Childcare Network #227

591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Monitoring Visit conducted on May 20, 2024 ; It was determined based on observation that the following hazards were accessible to children in care: Room B: baby wipes Room D: baby wipes within the cubbies Room F: baby wipes Room I: plastic bags with pull-ups inside plunger within the boys restroom Room J: broom and dust pan by the closet door plastic bags with pull-ups in them

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Licensing Study conducted on September 10, 2024 ; It was determined based on the observation that the following hazards were accessible to children in care: Room C had a black plunger in boys restroom

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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 May 20, 2024 ; It was determined the following items were in need of repair or hazardous to children in care: Front Left: steps to the large climber were peeling material with exposed rust -eight of eight plastic rings toys were missing a handle little tikes truck was missing the door

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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 September 10, 2024 ; It was determined the following items were in need of repair or hazardous to children in care: Left playground (second in use) * had a yellow and blue plastic tunnel gate which had grey tape on the right and left sides. It was further determined that the cracked area of the tunnel had sharp edges that exposed the inside of the equipment.

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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 May 20, 2024 ; It was determined based on observation that the following hazards were present. Front playground- The sidewalk was not flush near the gate leading to the left side playground posing a tripping hazard.

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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 September 10, 2024 ; It was determined based on observation that the following hazards were present. Front playground- The sidewalk was not flush near the gate leading to the left side playground posing a tripping hazard. Exhibit "A"

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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 February 28, 2023 ; It was determined based on observation that a staff member in Room C was observed to clean a child's nose and not wash their hands thereafter.

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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 Complaint Investigation & Licensing Study conducted on July 27, 2023 ; It was determined based on observation that a staff member in Room I cleaned a child's nose and did not wash their hands with warm running water after.

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591-1-1-.18(8) · Rule 591-1-1-.18(8) requires that containers of food be stored above the floor on clean surfaces protected from splash and other contamination. Containers for food storage other than the original container or package in which the food was obtained shall be impervious and non- absorbent, have tight-fitting lids or covers and labeled as to contents.

During a Licensing Study conducted on November 3, 2022 ; It was determined based on observation that food items in the freezer were not in the original containers and were not labeled as to their contents.

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591-1-1-.18(8) · Rule 591-1-1-.18(8) requires that containers of food be stored above the floor on clean surfaces protected from splash and other contamination. Containers for food storage other than the original container or package in which the food was obtained shall be impervious and non- absorbent, have tight-fitting lids or covers and labeled as to contents.

During a Complaint Investigation & Licensing Study conducted on July 27, 2023 ; It was determined based on observation that frozen items and snacks in the cabinet were not in the original containers and not labeled as to their content. The center had labels below the items taped on, but the labels did not match the food that was stored in the area.

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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 February 28, 2023 ; It was determined based on observation that the following hazards were present. Center Playground- Concrete on the left side at the end of the sidewalk next to the gate leading to the back playground was not flush, cups and paper were strewn throughout the playground. Back Right Playground- 'PVC' pipe on the back right playground was not connected and around the rubber surfacing for the play equipment that posed a tripping hazard.

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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 Complaint Investigation & Licensing Study conducted on July 27, 2023 ; It was determined based on observation that the following hazards were present. Center Playground- Concrete on the left side at the end of the sidewalk next to the gate leading to the back playground was not flush, cups and paper were strewn throughout the playground. Back left playground- A broken tree limb was on the ground posing a tripping hazard. Front playground- The sidewalk was not flush near the gate leading to the left side playground posing a tripping hazard.

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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 December 6, 2022 ; It was determined based on an investigation that on April 21, 2022, a four-year-old child sustained a broken arm when the child attempted to grab a pole attached to the outdoor playground equipment. The child had to locate a staff member to make them aware that the incident had occurred. 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 & Licensing Study conducted on July 27, 2023 ; It was determined based on observation that in Room A an infant was feeding on a bottle within a feeding chair and the staff member present walked across the room to get a child out of the crib. The staff member was not within arm's length while the child was feeding. Exhibit "A"

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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 Incident Investigation conducted on May 10, 2022, it was determined that on April 21, 2022, staff did not account for a four-year-old child while on the playground. According to staff statements, and supporting evidence, the four-year-old child was not provided watchful oversight for an undetermined amount of time when using outdoor climbing equipment. The child was observed on video surveillance to slide down the slide once and attempt it a second time, but the child stood up and can be observed falling to the ground. The child is then observed to walk to the staff member who then examined the child. The Department determined that the staff member did not provide adequate supervision or watchful oversight when the child was injured. The Consultant also observed several instances on the playground's video surveillance where the staff members did not provide adequate watchful oversight and supervision. A lot of the children were behind a wall which created a blind spot for the staff members. Consultant also observed the staff members observing the children using the equipment in an inappropriate and unsafe manner and they did not re-direct the children.

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591-1-1-.26(8) · Rule 591-1-1-.26(8) requires Resilient Surfacing: Adequately maintained for resiliency beneath and in the fall zones of climbing and swinging equipment

During an Incident Investigation conducted on May 10, 2022, it was determined that on April 21, 2022, the center had an inadequate amount of resilient surfacing underneath the climbing unit measuring at one to two inches. Center staff failed to ensure that the resilient surfacing measured at six inches for the outdoor play equipment. The four-year-old child sustained a fractured left elbow after falling on the inadequately maintained resilient surface.

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591-1-1-.12(1) · Rule 591-1-1-.12(1) requires all indoor and outdoor furniture, activity materials, and equipment shall be used: in a safe and appropriate manner by each Employee and child in attendance; 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 Incident Investigation conducted on May 10, 2022, it was determined that on April 21, 2022, the staff allowed the children to utilize the outdoor play equipment in an unsafe, inappropriate manner. The children were observed on video footage to rough house play during several times without adult intervention to redirect the children.

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591-1-1-.03(9) · Rule 591-1-1-.03(9) requires staff shall not engage in, or allow children or other adults to engage in, activities that could be detrimental to a child’s health or well-being, such as but not limited to, horse play, rough play, wrestling, and picking up a child in a manner that could cause injury.

During an Incident Investigation conducted on May 10, 2022, it was determined that on April 21, 2022, children were observed to interact inappropriately by participating in rough play during outdoor play. According to evidence obtained through staff statements and video footage, staff observed children playing in a rough manner and staff did not immediately interject and redirect the rough housing while on the playground.

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