8.9.4.23 · C STAFF/CHILD RATIOS AND GROUP SIZES

The observed ratio for toddlers 18 to 24 months when grouped with children 24 through 35 months exceeded the required staff/child ratio of 1/6 and a maximum group size of 12. The observed ratio was 1:8 and the group size was 14. Immediate - Center had groups separate same day. Children ages 6 weeks to 17 months were brought back inside. Preventive - Effective 3/12/2026 Center director or persons in charge will meet with each educator to go over playground schedule to ensure multiple age groups are not outside at the same time. monitoring - Center director or persons in charge will conduct routine walkthroughs to ensure age groupings are compliant. 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 - Maximum group size: 12 . The observed group size was 14 . Corrective Action Plan Immediate - Center had groups separate same day. Children ages 6 weeks to 17 months were brought back 03/11/2026 http://www.nmececd.org 3 of 6 Caritas Felices 5318440 I/T Classroom (continued) inside. a 2nd teacher was also placed in the 18 - 35 month group to ensure ratios were compliant.. Preventive - Effective 3/12/2026 Center director or persons in charge will meet with each educator to go over playground schedule to ensure multiple age groups are not outside at the same time. monitoring - Center director or persons in charge will conduct routine walkthroughs to ensure age groupings are compliant. Services and Care of Children in Centers:

Corrected Corrected by Apr 11, 2026

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 carry bottles and sipper cups throughout the day. Immediate - Administrator/Persons in charge met with the cook and classroom educators to ensure they are educated on children's allergies/centers policies. Children will not be allowed to free carry sippy cups/bottles around. Preventative - Effective 2/28/2026 The center will have children’s allergies posted on each classroom board to ensure each educator is aware of children’s allergies. Educators will also ensure children are not drinking from other children's cups. Monitoring - Administrator or persons in charge will conduct periodic walkthroughs to ensure posted allergies are up to date/ensure bottles are only being used in permitted areas/under supervision of educators within the classroom.

Corrected Corrected by Apr 11, 2026

Marked corrected in the state record.

8.9.4.29 · I SMOKING, FIREARMS, ALCOHOLIC BEVERAGES, ILLEGAL DRUGS AND CONTROLLED

The center does not prohibit the presence of alcoholic beverages on the premises or in vehicles. Immediate - Center had closed alcohol container removed from premises on 1/5/2026 during Licensing's visit. Preventative - Center director or persons in charge will not permit any alcohol, E Cigarettes, vape pens into the facility ever. Monitoring - Center director or persons in charge will create a sign/posting for admin board that lists ALL prohibited items within the center. 8.9.4.29 J PETS N/A Additional Comments Survey for complaint filed with licensing on 12/29/2025. 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: Chris Glenn Facility Representative: Maribel Moreno 03/11/2026 http://www.nmececd.org 6 of 6

Corrected Corrected by Apr 10, 2026

Marked corrected in the state record.

8.9.4.17 · B-G SURVEYS FOR CHILD CARE FACILITIES

The licensee did not permit the licensing authority representative to enter the premises and survey the facility. On 3/10/25. Immediate: The Assistant Director will retrain staff who are in charge and show them how and where to access files in the office. And she will also let all staff know when licensing comes to the center, they cannot denied access to the center: 3/11/26 Preventive: The Assistant Director will have all educators call them if they are not here and assist them. Monitor: The Assistant Director will add it to her calendar to train all staff. 3/11/26 Complaints:

Corrected Corrected by Apr 11, 2027

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 1 children's records reviewed, 1 does/do not have any personal or emergency information on file. See the Children's Records 8.9.4.22 form for the name of any child needing a complete record. Immediate: Since 4/29/25, the Director has implemented a new filing system for new children that are enrolled. Enrollment forms are reviewed prior to being filed. Preventative: The Director will review Children's Records on the first day of enrollment and also input the 01/08/2026 http://www.nmececd.org 2 of 5 Caritas Felices 5318440 Admin/Licensure (continued) enrollment information on BrightWheel. Monitoring: The Director will continue to use a calendar reminder to inspect Children's Records every 3 months.

