22.1-289.031-A-3 · When a group of children receiving care includes children from different age groups, the age of the youngest child in the group is used to determine the staff-to-children ratio that applies to that group.

On 10/14/2025, Staff #6 supervised a group of five children ages five months to two years for approximately 25 minutes before an additional staff member arrived. The ratio when infants are present in a grouping of children is 1:4. Staff #6 acknowledged being one child over ratio.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

22.1-289.031-A-4 · Each person in a supervisory position must be certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.

Staff #2's staff health report was received over 1 month after employment. Administration stated that she began supervising children prior to the report being received. Staff #4's staff health report was received 23 days after employment. Administration stated that she began supervising children prior to the report being received.