Explorers Learning Center Red

R 400.8164 · R 400.8164 Poisonous or toxic materials. Containers of poisonous or toxic materials must be clearly labeled for easy identification of contents and stored out of reach of children. This includes chemical sanitizers and disinfectants. Bureau

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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 10/04/2021, a complaint was received alleging that Child A (male, months) received burns on his hand resulting from hot water while he was washing is hands.Concerns were noted that there was not a consistent story provided from the child care staff members as to how he was burned. i ogemer we interviewed child care staff member Ms. Savanna Donahue. Ms. Donahue identified that the handwashing procedure is that the child stands on a stool at the sink, gets soap put on their hands, and rubs them together. Ms. Donahue then turns on the 2 warm water to rinse the child's hands. At the time of the incident, Ms. Donahue had just changed Child A's diaper. It was approximately 11:40 A.M. Child A stood on the stool, washed his hands, and took his hands out of the water. Ms. Donahue does not know exactly what happened next because it happened quickly. but she thinks that she turned the hot water up, intending it turn it down, and turned the cold water off. Child A immediately put his hand into the water, pulled it out quickly, and said "ow." Ms. Donahue ran his hand under cool water until he said that he was ok. She then wrapped it in a cold wet paper towel and brought him out of the bathroom. She noted that his hand was red and he started crying a couple of seconds later. Ms. Donahue snuggled him until Ms. Sternberg took over Child A's care until he was picked up. Ms. Donahue finished changing diapers and made lunch. Ms. Sternberg noted the incident in Brighttwheel (an app the center uses to communicate with parents) and called Child A's Mother. Child A's Mother arrived about 20 minutes later. Child A cried almost the whole time. He ate some food but spent most of the time having his hand run under water. Ms. Donahue denied seeing any blisters. Ms. Donahue denied that there have been issues in the past with the water temperature but noted that she touched the water immediately after Child A had his hand in it and it was very hot. Lead caregiver Ms. Jillian Sternberg reported that she was playing on the rug with some of the children while Ms. Donahue changed diapers. She heard water running, Child A cry out, then Ms. Donahue comforting him. Ms. Donahue brought Child A out and said that she had accidentally turned the hot water on. Ms. Sternberg noticed that Child A's hand was red. She took Child A to a sink and ran his hand under cool water. Once it appeared Child A was feeling better, she took him back to the classroom and messaged his mother on Brightwheei. Child A started crying again and Ms. Sternberg took him back to the classroom bathroom and ran his hand under cool water. Once Child A indicated that he was fine, she sat him down to lunch and he started eating. Child A's Mother messaged saying that his grandmother would be picking him up. Child A started acting like his hand hurt so Ms. Sternberg found a burn cream "that made it really bad" and he became "hysterical." She tried to wash the burn cream off but he would not settle back down. She tried a cold paper towel but that did not work either. His grandmother picked him up shortly thereafter. Ms. Sternberg identified that she took a picture of his fingers and he had 1 blister and she saw that he had developed another blister as he was leaving. Center owner Ms. Sheryl Miller was aware of the incident. Ms. Miller reported that that sink has an on-demand water heater and they have determined that if the flow of water slows, the temperature raises. Ms. Donahue thought she was turning the hot water off but must have left it at a trickle, then turned the cold off. They have a plumber coming to install mixing valves on the sinks. Child B's Mother denied any concerns with the center and identified that they are "great" with Child B. She reported that they are good at providing communication through the app and denied any concerns regarding supervision. Child C's Father reported being satisfied with the center and denied any concerns regarding supervision.

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R 400.8152 · R 400.8152 Medication; administrative procedures. (3) All medication must be in its original container, stored according to instructions, and clearly labeled for a named child, including all nonprescription topical medications described in subrule (8) of this rule.

The burn cream applied to Child A was not labeled for Child A. ........................... . ..

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R 400.8350 · R 400.8350 Toilets; hand washing sinks. (5) Hand washing sinks must have warm running water not to exceed 120 degrees Fahrenheit.

In her interview, Ms. Miller reported that the center has an on- demand water heater and they have determined since the incident that if the flow of water slows, the temperature raises. Ms. Donahue thought she was turning the hot water down but apparently did not turn it off. They have a plumber coming to install mixing valves on the sinks. Ms. Sternberg reported that the center did not have hot water until April, when the tankless water heater was installed under the bathroom sink. The center's handyman looked at it again after Child A was burned and stated that he did not know how it got hot enough to burn him. He turned the hot water supply off at that time. While we were present at the onsite inspection, the handyman returned and showed us how the water heater works. There is no temperature indicator on it but rather is adjusted by turning a single screw with a screwdriver. He returned the setting to where it was the day of the incident. When I measured the temperature of the water coming out of the faucet after it had been running, it measured 95.7 degrees Fahrenheit. When I turned the hot water to a trickle, it measured 155 degrees Fahrenheit for a couple of seconds, then went back down.

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R 400.8110 · R 400.8110 Applicant; licensee; licensee designee; requirements. (9) Within 5 business days, the licensee shall notify the department of the separation of a licensee designee, program director, or a central administrator approved under R 400.8113(12), and a plan for replacement of the individual.

Ms. Kelley did not notify the department within 5 business days of the separation of the program director and a plan for her replacement. The previous program director left the center in August 2021.

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R 400.8113 · R 400.8113 Program director qualifications; responsibilities. (2) A program director shall be present in the center in the following manner: (b) At least 50% of the time children are in care but not less than a total of 6 hours per day for programs operating 6 or more continuous hours.

The center does not have a current program director.

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R 400.8113 · 1 R 400.8113 Program director qualifications; responsibilities. (5) A substitute program director shall be appointed for a program director who has left emplovment or has a temDorary M • • wi I•I V..i~F

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R 400.8113 · R 400.8113 Program director qualifications; responsibilities. (7) Early childhood program directors shall meet 1 of the following qualifications shown in Table 1: ...

The center does not have a proposed program director who meets the requirements of R 400.8113 (7). The proposed program director does not have a valid CDA.

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R 400.8143 · R 400.8143 Children's records. (1) At the time of a child's initial attendance, a center shall obtain a child information card, using a form provided by the department or a comparable substitute, that is completed and signed by the child's parent. The center shall keep it on file and accessible in the center.

Ms. Kelley did not ensure that completed child information cards were obtained at the time of child's initial attendance.

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R 400.8152 · .. .......................................................—.... ............. R 400.8152 Medication; administrative procedures. .............................................. ........................ .............................................. (2) A child care staff member shall give or apply medication, prescription or nonprescription, only with prior written permission from a parent.

Ms. Sternberg did not obtain written permission from Child A's Mother prior to applying burn cream to his hand.

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R 400.8182 · ........ ......... R 400.8182 Ratio and group size requirements. (3) In each room or well-defined space, the maximum group size and ratio of child care staff members to children, including children related to a staff member or the licensee, must be as shown in Table 4: ... Age Child Care Staff member to Child Ratio a) Infants and toddlers, birth until 30 months of age 1 to 4

Ms. Donahue was present with six child care children, the youngest of whom was 16 months, for approximately 10-15 minutes. Another child care staff member was required to maintain the required ratio of no more than one child care staff member per four infants and toddlers.

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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.

Ms. Kelley did not ensure that the premises are maintained in a safe condition. There was bleach in an unlocked cupboard accessible to children.

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