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.

An audit of BFIS quality and credential accounts and staff files showed that twelve (12) staff who have been employed by the program for more than three (3) months, and are working with children, have either not completed pediatric first aid and infant and child CPR certification or have not renewed certification as required.

7.1.2.2 · Not corrected

Safe Use Zones For all play equipment that is thirty (30) inches or higher from the ground, including climbing equipment, slides, swings and other similar equipment, the licensee shall ensure that the surface under and around the equipment, including recommended use zones, is of approved resilient material that protects children if they fall. * Materials in the use zone shall consist of wood chips, pea stone, mulch, engineered wood fibers, sand, safety-tested shredded or rubber like material or rubber mats designed for protective cushioning; * Materials used in the use zone shall follow the recommendations listed in the most recent publication of U.S. Consumer Product Safety Commission's Public Playground Safety Handbook regarding critical depth of tested materials determined by the height of the highest climbing surface of the equipment; * Materials used in the use zone shall be installed and maintained according to the manufacturer's instructions; * If the loose material such as sand, mulch, or shredded rubber is used in use zones, the licensee shall ensure that the material is raked regularly and replenished to maintain depth and resilience; and * If the resilient material in use zones freezes, staff shall ensure that children will not play on the equipment until the resilient material has thawed and is once again resilient.

On the Infant/Toddler playground, there was a large tire standing up, partially sunk in the ground that was over 30 inches high, with no cushioning material. On the Two-Year-Old playground, the ground was visible around the climbing structure, indicating insufficient depth of cushioning material. On the Preschool/Pre-K playground, the ground was visible around the climber and swings, indicating insufficient depth of cushioning material. Children were using the climbing structures/swings.

5.10.3.3 · Not corrected

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.

A review of BFIS Quality and Credentialing accounts and documentation provided by the program shows that four (4) staff who are in positions to be left alone with children did not complete an orientation training approved by the Division as required.

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.

After a review of staff BFIS Quality and Credential Accounts prior to the visit and documentation received from the program, two staff had not obtain first aid and CPR trainings within the first three months of employment and three staff had renewed first aid and CPR after their certificates had expired.

7.1.2.2 · Not corrected

When there is a personnel change designating a new/different business manager, the licensee shall notify the Division prior to the change. The Division shall determine whether the new/different business manager meets qualifications as required in the rule 7.6.1 of these regulations, approve a time limited variance, or approve the program director as required in the rules in section 7.3.1 of these regulations.

A review of staff BFIS Quality and Credential Accounts prior to the visit and review of documentation received from the program, there was no documentation to verify qualifications for the business manager.

7.6.2 · Not corrected

The program director shall ensure that all volunteers are not counted in the staff/child ratios and are never left alone with any child or children in the CBCCPP; with the exception of a parent may be left alone with his/her own child(ren).

Three individuals under 18 years of age were identified by the program as "volunteers". These individuals also reported that they were volunteers. Program records and staff statements support that these individuals were counted in Staff Child ratio which is prohibited by rule. It was later determined that these indivdiduals were not volunteering their time and were working directly with children. None of these individuals met minimum qualifications of any position.

7.7.2 · Not corrected

The licensee shall ensure that any new individuals regularly present at the CBCCPP submit a Records Check Authorization form to the Division prior to working with children in the CBCCPP.

It was identified that the program has had at least nine different individuals working with children that had not submitted a Record Check Authorization Form to the Division, during a period of time from May 2019 through July 2019. Staff statements and program records support this information.

7.2.1 · Not corrected

Partner staff shall not be left alone with children and shall not count in staff/child ratios at the CBCCPP.

On 4/2/2019, an individual identified as a Partner Staff and working for another agency, was left alone with nine children who were all reported to be two years of age. After five minutes, the Licensor requested that a staff member join the Partner Staff to provide minimal supervision.

6.2.1.7 · Not corrected