN WITH SPECIAL NEEDS N/A 8.9.4.24 F ADDITIONAL REQUIREMENTS FOR NIGHT CARE N/A

Corrected Corrected by Aug 29, 2024

Marked corrected in the state record.

8.9.4.24 · I EQUIPMENT AND PROGRAM

The center does not provide children in the Preschool class room(s) sufficient mat for materials activities so that at any one time each child can be individually involved. Areas are not developed. 1. 7/29/24- Immediate: Director Will replenish today. 2. 7/29/24- Preventive: Director will speak to educators to let her know when materials are needed. 3. 7/29/24- Maintain: Director will conduct monthly checks using checklist. School Age Classroom 8.9.4.24.I.4.:A center will provide sufficient equipment, materials, and furnishings for both indoor and outdoor activities so that at any one time each child can be individually involved. Finding The center does not provide children in the School Age class room(s) sufficient materials for indoor activities so that at any one time each child can be individually involved. Corrective Action Plan 1. 7/29/24- Immediate: Director Will replenish today. 2. 7/29/24- Preventive: Director will speak to educators to let her know when materials are needed. 3. 7/29/24- Maintain: Director will conduct monthly checks using checklist. 07/29/2024 http://www.nmececd.org 4 of 6 Avengers Learning Center 13120716 Services and Care of Children in Centers: (continued)

Corrected Corrected by Aug 29, 2024

Marked corrected in the state record.

8.9.4.25 · D KITCHENS

A leftover is not properly stored; the item is not labeled and dated. 1. 7/29/24- Immediate: Director will label today. 2. 7/29/24- Preventive: Director will speak to Cook regarding labeling. 3. 7/29/24- Maintain: Director will conduct monthly checks for labeling. 8.9.4.25 E MEAL TIMES N/A Health and Safety Requirements for Centers:

Corrected Corrected by Aug 29, 2024

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The ceiling tiles are not in good repair as evidenced by tiles are stained. 1. 7/29/24- Immediate: tiles will be replaced. 2. 7/29/24- Preventive: Director will ask educators to let her know when something in needed. 3. 7/29/24- Maintain: Director will use checklist monthly to ensure any repairs that are needed are done.

Corrected Corrected by Aug 29, 2024

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 10 children's records reviewed, 1 is/are missing a signed parent or guardian acknowledgement that the parent handbook had been read and understood. See the Children's Records 8.9.4.22 form for the child(ren) who have this missing. will have parent sign form 01/09/2024 http://www.nmececd.org 2 of 10 Avengers Learning Center 13120716 Administrative Requirements for Centers: (continued)

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 1 out of 10 staff records does/do not include employment history verification. See Staff Records 8.9.4.22 form for staff with this missing information. Will update file 8.9.4.22.F.1.n.:written plan for ongoing professional development for each educator, including the director, that is based on the seven areas of competency, consistent with the career lattice, and based on the individual’s goals; and Finding From the review of staff records, it was determined that 5 out of 10 staff records does/do not include a professional development plan based on seven areas of competency. See Staff Records 8.9.4.22 form for staff who need a current plan. Corrective Action Plan will update

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

8.9.4.23 · B STAFF QUALIFICATIONS AND TRAINING

From the review of staff records, it was determined that 1 out of 10 new staff does/do not have documentation of orientation training. See Staff Records 8.16.2.22 form for staff with missing documentation. will update file 01/09/2024 http://www.nmececd.org 3 of 10 Avengers Learning Center 13120716 Personnel (continued) 8.9.4.23.B.2.l.: A center will keep a training log on file for all staff with the employee’s name, date of hire, and position. The log must include date of training, clock hours, competency area, source of training, and training certificate. Finding The center failed to keep a training log on file with Competency area, Source of training, Clock hours for 3 out of 10 staff. See Staff Records 8.16.2.22 form for staff who are missing a complete training log. Corrective Action Plan will update 8.9.4.23.B.2.c.:New staff members working directly with children regardless of the number of hours per week will complete the 45-hour entry level course or approved three-credit early care and education course or an equivalent approved by the department prior to or within six months of employment. Substitutes are exempt from this requirement. Finding From the review of staff records, it was determined that 5 out of 10 staff does/do not have documentation of the 45-hour entry level course or an approved equivalent prior to or within six months of employment. Corrective Action Plan will update file

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

8.9.4.23 · C STAFF/CHILD RATIOS AND GROUP SIZES

The center failed to post the capacity for each activity/interest area. 1 out of 3 classrooms failed to post the capacity for each activity/interest area. will post Services and Care of Children in Centers:

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

8.9.4.24 · I EQUIPMENT AND PROGRAM

The center does not provide children in the 2 yr. old class room(s) sufficient materials for indoor activities so that at any one time each child can be individually involved. Areas are not developed. will enrich area School Age Classroom 8.9.4.24.I.6.:A center will store equipment and materials for children’s use within easy reach of the children, including those with disabilities. A center will store the equipment and materials in an orderly manner so children can select and replace the materials by themselves or with minimal assistance. Finding Play equipment and materials in the School Age class room/area are not accessible to children, including those with disabilities, as evidenced by high shelving that children can not reach. Corrective Action Plan will organize 8.9.4.24.I.4.:A center will provide sufficient equipment, materials, and furnishings for both indoor and outdoor activities so that at any one time each child can be individually involved. Finding The center does not provide children in the School Age class room(s) sufficient materials for indoor activities so that at any one time each child can be individually involved. Areas are not developed. Corrective Action Plan Will develop areas

