8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 3 out of 7 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. 06/12/2025 http://www.nmececd.org 2 of 5 Lighthouse Academy 4000354 Personnel (continued) Immediate: Director will print copies of blank PDP's and have staff complete them. Preventative/Monitoring: Director will assure that upon hire, staff will complete PDP's and place them in their file. Staff will complete one yearly to place in their file.

Corrected Corrected by Jul 10, 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, CPR Training. *2 staff missing CDC course ** 2 staff missing CPR ***4 missing H&S Immediate: Director was notified via email of revised training requirements. Director will have staff print out missing certificates. Preventative/Monitoring: Director will assure that staff turn in certificates when they finish completing the required trainings and place in their files or FOCUS binder.

Corrected Corrected by Jul 10, 2025

Marked corrected in the state record.

8.9.4.24 · J OUTDOOR PLAY AREAS

The fall zone underneath the play structure closest to the tree when entering the playground is not adequate as evidenced by the energy absorbent material is not deep enough. Immediate: Director will order additional resilient material to place underneath the fall zone. Preventative/Monitoring: Director will have educators monitor the depth of the wood chips on a monthly basis; Director will check depth of woodchips quarterly.

Corrected Corrected by Jul 10, 2025

Marked corrected in the state record.

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 licensing survey. Director stated that she will print and post the most current survey on the parent board after today's semi-annual inspection visit.

Corrected Corrected by Dec 6, 2024

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 3 children's records reviewed, 1 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. **1 child's file is missing allergies/medical conditions (J.J) Director stated child enrolled a couple of weeks ago and she will have parent complete the enrollment form.

Corrected Corrected by Dec 6, 2024

Marked corrected in the state record.

8.9.4.29 · H SAFETY COMPLIANCE

The center’s record of fire drill, emergency preparedness practice drills was not retained for at least 12 months. 11/08/2024 http://www.nmececd.org 4 of 5 Lighthouse Academy 4000354 Admin/Licensure (continued) Director stated she will email the logs for the last 12 months for fire drills/emergency preparedness drills as the person in charge of those is out sick today.

Corrected Corrected by Dec 6, 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 & COVID training. ** 3 staff are missing H&S training ** 4 staff are missing COVID training Director met with staff to discuss completing the health & safety training and staff is signed up with quorum. Director stated staff are completing covid training. 8.9.4.23.B.2.c.:New staff members working directly with children regardless of the number of hours per week will complete the 45-hour entry level course or approved three-credit early care and education course or an equivalent approved by the department prior to or within six months of employment. Substitutes are exempt from this requirement. Finding From the review of staff records, it was determined that 1 out of 9 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. **1 staff needs to complete the 45-hour course. Corrective Action Plan Director will continue to check in with staff member to assure the course is being completed. Services and Care of Children in Centers:

Corrected Corrected by Sep 30, 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 9 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 stated that the staff is signed up to complete part 1 of the 45 hour course. 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: CPR/First Aid Training, Health and Safety Training & COVID training. *1st Aid/CPR: 4 staff missing *Health & Safety: 4 staff missing *COVID: 5 staff missing Corrective Action Plan Director stated that staff will be signing up for the required trainings on NMELS and Quorum Learning. Director will email certificates when completed. The center has a CPR/First Aid training set up for August 1st, 2024. Services and Care of Children in Centers:

Corrected Corrected by Aug 21, 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 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 reach out to families to retrieve updated immunization records 06/06/2024 http://www.nmececd.org 2 of 8 Lighthouse Academy 4000354 Admin/Licensure (continued) 8.9.4.22.E.1.c.:a list of people authorized to pick up the child and an authorization form signed by parent or guardian; identification of person authorized by the parent or guardian to pick up the child shall be verified at pick up; Finding Of the 3 children's records reviewed, 1 is/are missing a list of people authorized to pick up the child and an authorization form signed by the parent or guardian. See Children's Records 8.9.4.22 form for the child(ren) with missing information and/or authorization. Corrective Action Plan Director will reach out to families to retrieve updated immunization records 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 3 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 Director will reach out to families to retrieve updated immunization records 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 3 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 Director will reach out to families to retrieve updated immunization records 8.9.4.22.E.2.d.:A document giving a center permission to transport the child in a medical emergency and an authorization for medical treatment signed by a parent or guardian. Finding Of the 3 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 Director will reach out to families to retrieve updated immunization records 8.9.4.22.E.1.l.:a signed acknowledgment that the parent or guardian has read and understands the parent handbook. Finding Of the 3 children's records reviewed, 1 is/are missing a signed parent or guardian acknowledgement that the parent handbook had been read and understood. See the Children's Records 8.9.4.22 form for the child(ren) who have this missing. Corrective Action Plan Director will reach out to families to retrieve updated immunization records 06/06/2024 http://www.nmececd.org 3 of 8 Lighthouse Academy 4000354 Administrative Requirements for Centers: (continued)

Corrected Corrected by Jul 4, 2024

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 9 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. Director will have staff sign off on the job descriptions 8.9.4.22.F.1.b.:position; Finding From the review of staff records, it was determined that 2 out of 9 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 Director will have staff sign off on the job descriptions 8.9.4.22.F.1.i.:emergency contact number; Finding From the review of staff records, it was determined that 1 out of 9 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 Director corrected on site

Corrected Corrected by Jun 6, 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 3 out of 9 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 have staff register for the 45-hour course to complete. 06/06/2024 http://www.nmececd.org 4 of 8 Lighthouse Academy 4000354 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, CPR Training and COVID-19 1st aid/CPR- 4 staff missing H&S- 4 staff missing COVID- 5 staff missing Corrective Action Plan August 1st CPR training is scheduled. Director will have staff assure they have a Quorum or NMELS account to register for their required trainings.

