Grace Episcopal Day School & Nursery

C.: Based on record review and interviews at 12:00 p.m., S1 failed to notify the parents, the Department, and Child Welfare within 24 hours of being made aware of the following critical incident: On 9/24/2025, at about 2:45 p.m., S2 informed S1 that S15 told her that S4 had put C1, 1-year-old, in the bathroom with the lights off. O2, Child Welfare, came to the center on 9/29/2205 to investigate a complaint they had received involving S4 putting C1 in the bathroom. Corrective Action: Effective 10/15/2025, S2 stated she and or S1 will notify the appropriate agencies within 24 hours of…

Based on observations at 9:00 a.m., S1 failed to ensure 1 of 4 children in S8's classroom and 1 of 5 children in S7's classroom were signed in. This was corrected prior to the Specialist's departure. Corrective Action: Effective 10/15/2025, S2 stated she will move sign in sheets back closer to each teacher's door and have teachers remind parents to sign children in each morning to ensure compliance with this regulation.

1507.B. Based on record review and interview at 12:00 p.m., S1 failed to ensure the center's staff daily attendance record accurately reflected persons on the child care premises at any given time as evidenced by S15 was present at the center during the week of 9/22/2025 - 9/26/2025, but failed to sign in each day. This could not be corrected. Corrective Action: Effective 10/15/2025, S2 stated she will send out a daily reminder for teachers to sign in and she will check attendance during her walkthroughs to ensure compliance with this regulation.

Based on interviews at 12:00 p.m., although the center has a behavior management policy in place, S4 used a prohibited method of discipline as she used a high chair for disciplinary purposes (date unknown) for both C2, 1-year-old and C3, 1-year-old. Corrective Action: Effective 10/15/2025, S2 stated they will have a refresher training discussing appropriate behavior and classroom management on 10/21/2024 to ensure compliance with this regulation.

Based on interviews at 12:00 p.m., although the center has a behavior management policy for time out in place, S4 used a prohibited method of time out as C1, 1-year-old was subject to time out and was not in sight of staff when he was placed in the bathroom with the doors closed and lights off on 9/24/2025. C2, 1-year-old and C3, 1-year-old, were both subject to time out when they were placed in high chairs (date unknown), although they are both under the age of two. Corrective Action: Effective 10/15/2025, S2 stated they will have a refresher training discussing the behavior…

Based on observations and interviews at 12:00 p.m., S1 failed to have a policy establishing steps for addressing behaviors identified by the site as dangerous and/or out of control behaviors. Corrective Action: Effective 10/15/2025, S2 stated she will get the behavior management policy-steps for addressing behaviors added to the handbook to ensure compliance with this regulation.

Based on record review at 12:30 p.m. S1 failed to have documentation that 2 of 15 staff on thepremises and accessible to the children have current certification in infant and child CPR through training approved by the department. S11 and S13 failed to have current certification. This was not corrected prior to the Specialist's departure. Corrective Action: Effective 6/10/2025, S1 stated S11 and S13 were previously scheduled for a class in March, but it was canceled. She has both S11 and S13 signed up for a class on 06/17/2025. She stated she will ensure all staff maintain current…

Based on record review at 12:30 p.m. S1 failed to have documentation that 2 of 15 staff on thepremises and accessible to the children have current certification in Pediatric First Aid through training approved by the department. S11 and S13 failed to have current certification. This was not corrected prior to the Specialist's departure. Corrective Action: Effective 6/10/2025, S1 stated S11 and S13 were previously scheduled for a class in March, but it was canceled. She has both S11 and S13 signed up for a class on 06/17/2025. She stated she will ensure all staff maintain current…

Based on observation at 9:30 a.m., S6 and S12 failed meet the required child to staff ratio. The Specialist observed S6 supervising 11 children: ages 2-years-old. She could only supervise 10 children. There needed to be 1 additional staff present. The Specialist observed S12 supervising 6 children: ages 6-weeks-old to 8-months-old. She could only supervise 5 children. There needed to be 1 additional staff. This was not corrected prior to the Specialist departure. Corrective Action: Effective 4/7/2025, S1 stated she is going to rearrange the classrooms, and move some children around…

Based on record review at 10:30 a.m. S1 failed to have documentation that 1 of 15 staff on the premises and accessible to the children have current certification in infant and child CPR through training approved by the department. S11 failed to have current certification. This was not corrected prior to the Specialist departure. Corrective Action: Effective 4/7/2025, S1 stated S11 was previously scheduled for a class but it was canceled. She will schedule another class as soon as possible to ensure compliance with this regulation.

Based on record review at 10:30 a.m. S1 failed to have documentation that 1 of 15 staff on the premises and accessible to the children have current certification in Pediatric First Aid through training approved by the department. S11 failed to have current certification. This was not corrected prior to the Specialist departure. Corrective Action: Effective 4/7/2025, S1 stated S11 was previously scheduled for a class but it was canceled. She will schedule another class as soon as possible to ensure compliance with this regulation.

Based on record review at 10:15 a.m., S5, S14, and S15 failed to document an explanation from parent and/or child for the weeks of 3/3/2025 - 3/7/2025, 3/10/2025 - 3/14/2025, 3/17/2025 - 3/21/2025, 3/24/2025 - 3/28/2025, and 3/31/2025. This was not corrected prior to the Specialist departure. Corrective Action: Effective 4/7/2025, S1 stated she will make sure all staff know to document an explanation to ensure compliance with this regulation.