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 03/24/2023, an incident report was received from the center reporting that Child A received medical care for an injury that occurred at the center. The incident report details that Child A was running up and down the hallway and slipped when she went to turn around and hit her head on the corner of the wall. Child A had a bump and cut above her eyebrow. On 03/28/2023, the center's assigned licensing consultant had contact with Child A's Father who reported that he was concerned about how Child A was injured and was asking for video footage. He wanted to know exactly how she received the injury and to make sure she was safe at the center. On 03/28/2023, I completed an unannounced on-site inspection and interviewed program director Melissa Boman. She reported that she was not at the center the day of the incident because she was at a conference. She said that Child A was dropped off and was running in the hallway with CCSM 1 to get out energy. Child A 2 tripped and hit her head on the wall. Child A's parent was called, pictures of the injury were sent, and Child A's Father picked her up and took Child A to urgent care. Child A's Father told her that urgent care said to use Neosporin and rest for the injury. Melissa Boman spoke with Child A's Mother yesterday. The center does not have video footage. Melissa Boman reported that it is common practice for the hallway to be used for small group activities and exercise as it helps some children release energy. I provided technical assistance to Ms. Boman that hallways are not approved child use space and showed her the rule regarding it. I informed her that fire safety rules would not allow it to be child use space as the means of egress need to remain clear. Melissa Boman explained that the hallway use was part of the center's culture and the building was designed for it to be used by children. I interviewed CCSM 1 who reported that Child A was dropped off by her grandfather when she was already in the hallway with another child. CCSM 1 was caring for two children at the time. She explained that they use the hallway for small groups, scooters and running. She said that Child A was wearing Ugg boots and was trying to stop but kept sliding on the floor. Child A then slid and hit her head on the door jam. She then called Child A's Mother and left a message. About 10 minutes later, another child care staff member came in and she then called Child A's Father. She provided first aid to Child A and wrote an incident report. Child A's Father asked for a picture, so she sent him a picture via text message. CCSM 1 showed me the door that Child A hit her head on. CCSM 1 provided me with a copy of the photo that she sent to Child A's Father. I took a photo of the hallway and of the door that Child A hit her head on. On 03/29/2023, I spoke with Jessica Miranda-Bevier about the center's hallway use. She reported that she did not recall the center using the hallway for children but that they had previously been asked to remove items that were being stored in the hallway. On 03/29/2023, I attempted to contact Child A's Father and left a voice mail asking for a call back. On 07/18/2023, I completed an exit conference with Melissa Boman and provided additional technical assistance and consultation regarding the hallway use.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8155(1)(b) · R 400.8155(1)(b) Child accidents and incidents; child and staff illness. (1)A center shall have a written plan for how and when a parent is notified when personnel observe any of the following: (b) A child experiences an accident. iniurv. or incident.

On February 25, 2022, I received an incident report informing me that Child A had fallen on the playground while in care and received medical attention. The report was sent to me from the program director, Melissa Boman. Ms. Boman informed me the center would be closed for spring break from February 28- March 4, 2022. I made follow up calls concerning the incident to staff on March 1, 2022. On March 3, 2022, I spoke with Child A's Father on the telephone. He told me that Child A had fallen on the playground while in care at the child care center. She had received a bloody lip from the fall. The fall occurred before lunch on February 24, 2022. It was three hours before Child A's Mother received a phone call concerning the incident/injury. Child A's Father told me that he arrived at the center and was told by child care staff that Child A had taken a nap and would not talk to them. He said that Child A does not take naps normally. He checked on Child A and asked her what hurt. Child A pointed to her lip and forehead. Child A's Father stated there was a bump on her forehead when he picked her up. He took Child A to the hospital and she was diagnosed with a possible mild concussion. Child A's Father stated he "wished the center had called him right after the fall." On March 8, 2022, I made an on-site inspection at the child care center. I spoke with program director, Melissa Boman, and child care staff members Nicole DeYoung, Maci Eldridge, Claudia Jones, and Andrew Wolinski. Melissa Boman said she was not aware that Child A had a bump on her forehead. No staff mentioned seeing a bump. She stated that the center has an emergency medical policy and a head injury policy. Ms. Boman stated that all staff are informed of the policies during their new hire orientation. I requested she send me copies of the new hire orientation and policies. I received the documents via email on March 8, 2022. Nicole DeYoung stated that she works in the Marsh Room with Claudia Jones. She said that on February 24, 2022, she was on the playground facing the back of the building. She looked over to the grassy area in front of the room doors and noticed that Child B (male, age 4) ran into Child A. Ms. DeYoung stated that there were many children in the area and she did not see how Child A landed. Another staff member on the playground, Maci Eldridge, heard Child A cry and walked over to her. Ms. DeYoung stated she walked over to Child B to talk to him. Child B told her he was running and ran into Child A. Ms. Eldridge helped Child A off the ground and walked her towards the Marsh room door. Ms. DeYoung said that she noticed that Child A's lip was bleeding. She saw Ms. Jones open the classroom door and take 3 Child A inside. Ms. DeYoung stated that she did not talk to Child A about the incident. She did talk to staff member, Karen Hayes later in the day and they wondered if Child A may have hit her head. They discussed this because Child A took a nap and that is not usual for her. Also, she was very quiet at lunch time. Ms. DeYoung stated that is not too unusual because Child A will "withdraw" when she gets hurt. Ms. DeYoung decided to talk to Ms. Eldridge about the incident. She called her that afternoon and asked her what she saw. Ms. Eldridge told Ms. DeYoung that she did not see how Child A landed or if she hit her head. When she heard Child A crying, she went over to her and noticed her lip was bleeding. She took Child A to Ms. Jones in the classroom. Ms. DeYoung stated that she did not see any marks, bumps, or bruises on Child A's face, other than the cut on her lip. I asked Ms. DeYoung about injury/incident policies at the center. She said that they have a head injury policy that if a child receives any injuries on the head, staff have to call parents within 15 minutes. She stated that she did not know if Child A had hit her head, so she did not think to call Child A's parents. Claudia Jones stated that she is the lead caregiver in the Marsh Room. She

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.