8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 3 out of 10 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. 12/02/2025 http://www.nmececd.org 2 of 6 Family Learning Center 4000951 Personnel (continued) Immediate Action: Director will have the educators sign the confidentiality agreement today 12/2. Preventative Action: Director will ensure that when they sign their contracts for the year, that they are signing the agreement along with the contract. Ongoing Action: Every 3 months the Director will go through the files to ensure all documents are up to date. 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 10 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 Immediate Action: Director will have the educators sign the handbook agreement today 12/2. Preventative Action: Director will ensure that when they sign their contracts for the year, that they are signing the agreement along with the contract. Ongoing Action: Every 3 months the Director will go through the files to ensure all documents are up to date.

Corrected Corrected by Jan 2, 2026

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 10 staff working more than 20 hours a week, has/have no documentation of at least 24 hours of qualified annual training, See Staff Records 8.9.4.23 form for staff with missing documentation of training. Immediate Action: Director will have the educators update their trainings and place them in the file on 12/2. Preventative Action: Director will have educators sign up for Quorum and take the trainings that they need. Director will also ensure that all trainings are being documented in the files when trainings are being done. Ongoing Action: Every 3 months the Director will go through the files to ensure all documents are up to date.

Corrected Corrected by Jan 2, 2026

Marked corrected in the state record.

8.9.4.24 · J OUTDOOR PLAY AREAS

The fall zone underneath the slide is not adequate as evidenced by the energy absorbent material is not uniformly spread over the fall zone area. Immediate Action: 12/02/2025 http://www.nmececd.org 4 of 6 Family Learning Center 4000951 Outdoor Play (continued) The Director will go out and cover the whole under the slide with more dirt today 12/2. Preventative Action: Director will ensure that the educators are following their playground inspections and covering any holes when needed. Ongoing Action: On a weekly basis the Director will ensure that she does an inspection of the playground and makes sure everything is going smoothly. 8.9.4.24 K SWIMMING, WADING AND WATER N/A

Corrected Corrected by Jan 2, 2026

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. Immediate Action: Director will email fire marshal today 9/23 to schedule visit to get the inspection done. Preventative Action: Director will mark in her calendar the date the inspection expires so she can ensure to schedule a visit before it expires. Ongoing Action: Director will ensure that all documents are up to date before the school year starts.

Corrected Corrected by Oct 23, 2025

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 4 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. Immediate - Director will update the files to include children's enrollment/start date. Director will also review all enrollments to ensure they include children's start dates 06/30/2025 http://www.nmececd.org 2 of 6 St John's UMC Preschool 4000641 Admin/Licensure (continued) Preventative - Director will write children's start dates on their files as soon as their enrollment forms are received. Monitoring - Director will review children's records semiannually to ensure all records are up to date/completely filled out. 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 4 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. Corrective Action Plan Immediate - Director will contact family to have missing information filled out on or by 7/30/2025. Preventative - Director will review children's files at the time of enrollment to ensure all required documents are filled out. Monitoring - Director will review children's records semiannually to ensure all records are up to date/completely filled out.

Corrected Corrected by Jul 30, 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 4 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- Director will sit with educator before 7/4/2025 to complete her professional development plan. Preventative - Director will include the Professional Development in new staff orientation. Monitoring - Director will set digital reminders to review new staff files to ensure they are being completed entirely before starting.

Corrected Corrected by Jul 30, 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: child development course that addresses all major domains of child development, Health and Safety Training(2 of 13 staff for Health and Safety) and (2 of 13 staff for Child Development course.) Immediate - Director will have educators enrolled in the required training course on or by 7/4/2025, Director will also follow up with educators prior to 7/30/2025 to ensure trainings are completed. Preventative - Director will set strict deadlines for new educators to complete their required trainings. Monitoring - Director will use digital reminders to follow up with new educators prior to their 3 month anniversaries.

Corrected Corrected by Jul 30, 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 11 staff records does/do not include a background check. See Staff Records 8.9.4.22 form for staff with this missing information. 06/04/2025 http://www.nmececd.org 2 of 5 Family Learning Center 4000951 Personnel (continued) Immediate Action: Educator will go complete background check on 6/5/25. Preventative Action: Director will go through all files to ensure that all information is up to date by the end of the week. Ongoing Action: Director will conduct quarterly visits to ensure all files are up to date.

Corrected Corrected by Jul 4, 2025

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The ceiling in the Pre-K classroom and a skylight in the hallway are not in good repair as evidenced by a leak. Immediate Action: Director is going to talk with the custodian on 6/4/25 to let him know where and what is going on with the leaks. Preventative Action: Director will have custodian patch up the leaks by the end of next week 6/13/25. Then they will work on a permanent plan to fix the roof. Ongoing Action: Director will do weekly walk throughs to ensure that there are no new leaks in the roof. 8.9.4.29 B PEST CONTROL N/A

Corrected Corrected by Jul 4, 2025

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 5 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. 12/12/24 Director will reach out to get ahold of a trainer to come out and do the training for the educators. 12/12/24 Director will let licensing know when the training will be setup. Ongoing the Admin worker will go through files quarterly to ensure that all information is up to date. 12/10/2024 http://www.nmececd.org 2 of 5 Family Learning Center 4000951 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 The center failed to have 0 out of 9 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 12/10/24 Director was made aware of the missing document. 12/12/24 Director will have all staff sign the missing document during their meeting and ensure it gets placed in the file. Ongoing the Admin worker will go through files quarterly to ensure that all information is up to date.

Corrected Corrected by Jan 10, 2025

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. 12/12/24 Director was made aware that their fire inspection has expired. 12/12/24 Director will contact fire marshal this afternoon to make an appointment for them to come out and do the inspection. Ongoing they will keep track of when the inspection is going to expire, so they can make sure to contact fire marshal prior to it expiring.

