Tee Little Stars Childcare and Preschool

Regulation 6.2.6.1: Staff shall be able to hear all children of pre-kindergarten age and younger at all times, shall be able to see the children with a quick glance, and shall be able to physically respond immediately.

“A video recording showed all three staff standing by the office, while children could be heard in the back room where they were left alone and unsupervised for an undetermined amount of time. The staff confirmed that children had been left alone and they stated the children were sleeping in the nap room. This is a serious violation requiring a parental notification letter. This is a repeat violation previously cited on 02/04/26. Corrective Action: With help from SPARQS develop a program improvement plan on how you will support staff so children will not be left unsupervised. Submit a copy of this plan to your licensor. Send a copy of this site visit letter to the parent(s) of each child currently enrolled in the program and to the parents of children enrolled at the time of the incident by 03/13/26. Send the names of children, their parent(s) and the contact information to Licensor [name] by 3/13/26.”

Correction date in the state record: Mar 11, 2026

Regulation 5.2.1.6: Soap and paper towels or individual single use cloth towels shall be available and accessible to the children at each hand washing sink.

“There was no soap and no paper towels or single use towels available for children to wash and dry their hands after toileting. Corrective Action: Each handwashing station must have soap and towels always available at all times for proper handwashing to take place. Identify who in the program will ensure that this is checked daily and send this information to the Division.”

Correction date in the state record: Mar 11, 2026

Regulation 5.10.4.5.3: The licensee shall ensure that the CBCCPP is kept free from rodent and insect infestation.

“Mice feces were found on the railing near the entryway to the center and in three upper cupboards in the kitchen. The director stated that the cupboards only contained discarded classroom material. Corrective Action: Immediately remove all traces of feces throughout the program. Create and implement a thorough cleaning schedule to ensure surfaces are free of debris and rodent feces. Submit a copy of the schedule and your mitigation measures to the Division.”

Correction date in the state record: Mar 11, 2026

Regulation 5.2.1.8: Staff shall wash the hands of children who are unable to wash their own hands and provide developmentally appropriate guidance and supervision to help children learn and practice healthy hand washing.

“Children were sent to the bathroom to toilet, one by one. There was no soap or towels available for children to wash their hands when done toileting. Staff watched each child go to the bathroom and return and did not inquire if the children had washed their hands or did not provide instruction to them. No child reported to the teacher that soap and towels were not available. Corrective Action: Develop a transition plan so that children have adult guidance when toileting. Submit this plan to the Division. Contact SPARQS to work with staff to support transition and submit an enrollment form by 2/27/26.”

Correction date in the state record: Mar 11, 2026

Regulation 6.2.5.10: Staff's voices shall not dominate the overall sound of the group.

“All four adults working in the program with children went to the front of the building near the office/entryway and began to engage loudly with each other in adult conversations with raised voices yelling about race, culture, Black Lives Matter and ICE workers. The yelling and conversation could be heard outside the program. Corrective Action: Adult conversations and arguments should not take place while children are in care. By 2/27/26 submit to the Division a signed statement from staff acknowledging their understanding of this rule”

Correction date in the state record: Mar 11, 2026

Regulation 6.2.6.1: Staff shall be able to hear all children of pre-kindergarten age and younger at all times, shall be able to see the children with a quick glance, and shall be able to physically respond immediately.

“While children were eating morning snacks, a child left the kitchen area unnoticed and went to another classroom to play. Staff did not notice the child had left the kitchen for about 5 minutes. During rest time, a child got up and walked to the pre-k classroom where a staff told her to return to the nap room. The child left and went into the kitchen, opened the fridge, took her lunch bag and sat at a kitchen table and began to eat her snack. There were no staff present in the kitchen. The staff did not notice she was there and had to be told by the licensor. On a separate day, the program director stated that all three staff were in the classroom having a heated conversation while children were alone in the back room by themselves. This is a serious violation requiring a parental notification letter. Corrective Action: Contact SPARQS for support on how to help staff with transition and child supervision. Submit an enrollment form by 2/27/26 to SPARQS.Send a copy of this site visit letter to the parent(s) of each child currently enrolled in the program and to the parents of children enrolled at the time of the incident by 02/27/26. Send the names of children, their parent(s) and the contact information to Licensor [name] by 2/2/7/26.”

Correction date in the state record: Mar 11, 2026

Regulation 5.2.1.5: Sinks used for hand washing shall have hot and cold running water that comes from a single spigot. The hot water shall not exceed 120*F.

