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 environmental health inspection report. Immediate: On 11/7/26 an inspection was conducted, CORRECTED. Preventative: On 11/14/25 the director will use a checklist to ensure that required inspections are reviewed. Monitoring: The director will add a reminder to her calendar. The director will send licensing proof of correction.

Corrected Corrected by Dec 12, 2025

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. Immediate: On 11/13/25 the director will meet with the family to obtain the updated immunization record. Preventative: On 11/14/25 the director will schedule to review all children's records for up-to-date immunization records. Monitoring: The director will use a checklist to review children's records monthly and add a reminder to her calendar. The provider will send licensing proof of correction.

Corrected Corrected by Dec 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. 1 out of 4 classrooms failed to post the capacity for each activity/interest area. Immediate: On 11/14/25 the director will ensure that the capacity interest areas are posted. Preventative: On 11/14/25 the director will review all classroom to ensure that the capacities are posted in each classroom and use a checklist twice a year. Monitoring: The director will use a checklist twice a year and add a reminder to her calendar. The provider will send licensing proof of correction. 11/12/2025 http://www.nmececd.org 3 of 5 Immanuel Lutheran Preschool 4000589 Services and Care of Children in Centers:

Corrected Corrected by Dec 12, 2025

Marked corrected in the state record.

8.9.4.29 · E LIGHTING, LIGHTING FIXTURES AND ELECTRICAL

The center does not have emergency lighting that turns on automatically when electrical service is disrupted. Immediate: On 6/9/25 the director notified maintenance that the emergency light needs to be repaired. They will be addressing the repair on 6/9/25. Preventative & Monitoring: The director will add to her safety checklist to monitor quarterly. It will be discussed at the monthly school board meetings, which will be done indefinitely. The director will send licensing a photo of correction.

Corrected Corrected by Jul 9, 2025

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 2 children's records reviewed, 1 is/are missing the name and telephone number of a physician or emergency medical center authorized by a parent or guardian to contact in case of illness or emergency. See Children's Records 8.9.4.22 form for the child(ren) with missing information. On 6/9/25 the director will notify the family to add the required child's medical information. 06/09/2025 http://www.nmececd.org 2 of 6 Immanuel Lutheran Preschool 4000589 Admin/Licensure (continued) The director will create a new application by August and will monitor annually for accuracy, yearly. The director will add to her calendar to review children's records after enrollment and in March. 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 2 children's records reviewed, 1 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. Corrective Action Plan On 6/9/25 the director will notify the family to add the required child's medical information. The director will create a new application by August and will monitor annually for accuracy, yearly. The director will add to her calendar to review children's records after enrollment and in March.

Corrected Corrected by Jul 9, 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 1 out of 4 staff does/do not have documentation of the 3 credit ECE or an approved equivalent within 12 months of employment. On 6/9/25 the director will meet with the educator to schedule required training. The director will follow up with the educator's professional development plan to ensure they have time to (2 hours a month) work on trainings. The director review the staff records monthly to ensure educators on schedule to complete required trainings. 06/09/2025 http://www.nmececd.org 3 of 6 Immanuel Lutheran Preschool 4000589 Personnel (continued) 8.9.4.23.B.2.b.:All new educators regardless of the number of hours employed per week [will] 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 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: child development course that addresses all major domains of child development(1 out 4 staff) Corrective Action Plan On 6/9/25 the director will meet with the educator to schedule required training. The director will follow up with the educator's professional development plan to ensure they have time to (2 hours a month) work on trainings. The director will review the staff records monthly to ensure educators are on schedule to complete required trainings.

Corrected Corrected by Jul 9, 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 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. Immediate: 11/21/24 the director will meet with the staff to complete the required form Preventative: The director will add it to the new employee orientation packet 12/5/24 Monitoring: The director will check staff files every 3 months. The director will provide document. 11/14/2024 http://www.nmececd.org 2 of 5 Immanuel Lutheran Preschool 4000589 Administrative Requirements for Centers: (continued)