Corrected Corrected by Jul 4, 2024

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 1 classrooms failed to post the capacity for each activity/interest area. Educator corrected this on site Rowboats 3yrs 8.9.4.23.C.2.b.:Each activity/interest area will have a posted capacity, which may vary according to the activity and size of the space, and will not exceed the group size requirement as specified in Paragraph (1) of Subsection C of 8.9.4.23 NMAC; Finding The center failed to post the capacity for each activity/interest area. 1 out of 1 classrooms failed to post the capacity for each activity/interest area. Corrective Action Plan Educator corrected on site. LifeBoats 3-4 yrs 8.9.4.23.C.2.b.:Each activity/interest area will have a posted capacity, which may vary according to the activity and size of the space, and will not exceed the group size requirement as specified in Paragraph (1) of Subsection C of 8.9.4.23 NMAC; 06/06/2024 http://www.nmececd.org 5 of 8 Lighthouse Academy 4000354 LifeBoats 3-4 yrs (continued) Finding The center failed to post the capacity for each activity/interest area. 1 out of 1 classrooms failed to post the capacity for each activity/interest area. Corrective Action Plan Educator corrected on site. Services and Care of Children in Centers:

Corrected Corrected by Jun 6, 2024

Marked corrected in the state record.

8.9.4.24 · B NAPS OR REST PERIOD

Illumination was insufficient to observe the whole room. Educator corrected on site. TA was given to educator regarding required illumination in the classroom. LifeBoats 3-4 yrs 8.9.4.24.B.9.:Illumination equivalent to that cast by a soft night light shall be operational in areas that are occupied by children who are napping or sleeping. Illumination must be enough to see the entire room, clearly observe sleeping children and allow for quiet activities for non-sleeping children. Finding Illumination was insufficient to observe the whole room. Corrective Action Plan Educator corrected on site. TA was given required illumination requirement for classroom.

Corrected Corrected by Jun 6, 2024

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The tables in the playground are not clean as evidenced by dirt buildup. Educators/Director will clean the tables 06/06/2024 http://www.nmececd.org 7 of 8 Lighthouse Academy 4000354 Building, Ground and Safety Requirements for Centers: (continued)

Corrected Corrected by Jul 4, 2024

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 Rowboats class room(s) used by children. Director corrected this on site.

Corrected Corrected by Jun 6, 2024

Marked corrected in the state record.

8.9.4.24 · J OUTDOOR PLAY AREAS

The fall zone underneath the dome and slides is not adequate as evidenced by the energy absorbent material is not deep enough. Provider is ordering the woodchips and will send receipt to licensor through email today. Licensing will follow up once wood chips are in place 8.9.4.24 K SWIMMING, WADING AND WATER N/A 8.9.4.24 L FIELD TRIPS N/A Food Service Requirements for Centers: 8.9.4.25 C MENUS N/A Health and Safety Requirements for Centers: 8.9.4.26 B FIRST AID REQUIREMENTS N/A 8.9.4.26 C MEDICATION N/A Transportation Requirements for Centers: 8.9.4.28 A-H TRANSPORTATION REQUIREMENTS FOR CENTERS N/A Building, Ground and Safety Requirements for Centers: 8.9.4.29 A HOUSEKEEPING N/A 8.9.4.29 B PEST CONTROL N/A 8.9.4.29 C MECHANICAL SYSTEMS N/A

Corrected Corrected by Jan 8, 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 is working to correct this asap and will ensure that all children's files are complete at the time of admission. 11/16/2023 http://www.nmececd.org 2 of 6 Lighthouse Academy 4000354 Administrative Requirements for Centers: (continued)

Corrected Corrected by Dec 18, 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 2 staff records does/do not include the staff's position. See Staff Records 8.9.4.22 form for staff with this missing information. Director will correct this and ensure that all staff files are complete at the time employment begins 8.9.4.22.F.1.c.:current and past duties and responsibilities; Finding From the review of staff records, it was determined that 2 out of 2 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 Director will correct this and moving forward will ensure all staff files are complete when employment begins 8.9.4.22.F.1.i.:emergency contact number; Finding From the review of staff records, it was determined that 2 out of 2 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 Director will correct this and ensure that all staff files are complete when employment begins

Corrected Corrected by Dec 18, 2023

Marked corrected in the state record.

8.9.4.24 · J OUTDOOR PLAY AREAS

The fall zone underneath the dome is not adequate as evidenced by the energy absorbent material is not deep enough. Director will have more resilient material brought in to meet the requirements 8.9.4.24 K SWIMMING, WADING AND WATER N/A

Corrected Corrected by Dec 18, 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. Director was provided T/A regarding the requirements for an emergency preparedness drill to be conducted once per quarter. Director will ensure that this is done accordingly moving forward 8.9.4.29.H.2.:A center will conduct at least one fire drill each month. Finding The center failed to conduct a fire drill for the month(s) of October. Corrective Action Plan Director will schedule these on her calendar to not miss a monthly fire drill.

Corrected Corrected by Dec 18, 2023

Marked corrected in the state record.