General Health Examinations: Within forty-five (45) days of enrollment, the licensee shall obtain documentation of the child's age appropriate well care exam from the parent. Documentation shall include information regarding any health conditions and medications that may impact the care of the child.

Out of ten (10) children's files audited, five (5) were missing documentation of the children's age appropriate well check from their health care provider.

5.1.2 · Not corrected

Within six (6) months of the initial date of employment; staff 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, and the program director shall maintain an up-to-date BFIS Quality and Credential Account. Documentation, verification of qualifications, and all annual professional development activities as specified in the rules in sections 7.3 and 7.4 of these regulations shall be submitted to Northern Lights at CCV to be verified and maintained in BFIS.

Five (5) out of seven (7) staff who have been employed for over six (6) months do not have all qualifications and training hours entered into their BFIS quality and credential accounts as required.

3.4.7.3 · Not corrected

The licensee shall ensure that all new staff and auxiliary staff, prior to working with children in the CBCCPP; and any new individual designated as the representative of the licensee shall submit a Records Check Authorization form to the Division and shall submit to fingerprinting at a location designated by the Division after having received the Fingerprinting Authorization Certificate by the Division.

Staff A has been employed since January 2023 and has not followed through with fingerprinting. Staff B was present at the program, working with children and a record check authorization form had not been received by the Division. A violation for this rule was cited on 1/29/2021, and a violation for rule 7.2.1 was cited on 12/22/2023.

7.2.2 · 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.

Record check authorization forms for two (2) partner staff who have been regularly present at the program since September 2023, were not signed and sent to the Division until at least 11/3/2023. Staff A's form had a start date of 9/5/2023 and was signed on 11/3/2023. Staff B's had a start date that was whited out and written over as 11/3/2023 and was signed on 11/3/2023.

7.2.1 · Not corrected

Children shall be physically and visually supervised by staff at all times when on field trips or walking field trips.

On 7/26/2023, Staff X was petting a dog and talking to the person with the dog, while Staff Y was faced toward the children. Then, both Staff X and Staff Y were petting the dog and talking to the person with the dog, and neither were focused on the group of children they were responsible for, many of whom were running around in the grassy area with no barrier to keep them from entering one of the roads. The grassy area where the children were playing is bordered on two sides by neighborhood roadways, and on the front side by Route 127.

5.10.7.6 · 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.

Two (2) staff who have been employed for more than one year have not yet completed an approved orientation training.

The licensee shall ensure that all new staff and auxiliary staff, prior to working with children in the CBCCPP; and any new individual designated as the representative of the licensee shall submit a Records Check Authorization form to the Division and shall submit to fingerprinting at a location designated by the Division after having received the Fingerprinting Authorization Certificate by the Division.

A Fingerprint Authorization Certificate was issued for a staff person on 10/5/2020 and the staff person has not submitted to fingerprinting as required.

7.2.2 · Not corrected

The licensee shall ensure that each child, except school-age children, has an individual crib, port-a-crib, cot, mat, or bed that is safe for the child's age and development, in good repair, and used by only one child each day. No child shall nap directly on the floor or on furniture not designed for sleeping. Cribs or port-a-cribs shall be used for children under twelve (12) months of age. Children shall not nap in cribs or port-a-cribs if they are physically able to climb out unassisted.

18 nap mats currently being used by children in the ocean, jungle and forest classrooms are ripped and the foam padding material on the inside of the nap mats is exposed.

5.4.1.1 · Not corrected

Emergency Preparedness Training: Within 365 days of opening a CBCCPP, the licensee shall attend emergency preparedness training which shall include content specifically related to sheltering in place in the event of an emergency in which the licensee and children present need to remain in the CBCCPP for an extended period.

Review of the licensee's BFIS Quality and Credential Account prior to the compliance visit and personnel file on-site indicates the required Emergency Preparedness training had not been completed. Program provided verification after the visit on 1/29/2021 that the licensee completed the required Emergency Preparedness Training on 2/1/2021.

Staff shall know the whereabouts and activities of all school age children at all times and shall be able to physically respond immediately.

When licensor Layton approached Johanna Way, a group of five children led by one adult crossed the street and walked between McGillicuddys restaurant and the building of Future Einsteins. As the adult and children were walking between the two buildings, another group of five unsupervised children ran across the street. The children did not to look for oncoming traffic, prior to walking between the same buildings as the first group. Another unsupervised child was then seen walking across both streets, from the side of the Mosaic Hair Salon. This child did not look for oncoming traffic, prior to proceeding between the same two buildings. As the licensor drove around the building, all the children, and the one adult who were observed walking across the street and between the buildings were observed entering the main door of Future Einsteins. As a result of the lack of supervision, and inability for staff to respond if necessary, this is a serious violation.

6.2.6.2 · Not corrected

Staff shall be interacting with children during outside play.

Licensor Layton arrived at 2:45 to the parking lot across the street from the playground used by the program. Two staff were observed with a group of children on the playground. One staff was sitting on the landing of the climbing structure and was observed on their cell phone for almost five minutes. An additional staff member was standing against the fence, observed on their cell phone for almost three minutes. During the times both staff were looking at cell phones, neither looked up to observe the children in their care, resulting in a lack of supervision and interaction between the staff and children. As a parent approached the fence, both staff put their cell phones into their pockets, and the staff person against the fence talked with the parent, while the other staff member remained on the climbing structure with no interaction with the parent or children. Once the parent left with their child, both staff took the cell phones from their pockets and looked down at the cell phones for almost three minutes, again with no supervision of, or interaction with children in care. A parent approached the fence and the staff against the fence spoke with the parent and the staff person who was sitting stood up and interacted with a child who was playing on the playground. After the parent left with their child, the two staff stood against the fence and spoke to one another and had no interactions with the children. The licensor left the parking lot at 3:00 and as the licensor observed the children and two staff on the playground, one staff person interacted with one child for approximately one minute during the 15 minute observation. Staff are required to interact with children as they play outside and during the 15 minute observation, there was approximately one minute where one staff interacted with one child.

Disinfecting of the following items shall be done at the end of each day: * Door and cabinet handles; * Hand washing sinks and faucets; * Countertops; * Toilets and toilet learning equipment; * Diaper pails; and * Drinking fountains.

The bathroom on the right nearest the younger preschool room has a strong urine smell. The outside of the toilet bowls in the younger and older preschool bathrooms are streaked with dried urine and urine is pooled along the bottom outside of the toilets. Feces was not cleaned off the toilet seat in the older preschool bathroom after use.

5.2.6.6 · Not corrected