17-006741 Department Of Children And Families vs. Edu Express, Llc, D/B/A The Little Engine Academy
 Status: Closed
Recommended Order on Wednesday, April 11, 2018.


View Dockets  
Summary: With no detailed evidence as to whether the child's health was significantly impaired, the Department of Children and Families failed to prove that Respondent violated rule 65C-22.001(11)(b).

1STATE OF FLORIDA

4DIVISION OF ADMINISTRATIVE HEARINGS

8DEPARTMENT OF CHILDREN AND

12FAMILIES,

13Petitioner,

14vs. Case No. 17 - 6741

20EDU EXPRESS, LLC, d/b/a THE

25LITTLE ENGINE ACADEMY,

28Respondent.

29_______________________________/

30RECOMMENDED ORDER

32Pursuant to notice, a final hearing was conducted in this

42case on February 16 , 2018, via video teleconference at sites in

53Tallahassee and Daytona Beach, Florida, before Garnett W.

61Chisenhall, a duly - designated Administrative Law Judge of the

71Divisi on of Administrative Hearings (ÐDOAHÑ).

77APPEARANCES

78For Petitioner: Jane Almy - Loewinger, Esquire

85Department of Children and Families

90Suite 447

92210 North Palmetto Avenue

96Daytona Beach, Florida 32114

100For Respondent: Joy Vaeth, p ro se

107EDU Express, LLC, d/b/a The Little

113Engine Academy

115499 South Nova Road

119Ormond Beach, Florida 32174

123STATEMENT OF THE ISSUE

127The issue is whether EDU Express, LLC, d/b/a The Little

137Engine Academy (ÐEDU Express Ñ) , violated Florida Admini strative

146Code Rule 65C - 22.001(11)(b) 1/ by failing to report a suspected

158incident of child abuse .

163PRELIMINARY STATEMENT

165On approximately Novem ber 14, 2017, the Department

173of Children and Families (Ðthe DepartmentÑ) issued an

181Administrative Complaint alle ging that a complaint investigat ion

190conducted on August 16, 2017 , determined the following:

198As a mandated reporter, the owner, operator,

205employee, or substitute failed to report

211suspected child abuse or neglect as required

218in section 39.301 Florida Statute s. The

225owner and director of this facility failed

232to report that a child was held by the wrist

242and removed from an incident causing the

249childÓs elbow to become dislocated. The

255childÓs parent stated that she asked the

262owner of the facility to make an abus e

271report, the parent realized six (6) months

278later that the report was not made and

286called in a report on August 15, 2017.

294According to the Administrative Complaint, the

300aforementioned allegations amounted to a violation of r ule 65C -

31122.001(11)(b) and a Class I violation of child care licensing

321standards .

323Class I violations are the most serious and pertain to

333situations in which a child has b een harmed or there is

345imminent danger of future harm. T he violation alleged in

355the Administrative Complaint wo uld be EDU ExpressÓs fifth

364Class I violation within a two - year period. As a result, the

377Department notified EDU Express that it was seeking to impose a

388$ 5 00.00 fine and revoke EDU ExpressÓs child care license. 2/

400On December 8, 2017, EDU Express re sponded by requesting a

411formal administrative h earing. Within the hearing request, EDU

420Express noted that it disputed the allegations that: (1) there

430was suspected child abuse or neglect; and that (2) the parent of

442the alleged victim requested that an ab use report be filed.

453On December 18, 2017, the Department referred this matter

462to DOAH for a formal administrative hearing.

469Via a Notice issued on December 28, 2017, the undersigned

479scheduled the final hearing to occur by video telec onference on

490Febr uary 16, 2018.

494Prior to the final hearing, the Department filed a Notice

504that it would be treating its Administrative Complaint as an

514exhibit. The undersigned accepts the Administrative Complaint

521as the Department Ós Exhibit 1.

527The final hearing was c ommenced as scheduled.

535The Department presented testimony from Betsy Lewis , a

543Family Services Counselor Supervisor , and Patricia Medi co , a

552Family Services Counselor . The Department did not offer any

562additional exhibits into evidence during the final he aring.

