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The Provider shall ensure that the electronic record is accessible to reviewers and auditors and the integrity of the record is preserved. P. Supervision and Staff-to-Child Ratios. (1) Caregivers shall be responsible for the daily supervision of children and direct care to children to ensure their safety and well-being. A facility shall staff each group care facility with caregivers in numbers sufficient to meet the staff to child ratios specified in regulation 114–591 (P)(3) and for any off-premise activities. (a) A facility shall ensure that supervision is provided for each child appropriate to the child’s age, maturity, behavior, and developmental level and sufficient to ensure the safety of all children in the facility. (b) No child may be in the facility without supervision by a caregiver. (c) A facility shall ensure that sufficient staffing is available to provide supervision of a child during suspensions and other extended absences from school. (2) A minimum of two caregivers shall be available, accessible, and able to respond on-site within a reasonable amount of time during waking and sleeping hours. (3) The staff-to-child ratios of the facility shall be 1:5 for children from birth to one year old. A facility shall have at least one caregiver awake and providing supervision for every 5 children in this age group during waking hours and during sleeping hours. (4) The staff-to child ratios of the facility shall be 1:6 for children one to two years old. A facility shall have at least one caregiver awake and providing supervision for every 6 children in this age group during waking and sleeping hours. (5) The staff-to-child ratios of the facility shall be 1:8 during waking hours and 1:10 during sleeping hours for children three years old and older. (6) Any child of live-in staff shall be included in the staff-to child ratios. (7) The staff-to-child ratios in regulation 114–591(P) are the minimum staffing requirements for caregivers. The number of caregiver staff on duty shall be increased as necessary to meet the needs of children and to ensure their safety and welfare. (8) The Agency may require a higher staff-to-child ratio if an on-site review indicates that a child is at risk of abuse, and more supervision is needed to maintain appropriate control, discipline, adequate care and safety. (9) The facility shall have a responsive system to provide for on-call caregivers (available, accessible and able to respond on-site) in the event of an emergency or disruption. A schedule of on-call caregivers shall be made immediately available to the Agency upon request. Q. Time Off for Caregivers. Each full-time caregiver shall have at least two consecutive days off each month in addition to one day off each week or the equivalent. The facility shall comply with state labor laws. R. Effective Date. This Regulation shall become effective on September 12, 2021. HISTORY: Added by SCSR 45–5 Doc. No. 5022, eff September 12, 2021. Amended by SCSR 47–5 Doc. No. 5109, eff May 26, 2023; SCSR 48–5 Doc. No. 5231, eff May 24, 2024. 114–592. Physical Environment and Safety. A. Physical Plant and Environment. (1) Zoning Compliance and Building Codes. (a) The construction of a new facility, the conversion of an existing building for residential child care purposes, or the remodeling of a facility shall comply with all applicable local zoning regulations and local and state building and fire codes. (b) Architectural plans for new construction or structural changes shall be approved by the appropriate authority and meet all required codes prior to construction. (2) Acceptable Buildings.