“Upon arrival children are expected to wash their hands outside in the entry way from a jug of water that has been warmed up in the morning and brought outside by staff. Children that arrived during our visit were not sent to the bathroom to wash their hands in an inside sink. You were previously cited in violation for using a makeshift sink at your diaper changing stations. This is a repeat violation previously cited on 10/20/2025. Corrective Action: Immediately stop using makeshift sinks in any area of your program. Develop a procedure where children are instructed to wash their hands upon arrival inside, using soap and paper towels. Send this new procedure to the Division.”

Correction date in the state record: Mar 11, 2026

Regulation 5.2.3.11: Each diaper changing procedure shall include: * Preparation: assemble supplies, staff member washes hands, prepares changing surface with either a disposable covering or ensure that the surface was recently cleaned and disinfected and bring the child to the diaper changing area. * Dirty Phase: remove soiled diaper, dispose of diaper, and cleanse diaper area of the child. * Clean Phase: put on clean diaper, dress child, and wash the child's hands. * Clean up: clean and disinfect the diaper changing surface, and staff member washes their own hands. * Record diaper change.

“A soiled diaper was found by this Licensor at approximately 2:00 on the changing table in the preschool bathroom. The teacher stated it had been left since the morning when a child took off their diaper. At approximately 2:15 a plastic bag with dirty diapers was found hanging off a mirror in the toddler classroom near a changing table. The soiled diapers were not disposed of properly according to this rule. This rule was cited previously on 2/26/2024 and 10/23/2024. Corrective Action: Ensure there is an enclosed container in place for soiled diapers after a diaper change is completed, as required by 5.2.3.6. Review the diaper changing procedure with staff ensuring they are aware to dispose of the soiled diapers immediately. By 11/03/2025, confirm that the diaper container to dispose of soiled diapers are in place at each diaper changing station, and that staff have been retrained on this procedure.”

Correction date in the state record: Oct 31, 2025

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 preschool classroom, on the wall where children were playing during this licensing visit were two (2) outlets that did not have safety covers. Corrective Action: Immediately place safety covers in the outlets with missing safety covers. Submit a statement to this Licensor confirming this has occurred, and identify the system to ensure ongoing compliance.”

Correction date in the state record: Oct 31, 2025

Regulation 5.2.3.12: The licensee shall post the diaper changing procedure at each diaper changing area.

“The diaper changing procedure was not posted in the preschool bathroom near the changing table or in the toddler classroom near the changing table where diapers were changed the day of this licensing visit. Corrective Action: Immediately post the diaper changing procedures where diapers are changed daily. By 11/03/2025 submit confirmation of the diaper changing procedures posted by both the changing tables.”

Correction date in the state record: Oct 31, 2025

Regulation 5.10.3.1.4: If fencing is used, it shall be sturdy, safe, and reinforced to give support, constructed to discourage climbing, and shall not prevent visual supervision of children by staff.

“The wooden fence enclosing the playground is broken in two (2) different spots; to include broken wooded posts or missing wooden posts. In some areas the posts are split, and the broken pieces are in reach of children. In another area the post is missing which can cause an entrapment hazard. Corrective Action: Immediately prevent children from accessing the two (2) spots in the fence where it is broken. By 11/03/2025, submit a program improvement plan, with a date of when the fence will be repaired.”

Correction date in the state record: Oct 31, 2025

Regulation 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.

“A review of staff's BFIS quality and credential account and verbal confirmation from one (1) staff member that they had not renewed their CPR and First Aid certificate prior to the expiration date. One (1) staff member did not complete a CPR and First Aid course within their first three (3) months of hire as required in this rule. The CPR and First Aid certificate expired on 5/4/2025. Corrective Action: By 11/07/2025, send proof of the current CPR and First Aid certificates of both staff members to Licensor [name] and send a copy to Northern Lights with the required cover sheet.”

Correction date in the state record: Oct 31, 2025

Regulation 5.2.1.5: Sinks used for hand washing shall have hot and cold running water that comes from a single spigot. The hot water shall not exceed 120*F.

“The two (2) makeshift sinks near the infant changing table and the toddler changing table did not have hot and cold running water. The makeshift sink was a pitcher with a spigot located in an empty bin to catch the water. Both pitchers did not have water for handwashing during this licensing visit. Corrective Action: Immediately stop using these makeshift sinks and use the sinks approved with hot and cold running water. By 11/03/2025 submit confirmation statement of where handwashing is occurring for both infant and toddler classrooms.”