571EDU Express off ered the testimony of Joy Vaeth, and

581EDU ExpressÓs Exhibits 1 through 6 were admitted into evidence

591without objection.

593During the final hearing, the undersigned received

600testimony indicating that EDU Express had closed and that

609its license had been relinquished or Ðclosed out . Ñ The

620testimony also revealed that another operator had moved into

629the physical space previously occupied by EDU Express. Because

638the Department was still seeking to impose a $500 fine on EDU

650Express, the undersigned concluded that this proceeding had not

659been rendered moot.

662After the conclusion of the final hearing, the Department

671filed a composite exhibit describing previous disciplinary

678actions taken a gainst EDU Express. The undersigned accepts that

688composite exhibit into evidence and designates it as the

697DepartmentÓs Exhibit 2 .

701The Transcript from the final hearing was filed with DOAH

711on March 7, 2018, and the Department filed its Proposed

721Recommended Order on March 12, 2018. The undersigned cons idered

731the DepartmentÓs Proposed Recommended Order during the

738preparation of this Recommended Order.

743EDU Express did not fil e a p roposed r ecommended o rder.

756FINDING S OF FACT

760Based on the oral and documentary evidence adduced at the

770final hearing and th e entire record in this proceeding, the

781following Findings of Fact are made:

7871. At all times relevant t o the instant case, EDU

798Express was a Florida - licensed childcare facility owned by Joy

809Vaeth with 100 to 120 children under its care.

8182. The Departme nt is the state agency responsible for

828licensing and regulating childcare facilities in Florida.

835See § § 402.305 - .311, Fla. Stat. (2017). 3 /

8463. In order to fulfill its regulatory duty, the Department

856inspects every childcare facility three times a yea r. The

866Department will cond uct an additional inspection if it receives

876a complaint pertaining to a particular childcare facility.

8844. The Department administers r ule 65C - 22.001, and

894subsection (11) of the r ule su bjects childcare facilities to

905discipline f or failing Ðto pe rform the duties of a mandatory

917reporter pursuant to Section 39.201.Ñ Such failure Ðconstitutes

925a violation of the standards in Section 402.301 - .319, F.S.Ñ

9365. Section 39.201(1)(a), Florida Statutes, mandates that

943Ð[a]ny person who know s, or has reasonable cause to suspect,

954that a child is abused . . . shall report such knowledge or

967suspicion to the [Department] in the manner prescribed in

976subsection (2).Ñ 4 /

9806. On February 24, 2017, an employee of EDU Express

990inadvertently injured a c hildÓs elbow while ending a scuffle

1000between that child and another child.

10067 . Because EDU Express maintained cameras in its facility,

1016the incident was captured on video.

10228 . After watching a video of the incident, Ms. Vaeth

1033conclude d that she was not r equired to report the incident to

1046the pertinent authorities :

1050And I Î it was an accident . . . The teacher

1062had been changing a child and off in the

1071distance was another child hitting a child

1078with a drumstick. And, so, the teacher

1085picked up the child she wa s changing to stop

1095that, because theyÓre one and Î or one and a

1105half. And went over and holding one Î the

1114child she had been changing, just lifted

1121that child up and away from the child she

1130was hitting so that there was no injury.

1138And in that process the childÓs arm Î the

1147elbow got this injury called NursemaidÓs

1153elbow . [ 5 / ]

1159So I just Î in my mind weÓre all Î you know,

1171talking about the Î you know, what happened,

1179and I just didnÓt think of it as abuse that

1189I needed to report to the hotline. And,

1197even as part of my Exhibit One, this is a

1207flyer at one point, you know, that DCF put

1216out about signs to look for. And, again,

1224when I read t his I still donÓt read this

1234and go, oh, yeah, I should have reported

1242that to the h otline because it was abuse.

1251I just Î I d idnÓt believe it was abuse.

1261My teacher did not purposely set out to

1269injure that child. And in the process of

1277trying to prohibit another child from being

1284injured she pulled the child up by one arm

1293and that arm was injured. So Î and, so,

1302anyway, thatÓs ju st Î I just didnÓt connect

1311the dots.

1313* * *

1316And Î but I called the parents and I talked

1326to the dad. ItÓs not like I tried to hide

1336it from him. I called him and I told him

1346what had happened. I talked to the mom the

1355next day. Of course, they were upse t.

