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 fire inspection report. Immediate - Director will contact church by end of week 9/19/2025 to obtain a copy of the current fire inspection. If inspection has not been completed center will schedule a new fire inspection before 10/18/2025. Preventative - Director will review and update administrative postings semiannually to ensure all records are up to date. Monitoring - Director will use digital reminders to follow up on posting reviews.

Corrected Corrected by Oct 18, 2025

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 3 children's records reviewed, 3 is/are missing a copy of an up-to-date immunization record or public health division approved exemption. See Children's Records 8.9.4.22 form for the child(ren) with no immunization/exemption. Immediate - Center director will contact all families to have records updated on or by 10/18/2025. Preventative - Effective 9/19/2025 center will use the NM Immunization requirement schedule to audit/review childrens records to ensure all shot records are up to date. Monitoring - Director will use the ECECD Childrens records checklist when reviewing childrens records to ensure all items are up to date/kept on record.

Corrected Corrected by Oct 18, 2025

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 3 out of 3 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 - Director will begin working to complete new staff records effective 9/19/2025 and will have them completed by 10/18/2025. Preventative - effective 9/19/2025 the Director will review staff records semiannually to ensure all records/forms and trainings are up to date/current. Monitoring - Director will use digital reminders to schedule staff file reviews in advance.

Corrected Corrected by Oct 18, 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 Toddler, 2s, and preschool are not safety outlets and they do not have protective covers. Immediate - Center replaced outlet covers on site same day. Corrected on site. Preventative - effective 9/19/2025 Center will have educators do a sweep daily at the end or beginning of the day to ensure all outlets are covered. Director will create a classroom checklist that includes outlet covers for educators to do walkthroughs weekly. Monitoring - Director will review classroom checklists monthly and submit work orders if damaged or missing items are found.

Corrected Corrected by Oct 18, 2025

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 5 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. Immediate - Director will update all children's records to include enrollment date on or by 4/18/2025. Preventative - Director will review children's enrollment information prior to children starting to ensure all required documents are provided. Monitoring - Director will use ECECD Checklist when reviewing childrens records. 03/18/2025 http://www.nmececd.org 2 of 6 Central Family YMCA 4423889 Administrative Requirements for Centers: (continued)

Corrected Corrected by Apr 18, 2025

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 4 out of 4 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 - Director will work on completing staff files on or by 4/18/2025 Preventative - Director will conduct semiannual review of staff files to ensure all documents are included. monitoring - director will use ECECD Checklist when reviewing staff files.

Corrected Corrected by Apr 18, 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 bouncer; the child was not removed to a crib. Immediate -Director will talk with educators in the infant classroom by end of week 3/21/2025 about infants sleeping in bouncers. Preventative - director will speak with all educators at next staff meeting about infant sleeping requirements to ensure infants are not sleeping in bouncers. monitoring -Director will conduct walkthroughs randomly to ensure infants are being relocated to cribs when sleeping. 03/18/2025 http://www.nmececd.org 3 of 6 Central Family YMCA 4423889 Services and Care of Children in Centers: (continued)

Corrected Corrected by Apr 18, 2025

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The light cover has a heavy accumulation of dead bugs. Immediate - Director will submit a work order to have bugs removed on or by 3/21/2025. Preventative - Director will include light shields in classroom inspection list. monitoring - Director will have educators report any required repairs/cleaning requests timely to ensure items are being fixed/cleaned timely. 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 the light bulb out. Corrective Action Plan Immediate - Director will submit a work order to have bugs removed on or by 3/21/2025. Preventative - Director will include light shields in classroom inspection list. monitoring - Director will have educators report any required repairs/cleaning requests timely to ensure items are being fixed/cleaned timely.

Corrected Corrected by Apr 18, 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 early Pre-k and mixed Pre-k are not safety outlets and they do not have protective covers. Immediate -Center corrected on site 3/18/2025. Preventative -Director will include outlet covers in daily classroom checklists. monitoring -Director will review checklists monthly to ensure staff are completing walkthroughs/documenting problems. 03/18/2025 http://www.nmececd.org 5 of 6 Central Family YMCA 4423889 Building, Ground and Safety Requirements for Centers: (continued)

Corrected Corrected by Apr 18, 2025

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. Immediate - Director will conduct an emergency drill by the end of March 2025. Preventative - Director will set a schedule to ensure quarterly drills are being completed atleast once each 3 months. 8.9.4.29.H.3.:A center will: Finding The center’s record of fire drill was not retained for at least 12 months. Corrective Action Plan Immediate - Corrected on site 3/18/2025/ Preventative - Director will log drills the same day they are conducted. monitoring -Director will review fire drill log semiannually to ensure all drills are being loged correctly.

