Trinity Ev Lutheran

During the inspection, and a review of children(s) files, it was determined that the health record of each child did not include a medical signed by a licensed physician. The medical in the file was not signed by the physician Corrective Action Plan Due: 03/12/2026 05/08/2026 Page 2 of 9 hiv Department of ~ Children & Youth Rule Rule Rule Rule: Rule: Rule Rule: Rule: Rule: Rule: Rule Rule: Rule: Rule Rule: Rule: Rule: Rule: Rule: : 5180-37:03 Written philosophy and goals : 5180-37:02 Parent handbook : 5180-37:03 Developmental progress and parent teacher conferences 5180-37:03 Written curriculum adopted and aligned 5180-37:02 Written compliance report posted : 5180-37:04 Program operation 5180-37:04 Staff Non-Discrimination 5180-37:03 Daily Schedule 5180-37:03 Nap/Rest-Time Requirements 5180-37:04 Director onsite fifty percent of operating hours : 5180-37:04 Staff supervision 5180-37:04 Director qualifications 5180-37:04 Director responsibilities : 5180-37:04 Administrator rules training 5180-37:04 Lead teacher assigned 5180-37:04 Nontax nonpublic preschool teacher requirements 5180-37:04 Individuals used in ratio 5180-37:04 Annual in-service requirements 5180-37:04 Staff minimum requirements Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant 05/08, /2026 Page 3 of 9 hiv Department of ~ Children & Youth Rule Rule Rule Rule: Rule: Rule Rule: Rule: Rule: Rule: Rule Rule: Rule: Rule Rule: Rule: Rule: Rule: Rule: : 5180-37:04 Orientation training : 5180-37:04 Non-guilty non-conviction statement : 5180-37:04 Required background checks 5180-37:04 Background check updates : 5180-37:04 Second adult requirements 5180-37:04 Staff/child ratio maintained at all times 5180-37:04 Licensed staff in-service requirement 5180-37:04 Part-time staff in-service requirement 5180-37:04 Approved trainer requirements : 5180-37:05 Outdoor play space 5180-37:05 Center cleaning and sanitizing 5180-37:05 Phone available : 5180-37:05 Safe play space available 5180-37:05 Play space free of hazards 5180-37:05 Exclusive use of preschool space 5180-37:06 Safe and sanitary equipment and materials 5180-37:05 Square footage and maximum capacity 5180-37:05 Annual fire inspection 5180-37:04 Staff with required health and safety trainings Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant Compliant 05/08, /2026 Page 4 of 9 hiv Department of ~ Children & Youth

During the inspection and review of staff files, individuals used to count in ratio did not have evidence of a signed medical statement on or before the first day of employment. Medical was missing the statements free from communicable disease and able to work with children Corrective Action Plan Due: 03/12/2026