Big Blue Marble - Madeline Drive

591-1-1-.07(2) · Rule 591-1-1-.07(2) requires that Parents be immediately notified and specific instructions obtained until the child can be picked up or returned to the group, immediately when professional medical attention is required, or when the child experiences symptoms of moderate discomfort, or when the child is involved in an incident that puts their health and/or safety at risk and to notify Parents by the end of the day when professional medical attention is not required, when the child experiences symptoms of less than moderate discomfort or when the child experiences an adverse reaction to prescribed medication which does not constitute moderate discomfort.

During an Incident Investigation Closure conducted on December 14, 2023 ; It was determined based upon investigative findings that on November 29, 2023, center staff did not notify the parents of a child¶s injury; when a two-year-old child fell from a diaper changing table.

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591-1-1-.07(2) · Rule 591-1-1-.07(2) requires that Parents be immediately notified and specific instructions obtained until the child can be picked up or returned to the group, immediately when professional medical attention is required, or when the child experiences symptoms of moderate discomfort, or when the child is involved in an incident that puts their health and/or safety at risk and to notify Parents by the end of the day when professional medical attention is not required, when the child experiences symptoms of less than moderate discomfort or when the child experiences an adverse reaction to prescribed medication which does not constitute moderate discomfort.

During an Incident Investigation Closure conducted on April 12, 2024 ; It was determined based on investigative findings that center staff did not immediately notify the parents of a one-year-old child when the child fell and hit their head in the classroom.

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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.

During an Incident Investigation/Monitoring Visit conducted on March 4, 2024 ; It was determined based upon observation that the staff member in Classroom G left one child unsupervised in the classroom while the staff member went to use the restroom inside the classroom for approximately one minute.

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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. Corporation Service Company and Ms. Hansen

During an Incident Investigation Closure conducted on March 13, 2024 ; It was determined based upon investigative findings that center staff failed to supervise a three-year-old child when the child was left unattended on the toddler playground for less than one minute when the staff returned with the class to the classroom after outside play.

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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.

During an Incident Investigation Closure conducted on April 12, 2024 ; It was determined based upon investigative findings that center staff left a one-year-old child asleep in the classroom for approximately three minutes. It was further determined that center staff sent two other children in the classroom unsupervised to wake the sleeping child. Exhibit "A"

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591-1-1-.30(4). · Rule 591-1-1-.30(4). requires that if cots and mats are stored in the children's activity room or area, they shall be stored to prevent children's access to them and to allow maximum use of play space. When storage is available and used for the storage of cots and mats that allows the cots, mats and any bedding to be stored without touching any other cots, mats or bedding, the bedding may be left on the cot or mat. When such storage is not available for the cots and mats, each child¶s bedding shall be kept separate from other children¶s bedding and stored in containers marked for individual use, such as, but not limited to, bins, cubbies, or bags.

During a Licensing Study conducted on November 17, 2022 ; It was determined, based on observation, that children's blankets were observed to be stored touching other children's blankets on this date in Rooms G and H.

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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 November 17, 2022 ; It was determined, based on observation, that the following potential hazards were observed present on this date: ‡Room E ±A broom, dustpan, and microfiber mop were observed accessible to children in the classroom. A bottle of CeraVe Daily Moisturizing Lotion was observed accessible to children in a child¶s cubby. Plastic trash bags were observed accessible to children near the stacked chairs. ‡Room F ±A broom and dustpan were observed accessible to children in the classroom. ‡Room G ±A plastic bag was observed hanging from the hooks under the children¶s cubbies on this date. ‡Room H ±Plastic bags were observed accessible to children on the top of a low shelf and in two children¶s cubbies on this date. Adult scissors were observed accessible to children on a low shelf on this date. A box of gloves was observed accessible to children on top of a shelf in the bathroom on this date.

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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 January 31, 2023 ; It was determined, based on observation, that the following potential hazards were observed present on this date: ‡Right Hallway: The laundry room was unlocked and contained several bottles of cleaning products. ‡Classroom D : One broom and mop were accessible in the children's bathroom, the cabinet door under the sink was disconnected at the hinges and had two exposed screws. ‡Classroom G: One box of latex gloves and one bag of children's wipes were accessible to children on a low shelf in the bathroom, and one drawer by the sink was unlocked containing a stapler, crazy glue and two stapler removers. ‡Classroom H: An unlocked cabinet by the sink contained one bottle of snow spray, one bottle of lysol disinfectant, and one plastic bag with Christmas lights and wires.

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591-1-1-.30(4). · Rule 591-1-1-.30(4). requires that if cots and mats are stored in the children's activity room or area, they shall be stored to prevent children's access to them and to allow maximum use of play space. When storage is available and used for the storage of cots and mats that allows the cots, mats and any bedding to be stored without touching any other cots, mats or bedding, the bedding may be left on the cot or mat. When such storage is not available for the cots and mats, each child¶s bedding shall be kept separate from other children¶s bedding and stored in containers marked for individual use, such as, but not limited to, bins, cubbies, or bags. Corporation Service Company and Ms. Morris

During a Monitoring Visit conducted on January 31, 2023 ; It was determined, based on observation, that children's blankets were observed to be stored touching other children's blankets on this date in classroom H.

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591-1-1-.32(2) · Rule 591-1-1-.32(2) requires the Center maintain Staff:child ratios in mixed-age groups based on the age of the youngest group of children that includes more than twenty percent of the total number of children in the mixed-age group.

During a Licensing Study conducted on November 17, 2022 ; It was determined, based on observation, that Room B was observed to have a ratio of 1:8 when a ratio of 2:8 was required due to the classroom consisting of four infants and four one-year-old children on this date. It was further determined that Room H was observed to have a ratio of 1:15 when a ratio of 2:15 was required due to the classroom consisting of nine two-year-old children and six three-year-old children on this date.

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591-1-1-.32(2) · Rule 591-1-1-.32(2) requires the Center maintain Staff:child ratios in mixed-age groups based on the age of the youngest group of children that includes more than twenty percent of the total number of children in the mixed-age group.

During a Monitoring Visit conducted on January 31, 2023 ; It was determined, based on observation, that Room G was observed to have a staff:child ratio of 1:19; which included one staff member with three three-year-old children and 16 four-year-old children on this date. A staff:child ratio of 2:19 was required.

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591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, nonporous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a Licensing Study conducted on November 17, 2022 ; It was determined, based on observation, that a tear with foam exposed was observed on the diaper changing pad in Room B, which prevented the surface from being thoroughly cleaned and sanitized on this date.

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591-1-1-.10(4) · Rule 591-1-1-.10(4) requires that if diapers are changed on a diaper changing surface, the surface shall be smooth, nonporous, and equipped with a guard or rails to prevent falls. Between each diaper change, the diaper changing surface shall be cleaned with a disinfectant and dried with a single-use disposable towel.

During a Monitoring Visit conducted on January 31, 2023 ; It was determined, based on observation, that a tear with foam exposed was observed in the diaper changing pad in Room B, which prevented the surface from being thoroughly cleaned and sanitized on this date. Exhibit "A"

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