Corrected Corrected by Feb 8, 2026

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

The center failed to have 3 out of 9 11/17/2025 http://www.nmececd.org 2 of 8 Caritas Felices 5318440 Personnel (continued) 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. Immediate: CORRECTED ON SITE. The Director had staff sign annual abuse statement. Preventative: The Director will use licensing checklist to review staff files quarterly. Monitoring: The Director will add a reminder on her outlook. 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 From the review of staff records, it was determined that 3 out of 9 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 Immediate: The Director will have staff update professional development plan by 12/17/25. Preventative: The Director will use licensing checklist to review staff files quarterly. Monitoring: The Director will add a reminder on her outlook. 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 From the review of staff records, it was determined that 3 out of 9 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. Corrective Action Plan Immediate: The Director will have staff update their training log by 12/17/25. Preventative: The Director will use licensing checklist to review staff files quarterly. Monitoring: The Director will add a reminder on her outlook. 11/17/2025 http://www.nmececd.org 3 of 8 Caritas Felices 5318440 Personnel (continued) 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 From the review of staff records, it was determined that 3 out of 9 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: CORRECTED ON SITE. The Director placed CPR cards in staff files. Preventative: The Director will use licensing checklist to review staff files quarterly. Monitoring: The Director will add a reminder on her outlook.

Corrected Corrected by Nov 17, 2025

Marked corrected in the state record.

8.9.4.24 · B NAPS OR REST PERIOD

The required spacing of 30 inches is not provided between cribs to permit easy access to each child. Immediate: The Director will review sleeping arrangements for the the infant room at her next staff meeting on 11/21/25. Preventative: The Director will address all licensing requirements with staff. 11/17/2025 http://www.nmececd.org 4 of 8 Caritas Felices 5318440 I/T Infant Classroom 6wks-18 months (continued) Monitoring: The Director will do daily through and add a reminder on outlook.

Corrected Corrected by Dec 17, 2025

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. Immediate: The Director will review sleeping arrangements for the the infant room at her next staff meeting on 11/21/25. Preventative: The Director will address all licensing requirements. with staff. Monitoring: The Director will do daily through and add a reminder on outlook.

Corrected Corrected by Dec 17, 2025

Marked corrected in the state record.

8.9.4.25 · D KITCHENS

A food is not properly stored; the item is not labeled and dated. Immediate: 11/17/25 CORRECTED ON SITE. The Director labeled and dated food. Preventative: The Director will have the kitchen staff document on her daily checklist. Monitoring: The Director will do a daily through to ensure all food is labeled and add a reminder on her outlook.

Corrected Corrected by Nov 17, 2025

Marked corrected in the state record.

8.9.4.26 · B FIRST AID REQUIREMENTS

The center’s first aid kit does not contain adhesive tape, soap. Immediate: CORRECTED ON SITE. The Director added missing items for the first aid kit. Preventative: The Director will check first aid quarterly. Monitoring: The Director will add a reminder on her outlook.

Corrected Corrected by Nov 17, 2025

Marked corrected in the state record.

8.9.4.28 · A-J TRANSPORTATION REQUIREMENTS FOR CENTERS

A vehicle used for transporting children is not equipped with a blanket, water, a first-aid kit. Immediate: CORRECTED ON SITE. The Director added a first aid kit, blanket, and water to transportation vehicle. 11/17/2025 http://www.nmececd.org 6 of 8 Caritas Felices 5318440 Admin/Licensure (continued) Preventative: The Director will check first aid quarterly. Monitoring: The Director will add a reminder on her outlook. Building, Ground and Safety Requirements for Centers:

Corrected Corrected by Nov 17, 2025

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The equipment are not in good repair as evidenced by torn cots. Immediate: CORRECTED ON SITE. The Director replaced the cot with a new cot. Preventative: The Director will address all licensing requirements at her next staff meeting on 11/21/25. Monitoring: The Director will do daily through and add a reminder on outlook. Outdoor Play 8.9.4.29.A.1.:A center shall keep the premises, including furniture, fixtures, floors, drinking fountains, toys and equipment clean, safe, and in good repair. The center and premises shall be free of debris and potential hazards. Finding The premises are not in good repair as evidenced by privacy fence inserts are damaged and has sharp edges, the building has unfinished stucco were the wood that is exposed. Corrective Action Plan Immediate: The Director will put in a work order with maintenance on 11/17/25. Preventative: The Director will have staff document repairs on the playground checklist and turn it in weekly Monitoring: The Director will add a reminder on outlook.

