• Violation

  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

  I interviewed the complainant via telephone on 10/11/2021. There is one child at the center who is high strung. At nap time the staff hold the child tight in a cradle position while sitting on the floor. Last week Thursday there was a child with a fever. On Friday the child had diarrhea and was not sent home. On 10/11/2021 I completed an onsite inspection and interviewed child care staff members. I interviewed Ms. Marcie McClellan, the manager for this center while on site. Ms. McClellan reported that on Thursday 10/07/2021 Child A had a mild fever and was taken to the doctor. Child A was diagnosed with an ear infection and placed on antibiotics. On 10/08/2021 Child A was present. There was no fever. At the end of the day as Child A was changed child care staff noted that Child A was experiencing diarrhea. Child A was scheduled to be picked up in 10- 15 minutes, so staff informed Child A's family at pick up. Child A does not like to go to sleep. She has to be rocked to sleep every day. Child A is never held tightly. The child care staff always hold her gently with arms open because Child A would cry or scream. Child A has the same issues at home. The child care staff developed this procedure at the beginning of the year so that there were no misunderstandings like this if people hear her cry or scream at nap time. I interviewed child care staff member Ms. Leanne Williams onsite 10/11/2021. She reported that there is one child, Child A who gets overtired and emotional. When that 2 happens, she screams and is restless. Child care staff members help console her by rubbing her back or rocking her. They never hold her tightly and Child A can freely move. Child A was out on 10/07/2021. She had a slight fever and was taken to the doctor. She was placed on an antibiotic for an ear infection and was present on 10/08/2021. At the end of the day 10/08/2021 Child A had diarrhea about 10 minutes before being picked up. Child care staff member Ms. Shelainia McClaine was interviewed onsite 10/11/2021. Ms. McClaine reported Child A has had a "difficult situation in her background". Child A is unable to go to sleep without being rocked and will get overtired if she isn't rocked to sleep. Child care staff members have been working with Child A's family to be sure Child A's needs are being met while in care. Child care staff sit on the floor and rock Child A to sleep. They keep their hands and arms open and away from Child A's body so that nobody thinks they are holding Child A too tight when they hear Child A scream. I reviewed the center's records including Child A's Daily record sheet for 10/08/2021 which documented a diaper change at 2:45pm listed as loose diarrhea. Child A was picked up at 3:00pm. I was also informed that the room is monitored by security cameras. I requested to review the footage from 10/08/2021. The footage shows during rest time on 10/08/2021 one child care staff member rubbing the back of a child laying on a cot in the left corner of the room closest to the office. A male child care staff member was sitting at a table with a child who was finishing their food. And a third child care staff member was on the opposite side of the room sitting on the floor rocking Child A. I was able to clearly observe that Child care staff member's hands in an open position and her arms outstretched away from Child A's body. I observed Child A squirming around and at a couple times getting up and going over to the other side of the rug. After several seconds Child A went back and laid in the lap of that same child care staff member. I did not observe any inappropriate interactions between child care staff members and Child A. I did point out one area of possible concern to Ms. McClellan which was the male child care staff member on the video who was sitting by the table with a child who was finishing their food. That male child care staff member was on their phone a lot and not paying attention to the young child who was eating. Several ti

Child care staff members are restraining children for nap time. They are not sending sick kids home. The center is not following CACFP guidelines. Lunch food only temped to CACFP guidelines which is 135 degrees one time.

Disposition: Substantiated