Baby Bulldog Center

Staff; volunteer (1) All staff and volunteers present at the center shall: (a) Provide appropriate care and supervision of children at all times.

Teachers provide appropriate care and supervision. There is insufficient evidence that Teachers left babies to cry without offering assistance or they told babies that they were crying for no reasons.

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Staff; volunteer (1) All staff and volunteers present at the center shall: (a) Provide appropriate care and supervision of children at all times.

Teachers provide appropriate care and supervision. There is insufficient evidence that teachers made jokes about using curse words at the babies or that teachers said they wanted to physically harm babies, toddlers and preschoolers because they were annoyed with behaviors.

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Staff; volunteer (1) All staff and volunteers present at the center shall: (a) Provide appropriate care and supervision of children at all times.

Teachers provide appropriate care and supervision. There is insufficient evidence that Teachers yanked children by their wrists to lead them to different areas of the classroom.

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Discipline (1) Positive methods of discipline that encourage self-control, self- direction, self-esteem, and cooperation must be used.

Teachers provide positive methods of discipline. There is insufficient evidence that when a child is having a hard time that the child is made to sit alone to deal with their issues or sent to another classroom and told "if you are going to act like a baby you can sit in the baby room."

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Discipline (1) Positive methods of discipline that encourage self-control, self- direction, self-esteem, and cooperation must be used.

Lead Teacher 1 provides positive methods of discipline. There is insufficient evidence that Lead Teacher 1 sat preschoolers in an infant highchair to be "taught a lesson."

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Discipline (2) All of the following means of punishment are prohibited: (a) Hitting, spanking, shaking, biting, pinching, or inflicting other forms of corporal punishment.

Teachers did not inflict corporal punishment. There is insufficient evidence that Teachers yanked children by their wrists to lead them to different areas of the classroom.

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Discipline (4) A non-severe and developmentally appropriate restraint for an enrolled child with special behavioral or mental health issues may be used if reasonably necessary, based on a child's development, to prevent a child from harming themselves or to prevent a child from harming other individuals or property, excluding those forms of punishment prohibited by subrule (2) of this rule. The plan for when the restraint should be initiated; the actual use of the restraint, such as holding the child as gently as possible, and timed use of the restraint must be developed in collaboration with the parent or guardian with the parent or guardian giving final approval of the plan.

Lead Teacher 1 did not utilize a non-severe restraint for an enrolled child with special behavioral needs. There is insufficient evidence that Lead Teacher 1 sat preschoolers in an infant highchair to be "taught a lesson."

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R 400.8161(8) · 1 R 400.8161(8) Emergency procedures. (8) Each child care staff member shall be trained at least twice a year on his or her duties and responsibilities for all emergency procedures referenced in subrule (1) of this rule. K

On 03/20/2023, I made an unannounced onsite inspection. I met with Selina Doan, program director and licensee designee. Ms. Doan said that child care staff members (CCSMs) are trained on emergency procedures at the time they are hired. Adrian college trains all CCSMs on intruder training but there is no documentation of that training. The center also completes the required fire and tornado drills. Ms. Doan stated that she was not aware that CCSMs had to be trained twice a year on emergency procedures. Ms. Doan tracks all trainings to 2 ensure that CCSMs complete their required 16 clock hours of training each year. Many CCSMs attend Adrian college and are currently taking classes. Ms. Doan monitors the CCSM's training hours, lets them know if they have not met the requirement, and gives them a date for completion. I interviewed Child Care Staff Member 1 (CCSM 1), lead infant & toddler caregiver. CCSM 1 has been working at the center for six years. CCSM 1 said that CCSMs are trained on emergency procedures twice a year, in the summer and in the spring. CCSM1 completes her required 16 clock hours of training each year and believes all other child care staff members complete theirs. Ms. Doan monitors the trainings and gives CCSMs deadlines on when the trainings need to be completed. I interviewed assistant CCSM 2. CCSM 2 has been working at the center since 9/2022. CCSMs practice emergency drills every few months. CCSM2 completes her 16 clock hours of professional development each year. Ms. Doan gives CCSMs a deadline for when their trainings must be completed, and they are completed by that date. I interviewed assistant CCSM 3. CCSM 3 started working at the center in 11/2022. CCSM 3 said that fire and tornado drills are completed every few months. CCSMs are trained on the emergency procedures, but she was not sure off how often. CCSM 3 said that all CCSMs are required to have 16 clock hours of education per year. Ms. Doan lets them know if they are short on their hours and gives them a date for when they need to get them completed. During the onsite inspection, Ms. Doan provided me a copy of the center's written professional development plan, which states that all child care staff members will complete 16 clock hours of professional development per year. I viewed a sample of four CCSM files from the infant and toddler classroom, as well as the preschool classroom. The child care staff member files reviewed met the 16 clock hours of required training. I viewed child care staff member qualifications and all lead caregivers meet the licensing requirements required to be a lead caregiver. Ms. Doan also provided me with signed certificates of completion of emergency preparedness training that were completed during orientation. There was no documentation in child care staff member files that emergency training was completed twice a year.