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

8.9.4.25 · D KITCHENS

Food is not promptly served. Fruit in refrigerator is overly ripe will discard

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

8.9.4.26 · B FIRST AID REQUIREMENTS

The center does not have all educators, staff, and management in direct contact with children currently certified in first aid and cardiopulmonary resuscitation (CPR) with a pediatric component. will update files or take class 8.9.4.26 C MEDICATION N/A Illness Requirements for Centers: 8.9.4.27 A-D ILLNESS REQUIREMENTS FOR CENTERS N/A Transportation Requirements for Centers:

Corrected Corrected by Feb 16, 2024

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The premises are not in good repair as evidenced by window is cracked. will repair 8.9.4.29.A.1.:A center will keep the premises, including furniture, fixtures, floors, drinking fountains, toys and equipment clean, safe, and in good repair. The center and premises will be free of debris and potential hazards. Finding The ceiling tiles are not in good repair as evidenced by ceiling tile is stained. Corrective Action Plan will replace 8.9.4.29.A.1.:A center will keep the premises, including furniture, fixtures, floors, drinking fountains, toys and equipment clean, safe, and in good repair. The center and premises will be free of debris and potential hazards. Finding The premises in the infant room are not clean as evidenced by cribs have an accumulation of stored items. Corrective Action Plan will clean out cribs 2 Year Old Classroom 8.9.4.29.A.1.:A center will keep the premises, including furniture, fixtures, floors, drinking fountains, toys and equipment clean, safe, and in good repair. The center and premises will be free of debris and potential hazards. Finding The equipment are not in good repair as evidenced by classroom sink has a slow drain. Corrective Action Plan will repair 8.9.4.29.A.1.:A center will keep the premises, including furniture, fixtures, floors, drinking fountains, toys and equipment clean, safe, and in good repair. The center and premises will be free of debris and potential hazards. Finding The premises are not in good repair as evidenced by west window is cracked. Corrective Action Plan will repair 01/09/2024 http://www.nmececd.org 7 of 10 Avengers Learning Center 13120716

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING (continued)

The ceiling tiles are not in good repair as evidenced by tiles in boys restroom are stained. will replace Admin/Licensure 8.9.4.29.A.1.:A center will keep the premises, including furniture, fixtures, floors, drinking fountains, toys and equipment clean, safe, and in good repair. The center and premises will be free of debris and potential hazards. Finding The premises in the hallway are not clean as evidenced by there are several stored items in hallway. Corrective Action Plan will remove

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

8.9.4.29 · E LIGHTING, LIGHTING FIXTURES AND ELECTRICAL

Electrical outlets within reach of children in the infant room are not safety outlets and they do not have protective covers. will cover outlets 8.9.4.29.E.3.c.:The use of multi-prong or gang plugs is prohibited. Surge protectors are not gang plugs under these regulations. Finding The center uses multi-prong or gang plugs. Corrective Action Plan will remove 2 Year Old Classroom 01/09/2024 http://www.nmececd.org 8 of 10 Avengers Learning Center 13120716

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

8.9.4.29 · E LIGHTING, LIGHTING FIXTURES AND ELECTRICAL (continued)

The center uses multi-prong or gang plugs. will remove Bathroom 8.9.4.29.E.3.b.:All electrical outlets within reach of children will be safety outlets or will have protective covers. Finding Electrical outlets within reach of children in the boys restroom are not safety outlets and they do not have protective covers. Corrective Action Plan will cover

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

8.9.4.29 · H SAFETY COMPLIANCE

The center’s monthly fire drill is not held at different times of the day. Fire drill are conducted in the morning. will conduct drill in the afternoon

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

8.9.4.23 · C STAFF/CHILD RATIOS AND GROUP SIZES

The center failed to post the capacity for each activity/interest area. 2 out of 3 classrooms failed to post the capacity for each activity/interest area. will post Services and Care of Children in Centers:

Corrected Corrected by Aug 31, 2023

Marked corrected in the state record.

8.9.4.25 · D KITCHENS

A drink is not properly stored; the item is not labeled and dated. 3 bottles with milk in infant room were not labeled. will label

Corrected Corrected by Aug 23, 2023

Marked corrected in the state record.

8.9.4.26 · C MEDICATION

Medication was observed in the center that does not have a label with the child's name and the date the medication was brought to the center. Give medication to grandmother Illness Requirements for Centers: 8.9.4.27 A-D ILLNESS REQUIREMENTS FOR CENTERS N/A Transportation Requirements for Centers:

Corrected Corrected by Aug 31, 2023

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The premises in the infant room are not clean as evidenced by there is storage in cribs.

Open Not marked corrected in the state record

Open / not marked corrected.

8.9.4.29 · G TOILET AND BATHING FACILITIES

The bathroom for two is not functional. will replace float

Corrected Corrected by Aug 23, 2023

Marked corrected in the state record.