• Violation

  R 400.1904a · R 400.1904a i Child care staff member; employment requirements. (4) A child care staff member shall conduct himself or herself in a manner that is conducive to the welfare of children and be able to meet the needs of children and provide for their care, supervision, and protection.

  There is not a preponderance of evidence that the child care staff members or child care assistant acted in a manner that was not conducive to the welfare of the children in their care.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.1924 · R 400.1924 Hand washing. (1) All personnel shall wash their hands appropriately and in the following manner: (a) Before and after all of the following: (i) Preparing and serving food, eating, and feeding. (ii) Giving medication. (b) After all of the following: (i) Diapering. (ii) Using the toilet or helping a child use the toilet. (iii) Handling bodily fluids, such as mucus, blood, vomit, from sneezing wiping, and blowing noses, from mouths or from sores.

Violation Established? A family member or a child care staff member may have touched No I Child A years, male) inappropriately. Ill. METHODOLOGY: 01/11/2022 Special Investigation Intake 2022DO741001 01/13/2022 Inspection Attempted On-site no one home 01/18/2022 Contact - Telephone call made message left for 01/18/2022 Contact - Telephone call made to Child A's Mother 01/18/2022 Contact - Telephone call received from 01/18/2022 Special Investigation Initiated — Telephone call received from Child A's Mother 01/18/2022 Contact - Telephone call made to Erica Bates 01/18/2022 Contact - Document Received text message from Erica Bates 01/19/2022 Contact - Telephone call made to 01/19/2022 Contact - reTelephone call received II from 02/14/2022 Contact - TheTlephone call made to Erica Bates 02/14/2022 Contact - Document Received email from Erica Bates 02/17/2022 Inspection Completed On-site: 2:00 m-3:00 m 02/28/2022 Contact - Document Sent email to Erica Bates 02/28/2022 Contact - Telephone calls made to childcare staff members Kaylynn Pirkola, Samantha Heider, Danielle Reeves, Taryn Mleko, Marie Frank, Kaitlin Hauswirth, Karen Palosaari and child care assistant Antionette Tuttle 02/28/2022 Contact - Telephone calls received from Samantha Heider, Kaitlin Hauswirth and Antionette Tuttle 03/02/2022 Contact - Telephone calls made to household member Eric Bates and Antionette Tuttle 03/02/2022 Contact - Telephone call received from Antionette Tuttle 03/10/2022 Contact — Telephone call made to Erica Bates 03/10/2022 Exit conference telephone call made to Erica Bates A family member or a child care staff member may have touched Child A years male) inappropriately. I On 1/18/22, Erica Bates said that Child A attended her child care from when he was an infant When he left her care, he did hav She talked to Child A's Mother about it and she said that Child A I asked Mrs. Bates if there wuAano Pc i had about a year ago and she said that in 2019 a child in her care had and she had reported this. Not long after the child ed attending her child care. This was the only other child in her care that had that she had noticed. a I auenaing ini ~niia care. IT sne was concernea aDoui ine cniia care er cniiaren wouia not be going Her parents have also cared for her children. On 2/16/22, Mrs. Bates said that she had never touched a child in her care inappropriately and had never seen any of her staff members or child care assistant do this either. I explained that this could also be transmitted by staff members failing to wash hands properly after diapering. We reviewed her staff hand washing policy and it meets licensing requirements. 3 From 2/28/22 to 3/2/22, seven child care staff members, one child care assistant and household member and caregiver Mr. Bates were interviewed. These staff members are both current and past staff members who worked between the years of 2016 and 2021. None of the staff members said they had touched a child inappropriately. All of the staff members said they had never witnessed anyone working at the child care touch a child inappropriately. The child care assistant said the same thing. The child care assistant also said she only works with direct supervision and is never alone with a child in care. Mr. Bates said he has never touched a child inappropriately or witnessed a staff member or assistant touch a child in care inappropriately. On 3/10/22, we discussed staff hand washing in more detail. All new staff are given on the job training on proper hand washing and on when they are required to wash hands. Erica role models the correct procedure on their first day and it is also discussed. Staff are also trained on child hand washing after diapering. If a child is developmentally ready and a staff member feels safe holding them up to the sink, soap and running water are used. If a child is not developmentally ready to be held up to the sink, a baby wipe is used while the child is still on the changing table. APPLICABLE RULE R 400.1904a i Child care staff member; employment requirements. (4) A child care staff member shall conduct himself or herself in a manner that is conducive to the welfare of children and be able to meet the needs of children and provide for their care, supervision, and protection. ANALYSIS: There is not a preponderance of evidence that the child care staff members or child care assistant acted in a manner that was not conducive to the welfare of the children in their care. CONCLUSION: I VIOLATION NOT ESTABLISHED 4 APPLICABLE RULE R 400.1924 Hand washing. (1) All personnel shall wash their hands appropriately and in the following manner: (a) Before and after all of the following: (i) Preparing and serving food, eating, and feeding. (ii) Giving medication. (b) After all of the following: (i) Diapering. (ii) Using the toilet or helping a child use the toilet. (iii) Handling bodily fluids, such as mucus, blood, vomit, from sneezing wiping, and blowing noses, from mouths or from sores. ANALYSIS: All child care staff are given on the job training on proper hand washing and on when they are required to wash hands. Erica role models the correct procedure on their first day and it is also discussed. Staff are also trained on child hand washing after diapering. If a child is developmentally ready, soap and running water are used. If a child is not developmentally ready to be held up to the sink, a baby wipe is used while the child is still on the changing table. CONCLUSION: VIOLATION NOT ESTABLISHED IV. RECOMMENDATION: I recommend that the status of this group chil