591-1-1-.10(5) · Rule 591-1-1-.10(5) requires that Center Staff shall not leave infants or children unattended while being diapered or having their clothes changed on the diaper changing surface.

It was determined based on an investigation that on November 22, 2024, at approximately 9:00 a.m., a staff member left a one-year-old child unattended while being diapered on the diaper changing surface. The staff member stood the child up, and then turned their back. The child stepped forward and fell off the changing table, hitting their head on the floor. The one-year-old child sustained a head injury. Professional medical attention was received.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.07(4) · Rule 591-1-1-.07(4) requires the Center to have a written plan which outlines how emergency medical services will be obtained, including place(s) the child will be taken for emergency care. When a medical emergency arises involving a child, the Center Staff shall seek prompt emergency medical treatment and provide any certified or licensed emergency medical persons with immediate access to the child.

It was determined that on November 22, 2024, at approximately 9:00 a.m., center staff failed to call medical emergency services after a one-year-old child fell off the diaper changing table, hit their head on the floor, started vomiting and showing signs of a concussion. Professional medical attention was received.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.32(7) · Rule 591-1-1-.32(7) requires that children be supervised at all times appropriate to the individual age, needs and capabilities of each child. Such supervision must include, but not be limited to, indoor and outdoor activities, mealtimes, naptime, transportation, field trips, and transitions between activities. "Supervision" means that the appropriate number of Staff members are physically present in the area where children are being cared for and are providing watchful oversight to the children, volunteers and Students-in-Training. The persons supervising in the child care area must be alert, positioned to maximize their ability to hear and see the children at all times, and able to respond promptly to the needs and actions of the children being supervised, as well as the actions of the volunteers and Students-in-Training, and provide timely attention to the children's actions and needs. Staff shall be attentive and participating with all children during mealtimes and shall be seated within an arm’s length away from children thirty-six (36) months of age and younger.