Richmond Elementary Preschool

Regulation 3.4.7.3: Within six (6) months of the initial date of employment, staff working with children 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 NLCDC to be verified and maintained in BFIS.

“14 individuals with employment start dates prior to 11/30/2018 didn't have the required qualification documentation in their BFIS Quality and Credential Accounts. 13 individuals with employment start dates prior to 11/30/2018 didn't have completion of annual professional development hours documented in their BFIS Quality and Credential Accounts. During a follow-up conference call on 11/22/2019, Staff B and Staff C said staff did have the required qualification documentation and had completed the required annual professional development hours. Corrective Action: By 12/27/2019, submit a program improvement plan to Licensing Field Specialist [name] identifying how the existing processes will be modified to ensure staff and auxiliary staff's BFIS Quality and Credential Accounts are updated with all required documentation and how staff supervision will ensure existing staff's BFIS Quality and Credential Accounts have been updated with all required documentation. By 3/1/2020, all staff and auxiliary staff's BFIS Quality and Credential Accounts must be up-to-date with all required documentation.”

Correction date in the state record: Dec 19, 2019

Regulation 5.10.1.1.2: Children shall be protected from choking hazards presented by cords on window coverings, electric or electronic appliances or equipment and telephones.

“In the middle preschool classroom there was a black and a white cord beside where the children sat in a circle listening to a story that came down from the self to the floor and looped back up to the outlet which posed a tripping and/or entanglement hazard for children. In this same classroom, there was a cord that came down from the computer on the shelf to the floor, stretched across the floor, and curled around the outlet. This was within a play area for children which also posed a tripping and/or entanglement hazard for children. Corrective Action: Secure all cords within reach of children in a manner that eliminates the potential for tripping and entanglement.”

Correction date in the state record: Dec 19, 2019

Regulation 3.3.5: The licensee, staff, and auxiliary staff shall be trained in prevention, identification and mandatory reporting of child abuse and neglect.

“Eight (8) staff present during this licensing visit who worked with children within the three (3) preschool classrooms hadn't completed the required training. In addition, 14 staff listed as auxiliary staff on the program's Associated Parties list hadn't completed this required training. 19 of these staff and auxiliary staff began employment within this licensed program prior to August 2018. Corrective Action: By 12/27/2019, submit a program improvement plan to Licensing Field Specialist [name] identifying how the existing processes will be modified to ensure staff and auxiliary staff have completed the required training and how staff supervision will ensure existing staff complete the required training. By 3/1/2020, all staff and auxiliary staff must have completed the required training.”

Correction date in the state record: Dec 19, 2019

Regulation 7.3.2: Staff The program director shall ensure and maintain documentation that staff meet one (1) of the following qualifications:

“Staff H has been employed in this licensed program since 8/25/2017. Staff C said that Staff H has a high school diploma and will complete the Fundamentals for Early Childhood Professionals' course by 12/1/2019. CBCCPP rule 7.3.2.4 required this coursework be completed within the first year of employment which didn't occur. Corrective Action: By 12/30/2019, Staff H's BFIS Quality and Credential Account must document completion of the Fundamentals for Early Childhood Professionals' course.”

Correction date in the state record: Dec 19, 2019

Regulation 5.1.2: 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.

“Required documentation had not been collected for the five (5) preschool children's files audited during this licensing visit. Staff stated they didn't have a process for collecting this information. Corrective Action: By 12/27/2019, submit a program improvement plan to Licensing Field Specialist [name] identifying how enrollment processes have been modified to include the collection of this documentation. By 3/1/2020, have completed the process for collecting the required documentation for all preschool children enrolled.”

Correction date in the state record: Dec 19, 2019

Regulation 3.4.3: A system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the CBCCPP, shall be established. The licensee shall save all daily attendance records identifying the hours of children's attendance for at least twelve (12) months from the date that care is provided.

“In the first preschool classroom, the attendance sheet had thirteen (13) preschool children noted as present with arrival times of 9:45 am. I counted twelve (12) children which Staff I confirmed. Staff I explained that one (1) child noted as present had arrived at 7:30 am. Because of the delay start to the school day, the child had left and not returned. It is a violation when staff note a child as present with an arrival time on the attendance sheet, and it is not accurate information. Corrective Action: Effective immediately, instruct staff to ensure accurate attendance documentation is maintained at all times.”