Corrected Corrected by Apr 18, 2025

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The premises are not in good repair as evidenced by Ceiling tiles are damaged. Immediate -Center director will work with the church to have ceiling tiles replaced on or by 3/19/2025 Preventative -Center director will walk through classrooms twice monthly to document any needed repairs. Monitoring-Center director will set digital reminders via calendar to complete inspections. 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 Floor tiles are damaged/missing. Corrective Action Plan Immediate -Director is working with the church to have floors redone/repaired. preventative -Director will complete/conduct semi monthly walk throughs to document needed repairs. Monitoring - Director willl schedule walkthroughs digitally. 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 are not in good repair as evidenced by Emergency light bulb is out.. Corrective Action Plan Immediate - Director will submit a work order to have emergency light serviced on or by 3/18/25. Preventative - Director will conduct semi monthly walkthroughs to document needed repairs. Monitoring - Director will schedule walkthroughs via callendar.

Corrected Corrected by Mar 18, 2025

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 2 out of 2 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. 1. Director will complete staff files by 10/16/2024. 2. Director will conduct staff file reviews semiannually. 3. Director will use staff checklist when conducting reviews. 09/16/2024 http://www.nmececd.org 2 of 4 Central Family YMCA 4423889 Administrative Requirements for Centers: (continued)

Corrected Corrected by Oct 16, 2024

Marked corrected in the state record.

8.9.4.24 · I EQUIPMENT AND PROGRAM

Play equipment and materials in the Toddler - (12 - 24 mo.) Toy Bin room/area are not accessible to children, including those with disabilities, as evidenced by large bins that contain a variety of play items that are too disorganized for children to select from. 1. (5/17/2024) Site director will throw bin away and clothes that are torn. Corrected on site. 2. (6/17/2024) site director will get a new storage unit for classroom and keep it organized.

Corrected Corrected by Jun 17, 2024

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The playground has a heavy accumulation of leaves. 1. (5/17/2024) Site director will clean leaves and removed discarded equipment. 2. (6/17/2024) Site director will keep up with cleaning every other day/after each storm.

Corrected Corrected by Jun 17, 2024

Marked corrected in the state record.

8.9.4.11 · A TYPES OF LICENSES

The child care facility failed to submit a new application to the licensing authority before modifying information required to be stated on the license as follows: capacity. The child care center moved the infant classroom. Center Director will submit an application to the licensing office for the change.

Corrected Corrected by Apr 26, 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 8 staff records does/do not include a background check. See Staff Records 8.9.4.22 form for staff with this missing information. Staff member is on leave and will not return to the center until background check is complete.

Corrected Corrected by Mar 27, 2024

Marked corrected in the state record.

8.9.4.24 · I EQUIPMENT AND PROGRAM

The child care center does not provide children in the Toddler - (12 - 24 mo.) class room(s) activities that encourage children to be active in the learning process and to experience a variety of developmentally appropriate activities and materials. There are no books on the library shelf. Educator did place books on the shelf while I was still in the 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 Toddler - (12 - 24 mo.) class room/area are not accessible to children, including those with disabilities, as evidenced by large bins that contain a variety of play items that are too disorganized for children to select from. Corrective Action Plan Center staff will organize all items in the bin, for easy access for the children. 8.9.4.24.I.8.:A center will post a daily activity schedule. A center will follow a consistent pattern for routine activities such as meals, snacks and rest. Finding The center did not post the daily activity schedule. Corrective Action Plan Center staff will post the schedule.

Corrected Corrected by Mar 27, 2024

Marked corrected in the state record.

8.9.4.24 · J OUTDOOR PLAY AREAS

The weekly playground equipment inspections are not documented correctly. Center Director will designate a staff member to conduct playground inspections weekly. 03/27/2024 http://www.nmececd.org 4 of 8 Central Family YMCA 4423889 Services and Care of Children in Centers: (continued) 8.9.4.24 K SWIMMING, WADING AND WATER N/A

Corrected Corrected by Apr 26, 2024

Marked corrected in the state record.

8.9.4.25 · D KITCHENS

The food brought from home for children in the 2 yr. old class room(s) are not labeled. Center staff will label and date food in the cabinet.

Corrected Corrected by Apr 26, 2024

Marked corrected in the state record.

