Summary of Complaint Investigation and Safety Plan Serving Visit Today's visit included monitoring the agency's compliance with Licensing Rules and Regulations and serving a safety plan that excluded an educator. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans.

View state record

Summary of Unannounced Monitoring Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations and Serve Notice of Probation. Technical Assistance Provided: Probation was hand delivered and served to the agency. A copy of the Probation was given to the Director and new Lead Pastor. Parent Notification letter and Parent Signature sheet were also given to the Director. LC instructed the Director that the Probation Notice Orange sign and the notice of probation must be posted immediately in an area easily visible to the parents. Both were posted on the bulletin board near the entrance doors of the childcare agency. These notices must be posted immediately due to the wording in the law that says parents should be notified when a legal order is issued. LC stated that instructions are in the Probation notice and for the agency to follow the steps given in the document if the agency wishes to appeal. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans. No violations were cited.

View state record

Unannounced Complaint Investigation - The visit conducted today included monitoring the agency's compliance with Licensing Rules and Regulations. LC monitored the following areas – Supervision, High Risk and Incident Reporting, and Record Keeping. Monitoring / Observations: LC conducted interviews with Director and agency staff. LC obtained a copy of the termination letter for one staff member, the disciplinary forms, and the child's incident report. LC determined that this complaint was valid and a violation was cited - see below and safety plans were served on two educators. Technical Assistance: LC discussed playground supervision and roll call with each educator in the classrooms. LC discussed the licensing rules of the minimum four times per playground visit that roll call must be completed and LC suggested that the agency add more roll calls to be completed at each doorway or transition area since this lapse occurred in one of those areas. LC discussed that epi-pens must be stored inaccessible to the children at all times. The epi-pen was moved to a higher location in the classroom. The following VIOLATIONS were cited: Violation #1 - 1240-04-01-.11 SUPERVISION. (2) Supervision Procedures. (a) To ensure the health and safety of all children enrolled, the management of the child care agency shall maintain a system that enables all children to receive a level of supervision that is appropriate to their age and their developmental, physical and mental status. The child care agency staff shall be within sight and sound of the children in their care at all times, be aware of their activities and be able to intervene appropriately. (c) If any child is left unattended at any time, the child care agency is subject to legal enforcement action. A child left unattended includes, but is not limited to a child: 1. Walking out of a child care agency without the knowledge of staff; 2. Being left in a classroom or any other area of the facility; 3. Being left on the playground; 4. Being left at a field trip location; or 5. Being left on a vehicle. Observations: On August 7, 2023 Agency Director self-reported that a 20-month-old child was left unattended in the hallway for about 45 seconds as the children transitioned from the playground back to the classroom. LC served two educators' supervision safety plans. LC discussed the supervision log with the Director and the requirements of the safety plans.

View state record

Rule Sections Monitored: High-Risk Areas Visit: Order of Civil Penalty Served I, Jennifer L. Phillips, declare that I served an Order for Civil Penalties regarding Boone Trail Early Learning Center, by personal service to the Director, an authorized representative of Boone Trail Early Learning Center on April 24, 2023, at 10:20 AM. Unless appealed in writing to the Commissioner of the Department of Human Services, this Civil Penalty shall become final ten (10) calendar days after the date the order of assessment is served. Technical Assistance: LC discussed the Kindergarten law form and emailed the form to Director. LC also discussed with Director about changing the ratio grouping to 5-12-year-olds when all children are five years old or older by the end of May and there is currently a six-year-old child in the classroom. Violations: None

