04-02 · Supervision

The infant sustained a serious injury that occurred at the facility ranging from the time that he was dropped off to the time that the mother arrived and observed tears on her infants face. The facility staff was not able to advise how the infant sustained the serious injury while in their care, therefore failing to provided adequate supervision. During the time of the inspection, the Licensing Specialist provided technical assistance, per the CCF Handbook: 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.D. At all times, lighting must allow child care personnel to see and supervise children while in care. G. In addition to the number of child care personnel required to meet the staff-tochild 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.2.4.2 Nap time Supervision During nap time, child care personnel must be within sight and hearing of all the children. All other child care personnel required to meet the staff-to-child ratio must be within the building on the same floor and available to be summoned if needed to ensure the safety of the children. Nap time supervision does not apply to children up to 24 months of age, who must have direct supervision at all times. 2.4.3 Evening Supervision During evening child care hours, child care personnel must remain awake at all times. While children are awake, direct supervision must be provided. D. Constant and active supervision must be maintained when any child is in or around water. An adult should remain in direct physical contact with an infant at all times during swimming or water activities. During water activities, children ages 1 year up to five years must be within an arms reach and in the sight of the supervising adult at all times."