8.9.4.24 · A GUIDANCE

Guidance being used by staff is not age appropriate as evidenced by teacher assistant yelling at a child. Immediate Actions Taken - The child was comforted and reintegrated into the group by the Director. -The educator was removed from the classroom and placed on administrative leave pending investigation. - A formal report was submitted to ECECD on October 3, 2025. - Witness statements were collected from staff present. - An internal investigation was initiated in coordination with SFCC Human Resources. Corrective Measures Employment Status: - The educator involved, resigned on October 6, 2025, and is no longer employed by Kids Campus. - The resignation has been documented, and the internal investigation report will remain on file. • Staff Training and Development: - All classroom staff will participate in a mandatory refresher training on Positive Guidance and Social-Emotional Support Strategies on our upcoming Professional Development Day on Friday, 10/10/2025. - Training will include modules on trauma-informed care, conflict resolution, and responsive interactions with young children. Future new-hire orientation will include explicit review of Kids Campus' Guidance and Discipline Policy, with signed acknowledgment required. • Policy Review and Reinforcement: - The Personnel Handbook and Guidance Policy have been reviewed and updated to reinforce ECECD regulation 8.9.4.24. A. - A copy of the updated policy will be distributed to all staff and reviewed during a mandatory staff meeting on 10/10/2025. • Supervisory Monitoring: The Director and Assistant Director will conduct periodic classroom observations focusing on guidance practices. - Feedback and coaching will be documented through observation forms and staff development plans. • Supportive Environment: - Classroom teams will engage in monthly reflective supervision meetings to discuss challenging behaviors and positive intervention strategies. Monitoring for Compliance 10/09/2025 http://www.nmececd.org 3 of 5 Kids Campus at SFCC 4000993 2 Year Old Classroom (continued) -Responsible Parties: Deyanira Contreras, Director; Julie Nygren, Assistant Director -Monitoring Frequency: Weekly observations for the next 60 days, followed by quarterly review. -Documentation: Observation notes, training attendance logs, and signed staff acknowledgments will be maintained in personnel files.

Corrected Corrected by Nov 3, 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 38 staff records does/do not include a background check. See Staff Records 8.9.4.22 form for staff with this missing information. 08/13/2025 http://www.nmececd.org 2 of 6 Kids Campus at SFCC 4000993 Personnel (continued) Immediate action: Educator was asked to leave until her background check returns. Preventative action: Director will do weekly inspections of staff files. Compliance monitoring: There is a spreadsheet and it will be put on Director's calendar to review files weekly. 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 From the review of staff records, it was determined that 2 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. Corrective Action Plan Immediate action: Director will send the 2 educators to have their CPR Class done, will try by next week. Preventative action: Director will do weekly inspections of staff files. Compliance monitoring: There is a spreadsheet and it will be put on Director's calendar to review files weekly. 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 28 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 Immediate action: Director will have all staff sign the annual statement tonight during family night. Preventative action: Will ensure all staff signs annual statement during their professional development weekly meetings. Compliance monitoring: Will create a spreadsheet with dates all forms need to be signed.

Corrected Corrected by Sep 13, 2025

Marked corrected in the state record.

8.9.4.25 · D KITCHENS

The refrigerator in the Early Pre K (A) does not have a working internal thermometer. Immediate action: Director will go today and replace the missing thermometer. 08/13/2025 http://www.nmececd.org 4 of 6 Kids Campus at SFCC 4000993 Food Service (continued) Preventative action: Will dedicate one day a week to check for thermometers. Compliance monitoring: Will dedicate one day a week and have the educators check their rooms for anything that is missing.

Corrected Corrected by Sep 13, 2025

Marked corrected in the state record.

