R 400.1911 · R 400.1911 Care; supervision; children. (1) A licensee shall ensure appropriate care and supervision of children at all times.

On 12/29/2022, I interviewed Child A's Mother. Child A's Mother expressed that Child A will not return to Ms. France's child care. Child A experienced multiple biting injuries from other children that were all under Ms. France's care. On 12/20/2022, Child A was bitten by another child on his face and arm during circle time while the children were singing songs. According to Ms. France, another child from child care came up to Child A without being provoked and bit him on his face and then arm. The incident was explained by Ms. France as something that happened so fast and out of nowhere. If that were the only incident, Child A's Mother would be understanding of the situation. However, there were more incidents with bites that occurred prior to 12/20/2022. On 09/07/2022, Child A was bitten by another child on his arm while in Ms. France's care. According to Ms. France, Child A and another child were sitting next to each other and the other child at some point bit Child A on his right arm. These two biting incidents Ms. France was aware of, but it did not appear like Ms. France was taking them serious enough since she simply expressed that "kids will be kids." Ms. France did not communicate any kind of safety plan after those known incidents occurred, other than the children apologizing to Child A for the biting upon pick up. In addition, there were two other bite marks found on Child A upon returning home from being cared by Ms. France. On 05/11/2022, Child A was bit on his right arm leaving a distinct mark, and on 05/17/2022 a bite mark was found on Child A's right top foot. Both injuries were discovered by Child A's Mother, and she inquired with Ms. France who was unable to explain how or when the incidents occurred. In addition, a week during 6/11/2022 - 6/16/2022 Child A had multiple bug bites from playing outside. There were also a couple of days upon pick up where Child A's face had scratches, and Ms. France did not know how it happened. With all these incidents and multiple injuries, Child A's Mother did not feel like Child A was safe to remain in Ms. France's care. Child A's Mother provided copies of Child A's injuries while in Ms. France's care and they were consistent with Child A's descriptions. On 01/03/2023, I conducted an onsite inspection and interviewed Tanya France. Ms. France stated that she does the best she can to ensure all the children are cared for while they are with her. Child A did get bit by other children while in care a couple times and felt bad for those incidents. The first incident occurred when Child A and Child I (male, 1 year old) were sitting next to each other during lunch time in the Fall. Child I was in his highchair and Child A was attempting to grab something 3 from Child I and, and that is when Child I bit Child A on the arm. Ms. France picked up Child A who was not crying but soothed him and made sure the boys were separated the rest of the day. Discussed this with Child I's Mother because it was an unusual behavior for Child I. The second incident that Ms. France is aware of is when they were doing circle time around the last week of child care before the holidays. The children were looking for letters and colors on the carpet floor and there was no fighting between the children. Child I was toddling around Child A while he was bending over to point to patterns and bit him on the cheek and arm. The bite came out of nowhere. Upon pick up for both times, Child A's Mother and Child I's Mother were informed of the incidents and Child I's Mother apologized for Child I's behavior. Discussed redirecting and talking to the children when these kinds of incidents occur with the parents. Discussed disenrolling Child I if the biting behaviors continue with Child I's Mother. There was another child, Child E (female, 2-year-old), that also bit Child A in the lip area while they were dancing and singing at circle time, but Ms. France could not provide a time other than it occurred in the Spring or S

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.1961 · R 400.1961 Parent notification required; incidents; accidents; illness; disease; isolation. (1) A licensee shall promptly report to a child's parent any of the following: (a) Any incidents, accidents, suspected illness, or other changes observed in the health of a child.

On 12/29/2022, I interviewed Child A's Mother. Child A's Mother explained that Ms. France did notify her for the two incidents she was aware of in person upon pick up. Ms. France did not have anything in writing but did report the two incidents in person. On 01/03/2023, I conducted an onsite inspection and interviewed Tanya France. Ms. France stated that each time she was aware of an injury with any of the children, including Child A, she would notify the parent and inform them either in text message, phone call, and in person upon pick up. Ms. France stated that she did not have any incident reports to provide the parents since none of incidents that occurred required a written incident report—none of the incidents required medical treatment. On 04/17/2023, I interviewed Child B's Mother. Child B's Mother stated that when she discovered that Child B had multiple bites on him, Ms. France did notify her through text message and then again in person upon pick up. On 04/17/2023, I interviewed Child D's Mother, Child E's Mother, Child F's Mother, Child G's Mother, Child H's Mother, and Child I's Mother. All the parents reported that if they have experienced any incidents with the children while in care, Ms. France did notify them.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.