Corrected Corrected by Nov 17, 2025

Marked corrected in the state record.

8.9.4.29 · C MECHANICAL SYSTEMS

Water coming from a faucet is above 110 degrees Fahrenheit. (Toddler and pre K classroom) Immediate: CORRECTED ON SITE: The Director lowered the water heater and flushed the water to make it a safe temperature. Preventative: The Director will not turn the water heater up and will install a water regulator by 12/17/25. Monitoring: The Director will use licensing checklist quarterly and will add a reminder on outlook. 11/17/2025 http://www.nmececd.org 7 of 8 Caritas Felices 5318440 Building, Ground and Safety Requirements for Centers: (continued)

Corrected Corrected by Nov 17, 2025

Marked corrected in the state record.

8.9.4.21 · B (4)C CAPACITY OF CENTERS

The center failed to post classroom capacities, and ratios and group sizes in an area of the room that is easily visible to parents, staff and visitors. (Group Size missing.) 1. On 4/15/25, the Director has printed and posted the class group size. THIS WAS CORRECTED ONSITE. 2. Effective 4/14/25, the Director will provide a copy of licensing checklist to all classrooms to have them inspect their class fort licensing requirements every Monday.

Corrected Corrected by Apr 15, 2025

Marked corrected in the state record.

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 04/15/2025 http://www.nmececd.org 2 of 9 Caritas Felices 5318440 Admin/Licensure (continued) recent fire inspection report. 1. On 4/15/25, the Director will schedule a fire inspection and receive a report by 5/15/25. 2. Effective 4/15/25, the Director will have administrative staff review their postings monthly to ensure licensing requirements are maintained.

Corrected Corrected by May 15, 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 6 staff records does/do not include a background check. See Staff Records 8.9.4.22 form for staff with this missing information. 1. On 4/15/25, the Director has printed the provisional email and placed in file. THIS WAS CORRECTED ONSITE. 2. Effective 4/15/25, the Director will work with new hires to have their staff records completed and filed within two weeks of hire date. The Director will schedule a time to review the file and complete the documents on a calendar. 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 5 out of 7 staff records does/do not include employment history verification. See Staff Records 8.9.4.22 form for staff with this missing information. Corrective Action Plan 1. On 4/15/25, the Director will call up the staff's refrences and verify on the form. This will be completed within two weeks. 2. Effective 4/15/25, the Director will work with new hires to have their staff records completed and filed within two weeks of hire date. The Director will schedule a time to review the file and complete the documents on a calendar. 04/15/2025 http://www.nmececd.org 3 of 9 Caritas Felices 5318440 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 3 out of 6 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 1. On 4/15/25, the Director will provide a form to staff and have them complete the form within 1 week. 2. Effective 4/15/25, the Director will work with new hires to have their staff records completed and filed within two weeks of hire date. The Director will schedule a time to review the file and complete the documents on a calendar. 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 6 staff records does/do not include signed acknowledgement that the personnel handbook had been read and understood. See Staff Records 8.9.4.22 form for staff who need to complete the acknowledgement. Corrective Action Plan 1. On 4/15/25, the Director will provide a form to staff and have them complete the form within 1 week. 2. Effective 4/15/25, the Director will work with new hires to have their staff records completed and filed within two weeks of hire date. The Director will schedule a time to review the file and complete the documents on a calendar. 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 6 staff records does/do not include a signed confidentiality form. See Staff Records 8.9.4.22 form for staff who need to complete a signed confidentiality form. Corrective Action Plan 1. On 4/15/25, the Director will provide a form to staff and have them complete the form within 1 week. 2. Effective 4/15/25, the Director will work with new hires to have their staff records completed and filed within two weeks of hire date. The Director will schedule a time to review the file and complete the documents on a calendar. 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: 04/15/2025 http://www.nmececd.org 4 of 9 Caritas Felices 5318440 Personnel (continued) Finding From the review of staff records, it was determined that 4 out of 6 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. (Incomplete) Corrective Action Plan 1. On 4/15/25, the Director will provide a form to staff and have them fill out the form within 1 week. 2. Effective 4/15/25, the Director will ask staff to review and update their training logs every quarter. Educators will create a calendar reminder to check their files. 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 6 staff records does/do not include a signed universal precaution acknowledgement form. See Staff Records 8.9.4.22 form for staff with missing documentation. Corrective Action Plan 1. On 4/15/25, the Di

