The B Hive

R 400.8137 · R 400.8137 Diapering; toileting. (6) Diapers and training pants must be checked frequently and changed when wet or soiled.

On 11/4/2022, I completed an unannounced on-site inspection at the child care center. I informed licensee designee and program director Bridget Dayharsh of the allegations. Ms. Dayharsh said child care staff members have a diaper changing routine where they check all children's diapers at a scheduled time and change any diapers that are soiled. Child care staff members also change children's diapers as they notice they become soiled in between scheduled diaper checks. Ms. Dayharsh said she has not received any complaints from Child A's 2 parents, or any other child care parents that their children's diapers are not being changed properly. If a parent were to come to her with their concerns, Ms. Dayharsh would have investigated and addressed the concerns. I interviewed child care staff member Emily Moore. Ms. Moore said she has worked in child care facilities for five years. She has always worked in infant/toddler classrooms. When I informed Ms. Moore of the allegation that Child A was being sent home with dried soiled diapers, Ms. Moore said, "not in my care." Ms. Moore said infant's diapers are checked and changed every two hours and changed as needed in between the two-hour scheduled diaper check time. She also changes children's diapers when parents arrive to pick them up, so the children go home in a clean, dry diaper. Ms. Moore said Child A went home after Ms. Moore left for the day. Therefore, Ms. Moore cannot verify that Child A's diaper was always changed immediately prior to going home. Ms. Moore said no parents, including Child A's parents, have brought any concerns regarding children going home in soiled diapers to her attention. I reviewed Child A's daily information sheets for the previous week. I found that Child A was documented to have diaper changes every two hours while she was awake. Child A was documented to be napping during the times her diaper changes went over two hours. Child A's diaper was documented as being changed within 15 minutes of her waking from her naps. Child A was documented to have her diaper changed within an hour of being signed out of the center for the day. On 1/23/2023, I spoke to Child B's Mother by telephone. Child B's Mother said she really likes Child B's "teacher" and that she gets updates on how Child A's doing throughout the day. Child B's Mother said Child B's daily activity report indicates Child B has her diaper changed regularly throughout the day. Child B's Mother said she has not had any concerns that Child B comes home with soiled diapers. On 1/23/2023 I spoke to Child C's Mother by telephone. Child C's Mother said Child C no longer attends the center. Child C's Mother said she only removed the children from the center due to a change in her work schedule. Child C's Mother did not have concerns Child C was not having his diaper changed adequately at the center when he attended. On 1/23/2023 I completed a telephone exit conference with Bridget Dayharsh. 3

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R 400.8182 · 1 R 400.8182 Ratio and group size requirements. (3) In each room or well-defined space, the maximum group size and ratio of child care staff members to children, including children related to a staff member or the licensee, must be as shown in Table 4: Age Child Care Staff Maximum Group Size member to Child Ratio a)Infants 1 to 4 12 and toddlers, birth until 30 months of age

On 11/4/2022, I completed an unannounced on-site inspection at the child care center. I informed licensee designee and program director Bridget Dayharsh of the allegations. Ms. Dayharsh said she always has more child care staff members than she needs for each classroom. Child A's classroom, the infant classroom, has only had more than four children for a very brief period. Even though the ratio for Child A's classroom is one child care staff member to every four children, Ms. Dayharsh usually keeps two child care staff members in the classroom when there are only four children in the classroom. Ms. Dayharsh has not heard any child care staff members or parents complain that the children's needs are not being met due to lack of child care staff members. I interviewed child care staff member Emily Moore. Ms. Moore said the classrooms at the center are "absolutely always" in ratio. Ms. Moore said it is very rare for Child A's classroom to have more than four children enrolled at one time. Even if there are more than four enrolled, the children do not all come at the same time. There is always one or two child care staff members in the classroom even if there are only four children present. Ms. Moore said the center has "a ton of people" (child care staff members) so there is no reason for any of the classrooms to be out of ratio. Ms. Moore said she has never felt as if she could not meet the needs of children due to a lack of child care staff members. I viewed Child A's classroom and found that all the infants went home for the day. I observed the infant toddler classroom and found there to be seven children present with two child care staff members. 4 I reviewed attendance records for Child A's classroom the previous week and found there to be always at least one child care staff member per four children. On 1/23/2023 I spoke to Child B's Mother and Child C's Mother by telephone. Both said they never had any concerns the center did not have enough child care staff members to meet the needs of their children.

