8.9.4.21 · C INCIDENT REPORTING REQUIREMENTS

The center failed to obtain parent signature on incident report within 24 hours. Immediate - Director has changed their incident reporting forms effective immediately to include a parent signature section. Preventative/monitoring - Center will notify families via brightwheel app of any incidents, Center will also notify families of incident reports needing signatures and will get a signature on all incidents within 24 hours. Administrative Requirements for Centers:

Corrected Corrected by May 25, 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. The assistant director will have educators put names on mats today. The director will create a classroom checklist for educators for their classroom's today. The assistant director will check classroom checklist once a week to be in compliance.

Corrected Corrected by Mar 21, 2025

Marked corrected in the state record.

8.9.4.29 · E LIGHTING, LIGHTING FIXTURES AND ELECTRICAL

Light bulbs in the infant classroom are not shatterproof or shielded. Out of the 10 classrooms 9 need shields and light bulbs replaced. The assistant director will put a workorder in today to get light bulbs replaced and new light shields. The director will create a classroom checklist for educators for their classroom's today. The assistant director will check classroom checklist once a week to be in compliance. I/T Classroom #2 Tiny Tigers 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 room are not safety outlets and they do not have protective covers. Corrective Action Plan The assistant director will have educators cover missing outlet covers today The director will create a classroom checklist for educators for their classroom's today. The assistant director will check classroom checklist once a week to be in compliance. 02/21/2025 http://www.nmececd.org 4 of 5 Heights Christian Day Care 4000699

Corrected Corrected by Mar 21, 2025

Marked corrected in the state record.

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

Electrical outlets within reach of children in the 3 year old classroom are not safety outlets and they do not have protective covers. The assistant director will have educators cover missing outlet covers today The director will create a classroom checklist for educators for their classroom's today. The assistant director will check classroom checklist once a week to be in compliance.

Corrected Corrected by Mar 21, 2025

Marked corrected in the state record.

8.9.4.29 · H3 (F)(I)(J)(K)(L) SAFETY COMPLIANCE

An evacuation plan is not posted in the 3 yr. old classroom(s) used by children. The assistant director will have educator put up evacuation sign today. The director will create a classroom checklist for educators for their classroom's today. The assistant director will check classroom checklist once a week to be in compliance.

Corrected Corrected by Mar 21, 2025

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The equipment in the playground are not safe in that pirate boat is cracked and playhouse is weathered and peeling paint. Immediate Action: The Center Director will submit a work order for their removal. Preventative Measure: The Center Director will address any safety concerns on the playground. Maintenance Plan: The Center Director will conduct weekly reviews to address any concerns.

Corrected Corrected by Sep 9, 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. Center split the elephant preschool classroom to add a two-year-old classroom without submitting an application. Classroom does not meet licensing requirements. Director will ensure that classroom meets all licensing requirements.

Corrected Corrected by Apr 12, 2024

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. Director will ensure that the center obtains an updated shot record for the children.

Corrected Corrected by Apr 12, 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 15 staff records does/do not include employment history verification. See Staff Records 8.9.4.22 form for staff with this missing information. Director will ensure that the employee history is completed. 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 03/07/2024 http://www.nmececd.org 3 of 7 Heights Christian Day Care 4000699 Personnel (continued) Finding From the review of staff records, it was determined that 1 out of 15 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 Director will ensure that a professional development plan is completed. 8.9.4.22.F.1.g.:documentation of current first-aid and cardiopulmonary resuscitation training; Finding From the review of staff records, it was determined that 1 out of 15 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 Director will ensure that a first aid and CPR is completed.

Corrected Corrected by Apr 12, 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 15 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. Director will ensure that the educator completes 45hr course.

Corrected Corrected by Apr 12, 2024

Marked corrected in the state record.

8.9.4.29 · F EXITS AND WINDOWS

An activity area, without a door directly to the outside, does not have at least one window for emergency egress that has a minimum net clear opening of 5.7 square feet and with a height of 24 inches, a width of 20 inches, and a finished sill height of not more than 44 inches above the floor. Director will ensure that the classroom meets all licensing requirements.

Corrected Corrected by Apr 12, 2024

Marked corrected in the state record.

8.9.4.29 · G TOILET AND BATHING FACILITIES

A self-contained room for 2 yr. old does not have one toilet, one sink with hot and cold running water. Director will ensure that the classroom meets all licensing requirements.

Corrected Corrected by Apr 12, 2024

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

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. Will reach out to the families and request an updated record. 08/22/2023 http://www.nmececd.org 2 of 7 Heights Christian Day Care 4000699 Administrative Requirements for Centers: (continued)

Corrected Corrected by Sep 22, 2023

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 15 out of 19 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. Will update professional development plan for the year. 8.9.4.22.F.1.f.:an annual signed statement that the staff member would or would not be disqualified as a direct provider of care under the most current version of the Background Checks and Employment History Verification provisions pursuant to 8.9.6 NMAC; Finding The center failed to have 1 out of 19 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 Will have employee sign. 8.9.4.22.F.1.k.:confidentiality form; Finding From the review of staff records, it was determined that 5 out of 19 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 Will have employee sign. 8.9.4.22.F.1.o.:signed acknowledgment that the staff have read and understand the personnel handbook; Finding From the review of staff records, it was determined that 5 out of 19 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 Will have employee sign. 8.9.4.22.F.1.q.:Form I-9, employment eligibility verification. 08/22/2023 http://www.nmececd.org 3 of 7 Heights Christian Day Care 4000699 Personnel (continued) Finding From the review of staff records, it was determined that 1 out of 19 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 Will have employee sign. 8.9.4.22.F.1.g.:documentation of current first-aid and cardiopulmonary resuscitation training; Finding From the review of staff records, it was determined that 1 out of 19 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 Will schedule an appointment to get first aid and CPR. 8.9.4.22.F.1.j.:universal precaution acknowledgment form; Finding From the review of staff records, it was determined that 3 out of 19 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 Will have staff sign Universal precautions.

Corrected Corrected by Sep 22, 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 4 out of 19 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. Will talk to employee and get enrolled. 08/22/2023 http://www.nmececd.org 4 of 7 Heights Christian Day Care 4000699 Personnel (continued) 8.9.4.23.B.2.b.:All new educators regardless of the number of hours per week will complete the following training within three (3) months of their date of hire. All current educators will have three months to comply with the following training from the date these regulations are promulgated: Finding Educators did not complete the following training within 3-months: Health and Safety Training and COVID-19 (4 Staff) Corrective Action Plan Will talk to employees and have them take the required training. 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: Finding From the review of staff records, it was determined that 3 out of 19 new staff does/do not have documentation of orientation training. See Staff Records 8.16.2.22 form for staff with missing documentation. Corrective Action Plan Will have staff sign NEO.

Corrected Corrected by Sep 22, 2023

Marked corrected in the state record.