Childtime Childcare #1112

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 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 23, 2025, center staff failed to provide watchful oversight when a 6-year-old child with a documented allergy to nuts ate candy containing peanuts that was provided by another child. At approximately 4 p.m., children in the classroom were consuming candy that the older children obtained on a field trip earlier in the day. At approximately 5 p.m., the child with the allergy informed a staff member that they were experiencing stomach pains and then vomited twice. The child was picked up at 6:30 p.m. At home, the parent noticed that the child had hives and facial swelling. The child received professional medical attention and was diagnosed with an allergic reaction.

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591-1-1-.15(9) · Rule 591-1-1-.15(9) requires that a written statement be on file from a medical authority when a child requires a modified diet for medical reasons and from the child's Parent(s) when a child requires a modified diet for religious reasons. All caregiver Personnel shall be informed of the diet restriction for the child and only food that complies with the prescribed dietary regimen but still meets the food and nutrition requirements shall be served to the child.

During an investigation, it was determined that on June 23, 2025, a 6-year-old child with a documented nut allergy consumed shared candy that contained peanuts. The child experienced stomach pains and vomited twice while at the center. At home, the parent noticed that the child had developed hives and facial swelling and took the child for professional medical attention. The allergy was indicated on the child’s enrollment form; however, center staff were unaware of the child’s allergy until after the incident occurred. In addition, the center did not have a written statement from a medical authority on file as required.

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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 June 23, 2025, parental notification was not provided when a 6- year-old child experienced symptoms of moderate discomfort. The child had a documented nut allergy but consumed shared candy that contained peanuts. At approximately 5 p.m., the child notified the teacher of the stomach pain and vomiting, but the parents were not contacted. The child was picked up from the center at 6:30 p.m. After arriving home, the parent noticed that the child had hives and facial swelling and took the child for professional medical attention. The child was diagnosed with an allergic reaction to peanuts.

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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 23, 2025, the center did not notify the Department that a 6- year-old child with a documented nut allergy received professional medical attention after experiencing an adverse reaction from eating candy while at the center. The parent notified the center that the child received professional medical attention, but the center did not notify the Department.

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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 April 15, 2024, it was determined based on an investigation, that on February 15, 2024, staff members failed to provide watchful oversight when a five-year-old child was able to stand on the edge of the jungle gym double slide play structure, near the back fence, and jump off the play structure landing on their right arm. Staff members were not positioned to observe all the children in their care to prevent harm or injury and the staff were not aware of the child’s actions. Professional medical attention was obtained, where the child was treated for the sustained injuries.

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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 an Incident Investigation Closure conducted on September 19, 2023, it was determined based on an investigation that on July 19, 2023, a three-year-old was not properly supervised when the child fell from a play structure on the playground and sustained an injury to their arm. Staff responsible for the child were unaware the child had fallen from the structure, and were unaware of the injury until the child reported it to the teacher. The child received professional medical attention. 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 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 19, 2023, at approximately 4:20 p.m., watchful oversight was not provided when a three-year-old child sustained a broken elbow on the playground after falling from a play structure. There were three staff and 31 children on the playground. The staff reported they were stationed in different areas of the playground to supervise the children. None of the staff witnessed the child’s fall, and the staff were unaware of the child’s injury until the child reported the injury to one of the teachers. The teacher took the child inside and reported the injury to the administrator. After observing an obvious injury to the child’s arm, an ice pack was applied to the child’s arm and the injury was reported to child’s parent. The three-year- old child was taken to the hospital for professional medical attention.

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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.

It was determined based upon an investigation that on October 28, 2022, and November 3, 2022, center staff failed to provide watchful oversight when staff were unaware that a child in the Toddler 2 Classroom was bitten by another child.

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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 $499.00 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 an investigation, it was determined that on May 25, 2021, a three-year-old child was permitted to use playground equipment that was designed for children ages five years old to 12 years old. The child reported falling from the monkey bars. The child received professional medical treatment and was diagnosed with a broken arm. The playground equipment was not age appropriate.

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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 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 25, 2021, a three-year-old child sustained a serious arm injury. The staff did not provide watchful oversight when the three-year-old child was able to play on playground equipment that was designed for children ages five years old to 12 years old and fell from the monkey bars, resulting in a serious injury to their arm. Additionally, the staff did not provide adequate supervisions in that the staff were unaware that the child fell from the monkey bars. The child received professional medical treatment and was diagnosed with a broken arm.

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591-1-1-.03(8) · Rule 591-1-1-.03(8) requires a center to provide individual attention to each child Examples include, but are not limited to: responding promptly to the child’s distress signals and need for comfort; playing with and talking to the children; and providing and assisting the child with personal care in a manner appropriate to the child’s age level, i.e., providing the child privacy in dressing, diapering and toileting functions as the developmental age of the child dictates.

During an investigation, it was determined that on May 25, 2021, center staff did not respond to a three-year-old child’s distress signals after sustaining a serious arm injury. The child began to show symptoms of distress at approximately 11:00 a.m. and reported that their arm hurt. At approximately 2:45 p.m., after waking from nap time, a staff person observed that the child’s arm was swollen. The child received professional medical treatment and was diagnosed with a broken arm Corporate Service Company

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591-1-1-.07(2) · Rule 591-1-1-.07(2) requires Center Staff to immediately notify Parents and obtain specific instructions $299.00 until the child can be picked up or returned to the group when professional medical attention is required, or when the child experiences symptoms of moderate discomfort such as elevated temperature, vomiting or diarrhea 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 when does not constitute moderate discomfort.

During an investigation, it was determined that on March 9, 2021, based on a review of records and staff statements that on March 3, 2021, center staff failed to notify the parent by the end of the day that a three-year-old child had sustained an injury to their forehead.

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591-1-1-.07(2) · Rule 591-1-1-.07(2) requires Center Staff to immediately notify Parents and obtain specific instructions until the child can be picked up or returned to the group when professional medical attention is required, or when the child experiences symptoms of moderate discomfort such as elevated temperature, vomiting or diarrhea 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 when does not constitute moderate discomfort.

During an investigation, it was determined that on May 25, 2021, center staff did not notify a three-year-old child’s parent when the child began to show symptoms of moderate discomfort. At approximately 11:00 a.m., the child reported that their arm hurt. At approximately 2:45 p.m., after waking from nap time, a staff person observed that the child’s arm was swollen. The child received professional medical treatment and was diagnosed with a broken arm.

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