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R 400.8330 · R 400.8330 Food services and nutrition generally. (2) A written agreement must be kept on file at the center if the parent has agreed to provide formula, milk, or food. The center shall provide an adequate amount of formula, milk, or food if the parent does not.

On 11/4/2022, I completed an unannounced on-site inspection at the child care center. I informed licensee designee and program director Bridget Dayharsh of the allegations. Ms. Dayharsh said she has informed Child A's Mother that Child A was coming close to running out of bottles by the end of the day and requested Child A's Mother send more bottles. Child A's Mother told Ms. Dayharsh that she did not own additional bottles. Ms. Dayharsh said she went to the dollar store and purchased a few more bottles just in case Child A ran out of bottles. Ms. Dayharsh said she does not have a ready-made supply of formula available at the 5 center in case any children run out of formula. Ms. Dayharsh said although Child A came close to running out of formula by the end of the day, she never totally ran out. I interviewed child care staff member Emily Moore. Ms. Moore said Child A's natural on demand feeding schedule was every two and half to three hours. Sometimes Child A would go longer without eating if Child A was sleeping. In this situation, Ms. Moore fed Child A as soon as she awoke from her nap. Ms. Moore said there have been days where Child A came close to running out of formula, but always made it to the end of the day. Ms. Moore said there were days where Child A was picked up two hours after her last available bottle, so it is very likely Child A was hungry as soon as she got home from the center. Ms. Moore said she is not aware of the center having any ready-made formula available in the event any of the children run out of formula while at the center. Ms. Moore said she believes if this were ever to happen, one of the child care staff members or Ms. Dayharsh could just run down to a nearby store and buy some formula. Ms. Moore described Child A as a "pukey baby." Ms. Moore said she burped Child A regularly, but it didn't seem to help. Ms. Moore said the only thing she fed Child A was the formula provided from home. If Child A was vomiting a lot due to her diet, then her parents might want to consider changing the brand of formula they use for Child A. Ms. Moore said she always changed Child A's clothing if they were soiled. She put the soiled clothing back in Child A's bag. I viewed the center's written agreement stating parents must provide an adequate amount of formula. I viewed Child A's information log for the previous week. I found that Child A was offered a bottle every two to four hours during the times she was signed in at the center. Child A was documented to be napping during the times she was fed after four hours. Child A was documented to be fed within 15 minutes of waking from her naps. Child A was documented to be fed within 40 minutes to 2 hours before she was signed out from the center for the day. I reviewed text messages between Child A's Mother and a former child care staff member. The text messages indicate the former child care staff member informed Child A's Mother that Child A has been fussy and seems uncomfortable and asked form recommendations. Child A's Mother responded that she is aware Child A's milk is causing her to be gassy and she is working on getting Child A's formula switched to a soy-based formula. The text messages also indicate the former child care staff member and Ms. Dayharsh informed Child A's Mother on two occasions that Child A requires additional bottles and formula as she is getting close to running out at the end of the day. On 1/23/2023 I spoke to Child B's Mother and Child C's Mother by telephone. Both said they did not have concerns that their children did not have enough food provided to them while at the center. A

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R 400.8330 · .............. R 400.8330 Food services and nutrition generally. .............. (3) Beverages and food must be appropriate for the child's individual nutritional requirements, developmental stages, and special dietary needs, including cultural preferences.