1363Understandably they were upset. But, again,

1369I wasnÓt Î I didnÓt realize that the Î that

1379I had to call the abuse and neglect hotline

1388on situations like this. I know now.

1395And then, as far as the parent asking me

1404to report it, I Î - I do not believe she

1415did. And if she did, I didnÓt understand it

1424that way. And I Î as part of my Exhibit Two

1435I Î - we talked on the phone, but she also

1446texted me. And those are the only texts I

1455have. But never once in the text messaging

1463Î - I was going back and forth a lit tle bit

1475with her to c heck on G.H. to see how she

1486was and she never suggested that Î that I

1495understood, to call the hotline as suspected

1502abuse.

15039. While Ms. Vaeth initially concluded that she was not

1513required to report the incident to the Department, th e childÓs

1524mother concluded otherwise and wa s under the impression that

1534Ms. Vaeth was going to report the incident.

154210. Ms. Vaeth was not under the impression that the mother

1553asked her to report the incident.

155911. The child remained under EDU Express Ós care for

1569another six months.

157212. Upon learning that Ms. Vaeth never reported the

1581incident, the childÓs mother filed a complaint with the

1590Department on August 15 , 2017. The Department then conducted an

1600inspection of EDU Express and evaluated whether the incident

1609amounted to an instance of abuse.

161513. Patricia Medico was the family services counselor who

1624had been responsible for conducting the DepartmentÓs inspections

1632of EDU Express since it opened in 2013.

164014. Ms. Medico conducted the inspecti on resulting from the

1650motherÓs complaint.

165215. During the course of that inspection, Ms. Medico

1661vi ewed a video of the incident and described what she saw as

1674follows:

1675She was by herself in the classroom at the

1684time. She had a baby in one arm. Whether

1693the baby was upset or she had just changed

1702it -- she had a baby in her arm and, so, she

1714saw a situation over there. Two children

1721fighting over Î I think it was a toy drum.

1731And reached over to move the child so, you

1740know, it may have appeared that she wa s

1749pulling the child. But as we looked at the

1758video over and over again, thatÓs not what

1766it was. She was just Î she was pulling the

1776child to safety is what she was doing and,

1785you know, wasnÓt aware that anything had

1792happened to the child. Ms. Vaeth did r emove

1801that person from her Î her position . [ 6 / ]

181316. While there is no evidence that the EDU employee

1823intended to cause injury by grabbing the childÓs arm and

1833removing the child from the scuffle , that employee did intend to

1844remove the child from the scuff le by grabbing the childÓs arm.

185617. The child suffered some degree of har m due to the

1868EDU employee grabbing his or her arm.

187518. T he re is no sufficiently detailed evidence as to

1886whether the childÓs physical, mental, or emotional health was

1895significantl y impaired by the harm suffered by the child. For

1906example, there was no evidence regarding the severity of the

1916childÓs injury or whether she experienced any pain. Also, there

1926is no detailed evidence about the amount of treatment that was

1937necessary to tre at the childÓs condition. 7 /

194619. The incident on February 24, 2017, did not result from

1957any ambivalence on Ms. VaethÓs part or any disregard for the

1968welfare of the children under her care.

197520. With the exception of a n earlier incident which led to

1987t he Department charging EDU Express with multiple violations,

1996Ms. Medico was never under the impression that the children at

2007EDU Express were in an unsafe environment.

2014CONCLUSIONS OF LAW

201721. D O AH has personal and subject matter jurisdiction in

2028this proce eding pursuant to sections 120.569 and 120.57(1),

2037Florida Statutes (2017) .

204122. A proceeding, such as this one, to impose discipline

2051upon a license is penal in nature. State ex rel. Vining v.

2063Fla. Real Estate Comm'n , 281 So. 2d 487, 491 (Fla. 1973).

2074Acc ordingly, DCF must prove the charges against EDU Express by

2085clear and convincing evidence. D ep't of Banking & Fin., Div.