Correction date in the state record: Nov 5, 2025

Regulation 6.2.7.2: Staff's expectations of children's behavior and responses to children's behavior shall be appropriate to each child's level of development and understanding. Guidance shall be designed to meet the individual needs of each child.

“A child refused several times to wash their hands at the kitchen sink where all the children were washing hands. Staff A told the child several times they cannot eat until they wash their hands. Staff A took the child's lunch box out of the refrigerator, showing the child their lunch box. This child refused to wash their hands, looking sad. When Staff A asked the child if they were hungry, the child said yes, but continued to refuse to wash their hands at the kitchen sink. After saying several times, if you don't wash your hands, you cannot eat your snack. Staff A took the child's lunch box and put it in their cubby which was out of the kitchen. This child was not offered a snack. Staff A's expectation was not developmentally appropriate and did not meet the needs of this child. Corrective Action: By 11/7/2025, submit a program improvement plan with how staff will be trained to positive staff/child interactions and child development so staff will gain knowledge of positive interactions with all children.”

Correction date in the state record: Oct 31, 2025

Regulation 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.

“A review of each staff member's BFIS Quality and Credential account and confirmation that one (1) staff member had not completed the Vermont Orientation as required. They have been working in the program longer than one (1) month. Corrective Action: By 11/30/2025, submit the VT Orientation certificate to Licensor [name] and to Northern Lights with the required cover sheet.”

Correction date in the state record: Nov 4, 2025

Regulation 5.4.1.4: Cots, mats, and mattresses shall be nonporous or have nonporous coverings. Each child shall be provided clean, individual bed linens either by the licensee providing them directly or requiring parents to provide them. No child shall nap directly on nonporous coverings.

“The preschool napping cots did not have sheets and children were observed sleeping directly on the nonporous covering during this licensing visit. The preschool teacher stated they took away the sheets because the children would take them off and wrap them around their heads.Two (2) out of the three (3) infant cribs used by children the day of this licensing visit did not have crib sheets and an infant was observed sleeping directly on the crib mattress. Corrective Action: Immediately provide sheets for all nap cots for preschool children and cribs for infants By 11/03/2025 submit a confirmation of understanding to this Licensor.”

Correction date in the state record: Oct 31, 2025

Regulation 5.10.1.2.1: The licensee shall ensure that the CBCCPP is in compliance with Vermont Division of Fire Safety rules at all times. This includes but is not limited to: * Complying with Vermont Division of Fire Safety inspection reports; * Having regular fire systems inspected with violations identified during the inspection noted as corrected; and * Having fire extinguishers tagged with valid inspection tags.

“The fire extinguisher in the kitchen and in the classroom did not have a tag with a valid inspection date. The fire extinguisher did have a receipt dated 4/4/2023. The fire panel was dated 2025. Corrective Action: By 11/03/2025, have all fire extinguishers inspected and tagged, and have them inspected and tagged yearly.”

Correction date in the state record: Oct 31, 2025

Regulation 5.2.3.7: The container for diapers shall be within arm's reach of the diaper changing area.

“In the preschool bathroom the changing table had a soiled diaper sitting on the table. The teacher stated the diaper was there since this morning and carried it to the infant classroom to dispose of it. In the toddler classroom the soiled diapers were in a plastic grocery bag hanging from a mirror in the classroom. Both locations did not have a diaper container within arm's reach of the diaper changing table. Corrective Action: Ensure a covered container as stated in rule 5.2.3.6 is withing arms reach at each changing area as required by this rule. By 10/31/2025, submit a photo to Licensor [name] to confirm compliance.”

Correction date in the state record: Nov 6, 2025

Regulation 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 fire drill documentation was missing evacuation drills from January, February, April and June of 2025. The staff and director stated they did complete the drills but did not document them. Corrective Action: Immediately maintain documentation of monthly fire drills as stated in this rule. By 11/3/2025, submit a program improvement which identifies how you will maintain a record of each drill and document the number of children evacuated, staff evacuated, time taken to evaluate, and notation of the drill conducted while children were sleeping or resting.”

Correction date in the state record: Oct 31, 2025

Regulation 5.4.2.5: Soft objects, toys or loose bedding shall not be used in infants' sleep areas. Soft or loose bedding includes: bumper pads, pillows, quilts, comforters, sheepskins, blankets, flat sheets, cloth diapers, and bibs. Infants shall not be swaddled for sleep.