On 11/4/2022, I completed an unannounced on-site inspection at the child care center. I informed licensee designee and program director Bridget Dayharsh of the allegations. Ms. Dayharsh said Child A's Mother requested Child A be fed fruit and vegetable baby food. Ms. Dayharsh said a former child care staff member fed Child A baby food a few times before another child care staff member questioned Ms. Dayharsh on whether Child A had a note from a doctor to have baby food since Child A is only 3 months old. Ms. Dayharsh said she reviewed the licensing rules and realized Child A could not be fed the baby food until a note from a doctor was on file. Ms. Dayharsh requested Child A's Mother submit a note from a doctor giving permission for Child A to receive baby food. Ms. Dayharsh said she informed Child A's Mother of the licensing rule that states the center cannot give Child A formula unless recommended by a doctor due to Child A's age. Child A's Mother told Ms. Dayharsh "I know what's best for my child" and never submitted a note from Child A's doctor. Ms. Dayharsh said she told the child care staff members not to feed baby food to Child A until a doctor's note is on file. I interviewed child care staff member Emily Moore. Ms. Moore said she noticed Child A's Mother sent baby food in Child A's bag. Ms. Moore sent Child A's Mother a message on the center's electronic system inquiring about the baby food in Child A's bag. Child A's Mother responded to Ms. Moore that she wants the center to supplement Child A's formula by giving Child A baby food. Ms. Moore informed Child A's Mother that she believes Child A's Mother would be required to submit a note from Child A's doctor for Child A to receive anything but formula at the center. Ms. 7 Moore said Child A's Mother didn't seem to understand why a doctor's note was necessary and Child A's Mother stated she "knows what is best" for her child. Child A's Mother wanted Child A to be fed baby food, so Child A would not be hungry when she was picked up from the center. Ms. Moore said she never fed Child A baby food because she did not have a doctor's note and she believed Child A was too young for baby food as she was only two months old at the time. Ms. Moore said Child A could not hold her head up for long periods of time and could not sit up on her own at the time. Ms. Moore asked Ms. Dayharsh about feeding Child A baby food. Ms. Dayharsh confirmed that Child A could not be fed baby food unless Child A's Mother submitted a note from Child A's doctor. Ms. Dayharsh told Ms. Moore she has not received a note from Child A's Mother so Child A can only be fed formula at the child care center. Ms. Moore said she did not communicate with Child A's Mother any further about the baby food as Ms. Dayharsh took over addressing the need for a doctor's note with Child A's Mother. I reviewed text messages between Child A's Mother, Ms. Moore and Ms. Dayharsh. Ms. Moore asked Child A's Mother if she has a doctor's note giving permission to feed Child A baby food. Child A's Mother expressed she was not aware she was required to submit a doctor's note. Child A's Mother questioned what happened to the baby food she sent in the past. Ms. Dayharsh responded that initially Child A was fed baby food. Then upon review of the licensing rules, Ms. Dayharsh found child care staff members could not feed Child A baby food. Ms. Dayharsh explained the licensing rule and provided examples the hazards such as choking, allergic reactions and the importance giving infants baby food at the appropriate development stage. Child A's Mother responded that she believes she knows what is best for her child and she believes Child A's formula should be supplemented with baby food. On 1/23/2023 I spoke to Child B's Mother and Child C's Mother by telephone. Both said their children did not have any special dietary needs that they requested from the center.

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R 400.8182 · R 400.8182 Ratio and group size requirements. (3) In each room or well-defined space, the maximum group size and ratio of child care staff members to children, including children related to a staff member or the licensee, must be as shown in Table 4: Age; Child Care Staff Member to Child Ratio; Maximum Group Size a) Infants and toddlers, birth until 30 months of age Ratio: 1 to 4 Max Group Size: 12 b) Preschoolers, 30 months of age until 3 years of age Ratio: 1 to 8 Max Group Size: 16 c) Preschoolers, 3 years of age until 4 years of age Ratio: 1 to 10 d) Preschoolers, 4 years age until school-age Ratio: 1 to 12 e) School-agers Ratio: 1 to 18