8.9.4.23 · A PERSONNEL AND STAFFING REQUIREMENTS

The child in the Toddler - (12 - 24 mo.) Colors B room was left unattended when an unexpected fire drill occurred, and Lead Educator did not do a final head count thus leaving 1 child behind on the playground. When head count was done during the drill they realized that 1 child was missing and went to retrieve child immediately. Child was left unattended for approximately 15 minutes. Immediate Actions: 1. Step 1: Staff Reminders and Immediate Training Date of Action: 4/4/2025 Description: A staff meeting will be held this week to remind all staff members of the correct procedures during fire drills, including the importance of counting children at multiple checkpoints. Any confusion regarding evacuation procedures was clarified and reinforced. 2. Step 2: Verification of Child Count During Evacuation Description: A headcount will be conducted twice during the fire drill: once before leaving the building and once after reaching the designated safe area. This immediate action ensured that all children were accounted for during the drill and that no further issues arose. Preventative Actions: 1. Step 1: Review and Update Fire Drill Procedures Start Date: 4/1/2025 Responsible Position: Director and Assistant Director Description: Fire drill procedures will be reviewed and updated to include a clear, systematic checklist for staff members to follow, including a visual headcount checklist to ensure all children are accounted for. This updated procedure will be distributed to all staff and posted in prominent areas of the building. 2. Step 2: Staff Training on Fire Drill Procedures Start Date: 4/21/2025 (upcoming Professional Development Day) Responsible Position: Director, Assistant Director, and SFCC Security Staff Description: All staff members will undergo mandatory training on the updated fire drill procedures, including counting procedures at the classroom, hallway, and playground areas. The training will be completed by SFCC Security Staff and will include hands-on practice and a review of evacuation routes and responsibilities. 3. Step 3: Installation of Checkpoints and Accountability Stations Start Date: 4/21/2025 PD Day Responsible Position: Director, Assistant Director and SFCC Security Staff Description: New checkpoints will be established to ensure that each staff member has visual confirmation of the children in their care at various stages of the evacuation process, particularly during the transition from the building to the playground and the return to the building. Compliance Monitoring: 1. Step 1: Routine Review of Fire Drill Procedures Start Date: 4/21/25 Responsible Position: Director and Assistant Director Frequency: Monthly Description: The director and/or Assistant Director will conduct monthly reviews of fire drill procedures to ensure compliance with the new checklist and procedures. Any discrepancies or issues that arise during these reviews will be addressed immediately. 2. Step 2: Staff Performance Evaluation During Drills Start Date: 4/21/25 PD Day Responsible Position: Lead Teacher, Assistant Teacher Frequency: Monthly, during fire drills Description: The lead teacher and assistant teacher will perform ongoing evaluations during each fire drill to ensure all staff members are accurately following the procedures. They will observe staff accountability during headcount procedures and will give feedback after each drill. 3. Step 3: Child Accountability Audits Start Date: 4/21/25 PD Day Responsible Position: Director Frequency: Quarterly Description: The director and/or Assistant Director will conduct quarterly audits to ensure that all children are accounted for at every stage of evacuation drills. The audit will review the effectiveness of the headcount process and identify any potential gaps. 04/01/2025 http://www.nmececd.org 3 of 5 Kids Campus at SFCC 4000993 Personnel and Staffing Requirements for Centers: (continued)

Corrected Corrected by May 1, 2025

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 20 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. On 8/28/24 director will contact parents to get the needed information. On going- Admin assistant 1 and 2 will both review children files as they come in. Admin assistant will both have to sign off on the files before filing. On going- Director will conduct a quarterly audit on all files. 08/28/2024 http://www.nmececd.org 2 of 6 Kids Campus at SFCC 4000993 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 20 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. Corrective Action Plan On 8/28/24 director will contact parents to get the needed information. On going- Admin assistant 1 and 2 will both review children files as they come in. Admin assistant will both have to sign off on the files before filing. On going- Director will conduct a quarterly audit on all files.

Corrected Corrected by Aug 30, 2024

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

The center failed to have 10 out of 10 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. On 8/28/24 Director will have educators resign abuse statement. On 8/28/24 director will update the abuse statement to reflect all educators on one page. On going- Director will set a yearly Calander reminder to have all educators resign every year.

