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 Action Plan: Fire inspection was conducted on 8/10.25, School was not provided with fire inspection report. Preventative Action Plan: Admin staff will call the Fire Marshall to come and inspect the school in June of each year starting on June 2026. Monitoring Action Plan: Admin staff will have set a reminder on their calendar for June 2nd, 2026, to call the Fire Marshall and request the annual inspection.

Corrected Corrected by Dec 15, 2025

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 5 children's records reviewed, 3 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. Immediate Action Plan: Admin staff will have parents add 2 emergency contacts to their child's file. Preventative Action Plan: Admin staff will check children's files at the time of registration to ensure files are filled out complete. Monitoring Action Plan: Admin staff will utilize licensing checklist at the time of new registrations each year to ensure all the forms are complete it.

Corrected Corrected by Dec 15, 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 up-to-date file in ECECD’s professional development information system (PDIS) as required in 8.9.4.22.F.1. See Staff Records 8.9.4.22 form for staff with an incomplete file. Immediate Action Plan: Admin staff will work on the staff files to ensure all the documents are filled out and signed. Preventative Action Plan: Admin staff will utilize Licensing checklist to ensure all the staff files are complete at the time of employment. Monitoring Action Plan: Admin staff will start checking files for new staff at the time of employment to ensure they are completed. For their current staff they will check files quarterly starting on 11/13/25. Admin staff will set a reminder on their calendar for the following quarterly inspections. 11/06/2025 http://www.nmececd.org 3 of 8 St Mary's Catholic School 25803340

Corrected Corrected by Dec 15, 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 4 out of 4 staff does/do not have documentation of orientation training. See Staff Records 8.9.4.23 form for staff with missing documentation. Immediate Action Plan: Admin staff will have their staff filled out and signed the NEO form and add it to their files. Preventative Action Plan: Admin staff will ensure the new hirings fill out the NEO form at the time of employment. Monitoring Action Plan: Admin staff will start checking files for new staff at the time of employment to ensure they are completed. For their current staff they will check files quarterly starting on 11/13/25. Admin staff will set a reminder on their calendar for the following quarterly inspections. 8.9.4.23.B.2.b.:All new staff members working directly with children regardless of the number of hours employed per week 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 shall 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: CPR Training (1 out of 4 Staff), Health and Safety Training (3 out of 4 Staff), child development course that addresses all major domains of child development (3 out of 4 Staff) Corrective Action Plan Immediate Action Plan: Admin staff will have their staff register on Quorum to take the trainings required to meet the State Regulations. Preventative Action Plan: Admin staff will add the trainings required by the State to their new employment packets. Monitoring Action Plan: Admin staff will check files for new staff each month to ensure that they complete their trainings required within the first three months of hired. For their current staff they will check files quarterly starting on 11/13/25. Admin staff will set a reminder on their calendar for the following quarterly inspections. 11/06/2025 http://www.nmececd.org 4 of 8 St Mary's Catholic School 25803340 Personnel (continued) 8.9.4.23.B.2.c.:New staff members working directly with children regardless of the number of hours employed per week shall complete the following, or a three-credit early care and education course or an equivalent approved by the department prior to or within twelve months of employment or the effective date of these regulation amendments. Substitute educators are exempt from this requirement. Training must be approved by ECECD to fulfill the requirements. Approved trainings and substitutions will be listed on ECECD’s website. Finding 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. Corrective Action Plan Immediate Action Plan: Admin staff will have their staff register for trainings required to be on compliance. Preventative Action Plan: Admin staff will add the trainings required by the State to their new employment packets, so they know the timeframe in what trainings need to be complete it. Monitoring Action Plan: Admin staff will check files quarterly starting on 11/13/25. Admin staff will set a reminder on their calendar for the following quarterly inspections.

8.9.4.24 · A1 GUIDANCE

Of the 5 children's records reviewed, 5 is/are missing a signed parent or guardian acknowledgement that the center's guidance policy had been read and understood. See the Children's Records 8.9.4.24 form for the child(ren) who have this missing. Immediate Action Plan: Admin staff will have parents read and sign the Guidance Policy to their child's file. Preventative Action Plan: Admin staff will check children's files at the time of registration to ensure files are filled out complete. Monitoring Action Plan: Admin staff will utilize licensing checklist at the time of new registrations each year to ensure all the forms are complete it.

Corrected Corrected by Dec 15, 2025

Marked corrected in the state record.

8.9.4.25 · D KITCHENS

The freezer in the kitchen does not have a working internal thermometer. Immediate Action Plan: Admin staff will buy a thermometer and put it in the freezer. Preventative Action Plan: Admin staff will create a refrigerator and freezer temperatures log for the cooks to record temperatures weekly. Monitoring Action Plan: Admin staff will check temperatures logs monthly to ensure that cooks are recording the refrigerator and freezer temperatures. Admin staff will set a monthly reminder on their calendar and will start checking logs on 12/8/25.

Corrected Corrected by Dec 15, 2025

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The garbage/refuse receptacle being used in the playground does not have a tight fitting lid. Immediate Action Plan: Admin staff will replace the trash can in the playground. Preventative Action Plan: Admin staff will ensure that is added to their weekly playground inspection checklist. Monitoring Action Plan: Admin staff will conduct weekly playground inspections to ensure playground requirements are met. Admin staff will add a reminder to their calendar; inspections will start being conducted on 12/1/25.

Corrected Corrected by Dec 15, 2025

Marked corrected in the state record.

8.9.4.29 · C MECHANICAL SYSTEMS

Water coming from a faucet is above 110 degrees Fahrenheit. The water temperature in the girl's bathroom is 117 degrees Fahrenheit. Immediate Action Plan: Admin staff will lower the water heater temperature. Admin staff will get a water temperature thermometer to check water temperature. Preventative Action Plan: Admin staff will check water temperature weekly. Monitoring Action Plan: Admin staff will create a log to record water temperature weekly. Admin staff will set a reminder to their calendar and will start doing inspections on 11/20/25.

Corrected Corrected by Dec 15, 2025

Marked corrected in the state record.

8.9.4.29 · E LIGHTING, LIGHTING FIXTURES AND ELECTRICAL

Lighting in the boys bathroom is not sufficient. Immediate Action Plan: Admin staff will have maintenance person in charge replace the light bulb. Preventative Action Plan: Admin staff will create their maintenance checklist and will conduct inspections monthly. Monitoring Action Plan: Admin staff will conduct monthly maintenance inspections to ensure everything is on compliance. Admin staff will set a reminder on their calendar. Admin staff will start conducting inspections on 12/1/25

Corrected Corrected by Dec 15, 2025

Marked corrected in the state record.