Anointed Hands Childcare

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. AND

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591-1-1-.36(10) · Rule 591-1-1-.36(10) requires that a child never be left unattended in a vehicle.

It was determined based on an investigation that on December 18, 2023, at approximately 7:45 am, a staff member failed to provide watchful oversight when the driver of the vehicle left two children, ages three and five, unattended on the vehicle for approximately two minutes. Upon arrival at Dean Bridge Head Start to drop off the first student, age three, the driver exited the vehicle to escort the child into the school, leaving the remaining two children in the vehicle unattended.

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591-1-1-.36(13) · Rule 591-1-1-.36(13) requires that the motor be turned off, the brake set and the keys removed whenever the driver leaves the vehicle.

It was determined based on an investigation that on December 18, 2023, at approximately 7:45 am, the center driver left two students, ages three and five, in a center vehicle unattended while the vehicle was running for approximately two minutes. Upon arrival at Dean Bridge Head Start to drop off the first student, age three, the driver exited the vehicle to escort the child into the school, leaving the remaining two children in the vehicle unattended.

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591-1-1-.11(2) · Rule 591-1-1-.11(2) requires that Personnel not: physically or sexually abuse a child or engage or permit others to engage in sexually overt conduct in the presence of any child enrolled in the Center; inflict corporal/physical punishment upon a child; shake, jerk, pinch or handle a child roughly; verbally abuse or humiliate a child which includes, but is not limited to, the use of threats, profanity or belittling remarks about a child or his family; isolate a child in a dark room, closet or unsupervised area; use mechanical or physical restraints or devi ces to discipline children; use medication to discipline or control children's behavior without written medical authorization issued by a licensed professional and given with the parent's written consent; restrict unreasonably a child from going to the bathroom; punish toileting accidents; force-feed a child or withhold feeding a child regularly scheduled meals and/or snacks; force or withhold naps; allow children to discipline or humiliate other children; or confine a child for disciplinary purposes to a swing, highchair, infant carrier, walker or jump seat.

During a Complaint Closure conducted on February 9, 2024; It was determined based upon investigative findings that Center Staff restrained a seven-year-old child for three minutes. It was further determined that Center Staff restricted a seven-year- old child from using the restroom after the child verbally indicated that they needed to use the restroom a total of fourteen times.

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591-1-1-.20(4) · Rule 591-1-1-.20(4) requires the Center to keep medication in a cabinet or container that is locked or otherwise not accessible to the children and to be stored separate from cleaning chemicals, supplies or poisons. Medications requiring refrigeration shall be placed in a leak-proof container in a refrigerator that is not accessible to the children.

During a Monitoring Visit conducted on August 10, 2022 ; It was determined based upon observation that a bottle of Infants Tylenol and a bottle of Little Remedies Gas Relief Drops were on a low shelf in an unlocked cabinet accessible to children in Classroom D.

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591-1-1-.20(4) · Rule 591-1-1-.20(4) requires the Center to keep medication in a cabinet or container that is locked or otherwise not accessible to the children and to be stored separate from cleaning chemicals, supplies or poisons. Medications requiring refrigeration shall be placed in a leak-proof container in a refrigerator that is not accessible to the children.

