591-1-1-.32(7) · Rule 591-1-1-.32(7) requires that children shall 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 childcare 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 investigation, it was determined that on July 20, 2022, an eight-year-old child was sitting in a glider rocker holding an eleven-month-old infant. The eight-year-old child released the eleven-month-old infant, and the infant fell face first onto the floor. The staff member changed the eleven-month-old infant and noticed there was a red bruise on the infant’s forehead. Watchful oversight of the eight-year-old child was not provided to prevent them from holding the eleven-month-old infant and causing the infant to fall onto the floor. Additionally, the staff member placed the eleven-month-old infant on the rug, the infant pulled up on the toy box, fell bumping their face on the toy box. The eleven-month-old infant sustained a head injury that required professional medical treatment.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.03(9) · Rule 591-1-1-.03(9) requires center staff to refrain from engaging in, or allowing children or other adults to engage in, activities that could be detrimental to a child’s health or well-being, such as but not limited to horse play, rough play, wrestling, and picking up a child in a manner that could cause injury.

During a complaint investigation, it was determined that on July 20, 2022, an eight-year-old child was sitting in a glider rocker holding an eleven-month-old infant. The eight-year-old child released the eleven-month-old infant, the eleven-month-old infant fell and hit their head on the floor and sustained a head injury that required professional medical treatment.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.29(3) · Rule 591-1-1-.29(3) requires the Director or designated person-in-charge to report or cause to be reported to the Department within twenty-four (24) hours or the next work day: any death of a child while in the care of the Center; any serious illness or injury requiring hospitalization or professional medical attention other than first aid of a child while in the care of the Center; any situation when a child in care becomes missing, such as, but not limited to, a child who is left on a vehicle, a child who leaves the building, playground, or property, or a child who is left behind on any trip; any fire; any structural disaster; any emergency situation that requires temporarily relocating children; and any time the program’s operating status changes (i.e., open to closed or temporarily closed and temporarily closed to open).

During an investigation, it was determined that on July 20, 2022, center staff failed to report to the Department when an eleven-month-old infant sustained an injury that required professional medical attention other than first aid. The incident was not reported to the Department as required.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.32(4) · Rule 591-1-1-.32(4) requires centers with a licensed capacity of 19 or more, children under three (3) years of age shall be housed in separate physical areas from older children and cannot be mixed with older children except at the following times and circumstances: (a) During early morning times of arrival and late afternoon times of departure, infants and children younger than three (3) years may be grouped with older children so long as Staff:child ratios and group size are met based upon the age of the youngest child in the group.

During an investigation, it was determined that on July 20, 2022, center staff allowed an eight-year-old child to be in the same physical area as an eleven-month-old infant. The infant sustained a head injury that required professional medical treatment.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.07(2) · Rule 591-1-1-.07(2) requires centers notifies parents of a child's illness or injury.

During a complaint investigation, it was determined that on July 20, 2022, center staff failed to notify parents when an eight-year-old child was sitting in glider rocker holding an eleven-month-old infant. The eight-year-old child released the eleven-month-old infant, the eleven-month-old infant fell and hit their head on the floor. The parents were not notified until 6:30 p.m. that evening. Professional medical attention was sought.

Open Not marked corrected in the state record

Open / not marked corrected.