“An infant younger than twelve (12) months old was sleeping with a blanket during this licensing visit. The teacher stated the infant needs it for comfort. Corrective Action: Immediately do not use blankets in cribs or remove blankets once the infant falls asleep. By 11/03/2025, submit confirmation of understanding to this Licensor.”

Correction date in the state record: Oct 31, 2025

Regulation 5.10.3.2.1: All outdoor play equipment shall be sturdy, safe, clean and free from rough edges, sharp corners, pinch and crush points, splinters, and exposed bolts. To prevent entrapment, no openings in equipment shall be between 3.5 and nine (9) inches. Chains on swings shall have protective coverings and swing seats shall be made of soft materials with no sharp edges.

“A plastic slide on the toddler playground was cracked and had holes where children's fingers could be pinched or severely hurt. Corrective Action: Immediately remove the slide from the playground or prevent children from using the slide until it can be replaced. By 11/07/2025, submit confirmation to this Licensor that the slide was removed or blocked to prevent children on the slide.”

Correction date in the state record: Nov 4, 2025

Regulation 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.

“Review of BFIS credential account for Staff Z, as well as follow up during this visit it was determined Staff Z's certification has not been renewed since it's expiration on 2/28/22. Verification of certification for Staff C was provided to Licensor on site by Staff C. Staff X to complete this training by 11/1/24. Corrective Action: Ensure Staff Z completes this required training by the corrective action due date given.”

Correction date in the state record: Apr 11, 2025

Regulation 5.6.4: Written permission from parents to administer medication must include all of the following information for each prescription and non-prescription medication administered to children: * Name of the child; * Child's date of birth; * Any medication allergies; * Name of medication; * Dosage to be given; * Time when medication is to be given; * Route of administration (mouth, ear, nose, topical, inhalation); * Reason for the medication; * Start and end dates for administration of the medication; and * Any special instructions.

“When asked about any children receiving medication, Staff Z stated Child C receives a dose of medication daily in the morning and in the afternoon. When asked to review medication forms, Staff Z was unable to produce this required documentation. Staff Z did provide a letter from Child C's doctor indicating this medication is needed, however the letter did not contain all the information required by this rule. The letter also did not contain any parental permission. Corrective Action: Immediately have Child C's parent complete and provide parental permission, including all the required information. Until such time as this permission is received, ensure no medication is given to Child C. Review the requirements of this rule with staff.”

Correction date in the state record: Mar 5, 2025

Regulation 6.2.4.3: The program director shall ensure that each group of children is led by a staff member who is at least qualified as a teacher associate for at least 75% of the hours of operation.

“Conversation with Staff A confirmed Staff C is the lead teacher for the preschool group. Based on review of BFIS account for Staff C they do not meet the qualifications of this position. Corrective Action: Ensure a qualified lead teacher is with each group 75% of the hours the program is operating. Provide a scheduled plan to show compliance is being met for each group of children in care.”

Correction date in the state record: Apr 11, 2025

Regulation 4.4.1: Staff shall regularly communicate with parents about their child's daily activities and behavior. For children under twenty-four (24) months of age this shall include feedings, diapering, resting, and developmental progress as specified in the rule 6.1.5.1.2 of these regulations.

“During review of Child A's account on the communication app Staff A and Staff Z identified as using to communicate with parents, it was found that not all activities required by this rule are being recorded. Only one (1) diaper was recorded for October 22, 2024 and there were no diapers recorded for October 21, 2024. Child A is ten (10) months old. There were no other means of communicating such things as diapering with parents observed or identified by the program. Corrective Action: Review this rule with all staff, including subsitutes. Create a system for ensuring staff are communicating all informaton required by this rule with parents and caregivers.”

Correction date in the state record: Nov 18, 2024

Regulation 5.2.3.11: Each diaper changing procedure shall include: * Preparation: assemble supplies, staff member washes hands, prepares changing surface with either a disposable covering or ensure that the surface was recently cleaned and disinfected and bring the child to the diaper changing area. * Dirty Phase: remove soiled diaper, dispose of diaper, and cleanse diaper area of the child. * Clean Phase: put on clean diaper, dress child, and wash the child's hands. * Clean up: clean and disinfect the diaper changing surface, and staff member washes their own hands. * Record diaper change.

