Busy Bees Community Childcare

R 400.1911 · R 400.1911 Care; supervision; children. (1) A licensee shall ensure appropriate care and supervision of children at all times.

On June 23, 2023, 1 spoke to Child A & B's Mother by telephone who said Child A (male, age 11 months) had been attending Busy Bee's Community Childcare that is owned by licensee, Fay Washington, since he was three weeks old, and Child B (male=) had been attending the child care group home for four years. On the morning of June 21, 2023, Child A & B's Mother said she dropped Child A and Child B off at the child care home around 8:30 AM and Child A did not have any marks or bruises on his face. She told the child care staff members at the facility that the children would be picked up by their grandfather because she had a medical appointment. Child A & B's Mother said she later realized her appointment was on a different day and decided to pick the children up herself around 4:00 PM. When she arrived, Child A had across his that spanned from between to the other and almost up e had an ay Washington told Chi s Mother she did not contact her to tell hera out the injury because she did not want to worry her. Fay Washington told Child A & B's Mother that Child A was in a baby walker outside in the backyard and he moved it towards the edge of the pavement where there were rocks and the walker's wheel went off the pavement onto the rocks and tipped over onto its side and Child Al Child A cried and the child care staff members put 3 a cool compress on hir , he calmed down, and then they laid him down for a nap. Fay Washington told Child A & B's Mother that they did not notice the" until he got up from his nap. Child A & B's Mother said she was not sure how long Child A was awake before she arrived. She immediately secured care for Child B and took Child A to the emergency room for an evaluation because she was concerned Child A could have a . She did not think the story provided by Fay Washington was consistent with I -. She said Fay Washington also said maybe Child A on the during naptime. Child A & B's Mother said the emergency room physician told er hat as long as Child A had normal activities and movement, they were not concerned about a suggested Child A's Mother put a cool compress on his and give him Infant or Infant , as needed. Fay Washington texted Child A & B's Mother that evening to Rasask how Child A was doing and to find out what the doctor said about his l asked Child A's Mother how Fay Washington reports incidents or injuneess loarents, and she said Fay Washington will usually tell her about any injuries at pick-up time unless they are serious because she does not want to bother parents at work. Child A & B's Mother said Child A is doing better I now but he still has som near his ,and he does not wa*anone tv 1 s o er s ate that she ha to en pictures of Child A's he day a incident occurred. I asked her to send me the pictures and a cop he medical report she received from the hospital. She said Child A and Child B would most likely not be returning to the child care home but she had not yet found another provider and was not sure what to think because she had never been unhappy with the provider before this incident. On June 23, 2023, l received a text message from Child A & B's Mother that included pictures she had taken of Child A on June 21, 2023, the After Visit Summary" from and a picture of Child A taken on June 23, 2023. The pictures taken on June 21, 2023, show Child A napping car seat. Child A had a that ,across v the other There was adiated up rom his almost a his isit Summary" from was seen for on June 21, 2023. The medical report stated tha i experienced' that was not serious enough to require hospitalization. The information packet stated that are common and included instructions for home care and when to seek immediate medical care if his condition changed. I asked Child A & B's Mother what his June 23, 2023, and she texted a picture to me. Child A was sleeping. The was gone, but I could see . One was located on the outer side of hi and the other just below his There was and some On June 23, 2023, 1 made a v

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R 400.1961 · R 400.1961 Parent notification required; incidents; accidents; illness; disease; isolation. (1) A licensee shall promptly report to a child's parent any of the following: (a) Any incidents, accidents, suspected illness, or other changes observed in the health of a child.

Fay Washington did not promptly report Child A's accident outdoors to Child A & B's Mother. Child A tipped his baby walker over around 11:50 AM on June 21, 2023. Fa Washington, CCSM 1, and CCSM 2 all noticed a near his but did not promptly report the injury to Child A & B's Mother. Then when Child A woke up around 3:00 PM, Fay Washington, CCSM 1, CCSM 2, and CCSM 3 all saw on Child A's , but the changes in Chi s health were not reported to i A & B's Mother until she picked him up at 4:00 PM.

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R 400.1913 · 1 R 400.1913 Discipline; child handling. (3) Personnel shall not do any of the following: (a) Hit, spank, shake, bite, pinch, or inflict other forms of corporal punishment.

There is not enough information to indicate that Ms. Washington hit or otherwise physically disciplined Child B.

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R 400.1916 · 1 R 400.1916 Bedding and sleeping equipment. (12) Children 12 to 24 months of age shall rest or sleep alone in an approved crib, portacrib, play yard, or on a cot or mat sufficient for the child's length, size, and movement.

