R 400.8137 · R 400.8137 Diapering; toileting. (4) A plastic-lined, tightly covered container must be used exclusively for disposable diapers and training pants and diapering supplies. The container must be emptied and sanitized at the end of each day. .....................

On January 18, 2023, I spoke to Licensing Consultant, Jennifer Blake, who stated that she was out there for an interim inspection earlier in the day on January 18, 2023, and the center was in full compliance at the time of her onsite inspection. Ms. Blake stated that the classroom was licensed for 12 children birth through age five years and while there was no baby gate to separate the different age groups, it was not required. She did not see any toys with small parts and felt everything was age appropriate for young children and did not observe any choking hazards. She felt there was adequate supervision and witnessed child care staff members holding babies and said they also had bouncers, swings, and cribs they could use to contain an infant if older children were playing in the child use space near the babies with any smaller toys. On January 18, 2023, I sent an email to the complainant asking her to contact me because I wanted more information. On January 19, 2023, I made an onsite inspection to the center and spoke to Ms. Gale, Ms. Carpenter, Ms. Harvath, and Ms. Eisner about the allegation. Ms. Gale did not feel a baby gate would be appropriate with the design of the room and said that there are no toys that would be choking hazards for a child of any age in the room. Ms. Gale said she recently went through the toys to sanitize them and got rid of any toys that had small parts and only kept toys that would be appropriate for children of all ages birth through age five years. She stated that the only time the rj center utilizes anything that could be a choking hazard is when they are doing a craft project at the tables in the food service area with older children while they are directly supervised. When they are finished with the project, the child care staff members sweep the area and visually scan to make sure nothing was missed that a child could put in their mouth. Ms. Gale stated that if they are doing something like using beads with the older children, the younger children are usually in a swing, on a floor mat next to a child care staff member doing "tummy time" in the play area, or napping. Ms. Gale was not sure that a qualified fire safety inspector would even approve a gated area to separate the play areas. Ms. Carpenter has not had any concerns about child safety without a baby gate to separate the different play areas. The center recently got new toys and went through and removed any items that could be a choking hazard for any age. She acknowledged that they have a few small items in the center that would not be appropriate for the babies, but they are stored out of reach of all children in cabinets and are only used at the tables in the food service area when the babies are napping. She said at Christmas time, they used red and white beads for a project, and afterwards they swept the area and kept the younger children out of there as a precaution. There are very few activities they do with the older children that would not be age-appropriate for the babies. Ms. Harvath stated that she has not had any concerns about child safety and did not feel a baby gate was necessary to differentiate the different play areas. She said typically the babies stay in the baby area and play with their toys and the toddlers and preschool-aged children stay in their space to play. She felt the center had plenty of staffing to supervise the babies. They could also use the swings and bouncy seat or be held if the older children were engaging in activities the younger children should not be around. Ms. Harvath did not have any concerns about choking hazards in the room. They examined all the toys in the room and removed any that could be a hazard. Every toy in that room is too big to go in the mouth or down the throat. The only exception is when the older children are at the tables for craft projects but then they are directly supervised, and it is cleaned up immediately afterwards. Ms. Eisner has not had any concerns about chokin

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8134 · R 400.8134 Hand washing. .................................................. ........................................................................................................................................................................................................................................ (2) All staff and volunteers shall wash their hands at all of the following times: (e) After each diapering.

On January 18, 2023, I spoke to Licensing Consultant, Jennifer Blake, who stated that she was out there for an interim inspection earlier in the day on January 18, 2023, and the center was in full compliance at the time of her onsite inspection. She observed a child care staff member changing a young toddler and the child care staff member washed her hands after diapering. On January 18, 2023, I sent an email to the complainant asking her to contact me because I wanted more information. 3 On January 19, 2023, I made an onsite inspection to the center and spoke to Program Director, Kelly Gale, and child care staff members, Cora Carpenter, Roberta Harvath, and Erin Eisner. Ms. Gale said that child care staff members wear gloves when they change children's diapers. Then they remove the gloves and wash the children's hands. They follow the three-step process to wash, rinse, and sanitize the changing table after diapering. Then the child care staff members go back to the handwashing sink and wash their own hands. Cora Carpenter has been employed at the center for one year and is the lead child care staff member in the classroom. She always washes her hands after each diaper change and so do the other child care staff members in the room. She stated that after diaper changes, she will take children over to the sink to wash their hands and then she will wash her own hands after she cleans the changing table. Ms. Carpenter said the most challenging part of hand washing is making sure the children wash their hands for a full 20 seconds. Roberta Harvath has been employed at the center for one year as a child care staff member. She always washes her hands after each diaper change. She stated that she wears gloves to change diapers and then removes the gloves after diapering and uses the three-step process to wash, rinse, and sanitize the changing pad. Then she takes the child over to the handwashing sink and they both wash their hands. Erin Eisner always washes her hands after every diaper change and said that she has observed the other child care staff members wash their hands too. She said after diapering, she will remove her gloves and take the child over to the handwashing sink to help them wash their hands. Then she will go back to the changing table to use the "three step process." Then she will return to the handwashing sink to wash her own hands. On January 19, 2023, I observed the hand washing sink. It was designated with a "handwashing only" sign and located at the back of the room near the children's tables. I read their posted diapering procedures and the last step instructed the staff to wash their hands thoroughly with soap and warm water at the designated handwashing sink after cleaning and disinfecting the diapering area. On January 21, 2023, I spoke to the complainant, Child A & B's Mother, and Child C's Mother by telephone. The Complainant said that one time she was in the center and observed a child care staff member changing a soiled diaper. The child care staff member had gloves on. After completing the three-step process, the child care staff member took her gloves off but did not wash her hands. Child A's Mother said Child A (female, age 13 months) had been attending the center for 10 months and Child B (male, age 3 years) has been attending for three years. She has observed diapering at drop off and pick up times, but she did not 4 pay attention to what the child care staff members were doing. She has not had any concerns about the facility and feels the center does a good job. Child C's Mother stated that Child C (male, age 29 months) has been attending the center since March 2022. Child C's Mother has witnessed diaper changing times and said the child care staff members will take the children over to the sink to wash their hands and thought the child care staff members washed their hands at the same time. On January 27, 2023, I spoke to Child D's Mother and Child E's Mother by telephone. Child D's Mother said Ch

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8173 · R 400.8173 Equipment. (4) Play equipment, materials, and furniture, must be all of the following: (a) Appropriate to the developmental needs and interests of children as required by R 400.8179(2). (b) Safe, clean, and in good repair. (c) Child-sized or appropriately adapted for a child's use. (d) Easily accessible to the children.

On January 18, 2023, Child Care Licensing Consultant, Jennifer Blake did not observe any choking hazards in the room. On January 19, 2023, I did not observe any choking hazards in the classroom. All play equipment, materials, and furniture were appropriate to the developmental needs and interests of children and all items were safe, clean, and in good repair. Anything that was a choking hazard was stored in cabinets and not within the reach of children and only used with direct supervision. When Child C's Mother observed a potential choking hazard in the classroom, it was immediately removed from the center.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.