Corrected Corrected by Jan 10, 2025

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The ceiling tiles are not in good repair as evidenced by tiles in Room 140 are stained. 10/8/24- Director will contact custodian today. 10/8/24- Director will use center checklist monthly to ensure that tiles are in good condition. 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 equipment are not in good repair as evidenced by Little Tyke sand box (turtle) and Blue roof on house are cracked. Corrective Action Plan 10/8/24- Director will contact custodian today. 10/8/24- Director will contact preschool ministry team to approve purchase of new equipment. 10/8/24. Director will use playground inspection to ensure any broken equipment in replaced.

Corrected Corrected by Oct 22, 2024

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 11 children's records reviewed, 7 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. 1. 6/18/24 Director will update children's records to include enrollment date. 2. 6/18/24 Director will conduct annual review of children's records. 06/18/2024 http://www.nmececd.org 2 of 7 St John's UMC Preschool 4000641 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 11 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 1. 6/18/24 Director will reach out to families to obtain current shot records. 2. 6/18/24 Director will conduct annual review of children's records.

Corrected Corrected by Jul 18, 2024

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

The center failed to have 6 out of 6 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. 1. 6/18/2024 Director will have staff sign annual abuse statement today. 2. 6/18/2024 Director will have staff members sign annual abuse statements each year.

Corrected Corrected by Jul 18, 2024

Marked corrected in the state record.

8.9.4.23 · B STAFF QUALIFICATIONS AND TRAINING

It was observed that 1 out of 2 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. 1. 6/18/24 Director will have staff complete additional trainings. 2. 6/18/24 Director will review staff records monthly. 06/18/2024 http://www.nmececd.org 3 of 7 St John's UMC Preschool 4000641 Personnel (continued) 8.9.4.23.B.2.d.:Each staff person working directly with children and more than 20 hours per week, including the director, is required to obtain at least 24 hours of training each year. For this purpose, a year begins and ends at the anniversary date of employment. Training must address all seven competency areas within two years. The competency areas are Finding From the review of staff records, it was determined that 1 out of 6 staff working more than 20 hours a week, has/have no documentation of at least 24 hours of qualified annual training, See Staff Records 8.16.2.22 form for staff with missing documentation of training. Corrective Action Plan 1. 6/18/24 Director will have staff complete additional trainings. 2. 6/18/24 Director will review staff records monthly.

Corrected Corrected by Jul 18, 2024

Marked corrected in the state record.

8.9.4.24 · I EQUIPMENT AND PROGRAM

The center does not provide children in the Preschool 138 room(s) sufficient materials for indoor activities so that at any one time each child can be individually involved. Markers are dry. 1. 6/18/24 Director will put more materials in art area in preschool room. 2. 6/18/24 Director will check with teachers routinely on materials. 06/18/2024 http://www.nmececd.org 4 of 7 St John's UMC Preschool 4000641 Services and Care of Children in Centers: (continued)

Corrected Corrected by Jul 18, 2024

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The furniture are not in good repair as evidenced by kitchenette in room 150 is missing the faucet. 1. 6/18/24 Director will contact maintenance to have kitchenette repaired. 2. 6/18/24 Director will continue weekly walkthroughs of classrooms. 06/18/2024 http://www.nmececd.org 5 of 7 St John's UMC Preschool 4000641

Corrected Corrected by Jul 18, 2024

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING (continued)

The premises in the boys restroom are not safe in that mesh on steps is torn. 1. 6/18/24 Director will replace step stool in boys restroom. 2. 6/18/24 Director will continue daily walkthroughs of restrooms.

Corrected Corrected by Jul 18, 2024

Marked corrected in the state record.

8.9.4.29 · F EXITS AND WINDOWS

Exit ways are obstructed and do not permit free egress from inside the center to the outside in the Infant - (6 wk. - 12 mo.), 3 yr. old, 4 yr. old classroom(s). Windows designated as exits have furniture. 1. 6/18/2024 Director will move obstructions from exits. 2. 7/18/2024 Director will continue weekly walkthroughs and make sure exits are not blocked

Corrected Corrected by Jul 18, 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. 1. 6/18/24 Director already called fire marshal for updated fire inspection. 2. 6/18/24 Director will post copy of current fire inspections. 06/18/2024 http://www.nmececd.org 6 of 7 St John's UMC Preschool 4000641 Building, Ground and Safety Requirements for Centers: (continued)

Corrected Corrected by Jul 18, 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. On 3/22/24 the director will do a emergency practice drill tomorrow 3/22/24. On 4/1/24 The director will set a calendars reminder quarterly to ensure drills are being completed. On 4/19/24 the director will send a updated checklist to ensure all drills are being completed.

Corrected Corrected by Apr 19, 2024

Marked corrected in the state record.

8.9.4.25 · D KITCHENS

The refrigerator, freezer in the toddler room does not have a working internal thermometer. will purchase

Corrected Corrected by Feb 12, 2024

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The toys in the threes are not clean as evidenced by dolls are unclean. will launder 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 plastic molding at entry to hall restroom is not secure. Corrective Action Plan will secure

Corrected Corrected by Feb 12, 2024

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 December. will conduct monthly drills 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 will conduct emergency drills

Corrected Corrected by Feb 12, 2024

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 October. Will conduct 2 fire drills in November to catch up for fire drill missed. Will add to checklist to remind us to do our fire drill.

Corrected Corrected by Dec 17, 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 emergency practice drills back to back months and send documentation.

Corrected Corrected by Sep 30, 2023

Marked corrected in the state record.