Corrected Corrected by May 15, 2025

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 2 out of 6 new staff does/do not have documentation of orientation training. See Staff Records 8.9.4.23 form for staff with missing documentation. 1. On 4/15/25, the Director will provide a form to staff and have them complete the form within 1 week. 2. Effective 4/15/25, the Director will work with new hires to have their staff records completed and filed within two weeks of hire date. The Director will schedule a time to review the file and complete the documents on a calendar.

Corrected Corrected by May 15, 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. (Toddler, Pre-K 1, Pre-K 2) 1. On 4/15/25, the Director has labeled the cots for individual use. THIS WAS CORRECTED ONSITE. 2. The Director will create a cot chart for each class and will number all cots. Educators are responsible for ensuring cots are labeled on the cot chart every week.

Corrected Corrected by Apr 15, 2025

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The premises are not in good repair as evidenced by gate latch is broken. 1. On 4/15/25, the Director has submitted a work order for the gate latch to be repaired. This will be completed by 5/15/25. 2. Effective 4/15/25, the Director will add this item to be inspected weekly during the playground inspection.

Corrected Corrected by May 15, 2025

Marked corrected in the state record.

8.9.4.29 · C MECHANICAL SYSTEMS

Water coming from a faucet is above 110 degrees Fahrenheit. 1. On 4/15/25, the Director will purchase a water regulator and have it installed by 4/15/25. 2. Effective 4/15/25, the Director will check water pressure at the end of each month and will create a posting to remember to do so.

Corrected Corrected by May 15, 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 Infants are not safety outlets and they do not have protective covers. 1. On 4/15/25, the Director has covered the outlets. THIS WAS CORRECTED ONSITE. 2. Effective 5/15/25, the Director will add this step to the opening/closing checklist for Educators to cover outlets daily.

Corrected Corrected by Apr 15, 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: CPR Training (1 out of 10 staff.) Health and Safety Training (3 out of 11.) COVID-19 Training (1 out of 11.) 1. On 11/19/24, the Director will have Educators register for the required courses and check that they are making progress bi-weekly. The trainings will be complete by 12/19/24. 2. Effective immediately, the Admin Assistant will check staff files monthly to ensure staff files are complete and have all licensing requirements on file and to maintain ongoing compliance with Staff Qualifications and Training. The Admin Assistant will remember to check staff files monthly using an online calendar reminder. 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 3 out of 12 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 1. On 11/19/24, the Director will have Educators register for the required courses and check that they are making progress bi-weekly. The educators have 3 months to complete this training. Verification of training registration and training progress will be submitted to licensing on 12/19/24 2. Effective immediately, the Admin Assistant will check staff files monthly to ensure staff files are complete and have all licensing requirements on file to maintain ongoing compliance with Staff Qualifications and Training. The Admin Assistant will remember to check staff files monthly using an online calendar reminder.

Corrected Corrected by Dec 19, 2024

Marked corrected in the state record.

