Treehouse Children's School

Regulation 5.6.6: All non-prescription medication administered by staff shall be labeled with the child's name and be in its original container with directions for its administration. It must be administered prior to the expiration date on the container. Any deviations from the label's instructions shall be in writing from the child's health care provider.

“The prescription rescue medication for a child in care expired four (4) months prior. Corrective Action: Immediately return expired medication to the parent of the identified child and request a valid prescription to be kept in the CBCCPP for use in case of emergency. Send an email confirming this action has taken place to Licensing Field Specialist Stark. Create a system to track expiration dates of children's prescriptions to ensure they are replaced with valid prescriptions prior to expiration. Include who will be responsible for tracking the information and how the system will be used. Send a detailed description of the system to Licensing Field Specialist Stark. Status: Appeal Period.”

Correction date in the state record: Oct 30, 2026

Regulation 5.2.4.1: Children shall be accommodated in a timely manner when they need to use the toilet.

“It was determined that Staff A was informed by Child Z that they needed to use the restroom while out on the playground, however Staff A did not bring Child Z as needed. Child Z then wet their pants, and although they brought this to Staff A's attention, Staff A did not bring Child Z in to change their clothes. During this time Staff A did not reach out to other staff to ask for assistance. Child Z was wet upon parent pick up. This was confirmed via conversations with Staff B. Corrective Action: Review this rule with all staff and create a plan to ensire staff are aware of the options to meet children's toileting needs at all times while maintaining supervision of children in their group.”

Correction date in the state record: Nov 21, 2024

Regulation 3.7.2.1: The licensee shall have a written evacuation diagram with evacuation routes posted in each classroom that is used by the children.

“Songbirds, Fox Den and Butterfly Glen classrooms were determined upon inspection to have no evacuation diagrams posted as required. Corrective Action: Ensure all classrooms have proper written evacuation diagrams posted by the corrective action due date given”

Correction date in the state record: Aug 5, 2024

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.

“Review of BFIS Qualification and Credential accounts for Staff A, Staff B, Staff C, Staff D, Staff E, Staff F, Staff G and Staff H, as well as a review of their staff files on site, determined they have not completed this required orientation. All staff listed have been employed by the program for more than three (3) months. Corrective Action: Ensure orienation is completed by Staff A, Staff B, Staff C, Staff D, Staff E, Staff F, Staff G and Staff H by the corrective action due date provided. Create a system to ensure all new staff complete orientation with the one (1) month of start of employment as indicated by this rule.”

Correction date in the state record: Jul 30, 2024

Regulation 3.6.1: Staff shall release a child only to persons authorized by the parents as specified in the rules 3.4.4.1 and 5.10.6.6.1.2 of these regulations. When a person authorized to pick up a child is unknown to staff, his/her identity must be verified prior to releasing the child.

“Email correspondences and interviews with Staff A and Staff B confirmed that Child D was released to someone who had not picked up before, and who identification was not requested from. Corrective Action: Submit a program improvement plan that identifies the written procedures for when children are picked up, to include by those on the authorized pick up list, and for those not on the authorized pick up list.”

Correction date in the state record: Dec 21, 2021

Regulation 4.7: The licensee, in consultation with the program director, shall establish written policies and procedures. Written information provided to parents of all children enrolled in the CBCCPP shall include, at minimum: * Assurance that parents have access to the CBCCP and their child(ren) without prior notice and have access to their children's records as required in the rule 3.4.4.6 of these regulations; * A description of information needed from parents for child's enrollment file as required in the rule 3.4.4.1 of these regulations; * A typical daily schedule of activities; * Information about fees and payment policies; * Information about hours of operation and closings; * Procedures for signing children in and out; * Procedures for emergencies as required in the rules in section 3.7 of these regulations; * Information about the nutrition, meals and meal preparation at the CBCCPP; * Safe sleep policies, as applicable; * No smoking policy; * Information about results from the test for lead in the drinking water and any plan for remediation; * CBCCPP policies on field trips, other off-site activity and transportation; * CBCCPP health policies including illness exclusions, administration of medication, and immunizations; * CBCCPP policies and practice regarding positive guidance and behavior management; * Assurance that confidentiality of child and family information is maintained; * Information about the requirement to report suspected child abuse and/or neglect as required in the rules in section 3.3 of these regulations; * Assurance that non-discrimination and respect for each child's family and culture is maintained; * CBCCPP approach to ensure wholesome growth and positive developmental experiences for children enrolled; * CBCCPP policies related to the inclusion of children with special needs and disabilities; * A description of religious activities, if any; * Information on how to access these CBCCPP regulations and other information about child development on-line; * Information concerning complaint procedures; * Information about the Child Care Consumer Line, including the telephone number (1-800-649-2642); and * CBCCPP policies and procedures related to the expulsion of children.

“Staff A provided the parent handbook upon request, and identified that it has not been updated. Review of the handbook found several components missing, inaccurate, or incomplete, to include the release of children from the program. Corrective Action: Revise the parent handbook to ensure compliance to this rule.”