View state record

Unannounced Complaint Investigation - The visit conducted today included monitoring the agency's compliance with Licensing Rules and Regulations. LC monitored the following areas – Supervision, High Risk and Incident Reporting, and Record Keeping. Monitoring / Observations: LC conducted interviews with Assistant Director and agency staff. LC reviewed agency staff files. LC reviewed the children's files. LC determined that this complaint was valid and violations were cited - see below and safety plans were served to the agency and seven educators. Technical Assistance: Groups of toddlers were discussed and LC will wait for the Regional Manager's response on citing that violation and this could occur during the next visit. However, LC did discuss that toddler groups can not be combined at any time. LC discussed that the agency must notify Department when the agency or classrooms are going to be closed. Three and Four-year-old classrooms are closed on March 23 and March 24 due to sickness. LC discussed that the agency must notify the department when serious incidents occur at the agency and complete incident reports to notify the parents. The following VIOLATIONS were cited: 1240-04-01-.06 STAFF. (1) Responsibility for Staff. (a) Owners, directors, and primary educators shall be responsible for: 1. Selecting qualified and capable staff; 2. The supervision, training, and evaluation and performance management of the staff; 3. The efficient operation of the child care agency's program; and 4. Providing written policy to staff that includes job functions, qualifications, lines of authority, staff performance evaluations, and disciplinary process. Observations: Management Staff did not notify the department of the lapses in supervision at the agency. Management did not ensure a stable system of supervision or provide parent notification of serious incidents involving their children. 1240-04-01-.08 RECORD KEEPING. (1) General Record Requirements. (a) All records required by this chapter shall be maintained in an organized manner onsite, in a centralized location, or available electronically, and made readily available upon Department request. Observations: Agency staff disciplinary actions were not on-site at the agency. The Director had the disciplinary action records at her home. Staff disciplinary actions were not available for the Department to review in the staff files. 1240-04-01-.11 SUPERVISION. (2) Supervision Procedures. (a) To ensure the health and safety of all children enrolled, the management of the child care agency shall maintain a system that enables all children to receive a level of supervision that is appropriate to their age and their developmental, physical and mental status. The child care agency staff shall be within sight and sound of the children in their care at all times, be aware of their activities, and be able to intervene appropriately. (c) If any child is left unattended at any time, the child care agency is subject to legal enforcement action. A child left unattended includes, but is not limited to a child: 1. Walking out of a child care agency without the knowledge of staff; 2. Being left in a classroom or any other area of the facility; 3. Being left on the playground; 4. Being left at a field trip location; or 5. Being left on a vehicle. Observations: On February 24, 2023, a child was able to climb over a baby gate into the hallway without the knowledge of any staff member. 1240-04-01-.11 SUPERVISION. (2) Supervision Procedures. (a) To ensure the health and safety of all children enrolled, the management of the child care agency shall maintain a system that enables all children to receive a level of supervision that is appropriate to their age and their developmental, physical and mental status. The child care agency staff shall be within sight and sound of the children in their care at all times, be aware of their activities, and be able to intervene appropriately. (c) If any child is left unattended at any time, the child care agency is subject to legal enforcement action. A child left unattended includes, but is not limited to a child: 1. Walking out of a child care agency without the knowledge of staff; 2. Being left in a classroom or any other area of the facility; 3. Being left on the playground; 4. Being left at a field trip location; or 5. Being left on a vehicle. Observations: On February 15, 2023, a child was able to walk through the bathroom door to an unoccupied adjoining classroom and walk out of that unoccupied classroom into the hallway of the agency, then the child was found unsupervised by a parent of another child at the agency. 1240-04-01-.11 SUPERVISION. (2) Supervision Procedures. (a) To ensure the health and safety of all children enrolled, the management of the child care agency shall maintain a system that enables all children to receive a level of supervision that is appropriate to their age and their developmental, physical and mental status. The child care agency staff shall be within sight and sound of the children in their care at all times, be aware of their activities, and be able to intervene appropriately. (c) If any child is left unattended at any time, the child care agency is subject to legal enforcement action. A child left unattended includes, but is not limited to a child: 1. Walking out of a child care agency without the knowledge of staff; 2. Being left in a classroom or any other area of the facility; 3. Being left on the playground; 4. Being left at a field trip location; or 5. Being left on a vehicle. Observations: On March 8, 2023 Two children were able to leave the gym area without supervision. The children were found by another Educator between two sets of double doors near an outside exit area that led directly to the parking lot of the agency. 