Childcare Network #218

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 incident investigation, it was determined that on January 4, 2024, a seven-year-old child sustained a broken clavicle while on the playground. At approximately 5:20 p.m., there were three staff persons with 26 children on the playground. During the incident, two children were “play fighting” in the grass behind the climbing equipment, staff did not observe the incident with the two children to intervene. While the children were “play fighting” one child picked up the other child and slammed them to the ground. The child lay on the ground for approximately five minutes and 22 seconds, unnoticed by staff persons. The child’s parent arrived to pick him up shortly after the incident. The child received professional medical treatment and was diagnosed with a fracture of the left clavicle.

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591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a Monitoring Visit conducted on October 18, 2022 ; It was determined based on observation that there was an active ant bed on the playground behind the main building towards the back center of the play area. Further, there was exposed concrete with sharp edges immediately outside the exit door from the second classroom on the right side playground and exposed roots. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a Licensing Study conducted on April 25, 2023 ; It was determined based on observation that there was an active ant bed on the playground at the exit door to the playground from the two-year-old classroom and there was a hole in the concrete on the first concrete circle that measured 3 and a half inches and sharp edges were present. Further, there were multiple long mushrooms observed on the far right side of the playground next to the fence on the toddler playground and an active ant bed on the right side of the playground by the fence of the playground labeled as the three-year-old playground. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During an Incident Investigation Closure conducted on July 6, 2023 ; It was determined based on investigative findings that on June 28, 2023, there were two active ant beds on the outdoor play area which resulted in a one-year-old sustaining four to five bite marks on their finger and arm on the toddler playground. Exhibit "A"

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591-1-1-.26(6) · Rule 591-1-1-.26(6) requires that playground equipment provide an opportunity for the children to engage in a variety of experiences and shall be age-appropriate. For example, toddlers shall not be permitted to swing in swings designed for School-age Children. The outdoor equipment shall be free of lead-based paint, sharp corners and shall be regularly maintained in such a way as to be free of rust and splinters that could pose significant safety hazard to the children. All equipment shall be arranged so as not to obstruct supervision of children.

During a Monitoring Visit conducted on October 18, 2022 ; It was determined that there was rust present on the toddler swings on the playground on the left front of the building.

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591-1-1-.26(6) · Rule 591-1-1-.26(6) requires that playground equipment provide an opportunity for the children to engage in a variety of experiences and shall be age-appropriate. For example, toddlers shall not be permitted to swing in swings designed for School-age Children. The outdoor equipment shall be free of lead-based paint, sharp corners and shall be regularly maintained in such a way as to be free of rust and splinters that could pose significant safety hazard to the children. All equipment shall be arranged so as not to obstruct supervision of children.

During a Licensing Study conducted on April 25, 2023 ; It was determined based on observation that there was rust present throughout the climber on the three-year-old playground.

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591-1-1-.12(6) · Rule 591-1-1-.12(6) requires that a variety of age-appropriate toys and play materials be available, stored on low, open shelves accessible to children in each room or assigned area.

During a Monitoring Visit conducted on October 18, 2022 ; It was determined based on observation that most of the toys in the second classroom on the left were stored on top of the cubbies and were not accessible to children on this date.

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591-1-1-.12(6) · Rule 591-1-1-.12(6) requires that a variety of age-appropriate toys and play materials be available, stored on low, open shelves accessible to children in each room or assigned area.

During a Licensing Study conducted on April 25, 2023 ; It was determined based on observation that most of the shelves in the second classroom on the left were empty and toys were stored on top of the cubbies and were not accessible to children on this date.

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591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a Monitoring Visit conducted on October 18, 2022 ; It was determined based on observation that a staff member in the first classroom on the left put a pair of gloves on, wiped multiple children's noses, picked up soft toys, and then placed a snack on the table for a child, and never removed the gloves to wash their hands.

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591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a Licensing Study conducted on April 25, 2023 ; It was determined based on observation that a staff member did not wash their hands after they diapered multiple children and the staff member only put new gloves on before they continued diapering the next child.

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591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a Monitoring Visit conducted on October 18, 2022 ; It was determined based on observation that there was an active ant bed on the playground behind the main building towards the back center of the play area. Further, there was exposed concrete with sharp edges immediately outside the exit door from the second classroom on the right side playground and exposed roots.

View state record

591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a Licensing Study conducted on April 25, 2023 ; It was determined based on observation that there was an active ant bed on the playground at the exit door to the playground from the two-year-old classroom and there was a hole in the concrete on the first concrete circle that measured 3 and a half inches and sharp edges were present. Further, there were multiple long mushrooms observed on the far right side of the playground next to the fence on the toddler playground and an active ant bed on the right side of the playground by the fence of the playground labeled as the three-year-old playground.

