R 400.8330 · R 400.8330 Food services and nutrition generally. (18) The contents of a bottle or beverage container must be discarded if any of the following apply: (b) The bottle or beverage container has been used for feeding for a period that exceeds 1 hour from the beginning of the feeding.

On 04/05/2023, I received a complaint alleging that Child A (male, 2 months) was fed an expired bottle and center staff lied to Child A's Mother about it. Child A's Mother reported that on the morning of 03/23/2023 she dropped Child A off at the center with extra bottle containing 3 oz. of breastmilk. He had been hungry at home, so she made him an additional bottle. She told staff that the bottle needed to be dumped out at 9:00 A.M. According to the Procare system, Child A was given 4 oz. of breastmilk at 10:47 A.M. When Child A's Mother picked up Child A that afternoon, she noticed that there was more milk left over than she was expecting. She asked if the partial bottle from the morning had been dumped out and was told it was. Child A's Mother reported that she sends fresh breastmilk daily in labeled 2 bottles and keeps a supply of frozen breastmilk at the center. When she picked up Child A, one of the 8 oz. bottles that was sent that day appeared to be missing 1 oz. According to Procare, Child A was fed two bottles that day. Child A's Mother believes that Child A was fed the 3 oz. bottle from the morning with an additional ounce added at 10:47 A.M. She contacted the licensee designee/program director Ms. Crystal Mallory. Ms. Mallory talked to staff and then informed Child A's Mother that Child A had been given one 8 oz. bottle from the freezer. She reported that if they used a bag from the freezer, she should have eight bags of frozen breastmilk in the freezer and she currently has nine bags in the freezer. Ms. Mallory told Child A's Mother that a staff member who left around 10:00 A.M. said that she personally dumped the bottle out. Child A's Mother stated that the missing milk is too much of a coincidence for her to be wrong. On 04/06/2023, I completed an onsite inspection. I spoke with licensee designee/program director Ms. Crystal Mallory. She reported that parents provide prepared bottles for their children and can also bring in frozen breastmilk. Bottles go in the refrigerator and frozen breastmilk is stored in the freezer. Once they are warmed, bottles must be fed within an hour or else they are dumped out. Staff write the time a bottle is heated on the bottle so that they know when to dump it out. Child A's Mother brings fresh milk daily but also keeps some bags in the freezer. Ms. Mallory was out the day of the alleged incident, but Child A's Mother called her concerned that Child A had been fed an expired bottle. Ms. Mallory talked to the child care staff members in the room. Child Care Staff Member 1 (CCSM1), who left at 10:45 A.M. that day, reported that she dumped it out before she left. Child A was dropped off that morning at 8:00 A.M. He was asleep, so he was laid down in a crib. The bottle was dumped at 9:00 A.M., as requested, and Child A woke at 10:00 A.M. Ms. Mallory said that CCSM3 prepared Child A's next bottle that day; CCSM3 no longer works at the center. She told Ms. Mallory that she did not know that Child A had fresh milk, so she used a bag of frozen milk. While present at the center, I observed dated and labeled bottles in the refrigerator. I saw that Child A had nine labeled bags of breastmilk in the freezer. I interviewed CCSM2. She arrived at the center around 10:30 A.M. on the day in question to take over for CCSM1. She did not have any knowledge of the bottle needing to be dumped out or of it being dumped out. She did not speak with Child A's Mother. She did not know who fed Child A his bottle that day, as there was nothing remarkable to her to make it stand out. CCSM2 reported that all bottles are labeled with the child's name and the date. There is a schedule posted in the classroom of when children should be fed, and all feedings are logged in Procare. Ms. Mallory provided me with Child A's Procare printout for 03/23/2023. It showed that he was signed in at 7:55 A.M., napped from 8:00 A.M. until 10:00 A.M., drank 4 oz. at 10:47 A.M., and napped again at 11:02 A.M. He drank a total of two 4

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.