On 06/21/2022 I spoke with the Complainant. A previous child care staff member, Bailey Nimer mentioned to the Complainant that he was left alone with 24 child care children, and he had a video of himself as proof. The Complainant did not witness this happen and is only relaying the information provided. Mr. Nimer did not state what day this happened or in which classroom this occurred in, but it could be the preschool or school-age classrooms as he seemed to primarily work in these rooms. On 06/30/2022 I left a voicemail requesting a return call to Mr. Nimer. As of the date on this report, I have not received communication back from him. On 06/30/2022 licensing consultant, Karen Woodman and I made an unannounced visit to the center. Ms. Dayharsh was not present as she was on a field trip with the school-age children and school-age child care staff members. I conducted a walkthrough of each classroom; the classroom ratios were as follows: • The infant classroom serving children ages from birth to 1 year had four children with two child care staff members. • The toddler classroom serving children ages 1 to 2 years had six '/2 1/2 children with two child care staff members. • The preschool classroom serving children ages 2 to 4 years had 10 1/2 children with two child care staff members. 3 The school-age classroom was on a field trip, and I was told they had 12 children with three child care staff members. However, two school-age children were with one child care staff member at the center. The center was operating within ratio requirements. I interviewed Karen Gerhat, child care staff member in the toddler classroom. She said she is primarily with the toddlers, and she typically has nine children with three child care staff members. She has been with the center for approximately two years in October. She said in the morning, she starts her day in the school-age classroom and then works in the preschool classroom and then goes to the toddler room for the remainder of the day. Child care staff members that typically work in the preschool classrooms are Taylor Waters, Dominic Visor, Madalin Jaynes and Mercedes Salazar, but she just began employment at the center. Ms. Gerhat is not aware of any of the preschool classrooms operating out of ratio and no child care staff members have ever complained to her that they were left alone with 24 children. She is not aware of any parents complaining about the center operating out of ratio either. I interviewed with Madalin Jaynes, child care staff member who is a floater for the center. She said she has been working at the center for a year and she primarily floats between the preschool and school-age classrooms. She said the preschool classrooms are never out of ratio and they usually have two child care staff members in the preschool rooms, two in the school age classrooms and two extra child care staff members who are "para pros." She said she has never heard anyone complain about their classroom operating out of ratio and no one has said they were left alone with 24 children. She said the preschool and school-age classrooms do not have 24 children. She has no concerns that any of the classrooms have ever operated out of ratio. The center always has extra child care staff members for any classroom that may need it. The school-age classroom is currently on a field trip with 12 child care children and three child care staff members. She said she has no concerns for the center. I interviewed Sandra Partee, child care staff member in the infant and toddler classroom. She said she is a floater between these two classrooms. She said the center works to always be within ratio requirements and if there is an emergency and a child care staff member needs to go home early, child care staff members are moved around until the rooms are in ratio. She said she has never heard of a child care staff member complaining they were alone with 24 children and the preschool classrooms are split into two, so she

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R 400.8365 · R 400.8365 Heating; temperature. (1) The temperature in child use areas must be maintained at a safe and comfortable level so that children in care do not become overheated or chilled.

On 06/21/2022 I spoke with the Complainant. Bridget Dayharsh recently informed the Complainant that new air conditioning units were purchased and installed at the center on 06/17/2022. However, approximately on 06/14/2022, the Complainant raised concerns of what the center was going to do as the temperatures were predicted to be in the 90's for this week and a response was provided that Ms. Dayharsh is working to fix the AC units. The Complainant was told, previously, that the classrooms were around 90 degrees and one of the classrooms with an AC unit was still at 85 degrees. In the morning on 06/16/2022, when the Complainant was at the center, the classrooms felt too warm and it was obvious that the AC units were 7 not working. Child A's cheeks were flushed, and he appeared to be "passing out" and was acting lethargic because of this. Child A was not seen by a medical professional for this, but once Child A returned home and drank water, he appeared to be fine. Child A was offered water throughout the day while at the center as well. Ms. Dayharsh closed the center for a half day due to the heat of the classrooms on 06/15/2022. Ms. Dayharsh ran the air conditioning units over night, but the next day there was still no air conditioning. Child A was primarily in the preschool classroom and this classroom and did not have an air conditioning unit. On 06/30/2022 licensing consultant, Karen Woodman and I made an unannounced visit to the center. I conducted a walkthrough of the center, which felt comfortable and cooled. The AC units in preschool and school-age classrooms were working and the center's central air conditioning was also working at this time. Upon reading the thermostats throughout the center the following spaces had the following temperatures: • The office area had a temperature reading of 70 degrees. • The toddler classroom had a temperature reading of 68 degrees. • The preschool classroom had a temperature reading of 76 degrees. • The school age classroom had a temperature reading of 76 degrees. • There was no thermostat in the infant room to provide a temperature reading. I interviewed with Ms. Gerhart, child care staff member in the toddler classroom. She said the air conditioning was broken for a little while and Ms. Dayharsh called to have someone fix it as soon as the weather started to warm up. The central unit only works in the toddler classroom and Ms. Dayharsh has always had smaller units for the other classrooms, but when Ms. Dayharsh took these smaller AC units out from storage and put them in the classrooms, the units did not work. Therefore, Ms. Dayharsh bought two brand new fans for the classrooms. She said she is not aware of any of the classrooms reaching 90 degrees. The hottest it reaches in the classrooms is maybe 80 degrees, but child care staff members took the children to engage in water play every day on those hot days when the AC units were not working. She is not aware of any child becoming lethargic as a result of being overly heated. Ms. Gerhart is unsure of the exact date, but roughly two weeks ago, Ms. Dayharsh had a company come to the center to fix the central AC unit for the toddler classroom. Ms. Dayharsh contacted the company "right away" and within two days, the company fixed the central AC unit, which has been working ever since. Ms. Gerhart works in the preschool and school-age classrooms in the morning and said the classrooms got warm, but each classroom had their own fans to cool the classrooms down as Ms. Dayharsh purchased several new fans roughly 3 weeks ago, then purchased new AC units. She is not aware of any child care staff members or parents complaining of the center being too warm for the children. Child care staff members have told Ms. Dayharsh that the classrooms were starting to feel warm, and she responded "right away" by purchasing the AC units. I interviewed Madalin Jaynes, floater for the center between the preschool and school-age classrooms. She said she believe