2096of Sec. & Inv . Prot. v. Osborne Stern & Co. , 670 So. 2d 932,

2111933 - 34 (Fla. 1996)(citing Ferris v. Turlington , 510 So. 2d 292,

2123294 - 95 (F la. 1987)); Nair v. Dep't of Bus. & Prof'l Reg., Bd. of

2139Med. , 654 So. 2d 205, 207 (Fla. 1st DCA 1995).

214923. Regarding the standard of proof, the court in

2158Slomowitz v. Walker , 429 So. 2 d 797, 800 (Fla. 4th DCA 1983) ,

2171stated that :

2174clear and co nvincing eviden ce requires

2181that the evidence must be found to be

2189credible; the facts to which the witnesses

2196testify must be dis tinctly remembered;

2202the testimony must be precise and explicit

2209and the witnesses must be lacking in

2216confusion as to the facts in issue. The

2224evi dence must be of such weight that it

2233produces in the mind of the trier of fact

2242a firm belief or conviction, without

2248hesitancy, as to the truth of the

2255allegations sought to be established.

2260Id.

226124. The Florida Supreme Court later adopted the

2269Slomowitz co urt's description of clear and convincing evidence.

2278See In re Davey , 645 So. 2d 398, 404 (Fla. 1994). The First

2291District Court of Appeal has also followed the Slomowitz test,

2301adding the interpretive comment that "[a]lthough this standard

2309of proof may be met where the evidence is in conflict, . . . it

2324seems to preclude evidence that is ambiguous." Westinghouse

2332Elec. Corp. v. Shuler Bros., Inc. , 590 So. 2d 986, 988 (Fla. 1st

2345DCA 1991).

234725. Section 402.310, Flor ida Statutes, authorizes the

2355Department to im pose discipline against licensed childcare

2363facilities. This statute provides, in pertinent part, that the

2372Department "may administer . . . disciplinary s anctions for a

2383violation of any provision of ss. 402.301 - 402.319, or t he rules

2396adopted thereunder." § 402.310(1)(a), Fla. Stat.

240226. The DepartmentÓs Admini strative Complaint alleged

2409that EDU Express violated r ule 65C - 22.001(11)(b). The

2419aforementioned r ule pertains to Ð child safetyÑ and provides

2429that Ð[f]ailure to perform the duties of a mandatory report er

2440pursuant to Section 39.201, F.S., constitutes a violation of the

2450standards in Sections 402.301 - .319, F.S.Ñ

245727. Section 39.201(1)(a) mandates that:

2462Any person who knows, or has reasonable

2469cause to suspect , [ 8 / ] that a child is abused,

2481abandoned, or neg lected by a parent, legal

2489custodian, caregiver, or other person

2494responsible for the childÓs welfare, as

2500defined in this chapter, or that a child is

2509in need of supervision and care and has no

2518parent, legal custodian, or responsible

2523adult relative immediatel y known and

2529available to provide supervision and care

2535shall report such knowledge or suspicion to

2542the department in the manner prescribed in

2549subsection (2).

255128. Sec tion 39.01( 2 ), Flor ida Statutes , defines ÐabuseÑ

2562as :

2564any wil lful act or threatened act

2571t hat results in any physical, mental,

2578or sexual abuse, injury, or harm that

2585causes or is likely to cause the childÓs

2593physical, mental, or emotional health to be

2600significantly impaired. Abuse of a child

2606includes acts or omissions. Corporal

2611discipline of a child by a parent or legal

2620custodian for disciplinary purposes does not

2626in itself constitute abuse when it does not

2634result in harm to the child.

264029. Section 39.01(30)(a) provides that ÐharmÑ to a childÓs

2649health or welfare can occur when someone:

2656Infli cts or allows to be inflicted upon the

2665child physical, mental, or emotional injury.

2671In determining whether harm has occurred,

2677the followin g factors must be considered

2684in evaluating any physical, mental, or

2690emotional injury to a child: the age of the

2699child ; any prior history of injuries to the

2707child; the location of the injury on the

2715body of the child; the multiplicity of the

2723injury; and the type of trauma inflicted.

2730Such injury includes, but is not limited to:

2738Willful acts that produce the following

2744spec ific injuries:

2747a. Sprains, dislocations, or cartilage

2752damage .

2754b. Bone or skull fractures.

2759c. Brain or spinal cord damage.

