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 July 24, 2025, staff members failed to provide watchful oversight when in the gym at approximately 8:12 a.m. a 5-year-old child fell and hit the back of their head on the gym floor. Staff were unaware that the child was involved in a spinning game. Staff members did not become aware of the incident until the injured child, and another child alerted them. 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).

During an investigation, it was determined that on July 24, 2025, center staff failed to submit a required report to the Department about an incident within 24 hours or the next work day after becoming aware that a child had received professional medical care to treat a head injury sustained while in care at the center. Center staff were informed on July 25, 2025, that medical treatment was obtained. The center did not report the incident to the department until July 29, 2025.

Open Not marked corrected in the state record

Open / not marked corrected.

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 investigation, it was determined that on July 24, 2025, a 5-year-old child injured the back of their head while in care at the center. Center staff failed to immediately notify the parent of the incident after becoming aware that the 5-year-old child had sustained a knot on the back of their head.

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 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 June 1, 2023, children were not adequately supervised when a one-year-old child’s thumb was closed in the hinge side of a classroom door. At approximately 9:40 a.m., there was one staff person with seven children. The staff person was in the process of changing diapers. The staff person needed to get diapers for one child out of their bag hanging on a hook right outside the classroom door. The staff person opened the door and reached their arm around the corner to retrieve the backpack. The staff’s body remained in the classroom. As the staff person was closing the door, the one-year-old child cried out. The staff person was not aware that child was behind the door. The staff person observed the child’s thumb was bleeding and bruised. Management was notified and first aid was rendered. The child’s parents were notified. The child received 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 that the Director or designated person-in-charge shall 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 June 1, 2023, a one-year-old child’s thumb was closed in the hinge side of a classroom door which required professional medical treatment. The incident was not reported to the Department until June 5, 2023. The incident was not reported within 24 hours or the next business day.

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 March 9, 2023, at approximately 3:00 p.m., a five-year-old child injured their head on the restroom door that required professional medical attention. The school-age children were standing outside the boys’ and girls’ restroom. Two of the children started horse playing. Another child attempted to break the two children up by pushing the five-year-old child causing the child to hit their head against the girls’ bathroom door. At the time of the horse playing the staff person was in the girls' bathroom and did not provide watchful oversight to the children. 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.

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 March 9, 2023, at approximately 3:00 p.m., a five-year-old child injured their head on the restroom door that required professional medical attention. The school-age children were standing outside the boys’ and girls’ restroom. Two of the children started horse playing. Another child attempted to break the two children up by pushing the five-year-old child causing the child to hit their head against the girls’ bathroom door. At the time of the horse playing the staff person was in the girls' bathroom and did not provide watchful oversight to the children.

Open Not marked corrected in the state record

Open / not marked corrected.