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R 400.8365 · R 400.8365 Heating; temperature. (3) If temperatures exceed 82 degrees Fahrenheit, then a center shall take measures to cool the children.

The center took measures to cool the children when the temperatures were hot by using fans in the classrooms, offering water play and cold water to drink until new AC units were purchased.

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R 400.8112 · R 400.8112 Comprehensive background check; fingerprinting. (3) An individual may serve as a child care staff member pending an eligibility determination by the department under section 5n(8) of the act, MCL 722.115n, and shall be supervised at all times by the licensee or a child care staff member who has been determined eligible.

Child care staff member, Mercedes Salazar was left alone with two child care children during my onsite inspection, however her CCBC status was listed as "supervision only." Ms. Salazar should have been supervised by either the licensee or a child care staff member who has been determined eligible as required.

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R 400.8140 · R 400.8140 Discipline. (2) All of the following means of punishment are prohibited: (h) Confining a child in an enclosed area, such as a closet, locked room, box, or similar enclosure.

On 3/15/21, I interviewed Child A's Mother via telephone. In addition, on 3/16/21 and I interviewed s Mothera er home. Upon arrival to her home, and I introduced ourselves and spoke with Child A's Mother re arding the allegations. Child A was also present at the home but was asleep in bedroom. During the entire interview, and I had to continually redirect Child A's Mother back onto the topic our interview regarding the allegations as Child A's Mother was very emotional and would continually talk about off topic subjects regarding her that happened to her that did not involve our investigation. Child A's Mother informed and me that Child A was enrolled into care at the center from when she from care. Child A's Mother described M Child as a very sweet She denied Child A having any behavior issues prior to attending care at t e -Hive. Since started care at the B-Hive, Child A has "no een and has a lot of behaviors outbursts." Child A's Mother was PE unsure if behaviors were stemming from changes recently made at home. Child A's Mother denied Child A being diagnosed with any , informed M and me that does have some e oes not knoww hat happened to Child A to have thesiel lnpe*"oaveior issues but feels that something must have happened to ■ while was in care at the B- Hive because Child A does not like to go to child care. Approximately a week ago, Child A told ■ mother and her best friend, that and two other child care children were locked in a dark closet. When Child A's Mother inquired for more information, 4 Child A told mother that' was not su osed to talk about it." Child A's Mother informed and me at she Child A from care on _. On 3/16/21 and I conducted an unannounced onsite inspection to the center. and I interviewed Ms. Bridget Dayharsh and Ms. Bobbie Muldoon, both who are licensee designees at the center. and I informed both Ms. Dayharsh and Ms. Muldoon of the allegations. Both Ms. Dayharsh and Ms. Muldoon denied having any knowledge of Child A or any child being locked in a closet. Both Ms. Muldoon and Ms. Dayharsh acknowledged a small closet being present in preschool room 2 and said that is where they store the children's sleeping mats and the children's blankets while they are not in use. Ms. Dayharsh also added when the children are using the mats for restinap time, one of the mats is placed outside of the closet door, so she cannot see how Child A, or any child could get into the closet. Both Ms. Muldoon and Ms. Dayharsh informed and me that there is no way for a child to be "locked" in the closet as the closet oor does not have a locking mechanism on the door handle; therefore, the doors do not lock. and I observed the door in preschool room 2; there was no locking mechanism on the door. 11 Both Ms. Dayharsh and Ms. Muldoon confirmed Child A being enrolled at the center from at which time Child A's Mother from care. They both described Child A as a "normal sweet who has been struggling with keepingM hands Since being enro e into care, Ms. Dayharsh and x: to Ms. Muldoon both said a staff members have had to intervene with Child A on numerous occasions to avoid Child A from hitting other children and staff members. On 3/16/20, and I interviewed Ms. Mackenzie Maberson, staff member from preschool room 2. and I informed Ms. Maberson of the allegations. Ms. Maberson has been employed as a staff member at the center for She states that she and Mr. Dominik Kisor, another staff member from the ol room 2, are ve familiar with Child A and are the usual staff members that assist Child A when is having behavioral issues. Ms. Maberson informed and me that Chili. A as had frequent outbursts and aggressive behaviors towards herself, peers, and even Child A's Mother when she would drop off or pick N up rom care. Ms. Maberson denied Child A or any child care chit being locked in a dark closet. Ms. Maberson confirmed that the preschool room 2 has a small closet in the classroom but said it is used to store the mats and children's bla