2765d. Intracranial hemorrhage or injury to

2771other internal organs.

2774e. Asphyxiation, suffocation, or drowning.

2779f. Injury resulting from the use of a de adly

2789weapon.

2790g. Burns or scalding.

2794h. Cuts, lacerations, punctures, or bites.

2800i. Permanent or temporary disfigurement.

2805j. Permanent or temporary loss or impairment

2812of a body part or function.

2818As used in this subparagraph, the term

2825ÐwillfulÑ ref ers to the intent t o perform

2834an action, not to the intent to achieve a

2843result or to cause an injury.

2849(emphasis added).

285130. In order for the Department to prove that EDU Express

2862violated its duty to report under r ule 65C - 22.001(11)(b), the

2874Department had to prove that EDU Express knew, or had reasonable

2885cause to suspect, that the incident on February 24, 2017, was

2896Ð abuse Ñ within the meaning of section 39.01(2).

290531. Therefore, the Department had to prove the following

2914elements by clear and convincing evidence: (a) that th e EDU

2925employee committed a willful act; (b) that the willful act

2935resulted in physical or mental harm ; and that (c) the physical

2946or mental harm significantly impaired the childÓs physical,

2954mental, or emotional health.

295832. Moreover, the pertinent statutory provisions must be

2966strictly construed in EDU ExpressÓs favor. Munch v. DepÓt of

2976ProfÓl Reg., Div. of Real Estate , 592 So. 2d 1136, 1143 (Fla.

29881 st DCA 1992).

299233. Even though there is no evidence indicating that

3001the EDU employee at issue intended to ca use injury by grabbing

3013the childÓs arm and removing the child from the scuffle,

3023t he evidence clearly and convincingly demonstrates that the

3032EDU employee intended to remove the child from the scuffle by

3043pulling that childÓs arm. Thus, the EDU employee comm itted a

3054Ðwillful actÑ within the meaning of s ection 39.01(30)(a).

306334. The evidence also clearly and convincingly

3070demonstrates that the child suffered some degree of ÐharmÑ

3079within the meaning of s ection 39.01(30)(a).

308635. However, there i s no d etaile d evidence as to

3098whether the childÓs physical, mental, or emotional health was

3107significantly impaired by the harm suffered by the child. For

3117example, there was no evidence regarding the severity of the

3127childÓs injury or whether she experienced any pain. Also, there

3137is no detailed evidence about the amount of treatment that was

3148necessary to treat the childÓs condition. Compare DepÓt of

3157Child . and Fam . Servs . v. Little PeopleÓs Place and D.A. , Case

3171No. 09 - 6581 (Fla. DOAH April 15, 2010), adopted in part or

3184modified (Fla. DCF Sept. 2, 2010) (considering the meaning of

3194ÐabuseÑ in r ule 65C - 22.001(11) and finding the following: ÐThe

3206willful act resulted in physical harm to J.B. J.B. suffered

3216bruises on the back and front of his neck. The bruises lasted

3228approx imately six days. They initially appeared as red marks

3238and then changed in color to purple, yellow, and brown. Expert

3249medical testimony at the hearing determined that the bruises are

3259consistent with abuse caused by excessive force.Ñ).

326636. Without suc h evidence, the Department cannot

3274demonstrate by clear and convincing evidence that EDU Express

3283violated r ule 65C - 22.001(11)(b).

3289RECOMMENDATION

3290Based on the foregoing Findings of Fact and Conclusions of

3300Law, it is RECOMMENDED that the Department of Child ren and

3311Families dismiss the Administrative Complaint at issue in this

3320proceeding.

3321DONE AND ENTERED this 11 th day of April , 2018 , in

3332Tallahassee, Leon County, Florida.

3336S

3337G. W. CHISENHALL

3340Administrative Law Judge

3343Division of Administrative Hearings

3347The DeSoto Building

33501230 Apalachee Parkway

3353Tallahassee, Florida 32399 - 3060

3358(850) 488 - 9675

3362Fax Filing (850) 921 - 6847

3368www.doah.state.fl.us

3369Filed with the Clerk of the

3375Division of Administrative Hearings

3379this 11 th day of April, 20 18 .