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R 400.8131 · R 400.8131 1 Professional development requirements. (6) All child care staff members who work directly with children shall complete 16 clock hours of professional development annually on topics relevant to job responsibilities that include, but are not limited to, any of the following subjects: (a) Child development and learning. (b) Health, safety, and nutrition. (c) Family and community collaboration. (d) Program management. (e) Teaching and learning. (f) Observation, documentation, and assessment. (g) Interactions and guidance. (h) Child care center administrative rules.

Ms. Doan said that hand washing for children is done before eating, after eating, after diapering, after outdoors, and whenever they need it. Hand washing for child care staff members is done before prepping food, before eating, after eating, before diapering, after diapering, and whenever they need it. There is 4 also hand sanitizer to use in between for extra protection if child care staff members want it. CCSM 1, CCSM 2 and CCSM 3 all stated that hand washing for children happens before they eat, after they eat, after diaper changes, after they are outside, and whenever else they need it. Hand washing for CCSMs happens after every diaper change, before meals, after meals, after they are outside, and whenever else they need it. There is also hand sanitizer for CCSMs to use in between hand washing if they feel they need it. During the onsite inspection I observed CCSM 1 pick up a soiled diaper from the changing table, put it in the trash can, then pick a child up from the crib. She did not wash her hands after handling the soiled diaper. I shared my observation with Ms. Doan and provided technical assistance on hand washing. As children finished eating lunch, I observed CCSMs help the children wash their hands at the child hand washing sink. The CCSMs also washed their hands. The children's diapers were changed before nap, and I observed CCSMs take the children into the kitchen to the child hand washing sink to wash their hands after diapering, as well as washing their own hands. There are hand washing signs by the hand washing sink in the kitchen. Ms. Doan said that when they first opened the center, they only had the kitchen sink for hand washing. The center added the small child hand washing sink in the kitchen. The handwashing sink is approximately 10 feet from the diaper changing table.

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R 400.8134 · R 400.8134 Hand washing. (2) All staff and volunteers shall wash their hands at all of the following times: (a) Prior to starting the workday at the center. (b) Prior to care of children. (c) Before preparing and serving food and feeding children. (d) Before giving medication. (e) After each diapering. (f) After using the toilet or helping a child use the toilet. (g) After handling bodily fluids. (h) After handling animals and pets and cleaning cages. (i) After handling garbage. (j) When soiled. 5

Ms. Doan said that when they first opened the center, they only had the kitchen sink for hand washing. The center added the small child hand washing sink in the kitchen. The child hand washing sink works fine, has warm water, and is in good condition. The hand washing sink is approximately 10 feet from the diapering table. CCSM 1, CCSM 2 and CCSM 3 each confirmed that the child hand washing sink is in good condition and has warm water. During the onsite inspection I observed the hand washing sink. The child hand washing sink was in the kitchen on a wall away from the food preparation area. The child hand washing sink was in good condition and there was warm water coming out of the faucet. There is a stool in front of the sink so the children can reach the faucet. A gate was added between the large classroom and the kitchen to keep the children from crawling into the kitchen area. There is a gate between the changing table and the hand washing sink, so CCSMs must touch the gate after diapering to get to the hand washing sink. I brainstormed different options with Ms. Doan so child care staff members wouldn't have to touch the gate after changing a diaper such as opening the gate prior to diapering.

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R 400.8134 · R 400.8134 1 Hand washing. (3) Staff and volunteers shall ensure that children wash their hands at all of the following times: (a) Before meals, snacks, or food preparation experiences. (b) After toileting or diapering. (c) After handling animals and pets. (d) When soiled.