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591-1-1-.33(3) · Rule 591-1-1-.33(3) requires each Staff member with direct care responsibilities to complete health and safety orientation training within the first 90 days of employment. The state-approved training hours obtained will count toward required first year training hours. The training must address the following health and safety topics: prevention and control of infectious diseases (including immunizations); prevention of sudden infant death syndrome and use of safe sleeping practices; administration of medication, consistent with standards for parental consent; prevention of and response to emergencies due to food and allergic reactions; building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; prevention of shaken baby syndrome, abusive head trauma and child maltreatment; emergency preparedness and response planning for emergencies resulting from a natural disaster or a human-caused event (such as violence at a child care facility); handling and storage of hazardous materials and the appropriate disposal of bio contaminants; precautions in transporting children; recognition and reporting of child abuse and neglect; and child development.

During a Monitoring Visit conducted on October 18, 2022 ; It was determined based on a review of records that eight staff members did not obtain health and safety orientation training within the first 90 days of employment as required.

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591-1-1-.33(3) · Rule 591-1-1-.33(3) requires each Staff member with direct care responsibilities to complete health and safety orientation training within the first 90 days of employment. The state-approved training hours obtained will count toward required first year training hours. The training must address the following health and safety topics: prevention and control of infectious diseases (including immunizations); prevention of sudden infant death syndrome and use of safe sleeping practices; administration of medication, consistent with standards for parental consent; prevention of and response to emergencies due to food and allergic reactions; building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; prevention of shaken baby syndrome, abusive head trauma and child maltreatment; emergency preparedness and response planning for emergencies resulting from a natural disaster or a human-caused event (such as violence at a child care facility); handling and storage of hazardous materials and the appropriate disposal of bio contaminants; precautions in transporting children; recognition and reporting of child abuse and neglect; and child development.

During a Licensing Study conducted on April 25, 2023 ; It was determined based on a review of records that one staff member did not obtain health and safety orientation training within the first 90 days of employment as required. Exhibit "A"

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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 meal times and shall be seated within an arm’s length away from children thirty-six (36) months of age and younger.

During a Complaint Investigation by Phone conducted on December 15, 2021 ; It was determined based on investigative findings that on December 7, 2021, the infant teacher did not provide adequate supervision when an infant crawled out of view, behind the changing table. The infant teacher was seated in a rocking chair and did not position herself to ensure that the infant was in view, knowing that the cabinet latch was broken on the changing table. The staff member continued to remain in the rocking chair after the parent entered the room and asked where the infant was. The infant teacher told the parent that the infant was behind the changing table but never attempted to check to see what the infant was doing. The center stated that the infant only had access to bibs that were placed in the cabinet. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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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 a Complaint Investigation by Phone conducted on February 23, 2022 ; It was determined based on investigative findings that on February 9, 2022, a two-year-old child's thumb was closed in a closet door by another child. The teacher was unaware that the child's finger was closed in the door until she saw the child's finger during circle time. Medical attention was required. On February 11, 2022, another incident happened in which a two-year-old child was left unattended in the hallway for approximately one minute. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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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 a Complaint Closure conducted on May 10, 2022 ; It was determined based on investigative findings that a three-year-old child was not properly supervised for less than one minute when the child ran from playground A to playground B. A staff member inside the program observed the unsupervised child as she was changing a diaper in her classroom and kept watch over the child until they could bring them inside the center. The staff members who were responsible for the child were unaware the child was missing. Exhibit "A"

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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, $299.00 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 meal times and shall be seated within an arm’s length away from children thirty-six (36) months of age and younger.

During a Complaint Investigation by Phone conducted on December 15, 2021, it was determined based on investigative findings that on December 7, 2021, the infant teacher did not provide adequate supervision when an infant crawled out of view, behind the changing table. The infant teacher was seated in a rocking chair and did not position herself to ensure that the infant was in view, knowing that the cabinet latch was broken on the changing table. The staff member continued to remain in the rocking chair after the parent entered the room and asked where the infant was. The infant teacher told the parent that the infant was behind the changing table but never attempted to check to see what the infant was doing. The center stated that the infant only had access to bibs that were placed in the cabinet.

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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, $499.00 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 meal times and shall be seated within an arm’s length away from children thirty-six (36) months of age and younger.

During a Complaint Investigation by Phone conducted on February 23, 2022, it was determined based on investigative findings that on February 9, 2022, a two-year-old child's thumb was closed in a closet door by another child. The teacher was unaware that the child's finger was closed in the door until she saw the child's finger during circle time. Medical attention was required. On February 11, 2022, another incident happened in which a two-year-old child was left unattended in the hallway for approximately one minute.

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