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.
Recommended Order on Wednesday, April 11, 2018.
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.
- Date
- Proceedings
- PDF:
- Date: 04/11/2018
- Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
- 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.
- 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: 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: Notice of Hearing by Video Teleconference (hearing set for February 16, 2018; 9:00 a.m.; Daytona Beach and Tallahassee, FL).
- 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
-
Jane Almy-Loewinger, Esquire
Address of Record -
Lacey Kantor, Esquire
Address of Record -
Joy Vaeth
Address of Record