• Violation

  R 400.8176(11) · R 400.8176(11) Sleeping equipment. A crib or porta-crib must have a firm, tight-fitting waterproof mattress. Bureau

  Open Not marked corrected in the state record

  Category: physical safety. Open / not marked corrected.

• Violation

  R 400.8155(1)(b) · R 400.8155(1)(b) Child accidents and incidents; child and staff illness. A child experiences an accident, injury, or incident.

  The child care center has a written plan stating that parents will be notified in Bright Wheel of accidents, injuries and incidents. Child A's incident report was posted in Bright Wheel on November 21, 2024.

  Open Not marked corrected in the state record

  Category: health medication. Open / not marked corrected.

• Violation

  R 400.8125(1) · R 400.8125(1) Staff; volunteer; requirements. All staff and volunteers shall provide appropriate care and supervision of children at all times.

  Child Care Staff Member 1 did not provide appropriate care and supervision when saw Child A put a basket over his head obstructing his vision, she did not remove the basket and Child A fell and bit his tongue causing bleeding.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.8112 · R 400.8112 Comprehensive background check; fingerprinting. (1) Pursuant to section 5n of the act, MCL 722.115n, before an individual has unsupervised contact with children, the department shall determine the individual's eligibility to be any of the following: (a) A licensee. (b) A licensee designee. (c) A child care staff member. (d) A child care aide. (e) An unsupervised volunteer.

  On 6/28/2023, I completed an unannounced on-site inspection at the child care center. I interviewed CCSM 1, who informed me program director Paige Cadmus and licensee Rushdi Furrah left for the day. CCSM 1 said she has worked at the center for about one month. CCSM came to work from a previous center where she was employed for four years. CCSM 1 said she completed a background check at the previous center where she worked. Her background check information was able to be transferred to Squiggle room since she did not have an 2 extended break in between her employment end date at the previous center and her employment start date at Squiggle room. CCSM 1 said she believes Ms. Cadmus and Mr. Furrah do not allow child care staff members to work with children until they have completed background checks. During my on-site inspection Mr. Furrah returned to the center. I informed Mr. Furrah of the allegations. Mr. Furrah said he does not allow CCSMs to work in a classroom unsupervised with children until they have completed all background check requirements. I interviewed CCSM 2. CCSM 2 said she completed a background check prior to working with children when she started working at the center. CCSM 2 believes all the CCSMs who are newly employed at the center do not work in classrooms prior to completing a background check. I interviewed CCSM 3. CCSM 3 said to her knowledge all newly hired CCSMs are not allowed to work in a classroom unsupervised until they have been determined to be eligible. If a CCSM has completed their fingerprints, but are awaiting the results, Ms. Cadmus and Mr. Furrah have made it very clear on the expectations whether a new CCSM can be unsupervised in a classroom. If CCSM 3 arrives at the center to find a new CCSM working in her classroom, she always clarifies where they are at in the background check process before she will allow them to be left unsupervised with children. I interviewed CCSM 4. CCSM 4 said when she started working at the center, she was not allowed to be left unsupervised in the classroom until she received her background check results. Ms. Cadmus and Mr. Furrah are very clear in their communication with all the CCSMs whether a new CCSM has received their background check results or not. CCSM 4 has never heard of a CCSM being allowed to work unsupervised in a classroom without having a completed background check. Ms. Cadmus lets the other CCSMs know when a newly hired CCSM can be left alone. The expectation is that a new CCSM must remain supervised until they are told the new CCSM can be left alone in the classroom. On 7/8/2023, I received an e-mail from program director Paige Cadmus who provided me with a list of current CCSMs. On 7/10/2023, I reviewed the Child Care Background Check (CCBC) system to confirm all current CCSMs have completed a background check and are eligible to work in a child care center. All current CCSMs were determined to be eligible and were connected in the CCBC system. On 10/19/2023, I spoke to Child A’s Mother by telephone. Child A’s Mother said she does not have any concerns regarding the CCSMs at the childcare center. She said there is always a lot of change in CCSMs in the classrooms which can be stressful. 3 However, she understands that maintaining staff is a challenge in the child care industry. Child A’s Mother said she believes Ms. Cadmus is a wonderful program director and likes that Ms. Cadmus often sits in classrooms as opposed to sitting in a separate office all the time. On 10/19/2023 I placed telephone calls to Child B’s Mother and Child C’s Mother. I left voice mails requesting return calls. On 10/19/2023 I completed an exit conference by telephone call with licensee designee Rushdi Furrah.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.8173 · R 400.8173 Equipment. (4) Play equipment, materials, and furniture, must be all of the following: (a) Appropriate to the developmental needs and interests of children as required by R 400.8179(2). (b) Safe, clean, and in good repair. (c) Child-sized or appropriately adapted for a child's use. (d) Easily accessible to the children.