3388ENDNOTE S

33901/ Rule 65C - 22.001(11)(b) has been amended since the event at

3402issue in this proceeding occurred. A new version of Rule 65C -

341422.001 went into effect on October 25, 2017 . However, the

3425version of the rule in effect when the event at issue oc curred

3438is the rule that applies . See generally Anglicklis v. DepÓt of

3450ProfÓl Reg. , 593 So. 2d 298, 300 (Fla. 2d DCA 1992)( holding that

3463the appellants could not be found to have violated a rule that

3475was not in effect at the time of the audit).

34852 / The D epartment classifies violations by severity, with

3495Class I violations being the most severe. Rule 65C -

350522.010(2)(d) 1.b. mandates that Ð[f]or the third and subsequent

3514violation of a Class I standard, the Department shall suspend,

3524deny or revoke the license . The Department . . . may also

3537impose a fine not less than $100.00 nor more than $500.00 per

3549day for each violation in addition to any other disciplinary

3559sanction.Ñ

3560While EDU Express accumulat ed enough serious violations

3568to trigger a mandatory suspensi on or revocation of its license,

3579th e testimony of Patricia Medico , the Department Ós fa mily

3590services counselor who had been responsible for inspectin g EDU

3600Express since it opened in 2013 , indica ted that the violations

3611did not result from a disregard for the welfare of the children

3623at EDU Express . For example, when asked if she had any concerns

3636about the owner of EDU Express, Joy Vaeth , runn ing a daycare

3648center again, Ms. Medico testified that, ÐShe cares so much

3658about what she does. SheÓs a hardworking lad y. She works a lot

3671of hours. I Î my concern is common sense issues that are not

3684being addressed.Ñ Ms. Medico also testified that she never felt

3694that the children in Ms. VaethÓs care were in an unsafe

3705environment.

37063/ Unless stated otherwise all statu tory citations will be to

3717the 2016 version of the Florida Statutes.

37244/ Section 39.201(2)(a) provides that :

3730Each report of known or suspected child

3737abuse, abandonment, or neglect by a parent,

3744legal custodian, caregiver, or other person

3750responsible for th e childÓs welfare as

3757defined in this chapter, except those solely

3764under s. 827.04(3) , and each report that a

3772child is in need of supervis ion and care

3781and has no parent, legal custodian, or

3788responsible a dult relative immediately

3793known and available to provi de supervision

3800and care shall be made immediately to the

3808departmentÓs central abuse hotline. Such

3813reports may be made on the single statewide

3821toll - free telephone number or via fax, web -

3831based chat, or web - based report. Personnel

3839at the departmentÓs centra l abuse hotline

3846shall determine if the report received meets

3853the statutory definition of child abuse,

3859abandonment, or neglect. Any report meeting

3865one of these definitions shall be accepted

3872for the protective investigation pursuant to

3878part III of this chap ter. Any call received

3887from a parent or legal custodian seeking

3894assistance for himself or herself which does

3901not meet the criteria for being a report of

3910child abuse, abandonment, or neglect may

3916be accepted by the hotline for response to

3924ameliorate a pote n tial future risk of harm

3933to a child. If it is determined by a

3942child welfare professional that a need for

3949community services exists, the department

3954shall refer the parent or legal custodian

3961for appropriate voluntary community

3965services.

39665 / With the Depar tmentÓs consent, Ms. Vaeth introduced as EDU

3978ExpressÓs Exhibit 4 , a printout from KidsHealth.org describing

3986NursemaidÓs Elbow. According to this document, NursemaidÓs

3993Elbow is a common injury among toddlers and preschoolers. It

4003occurs Ðwhen a ligament sl ips out of place and gets caught

4015between two bones of the elbow joint.Ñ Sometimes, the injury

4025heals on its own. ÐIn most cases, a health care professional

4036gets the ligament back in place by doing a quick, gentle move of

4049the arm.Ñ A child with Nursem aidÓ s E lbow experiences some pain

4062when the injury occurs, Ðbut it doesnÓt cause long - term damage.Ñ

4074The document from KidsHealth.org also s tates that

4082NursemaidÓs Elbow occurs because the ligaments of children 1 to

40924 years old Ðare a bit loose.Ñ T herefore, Ð it can be easy for

4107a ligament in the elbow to slip into the joint and get stuck.Ñ

4120NursemaidÓs Elbow can result from Ðjust a small amount of

4130force.Ñ As a result, the document counsel s caregivers from:

4140(1) pulling a child up by the hands; (2) swinging a t oddler by

4154holding the hands or wrists; or (3) jerking an arm when pulling

4166a toddler along.

