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. 1. On 1/28/25, the Director has contacted the fire marshal and requested an inspection for the center. This inspection will be completed by next week. The inspection report will be provided to Licensing by 2/28/25. 2. Effective once the fire inspection is complete, the Director will create an online calendar reminder for the expiration dates of the fire inspection to ensure the next inspection is scheduled before expiring and to maintain ongoing compliance with Licensing requirements.

Corrected Corrected by Feb 28, 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 5 staff records does/do not include employment history verification. See Staff Records 8.9.4.22 form for staff with this missing information. 1. On 1/28/25, the Admin Assistant called the references for each staff and documented the verification of previous employment. This has been corrected on site. 2. Effective 1/28/25, the Admin Assistant will call the previous employers of new hires within 1 week of their hire date to ensure that references are verified and to maintain ongoing compliance with Licensing requirements. The Admin assistant will continue to use the staff record checklist to ensure employment history verification is completed and documented.

Corrected Corrected by Jan 28, 2025

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 16 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. 1. On 8/28/24, the Director will ask Parents to request update immunization records and file. This will be complete by 9/28/24. 2. Effective 8/29/24, the Director will check immunization records twice a year, to ensure ongoing compliance with Children's Records requirements. 08/28/2024 http://www.nmececd.org 2 of 7 Montessori One Preschool Academy 4000110 Administrative Requirements for Centers: (continued)

Corrected Corrected by Sep 28, 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 38 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. (Expired.) 1. On 8/28/24, the Director will provide a copy of updated CPR certification. This will be complete by 9/28/24. 2. Effective 8/29/24, the Director will check staff files quarterly, to ensure ongoing compliance with Personnel Records requirements. 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 38 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 1. On 8/28/24, the Director will ask Educator to update annual abuse statement. This will be complete by 9/28/24. 2. Effective 8/29/24, the Director will check staff files quarterly, to ensure ongoing compliance with Personnel Records requirements.

Corrected Corrected by Sep 28, 2024

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: (3 out of 38.) COVID-19 Training (2 out of 38.) 1. On 8/28/24, the Director will ask Educators to complete and provide training certifications. This will be complete by 9/28/24. 2. Effective 8/29/24, the Director will check staff files quarterly, to ensure ongoing compliance with Staff Qualifications and Training requirements. 08/28/2024 http://www.nmececd.org 3 of 7 Montessori One Preschool Academy 4000110 Personnel (continued) 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 1 out of 38 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 1. On 8/28/24, the Director will ask the Educator to sign and file NEO form/certificate in staff file. 2. Effective 8/29/24, the Director will check staff files quarterly, to ensure ongoing compliance with Staff Qualifications and Training requirements.

Corrected Corrected by Sep 28, 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. (Torn mats.) 1. On 8/28/24, the Director will. This will be complete by 9/28/24. 2. Effective 8/29/24, the Director will , to ensure ongoing compliance with Napping and Rest Period requirements.

Corrected Corrected by Sep 28, 2024

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The ceiling tiles are not in good repair as evidenced by water stains. (2 in classroom 4) 1. On 8/28/24, the Director will add this task to the maintenance personnel to repair/replace. This will be complete by 9/28/24. 2. Effective 8/29/24, the Director will add ceiling tile inspection to maintenance checklist and will complete it monthly, to ensure ongoing compliance with Housekeeping requirements. 08/28/2024 http://www.nmececd.org 5 of 7 Montessori One Preschool Academy 4000110 I/T Classroom (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 are not in good repair as evidenced by torn bed sheet. (Nidos) Corrective Action Plan 1. On 8/28/24, the Director will repair the torn sheet. This will be complete by 9/28/24. 2. Effective 8/29/24, the Director will add housekeeping repairs to maintenance checklist, to ensure ongoing compliance with Housekeeping requirements. 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 ceiling tiles are not in good repair as evidenced by water stains. (1 in class 6, 1 in class 5.). Corrective Action Plan 1. On 8/28/24, the Director will add this task to the maintenance personnel to repair/replace. This will be complete by 9/28/24. 2. Effective 8/29/24, the Director will add ceiling tile inspection to maintenance checklist and will complete it monthly, to ensure ongoing compliance with Housekeeping requirements. 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. Finding The chairs are not in good repair as evidenced by torn chair mat. (Nido's playground). Corrective Action Plan 1. On 8/28/24, the Director will repair the chair mat. This will be complete by 9/28/24. 2. Effective 8/29/24, the Director will add chair and equipment inspection to maintenance checklist and monitor monthly, to ensure ongoing compliance with Housekeeping requirements.

Corrected Corrected by Sep 28, 2024

Marked corrected in the state record.

8.9.4.29 · E LIGHTING, LIGHTING FIXTURES AND ELECTRICAL

Electrical outlets within reach of children in Classroom #5 are not safety outlets and they do not have protective covers. (1 plug cover missing near sleeping mats.) 1. ON 8/28/24, THIS WAS CORRECTED ONSITE. 2. Effective 8/29/24, the Director will add outlet cover inspections on to maintenance checklist and check monthly, to ensure ongoing compliance with Lighting, Lighting Fixtures, and Electrical requirements.

