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 Complaint Investigation & Monitoring Visit conducted on November 1, 2022 ; It was determined based on observation that there was one staff member present with three 2-year-old children and eight 3-year-old children in classroom D. A ratio of 2:11 was required.

Open Not marked corrected in the state record

Open / not marked corrected.

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 Complaint Closure conducted on February 8, 2023 ; It was determined based on investigative findings that the ratio was 1:11 (2 one-year-old children and 9 two-year-old children) on October 26, 2022 in classroom E L Hall 2R. A ratio of 2:11 was required.

Open Not marked corrected in the state record

Open / not marked corrected.

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 Complaint Closure conducted on May 18, 2023 ; It was determined based on investigative findings that, on April 28, 2023, there was a ratio of 1:18 (10 three-year-old children, 6 four-year-old children, and 2 five-year-old children) between approximately 7:30 a.m. and 7:40 a. m. in classroom D1R. A ratio of 2:18 was required. Exhibit "A"

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.25(3) · Rule 591-1-1-.25(3) requires the Center and surrounding premises to be kept clean, free of debris and in good repair. Hygienic measures such as, but not limited to, screened windows and proper waste disposal procedures shall be utilized to minimize the presence of rodents, flies, roaches and other vermin at the Center.

During a Complaint Investigation & Monitoring Visit conducted on November 1, 2022 ; It was determined based on observation that there was a hole in the wall under the cubbies by the door in classroom B, a hole in the wall under the window in classroom C, and a hole in the bathroom wall in classroom E.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.25(3) · Rule 591-1-1-.25(3) requires the Center and surrounding premises to be kept clean, free of debris and in good repair. Hygienic measures such as, but not limited to, screened windows and proper waste disposal procedures shall be utilized to minimize the presence of rodents, flies, roaches and other vermin at the Center.

During a Complaint Investigation & Licensing Study conducted on May 18, 2023 ; It was determined based on observation that there was a hole in the bathroom wall in classroom E and a switch plate over an electrical outlet was loose in classroom B2L

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.36(7)(b) · Rule 591-1-1-.36(7)(b) requires that an emergency medical information record be maintained in the vehicle for each child being transported. The emergency medical information record for each child shall include a listing of the child's full name, date of birth, allergies, special medical needs and conditions, current prescribed medications that the child is required to take on a daily basis for a chronic condition, the name and telephone number of the child's doctor, the local medical facility that the Center uses in the area where the Center is located and the telephone numbers where the Parents can be reached.

During a Complaint Investigation & Monitoring Visit conducted on November 1, 2022 ; It was determined based on review of records that the center did not have evidence of an emergency medical information record for one of 22 transported children. Further, five of 22 records did not contain the telephone number of the child's doctor.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.36(7)(b) · Rule 591-1-1-.36(7)(b) requires that an emergency medical information record be maintained in the vehicle for each child being transported. The emergency medical information record for each child shall include a listing of the child's full name, date of birth, allergies, special medical needs and conditions, current prescribed medications that the child is required to take on a daily basis for a chronic condition, the name and telephone number of the child's doctor, the local medical facility that the Center uses in the area where the Center is located and the telephone numbers where the Parents can be reached.

During a Complaint Investigation & Licensing Study conducted on May 18, 2023 ; It was determined based on review of records that three of 22 emergency medical information records did not have the telephone number of the child's doctor and two of 22 records did not have information regarding allergies, special medical needs and conditions, and current prescribed medications.

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.

During an Incident Investigation Closure conducted on March 27, 2023 ; It was determined based on an investigation that on May 12, 2022 at 9:42 a.m., center staff failed to provide supervision-watchful oversight when a four-year-old child sustained an injury after they fell from playground equipment that was used inappropriately. The child flipped the car on its side, stood on it and jumped off of the car backwards. The child had to receive professional medical attention as a result.

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.

During a Complaint Investigation & Licensing Study conducted on May 18, 2023 ; It was determined based on observation that a staff member was not seated within an arm's length of the one and two-year- old children in classroom A1R during mealtime. The staff member was observed putting sheets on the mats. Exhibit "A"

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.

During an investigation, it was determined that on May 12, 2022, center staff failed to provide watchful oversight when a four-year-old child fell off of a piece of playground equipment and sustained a head injury. Video showed the four-year-old child climbing on to a toy car that was laying on its side. The child was observed to fall off of the car and hit their head on the concrete. There were five staff members on the playground when the injury occurred. None of the staff members observed the child standing on the toy car and falling. Professional medical attention was obtained.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.12(1) · Rule 591-1-1-.12(1) requires each Employee and child in attendance to use all indoor and outdoor furniture, activity materials, and equipment in a safe and appropriate manner and in accordance with the manufacturer's instructions, recommendations, and intended use. All equipment and furniture shall be used only by the age-appropriate group of children.

During an investigation, it was determined that on May 12, 2022, center staff failed to ensure that the children were using the playground equipment in an appropriate and safe manner resulting in a four-year-old child falling off of a piece of playground equipment and sustaining a head injury. Video showed the four-year-old child climbing on to a toy car that was lying on its side. The child was observed to fall off of the car and hit their head on the concrete. There were five staff members on the playground when the injury occurred. None of the staff members redirected the child to not stand on a toy car. Professional medical attention was obtained.

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 $499.00 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 conducted on October 14, 2021, it was determined that on September 29, 2021, a three-year- old child sustained an injury to the nose when the child fell hitting their nose on a table after getting up from eating breakfast. Six children were eating breakfast, the staff person positioned themselves across the room and was looking down at something in their hands. There were eight other children engaged in free play. The three-year-old child got up from the breakfast table and stumbled hitting their nose on another table. The child walked to the staff person rubbing their nose. The staff person walked by the child and did not stop to check on them. The staff person failed to participate with the children during mealtime. Additionally, the staff person was not aware of the incident until the parent made center staff aware of the injury to the child’s nose. Professional medical attention was received.

Open Not marked corrected in the state record

Open / not marked corrected.