  On 6/27/2023, I reviewed the center’s playground inspection dated 9/30/2021. I made note of each piece of equipment and the recommended age ranges for each piece of equipment. The rock wall described is designated for children ages 5 to 12 years. On 6/28/2023, I completed an unannounced on-site inspection at the child care center. I interviewed CCSM 1. She mostly works with children ages 1 year to 18 months of age. The playground equipment at the center is all for children ages 2 years and up. CCSM 1 said the children who are under 2 years of age play in an area where there is no installed equipment. The CCSMs take the children on walks or provide portable play equipment. When CCSM 1 started working at the center Ms. Cadmus informed her which age groups of children are allowed on various play equipment. CCSM 1 does not recall the age requirements of each piece of equipment since she works with an age group who does not use any of the equipment. CCSM 1 has never observed any CCSMs to allow children under the age of 2 years to use any of the installed equipment. Since CCSM 1 does not work with the older children, she is not sure which equipment they are allowed to play on as they are not all outside at the same time. CCSM 1 said she has never had difficulty walking around the outdoor play area due to uneven ground and she has never observed any other adults or children fall or appear to have difficulty walking around the outdoor play area. During my on-site inspection Mr. Furrah returned to the center. I informed Mr. Furrah of the allegations. Mr. Furrah said he makes sure the CCSMs follow the approved age ranges on the outdoor play equipment “to a tee.” Mr. Furrah believes all the CCSMs use the appropriate equipment for the age of children for whom they are responsible. Mr. Furrah has never heard children screaming and yelling for help because they are stuck or afraid on any playground equipment. When he hears children yelling, it sounds as if they are more excited to be playing around outside and having fun. Mr. Furrah has never seen or heard of CCSMs allowing children to play on equipment who are younger than 2 years old because the center does not have any equipment approved for children under the age of 2 years. Mr. Furrah has observed the CCSMs to follow the age recommendations of all the equipment and has never seen or heard of any adults or children having difficulty walking around the outdoor play area due to uneven ground. I interviewed CCSM 2. CCSM 2 said she works with children who are under the age of 2 years, so her classroom does not use the outdoor play equipment. The younger children take frequent walks or play with portable toys in an open space with no 5 equipment. CCSM 2’s classroom is located next to the play area where the rock wall is located. There is a window along the entire wall facing the rock climber. CCSM 2 said she has never heard children screaming for help to get down from the rock wall and the children who use that structure appear to be older children who are of an appropriate size and age to play on it. CCSM 2 observes the CCSMs to stay near the equipment the children are playing on to assist children if necessary. She has never observed any children to struggle to climb out of the opening at the top of the rock wall. There is usually a CCSM at the top of the rock wall to help children through the opening which is flush with the ground as the rock wall is built into a hill. I interviewed CCSM 3. CCSM 3 said she is familiar with the required age ranges on the outdoor play equipment. She believes all the CCSMs follow the age requirements on all of the outdoor play equipment. CCSM 3 has never seen children under the age of 2 years play on any of the equipment. The children who play on the rock wall appear to be of the appropriate age and size to safely use the structure safely. All the CCSMs use active supervision when children are outside playing. The CCSMs spread out around the playground so th

• Violation

  R 400.8125 · R 400.8125 Staff; volunteer; requirements. ..... .... ...... (1) All staff and volunteers shall provide appropriate care and supervision of children at all times. ........................... ............. ............. ...... .. ......

