3.4.6.1 · The licensee shall maintain a record of the date of each evacuation drill as required in the rules in section 3.7.2 of these regulations that includes the number of children and staff evacuated, time taken to evacuate, and notation of the drill conducted while children were sleeping or resting. Evacuation records shall be kept for two (2) years. When the CBCCPP counts lock-down drills as allowed in the rules in section 3.7.2 of these regulations, the licensee shall maintain a record of the date of each lock-down drill, the number of CBCCPP children and staff who participated, and note that the drill performed was a lock-down drill.

The records for the June, July, and August evacuation drills are missing the number of children and staff present, time taken to evacuate, and notation of whether children were awake or sleeping.

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7.1.2.2 · Staff who are counted in the staff/child ratios and auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations shall obtain training in pediatric first aid and in infant and child CPR within three (3) months of beginning work in the CBCCPP and remain currently certified.

Staff person A has been employed more than 3 months and had not completed nor been enrolled to start a CPR/1st Aid training as of the date of this visit. Staff Person A has been counted in staff to child ratio and left alone with a group of children in the 3 + months employment.

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5.10.2.3.3 · All food shall be stored in containers that are dated. Food items used by or intended for specific children shall be plainly labeled.

In the infant room refrigerator, eight (8) plastic containers of food were confirmed to be leftovers that had been served to children. The containers were not labeled or dated.

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7.1.3 · The licensee, in consultation with the program director, shall establish written program policies and procedures and provide these to staff and to auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations during an orientation training session approved by the Division prior to being left alone with children. Trainees under eighteen (18) years of age and other staff not left alone with children shall complete the orientation training within at least one (1) month of their first date of working with children. Complete written information and the orientation training session shall include: Basic knowledge of child growth and development; Routine and emergency health protection of children including health related exclusions; Safety and sanitation requirements including handling and storage of hazardous materials and disposal of bio contaminants; Positive behavior management; Supervision of children; Child accident and injury procedures including building and physical premises safety; Safe sleep practices; Administration of medication requirements; Emergency and evacuation requirements; Nutrition and food safety including prevention of and response to emergencies due to food and allergic reactions; Recordkeeping; Transportation and child passenger safety; Release of children; Respectful engagement of families; Preventing, recognizing, and reporting child abuse and neglect; including information about the signs and symptoms of sexual abuse, sexual violence, grooming processes, recognizing the dangers of child sexual abuse, and other predatory behaviors of sex offenders; Recognition of and response to the symptoms of common childhood illnesses; Preventing the spread of infectious disease; Providing developmentally appropriate activities and experiences for children; Inclusion of children with special needs; Guidelines for volunteers, partner staff, auxiliary staff, and business managers; Responsibility to comply with current applicable licensing regulations; Staffing requirements to include opening and closing; and Ensuring children have extra clothes and diapers available.

Staff person A who is counted in staff to child ratio during this visit and per staff statements and staff summer schedules has worked alone with a group of children was confirmed to have not completed orientation training.

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6.2.8.4.1 · The program director shall consult with the child's parent(s) and professionals, as appropriate, to develop and implement a plan to address concerns, with the goal of continuing the child's enrollment.

A child was expelled from care without a plan created with the child's parents or any outside professionals about what might be needed for the child's continued care in the program. By all staff statements, the behaviors resulting in expulsion were two incidents that occurred over a two week period of time.

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6.2.8.4.3 · When a child is expelled from the program, a full copy of the child's file must be provided to the child's parent(s) on or before the child's last day in the program. The CBCCPP shall retain documentation that the file was provided to the parent.

A child was expelled from care and the child's parents did not receive a copy of the child's file.

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6.2.7.7 · The program director shall consult with parents and professionals to design an effective behavior management plan and adapt behavior management practices for a child who exhibits a pattern of challenging behaviors.

It was acknowledged that the program director did not consult with nor suggest that additional professionals consult about a behavioral plans for a child exhibiting challenging behaviors and that the only interventions tailored to the child's needs had been suggested by the child's parent.

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6.2.8.4.2 · In the event that the concerns cannot be resolved, written notice to the child's parent(s) is required with at least five (5) days' notice prior to expulsion.

A parent arrived at the program one morning to bring his/her child into care for the day and was told the child was no longer attending the program. The parent stated that s/he was not aware before that morning that the child had been expelled. Statements made by program personnel indicate that the program believed the family had been told the child was expelled on the afternoon pick up of the day before.

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6.2.1.6 · Classroom aides shall not be counted in staff/child ratios when they are performing the job responsibilities of a classroom aide. A classroom aide may be left alone with the child or children to whom he/she is assigned.

Staff statements and a review of staff scheduling confirm that a person assigned as a one on one aide for a child in the preschool II classroom has been counted in staff to child ratio for coverage of the daily one hour breaks for the lead teacher and assistant teacher and for the lead teacher's weekly two hour planning session for the weeks of March 20th and March 27th. On March 30, the aide and the assistant for the classroom were on the playground with 13 children. A child received a serious injury within the first 20 minutes of outside play and transitioned inside to be with the lead teacher who was having a planning session within the kitchen/office space. The classroom assistant and one on one aide remained outside with 12 children. This is a violation of staff to child ratios requirements.

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