Ms. Doan is aware that the cribs have to be two feet apart and cots 18 inches apart. The center had a renewal inspection on 02/21/2023 and Ms. Doan double checked the distance of the cribs and cots prior to the inspection to make sure they were spaced out correctly. Ms. Doan said that most of the children bring their own blankets to use on the cots. Once naptime is over, the blanket is folded on the cot and then stacked. If a child does not have a blanket, the center has extra blankets that they can use, and that blanket is folded on their cot after nap. When the cots are stacked, there are not any blankets hanging over touching the cot below. CCSM 1, CCSM 2 and CCSM 3 all stated that the cribs and cots are spaced two feet apart. After nap time, the children's blankets get folded and placed on the cots. There are not any blankets hanging over the cots touching others. If children don't bring their own blanket from home, the center has blankets they can use. Only that child uses that blanket, and it gets folded, put on their cot, and the cots get stacked. Every Friday CCSMs wash all the blankets and sheets. During the onsite inspection I observed the cribs and cots. The cribs were all spaced at least two feet apart and the cots were spaced at least 18 inches apart. There were no blankets hanging over the cots touching the cots below and each child had their own blanket on their cot.

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R 400.8137 · R 400.8137 Diapering; toileting (1) Except as provided in subrule (2) of this rule, diapering must occur in a designated diapering area that complies with all of the following: (a) Is physically separated from food preparation and food service. (b)Is within close proximity to a sink that is used exclusively for hand washing.

Ms. Doan said that tummy time is supervised time. It's based on the individual child and CCSMs talk to the parents about what the children like. The center previously used a boppy for tummy time, but they don't use them anymore. A boppy is a pillow that helps infants sit up. Infants are not put on pillows at tummy time. Currently for tummy time the infants are placed on lightweight receiving blankets, and they are given mirrors to look at. The infants usually go five to ten minutes on their stomachs. CCSM 1 explained that the procedure for tummy time for infants is that they are sometimes placed on a boppy and sometimes they are placed on a small receiving blanket. They are supervised at all times and the amount of time spent on their tummy time depends on the child. CCSM 2 said the infants are placed on boppy's for tummy time. They usually do tummy time for approximately four minutes, depending on the child. CCSMs sit with the child to make sure they are ok. rj CCSM 3 said that infants get tummy time throughout the day. They get 5-10 minutes depending on the child. They are put on the ABC carpet or a receiving blanket with some toys. I observed boppy's in the infant classroom. CCSMs 1 and 2 both stated that they use boppy's for tummy time. Technical assistance was provided to the CCSMs in the infant classroom regarding not using boppy's for tummy time. Ms. Doan was not aware that boppy's were being used for tummy time in the infant classroom. She thought the infants were being placed on carpet or lightweight receiving blankets in the classroom.

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R 400.8350 · R 400.8350 Toilets; hand washing sinks. ......................................... ................... (2) After December 6, 2006, any center that is new, adds an infant and toddler component, or increases the licensed infant and toddler capacity shall have a diapering area with a readily accessible, designated hand washing sink. ..........

Ms. Doan sends out a monthly newsletter to CCSMs that contains reminders of different child care licensing rules. She does this because when they have new CCSMs coming in, she wants to make sure everyone stays on top of the child care licensing rules. One of the recent reminders that went out was about not holding children when they are removing bottles from warmers. Ms. Doan provided me with a copy of this newsletter. The procedures for bottle warming vary daily depending on how many CCSMs are working, as well as what is happening during that time. Ms. Doan has observed many feedings and is in the classroom quite often during feedings. Sometimes a CCSM prepares the bottles and puts them on the counter for the other CCSM to grab. If there is another CCSM in the play area, then the CCSM may put the child in the play area for a minute while she warms the bottle. If the other CCSMs are not available and a CCSM has to warm a 10 bottle with the child, the child is placed in the highchair so the CCSM can warm up the bottle. CCSM 1, CCSM 2 and CCSM 3 all said that they do not hold children when they take bottles out of the warmers. If a CCSM is in the play area, then they will leave the child in the play area for a minute to warm the bottle. If a child is brought to the kitchen with them, they are placed in the highchair seat while they get the bottle from the warmer.

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R 400.8350 · 1 R 400.8350 Toilets; hand washing sinks. (5) Hand washing sinks must have warm running water not to exceed 120 degrees Fahrenheit.

The hand washing sink is in good condition and has warm running water.

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R 400.8176 · R 400.8176 Sleeping equipment. (17) When sleeping equipment and bedding are stored, both of the following apply: (b) Bedding must not come in contact with other bedding.

I observed the stored cots in the classroom. There was no bedding that came in contact with other bedding.