  On 1/26/23, I reviewed an incident report sent to the department regarding Child A being left alone on the enclosed outdoor play area for approximately 15 minutes. The center did not realize Child A was left alone outside until Child A's Mother arrived to pick him up from care. After speaking with child care staff member (CCSM) 1 and CCSM 2, it was discovered that one CCSM thought the other CCSM had completed a head count and they were ready to go inside the center. Once they got inside of the center, Child A's Mother arrived, and they realized Child A was not in the classroom or movement room. Child A's Mother and CCSM 1 went outside and saw Child A standing by the gate where they come into the center. On 1/26/23, Ms. Jenny Brundage, child care licensing consultant and I conducted an unannounced onsite inspection to the center. The center was closed due to inclement weather. On 1/30/23, Ms. Jenny Brundage, child care licensing consultant and I conducted a second unannounced onsite inspection to the center and separately interviewed Ms. Paige Cadmus, program director and licensee designee and CCSM 5. I informed 3 them of the allegation. Both Ms. Cadmus and CCSM 5 acknowledged the allegation having occurred indicating on 1/23/23 at approximately 5:20p.m., Child A's Mother arrived at the center to pick up Child A from care. When Child A's Mother walked to the classroom, Child A was not in the classroom or movement room. Child A's Mother and CCSM 1 went outside to the outdoor play area to find Child A standing by the latched gate they use to enter the outdoor play area from the center. Child A was initially sad when Child A's Mother and CCSM 1 found him standing alone outside by the gate. After he was returned back to the classroom with Child A's Mother, Child A's spirits improved. Child A's Mother went to the office with Child A. Child A's Mother was upset and made CCSM 5 aware of Child A being left alone outside. CCSM 5 apologized to Child A' s Mother telling her this was unacceptable. She immediately went to speak with CCSM 1 and CCSM 2, the CCSMs in Child A's PreK classroom to find out what happened. Both CCSM 2 and CCSM 1 told her they thought the other CCSM had already completed a head count and they were good to go inside; CCSM 2 said she just assumed Child A was in line with the other eight child care children. CCSM 5 said it was an oversight on both CCSM's part as they assumed Child A was in line with the other children. They both were aware of the centers expectations of performing head counts before and after return from outdoor play. Once arriving inside the center, neither CCSM recounted the children and began to assist the children with getting out of their outdoor clothing. Both CCSM 5 and CCSM 1 said they came inside form outdoor play around 5:00p.m. and began assisting the children with getting their coats and boots off. At 5:19p.m., Child A's Mother arrived at the center and signed Child A out from care. Child A's Mother walked down to the classroom and realized Child A was not present in the classroom; she and CCSM 1 immediately went outside and found Child A standing the latched gate that is used to enter the outdoor play area from the center. Both Ms. Cadmus and CCSM 5 said it was a lapse of judgment by the CCSMs as they assumed Child A was in line with the other children without completing another head count to assure all children were accounted for. Once they arrived inside of the center, neither CCSM completed another head count, therefore leaving Child A alone outside by himself for approximately 15-20 minutes timeframe. Ms. Cadmus tried to review the camera footage to get exact times Child A was outside but their camera system only records video movement. When Child A was outside standing by the gate, the camera did not pick him up therefore did not begin to record any footage. On 1/23/23, the preschool room had nine preschool-aged children present with two CCSMs, CCSM 1 and CCSM 2. They were operating w

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.8170 · R 400.8170 Outdoor play area. (9) Children shall only use age-appropriate equipment.

  On 1/2323, Child A was playing up in the treehouse platform climber while engaged in outdoor play which was not age appropriate for Child A as this play structure is designed for children ages 5 — 12 years old.

  Open Not marked corrected in the state record

  Category: physical safety. Open / not marked corrected.

• Violation

  R 400.8330 · R 400.8330 Food services and nutrition generally. 7 Infants and toddlers shall be fed on demand.

  After the initial complaint was received on 7/21/22, an additional complaint was received on 7/26/22 alleging concerns regarding communicable illness at the center. This allegation will be address in this Special Investigation Report. I was not able to make contact with Complainant 1. I interviewed Child Care Staff Member 10 (CCSM10), who also serves as the center's assistant director. CCSM10 stated that she has been acting in an administrative role for about three weeks. The center continues to implement new rules and polices to be in compliance with licensing rules and regulations. These changes have been difficult for some child care staff members as they would prefer less structure. As such, this has created some "drama" among the child care staff members trying to cause "issues" for each other. CCSM10 identified the child in question as Child L (age 10 months, female). Child 1/2 L's main source of nutrition while in care comes from eating the center's provided solid foods of breakfast, lunch, and snacks. Child L drinks "D" milk and water provided by the center per parent permission. Child L also had a morning bottle, lunch time bottle, and afternoon bottle available to her to eat on demand. On 7/18/22, CCSM6 and CCSM7 were working with Child L. CCSM6 was her primary 3 caregiver. CCSM6 was on break as well as was interviewing with the department regarding another matter during lunch time. As such, she returned to the room later than normal. Once CCSM6 returned to the room after lunch, she noticed that Child L had not consumed her 12:30p.m. bottle. As Child L had just finished eating a full lunch including drinking "D" milk, Child L was no longer hungry. CCSM6 notified her, and Child L's mother was contacted as this was a deviation in her planned schedule. Child L's Mother was not concerned saying that her bottle was supplementary. The next day, Child L was no longer sent to the center with a lunch time bottle. CCSM10 stated that this was an isolated situation due to CCSM6 being away from the room for longer than normal. She stated that the center is proactive with maintaining the child's nutritional needs and the staff do their best to stick to a schedule, as well as feed young children on demand. CCSM10 stated that changes have also been made to the white board in the room to be clearer when the next bottle is due. This will assist the child care staff members in the room have a clear understanding of all the children's schedules. I reviewed the daily food intake log for Child L on 7/18/22. According to the log, Child L was checked in at 8:33a.m. At 8:36a.m., she at breakfast served by the center that included "D" milk, oatmeal, and pears. At 9:22a.m., she drank her bottle. At 10:55a.m., she ate a banana and yogurt. She drank "D" Milk. Child L napped from 11:34a.m. — 12:06pm. At 12:36p.m., she ate broccoli, cheese pizza, pears, and drank "D" milk. Child L napped from 3:02p.m. — 3:37pm. At 3:55pm, she ate animal crackers, banana, and drank water. At 4:26p.m., she drank her bottle. Child L was checked out of care at 5:15pm. I interviewed CCSM6. She stated that Child L eats breakfast, lunch, snacks, and all beverages that are offered by the center. She also has supplementary bottles provided from home. On 7/18/22, she was Child L's primary caregiver. Child A drank her morning bottle, ate a full breakfast, ate snack, and ate a full lunch. CCSM6 stated that she was not in the room around lunch time as she was on break as well as interviewing with the department regarding another matter. We she returned to the room at about 12:45p.m., she realized that Child L had not been given her 12:30p.m. bottle, 15 minutes later than normal. As Child L had just finished a full lunch, she did not express any interest her bottle. She was happy and playing. CCSM6 notified the assistant director. Child L's Mother was contacted and did not have concerns. The next day, Child L no longer came to the center with a lunch time bottle. CCSM6 stated t