4169Fortunately, elbow ligaments tighten as children grow

4176older, and most children will not suffer from NursemaidÓs Elbow

4186after they turn five years old.

4192With rega rd to the signs and symptoms of NursemaidÓs Elbow,

4203a child experiencing this condition Ðwill not want to use the

4214injur ed arm because moving it is painful.Ñ The child Ðwill keep

4226the arm in a straight position or with a slight bend in the

4239elbow. Ñ The injur y will not be obvious because NursemaidÓs

4250Elbow ÐdoesnÓt cause deformity or swelling.Ñ

4256If there is no swelling or other injury, a physician will

4267treat NursemaidÓs Elbow by performing Ða gentle maneuver called

4276a reduction.Ñ This procedure only takes a f ew seconds, and the

4288child can Ð sit on the parentÓs la p while the doctor gently

4301takes the arm from a straight position and bends it upward or

4313straightens the arm while turning the palm to the floor.Ñ A

4324child Ðmight have a brief moment of pain during the re duction,

4336but [will] quickly feel much better.Ñ Most children Ðhave full

4346use of the arm within 5 to 10 minutes, but some cases may

4359require more than one reduction t o successfully fix the injury. Ñ

4371After a reduction, the child could be concerned about pain and

4382may not want to use the arm. If the child is experiencing

4394discomfort, the physician may put the arm in a sling and direct

4406a parent to administer acetaminophen or ibup rofen for pain

4416relief. In some cases, a physician may place a splint or

4427partial cast Ðto protect the arm until a specialist can check it

4439after a few days of rest.Ñ

4445As for prevention, the document from KidsHealth.org warns

4453that some children are more prone to sustaining NursemaidÓs

4462Elbow than others and might experience it again even when

4472parents try hard to prevent it.

4478While the document from KidsHealth.org was hearsay, it

4486supplemented or corroborated Ms. VaethÓs direct testim ony

4494about NursemaidÓs Elbow. As a result, the undersigned can base

4504findings of fact on that document. See § 1 20.57(1), Florida

4515Statutes (providing that Ð[h]earsay evidence may be used for the

4525purpose of supplementing or explaining other evidence, but it

4534shall not be sufficient in itself to support a finding unless it

4546would be admissible over objection in civil ac tions.Ñ ) .

45576 / The DepartmentÓs investigation included an assessment by a

4567child protective investigator of whether this incident amounted

4575to child abuse. After examining the videotape of the incident,

4585the Department concluded that there was no abuse. N evertheless,

4595the Department initiated the instant investigation based on its

4604determination that EDU Express should have reported the

4612incident.

46137 / EDU Express introduced an exhibit consisting of text messages

4624between Ms. Vaeth and the childÓ s parents o n February 25 and 26,

46382017 . There are statements therein indicating that the child

4648was not fully utilizing her arm after the incident and that the

4660parents were attempting to consult with an orthopedic physician

4669who would accept their insurance. EDU Expre ss also introduced

4679an ÐAccident/IncidentÑ sign ed on February 25, 2017, by Ms. Vaeth

4690and one of the childÓs parents. The report states that the

4701childÓs arm Ðmay have been dislocated.Ñ The report also notes

4711that the child Ðwas favoringÑ her arm when her fa ther picked her

4724up on the day of the incident. Finally, the report notes that

4736the parents took the child to either an emergency room or urgent

4748care that night. Another EDU Express exhibit is an e - mail

4760between Ms. Vaeth and the childÓs grandmother indicat ing that

4770the parents were taking the child to see her primary care

4781physician on February 27, 2017 Ðin order to get a referral.Ñ

47928/ Section 39.201(1)(a)Ós reference to having Ðreasonable cause

4800to suspectÑ is most reasonably interpreted to refer to insta nces

4811in which a person did not witness an instance of child abuse but

4824has good reason to believe that abuse occurred. See Urquhart v.

