Cedars Preschool At Hudson Bridge

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 Schoolmate 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.

It was determined based on an investigation that on December 14, 2023, at approximately 2:50 p.m. a 10-year- old child fell from a swing due to the swing chains disconnecting from the “S” hook. Center staff failed to ensure that the playground equipment was properly maintained and not hazardous. There was one staff member and 10 school-age children on the playground. Staff statements revealed the staff member was supervising children on the playground when the 10-year-old child fell from a swing and landed on their leg. The staff member revealed that the seat of the swing disconnected from the “S” hook. Professional medical care was obtained.

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591-1-1-.36(7)(c)2. · Rule 591-1-1-.36(7)(c)2. requires that the driver or other designated person shall immediately document in writing, with a check or other mark/symbol to account for each child listed on the passenger transportation checklist each time a child enters and exits the vehicle. The driver or other designated staff person shall document in writing with a different mark/symbol to account for each child listed on the passenger transportation checklist who was not present on the vehicle for any reason. An explanation shall be documented in writing whenever a child is transported to a field trip site but is not present on the return trip to the Center.

During a Complaint Closure conducted on March 13, 2023 ; It was determined based on an investigation that on January 27, 2023, center staff did not account for a six-year-old child that entered and exited the vehicle on the passenger checklist. 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-.36(7)(c)2. · Rule 591-1-1-.36(7)(c)2. requires that the driver or other designated person shall immediately document in writing, with a check or other mark/symbol to account for each child listed on the passenger transportation checklist each time a child enters and exits the vehicle. The driver or other designated staff person shall document in writing with a different mark/symbol to account for each child listed on the passenger transportation checklist who was not present on the vehicle for any reason. An explanation shall be documented in writing whenever a child is transported to a field trip site but is not present on the return trip to the Center.

During a Complaint Investigation Follow Up conducted on May 25, 2023 ; It was determined based on a review of records that on May 24, 2023, center staff did not account for children in care that entered and exited the vehicle during morning and afternoon transportation on the passenger checklist to and from Stockbridge Elementary School.

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591-1-1-.36(7)(d)1. · Rule 591-1-1-.36(7)(d)1. requires that the first check be conducted immediately upon unloading the last child at any location including, but not limited to, a field trip destination, arrival at the Center, and the last stop during transportation to home or school. The responsible person on the vehicle shall physically walk through the entire vehicle; visually inspect all seat surfaces, under all seats and in all compartments or recesses in the vehicle¶s interior; sign the passenger transportation checklist (s), indicating all of the children have exited the vehicle; and give the passenger transportation checklist(s) to the second designated Staff person.

During a Complaint Closure conducted on March 13, 2023 ; It was determined based on an investigation that on January 27, 2023 a staff member did not complete a thorough first check of the vehicle following routine afternoon transportation. The staff member indicated on the transportation log that they completed the first check, however, a six-year-old child was left alone on the vehicle. 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-.36(7)(d)1. · Rule 591-1-1-.36(7)(d)1. requires that the first check be conducted immediately upon unloading the last child at any location including, but not limited to, a field trip destination, arrival at the Center, and the last stop during transportation to home or school. The responsible person on the vehicle shall physically walk through the entire vehicle; visually inspect all seat surfaces, under all seats and in all compartments or recesses in the vehicle¶s interior; sign the passenger transportation checklist (s), indicating all of the children have exited the vehicle; and give the passenger transportation checklist(s) to the second designated Staff person. Coporation Service Company and Ms. Williams

During a Complaint Investigation Follow Up conducted on May 25, 2023 ; It was determined based on a review of records that on May 24, 2023 a staff member did not complete the first check of the vehicle following routine morning and afternoon transportation to and from Stockbridge Elementary School.

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591-1-1-.36(7)(d)2. · Rule 591-1-1-.36(7)(d)2. requires that the second designated Staff person conduct a check of the vehicle immediately upon the completion of the first check of the vehicle. The responsible person shall physically walk through the entire vehicle; visually inspect all seat surfaces, under all seats and in all compartments or recesses in the vehicle's interior; and sign the passenger transportation checklist(s), indicating all of the children have exited the vehicle. There shall be continuous watchful oversight of the vehicle between the first check and second check.

