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

On 7/27/22, I interviewed Ms. Jenny Brundage, child care licensing consultant. According to Ms. Brundage, she spoke directly with Ms. Schmidt on 7/27/22. Ms. Kimberly Schmidt called her to notify her about Child A (age 2 years, male) being injured in her care. On 7/26/22, Ms. Kimberly Schmidt was directly supervising the children during quiet time in the living room. She left the room for a few seconds when she heard a thump. She returned to the living room to see Child A with a cut on his forehead. She immediately provided first aid and contacted his mother. Child A received five stiches. Child A and his sibling pointed to the fireplace area but did not make any direct disclosures. Ms. Kimberly Schmidt stated that the fireplace in the room contains a hearth that is protected by blankets and pillows. At times the children move the pillows. The hearth also contains a black box that is used to provide ventilation for the fireplace. Ms. Kimberly Schmidt examined the hearth and black box and did not observe any blood. As such, it is unclear if this is where he hit his head. Ms. Kimberly Schmidt looked closer at the black box and saw that it has sharp edges. She took immediate measures to protect the black box by using duct tape to protect the edges. Child A's Mother is bringing Child A back to care today. Ms. Brundage forwarded me a picture and the written incident report submitted by Ms. Kimberly Schmidt. The photographs submitted by Ms. Kimberly Schmidt were of the cement fireplace hearth located in the living room of Ms. Kimberly Schmidt's home. There were two separate photographs submitted that displayed the hearth while it was being protected by large pillows. The second photograph showed the same hearth with missing pillows therefore exposing the cement corners of the hearth and a back metal blower fan box that was believed to be where child a fell onto to cause the laceration to his forehead. The third photograph was of Child A and the laceration he received from falling onto the hearth and blower box. On 8/1/22, I conducted an unannounced onsite inspection to Ms. Kimberly Schmidt's family group home and interviewed her regarding the incident. I informed Ms. Kimberly Schmidt of the allegation. Ms. Kimberly Schmidt confirmed on 7/26/22 at approximately 3:00p.m., Child A had just woken up from his nap. Child A was still wearing his sleep sack from nap time and was sitting with Ms. Kimberly Schmidt on the couch in the living room. Ms. Kimberly Schmidt said that she left the living room momentarily, for approximately one to two minutes to assist her child care assistant, Ms. Alyssa Bell with logging into MiRegistry to complete the required online training. While in the office, Ms. Kimberly Schmidt heard a thumping sound come from the living room and Child A started crying. Ms. Schmidt and Ms. Bell immediately went out into the living room and saw Child A lying on the floor. Ms. Kimberly Schmidt 3 thinks while was in the office assisting Ms. Bell, Child A got up from the couch and walked around the living room floor. Child A was still wearing his sleep sack and must have lost his balance and fell into the cement hearth. Child A hit his forehead on the cement hearth and metal blower box causing a laceration to his forehead. Ms. Kimberly Schmidt immediately provided first aid to Child A by comforting Child A, applying a damp wet cloth to the wound to assist with the bleeding. Ms. Kimberly Schmidt also informed Child A's Mother of the incident. Child A's Mother arrived to pick up Child A from care around 4:00p.m. and took him to Hickman Hospital for medical treatment. Child A received five stitches on his forehead. Child A returned to care on the following day on 7/27/22. Ms. Kimberly Schmidt said she has been a licensed child care provider for over 30 years and has never had a child get hurt from her hearth as she has kept it protected to prevent children from falling onto it and getting hurt. On 7/26/22, Ms. Kimberly Schmidt said

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.1932 · R 400.1932 Home maintenance and safety. (1) The structure, premises, and furnishings of a child care home must be in good repair and maintained in a clean, safe, and comfortable condition.

The fireplace hearth located in the living room was not protected to prevent children from harming themselves. On 7/27/22 Child A fell and hit his forehead on the fireplace hearth and metal blower box causing a laceration to his forehead. Ms. Kimberly Schmidt has since safety proofed the fireplace hearth and metal blower box to prevent any children from getting injured.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.