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R 400.8155 · ............... R 400.8155 Child accidents and incidents; child and staff illness. (1) A center shall have a written plan for how and when a parent is notified when personnel observe any of the following: (b) A child experiences an accident, injury, or incident.

On 3/15/21, I interviewed Child A's Mother via telephone. In addition, on 3/16/21, , and I interviewed Child A's Mother at her home. Child A's Mother A has been enrolled into care, . has come home with various markings from care to include bumps on head, scratch markings on ■ face, hand and knees, and various bruising. Chi 's Mother said when she picks up Child A from care, none of the staff members, to include Ms. Bridget Dayharsh informed her of the markings or how Child A obtained them. Child A's Mother only becomes aware of the markings when she sees them on Child A. Child A's Mother said she saved the photographs and text messages on her telephone to document Child A's injuries and the conversations she had with Ms. 7 Dayharsh. and I reviewed the photographs on Child As Mother's telephone. The three photographs consisted of two pictures of Child A's hands with very mall scratch marking on his knuckle. The third picture was of Child A's pR and I informed Child A's Mother that we did not need to see this *picure,as oographs of this nature are not allowed to be taken or received without getting prior managerial approval as it relates to child care concerns. Regarding the scratch marking on Child A's hands, Child A's Mother said that hands looked much worse prior to her cleaning them up when she got home. She said when she attempted to speak with Ms. Dayharsh regarding the incident and inquire how Child A obtained the scratch marking, Ms. Dayharsh ignored her numerous phone calls and text messages. Child A's Mother said she even tried to speak with Ms. Dayharsh by electronic emails to inquire about her concerns and said Ms. Dayharsh would not respond. Eventually when Ms. Dayharsh did respond to her emails, Child A's Mother felt that Ms.. Dayharsh gave a vague statement and told Child A's Mother that 'sits normal child behaviors." Child A's Mother felt Ms. Dayharsh was more concerned about `protecting her staff members' in lieu of discussing why Child A was continually getting marks while in care. On 3/16/21 and I conducted an unannounced onsite inspection to the center. and I interviewed Ms. Bridge*Da harsh and Ms_ Bobbie Muldoon, both who are licensee designees at the center. and I informed both Ms. Dayharsh arm Ms. Muldoon of the allegations. s. Dayharsh and Ms. Muldoon denied not informing Child A's Mother of any injuries or incidents that occurred to Child A while was in care at the center. Both Ms. Dayharsh and Ms. Muldoon said that Chit `s Mother was informed of every incident that occurred with Child A each day via their ProCare messaging account. Ms. Dayharsh explained that depending on the severity of the accident or incident, Child A's Mother would be informed immediately of the incident either by a telephone call, or by a text message through their ProCare messaging program. Ms. Dayharsh said the staff also inform the parents of the accident or incident in person at the time of pick up. Ms. Dayharsh reiterated that the notification depends on the type of incident that occurred. The more severe the incident, the timelier the notification is. Both Ms. Dayharsh and Ms. Muldoon said on most occasions, Child A's Mother was notified immediately through the ProCare messaging application as the staff do daily entries to inform the parents on how their child is doing in care. Both Ms. Dayharsh and Ms. Muldoon said that since bein enrolled in care, Child A has had a difficult time expressing and keeping hands to . lbs. Dayharsh said there have been several incidents when ild A has hit a staff member or another child care child due to~ being upset. Ms. h e an example indicating that in February of 202 hill A just arrived aDt caayreh, arlell mother, and walked over to another child who was sitting at the Lego table and hit the child for no reason. Ms. Dayharsh said Child A's Mother was still present in the classroom and did not intervene or correct Child A'.s behavior; but rather the staff members had to intervene and speak wi

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R 400.8137 · ................. ................... ........... ... . R 400.8137 Diapering; toileting. (6) Diapers and training pants must be checked frequently and changed when wet or soiled.