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R 400.8176 · 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: (a) Cribs and porta-cribs must be at least 2 feet apart. Cribs or porta-cribs with solid-panel ends may be placed end-to-end. (b) Cots and mats must be at least 18 inches apart.

I observed the cribs and cots. Cribs were at least 2 feet apart and cots were at least 18 inches apart.

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R 400.8179 · R 400.8179 Program. ....................................... ...... (8) Tummy time is required daily for all infants under 12 months of age, and must meet all of the following requirements: (c) During tummy time, infants shall not be placed on or near soft surfaces, including but not limited to cushions, pillows, or padded mats.

Two child care staff members in the infant classroom said they use a boppy for tummy time with infants under 12 months of age. Infants shall not be placed on or near soft surfaces, including cushions, pillows, or padded mats.

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R 400.8330 · R 400.8330 Food services and nutrition generally. (13) If food, bottles, or beverage containers are warmed, then the warming must be done in a safe, appropriate manner.

There is no evidence to show that children are held when bottles are removed from warmers. Child care staff members remove bottles from the warmers in a safe, appropriate manner.

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R 400.8140 · R 400.8140 Discipline. (2) All of the following means of punishment are prohibited: ...................................................... ..... (d) Inflicting mental or emotional punishment, such as humiliating, shaming, or threatening a child. ................ ....

On 9/22/2022 I completed an unannounced on-site inspection at the child care center. I informed program director and licensee designee Selina Doan of the allegations. Ms. Doan said a few weeks ago Child A's Mother sent Ms. Doan a message stating that she had a concern child care staff member Adrianna Kluge had a harsh tone with some the children at the end of the day during pick-up. Ms. Doan sent out a reminder to all the child care staff members to be mindful of their tone of voice when interacting with children. Ms. Doan said she realized Ms. Kluge was closing every day with a group of "high maintenance" children. Ms. Doan staffed Child A's classroom with extra child care staff members at the end of the day to help Ms. Kluge with pick-up time. Ms. Doan said she followed up with Child A's Mother after making the adjustments with staffing in Child A's classroom. Child A's Mother told Ms. Doan she believes the changes have been helpful and could see improvement in the interactions between the children and child care staff members. Ms. Doan believed Child A's Mother's concern had been resolved. Ms. Doan said a few weeks later she received another message from Child A's Mother. Child A's Mother stated a parent whose children also attend the child care center told Child A's Mother they observed Ms. Kluge pick Child A off the floor and yell in Child A's face because Child A was crying. Ms. Doan arranged a face-to-face meeting with Child A's Mother and Child A's Mother's boyfriend regarding the incident. Ms. Doan requested Child A's Mother provide her with the date and time of the incident and the name of the parent who witnessed Ms. Kluge yell at Child A. Child A's Mother refused to provide the name of the parent who observed the incident. Ms. Doan explained to Child A's Mother that she would be better able to address the problem successfully if she were able to speak to the parent who witnessed the incident directly. Ms. Doan spoke to Ms. Kluge as well as other child care staff members who work in Child A's classroom. Ms. Doan questioned various child care staff members and parents who pick up children while Ms. Kluge is in the classroom. As a result of the information she gathered, Ms. Doan discovered that Child A's Mother was not telling the truth about who told her about the alleged incident. Ms. Doan learned that one of her former child care staff members is completing an internship at Child A's Mothers place of employment. The former child care staff member who was completing the internship heard about the incident from her roommate, who also used to work at the child care center. Ms. Doan said upon speaking to all parties involved, none of the information they provided matched up or made sense. Ms. Doan said Ms. Kluge has a naturally loud voice even in normal conversation. Ms. Doan has never had any concerns with Ms. Kluge's interactions with children. Ms. Doan has never received any complaints from other parents regarding Ms. Kluge's interactions with children. Ms. Doan said she took the situation to the human resources department at Adrian College. Ms. Doan said because the center is located on Adrian College campus, her child care staff members are hired through Adrian College human resources. Many of her child care staff members are hired through the work study program at the college. Ms. Doan said because of the internal investigation with human resources, it was decided that Ms. Kluge would be terminated from employment. The former child care staff member who told Child A's Mother about the incident was also terminated. Ms. Doan said the human resources department viewed the former child care staff members actions as a violation of confidentiality as the former child care staff member should have brought the situation to Ms. Doan as opposed to discussing the situation outside of the child care center. Ms. Doan said Child A was also withdrawn from the child care center. Ms. Doan said she was concerned that Child A's Mot

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