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

On July 12, 2022, I received a telephone call from Heather Johnson, licensee, to report a medical emergency with Child A (male, age 1). Child A choked on a woodchip that is outside around the swing set. Child A placed a woodchip in his mouth, which Ms. Johnson removed from his mouth. When Ms. Johnson went to take Child A inside, she realized he had another woodchip in his mouth. Ms. Johnson attempted to remove the woodchip by putting her hands on the outside of his cheeks to open his mouth. Child A attempted to bite down and sucked in his breath to start crying. When he did this, the woodchip went down his throat. Ms. Johnson began to immediately provide first aid to Child A by completing back blows to dislodge the woodchip. Ms. Johnson yelled to adult household member and child care staff member, Michael Johnson, who was in the kitchen that Child A was 2 choking. Mr. Johnson is trained in CPR and First Aid, he took Child A from Ms. Johnson and continued to provide back blows. Child A became unresponsive. Ms. Johnson yelled to Kristin Roper, child care staff member, to call 911. Ms. Roper was cleaning the child care area in the basement of the home. Ms. Roper called 911 and Mr. Johnson continued to complete back blows and check Child A's mouth for the woodchip. Mr. Johnson was able to dislodge the woodchip from Child A's throat and Child A became responsive. Flushing Police responded to home as well as emergency medical services. Child A's Mother was contacted and arrived shortly after medical first responders. Child A's Mother was advised to take Child A for a medical exam. Child A's Mother was going to monitor Child A and declined medical attention at that time. On July 14, 2022, I received an incident report from Ms. Johnson. Ms. Johnson was outside with three children when Child A grabbed a woodchip and put it in his mouth. Ms. Johnson completed a finger sweep and retrieved the woodchip. When it began to rain Ms. Johnson gathered the children to go inside. When Ms. Johnson got Child A inside, she noticed Child A had another woodchip in his mouth. While placing a thumb and pointer finger on each cheek, Ms. Johnson attempted to do another mouth sweep and Child A pulled away. Ms. Johnson again went to do a mouth sweep, and Child A started to look like he was going to scream. Child A was choking and Ms. Johnson began back blows. Mr. Johnson was in the kitchen and ran over to take Child A he began giving back blows and Child A went from gasping to nothing. Ms. Johnson yelled to Ms. Roper to call 911. Ms. Johnson was keeping the other child care children safe while Mr. Johnson administered first aid. As Child A became lifeless, Mr. Johnson continued to provide back blows and turning Child A over to look for the woodchip. Before CPR was needed the woodchip was dislodged and removed from Child A's mouth. Child A began to cry as the police and medics arrived. Paramedics recommended to Child A's Mother to take Child A for medical observation. On July 15, 2022, I interviewed Child A's Mother. Child A's Mother, she did not have any concerns with the care and supervision provided to Child A. Medical attention was promptly provided and Child A's Mother was contacted timely. Child A did not receive outside medical treatment. He is doing well and remains enrolled at the facility. On July 19, 2022, I completed an onsite inspection with DeAndre Lawson, child care licensing consultant. I interviewed Ms. Johnson. I went outside to the play area with Ms. Johnson and observed the area that Child A was in when he placed the woodchip in his mouth. Child A was on a cement patio. Woodchips are placed around the swing set as a required surfacing material. Ms. Johnson was approximately 2-3 feet away from Child A on the cement patio when she observed that he was chewing on something. Ms. Johnson did not see Child A place the woodchip in his mouth. Ms. Johnson preformed a finger swipe removed the wood chip and told Child A, "We do not put things in our

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.