Childtime Childcare #1101

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 arm’s length away from children thirty-six (36) months of age and younger.

During an investigation, it was determined that on November 13, 2024, at approximately 12:40 p.m., a three-year-old child sustained a right eye injury after being hit with a cot by a staff member while in the classroom. There were 28 three-year-old children with two staff members present. Video footage revealed that while the staff member pulled a cot from the storage area, three-year-old child was struck in the right eye with the cot. When the staff member noticed the injury, the staff member escorted the child to the center management. The child’s parent was notified of the incident, and the child was taken for professional medical care. The three-year-old child underwent surgery to address the injury to their eye. Center staff failed to provide watchful oversight in that staff failed to ensure that the location was clear, and all children were a safe distance away before moving the cot.

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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 Licensing Study conducted on August 8, 2023 ; It was determined based on review of records that two out of twenty-two marks were missing to account for children loading and unloading the vehicle on June 22, 2023.

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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 March 9, 2023 ; It was determined based on observation that there were six broken handles on the red/yellow/blue play structure.

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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 August 8, 2023 ; It was determined based on observation that there was rust on all four swing chains on the Right playground. It was further determined that the plastic coating was peeling on the swing chains.

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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 Monitoring Visit conducted on March 9, 2023 ; It was determined based on review of records that the following check marks were missing from the transportation checklist: -One out of five check marks was missing to account for children loading and unloading the vehicle on March 1, 2023, from Rockbridge Elementary to Childtime Childcare. -One out of five check marks was missing to account for children unloading the vehicle on March 3, 2023, from E.L. Miller Elementary to Childtime Childcare. -One out of two check marks was missing to account for children unloading the vehicle on March 7, 2023, from Stone Mill Elementary to Childtime Childcare. -One out of six check marks was missing to account for children loading and unloading the vehicle on March 7, 2023, from Stone Mountain Elementary to Childtime Childcare.

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591-1-1-.36(3)(a-b) · Rule 591-1-1-.36(3)(a-b) requires any Center that provides any type of transportation to obtain two (2) hours of state-approved or state-accepted transportation training, biannually, for the Director and for each person responsible for or who participates in the transportation of children. The training shall include, but is not limited to, a review of the transportation rules, a review of approved transportation forms and procedures, and instruction on the usage and completion of the forms and procedures. This training may be counted as part of the annual training requirements for Staff.

During a Licensing Study conducted on October 24, 2022 ; It was determined based on review of records that staff # 8 did not have the transportation training required for the person who participates in the transportation of children as of this date.

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591-1-1-.36(3)(a-b) · Rule 591-1-1-.36(3)(a-b) requires any Center that provides any type of transportation to obtain two (2) hours of state-approved or state-accepted transportation training, biannually, for the Director and for each person responsible for or who participates in the transportation of children. The training shall include, but is not limited to, a review of the transportation rules, a review of approved transportation forms and procedures, and instruction on the usage and completion of the forms and procedures. This training may be counted as part of the annual training requirements for Staff.

During a Licensing Study conducted on August 8, 2023 ; It was determined based on a review of records that staff # 14 did not have a current state-approved or state-accepted transportation training on file on this date. Exhibit "A"

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