8.9.4.24 · D DIAPERING AND TOILETING

A child in the 2 yr. old classroom remained in a wet and soiled diaper/clothing. Director terminated the educator. Director retrained staff on diaper changes.

Corrected Corrected by Jun 21, 2024

Marked corrected in the state record.

8.9.4.24 · D DIAPERING AND TOILETING

The diaper changing surface in the Infant - (6 wk. - 12 mo.) class room(s) is not waterproof. 1. 5/22/24 - Diaper mat ordered today. 2. 5/22/24- Educators will communicate with administers when supplies and materials are needed. Materials and supplies will be ordered. 3. 5/22/24- Administrators will follow up monthly with what is needed, and replenish as needed. 2 Year Old Classroom 8.9.4.24.D.4.:An educator will change a child’s diaper on a clean, safe, waterproof surface and discard any disposable cover and disinfect the surface after each diaper change. Finding The diaper changing surface in the 18 mo. - 35 mo. class room(s) is not waterproof. Diaper mat is torn. Corrective Action Plan 1. 5/22/24 Mat will be ordered today. 2. 5/22/24 Educators will communicate with administrators when supplies or materials are needed. Materials and supplies will be ordered. 3. 5/22/24: Administrators will check monthly with educators for any supplies and materials that need o be replenished. 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 May 22, 2024

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. 1. 5/22/24: Cups and bottles will be labeled today. 2. 5/22/24: Administrators will speak to educators regarding labeling. A label machine is provided. 3. 5/22/24: Administrators will conduct daily walk throughs to ensure labeling is being done.

Corrected Corrected by May 31, 2024

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The premises in the outdoor playarea are not clean as evidenced by there are weeds growing through sand. 1. 5/22/24 Weeds will removed. 2. 5/22/24. Center will have maintenance remove weeds weekly. 3. 5/22/24. Center will have maintenance remove weeds weekly, using the weekly playground inspection.

Corrected Corrected by May 31, 2024

Marked corrected in the state record.

8.9.4.29 · H SAFETY COMPLIANCE

The center failed to conduct an emergency preparedness practice drills for at least once a quarter. 1. 5/22/24 Center will schedule a disaster drill. 2. 5/22/24. Administrators will schedule drills on calendar. 3. 5/22/24. Administrators will conduct monthly checks drills to verify are being conducted.

Corrected Corrected by May 31, 2024

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The premises in the playground are not safe in that bricks in patio area are chipped area tripping hazard. Center staff will fill holes with cement.

Corrected Corrected by Mar 22, 2024

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 10 children's records reviewed, 5 is/are missing the date the child first attended the center. See Children's Records 8.9.4.22 form for the child(ren) with missing information and/or authorization. Will update 11/29/2023 http://www.nmececd.org 2 of 9 Caritas Felices 5318440 Admin/Licensure (continued) 8.9.4.22.E.1.e.:a copy of the child’s up-to-date immunization record or a public health division approved exemption from the requirement [, a] . A grace period of a maximum of 30 days will be granted for children in foster care, homeless children and youth [;], or at-risk children and youth as determined by the department; Finding Of the 10 children's records reviewed, 2 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. Corrective Action Plan Will update 8.9.4.22.E.2.c.: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. Finding Of the 10 children's records reviewed, 3 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 8.9.4.22 form for the child(ren) with missing information. 8.9.4.22.E.2.d.:A document giving a center permission to transport the child in a medical emergency and an authorization for medical treatment signed by a parent or guardian. Finding Of the 10 children's records reviewed, 3 is/are missing a document giving the center permission to transport the child in a medical emergency and authorization for medical treatment signed by a parent or guardian. See Children's Records 8.9.4.22 form for the child(ren) with missing information. 8.9.4.22.E.2.a.:Information on any allergies or medical conditions suffered by the child. Finding Of the 10 children's records reviewed, 2 is/are missing information on allergies or medical conditions. See Children's Records 8.9.4.22 form for the child(ren) with missing information.