Corrected Corrected by Sep 28, 2024

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 9 out of 47 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. Director will have the educators complete the professional development plan. 02/29/2024 http://www.nmececd.org 2 of 5 Montessori One Preschool Academy 4000110 Administrative Requirements for Centers: (continued)

Corrected Corrected by Mar 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. Director will ensure that educators will label the nap mats in the toddler classrooms.

Corrected Corrected by Mar 29, 2024

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 18 children's records reviewed, 8 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. Have requested updated records from parents. Will add updated records to files. 08/14/2023 http://www.nmececd.org 2 of 10 Montessori One Preschool Academy 4000110 Admin/Licensure (continued) 8.9.4.22.E.2.b.: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. Emergency contact numbers must be kept up to date at all times. Finding Of the 18 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 Will get additional emergency contact and add to file. 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 18 children's records reviewed, 2 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. Corrective Action Plan Will get information from parents and add to files.

Corrected Corrected by Aug 31, 2023

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 32 staff records does/do not include a background check. See Staff Records 8.9.4.22 form for staff with this missing information. Educators were sent home. CRC letters will be obtained and placed in files. 8.9.4.22.F.1.b.:position; Finding From the review of staff records, it was determined that 2 out of 32 staff records does/do not include the staff's position. See Staff Records 8.9.4.22 form for staff with this missing information. Corrective Action Plan Will have educators sign and add to file. 8.9.4.22.F.1.c.:current and past duties and responsibilities; 08/14/2023 http://www.nmececd.org 3 of 10 Montessori One Preschool Academy 4000110 Personnel (continued) Finding From the review of staff records, it was determined that 2 out of 32 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. Corrective Action Plan Will have educators sign and add to file. 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 9 out of 32 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 educator's sign. 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 17 out of 32 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 In process of updating PDP's for staff. Will have complete and add to files. 8.9.4.22.F.1.j.:universal precaution acknowledgment form; Finding From the review of staff records, it was determined that 4 out of 32 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 add to files.

Corrected Corrected by Sep 14, 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 6 out of 32 new staff does/do not have documentation of orientation training. See Staff Records 8.16.2.22 form for staff with missing documentation. Will have certificates to files. 8.9.4.23.B.2.k.: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 4 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 six months of starting work. Corrective Action Plan Will have educator's complete I/T training. 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: (4) of (32) staff missing Health and Safety Orientation. (6) of (32) staff missing COVID-19 training. Corrective Action Plan Will have educator's complete training and add certificates to files.

Corrected Corrected by Aug 18, 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 the same items between washing. Will label mats. NIDO 2 8.9.4.24.B.4.:Each child will have an individual bed, cot, or mat clearly labeled to ensure each child uses the same items between washing. Finding 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. Corrective Action Plan Will label mats.

Corrected Corrected by Aug 14, 2023

Marked corrected in the state record.

8.9.4.24 · J OUTDOOR PLAY AREAS

The fall zone underneath the climbing structurees is not adequate as evidenced by the energy absorbent material is not deep enough. Woodchips are ordered and will be added. 08/14/2023 http://www.nmececd.org 6 of 10 Montessori One Preschool Academy 4000110 Services and Care of Children in Centers: (continued)

Corrected Corrected by Sep 14, 2023

Marked corrected in the state record.

8.9.4.25 · D KITCHENS

A leftover, food, drink is not properly stored; the item is not labeled and dated. Primary 2, Primary 3, Toddler 1, Toddler 7 and Primary 8 refrigerators/freezers. Will have all items labeled/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. Finding The freezer in the Primary 2 classroom does not have a working internal thermometer. Corrective Action Plan CORRECTED ON SITE

Corrected Corrected by Aug 14, 2023

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The premises are not in good repair as evidenced by the diaper changing mat is torn. New mat is ordered. Will 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 in the classroom are not safe in that the phone cord is hanging and accessible to children. Corrective Action Plan Will have maintenance secure cord. Primary 2-6 Classroom #5 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 ripped mats. Corrective Action Plan Mats will be replaced. Primary 2 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 naptime area are not safe in that blankets are stacked/touching one another. Primary 2 and Primary 3 classrooms. Corrective Action Plan Will add cubby dividers for each child to store blankets. 08/14/2023 http://www.nmececd.org 8 of 10 Montessori One Preschool Academy 4000110 Building, Ground and Safety Requirements for Centers: (continued)

Corrected Corrected by Sep 14, 2023

Marked corrected in the state record.

8.9.4.29 · H SAFETY COMPLIANCE

The center failed to conduct a fire drill for the month(s) of July. Will conduct a make-up drill in August. 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 Will call to schedule inspection.

Corrected Corrected by Aug 31, 2023

Marked corrected in the state record.