• Violation

  R 400.8125 · 1 R 400.8125 Staff; volunteer; requirements. (1) All staff and volunteers shall provide appropriate care and supervision of children at all times.

  On 09/09/2022, the licensee designee and program director, Carol O'Shea, emailed the department that on 09/08/2022, Child A was left on the playground unsupervised. On 09/12/2022, I conducted a telephone interview with Ms. O'Shea. She indicated that at the end of the day on 09/08/2022, Child A was found outside by child care staff member, Leigh DeMaggio. Child A was outside with the classes that combined at the end of the day and he was left on the playground after the other children came in. Ms. O'Shea thought Child A may have been outside unsupervised for about five to seven minutes. I informed Ms. O'Shea that a special investigation would be opened. On 09/12/2022, I conducted an unannounced onsite inspection at Anchor Bay Early Childhood Center. I met with Ms. O'Shea regarding the complaint. Ms. O'Shea indicated that on 09/08/2022, she was assisting with releasing children at parent pick up. Parents are not allowed to enter past the vestibule, so children are walked to the front by a child care staff member to be released to parents. At around 5:25p.m., Ms. O'Shea stated she had a group of children being released and another child care staff member, Margaret Dal Pra, had a group of children coming in from the playground. Ms. O'Shea observed Ms. Dal Pra counting the children as they were coming in. Around 5:30p.m., after Ms. O'Shea's group of children went with their parents and Ms. Dal Pra's children came in from outside, she and Ms. Dal Pra both left for the day. At around 5:50p.m or 5:55p.m., Ms. O'Shea received a telephone call from Ms. DeMaggio that "she had a problem". Ms. De Maggio explained to Ms. O'Shea that she was getting ready to close and went around the building to make sure that all of the doors were secured when she saw Child A standing outside on the playground. Child A was not crying or in distress when he was found. Child A is usually the last to leave and had not been picked up yet. Child A's Mother was not able to pick up Child A that day, so he was released to a relative. Ms. DeMaggio did not want to tell the relative what happened so Ms. O'Shea told her to call Child A's Mother. Ms. DeMaggio notified Child A's Mother of the incident immediately after Child A was picked up. Ms. O'Shea stated that both Ms. DeMaggio and Ms. Dal Pra were outside with the children at the end of the day. The rooms were combined for closing and children were being released from the playground to their parents in the lobby. A walkie talkie is used to communicate between child care staff members when parents 3 arrive, and a child care staff member walks the children to the front lobby. Ms. O'Shea indicated that the rooms are not combined until there are less than 16 children in attendance so that there is a 2:16 child care staff member to child ratio. Ms. O'Shea provided a copy of the attendance record for 09/08/2022. Child A was signed out for the day at 5:47p.m. During the onsite inspection, I interviewed Ms. DeMaggio. Ms. DeMaggio stated that on 09/08/2022 at around 4:50p.m., she and Ms. Dal Pra were outside on the playground with children after classrooms were combined. A lot of children left between 5:10p.m. and 5:20p.m. and Ms. Dal Pra came back into the building with the remaining children. Ms. DeMaggio was taking children to the lobby for pick up and was not sure how many children Ms. Dal Pra had remaining when the children were brought back inside. Ms. Dal Pra then left for the day. Ms. DeMaggio walked the last three children to the lobby for parent pick up. After all of the children left, she began to go to the classrooms to ensure the doors were locked when she saw Child A outside on the playground. He was just to the left of the doors and was not in any distress. No other children were on the playground. Ms. DeMaggio brought him inside and gave him a drink since it was warm that afternoon. A relative was picking Child A up so Ms. DeMaggio called Child A's Mother to inform her of the incident after Child A was picked

Center self-reported that on 09/08/2022, Child A (2 year old male) was left unsupervised on the playground for over five minutes.

Disposition: Substantiated

Ill -year Child A -old _) was in care_, in those • Child A was not put in winter snow boots resulting in Child A being barefoot in the snow an ice. • Child A had no pants or shoes on at pickup. • The pulled on Child A's arm causing ■ to fall. Child A had an extreme rash covering-, inside of legs and on- bottom. IIf"TW*4ilef-iil+I►A During the 02/04/2021 interview with Ms. O'Shea she stated that one of the days in care, Child A had a wate bowel movement while ■ was sleeping. The child care staff changed when woke-up, and Child A was red and did not want to be changed. Chi 's Father arrived while they were attempting to change . Ms. O'Shea stated that Child A's Mother had sent in various over the counter and diaper rash ointments. Child A's Mother was advised that per their policy, they could not put on the ointment without a Ms. F O'Shea stated the next day,Child A's Mother contacted her indicating she _ Child A from Ms. O'Shea stated that a daily schedule with the child's eating, diapering, and sleeping patterns are provided to parents. The only hard copy is given to the parents at the end of day. During the 02/04/2021 interview with Ms. DeMaggio, she indicated that there was one day when Child A had a "wet and runny" bowel movement and was red when she changed.. Ms. DeMaggio stated it was around 2:30p.m. when she changed and put on a zinc diapering ointment that was provided by Child A's Parents. s. DeMaggio stated she changed ■ again near 5:00p.m. on the day when Child A's Father arrived for pick up. She informed Child A's Father that Child A was red and that the zinc diapering ointment seemed to be making things worse. Child A's Father then changed Child A in the vestibule of the child care center. Ms. DeMaggio stated she was not sure if Child A was red or had a rash when arrived that morning. During the 02/04/2021 interview with Ms. Holmes, she indicated that she did not change Child A's diaper any of the days that she worked with Child A. She indicated that Child A's Mother gave very specific and detailed instructions on how she wanted Child A changed and brought different diapering ointments on the Ms. Holmes was not aware of a diaper rash on Child A. During the 02122/2021 telephone interview with ,she indicated that she was not aware of any concerns about a diaper rash until she was later informed of Child A's Mother's concerns by Ms. O'Shea. During the 03/04/2021 interviews with Child B and Child C's Mother and Child D's Mother, they both stated that they did not have any concerns regarding diapers being changed frequently or any issues with diaper rashes. During the 03/09/2021 exit interview with Ms. O'Shea, I explained that I had not found sufficient evidence to support a violation of the diapering rules. During the 03/10/2021 telephone interview with Child A's Mother, she explained that on the= Child A attended care, Child A's Father arrived, and Child A's diaper was "super full". Child A's Father asked for a diaper to change ■ and was told they could not find any. Child A's Mother explained that she had dropped off a large number of diapers and could not understand why Child A did not have any. Child A's Mother stated that Child A had a rash "all over" and "screamed for over two hours`, when they got home. Child A's Father was told by a child care staff member, she was not sure which child care staff member but possibly Ms. Holmes, that Child A refused to allow them to change. Child A's Mother denied that Child A had a history of diaper rashes. She in icated that she bought over the counter creams to try and relieve the rash. Child A's Mother stated that she changes Child A as soon as ■ is wet. She acknowledged that it was probably not possible for a child care center to change that frequently, but she did not expect Child A to be soaking wet at pick up. I aske Child A's Mother if she received a daily sheet showing when Child A was changed for the day. Child A's Mother stated she received the daily sheet, but it could not be correct because of how wet Child A was at pick up. Child A's Mother stated that based on the last time Child A had snack and a drink, would not have been that a wet at pick up if■ had been changed according to w at was on the daily