Corrected Corrected by Dec 29, 2023

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 11 out of 11 staff records does/do not include a dated weekly work schedule that includes the time of arrival and departure and breaks and lunch. See Staff Records 8.9.4.22 form for staff who need to have a work schedule. 11/29/2023 http://www.nmececd.org 3 of 9 Caritas Felices 5318440 Administrative Requirements for Centers: (continued)

Open Not marked corrected in the state record

Open / not marked corrected.

8.9.4.23 · A PERSONNEL AND STAFFING REQUIREMENTS

The center does not have a minimum of two staff members present from at opening and closing. Will update

Corrected Corrected by Dec 29, 2023

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 Clock hours, Competency area, Source of training for 11 out of 11 staff. See Staff Records 8.16.2.22 form for staff who are missing a complete training log. Will update

Corrected Corrected by Dec 29, 2023

Marked corrected in the state record.

8.9.4.24 · B NAPS OR REST PERIOD

Staff/child ratios in the 18mo. - 35mo. class room(s) was not maintained at naptime. The required staff/child ratio for the 18- 35 year old class is 1:6 and the observed staff/child ratio was 1:10. Will staff 11/29/2023 http://www.nmececd.org 4 of 9 Caritas Felices 5318440 I/T Classroom (continued) 8.9.4.24.B.9.:Illumination equivalent to that cast by a soft night light shall be operational in areas that are occupied by children who are napping or sleeping. Illumination must be enough to see the entire room, clearly observe sleeping children and allow for quiet activities for non-sleeping children. Finding Illumination was insufficient to observe the whole room. Corrective Action Plan Will provide lighting Preschool Classroom 8.9.4.24.B.5.:Cots or mats will have a nonabsorbent, cleanable surface. Mats will be at least three-fourths of an inch thick. Mats and cots shall be cleaned and sanitized after each use regardless of the same child using the mat or cot. Linens may be used multiple times over the course of a week but must be laundered before being used by another child. Finding The napping mats being used do not have a nonabsorbent, cleanable surface. Corrective Action Plan will replace

Corrected Corrected by Dec 29, 2023

Marked corrected in the state record.

8.9.4.24 · C ADDITIONAL REQUIREMENTS FOR INFANTS AND TODDLERS

A child was observed sleeping in a Swing; the child was not removed to a crib. 2 sleeping children were observed in a bouncer Will retrain

Corrected Corrected by Dec 29, 2023

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The premises are not in good repair as evidenced by walls are chipping paint. Will repair Outdoor Play 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. 11/29/2023 http://www.nmececd.org 6 of 9 Caritas Felices 5318440 Outdoor Play (continued) Finding The premises are not in good repair as evidenced by the wooden boarder are split and not secured. Corrective Action Plan will repair and 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 equipment are not in good repair as evidenced by balls are flat. Corrective Action Plan Will replace or provide air 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 side of fence is not secure. Corrective Action Plan Will secure 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 playground are not safe in that the exit is blocked with furniture. Corrective Action Plan Will clean out 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 playground are not safe in that the drip system hoses are exposed, tripping hazard. Corrective Action Plan Will correct 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 shade awning in infant playground is torn. Corrective Action Plan will repair or replace 11/29/2023 http://www.nmececd.org 7 of 9 Caritas Felices 5318440 Outdoor Play (continued) 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 playground are not safe in that bricks in patio area are chipped causing tripping hazard. 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 in the playground are not safe in that shovel and rake are accessible. Corrective Action Plan will remove

8.9.4.29 · G TOILET AND BATHING FACILITIES

The center had a sink that was used for personal hygiene purposes as well as for food preparation or bottle cleaning. Will send bottles to kitchen

Corrected Corrected by Dec 29, 2023

Marked corrected in the state record.

8.9.4.29 · H SAFETY COMPLIANCE

The center failed to conduct an emergency preparedness practice drills for at least once a quarter. Will conduct monthly drills 8.9.4.29.H.:Safety Compliance: Finding The center’s fire extinguishers are not tagged with the date of inspection. Corrective Action Plan Will have inspections done

Corrected Corrected by Dec 29, 2023

Marked corrected in the state record.