251.04(2)(m) · Health, Safety & Welfare Of Children

Health history information on file for Child #1, who is observed in care during the visit, identifies the child as having a peanut and shellfish allergy requiring use of an Epipen if exposed to these items. Per the center director, Child #1's Epipen is likely located inside the school office however it is unable to be accessed if needed as the office is observed closed during the visit.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(4)(a)3. · Parent Notification - Minor Injury

On 1/6/25 staff failed to notify Child #2's parent of scrapes the child received while engaged in a game of hide and seek with program staff after the child climbed inside a garbage can and sustained injury while attempting to exit the garbage can. The child is also reported to have cried for 5 minutes following the incident. The parent was not informed of the incident & injury until the following day when the parent called the director to inquire what had happened to her child and informed the director that she had taken the child to the emergency room for professional medical evaluation.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(a)6. · Child Record - Health History

Health History information on file for Child #3 is incomplete. Health history information on file indicates the child has asthma and carries an inhaler for seasonal allergies however triggers that may cause problems, signs or symptoms to watch for, steps the child care provider should follow, when to call parents regarding symptoms or failure to respond to treatment and when to consider that the condition requires emergency medical care or reassessment has not been provided.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)10. · Sharing Information About Food & Other Allergies

Staff B, who is alone at the program caring for a group of children, twice states he does not think any children have any allergies despite Child #1 having a documented allergy to peanuts and shellfish which requires use of an Epipen per Health History and Emergency Care Plan information on file for the child and per a posted allergy sheet.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(dm)3.b. · Medical Log - Injury In Care

Visible injuries sustained by Child #2 on 1/6/25 as a result of attempting to exit a garbage can were never recorded in the medical log book.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(dm)3.d. · Medical Log - Medical Evaluation

An incident occurred on 1/6/25 in which Child #2 was injured in care while exiting a garbage can which resulted in Child #2 receiving professional medical evaluation and a determination that the child had swelling around one of her ribs, two quarter sized bruises, a "tissue bulge on her rib cage" and a two inch cut on her forearm with swelling and bruising. This was never recorded in the medical book.

Open Not marked corrected in the state record

Open / not marked corrected.

251.094(4)(c) · School-Age Program Leader - Training

Per the report of the center director, Staff A, B, and C are employed as school age group leaders and work alone caring for children but none have not completed the required training. Staff B is observed alone at the program caring for a group of children during the monitoring visit and Staff A, B, and C are documented as having cared for a group of children alone on 1/6/25 and Staff B and C are documented as caring for children alone on 1/7/25-1/10/25.

Open Not marked corrected in the state record

Open / not marked corrected.

251.095(2m)(c) · School-Age Care - Supervision Of Group Of Children

Children are not supervised by at least one School-Age Program Leader per observation during visit when Staff B is alone caring for a group of children and per review of attendance and staff hours for the week of 1/6/25-1/10/25 when Staff A, B, and C worked on 1/6/25 and Staff B and C worked on 1/7/25-1/10/25. Staff A, B, and C do not meet the qualifications of School-Age Program Leaders.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(2)(m) · Violation

(Health, Safety & Welfare Of Children ) on 1/14/2025 : Health history information on file for Child #1, who is observed in care during the visit, identifies the child as having a peanut and shellfish allergy requiring use of an Epipen if exposed to these items. Per the center director, Child #1's Epipen is likely located inside the school office however it is unable to be accessed if needed as the office is observed closed during the visit.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(a)6. · Violation

(Child Record - Health History ) on 1/14/2025 : Health History information on file for Child #3 is incomplete. Health history information on file indicates the child has asthma and carries an inhaler for seasonal allergies however triggers that may cause problems, signs or symptoms to watch for, steps the child care provider should follow, when to call parents regarding symptoms or failure to respond to treatment and when to consider that the condition requires emergency medical care or reassessment has not been provided.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)10. · Violation

(Sharing Information About Food & Other Allergies ) on 1/14/2025 : Staff B, who is alone at the program caring for a group of children, twice states he does not think any children have any allergies despite Child #1 having a documented allergy to peanuts and shellfish which requires use of an Epipen per Health History and Emergency Care Plan information on file for the child and per a posted allergy sheet.

Open Not marked corrected in the state record

Open / not marked corrected.