“Upon this Licensor's arrival at the program at 10:57 am, a small, clear plastic bag containing a diaper was observed sitting on the changing table in the infant space. Inspection of the diaper determined the diaper to be soiled based on discoloration of the diaper. At 12:09 pm, Staff A was observed lying child B on the changing table. The bag containing the dirty diaper remained on the changing table at the top right corner near Child B's head. Staff A did not clean the changing mat prior to laying Child B down. After checking Child B's diaper, Staff A then threw the plastic bag with the dirty diaper away. Corrective Action: Review this procedure with all staff, including substitutes.”

Correction date in the state record: Nov 18, 2024

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.

“Staff A indicated during review of Associated Parties list that Staff D has not been employed with the program since May 2024. Corrective Action: By the corrective action due date, ensure Staff D is removed from the Associated Parties list. Create a system for ensuring the Associated Parties list is maintained based on the requirements of this rule.”

Correction date in the state record: Nov 18, 2024

Regulation 3.7.2.2: The licensee shall ensure that evacuation drills are conducted at least once a month, and children and staff are evacuated in under three (3) minutes. Licensees of a CBCCPP located within a public or independent school building may count a lock-down drill performed while the CBCCPP is in operation in place of a monthly evacuation drill with the CBCCPP children and staff and at least three (3) of the monthly drills conducted within 365 days shall be evacuation drills.

“Review of evacuation drill record for October 2023 through September 2024, as well as conversations with Staff A and Staff Z, revealed drills were not completed December 2023, or February, March, May, June, July and August 2024. Corrective Action: For the months of November and December 2024, as well as January, February, March and April 2025, ensure a second drill is completed in addition to the already required monthly drill. Program may return to the one (1) required monthly drill as of May 2025. Create a system for ensuring drills are conducted.”

Correction date in the state record: Nov 18, 2024

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.

“Staff Y was observed as being present in the program and working with children. Staff A identified Staff Y began employment one (1) month prior. Staff Y is not listed on the program's Associated Parties list. Corrective Action: By the corrective action due date submit a Records Check Authorization to the Division. Ensure Staff Y does not work in the program until the Records Check Authorization form has been processed and appears on the program's Associated Parties list. Create a plan for ensuring staff/child ratios are maintained until Staff Y is on the Associated Parties list.”

Correction date in the state record: Apr 21, 2025

Regulation 5.6.7: A record of the administration of all medications shall be made including medication dosage, time of administration, name of staff administering, and any adverse effects observed. These records shall be maintained for 365 days from the start date of medication administration and may be kept in the child's file or in a medication administration log.

“Staff Z identified Child C receives medication daily at the program in the morning and in the afternoon. When asked if Child C had received their dose at the program the morning of the visit. When asked to procude record of medication administration, Staff Z was unable to provide such documentation or clearly identify the process for which medication administration is recorded. Staff A was also unable to provide such documentation and information. Corrective Action: Create a system for recording medication administration. Review this rule with all staff, as well as remind that only staff who have completed the medication administration are to be administering any medication.”

Correction date in the state record: Apr 10, 2025

Regulation 5.2.3.2: Staff shall have an established procedure for checking diapers regularly including visually inspecting children's diapers at least every two (2) hours.

“Licensor arrived at the program for this visit at 10:57 am. Six (6) children were observed to be diapers. Upon this Licensor's departure from the program at 1:38 pm, only one (1) child's diaper had been checked. Corrective Action: Create a diapering schedule and system to ensure diapers are checked every two (2) hours as required by this rule.”

Correction date in the state record: Apr 10, 2025

Regulation 3.4.5.1: A licensee shall maintain a complete and up-to-date personnel file for staff working at the CBCCPP. A complete file shall contain, at minimum, the following information: Name, date of birth, home address and telephone number; Copies of current first aid and CPR certification; Signed statement verifying understanding of legal requirement to report suspected child abuse and neglect; Documentation of a current Records Check Authorization form; Documentation of having read and having ready access to a current copy of applicable child care licensing regulations; Administration of Medication training certification (if applicable); Signed statement verifying current job title and supervisor's name; Application for employment including references or reference checks; Employment start date; Documentation of completed orientation Training; Employment end date; IPDP (Substitutes filling a staff position for less than thirty (30) consecutive days within a 365 day period shall be exempt); and Written annual performance reviews (Substitutes filling a staff position for less than thirty (30) consecutive days within a 365 day period shall be exempt).