1240-04-01-.09 INCIDENT REPORTING. (1) Reports of Incidents, Illnesses, Accidents, Injuries, and Fatalities. (a) Incidents, accidents, injuries, and signs of illness shall be reported to the parent/guardian no later than the child's release to the parent/guardian or authorized representative on the date of occurrence. (d) Incidents, accidents, injuries, and signs of serious illness to children shall be documented immediately with the following information: 1. Child's name and date of birth; 2. Name of the person writing the report; 3. Date and time; 4. Date and time of completion of incident report; 5. Description of incident and circumstances; and 6. Action(s) taken by the child care agency. (e) The documentation shall be provided to the parent/guardian the same day of the incident, and filed in the child's record. (f) The child care agency shall notify the Department of all serious incidents the same day of the incident, by emailing or calling the Complaint Hotline or making the submission through the provider portal. Serious incidents include but are not limited to the following: 1. Any injury that requires medical treatment beyond on-site first aid; 2. Reports made to the Department of Children's Services, law enforcement, or anytime it is necessary to call 911; 3. Any incident that may result in staff exclusion from child care as a result of an excludable offense (see background check requirements); 4. Transportation accidents and moving violations that occur when children are in the vehicle; and 5. Any child or adult fatality at the child care agency. Observations: The first supervision lapse that occurred on February 15, 2023 was not reported to the Department and the agency does not have any documentation that the parents were notified of the incident. 1240-04-01-.09 INCIDENT REPORTING. System Generated: Child Care Agency Monitoring and Evaluation Check Sheet RDA 2341 Revised 3/1/22 Page 14 (1) Reports of Incidents, Illnesses, Accidents, Injuries, and Fatalities. (a) Incidents, accidents, injuries, and signs of illness shall be reported to the parent/guardian no later than the child's release to the parent/guardian or authorized representative on the date of occurrence. (d) Incidents, accidents, injuries, and signs of serious illness to children shall be documented immediately with the following information: 1. Child's name and date of birth; 2. Name of the person writing the report; 3. Date and time; 4. Date and time of completion of incident report; 5. Description of incident and circumstances; and 6. Action(s) taken by the child care agency. (e) The documentation shall be provided to the parent/guardian the same day of the incident, and filed in the child's record. (f) The child care agency shall notify the Department of all serious incidents the same day of the incident, by emailing or calling the Complaint Hotline or making the submission through the provider portal. Serious incidents include but are not limited to the following: 1. Any injury that requires medical treatment beyond on-site first aid; 2. Reports made to the Department of Children's Services, law enforcement, or anytime it is necessary to call 911; 3. Any incident that may result in staff exclusion from child care as a result of an excludable offense (see background check requirements); 4. Transportation accidents and moving violations that occur when children are in the vehicle; and 5. Any child or adult fatality at the child care agency. Observations: The second supervision lapse that occurred on February 24, 2023 was not reported to the Department and the agency does not have any documentation that the parents were notified of the incident. 1240-04-01-.09 INCIDENT REPORTING. (1) Reports of Incidents, Illnesses, Accidents, Injuries, and Fatalities. (a) Incidents, accidents, injuries, and signs of illness shall be reported to the parent/guardian no later than the child's release to the parent/guardian or authorized representative on the date of occurrence. (d) Incidents, accidents, injuries, and signs of serious illness to children shall be documented immediately with the following information: 1. Child's name and date of birth; 2. Name of the person writing the report; 3. Date and time; 4. Date and time of completion of incident report; 5. Description of incident and circumstances; and 6. Action(s) taken by the child care agency. (e) The documentation shall be provided to the parent/guardian the same day of the incident, and filed in the child's record. (f) The child care agency shall notify the Department of all serious incidents the same day of the incident, by emailing or calling the Complaint Hotline or making the submission through the provider portal. Serious incidents include but are not limited to the following: 1. Any injury that requires medical treatment beyond on-site first aid; 2. Reports made to the Department of Children's Services, law enforcement, or anytime it is necessary to call 911; 3. Any incident that may result in staff exclusion from child care as a result of an excludable offense (see background check requirements); 4. Transportation accidents and moving violations that occur when children are in the vehicle; and 5. Any child or adult fatality at the child care agency. Observations: The third supervision lapse that occurred on March 8, 2023, was not reported to the Department and the agency does not have any documentation that the parents were notified of the incident. 1240-04-01-.05 OWNERSHIP, ORGANIZATION, AND ADMINISTRATION. (15) Falsification of any information or documentation is prohibited. Observations: On March 23, 2023, in the process of beginning the investigation of this complaint, LC Phillips questioned the Assistant Director, who was in charge during the absence of the Director, if the agency has had any supervision lapses. Assistant Director stated no and informed LC Phillips that she was calling Director. Once Director was on the phone LC was informed by Director that the agency had not received any complaints from parents, teachers, or anyone. Both the Assistant Director and Director informed LC Phillips that neither was aware of any lapses in supervision. Disciplinary reports that were provided to LC Phillips reflected that both the Director and the Assistant Director had knowledge of the supervision lapses as indicated by their signatures on all of the disciplinary action forms. LC served seven educators' supervision safety plans. LC also served the agency with an agency training safety plan. LC discussed the supervision log with the Assistant Director and the requirements of the safety plans. Assistant Director will obtain the signatures on the safety plans of all other staff members upon their return to the agency. LC will email all safety plans and check sheet to the agency. Revisions were made to the check sheet and revisions were discussed with Director during the visit on 03/27/2023. Another violation was added to the check sheet and Regional Manager discussed this violation with the Director via telephone call and email on 03/31/2023. The check sheet was emailed to obtain signatures for the second revision.