On 3/15/21, I interviewed Child A's Mother via telephone. In addition, on 3/16/21, and I interviewed Child A's Mother at her home. Child A's Mother "enPearrives at the center to pick up Child A from care, the preschool room 2 is chaotic and she could hear staff members yelling at children. Child A's Mother said the staff members the center hires are "very young and are constantly being rotated" in and out of the classrooms. Child A's Mother had recently inquired about a "strange young man" in the classroom. Child A's Mother said none of the staff members would tell her who the "strange man" was or if he was a staff member. Child A's Mother said she was not 0 formerly introduced to the male staff member. Child A's Mother also informed and I that this past weekend while Child A's Mother was home and preparing lunch for Child A; she overheard Child A say, "III cut you with a knife." Child A's Mother said that Child A must have learned this language at the center as this type of language is not said in their household. Child A's Mother said when she spoke with Ms. Dayharsh of this incident, Ms. Dayharsh told her that it was normal for children to pick up language and habits from other child care children. Child A's Mother did not feel Ms. Dayharsh was remotely concerned of the incident. In 12 A's addition, Child Mother informed and me that a. few weeks ago, Child A's Mother walked in to pick Child A up from care and saw a young female staff member grab Child A by arm and places back on cot telling Child A no, we don't do that," Child s Mother was unsure of the sta members name, Child A's Mother said she believes another child care parent was present to witness this incident. Child A's Mother said that she informed the staff member that she was Child A's Mother and questioned what Child A had done wrong. According to Child A's Mother, the staff member was quiet and did not answer what Child A had done. Child A's Mother said her best friend and sister also witnessed the chaos and yelling of the staff members when they dropped off and icked up Child A from care over a weeks' timeframe while Child A's Mother was On 3/16/21 and I conducted an unannounced onsite inspection to the center. and I interviewed Ms. Dayharsh and Ms. Bobbie Muldoon, widget both who are licensee designees at the center, and I informed both Ms. Dayharsh and Ms. Muldoon of the allegations. Both Ms. Dayharsh and Ms. Muldoon deny the allegations stating that they have never heard or seen any staff member yell at Child A or any child care children. The also denied ever seeing a staff member grab Child A by arm and drag across the room. Both Ms. Dayharsh and Ms. Muldoon said on occasions due to e loud noise level in the classrooms, staff may speak in a loud voice toward the children to talk over the noise level. Regarding a staff member grabbing Child A by arm and dragging across the room onto mat, Ms. Da harsh and Ms.. Mul con said on occasions ey have seen staffPale Child A by hand and walk with to a remote spot in the room. when is havNin a tantrum and hitting. The staf I gently take Child A's hand and walk with to a secluded area in the room and talk with Child A until is able to regain control of . Both Ms. Dayharsh and Ms. Muldoon said e hand holding is done in a comforting manner and not violently. Ms. Muldoon and Ms.. Dayharsh also denied staff members rotating in the classroom daily. Both Ms. Dayharsh and lbs. Muldoon confirmed that men work in the preschool room 2. lbs. Dayharsh informed and me of the staff members who work in the preschool room daily, which included Ms. Maberson, Ms. Mosier, Mr. Kisor, Mr. Tiede, and Mr. Shawver. Ms. Dayharsh said if someone had called in unexpectedly, she may have to pull another staff member from a different room to assure the preschool room 2 meets the required staff member to child ratio requirements. Ms. Dayharsh and Ms. Muldoon also denied hearing any child say, "I'll cut you with a knife." Ms. Dayharsh said on occasi

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R 400.8146 · 1 R 400.8146 Information provided to parents. (4) Parents of children with special needs may request a written daily record that includes at least the information required by subrule (3) of this rule.

