Superior Start- The School Readiness Center

R 400.8140 · R 400.8140 Discipline. (3) Non-severe and developmentally appropriate discipline or restraint may be used when reasonably necessary, based on a child's development, to prevent a child from harming himself or herself or to prevent a child from harming other persons or property, excluding those forms of punishment prohibited by subrule (2) of this rule.

On Friday, 06/03/2022, I contacted Susie Rambo, the lead caregiver to find out additional details. There had been a concern about pink eye with Child B. Ms. Rambo stated that Child B, five-year-old female, had not shown any signs of pink eye at the center and had been diagnosed and treated over a period of time, while not in attendance at the child care center. On Monday 06/06/2022, I completed an inspection on site. I interviewed Susan Rambo, lead caregiver, Cara LaFaver, licensee designee, and staff members Sabrina Kemppainen, Justice Kjolhed, Cassie Davis, Vivian Freeman, and Victoria Aikens. 2 Ms. Rambo indicated that Ms. Kjolhed received an email from a parent that Child B had pink eye around 05/11/2022. The staff member did not share the information properly. Ms. Rambo described that Child A, five-year-old male, often runs, throws chairs, and climbs on table. Generally the staff members do not put hands on Child A. Sometimes they lift him off the table by his waist. There is no restraint or arms held. Child A often refuses to stay on his mat at rest time and staff members will sit next to him. He is given quiet activity bags and/or a book. He has thrown items from the bags. On occasion, Child A is placed on a staff member's lap. When Child A has these behaviors, he is directed to the calming corner and when he is no longer upset, rejoins the group on his own or by invitation. A behavior intervention plan has been implemented. Ms. Rambo provided copies of it to me along with the 5/31/2022 parent meeting notes. Ms. LaFaver has been involved in meeting with Child A's parents regarding Child A's behavior and the intervention plan. Ms. LaFaver stated that she was not aware of the details of the pink eye report made by a parent until later in the month. Since the pink eye resolved, staff members believed the situation did not warrant further action. Ms. Kjolhed is the primary caregiver for Child A. Child A is not "restrained" per se, but caregivers do have to lift him off the classroom table by picking him up around the waist. Child A runs around and throws chairs and things. He may need to be escorted to the calming corner. This assistance only occurs if it is a safety issue. Child A has a caregiver sit beside him or on occasion he sits on the caregiver's lap. His arms are not held and he is verbally instructed to remain in the calming corner location until he calms down. A behavior report has been created to track the types of problems, classroom activity/time, possible motivation, response by staff and administrative follow up. A behavior plan has been implemented to reward positive behavior with a ratio of 5:1 positive to negative attention. Ms. Kjolhed stated that she received an email from Child B's Mother on 5/11/2022 that Child B had pink eye. Child B was out for four to five days while the parents treated the condition with prescribed drops. Victoria Aikens said that Child B did have an occurrence of pink eye and went to the doctor a few weeks ago. Ms. Aikens said that Child B's Mother did let the staff know that Child B had gone to the doctor for it. Ms. Aikens was not aware of any other children being impacted by it and the time frame was confusing, because Child B has allergies and went to the doctor on a day when she was not in attendance. Ms. Aikens did not have regular contact with Child A. She has not restrained a child nor observed restraint of a child. When a child is in the moment of a behavioral 3 problem, her experience and observations have been to provide appropriate choices to the child. Child A is lifted by the waist off the table if he will not move to the floor on his own, as it is considered a safety issue. Ms. Kemppainen received a head injury when Child A was on her lap. As he was sitting she held his hands gently on his lap and he threw his head back, causing her head to hit the wall. When Child A needs to be removed from the table, she picks him up by the armpits and places him on the floor. The

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R 400.8155 · R 400.8155 Child accidents and incidents; child and staff illness. (1)A center shall have a written plan for how and when a parent is notified when personnel observe any of the following: (b) A child experiences an accident, injury, or incident.

There were no child accident, injuries or incidents that were required to be reported.

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R 400.8155 · R 400.8155 Child accidents and incidents; child and staff illness. ................. ......... (4) If a center becomes aware that a staff member, volunteer, or child in care has contracted a communicable disease, then the center shall notify parents and provide all of the following information: (a) The name of the communicable disease the children were exposed to. (b) The symptoms of the disease. (c) Prevention measures as recommended by the U.S. Centers for Disease Control and Prevention (CDC) at the following website: https://www.cdc.gov/DiseasesConditions.

There was confusion on the part of the staff members if Child B had pink eye, when Child B was treated and when exposures occurred. Nonetheless, parents of all children in attendance should have been notified about the communicable disease.

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