See Below for Detailed Information

View state record

See Below for Detailed Information

View state record

See Below for Detailed Information

View state record

Unannounced Complaint Investigation - The visit conducted today included monitoring the agency's compliance with Licensing Rules and Regulations. LC monitored the following areas – Supervision, High Risk and Incident Reporting, and Record Keeping. Monitoring / Observations: LC conducted interviews with Assistant Director and agency staff. LC reviewed agency staff files. LC reviewed the children's files. LC determined that this complaint was valid and violations were cited - see below and safety plans were served to the agency and seven educators. Technical Assistance: Groups of toddlers were discussed and LC will wait for the Regional Manager's response on citing that violation and this could occur during the next visit. However, LC did discuss that toddler groups can not be combined at any time. LC discussed that the agency must notify Department when the agency or classrooms are going to be closed. Three and Four-year-old classrooms are closed on March 23 and March 24 due to sickness. LC discussed that the agency must notify the department when serious incidents occur at the agency and complete incident reports to notify the parents. The following VIOLATIONS were cited: 1240-04-01-.06 STAFF. (1) Responsibility for Staff. (a) Owners, directors, and primary educators shall be responsible for: 1. Selecting qualified and capable staff; 2. The supervision, training, and evaluation and performance management of the staff; 3. The efficient operation of the child care agency's program; and 4. Providing written policy to staff that includes job functions, qualifications, lines of authority, staff performance evaluations, and disciplinary process. Observations: Management Staff did not notify the department of the lapses in supervision at the agency. Management did not ensure a stable system of supervision or provide parent notification of serious incidents involving their children. 1240-04-01-.08 RECORD KEEPING. (1) General Record Requirements. (a) All records required by this chapter shall be maintained in an organized manner onsite, in a centralized location, or available electronically, and made readily available upon Department request. Observations: Agency staff disciplinary actions were not on-site at the agency. The Director had the disciplinary action records at her home. Staff disciplinary actions were not available for the Department to review in the staff files. 1240-04-01-.11 SUPERVISION. (2) Supervision Procedures. (a) To ensure the health and safety of all children enrolled, the management of the child care agency shall maintain a system that enables all children to receive a level of supervision that is appropriate to their age and their developmental, physical and mental status. The child care agency staff shall be within sight and sound of the children in their care at all times, be aware of their activities, and be able to intervene appropriately. (c) If any child is left unattended at any time, the child care agency is subject to legal enforcement action. A child left unattended includes, but is not limited to a child: 1. Walking out of a child care agency without the knowledge of staff; 2. Being left in a classroom or any other area of the facility; 3. Being left on the playground; 4. Being left at a field trip location; or 5. Being left on a vehicle. Observations: On February 24, 2023, a child was able to climb over a baby gate into the hallway without the knowledge of any staff member. 1240-04-01-.11 SUPERVISION. (2) Supervision Procedures. (a) To ensure the health and safety of all children enrolled, the management of the child care agency shall maintain a system that enables all children to receive a level of supervision that is appropriate to their age and their developmental, physical and mental status. The child care agency staff shall be within sight and sound of the children in their care at all times, be aware of their activities, and be able to intervene appropriately. (c) If any child is left unattended at any time, the child care agency is subject to legal enforcement action. A child left unattended includes, but is not limited to a child: 1. Walking out of a child care agency without the knowledge of staff; 2. Being left in a classroom or any other area of the facility; 3. Being left on the playground; 4. Being left at a field trip location; or 5. Being left on a vehicle. Observations: On February 15, 2023, a child was able to walk through the bathroom door to an unoccupied adjoining classroom and walk out of that unoccupied classroom into the hallway of the agency, then the child was found unsupervised by a parent of another child at the agency. 