591-1-1-.30(1)(a)2 · Rule 591-1-1-.30(1)(a)2 requires that a crib mattress is firm, tight-fitting without gaps, at least 2 inches thick and covered with a waterproof, washable material. Before a change of occupant, each mattress shall be cleaned with a disinfectant.

During a Complaint Investigation & Monitoring Visit conducted on July 20, 2022 ; It was determined based observation that the plastic waterproof covering was torn on two of the six crib mattresses.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.30(2) · Rule 591-1-1-.30(2) requires the Center to provide a safe sleep environment in accordance with American Academy of Pediatrics (AAP), Consumer Product Safety Commission (CPSC) and American Society for Testing and Materials (ASTM) recommendations as listed in these rules for all infants. Center Staff shall place an infant to sleep on the infant’s back in a crib unless the Center has been provided a physician’s written statement authorizing another sleep position for that particular infant that includes how the infant shall be placed to sleep and a time frame that the instructions are to be followed. When an infant can easily turn over from back to front and back again, Staff shall continue to put the infant to sleep initially on the infant’s back but allow the infant to roll over into his or her preferred position and not re-position the infant. Sleepers, sleep sacks and wearable blankets that fit according to the commercial manufacturer’s guidelines and will not slide up around the infant’s face may be used when necessary for the comfort of the sleeping infant. Swaddling shall not be used unless the Center has been provided a physician’s written statement authorizing its use for a particular infant that includes instructions and a time frame for swaddling the infant. Center Staff shall not place objects or allow objects to be placed in or on the crib with an infant such as but not limited to toys, pillows, quilts, comforters, bumper pads, sheepskins, stuffed toys, or other soft items and shall not attach objects or allow objects to be attached to a crib with a sleeping infant, such as, but not limited to, crib gyms, toys, mirrors and mobiles.

During a Complaint Investigation & Licensing Study conducted on February 22, 2022 ; It was determined based on observation that three infants were sleeping in cribs with blankets. In addition, the staff was observed swaddling an infant without a physician’s written statement authorizing the use of swaddling for that particular infant.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.30(2) · Rule 591-1-1-.30(2) requires the Center to provide a safe sleep environment in accordance with American Academy of Pediatrics (AAP), Consumer Product Safety Commission (CPSC) and American Society for Testing and Materials (ASTM) recommendations as listed in these rules for all infants. Center Staff shall place an infant to sleep on the infant’s back in a crib unless the Center has been provided a physician’s written statement authorizing another sleep position for that particular infant that includes how the infant shall be placed to sleep and a time frame that the instructions are to be followed. When an infant can easily turn over from back to front and back again, Staff shall continue to put the infant to sleep initially on the infant’s back but allow the infant to roll over into his or her preferred position and not re-position the infant. Sleepers, sleep sacks and wearable blankets that fit according to the commercial manufacturer’s guidelines and will not slide up around the infant’s face may be used when necessary for the comfort of the sleeping infant. Swaddling shall not be used unless the Center has been provided a physician’s written statement authorizing its use for a particular infant that includes instructions and a time frame for swaddling the infant. Center Staff shall not place objects or allow objects to be placed in or on the crib with an infant such as but not limited to toys, pillows, quilts, comforters, bumper pads, sheepskins, stuffed toys, or other soft items and shall not attach objects or allow objects to be attached to a crib with a sleeping infant, such as, but not limited to, crib gyms, toys, mirrors and mobiles.

During a Complaint Investigation & Monitoring Visit conducted on July 20, 2022 ; It was determined based on observation that one infant was sleeping in a crib with a blanket that was used to prop up the child's bottle.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.19(1) · Rule 591-1-1-.19(1) requires a Center to provide 35 square feet of usable space per child, which will determine the Center's License capacity.

During a Complaint Investigation Follow Up conducted on December 15, 2021 ; It was determined based on observation that there were 13 children housed in room A which is licensed for seven children. In addition, seven children were housed in room B which is licensed for five children.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.19(1) · Rule 591-1-1-.19(1) requires a Center to provide 35 square feet of usable space per child, which will determine the Center's License capacity.

During a Complaint Investigation & Monitoring Visit conducted on July 20, 2022 ; It was determined based on observation that there were six children present in room B which is licensed for five children. Exhibit "A"

Open Not marked corrected in the state record

Open / not marked corrected.