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. I

On June 9, 2023, I interviewed Child A's mother. She confirmed that Child A had a CT scan done and Child A did not have a head injury. She was upset that the center never contacted her. Child A's mother and father were contacted by Child A's Grandfather, who . She said that someone from the center called her cell phone while she was at the hospital, but Child A's grandfather answered her phone and spoke to center staff. On June 9. 2023, I made an unannounced onsite inspection to the child care center. I interviewed program director Julie Ruth. Ms. Ruth was not present at the time that Child A received emergency treatment. While at the center, I was able to interview CCSM1 and CCSM3. CCSM1 told me that she and CCSM2 were in the gym with eight infants and toddlers. She was at the gym door and did not see Child A topple over while seated on the gym floor. CCSM was only a few feet from Child A, and she saw CCSM2 walk over the Child A and immediately picked her up. Child A appeared to be when CCSM2 picked he up and was not crying. She yelled out of the gym Poor to CCSM3 that they needed help. CCSM3 was the one to call 911. CCSM3 gave the phone to CCSM2 and CCSM2 was relaying to her what 911 dispatch was telling her to do. Child A was not crying at this time and had not cried after toppling They laid Child A on the floor as instructed. She was instructed to do Child A as Child A . She did approximately on Child A beforeMeRsa e Poc"ry this time, Child A's grandfather, r s for the , had arrived. Child A was breathing at this time. He identified himself as Chi 's grandfather, began tapping her cheeks and saying her name. Child A was alert and not crying at this time. The school resource arrived at this time, Child A's grandfather stated that he would contact Child A's parents and insisted on going in the ambulance to the hospital with Child A. This is why she did not ride in the ambulance with Child A. She attempted to contact Child A's mother at 11:50am, Child A's grandfather answered her phone and updated her as Child A's mother was with Child A as she was getting a CT scan done at the time she called. Child A's mother called the center at 10:38am and spoke to CCSM3. CCSM3 confirmed that she was at the center on June 8, 2023, when the incident occurred. She was in the hallway with the preschool class when she heard a staff member calling for help from the gym. CCSM3 immediately called 911. She said that this was at 10:06am. She told dispatch that there was a child and handed the phone off to CCSM1, who was advised Child A. She then helped take the infant/toddler class out of the gym and was not directly involved in Child A after this time. Child A's mother called her and asked what hospital hey were taking Child A to, and she told her that she had heard mentioned. The next contact with Child A's parents was when Child A's father arrived at the center to pick up Child A's items. He said that Child A's CT scan had not found anything, and that Child A was being released from the hospital. On June 14, 2023, 1 interviewed . He arrived at the center right after Child A's grandfather and that was crying at the time. He thought that all of the child care staff members involved did a fantastic job and had no concerns regarding their response to the incident. On June 21, 2023, 1 interviewed child care staff member 2 (CCSM2). She said that on June 8, 2023, she was in the gym with CCSM1, getting the infants/toddler class ready to leave the gym and heading for the door. They had eight children. Child A was sitting on the floor and another toddler crawled past her to get to the door and ChildWto ledd over. She immediately went to Child A and Child A was not crying and She blew in Child A's face and yelled to CCSM1 that Child A SM1, who was at the gym door, called for CCSM3. CCSM3 Fecomrm%tior and had already contacted 911. CCSM1 took Child A from her and blew in her face and called her name. Dispatcher was on the phone at this point and was talkin

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 the following: (a) Changes in a child's health. (b) A child experiences an accident, injury, or incident. (c) A child is too ill to remain in the group.

Staff followed their written plan on parent notification regarding the June 8, 2023, incident involving Child A.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8176 · R 400.8176 j Sleeping equipment. (13) Soft objects, bumper pads, stuffed toys, blankets, quilts, comforters, and other objects that could smother a child must not be placed in, or within reach of, a crib or Aorta-crib with a resting or sleeping infant.

