R 400.1908 · R 400.1908 Capacity. (1) The licensee shall ensure that the actual number of unrelated children in care at any 1 time does not exceed the number of children for which the child care home is licensed, not more than 6 children for a family child care home and not more than 12 children for a group child care home.

On September 13, 2022, I made telephone contact with Child A's mother. She has observed eight to nine children in care regularly when Jamie Lynch is the only staff member. She realizes Ms. Lynch received a variance to have seven children and one of the children is Ms. Lynch's son who is 18 months old, but if Ms. Lynch's husband is there, he is not the one providing care to their son. Child A's mother said she has removed Child A from Ms. Lynch's care. On September 15, 2022, I completed an unannounced onsite inspection at Ms. Lynch's child care. At the time of my arrival Ms. Lynch was caring for ten children. One of the children was her 18-month-old son. Her husband was home and took their son from the child care area while I was present. Ms. Lynch reported that she only has seven child care children in care, but has two neighbor children that she does not normally have, but is helping her neighbor out. The neighbor's children are both three years old. She reported she does not normally go over her capacity of seven children. I asked Ms. Lynch for her attendance records to review, and she reported that she could not find them. I made telephone contact with Child B's mother on October 10, 2022. She reported she generally sees a total of five to six children in care. On October 11, 2022, I made telephone contact with Child C and Child D's mother and Child E, Child F, and Child G's mother. Child C and Child D's mother said there are normally six to seven children in care counting Ms. Lynch's son, but her husband is usually there as well. Child E, Child F and Child G's mother said she generally only sees one or two other children in care besides her children. I made telephone contact with Child H's mother and Child I's mother on October 12, 2022. Child H's mother said her husband drops off in the morning, but when she picks up there are usually only three children in care. Child I's mother said she normally sees five to six children in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.1910 · R 400.1910 Ratio of personnel to children. (1) The ratio of personnel to children present in the home at any 1 time must be not less than 1 member of the personnel to 6 children. The ratio must include all children in care who are not related to any personnel and any of the following children who are less than 6 years of age: (a) Children of the licensee. (b) Children of a child care staff member or child care assistant. (c) Children related to any member of the household by blood, marriage, or adoption.

Child A's mother reported that while picking her child up one day she observed an infant sleeping on the floor in the living room on a boppy pillow. Child A's mother was texting with Jamie Lynch that evening to address some concerns. While texting Ms. Lynch addressed the child sleeping on the floor, stating "Child H was on a blanket when you came in because we were reading, and he fell sleep (I do tummy time with the babies). No big kids were in the living room and the gate was shut. He wasn't left alone and was with me and there was nothing that could hurt him. I never left him unattended." During my interview with Ms. Lynch she stated that Child H is five months old, and he fell asleep during story time. She reported he has only slept on the boppy pillow one other time because they were outside on the deck, and he fell asleep. Child G's mother stated that she has not seen Child G sleeping on the floor, but she has seen Child G sleeping on the boppy pillow in the crib. She reported that Ms. Lynch uses the boppy pillow in the crib when Child G is congested because it helps him sleep. Child B's mother, Child C and D's mother, Child E, Child F, and Child G's mother, and Child I's mother denied ever seeing an infant sleeping on a boppy pillow.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.1916 · R 400.1916 Bedding and sleeping equipment. (14) Children 24 months of age or younger who fall asleep in a space that is not approved for sleeping shall be moved to approved sleeping equipment appropriate for their size and age.

Jamie Lynch reported that she washes the sheets and blankets every Friday, and she has two cribs so that the infants have their own sleeping space. She denied having children share the cribs. I observed two cribs in the living room while onsite. Child A's mother believes the infants share the cribs and sheets are not changed in between uses. Child B's mother reported she has a pillow and blanket that she takes on Mondays and brings home to wash on Fridays. Child C and Child D's mother said she is not sure what happens with the sheets and blankets, but she believes Ms. Lynch washes them. Child E, Child F, and Child G's mother said she has not seen children using the same sheets and blankets. Child H's mother said she has only ever seen her son in one of the cribs and Ms. Lynch told her she washes the sheet every Friday. Child I's mother said she believes Ms. Lynch washes the sheets and blankets.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.1916 · R 400.1916 Bedding and sleeping equipment. (8) Soft objects, bumper pads, stuffed toys, blankets, quilts or comforters, pillows, and other objects that could smother an infant must not be placed with, under, or within reach of a resting or sleeping infant.

During my onsite inspection Child H was lying in a crib on a boppy pillow with a bottle propped. Jamie Lynch reported that she was not aware that this was not allowed. Child A's mother reported she has seen Child H taking his bottle while it was propped by a boppy pillow. Child C and Child D's mother and Child E, Child F, and Child G's mother denied seeing any bottle propping. Child H's mother reported that Ms. Lynch has told her that she has propped Child H's bottle with a boppy pillow, but she was not aware it was happening regularly.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.1916 · R 400.1916 Bedding and sleeping equipment. (2) All bedding and sleeping equipment must be cleaned before being used by another child. 1

Jamie Lynch reported that she washes the sheets and blankets every Friday, and she does not allow different children to use the bedding in between washes. Child A's mother reported she believes the sheets are not washed before another child uses them; however, Child B's mother, Child C and Child D's mother, Child E, Child F, and Child G's mother, Child H's mother, and Child I's mother reported they have not seen different children use the cribs and they believe Ms. Lynch washes the sheets and blankets every Friday. I

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.1931 · R 400.1931 Food preparation and service. (14) The propping of bottles is prohibited.

Jamie Lynch has been propping a bottle for a 5-month-old infant.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.1907 · R 400.1907 Child's records. (3) Dated daily attendance records of children in care must be maintained and include the child's first and last name and the time of arrival and departure. Electronic records may be used. If electronic records are used, they must be available to the department at the time of the inspection. If electronic attendance records are not available during an on-site inspection, the child care home is in violation of this rule.

Jamie Lynch has not maintained daily attendance records of children in care.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.1916 · 1 R 400.1916 Bedding and sleeping equipment. (15) Children over 24 months of age shall have an individual, age appropriate, clean, comfortable, and safe place to sleep or rest. The floor may be used only when padded, warm, and free from drafts and when there is a mat, sleeping bag, blanket, or similar piece of bedding between the floor and the child.

Jamie Lynch allowed a 4-year-old child to sleep directly on the floor. The floor may be used for sleeping only when there is a mat, sleeping bag, blanket, or similar piece of bedding between the floor and the child.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.