During a Licensing Study conducted on January 25, 2023 ; It was determined based upon observation that a bottle of Hyland's Baby Mucus and Cold Relief was in an unlocked cabinet below the changing table accessible to children in Classroom C.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Licensing Study conducted on February 22, 2022 ; It was determined based upon observation that the following hazards were observed accessible to children: Building Three Front Classroom ‡Fresh New Day Fresh Waters Spray was on a table on the middle left side of the classroom Classroom B ‡Huggies Simply, Huggies Natural Care Baby wipes, and Parent¶s Choice Natural Care Baby wipes were in children's cubbies Classroom A ‡A plastic grocery bag was in a child¶s cubby ‡A Staff purse was in an unlocked cabinet Classroom E: ‡An unlocked Electrical closet, was accessible on this date. ‡A pack of Gentle Steps Baby wipes, Fisher Price Baby wipes, Parents Choice Baby wipes, and a grocery bag were in an unlocked cabinet.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Monitoring Visit conducted on August 10, 2022 ; It was determined based upon observation that the following hazards were observed accessible to children: Classroom A: ‡A black grocery bag was on the bottom shelf of an unlocked cabinet. ‡One pack of Pampers Sensitive baby wipes was on the bottom shelf in an unlocked cabinet. Classroom B: ‡One pack of Huggies Natural Care baby wipes was in a cubby. Classroom C: ‡One pack of Pampers Sensitive baby wipes was in a child¶s book bag. ‡One bottle of Gentle Steps Cornstarch Baby Powder, a plastic trash bag, a plastic grocery bag, and several pairs of gloves were in an unlocked cabinet under the diaper changing table. Classroom D: ‡Two containers of Clorox Disinfecting Wipes, a pack of Tippey Toes baby wipes, and two packs of Pampers Sensitive baby wipes were on a low shelf, in an unlocked cabinet. ‡A container of Vicks Baby Rub Soothing Ointment, a bottle of Little Remedies Sterile Saline Mist, and a tube of Desitin Ointment were in a child¶s book bag. Classroom E: ‡A pack of Parents Choice Fragrance Free baby wipes, a pack of Pampers baby wipes, a pack of Huggies Natural baby wipes, a pack of Baby Soft baby wipes, a pack of Parents Choice cucumber baby wipes, two packs of Hello Bell baby wipes, and a pack of Members Mark baby wipes were on a low shelf in an unlocked cabinet. ‡Two packs of Huggies Natural baby wipes, three packs of Parents Choice baby wipes, one pack of Pampers baby wipes, a container of Clorox Disinfecting wipes, and a bottle of Lysol Disinfectant Spray were in an unlocked cabinet under the diaper changing table.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Licensing Study conducted on January 25, 2023 ; It was determined based upon observation that the following hazards were observed accessible to children: Classroom A: -A hanging cord from the t.v. was on the front right wall. Classroom B: -One pack of Parent's Choice wipes was in a cubby. -A hanging cord from the air purifier, by the handwashing sink. Classroom C: -One pack of Parent's Choice wipes, a bottle of Clorox Disinfecting Cleaner, one bottle of Gentle Steps Cornstarch Baby Powder, a plastic grocery bag, and several pairs of latex gloves were in an unlocked cabinet under the diaper changing table. Classroom E: - Three packs of Parent's Choice wipes, one pack of Pamper's wipes, and one pack of unscented wipes were in children's cubbies.

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591-1-1-.36(4)(b) · Rule 591-1-1-.36(4)(b) requires that the interior of a transportation vehicle be clean, in safe repair and free of hazardous items, objects and/or other non-essential items which could cause injury.

During a Licensing Study conducted on February 22, 2022 ; It was determined based upon observation that the vehicle used for transportation, Tag# QFA3060, had torn seats on the first, second, and third rows. It was further determined that the vehicle used for transportation, Tag# RPC3167, had two torn arm rests on the second row, one torn arm rest of the third row, and the back head rest of the front row was torn.

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591-1-1-.36(4)(b) · Rule 591-1-1-.36(4)(b) requires that the interior of a transportation vehicle be clean, in safe repair and free of hazardous items, objects and/or other non-essential items which could cause injury.

During a Monitoring Visit conducted on August 10, 2022 ; It was determined based upon observation that the vehicle used for transportation, Tag# QFA3060, had torn seats on the middle seat and right side of the first row, in the middle seat of the second row, on the right side of the seat on the third row, and on the front right corner of the seat on the fourth row. It was further determined that the vehicle used for transportation, Tag# RPC3167, had one torn arm rest on the right side of the first row, a tear on the back of the head rest of the first row, two torn arm rests on the second row and third row.

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591-1-1-.36(4)(b) · Rule 591-1-1-.36(4)(b) requires that the interior of a transportation vehicle be clean, in safe repair and free of hazardous items, objects and/or other non-essential items which could cause injury.

During a Licensing Study conducted on January 25, 2023 ; It was determined based upon observation that the vehicle used for transportation, Tag# QFA3060, had an inoperable seatbelt by the passenger door of the first row, tears in the middle seat of the second row, there was a tear on the right side of the seat on the third row, and on the front right corner of the seat on the fourth row. It was further determined that the vehicle used for transportation, Tag# RPC3167, had one torn arm rest on the right side of the first row, a tear on the back of the head rest of the first row, two torn arm rests on the second row and third row.

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591-1-1-.12(2) · Rule 591-1-1-.12(2) requires that all equipment and furniture be free from hazardous conditions such as, but not limited to, sharp rough edges or toxic paint; and be kept clean.

During a Monitoring Visit conducted on August 10, 2022 ; It was determined based upon observation that the cabinet door on the kitchen play equipment in Classroom E was broken at the top right of the door.

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591-1-1-.12(2) · Rule 591-1-1-.12(2) requires that all equipment and furniture be free from hazardous conditions such as, but not limited to, sharp rough edges or toxic paint; and be kept clean.

During a Licensing Study conducted on January 25, 2023 ; It was determined based upon observation that the right side of the shelf in the Math/Manipulative center, was not attached to the top of the shelving unit exposing four screws in Classroom A causing a potential pinching hazard. It was further determined that there was an exposed screw protruding between the faucet knobs, on the play kitchen sink, in Classroom E. It was also determined that the blue vinyl triangle mat was torn at the top and side corner, the yellow vinyl triangle mat was torn on two corners, and the blue vinyl chair was torn at the front left corner in Classroom B. Exhibit "A"

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