1 R 400.8330 Food services and nutrition generally. (4) A center shall ensure a child who has special dietary needs is provided with snacks and meals in accordance with the child's needs and with the instructions of the child's parent or licensed health care provider. 5

On 09/02/2022, I interviewed Child A and B's Mother by telephone. She said Child A is in the Pedal toddler classroom. She has an egg allergy and cannot eat foods that contain egg. On 09/02/2022, she noticed on the Nurture app, the center's app which is used to provide parents with the written daily record, that Child A had eaten 100% of her whole wheat chicken tenders. This is a food on the center provided list of foods containing egg. She called the center and spoke with Ms. Hyndman who informed her that Child A was given and consumed a chicken tender. She had been prepared an alternate meal but was mistakenly given the chicken tender by a child care staff member in the room. Child A did not have an allergic reaction and did not have medical treatment. In August 2022, Child A had a possible allergen exposure to egg when she grabbed another child's ravioli off her plate. Child A did not eat any of the ravioli because the child care staff member removed the ravioli from Child A's hand. Child A was given turkey for lunch when this incident occurred. She believes the error with Child A may be a result of a lack of consistency among child care staff members who work in the classrooms. On 09/06/2022, I reviewed documentation that was emailed to me by Child A and B's Mother. On 08/26/2022, there was an email exchange between Child A and B's Mother and the center regarding Child A's possible allergen exposure and the center provided Child A and B's Mother with a list of food substitutions that Child A is provided when foods with egg are served to the children. On 08/22/2022, there was an email exchange between Child A and B's Mother and Ms. Tumminello explaining the reasons why there are different child care staff members who work in Child A's classroom which included, to cover breaks and to cover other child care staff member's absences. On 09/06/2022, I interviewed Ms. Hyndman and Ms. Tumminello at the center. Ms. Hyndman stated Ms. Chrostowski, who prepares lunch for the classrooms, prepared Child A an alternate meal for lunch that does not contain egg on 09/02/2022. However, Ms. Chrostowski forgot to send the alternate meal to Child A's classroom and Child A was fed whole wheat chicken tenders which contains egg. The center is aware of Child A's egg allergy. Every classroom has a list posted with the children in all of the classrooms who have allergies or require a special diet. The same allergy and special diet list is posted in the kitchen. There is a binder in the kitchen which includes a sheet for food the center serves that lists the ingredients and 3 allergens/warnings. Also, the Nurture app lists a child's allergy or special diet. The center has begun to brainstorm on how they can ensure that children are not exposed to possible allergens and are provided the correct special dietary meals e.g., using special place mats during meals which lists a child's allergy or special diet. On 09/06/2022, I interviewed Ms. Chrostowski at the center. She said she is a child care staff member who works mainly in the kitchen and is not assigned to work in a specific classroom. She prepared Child A a turkey and cheese wrap for lunch and the other children in the classroom were prepared whole wheat chicken tenders. She went to the classroom and served all the children, including Child A, whole wheat chicken tenders. She forgot to put Child A's meal in the bin and mistakenly fed her whole wheat chicken tenders. She indicated she is aware of the children's allergies and special diets because there are allergy and special diet lists posted in the kitchen and in the classrooms. She feels bad that she gave Child A the whole wheat chicken tender, and she has never made this mistake before. On 09/06/2022, I interviewed Ms. Connolly at the center. She said she is the lead caregiver in the Lyric classroom. The Lyric and Pedal classrooms were combined on 09/02/2022. Ms. Connolly did not serve Child A the whole wheat chicken tenders. She entered the c

R 400.8525 Exits. .......................... (6) Means of egress shall be maintained in an unobstructed, easily traveled condition at all times that the center is in operation. Means of egress shall not be exposed to inherent hazards of the building, including the heating plant, flammable storage, commercial kitchen, or other similar conditions.

On 1/14/2021, means of egress was not maintained. A cot with a sleeping child was placed in front of the exit door in the Pratt Room.

R 400.8525 · Correction status not published

R 400.8182 Ratio and group size requirements. ................................................ ....... ........... ...... (3) In each room or well-defined space, the maximum group size and ratio of child care staff members to children, including children related to a staff member or the licensee, must be as shown in Table 4: (d)Preschoolers, 4 years of age until school-age shall maintain a child care staff member to child ratio of 1:12 with no maximum group size. C~

On 01/14/2021 and 01/29/2021 during my onsite inspections, the Pratt room was found in ratio.

R 400.8182 · Correction status not published

R 400.8182 Ratio and group size requirements. (3) In each room or well-defined space, the maximum group size and ratio of child care staff members to children, including children related to a staff member or the licensee, must be as shown in Table 4: (a)Infants and toddlers, birth until 30 months of age shall maintain a child care staff member to child ratio of 1:4 with a maximum group size of 12. ...............................................................................................................................