4835Helmich , 947 So. 2d 539 (Fla. 1 st DCA 2006).

4845COPIES FURNISHED:

4847Jane Almy - Loewinger, Esquire

4852Department of Children a nd Families

4858Suite 447

4860210 North Palmetto Avenue

4864Daytona Beach, Florida 32114

4868(eServed)

4869Joy Vaeth

4871EDU Express, LLC, d/b/a The Little

4877Engine Academy

4879499 South Nova Road

4883Ormond Beach, Florida 32174

4887Lacey Kantor, Esquire

4890Department of Children and Famili es

4896Building 2, Room 204Z

49001317 Winewood Boulevard

4903Tallahassee, Florida 32399 - 0700

4908(eServed)

4909John Jackson, Acting General Counsel

4914Department of Children and Families

4919Building 2, Room 204F

49231317 Winewood Boulevard

4926Tallahassee, Florida 32399 - 0700

4931(eServe d)

4933Mike Carroll, Secretary

4936Department of Children and Families

4941Building 1, Room 202

49451317 Winewood Boulevard

4948Tallahassee, Florida 32399 - 0700

4953(eServed)

4954NOTICE OF RIGHT TO SUBMIT EXCEPTIONS

4960All parties have the right to submit written exceptions within

49701 5 days from the date of this Recommended Order. Any exceptions

4982to this Recommended Order should be filed with the agency that

4993will issue the Final Order in this case.

Select the PDF icon to view the document.
PDF
Date
Proceedings
PDF:
Date: 07/06/2018
Proceedings: Agency Final Order
PDF:
Date: 07/06/2018
Proceedings: Agency Final Order filed.
PDF:
Date: 04/11/2018
Proceedings: Recommended Order
PDF:
Date: 04/11/2018
Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
PDF:
Date: 04/11/2018
Proceedings: Recommended Order (hearing held February 16, 2018). CASE CLOSED.
PDF:
Date: 03/12/2018
Proceedings: Department of Children and Families' Proposed Recommended Order filed.
Date: 03/07/2018
Proceedings: Transcript of Proceedings (not available for viewing) filed.
PDF:
Date: 02/19/2018
Proceedings: Petitioner's Notice of Filing filed.
Date: 02/16/2018
Proceedings: CASE STATUS: Hearing Held.
Date: 02/12/2018
Proceedings: Respondent's Proposed Exhibits filed (exhibits not available for viewing).
Date: 02/09/2018
Proceedings: CASE STATUS: Pre-Hearing Conference Held.
PDF:
Date: 02/06/2018
Proceedings: Petitioner's Witness List filed.
PDF:
Date: 02/06/2018
Proceedings: Notice of Filing DCF's Exhibts filed.
PDF:
Date: 01/31/2018
Proceedings: Notice of Telephonic Pre-hearing Conference (set for February 9, 2018; 9:30 a.m.).
PDF:
Date: 12/28/2017
Proceedings: Order of Pre-hearing Instructions.
PDF:
Date: 12/28/2017
Proceedings: Notice of Hearing by Video Teleconference (hearing set for February 16, 2018; 9:00 a.m.; Daytona Beach and Tallahassee, FL).
PDF:
Date: 12/26/2017
Proceedings: Petitioner's Response to Initial Order filed.
PDF:
Date: 12/18/2017
Proceedings: Initial Order.
PDF:
Date: 12/18/2017
Proceedings: Administrative Complaint filed.
PDF:
Date: 12/18/2017
Proceedings: Request for Administrative Hearing filed.
PDF:
Date: 12/18/2017
Proceedings: Notice (of Agency referral) filed.
Date: 02/08/2017
Proceedings: DCF's Proposed Exhibits filed (exhibits not available for viewing).

Case Information

Judge:
G. W. CHISENHALL
Date Filed:
12/18/2017
Date Assignment:
12/18/2017
Last Docket Entry:
07/06/2018
Location:
Daytona Beach, Florida
District:
Northern
Agency:
ADOPTED IN PART OR MODIFIED
 

Counsels

Related Florida Statute(s) (10):