Saint Stephen Child Care & Learning Center

04-01 · Supervision

The supervision of the group of four & five year old's was inadequate in that the child care personnel listed on the supplemental inspection sheet threw a bottle of hand sanitizer at the child to catch during a game and the child did not catch the bottle and it stuck the child in the face leaving scratch and bruise on the left cheekbone right beneath the eye. This was brought back into compliance when the child care personnel resigned. Counselor gave technical assistance during the inspection from the Child Care Facility Handbook: General Supervision Requirements A. Child care personnel must position themselves in the outdoor play area so that all children can be observed and directly supervised. B. Child care personnel must be assigned to provide direct supervision to a specific group of children and be with that group of children at all times. Children must never be left without child care personnel supervision inside or outside the facility, in a vehicle, or at a field trip location. C. Supervision standards apply at all times away from the child care facility, including during field trips, outdoor play, and when picking up or dropping off children at designated locations, such as bus stops, school, or a childs home. For school-age children, personnel must know where the children are and what they are doing at all times and capable of responding to emergencies including when children are separated from their group. D. At all times, lighting must allow child care personnel to see and supervise children while in care. E. A program is responsible for the supervision of a child until an authorized individual retrieves the child from the program. A child shall not be released to any person other than the person(s) authorized or in the manner authorized in writing by the custodial parent or legal guardians. All individuals authorized to pick up a child must be identified in writing prior to release by the custodial parent or legal guardian to the program, and the program must verify the individual picking up the child is authorized by using a picture form of location as agreed upon by the provider and the custodial parent/legal guardian and released to an authorized individual. F. No person shall be an operator, owner, or employee of a child care facility while using or under the influence of narcotics, alcohol, or other drugs that impair a persons ability to provide safe care and supervision. G. In addition to the number of child care personnel required to meet the staff-to child ratio, one additional adult must attend field trips away from the child care facility to help provide direct supervision. The individual could be a parent volunteer as long as that person is under direct and constant supervision of a screened and trained child care personnel. H. Children must receive supervision and care in accordance with their age and required needs and be accounted for at all times while bathing or toileting. I. When transporting children in a vehicle or on foot, a telephone or other means of instant communication must be available to child care personnel. Cellular phones, two-way radio devices, citizen band radios, and other means of instant communications are acceptable

Corrected by Nov 3, 2023

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40-01 · Medication

Neosporin Ointment was applied to the child's face by the child care personnel listed on the supplemental inspection sheet. The medication was dispensed without written authorization from the custodial parent or legal guardian. Counselor gave technical assistance during the inspection from the Child Care Facility Handbook: Medication Child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: A. The child care program must have written authorization from the custodial parent or legal guardian to give prescription and non- prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and contain the childs name; the name of the medication to be given; and date, time and amount of the correct dosage to be given. Prescription and non- prescription medications that are used on an as needed basis require the parent/ legal guardian to provide additional documentation on the authorization form to describe symptoms that would require the medication to be given. The child care provider must never administer a medication that is prescribed for one child to another child. K. Use of diaper creams and insect repellant may only be utilized with written permission from parents/guardians. Manufacturer instructions must be followed

Corrected by Nov 3, 2023

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47-09 · Access/Child Safety

Counselor requested on 11/3/23 to view the video of 11/2/23. Counselor was informed that the owner was out of town and when he returned, he would work with a technician to pull up the video requested. The video was never provided to the counselor. Counselor contacted the owner again on 12/21/23 and the owner stated that the video is copied over after 21 days and is no longer available. Counselor gave technical assistance during the inspection from the Child Care Facility Handbook: Access A. A child care facility must provide the custodial parent or legal guardian access, in person and by telephone, to the child care facility during the facilitys normal hours of operation or during the time the child is in care. B. The child care facility must not interfere with or prevent the licensing authority from copying records, photographing or recording a location or activity on the premises as documentation for the inspection

Corrected by Nov 3, 2023

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39-04 · Accident/ Incident Notification and Documentation

Counselor reviewed the Accident/Incident Report written by MJ on 1/25/23 that was not signed by the Parent/Legal Guardian. Provider must submit a written plan of action on how this can be avoided moving forward. Counselor gave technical assistance during the inspection from the Child Care Facility Handbook: Accident/Incident Notification A. All accidents and incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child that occur while the child is in care must be documented on the same day they occur. B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. C. Documentation must include the name of the affected party, date and time of the occurrence, description of the occurrence, actions taken and by whom, and appropriate signatures of program child care personnel and the custodial parent or legal guardian. Program child care personnel signatures may include the director/child care personnel that witnessed the incident, who were involved in the incident, and/or responded to the childs needs. D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form. E. In the event of serious injury or death, the incident must immediately be reported to the licensing authority

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