Messiah Lutheran Child Care and Learning Center

340:110-3-287(a) Supervision. Supervision is the function of observing, overseeing, and guiding a child or group of children, including an awareness of, and responsibility for, the ongoing activity of each child, and being near enough to intervene when needed. The program is required to maintain supervision at all times.

“Supervision. The program is not maintaining supervision at all times due to children being left alone outside.”

340:110-3-296(b)(2)(B)(ii) When an infant falls asleep in equipment other than appropriate rest equipment, the infant is immediately moved to appropriate rest equipment.

“Rest Time- When an infant fell asleep in equipment other than appropriate rest equipment, the infant was not immediately moved to appropriate rest equipment.”

340:110-3-284(c)(2)(C) demonstrate prudent and responsible behavior reasonably ensuring children's health and safety;

“Personnel- personnel did not demonstrate prudent and responsible behavior reasonably ensuring children's health and safety which resulted in an injury to an infant.”

340:110-3-296(b)(2)(B)(ii) When an infant falls asleep in equipment other than appropriate rest equipment, the infant is immediately moved to appropriate rest equipment.

“Rest Time- When an infant fell asleep in equipment other than appropriate rest equipment, the infant was not immediately moved to appropriate rest equipment.”

340:110-3-284(c)(2)(C) demonstrate prudent and responsible behavior reasonably ensuring children's health and safety;

“Personnel- personnel did not demonstrate prudent and responsible behavior reasonably ensuring children's health and safety which resulted in an injury to an infant.”

Rule not named in the record

“Licensing observed a 4 month old infant swaddled, asleep in the crib.”

Rule not named in the record

“Licensing observed a 4 month old infant swaddled, asleep in the crib.”

340:110-3-286(a) Ratios. Ratios are the number of teaching personnel required to be physically present with a child or group of children, per Oklahoma Administrative Code (OAC) 340 Appendix GG - Ratios and Group Sizes. Only teaching personnel count in ratios, unless requirements specifically state otherwise. The program is required to maintain ratios at all times.

“Ratio- Program is not maintaining ratios at all times.”

340:110-3-284(c)(2)(C) demonstrate prudent and responsible behavior reasonably ensuring children's health and safety;

“Personnel - Personnel did not demonstrate prudent and responsible behavior reasonable ensuring children's health and safety.”

340:110-3-284(c)(2)(E) work with children without physical, psychological, or emotional punishment, mistreatment, or abuse.

“Personnel - Personnel are not working with children without physical, psychological, or emotional punishment, mistreatment, or abuse.”

Rule not named in the record

“Program did not have an updated annual equipment inventory completed.”

Rule not named in the record

“Program did not have a completed annual physical environment checklist completed.”

Rule not named in the record

“Program did not have weekly lesson plans posted in the classrooms.”

Rule not named in the record

“One assistant teacher employed longer than three months does not have a current CPR and first aid certification.”

Rule not named in the record

“One personnel was caring for infants and had taken only 1-hour Safe Sleep Practices for Caregivers: Reduce the Risk of SUID unapproved and informal training.”

Rule not named in the record

“A 14 month old was resting in a bouncer.”

Rule not named in the record

“A 14 month old was drinking their bottle in a bouncer not in motion instead of drinking a bottle.”

Rule not named in the record

“One teacher did not obtain the CPR and first aid certification within three months of hire 5/28/24.”

340:110-3-298(f)(3)(A) breastmilk, formula, and introductory solid foods; or

“Nutrition- Program is feeding infants something other than breastmilk, formula, and introductory solid foods.”

340:110-3-286(a) Ratios. Ratios are the number of teaching personnel required to be physically present with a child or group of children, per Oklahoma Administrative Code (OAC) 340 Appendix GG - Ratios and Group Sizes. Only teaching personnel count in ratios, unless requirements specifically state otherwise. The program is required to maintain ratios at all times. (found during the complaint investigation)

“Additional Non-Compliance Found During Investigation: Ratios- Program is not maintaining ratios at all times.”

340:110-3-284(c)(2)(C) demonstrate prudent and responsible behavior reasonably ensuring children's health and safety;

“Personnel- Program is not demonstrating prudent and responsible behavior reasonably ensuring children's health and safety.”

Rule not named in the record

“No documentation monthly drills being conducted for the month of July was available at the time of the visit.”

340:110-3-287(a) Supervision. Supervision is the function of observing, overseeing, and guiding a child or group of children, including an awareness of, and responsibility for, the ongoing activity of each child, and being near enough to intervene when needed. The program is required to maintain supervision at all times.

“Supervision- The program was not maintaining supervision at all times.”

340:110-3-286(a) Ratios. Ratios are the number of teaching personnel required to be physically present with a child or group of children, per Oklahoma Administrative Code (OAC) 340 Appendix GG - Ratios and Group Sizes. Only teaching personnel count in ratios, unless requirements specifically state otherwise. The program is required to maintain ratios at all times.

“Ratios- The program is not maintaining ratios at all times.”

340:110-3-287(a) Supervision. Supervision is the function of observing, overseeing, and guiding a child or group of children, including an awareness of, and responsibility for, the ongoing activity of each child, and being near enough to intervene when needed. The program is required to maintain supervision at all times.

“Supervision- The program is not maintaining supervision at all times.”

Rule not named in the record

“A four year old was put in the infant classroom as discipline for not listening while the class the child had been in went outside.”

Rule not named in the record

“The program is not maintaining supervision for two awake infants in cribs in the sleeping room by not having a personnel present in the sleeping room.”

Rule not named in the record

“The program had no personnel in the back sleeping room with two awake infants who were in their cribs. The infants were moved in the front infant classroom, but that made the personnel in that classroom have five children with four infants and one four-year-old which the program continued to be over ratio by one child. Outside there were two classrooms, one of the classrooms had one personnel with seven one-year-olds.”

Rule not named in the record

“One personnel does not have a current OPDL and has not submitted her OPDL for renewal.”

Rule not named in the record

“One personnel employed longer than 90 days has not completed ELCCT yet.”

Rule not named in the record

“Two employed personnel do not have current CPR/FA certifications.”

Rule not named in the record

“Program was not maintaining ratios in the back room of the baby area with two awake children in the back room and no personnel was present in the back room of the baby area.”

Rule not named in the record

“One personnel did not have all infants in the front room of the baby area with them, and is not maintaining supervision by not being near enough to intervene with the two awake children in the back room of the baby area.”

Rule not named in the record

“One personnel has not completed ELCCT or any equivalent to ELCCT within 90-days of employment.”

Rule not named in the record

“One employed personnel does not have a current OPDL certificate and has been employed longer than twelve months.”

340:110-3-293(b) Parent reporting. Parents and personnel communicate daily and when additionally required, per OAC 340:110-3-280(d).

“Parent Communication-The program is not reporting to parents per OAC 340:110-3-280(d).”

340:110-3-281.2(c)(8)(A) Injury and poison exposure log. Incidents requiring an injury or poison exposure report are documented and maintained in one location for at least 12 months, to determine patterns. The log includes, at least the:

“Records- The program is not documenting and maintaining injury or poison exposure reports.”

340:110-3-297(a)(1)(B) changed promptly when wet or soiled.

“Diapering and toileting-The personnel at the program are not changing diapers frequently.”