8.9.4.26 · C MEDICATION

The center does not have written instructions from the parent or guardian for a non-prescription medication that is being given. Teething tablets labeled as extra. Center staff will discard medication. 03/27/2024 http://www.nmececd.org 5 of 8 Central Family YMCA 4423889 Infant classroom (continued) 8.9.4.26.C.3.:A designated staff member will be responsible for giving medication to children. The designated staff member will ensure non-prescription and prescription medications have a label with the child’s name and the date the medication was brought to the center. A center will keep non-prescription and prescription medication in the original container with written instructions, including the name of medication, the dosage, and the hours and dates the child should receive the medicine. Finding 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. Corrective Action Plan Center staff will discard medication. 8.9.4.26.C.3.:A designated staff member will be responsible for giving medication to children. The designated staff member will ensure non-prescription and prescription medications have a label with the child’s name and the date the medication was brought to the center. A center will keep non-prescription and prescription medication in the original container with written instructions, including the name of medication, the dosage, and the hours and dates the child should receive the medicine. Finding A medication was observed that was not in its original container. Tylenol was observed in a plastic baggie. Corrective Action Plan Center Staff will discard medication. Illness Requirements for Centers:

Corrected Corrected by Apr 26, 2024

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The premises in the playground are not clean as evidenced by leaves and discarded equipment.. center Director will have Maintenace clean the playground. 03/27/2024 http://www.nmececd.org 6 of 8 Central Family YMCA 4423889 Building, Ground and Safety Requirements for Centers: (continued)

Corrected Corrected by Apr 26, 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 classroom are not safety outlets and they do not have protective covers. center staff will cover outlets in reach of children. Toddler classroom 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 Toddler classroom are not safety outlets and they do not have protective covers. Corrective Action Plan Center staff will cover all outlets in reach of the children in the classroom.

Corrected Corrected by Apr 26, 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. Center Director will schedule and follow a disaster drill and document the drill.

Corrected Corrected by Apr 26, 2024

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 recent licensing survey. Most recent survey will be posted.

Corrected Corrected by Nov 11, 2023

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 4 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. An updated copy will be placed in file.

Corrected Corrected by Nov 11, 2023

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 1 staff records does/do not include a background check. See Staff Records 8.9.4.22 form for staff with this missing information. Educator sent home. Staff member will not return to work until background check is received and placed in 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 1 out of 1 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 PDP will be completed and placed in file. 8.9.4.22.F.1.p.:signed acknowledgement that all staff have reviewed and are aware of the center’s disaster preparedness plan, plan for care during a public health emergency, and evacuation plan. Finding From the review of staff records, it was determined that 1 out of 1 staff records does/do not include signed acknowledgement that the center's disaster preparedness plan, public health emergency plan, and fire evacuation plan were reviewed. Corrective Action Plan Staff acknowledgment will be signed and placed in file. 10/11/2023 http://www.nmececd.org 3 of 8 Central Family YMCA 4423889 Personnel (continued) 8.9.4.22.F.1.e.:documentation of a background check and employment history verification; if background check is in process then documentation of the notice of provisional employment showing that it is in process, must be placed in file. A background check must be conducted at least once every five (5) years on all required individuals; Finding From the review of staff records, it was determined that 1 out of 1 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 Employment history verification will be completed.

Corrected Corrected by Nov 11, 2023

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 1 new staff does/do not have documentation of orientation training. See Staff Records 8.16.2.22 form for staff with missing documentation. Staff NEO will be complete.

Corrected Corrected by Nov 11, 2023

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 10/11/2023 http://www.nmececd.org 4 of 8 Central Family YMCA 4423889 Early Preschool Classroom (continued) the same items between washing. All classrooms All classrooms will label mats.

Corrected Corrected by Nov 11, 2023

Marked corrected in the state record.

8.9.4.25 · D KITCHENS

A leftover, drink is not properly stored; the item is not labeled and dated. Children's milk in the toddler refrigerator is not dated. All items will be dated. 8.9.4.25.D.6.:A center’s refrigerators and separate freezers will have working internal thermometers and keep food requiring refrigeration, including formula, at 41 degrees (Fahrenheit) or below, and frozen food at 0 degrees (Fahrenheit) or below. 10/11/2023 http://www.nmececd.org 5 of 8 Central Family YMCA 4423889 Food Service (continued) Finding The refrigerator in the toddler room does not have a working internal thermometer. Corrective Action Plan Thermometer will be added to refrigerator.

Corrected Corrected by Nov 11, 2023

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The premises in the naptime are not clean as evidenced by children's naptime blankets are stacked together; touching one another. Blankets will be stored individually, not touching.

Corrected Corrected by Nov 11, 2023

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 drills will be done at different times of the day. 8.9.4.29.H.3.e.:a center shall request an annual fire inspection from the fire authority having jurisdiction over the center; if the policy of the fire authority having jurisdiction does not provide for an annual inspection of the center, the center must document the date the request was made and to whom; a copy of the latest inspection must be posted in the center; Finding The center does not have verification of an annual fire inspection from the fire authority having jurisdiction. Corrective Action Plan A fire inspection will be scheduled. 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 Emergency preparedness drills will be done quarterly.

Corrected Corrected by Nov 11, 2023

Marked corrected in the state record.