“When asked for staff files for review, Staff A looked through filing cabinet on site and indicated unable to find any files. When asked where staff files were kept, Staff A indicated they were possibly at her home, or maybe on her computer. Staff A was unable to produce staff files. Corrective Action: Create a system for maintaining a file for each staff member, ensuring all items required by this rule are in each file. System created should include a place for files to be stored that is easily accessible.”

Correction date in the state record: Nov 18, 2024

Regulation 3.4.6.2: The licensee shall maintain records pertaining to accidents and injuries involving children as required in the rule 5.8.3 of these regulations. These may be kept in children's files or in a separate injury log book. Incident reports related to accidents and injuries shall be kept for a minimum of twenty-four (24) months from the date the incident occurred.

“Staff A indicated during the visit that Incident Reports were recorded and maintained through the WonderSchool app, not hardcopy forms. When asked to show this Licensor where in WonderSchool they were kept, Staff A was unable to show Licensor. When asked to provide log in information for the WonderSchool app so further research and investigation could be completed, Staff A would not provide and stated Licensor would not find what they are looking for. Corrective Action: Submit a Program Improvement Plan regarding Incident Reports, to include 1)identifying when incident reports need to be completed, 2) ensuring staff understand when to complete an incident report, 3) identifying/creating a system that will be used to capture all required information, 4) the method of ensuring parents have accessed and read the incident report, and 5) accessing the copies of the reports post incident for review when necessary.”

Correction date in the state record: Feb 27, 2024

Regulation 6.2.1.3: The program director shall ensure that the number of staff present meets requirements described in the chart below for ages of children, maximum group size, and staff/child ratios at any time of day.

“Program was determined to be out of ratio upon this Licensor's arrival. Ages of the children in attendance require a one (1) to four (4) ratio. Staff A was observed to have five (5) children. This is a Serious Violation. Corrective Action: Staff A was immediately asked to call a parent to come pick up a child in order to bring the program back into compliance with ratios prior to this Licensor leaving the site. Staff A was advised to create a plan for the coming weeks to adjust what children were in care in order to maintain ratios. Review ratios and group sizes with all staff, and confirm their understanding. Create a system for ensuring ratios are maintained, to include a plan for informing parents ahead of time if their child cannot attend due to staffing. A copy of this letter must be mailed to the parent and guardian of every child enrolled.”

Correction date in the state record: Mar 15, 2024

Regulation 5.2.3.11: Each diaper changing procedure shall include: * Preparation: assemble supplies, staff member washes hands, prepares changing surface with either a disposable covering or ensure that the surface was recently cleaned and disinfected and bring the child to the diaper changing area. * Dirty Phase: remove soiled diaper, dispose of diaper, and cleanse diaper area of the child. * Clean Phase: put on clean diaper, dress child, and wash the child's hands. * Clean up: clean and disinfect the diaper changing surface, and staff member washes their own hands. * Record diaper change.

“Staff were observed placing wet and/or soiled disposable diapers into reusable washable bags for parents to bring home and dispose of diapers at home. Corrective Action: Immediately end this practice. Immediately place a proper container with a lid within arms reach of each changing station. It is the program's responsibility, based on this rule, to dispose of all disposable diapers.”

Correction date in the state record: Feb 27, 2024

Regulation 6.2.6.1: Staff shall be able to hear all children of pre-kindergarten age and younger at all times, shall be able to see the children with a quick glance, and shall be able to physically respond immediately.

“Based on incident report submitted as well as interviews completed with staff, it was determined while Staff A and Child A were in the kitchen, Staff A was not supervising Child A allowing Child A access to the kitchen stove top and time to turn the stove top on causing a fire. This is a serious violation. Corrective Action: Create a plan with staff to ensure during times of transitions that children remain supervised at all times. A copy of this letter must be mailed to the parents and guardians of every child enrolled by the corrective action date given.”

Correction date in the state record: Mar 26, 2024

Regulation 6.2.6.1: Staff shall be able to hear all children of pre-kindergarten age and younger at all times, shall be able to see the children with a quick glance, and shall be able to physically respond immediately.

“Based on incident report submitted as well as interviews completed with staff, it was determined while Staff A and Child A were in the kitchen, Staff A was not supervising Child A allowing Child A access to the kitchen stove top and time to turn the stove top on causing a fire. This is a serious violation. Corrective Action: Create a plan with staff to ensure during times of transitions that children remain supervised at all times. A copy of this letter must be mailed to the parents and guardians of every child enrolled by the corrective action date given.”

Correction date in the state record: Apr 1, 2024