1240-04-01-.11 SUPERVISION. (2) Supervision Procedures. (a) To ensure the health and safety of all children enrolled, the management of the child care agency shall maintain a system that enables all children to receive a level of supervision that is appropriate to their age and their developmental, physical and mental status. The child care agency staff shall be within sight and sound of the children in their care at all times, be aware of their activities, and be able to intervene appropriately. (c) If any child is left unattended at any time, the child care agency is subject to legal enforcement action. A child left unattended includes, but is not limited to a child: 1. Walking out of a child care agency without the knowledge of staff; 2. Being left in a classroom or any other area of the facility; 3. Being left on the playground; 4. Being left at a field trip location; or 5. Being left on a vehicle. Observations: On March 8, 2023 Two children were able to leave the gym area without supervision. The children were found by another Educator between two sets of double doors near an outside exit area that led directly to the parking lot of the agency. 1240-04-01-.09 INCIDENT REPORTING. (1) Reports of Incidents, Illnesses, Accidents, Injuries, and Fatalities. (a) Incidents, accidents, injuries, and signs of illness shall be reported to the parent/guardian no later than the child's release to the parent/guardian or authorized representative on the date of occurrence. (d) Incidents, accidents, injuries, and signs of serious illness to children shall be documented immediately with the following information: 1. Child's name and date of birth; 2. Name of the person writing the report; 3. Date and time; 4. Date and time of completion of incident report; 5. Description of incident and circumstances; and 6. Action(s) taken by the child care agency. (e) The documentation shall be provided to the parent/guardian the same day of the incident, and filed in the child's record. (f) The child care agency shall notify the Department of all serious incidents the same day of the incident, by emailing or calling the Complaint Hotline or making the submission through the provider portal. Serious incidents include but are not limited to the following: 1. Any injury that requires medical treatment beyond on-site first aid; 2. Reports made to the Department of Children's Services, law enforcement, or anytime it is necessary to call 911; 3. Any incident that may result in staff exclusion from child care as a result of an excludable offense (see background check requirements); 4. Transportation accidents and moving violations that occur when children are in the vehicle; and 5. Any child or adult fatality at the child care agency. Observations: The first supervision lapse that occurred on February 15, 2023 was not reported to the Department and the agency does not have any documentation that the parents were notified of the incident. 1240-04-01-.09 INCIDENT REPORTING. System Generated: Child Care Agency Monitoring and Evaluation Check Sheet RDA 2341 Revised 3/1/22 Page 14 (1) Reports of Incidents, Illnesses, Accidents, Injuries, and Fatalities. (a) Incidents, accidents, injuries, and signs of illness shall be reported to the parent/guardian no later than the child's release to the parent/guardian or authorized representative on the date of occurrence. (d) Incidents, accidents, injuries, and signs of serious illness to children shall be documented immediately with the following information: 1. Child's name and date of birth; 2. Name of the person writing the report; 3. Date and time; 4. Date and time of completion of incident report; 5. Description of incident and circumstances; and 6. Action(s) taken by the child care agency. (e) The documentation shall be provided to the parent/guardian the same day of the incident, and filed in the child's record. (f) The child care agency shall notify the Department of all serious incidents the same day of the incident, by emailing or calling the Complaint Hotline or making the submission through the provider portal. Serious incidents include but are not limited to the following: 1. Any injury that requires medical treatment beyond on-site first aid; 2. Reports made to the Department of Children's Services, law enforcement, or anytime it is necessary to call 911; 3. Any incident that may result in staff exclusion from child care as a result of an excludable offense (see background check requirements); 4. Transportation accidents and moving violations that occur when children are in the vehicle; and 5. Any child or adult fatality at the child care agency. Observations: The second supervision lapse that occurred on February 24, 2023 was not reported to the Department and the agency does not have any documentation that the parents were notified of the incident. 