Correction date in the state record: Dec 19, 2019

Regulation 7.1.3: Orientation of Staff The licensee, in consultation with the program director, shall establish written program policies and procedures and provide these to staff during an orientation training session approved by the Division prior to being left alone with children. Trainees under eighteen (18) years of age 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.

“In one (1) instance, Staff D and Staff E worked in a classroom with preschool children. Then Staff E took children to the cafeteria. Meanwhile Staff F joined Staff D in the classroom. These three (3) staff have not completed the orientation training required by this regulation. In another instance, Staff G and Staff H worked in a classroom with preschool children. These two (2) staff have also not completed the orientation training required by this regulation. Neither had the partner staff member in the classroom with them. Corrective Action: By 12/27/2019, submit a program improvement plan to Licensing Field Specialist [name] identifying how processes will be modified to ensure new staff complete the required training and how staff supervision will ensure existing staff complete the required training. By 3/1/2020, all staff must have completed the required training.”

Correction date in the state record: Dec 19, 2019

Regulation 3.4.7.5: The licensee shall maintain a current list of the licensee or designee, staff, auxiliary staff, and volunteers as in the rules in section 7.7.5 of these regulations, as applicable in BFIS. Any changes shall be reported through BFIS within five (5) working days of the change.

“During the licensing visit, staff B said that the Associated Parties list in the program's BFIS account was outdated. One (1) staff member present during the licensing visit was not listed. This staff member began employment on 9/1/2019. After the licensing visit, 33 names were removed from this list in BFIS; because these individuals were no longer affiliated with this licensed program. The outdated Associated Parties list in the program's BFIS account is in violation of this regulation and impacted our ability to assess regulatory compliance during this licensing visit. Corrective Action: By 11/22/2019, update the Associated Parties list in the program's BFIS account and ensure compliance moving forward.”

Correction date in the state record: Nov 22, 2019

Regulation 5.10.1.1.1: The licensee shall ensure that children are protected from electrical outlets, such as by using protective covers, tamper-proof outlets, or other devices manufactured for this purpose.

“In the first preschool classroom, there was at least one (1) outlet within reach of children with no safety cover or other mechanism for protecting children. In the cafeteria, there were at least three (3) outlets on the wall where preschool children sat to eat their lunch. These outlets were below knee level and didn't have safety covers or another mechanism for protecting children. Corrective Action: Install safety plugs in and/or apply another method for protecting all preschool children from all outlets accessible to them.”

Correction date in the state record: Dec 19, 2019

Regulation 2.3.11.5: The licensee shall be responsible for compliance with all applicable state and federal laws even when they are more stringent than the rules in this set of CBCCPP regulations.

“Federal regulations require staff obtain pediatric first aid and CPR training within three (3) months of beginning employment. Twelve (12) staff with employment start dates between March 2016 and November 2018 had no documentation of having completed pediatric first aid nor CPR. An additional three (3) staff with employment start dates between March 2016 and August 2017 had no documentation of having completed pediatric first aid. Also, one (1) staff with an employment start date in 10/2017 had no documentation of having completed CPR. Corrective Action: By 12/27/2019, submit a program improvement plan to Licensing Field Specialist [name] identifying how the existing processes will be modified to ensure staff have completed the required training and how staff supervision will ensure existing staff complete the required training. By 3/1/2020, all staff must have completed the required training.”

Correction date in the state record: Dec 19, 209

Regulation 7.2.2: 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.

“The Child Development Division issued a Fingerprint Authorization Certificates in December of 2018 for staff A. Staff A is required to submit to fingerprinting and has not completed the process as of this licensing visit. Corrective Action: Effective immediately, instruct Staff A to submit to fingerprinting. By 12/27/2019 submit a program improvement plan to Licensing Field Specialist [name] that identifies how Staff A will always work with preschool children in the presence of a staff member who has completed a full background clearance, to include fingerprinting, until the Division issues a full background clearance decision letter, to include fingerprinting. The program improvement plan must also identify how the existing processes will be modified to ensure staff have complied with fingerprinting when the Division issues an individual a Fingerprint Authorization Certificate.”

Correction date in the state record: Dec 19, 2019