Correction date in the state record: Feb 4, 2022

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.

“Through emails the program sent to families of children in care, and though interviews with Staff A, it was confirmed that children were removed from the playground at dismissal without staff being aware they had left or who they had left with. Corrective Action: Submit a program improvement plan that identifies the supervision plan while outdoors to ensure that visual supervision of children is maintained at all times.”

Correction date in the state record: Dec 21, 2021

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.

“Review of the staff handbook found several components missing or incomplete, to include the safe release of children from the program. Staff A identified that the handbook needed to be updated. Corrective Action: Revise the staff handbook to ensure compliance to this rule.”

Correction date in the state record: Feb 14, 2022

Regulation 7.1.4: The licensee shall read and have ready access to the current applicable licensing regulations. Also, the licensee shall ensure staff has read and has ready access to and have had an opportunity to seek clarity as needed about the current applicable licensing regulations.

“Staff C, Staff D, and Staff E stated they had not been provided the Licensing regulations, had not had them reviewed with them, nor knows with certainty where to access the regulations. Corrective Action: Ensure all staff have read the current licensing regulations, know where to access the regulations, and know the method to seek clarity on any licensing regulation. All staff per rule 3.4.5.1 shall have documentation in their personnel file confirming they have read and have access to the current licensing regulations. Develop a system to ensure ongoing compliance to this rule.”

Correction date in the state record: Dec 21, 2021

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.

“It was observed during the site visit that one classroom had six (6) children in attendance and four (4) signed in at 10:53AM. Staff statements indicate the children arrived around 10:30 and were not yet signed in. This is a violation because accurate attendance records must be kept reflecting the number of children in care at a given time. Corrective Action: It is required to review expectations for attendance and record keeping with staff. Send a statement on how this will be accomplished, and any systems developed for ensuring attendance is completed in a timely manner.”

Correction date in the state record: Jul 29, 2021

Regulation 7.4.4: All staff shall complete fifteen (15) clock hours of annual professional development activities as required in the rule 7.4.2 of these regulations. Substitutes filling a staff position for less than thirty (30) consecutive days within a 365 day period shall be exempt.

“It was identified and confirmed with the program that a staff member was missing seven (7) hours of professional development. It was further discussed that the progrm had attempted to put a plan in place with the staff member to complete the hours, but the plan was unsuccessful. Corrective Action: It is required to make a plan for compliance and how the missing hours will be completed. Send the detailed plan, with timeline, to this licensor for review.”

Correction date in the state record: Jul 9, 2021

Regulation 3.4.7.3: 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.

“It was identified that the program is not sending items to BFIS for their Subsititutes. It was determined that five (5) staff hired for longer than six (6) months were missing items from their Quality and Credential account such as qualification documentation, and proof of required trainings. This is a violation because all staff, including substitutes, must have an up to date BFIS account within six months of hire. Corrective Action: It is required to review staff BFIS Quality and Credential Accounts to determine what is missing and what needs to be sent in. Submit a statement on how BFIS Quality and Credential accounts will be kept up to date going forward, for all staff. Submit the statement to this licensor.”

Correction date in the state record: Jul 28, 2021

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 evacuation drill records were reviewed and discussed. It was determined that the program did not conduct evacation drills for five (5) consecutive months from July 2020-November 2020. This is a violation because an evacuationd drill is required to happen once per month and documented as required. Corrective Action: It is required to develop a system for the evacuation drills so that the program ensures their completion. Send a description of the system developed for conducting evacuation drills to this licensor for review.”

Correction date in the state record: Jul 28, 2021

Regulation 5.11.6.5: Bottles shall be individually labeled with the infant's name and refrigerated immediately after preparation by staff or upon arrival if prepared by a parent.

“It was observed and discussed that the infant room did not have their bottles individually labeled. It was observed children had wire baskets labeled with their name that the bottles were in. This is a violation because the bottles are required to be labeled. Corrective Action: Effective immediately, begin labelling children's bottles. Send a statement on how this will be achieved to this licensor.”

Correction date in the state record: Jul 12, 2021

Regulation 5.3.2: Daily Health Check Upon arrival into the CBCCPP staff shall observe each child for symptoms of communicable disease and signs of injuries. Any obvious injuries shall be documented along with any comments from the parent pertaining to the child's condition. This documentation shall be maintained in the child's file for a minimum of 365 days.

“It was observed, and confirmed with the Director and Staff, that the program was doing a daily health check of children but did not have a system for documentation. The daily health check requires documentation of symptoms of communicable disease and signs of injuries with parent comments. This documentation is required and must be kept for 365 days. Corrective Action: By 09/13/2019, implement program-wide procedure to begin documenting daily health checks. Once developed and implemented, send an email to this licensor with information on the systems added to ensure compliance with this rule.”

Correction date in the state record: Aug 30, 2019