During initial phone contact with Child A and Child B's Mother, she reported that two days ago Child B told her that Child A had been sleeping in a high chair at Ms. Washington's home. During the home visit with Child A and B's Mother, she stated that Child B told her that Child A had slept in a highchair at the child care. Child A and B's Mother expressed that she has not seen a pack-n-play or crib at the child care. She texted Ms. Washington and asked her about Child A sleeping in a highchair and offered her a pack-n-play to use. Ms. Washington became immediately upset, and responded that she was offended by her asking, and denied that Child A was sleeping in a highchair. Child A and Child B's Mother stated that she also saw a picture on the Bright Wheels App of the child care, and a child was observed in the background asleep in a high chair. During the onsite inspection with Ms. Washington, she denied that Child A or any children are left sleeping in highchairs. She stated that during mealtime, Child A has fallen asleep in her highchair. She indicated that Child A would be moved almost immediately. Specifically, she stated that she may finish wiping another child up before grabbing Child A and moving to approved sleeping equipment. I reminded her that any time a child falls asleep in unapproved equipment, they must be moved immediately. Ms. Washington expressed that she has a pack-n-play for Child A's sleeping. She indicated that Child A has always slept in the pack-and-play, and Child A and Child B's Mother knows this is the arrangement. I observed the sleeping equipment in the home, including pack-and-plays for infants and toddlers. During phone contact with Child D's Mother and Child E's Mother, both denied that infants are left sleeping in highchairs or unapproved equipment. They both expressed that their children sleep in pack-and-plays. Child D's Mother stated that she has gone to the home during lunch time and has observed a child fall asleep in a highchair. She stated that Ms. Washington or other child care staff member move the child in less than a minute. During follow-up phone contact with Child A and Child B's Mother, they did not discuss concern. During phone contact with Ms. Markeya Washington, she denied any incident of Child A or any child care child being left asleep in a high chair. She reported that if a child fell asleep in a highchair, they would move the child immediately to their assigned pack-and-play. I attempted to contact Child C's Father, but no return calls were received.

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R 400.1923 · R 400.1923 Diapering and toilet learning. .............................................. ........................................................................................................................................................................................................................ (3) Diapers or training pants must be changed when wet or soiled.

During phone contact with Child A and Child B's Mother, she reported that on Ms. Washington contacted her to notify her that Child B had defecated in his underwear and that she did not have a change of clothes for him. Child A and Child B's Mother stated that she had forgotten to send a change of clothes for Child B. When she picked up the children from the child care 7 later that day, Child B was covered in feces. She believes that Ms. Washington left Child B in feces until she arrived to pick him up. During the home visit with Child A and Child B's Mother, she reported that on 10/8/2021 Ms. Washington texted her at 1:20 PM that Child B had soiled his pants and did not have a change of clothing. She stated that shortly after, Ms. Washington texted her again that the children would be dismissed from care. Child A and Child B's Mother stated that she did not respond to either text, because she felt Ms. Washington was being rude. She left work early and headed straight to the child care to pick up the children and all of their belongings. Child A and Child B's Mother stated that when she arrived at the child care around 2:00 PM, Child B had feces up his back and on his stomach. She did not change Child B while at the child care or confront Ms. Washington about Child B being left with feces all over him. She just removed him from the child care, and drove him all the way home covered in feces. Child A and Child B's Mother stated that she was not supposed to pick up the children till 3:30 PM and believed Ms. Washington would have left Child B covered in feces until that time. During the onsite inspection Ms. Washington expressed that on 10/8/2021 Ms. Morrow was not working, and Ms. Markeya Washington was the staff member assisting with care. She reported that she texted Child A and Child B's Mother in the early afternoon that Child B had urinated in his pants and did not have a change in clothing. She stated that it appeared Child B urinated in his pants on purpose, because he was in timeout and having a tantrum. He was throwing things around, cussing, screaming, and at the same time he urinated in his pants. Shortly after her the first text message, she also texted Child A and Child B's Mother that she was no longer going to provide care for the children. She told her that they had until 10/15/2021 to find new care. She reported that this was due to Child B's behaviors, and not because he had a toileting accident. Ms. Washington expressed that Child B was not covered in feces and had not defecated in his pants at all. Child A and Child B's Mother did not text her back about the situation, so she had no idea if she was bringing her some clothing, picking him up, or ignoring her message. Ms. Washington stated that she removed Child B's urine-soaked clothing and was trying to figure out what clothes she could put on him when his mother arrived. She stated that Child A and Child B's Mother refused to speak with her, and just grabbed the children and their belongings and left the home. Ms. Washington stated that Child B did not have on a shirt when he left the child care, and there was definitely no feces on his back or stomach. She reported that if Child B had feces on his body or in his pants, she would have immediately cleaned him up. She would not leave a child in feces. Ms. Washington provided a copy of the text message she sent to Child A and Child B's Mother. The text message stated Child B "peed on himself and there's no other clothes for him." She then texted "I am no longer going to continue to provide childcare for your kids. I will give you through next week to find someplace else. The biting and hitting is not stopping and I think you will be happier with someone else anyhow based on how you spoke to me the other day. Friday, October 15th will be my last day providing childcare for them". During phone contacts with Child D's Mother and Child E's Mother, both denied any concerns with their children being changed and cleane

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