R 400.8125 · R 400.8125 Staff; volunteer; requirements (1) All staff and volunteers shall provide appropriate care and supervision of children at all times.

On 10/19/21, I went to the center and interviewed Karlie Fournier, program director. Ms. Fournier explained that Child A had become increasingly violent with other children. This behavior would be unprovoked and was happening several times a day. The last day that Child A attended the child care center was 10/14/21. On this day he was outside and came up around a one-year- old child and put his arms around her neck and attempted to choke her. This was the third physically aggressive incident that Child A had that day. Earlier in the day Child A was being redirected by staff and he hit child care staff, Nicole Swanson, repeatedly. There was another incident where he hit and pushed another child. These types of behaviors happened on a regular basis for quite some time. After the incident outside Ms. Fournier met with a member of the board and Pastor to discuss the situation. It was decided that they could no longer care for Child A as his needs were too great for their center. They are not able to provide one on one care for Child A. Ms. Fournier explained that there is a low census currently at the center. On 10/14/21, there were five children with two child care staff members in the two-year- old room. When they were outside the one-year-old room was outside and there were three children with one child care staff member. Ms. Fournier provided me the attendance for the week of 10/11/21. On Monday, 10/11 there were no children in care; Tuesday, 10/12 there were six children with two child care staff members, and on 10/13 there were four children with two child care staff members. Ms. Fournier provided me with the parent handbook so I could review their dismissal policy. The parent handbook did have a withdrawal and dismissal policy. The policy stated "A child may be asked to leave Faith Lutheran Preschool and Child Care if we believe that we are not suited to care for them properly. If your child is asked to leave, a two-week notice will be given. However, if a child is a danger to other children or to the staff or if your child is asked to leave due to non-payment, we reserve the right to dismiss the child without notice". Ms. Fournier also provided me 3 with a copy of the parent notification and verification that Child A's Mother acknowledged that she received the parent handbook that included this policy. On 10/22/21, I interviewed lead caregiver, Amber Carpenter. Ms. Carpenter has been the lead teacher for the two-year-old room for about four years. She explained that Child A has struggled with behavior since he has been in the room. His behavior has gotten frequently more aggressive since he has gotten older. Child A will push, hit, and slap children and staff. When they attempt to redirect him, he will run around the room. Child A directs his aggression at children who he gets a reaction from. He is aggressive towards children and staff several times daily. Child A will sometimes grit his teeth, noticeably agitated. If they can remove Child A into a quiet area before he gets too agitated sometimes, they can prevent him from being aggressive towards another child. To do this it takes a lot of one-on-one time with Child A leaving the other staff to care for the rest of the children for a significant amount of time. Ms. Carpenter has discussed the situation with the grandparents who care for Child A most of the time. She was wondering if they use anything at home that worked with Child A. Child A's Grandfather stated that Child A has some of the same behaviors at home. I interviewed Karissa Schlink, child care staff member. Ms. Schlink has worked for the center since early March. She usually works in the one-year-old room. On 10/14 she took her children to the outdoor play area. The two-year old children were already outside playing. Child A came up behind one little girl and wrapped his arms around her neck as if to choke her. Child A acts out physically a lot. Many times, he will not let go of a child if he has a hold of th

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8176 · R 400.8176 Sleeping equipment. (6) Car seats, infant seats, swings, bassinets, and play yards are not approved sleeping equipment.

On 10/19/21, I observed the infant room. There were two infants and one child care staff. The two infants were not sleeping and were playing on the floor. Makenzie Preston was the child care staff member in the room. Ms. Preston stated that they do not allow infants to sleep in the bouncy seats for any length of time. There are times where she may be feeding one child and the other infant is in the bouncy seat. If the infant in the bouncy seat falls asleep, she will have to put the other infant down to place the sleeping infant in a crib. This may take a minute but she always puts the infant in the crib to sleep if they fall asleep in the bouncy seat. She has not seen anyone leave an infant in the bouncy seat to sleep. Ms. Fournier has not seen infants sleeping in bouncy seats when she has been in the room. On 10/22/21, I interviewed Sarah Hall, lead caregiver in the infant room. Ms. Hall has been the lead caregiver for about eight years. She does not allow infants to sleep in unapproved sleep equipment. She is constantly reminding staff that infants can only sleep in cribs. There is a safe sleep poster posted in the room. There are times when they are caring for several infants at one time. This means that sometimes they are feeding an infant and another is sitting in a bouncy seat. They may fall asleep in a bouncy seat but she makes sure that they are moved soon to a crib after they fall asleep. She also makes sure that any infant that is in a bouncy seat if she is feeding another infant is by her so she can keep an eye on them. Ms. Schlink, Ms. Bailey, and Ms. Swanson all stated that they do not allow infants to sleep in bouncy seats if they are working in the infant room. They have not seen anyone allowing infants sleep in bouncy seats. 5 Child A and Child G's (male, 1 year) Grandmother stated that she has picked up Child G almost every day from child care since he started attending. Infants are always sleeping in bouncy seats when she picks Child G from child care. It was obvious that they did not just fall asleep. She has never observed an infant sleeping in a crib. Ms. Hall is not usually the one caring for the children in the afternoon when she picks up the children. Child E's Mother stated that she has never seen infants sleeping in a crib. She has observed them sleeping in bouncy seats all the time. She has never seen any infant sleeping in a crib. I interviewed the parents of current infants enrolled at the center. Child B's Mother, Child C and Child D's mother, Child E's Mother, and Child F's Mother had not observed infants sleeping in bouncy seats. They have no concerns regarding the care of their children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.