Corrected Corrected by Aug 30, 2024

Marked corrected in the state record.

8.9.4.24 · D DIAPERING AND TOILETING

A staff member in the 18 mo. - 35 mo. class room(s) did not wear non-porous, single-use gloves when changing a diaper. On 8/28/24 director will address the concerns with the educator. On 8/28/24 director will update and go over the checklist posted and have educator resign the diaper changing policy. (On going) director will conduct monthly observations of educator's diaper changing and will be address any updates for monthly staff meetings.

Corrected Corrected by Aug 30, 2024

Marked corrected in the state record.

8.9.4.21 · C INCIDENT REPORTING REQUIREMENTS

8/23/24 1 yr old child tripped in the classroom, he fell forward hitting his face on a chair or the table. Child sustained minor injuries, and was taken to the hospital for further medical care and examination. The center failed to make a report to the licensing authority within 24 hours after the incident occurred regarding an injury that required medical care beyond on-site first aid. Effective 08/27/2024- Center Director will report all incidents to licensing surveyor. Director has been given Surveyor information, going forward all incidents/ illnesses will be reported to licensing Administrative Requirements for Centers:

Corrected Corrected by Aug 27, 2024

Marked corrected in the state record.

8.9.4.21 · B CAPACITY OF CENTERS

The center failed to post the maximum capacity of the playground on the doors to the playground. Director will post playground capacity on all 3 playgrounds.

Corrected Corrected by Oct 6, 2023

Marked corrected in the state record.

8.9.4.22 · E CHILDREN'S RECORDS

Of the 15 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 get updated shot records from parents and place them in the child's 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 15 children's records reviewed, 5 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 ensure that the missing doctor and phone number will be put into the children's file. 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 15 children's records reviewed, 8 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 make sure to have the parents sign the parent handbook acknowledgement.

Corrected Corrected by Oct 6, 2023

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 29 staff records does/do not include dates of hire and termination. See Staff Records 8.9.4.22 form for staff with this missing information. Director will ensure that all files have the DOH for all employees. 09/06/2023 http://www.nmececd.org 3 of 7 Kids Campus at SFCC 4000993 Personnel (continued) 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 29 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 Director will ensure that all background checks are placed in the employee's files. 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 5 out of 29 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 Director will have staff sign the missing statement. 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 3 out of 29 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 Director will have staff sign that they have read the personnel handbook. 8.9.4.22.F.1.k.:confidentiality form; Finding From the review of staff records, it was determined that 19 out of 29 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 Director will have the staff sign the confidentiality form and place them in the files. 8.9.4.22.F.1.g.:documentation of current first-aid and cardiopulmonary resuscitation training; Finding From the review of staff records, it was determined that 7 out of 29 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. Corrective Action Plan Director will have the staff with expired First Aide/CPR take the class and put the certificate in file when it is 09/06/2023 complete. http://www.nmececd.org 4 of 7 Kids Campus at SFCC 4000993 Administrative Requirements for Centers: (continued)

Corrected Corrected by Oct 6, 2023

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 10 classrooms failed to post the capacity for each activity/interest area. Educator's will post the capacity for each center in the classroom. Services and Care of Children in Centers:

Corrected Corrected by Oct 6, 2023

Marked corrected in the state record.

8.9.4.24 · D DIAPERING AND TOILETING

The diaper changing surface in the 12-18 month old classroom is unclean. Educator's will clean changing surface and will clean surface after diaper changes.

Corrected Corrected by Oct 6, 2023

Marked corrected in the state record.

8.9.4.29 · E LIGHTING, LIGHTING FIXTURES AND ELECTRICAL

Electrical outlets within reach of children in the 12-18 month classroom are not safety outlets and they do not have protective covers. Educator's in classroom will cover all outlets in the room.

Corrected Corrected by Oct 6, 2023

Marked corrected in the state record.