On 01/14/2021 I completed an unannounced onsite inspection at Gilden Woods Child Development Center. I observed the number of child care staff members to children in all classrooms. The ratios during my observations are as follows: • Otis (school age children); Natalee Whitford (1) to (7) children • Pratt (4- to 5-year-olds); Jessica Mendelsohn and Gabriella Fresquez (2) to (14) children • Terance (3- to 4-year-olds); Tammy Schluchter and Taylor Meredyk (2) to (18) children • Anabella (30 months to 3 years-old); Nakia Ga'lyn (1) to (8) children • Pedals (24 months to 30 months); Shelbie Sutton and Victoria Tumminello (2) to (12) Children • Lyric (18 months to 24 months); Chelsey Elias (1) to (11) children • Farris (12 months to 18 months); Jamie Jonas and Miranda VanLanduyt (2) to (10) children • Infant 1 (6 weeks to 6 months); Madisyn Fultz and Rachel Sablatzky (2) to (6) children • Infant 2 (6 months to 12 months); Megan McKay-Pfeiffer and Aubrey Preiss (2) to (8) children I interviewed child care staff members Tammy Schluchter and Jessica Dixon. Both child care staff members work in the Terance room. Ms. Schulchter stated that staff are asked to take a break while children are sleeping without appropriate coverage. She said as soon as 10 children are asleep, either Ms. Dixon or herself will take a break, leaving the classroom with 1 child care staff member with 20 children. Ms. Schluchter said she was concerned that cots were not spaced adequately apart. She stated she tried multiple configurations to ensure cots were spaced at least 18 inches apart but was unsuccessful. She expressed concern that children and staff would not be able to evacuate during an emergency due to the close spacing of cots. 3 I interviewed Ms. Dixon. She said there is always two staff members in the Terance room during all parts of the day, including nap time. Ms. Dixon stated that there are never more than 20 children in the Terance room at one time. She was unsure about cot spacing and the required distance between cots. I reminded her that cots need to be at least 18 inches apart. I observed cot placement in all classrooms. I visually inspected the distance between cots. I measured cot spacing in classrooms that appeared to have cots that were less than 18 inches apart. To measure cot spacing, I used an 81/2 inch by 11 inch piece of paper. I measured cot spacing in the Terance and Pedal classrooms. Both classrooms had cots that were less than 11 inches apart. The Terance room had two cots that were less than 11 inches apart and the Pedal room had three cots along the wall that were less than 11 inches apart. I observed emergency exit egress in all classrooms. One classroom had a cot placed in front of an exit door. The emergency exit door in the Pratt Room was blocked with a child sleeping on a cot. I interviewed Ms. Davis. She said it is her general procedure to have child care staff members take their lunch break when children are sleeping. She thought once children were asleep that ratio requirements were not applicable. She stated she sends staff on break leaving classrooms out of ratio. This occurs in toddler, preschool, and school-age classrooms. Once I informed her that child care centers are required to maintain ratio during all parts of the day, including rest time, she said she will no longer send staff on break without appropriate staffing in place. Ms. Davis stated she will adjust the schedule immediately to ensure that ratios are always met. On 1/29/2021 I completed an unannounced onsite inspection. I observed child care staff to children ratios in all classrooms. All classrooms were found in compliance with ratio requirements. Child care staff to child ratios were as follows: Name of Child Care Staff Number of Age Range Classroom Members Children Otis 1 6 School Age ..................................... ................................................ Pratt 1 12 4- and 5-year-olds Terance 2 17 3- and 4-year-olds Anabella 1 8 30 mont

R 400.8182 · Correction status not published

R 400.8182 Ratio and group size requirements. (3) In each room or well-defined space, the maximum group size and ratio of child care staff members to children, including children related to a staff member or the licensee, must be as shown in Table 4: (e)School-agers; maintain a child care staff member to child ratio of 1:18 with no maximum group size.

On 01/14/2021 and 01/29/2021, during my onsite inspections, the Otis room was found in ratio. I

R 400.8182 · Correction status not published

.............. R 400.8176 Sleeping equipment. (18) All occupied cribs, porta-cribs, cots, and mats must be placed in such a manner that there is a free and direct means of egress and must be spaced as follows: (b) Cots and mats must be at least 18 inches apart.

On 1/14/2021, cots were not placed at least 18 inches apart in the Terance and Pedals Room. Cots were less than 11 inches apart. .................... .................

R 400.8176 · Correction status not published

R 400.8167 Indoor space. (1)The required square footage of indoor space per child must be at least the following: (b) Thirty-five square feet for preschoolers and school- a ers.

The Terance Room is 726 square feet. This number divided by 35 allows for 20 preschool age and school-age children.

R 400.8167 · Correction status not published