R 400.8179 · R 400.8179 Program. (12) For children with special needs, care must be provided according to the child's needs as identified by parents, medical personnel, or other relevant professionals.

On 11/1/2022, I called Child A's mother. There was no answer. I left a voicemail message. On 11/3/2022, I completed an onsite inspection. I spoke with program director, Jennifer Kidd, and licensee designee, Lynn McKim. They gave me a copy of the doctors note dated 4/12/2022 that said, "No naps as contribute to sleep patterns and daytime fatigue". Ms. Kidd and Ms. McKim explained that Child A is in their care from 8 am to 12 noon at which time she is walked down the hall to a special education preschool program. Child A attends the special education program from 12 noon to 3 pm and then is brought back to the early education child care from 3 pm — 6 pm. On Fridays there is no special education preschool program offered, so Child A is in the early education child care program all day. It is only on Fridays that Child A is in their care and present for nap time. Ms. Kidd and Ms. McKim stated sometimes Child A doesn't sleep well at night and comes to the center very exhausted. They do not make her go to sleep, and do not lay her down on a cot, but sometimes she does fall asleep, and they cannot keep her awake. The staff have spoken to Child A's father who agreed that if she is so tired that she is falling asleep at the table or while standing up, they should let her sleep. Ms. Kidd and Ms. McKim stated that Child A was never sent home because of her disabilities. If anything, they said the center went above and beyond to accommodate Child A. They provided me with two Sick Child Observation Forms. Child A was sent home on 9/19/2022 because she had a fever of 101 or higher, unusual drowsiness without explanation, discharge from eyes, and could not participate comfortably in routine activities. Child A was sent home on 10/4/2022 for unusual drowsiness without explanation, persistent cough, and could not participate comfortably in routine activities. There was a virus going around the center during the week of 10/10/2022. On 10/13/2022 Child A had a runny nose and was coughing a lot. The center asked that Child A be picked up and taken to the doctor since something had been spreading through the center. Child A's mother and father did pick her up and take her to an Urgent Care. They returned to the center the same day with a note from the doctor that said Child A was cleared for school and could return. Child A has not been sent home since they received the note on 10/13/2022. Ms. Kidd and Ms. McKim did not recall a schedule change for Child A. Child A did move from the 2-year-old special education preschool to the 4-year-old special 3 education preschool this fall, but that is the only schedule change they could think of, and the parents were aware of this. On 11/3/2022, I spoke with staff member, Hattie Thomason. Ms. Thomason is the lead caregiver in the early education 4-year-old preschool. She stated that Child A is in her classroom from 7 am — 12 noon and then again from 3 pm — 6pm Monday thru Thursday and in her classroom from 7 am — 6 pm on Fridays. Ms. Thomason stated that when Child A doesn't take naps in her classroom, but sometimes she comes to her classroom in the afternoons, very tired. Child A has fallen asleep while standing up and in her "safe spot". Her safe spot was made as a place for her to go where she can be alone in the classroom. Child A's father had said that if Child A is that tired, to let her sleep. Ms. Thomason does not remember Child A being sent home from school except on 10/4/2022. Child A had a rash a few days prior and on 10/4/2022 Child A was coughing and not being her usual bubbly self. She was not happy and did not want to participate in activities. Ms. Thomason denies that Child A was ever sent home due to her disabilities. On 11/3/2022, I spoke with staff member Marnie Ryan. Ms. Ryan is the assistant staff member in Child A's classroom. Ms. Ryan stated that all the staff love Child A. Child A is taken care of very well at the center. They give her extra attention because she has extra needs. Chil

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8380 · R 400.8380 Maintenance of premises. (1) The premises must be maintained in a clean and safe condition and must not pose a threat to health or safety.

On 04/29/2022 the complainant stated that her son has asthma and since the start of the construction at the center in February, he has had a cough and sinus issues. She believes that there is mold and Asbestos in the building. The doctor stated that her son is allergic to mold. She has not voiced her concerns to anyone at the center. I requested the report from the doctor relating to her son being sick, but I did not receive the doctor's report. On 04/29/2022 Ms. Hancock and Ms. Stober stated that on March 15, 2022, they submitted a complaint form to Jennifer Kidd, program director, voicing their concerns about the air quality in the classroom, and they received an air filtration system, and 2 the vents in the classroom were cleaned. The air filtration system was removed one or two weeks ago in April. They did not observe mold in the classroom. On 04/29/2022 I did not observe any mold or dark areas in the center or classrooms. I did not smell construction dust in the building. On 05/10/2022 Ms. McKim stated that she was informed that there were child care Staff Members that had concerns about the air quality in the classrooms during the construction for the addition that the district is adding to the building, and she addressed their concerns by having the air vents cleaned and adding an air filtration system in the classroom. She has not received any additional complaints or concerns. She was not aware of mold at the center. On 05/26/2022 I spoke with Mr. Shelton Qualified Fire Inspector (QFI), and he emailed the following documents: the floor plan, architecture plans, approval for the construction design dated 10/18/2021. On 05/26/2022 I received an email from Mr. Tody, QFI. He completed an onsite inspection at the Apollo center and his email stated that he had observed the construction project on 05/26/2022.He observed the fire rated barriers and the fire curtains for the masonry work areas, and both barriers and curtains were intact. The areas did smell like masonry construction work was taking place. Upon interview with the site superintendent, he stated they are doing all masonry cutting outside. Inside they are mixing mortar and laying brick in the curtained off areas. He did not see any indicators that mold was present, and he was not able to assess the area for mold as a QFI.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.