1240-04-01-.09 INCIDENT REPORTING. (1) Reports of Incidents, Illnesses, Accidents, Injuries, and Fatalities. (a) Incidents, accidents, injuries, and signs of illness shall be reported to the parent/guardian no later than the child's release to the parent/guardian or authorized representative on the date of occurrence. (d) Incidents, accidents, injuries, and signs of serious illness to children shall be documented immediately with the following information: 1. Child's name and date of birth; 2. Name of the person writing the report; 3. Date and time; 4. Date and time of completion of incident report; 5. Description of incident and circumstances; and 6. Action(s) taken by the child care agency. (e) The documentation shall be provided to the parent/guardian the same day of the incident, and filed in the child's record. (f) The child care agency shall notify the Department of all serious incidents the same day of the incident, by emailing or calling the Complaint Hotline or making the submission through the provider portal. Serious incidents include but are not limited to the following: 1. Any injury that requires medical treatment beyond on-site first aid; 2. Reports made to the Department of Children's Services, law enforcement, or anytime it is necessary to call 911; 3. Any incident that may result in staff exclusion from child care as a result of an excludable offense (see background check requirements); 4. Transportation accidents and moving violations that occur when children are in the vehicle; and 5. Any child or adult fatality at the child care agency. Observations: The third supervision lapse that occurred on March 8, 2023, was not reported to the Department and the agency does not have any documentation that the parents were notified of the incident. 1240-04-01-.05 OWNERSHIP, ORGANIZATION, AND ADMINISTRATION. (15) Falsification of any information or documentation is prohibited. Observations: On March 23, 2023, in the process of beginning the investigation of this complaint, LC Phillips questioned the Assistant Director, who was in charge during the absence of the Director, if the agency has had any supervision lapses. Assistant Director stated no and informed LC Phillips that she was calling Director. Once Director was on the phone LC was informed by Director that the agency had not received any complaints from parents, teachers, or anyone. Both the Assistant Director and Director informed LC Phillips that neither was aware of any lapses in supervision. Disciplinary reports that were provided to LC Phillips reflected that both the Director and the Assistant Director had knowledge of the supervision lapses as indicated by their signatures on all of the disciplinary action forms. LC served seven educators' supervision safety plans. LC also served the agency with an agency training safety plan. LC discussed the supervision log with the Assistant Director and the requirements of the safety plans. Assistant Director will obtain the signatures on the safety plans of all other staff members upon their return to the agency. LC will email all safety plans and check sheet to the agency. Revisions were made to the check sheet and revisions were discussed with Director during the visit on 03/27/2023. Another violation was added to the check sheet and Regional Manager discussed this violation with the Director via telephone call and email on 03/31/2023. The check sheet was emailed to obtain signatures for the second revision. 1240-04-01-.11 SUPERVISION. (2) Supervision Procedures. (a) To ensure the health and safety of all children enrolled, the management of the childcare agency shall maintain a system that enables all children to receive a level of supervision that is appropriate to their age and their developmental, physical and mental status. The child care agency staff shall be within sight and sound of the children in their care at all times, be aware of their activities, and be able to intervene appropriately. (c) If any child is left unattended at any time, the child care agency is subject to legal enforcement action. A child left unattended includes, but is not limited to a child: 1. Walking out of a child care agency without the knowledge of staff; 2. Being left in a classroom or any other area of the facility; 3. Being left on the playground; 4. Being left at a field trip location; or 5. Being left on a vehicle. Observations: On February 15, 2023, a child was able to walk through the bathroom door to an unoccupied adjoining classroom and walk out of that unoccupied classroom into the hallway of the agency, then the child was found unsupervised by a parent of another child at the agency. 1240-04-01-.08 RECORD KEEPING. (1) General Record Requirements. (a) All records required by this chapter shall be maintained in an organized manner on site, in a centralized location, or available electronically, and made readily available upon Department request. Observations: Agency staff disciplinary actions were not on-site at the agency. The Director had the disciplinary action records at her home. Staff disciplinary actions were not available for the Department to review in the staff files. 