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 October 26, 2023, a five-month-old infant was not adequately supervised in the infant classroom. The staff members who were responsible for providing active supervision and providing watchful oversight to the children in the classroom did not know how the infant sustained bruises on their body. The five-month-old child arrived at the center at approximately 7:42 a.m. The child participated in their daily routine. The child’s diaper was changed on two occasions throughout the morning and no bruises were observed. At approximately11:42 a.m., during a further diaper change the child was observed to have sustained bruises to their back left and right shoulder blade area, right upper arm above the right breast/neck area, left upper chest/arm pit and right mid abdomen to mid abdomen. Professional medical attention was obtained.

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).

It was determined that on October 26, 2023, a five-month-old infant sustained bruise marks to their back left and right shoulder blade area, right upper arm above the right breast/neck area, left upper chest/arm pit and right mid abdomen to mid abdomen which required professional medical treatment. This incident was not reported to the Department within twenty-four (24) hours or the next work day as required.

Open Not marked corrected in the state record

Open / not marked corrected.