On 3115121, 1 interviewed Child A's Mother via telephone. Child A's Mother reiterated that since Child A has been enrolled in care, none of the staff E members have provided her with information recardin her child, to include any information pertaining to how day was at care and elimination patterns. Child A's Mother said she has reac ed out to both Ms. Dayharsh, and Ms. Bobbie Muldoon, licensee designee, and the staff to get explanations regarding on why Child A received a diaper rash and had a soiled diaper when she picked up from care. Child A's Mother said since Child A has been enrolled at the center, behaviors have digressed at home to includes potty training. Child A's o er said when she enrolled Child A into care, was doing good with potty training. On one occasion, Child A came home in a soa ed pull-up and had a severe diaper rash. Since that incident, Child A's Mother said she began marking Child A's pull ups to know if the center had been changing when wet or soiled. Child A's Mother said when she picked up Child A from care, had the same pull-up on as when le was dropped off to care. Child A's Mother ex lained' that the pull-up had the same 0 marking on it from when she dropped off to care. When Child A's Mother tried to speak with staff to inquire about diaper changes, the staff were quiet and did not say anything. Child A's MotherTook a picture of Child A's on her telephone to document diaper rash. and I informed Child A's Mother that we did not need to see this picture, as photographs of this nature are not allowed to be taken or received without getting prior managerial approval as it relates to child care concerns. Child A's Mother reiterated that she feels the staff employed at the center are "really young" to be a staff member. Child A's Mother also began sending a water bottle with Child A to care as Child A has made several comments that was thirsty while in care and did not get anything to drink. After approximately a week, the staff informed Child A's Mother that she did not need to send a water bottle with Child A ets water to drink while in care. Child A's Mother reiterated that she feels tahsets lff members hired are "too young and probably don't even have children of their own." On 3116/21 and I conducted an unannounced onsite inspection to the center. and l interviewed Ms. Bridget Dayharsh and Ms. Bobbie Muldoon, both who are licensee designees at the center. and I informed both Ms. Dayharsh and Ms. Muldoon of the allegations. Both Ms. Dayharsh and Ms. Muldoon denied the allegation indicating that all of the child care children, to include Child A have their diapers (pullups) changed when soiled, Ms. Dayharsh added that the staff members check the children's diapers frequently throughout the day, at least every two hours, to assure the children do not have a soiled diaper (pullup). Both Ms. Dayharsh and Ms. Muldoon informed and I that the staff members document the children's diaper changes on their ProCare account to which the parents have access. Ms. Dayharsh added that the ProCare account informs the children's parents of their child's daily food intake, elimination patterns, sleeping patterns, any developmental milestones, or any unusual changes in the child's behaviors. Ms. Dayharsh said the staff members update the ProCare account daily to keep the parents informed of their children's activities while they are in care, In addition, Ms. Dayharsh and Ms. Muldoon also said the staff members Will send the parents random pictures throughout the day of their children engaged in various activities. Ms. Dayharsh said that the center provides this information for all infant, toddler and even preschool-aged children if requested by the parent. Both Ms. Dayharsh and Ms. Muldoon said all the child care parents have access to their ProCare account and can access it at any time. According to Ms. Dayharsh, on , Child A's Mother got upset with a comment Ms. Mosier placed in ProCare regarding Child A hitting o

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R 400.8176 · ......................................................... R 400.8176 Sleeping equipment. (13) Soft objects, bumper pads, stuffed toys, blankets, quilts, comforters, and other objects that could smother a child must not be placed in, or within reach of, a crib or ------------------------------------------------------- porta-crib with a restin or sleeping infant. ---------------------------------------- ----------------------------- -------

On 4/2/21, an infant (age ) was observed asleep in a swing with a blanket draped across of his lap.

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R 400.8182 · R 400.8182 Ratio and group size requirements. (3) In each room or well-defined space, the maximum group size and ratio of child care staff members to children, including children related to a staff member or the licensee, must be as shown in Table 4: (a) For infants and toddlers, there shall be 1 caregiver for 4 children and a maximum group size of 12.

On 412121 the center had five toddler-aged children, ages 1 to 2 '4 years old, present in the toddler room with only one staff member, An additional staff member was needed to maintain the correct staff member to child ratio requirement of 1:4.

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R 400.8137(1)(f) · R 400.8137(1)(f) Diapering. (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: (f) Is washed, rinsed, and sanitized after each use.

On 412121, only sanitized the diaper changing area; she did not use the three-step process of washing, rinsing, and then sanitizing the diaper changing area after each use.

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R 400.8134(2)(e) · R 400.8134(2)(e) Hand washing. (2) All staff and volunteers shall wash their hands at all of the following times: (e) After each diapering.

On 4/2/21, did not wash her hands upon comple ...t io .....n ....." ...o .....t . RiMaper change.

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