Corrected Corrected by Dec 16, 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 2 out of 3 new staff does/do not have documentation of orientation training. See Staff Records 8.9.4.23 form for staff with missing documentation. Immediate: On 11/21/24 the director will meet with the staff to complete the form. Preventative: The director will have staff complete training during the new employee orientation. Monitoring: The director will review quarterly staff files. The director will provide document. 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 1 out of 3 staff; Covid-19: 2 out of 3 staff Corrective Action Plan Immediate: On 11/21/24 the director will meet with the staff to schedule a date to take required training. Preventative: The required trainings will be included in the new orientation process provided by the director after hiring. Monitoring: The director quarterly staff files. The director will provide document. 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 Date of hire, Date of training, Employee's name, Position, Clock hours, Competency area, Source of training, Training certificate for 3 out of 3 staff. See Staff Records 8.9.4.23 form for staff who are missing a complete training log. Corrective Action Plan Immediate: Preventative: Monitoring: The director will provide document. 11/14/2024 http://www.nmececd.org 3 of 5 Immanuel Lutheran Preschool 4000589 Personnel and Staffing Requirements for Centers: (continued)

Corrected Corrected by Dec 16, 2024

Marked corrected in the state record.

8.9.4.24 · J OUTDOOR PLAY AREAS

The weekly playground equipment inspections are not documented correctly. Immediate: On 11/15/24 the director will print the playground inspection forms and complete for the week Preventative: The director will ensure that staff complete the inspections weekly. Monitoring: The director will review monthly. The director will provide document.

Corrected Corrected by Dec 16, 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. The director will ensure that all children's water bottles are labeled.

Corrected Corrected by May 27, 2024

Marked corrected in the state record.

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

The center did not have a functional carbon monoxide detector when needed. The director will ensure that the carbon monoxide detector is installed.

Corrected Corrected by May 27, 2024

Marked corrected in the state record.

8.9.4.29 · H SAFETY COMPLIANCE

The center does not have verification of an annual fire inspection from the fire authority having jurisdiction. The provider will ensure that the annual fire inspection is completed.

Corrected Corrected by Mar 29, 2024

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 3 children's records reviewed, 2 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. Provider will ensure that all children's records have the enrollment date. 8.9.4.22.E.2.a.:Information on any allergies or medical conditions suffered by the child. 11/29/2023 http://www.nmececd.org 2 of 7 Immanuel Lutheran Preschool 4000589 Admin/Licensure (continued) Finding Of the 3 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. Corrective Action Plan Provider will ensure that all children's records have the medical conditions and allergies information completed.

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 1 out of 3 staff records do/does not include the staff's current and past duties and responsibilities. See Staff Records 8.9.4.22 form for staff with this missing information. Provider will ensure that job description with duties are on file. 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 3 out of 3 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 Provider will ensure that all staff have current background check records on file. 8.9.4.22.F.1.i.:emergency contact number; Finding From the review of staff records, it was determined that 1 out of 3 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 Provider will ensure that emergency contact information is kept on file. 8.9.4.22.F.1.j.:universal precaution acknowledgment form; Finding From the review of staff records, it was determined that 1 out of 3 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 Provider will ensure that all staff have the signed universal precaution acknowledgement signed. 11/29/2023 http://www.nmececd.org 3 of 7 Immanuel Lutheran Preschool 4000589 Personnel (continued) 8.9.4.22.F.1.k.:confidentiality form; Finding From the review of staff records, it was determined that 1 out of 3 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 Provider will ensure that all staff have the confidentiality form signed. 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 3 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 Provider will ensure that all staff complete the professional development plan. 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 1 out of 3 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 Provider will ensure that the personnel handbook acknowledgement is signed and 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 3 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 Provider will ensure that all staff records include the signed disaster preparedness plan. 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 3 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 Provider will ensure that all staff have the employment history verification information in file. 11/29/2023 http://www.nmececd.org 4 of 7 Immanuel Lutheran Preschool 4000589 Administrative Requirements for Centers: (continued)

Corrected Corrected by Dec 29, 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 3 new staff does/do not have documentation of orientation training. See Staff Records 8.16.2.22 form for staff with missing documentation. Provider will ensure that all staff files include the new orientation training.

Corrected Corrected by Dec 29, 2023

Marked corrected in the state record.

8.9.4.29 · H SAFETY COMPLIANCE

The center does not have verification of an annual fire inspection from the fire authority having jurisdiction. Provider will ensure that annual fire inspection is current.

Corrected Corrected by Dec 29, 2023

Marked corrected in the state record.