See Below for Detailed Information Observation: Two staff files did not contain documentation of completing orientation prior to being in the classroom with children. 1240-04-01-.06 Staff Corrective Action: POCA emailed to agency. Plan will be recorded in TLCS once POCA is received. Received by email documentation of orientation and POCA. Observation: Documentation of education or a physical completed within 10 calendar days of employment was not on file for one staff member as required. 1240-04-01-.08 Record Keeping Corrective Action: The POCA was emailed to the agency. Once the POCA is submitted, the plan will be entered in TLCS. Received by email copy of HS diploma and medical. POCA was received 4-12-22. . Observation: Toilets were not working and the boys used a bucket and the girls used the toilet without flushing. 1240-04-01-.06 Physical Facilities Corrective Action: The issue has been corrected. A plumber worked on the toilets/sewage system 4-4-22. LC Cogdell observed the invoice. The plan is the agency will close if the plumbing is not working properly again. *NOTE: The invoice is dated 4-4-22-system will not allow corrected date to be before the visit date.

Disposition: Yes

See Below for Detailed Information Observation: New staff had no record on file. 1240-040-01. .Record keeping Corrective action: New director will ensure that files are complete at time of employment

Disposition: Yes

See Below for Detailed Information Observation: During an unannounced visit to follow up on a complaint, Field Supervisor (FS) Jenann Lay reviewed the sign in sheets for the School Age class for June, July and the first week of August 2021. This classroom has a maximum capacity of 18. As a result of educator interviews as well as the review of sign in sheets it was confirmed that the It confirmed that the classroom was over capacity on at least 5 days during the summer, on June 24 with 19 children, July 16 with 19 children, July 22 with 20 children, July 28 with 21 children and July 30 with 20 children. On July 28 the class was over ratio with 21 children. On July 16 some children from the Pre K were moved to the SA class instead of being kept in their assigned class group which created an improper age grouping of 4 – SA. 1240-04-01-.22 SPECIFIC REQUIREMENTS FOR CHILD CARE CENTERS. Corrective Action: School age class will be maintained at proper group size and ratio. Classes will be combined AM /P and as appropriate by the rules

Disposition: Yes

See Below for Detailed Information Observation: On 8/9/2021 on two occasions there was inappropriate yelling and language used in front of the children. 1240-04.01.06 STAFF Corrective Action: Some of these staff are no longer with the agency. Staff will receive training on preforming duties appropriately. Observation: On 8-11-2021 during nap there were 2 children in the toddler class and 4 in the PK class that didn’t have sheets on their mats . 1240-04-01.014 EQUIPMENT Corrective action: Agency will get additional sheets and blankets for emergency back up Observation: On 8-11-2021 the fire drill log was found. Staff confirmed that no drills had been conducted since March 2021. The log recorded a drill in March and April. Staff stated they were present at the times those drills were allegedly conducted and they did not occur. 1240-04-03.18 EMERGENCY PREPAREDNESS PLAN. 1240-04-01. 05 OWNERSHIP, ORGANIZATION, AND ADMINISTRATION (10) (a) 1. (i) (X) Corrective Action: Agency will begin conducting monthly fire drills and will document them appropriately without any falsified drills reported.

Disposition: Yes

See Below for Detailed Information Observation:The agency was not able to find the emergency drill log for 2021 that shows proof of the drills that are required. The director stated fire drills had been completed monthly since she began in March 2021 by ringing a bell instead of using the alarm system. FS Lay asked two employees about past drills. They stated that they had not participated in a drill in the past two months since they had started employment at the agency. Emergency Preparedness 1240-4-01.18 Corrective Action: agency will begin conducting monthly drills using the alarm system Observation: The tables in the school age area were not sanitized before snack time. Food and Food Service: 1240-04-01.13 Corrective Action: Agency will begin cleaning and sanitizing tables immediately before snack so that they are not being recontaminated when children come in from outside. Observation: The mealtime plan was not followed in the school age room. The educator was not supervising the children during snack time. During snack time she was passing out juice and crackers. The classroom is very loud and tables are spread throughout the room. The educator was not looking around the room supervising. This continued during the entire snack time. The 2 ½ to 3-year-old class and 3 to 5 year old classes did not have complete mealtime supervision plans posted. They each had picture for the mealtime supervision plan but the written plan was not posted. Supervision 1240-04-01.11 Corrective Action: mealtime plans will be posted in all rooms and supervision will be properly followed.

Disposition: Yes

See Below for Detailed Information Observation: School age were inappropriately disciplined when they were placed in time out facing the corner inside or facing the brick wall outside for extended periods of time. The longer they talk the longer they stand. One child stated that the children stand for up to 20 minutes if they continue to talk. Program/Language/Literacy 1240-04-01.15 Corrective Action: Agency is no longer using time out Observation: The school age room needs a variety of age appropriate activites and equipment. 1240-04-01.14 Equipment for children Corrective Action: Agency received new equipment/ games supplies on 8/11/2021 during the visit. Observation: One new employee did not have an orientation checklist. 1240-04-01.05 Staff Corrective Action: Agency will update the staff files and will begin getting all information at time of employment. Observation: School age children were using personal electronic devices from home. One child was observed on the his device for over an hour. 1240-04-01.15 Program/Language/Literacy Corrective Action: SA children are back in school and no longer bring electronic devices.

Disposition: Yes

See Below for Detailed Information Observation: During it was a complaint investigation,it was confirmed that a child was released from the ageny without the staff checking the photo ID of the person the child was realease to at the end of the day. SUPERVISION 1240-04-01.11 Corrective Action: If the child care staff does not recognize the adult who is picking up the child, they will ID them.

Disposition: Yes

See Below for Detailed Information Observation : The director did not follow up with a staff member who was asked to change a child who had an accident. 1240-04-01.06 STAFF Corrective Action: The management staff will directly oversea the actions of the educators to make sure they are operating in the best interest of the children. Observation: A child sat for over 30 minutes waiting to be changed. He did not have an activity and was not included in the group activity. 1240-04-01.15 PROGRAM, LANGUAGE AND LITERACY DEVELOPMENT Corrective Action: Children will not be isolated from the group. Observation: A child had an accident and was not changed in a timely manner. 1240-04-01.12 HEALTH AND SAFETY Corrective Action: All children will be changed in a timely manner. Observation: The ratio in the four to five year old classroom was reduced at naptime to one caregiver with fifteen children. Many children in the classroom were awake and running around the room. The ratio should have returned to normal when children were awake. The second educator was not on site and available to assist as necessary as required. SPECIFIC REQUIREMENTS FOR CHILD CARE CENTERS 1240-04-01-.22 Corrective Action: The adult child ratio will be maintained at all times.

Disposition: Yes