1240-04-01-.11 SUPERVISION. (2) Supervision Procedures. (a) To ensure the health and safety of all children enrolled, the management of the childcare agency shall maintain a system that enables all children to receive a level of supervision that is appropriate to their age and their developmental, physical and mental status. The child care agency staff shall be within sight and sound of the children in their care at all times, be aware of their activities, and be able to intervene appropriately. (c) If any child is left unattended at any time, the child care agency is subject to legal enforcement action. A child left unattended includes, but is not limited to a child: 1. Walking out of a child care agency without the knowledge of staff; 2. Being left in a classroom or any other area of the facility; 3. Being left on the playground; 4. Being left at a field trip location; or 5. Being left on a vehicle. Observations: On February 24, 2023, a child was able to climb over a baby gate into the hallway without the knowledge of any staff member. 1240-04-01-.09 INCIDENT REPORTING. (1) Reports of Incidents, Illnesses, Accidents, Injuries, and Fatalities. (a) Incidents, accidents, injuries, and signs of illness shall be reported to the parent/guardian no later than the child's release to the parent/guardian or authorized representative on the date of occurrence. (d) Incidents, accidents, injuries, and signs of serious illness to children shall be documented immediately with the following information: 1. Child's name and date of birth; 2. Name of the person writing the report; 3. Date and time; 4. Date and time of completion of incident report; 5. Description of incident and circumstances; and 6. Action(s) taken by the child care agency. (e) The documentation shall be provided to the parent/guardian the same day of the incident, and filed in the child's record. (f) The child care agency shall notify the Department of all serious incidents the same day of the incident, by emailing or calling the Complaint Hotline or making the submission through the provider portal. Serious incidents include but are not limited to the following: 1. Any injury that requires medical treatment beyond on-site first aid; 2. Reports made to the Department of Children's Services, law enforcement, or anytime it is necessary to call 911; 3. Any incident that may result in staff exclusion from child care as a result of an excludable offense (see background check requirements); 4. Transportation accidents and moving violations that occur when children are in the vehicle; and 5. Any child or adult fatality at the child care agency. Observations: The second supervision lapse that occurred on February 24, 2023, was not reported to the Department and the agency does not have any documentation that the parents were notified of the incident. 1240-04-01-.09 INCIDENT REPORTING. (1) Reports of Incidents, Illnesses, Accidents, Injuries, and Fatalities. (a) Incidents, accidents, injuries, and signs of illness shall be reported to the parent/guardian no later than the child's release to the parent/guardian or authorized representative on the date of occurrence. (d) Incidents, accidents, injuries, and signs of serious illness to children shall be documented immediately with the following information: 1. Child's name and date of birth; 2. Name of the person writing the report; 3. Date and time; 4. Date and time of completion of incident report; 5. Description of incident and circumstances; and 6. Action(s) taken by the child care agency. (e) The documentation shall be provided to the parent/guardian the same day of the incident, and filed in the child's record. (f) The child care agency shall notify the Department of all serious incidents the same day of the incident, by emailing or calling the Complaint Hotline or making the submission through the provider portal. Serious incidents include but are not limited to the following: 1. Any injury that requires medical treatment beyond on-site first aid; 2. Reports made to the Department of Children's Services, law enforcement, or anytime it is necessary to call 911; 3. Any incident that may result in staff exclusion from child care as a result of an excludable offense (see background check requirements); 4. Transportation accidents and moving violations that occur when children are in the vehicle; and 5. Any child or adult fatality at the child care agency. Observations: The third supervision lapse that occurred on March 8, 2023, was not reported to the Department and the agency does not have any documentation that the parents were notified of the incident.