On May 1, 20202, a complaint was received alleging violations of child care licensing safe sleep rules and regulations. The complaint stated that between Sept 2021 and April 2022 safe sleep violations were observed in the Infant classroom including allowing children to sleep in bouncer seats and swings without being moved. Infants were being woken up after 30 minutes into a nap so they would all sleep at the same time during the day. Infants were being allowed to sleep with blankets under 1 years of age. The complaint source stated they spoke with the "boss" and they "continued to do it." The boss was not named. On May 3, 2022, I contacted the complaint source. To the date of this report the complaint source has not returned my request for contact. On May 4, 2022, I completed an unannounced onsite inspection at the facility. I observed the Infant classroom and did not observe any infant age children sleeping in an unsafe manner. No children were observed sleeping in bouncer seats or swings. No infant age children were observed sleeping in cribs with blankets. The Infant classroom was also observed during the renewal inspection on April 25, 2022. I did not observe any safe sleep violations during the renewal inspection. On May 4, 2022. I interviewed Tara Deming, child care staff member. Ms. Deming has not observed any safe sleep concerns in the Infant classroom. Ms. Deming has not received any safe sleep concerns from enrolled parents or other child care staff members. On May 4, 2022, I interviewed Karen Winchell, child care staff member. If an infant falls asleep in a bouncer, the child will be moved to a crib. Blankets are used for children over one year of age. An infant may be rocked with a blanket, but the blanket is not placed in a crib with a sleeping infant. Infants are allowed to eat and sleep on demand. Ms. Winchell has not received any parent or staff concerns regarding safe sleep. Parents of enrolled children are only dropping children off at the doorway and do not come into the classroom. On May 4, 2022, I interviewed Lanaye Jones, child care staff member. Ms. Jones has not observed any safe sleep concerns. Children are not allowed to have blankets in cribs if they are under one year of age. If a child falls asleep in a bouncer swing, they are moved into a crib. Ms. Jones has not received any safe sleep concerns from child care staff or parents of enrolled children. On May 4, 2022, I interviewed Jodi Cryderman. Ms. Cryderman has not observed any safe sleep concerns. Blankets are not allowed in cribs for children under one year of age. If a child falls asleep in a swing or bouncer, they are moved to a crib. Parents of enrolled children are dropping children off at the door and have not expressed any concerns to Ms. Cryderman. 3 On May 9, 2022, I interviewed Julie Ruth, Program Director/Licensee. Ms. Ruth has not observed any safe sleep violations in the Infant classroom. If a child falls asleep in a swing or bouncer, they are moved into a crib. Ms. Ruth is not present in the classroom daily. An infant may be rock with a blanket, but the blanket is removed before the child is place in the crib. Once a child is 18 months of age, they begin transitioning to the Toddler classroom and the schedule of napping once a day after lunch. Ms. Ruth indicated the facility had an upset previous child care staff member and this person has been contacting other parents on Facebook and spreading false information. This child care staff member did not like two of the child care staff members in the Infant classroom and Ms. Ruth feels this complaint may be steaming from that. Ms. Ruth has not received any parent or child care staff member concerns regarding safe sleep. On May 9, 2022, I interviewed Ann Eisengruber, child care staff member. Ms. Eisengruber has not observed any safe sleep concerns in the Infant classroom. Children are laid on their back to sleep. If the child can roll from their front to the back and their back to the fr

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8188 · R 400.8188 Sleeping, resting, and supervision. (11) Infants and toddlers who fall asleep in a space that is not approved for sleeping shall be moved to approved sleep equipment appropriate for their age and size.

There is insufficient evidence to support the allegation that infant age children are allowed to sleep in swings and bouncer seats.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8188 · R 400.8188 Sleeping, resting, and supervision. (2) A center shall permit children under 18 months of age to sleep on demand.

There is insufficient evidence to support the allegation that children under 18 months of age are not allowed to sleep on demand.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.