During a Complaint Closure conducted on March 13, 2023 ; It was determined based on an investigation that on January 27, 2023, center staff did not complete a second check of the vehicle after afternoon transportation, resulting in a six-year-old child being left alone on the vehicle. 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-.36(7)(d)2. · Rule 591-1-1-.36(7)(d)2. requires that the second designated Staff person conduct a check of the vehicle immediately upon the completion of the first check of the vehicle. The responsible person shall physically walk through the entire vehicle; visually inspect all seat surfaces, under all seats and in all compartments or recesses in the vehicle's interior; and sign the passenger transportation checklist(s), indicating all of the children have exited the vehicle. There shall be continuous watchful oversight of the vehicle between the first check and second check.

During a Complaint Investigation Follow Up conducted on May 25, 2023 ; It was determined based on a review of records that on May 24, 2023, center staff did not complete a second check of the vehicle after morning and afternoon transportation to and from Stockbridge Elementary School. Exhibit "A"

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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 January 31, 2023, it was determined that center staff left a six-year- old child on a vehicle, for approximately 55 minutes. Staff were unaware that the child had been left on the vehicle until the child exited the vehicle and walked inside of the center visibly upset.

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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 March 17, 2023, it was determined based on staff interviews and review of records that a four-year-old child sustained a head injury after being hit in the head by another child with a broom. Staff were not aware of the incident. Professional medical was obtained.

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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 a complaint closure conducted on March 17, 2023, It was determined based on staff interviews and review of records that the center failed to report to the Department within 24 hours that the four-year-old child received professional medical attention, for the incident that occurred on January 25, 2023. The center was informed the same day as the incident.

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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 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. AND

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591-1-1-.36(10) · Rule 591-1-1-.36(10) requires that a child never be left unattended in a vehicle.

During an investigation, it was determined that on January 27, 2023, at approximately 3:04 p.m., watchful oversight was not provided when a six-year-old child was left on a center vehicle unattended and unsupervised for approximately 55 minutes. The child exited the vehicle, walked across the parking lot to the building and was let in by an individual that was leaving the center.

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591-1-1-.36(7)(c)2 · Rule 591-1-1-.36(7)(c)2 requires that the driver or other designated person shall immediately document in writing, with a check or other mark/symbol to account for each child listed on the passenger transportation checklist each time a child enters and exits the vehicle. The driver or other designated staff person shall document in writing with a different mark/symbol to account for each child listed on the passenger transportation checklist who was not present on the vehicle for any reason. An explanation shall be documented in writing whenever a child is transported to a field trip site but is not present on the return trip to the Center.

During an investigation, it was determined that on January 27, 2023, center staff did not account for a six-year-old child that entered and exited the vehicle on the passenger checklist. The child was inaccurately documented as having exited the vehicle when the child was in fact left unattended on the vehicle.

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591-1-1-.36(7)(d)1. · Rule 591-1-1-.36(7)(d)1. requires that the first check be conducted immediately upon unloading the last child at any location including, but not limited to, a field trip destination, arrival at the Center, and the last stop during transportation to home or school. The responsible person on the vehicle shall physically walk through the entire vehicle; visually inspect all seat surfaces, under all seats and in all compartments or recesses in the vehicle’s interior; sign the passenger transportation checklist(s), indicating all of the children have exited the vehicle; and give the passenger transportation checklist (s) to the second designated Staff person.

During an investigation, it was determined that on January 27, 2023, center staff did not complete the first check of the vehicle immediately upon unloading after a vehicle returned to the center as required. As a result, a six-year- old child was left unsupervised on a center vehicle for 55 minutes.

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591-1-1-.36(7)(d)2 · Rule 591-1-1-.36(7)(d)2 requires that the second designated Staff person conduct a check of the vehicle immediately upon the completion of the first check of the vehicle. The responsible person shall physically walk through the entire vehicle; visually inspect all seat surfaces, under all seats and in all compartments or recesses in the vehicle's interior; and sign the passenger transportation checklist(s), indicating all of the children have exited the vehicle. There shall be continuous watchful oversight of the vehicle between the first check and second check.

During an investigation, it was determined that on January 27, 2023, center staff did not complete the second check of a vehicle immediately upon the completion of a first check of a vehicle as required. As a result, a six- year-old child was left unsupervised on a center vehicle for 55 minutes after afternoon transportation.

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