See Below for Detailed Information Observation: A new staff member did not have a physical on file as required. 1240-04-01-.08 RECORD KEEPING. Corrective Action: Staff member will obtain physical before having access to the children. Agency Director will start using a checklist to ensure that all new staff have completed all required items before having access to the children. Observation: A new staff member did not complete orientation and required trainings prior to having access to children as required. 1240-04-01-.06 STAFF. Corrective Action: Staff member will complete orientation and required trainings before having access to the children. Agency Director will start using a checklist to ensure that all new staff have completed all required items before having access to the children. Observation: Agency self-reported that a two (2) year old child had been left in the gym alone for a period of approximately five (5) minutes when the two educators of the class took the remainder of the group back to the classroom. 1240-04-01-.11 SUPERVISION. Corrective Action: All Educators and agency staff members will participate in and complete appropriate supervision of children training. The training is scheduled for Thursday, April 29, 2021.

Disposition: Yes

See Below for Detailed Information Observation: Agency staff served raw whole baby carrots to toddlers instead of serving them in a manner to prevent choking. Violation corrected on site with the intervention of Assessment staff. 1240-04-01-.13 Food and Food Service Corrective Action Plan: The agency's staff will be retrained on meal service and choking prevention. Educators will check food for choking hazards prior to allowing children access to the food.

Disposition: Yes

See Below for Detailed Information Observation: Child was released to an unauthorized person without permission from the parent and without signing out of the program as required to ensure proper supervision and safety. 1240-04-01-.11 SUPERVISION Corrective Action: The agency will update all emergency contact lists and include an authorized transport list in each classroom to ensure that children are always released to authorized individuals as required for child safety. Observation: Incident occurring on 8/20/18 was not reported to the parent until 8/27/18 instead of the same day as required. 1240-04-01-.09 INCIDENT REPORTING Corrective Action: All agency staff are schedule to receive updated mandatory training on 9/26/18 which will address requirements for incident reporting. Observation: Management allowed the release of a child to an unauthorized individual and also did not ensure compliance in reporting incidents to parents as required. 1240-04-01-.06 STAFF Corrective Action: Management did not ensure agency compliance with regulations as required for child safety.

Disposition: Yes