  Open Not marked corrected in the state record

  Category: health medication. Open / not marked corrected.

• Violation

  R 400.8155 · 1 R 400.8155 Child accidents and incidents; child and staff illness. (4) If a center becomes aware that a staff member, volunteer, or child in care has contracted a communicable disease, then the center shall notify parents and provide all of the following information: (a) The name of the communicable disease the children were exposed to. (b) The symptoms of the disease. (c) Prevention measures as recommended by the U.S. Centers for Disease Control and Prevention (CDC) at the following website: httos://www.cdc.aov/DiseasesConditions.

  I interviewed Complainant 2. Complainant 2 did not have any first-hand information. Complainant 2 stated that CCSM1 and CCSM2 have both had previous contagious illnesses. I interviewed CCSM1. CCSM1 has not been at the center since 7/14/22. CCSM1 stated that they had pink eye in April 2022. CCSM1 provided the center administration with medical documentation. In addition, both child care staff members and children at the center had COVID in May 2022. To CCSM1's knowledge, the parents were not notified. CCSM1 indicated that several child care staff members thought the center should close, but they were told "no", and that additional cleaning measures could be taken during the day. CCSM1 stated that the child care staff members were supposed to wash and sanitize the center. I interviewed CCSM2. CCSM2 has not been at the center since 7/14/22. CCSM2 stated that they had viral meningitis ending of June 2022. The doctor told CCSM2 that they were not considered contagious with this type of meningitis. CCSM2 provided medical documentation to the center administration. The doctor told CCSM2 that they most likely caught it from the center, but the center administration told CCSM2 that there was no proof to support that claim. To CCSM2's knowledge, the parents were not notified. CCSM2 stated that cleaning and sanitizing takes place while the center is open. I interviewed Mr. Furrha. He verified that the center had COVID cases the end of May 2022. He stated the center followed the reporting procedures given by the Center for Disease Control and other local agency guidelines. The parents were notified. He stated that once documentation is received regarding a contagious illness, the center provides notification to the other child care staff members and to parents. The center also does a "great" job cleaning and sanitizing the center. He was not aware of pink eye or a meningitis illness but stated that he would contact the other center administration personal to discuss this concern. Mr. Furrha stated that in the past, the center had issues with child care staff members reporting that they were ill when did not have documentation. For example, CCSM1 and CCSM2 frequently reported not feeling well and that they wanted to work from home and get paid. Mr. Furrha explained to them that providing child care is not something that cannot be done on a remote basis, and as such that request was denied. I interviewed Furrha a second time with Ms Cadmus. They both stated that they take communicable illness seriously at the center. Child care staff members and parents are notified when documentation is received regarding a positive test or exposure to an illness. The center uses a department provided communicable illness chart to provide the parents and child care staff members with information. The parents and child care staff members are told about the illness, symptoms, and contagious periods. In addition, the center cleans and sanitizes the center to help prevent illness. Both stated that CCSM1 and CCSM2 have both reported illnesses but never provided any proof. CCSM1 did not provide any documentation of having pick eye. CCSM2 said he had meningitis, however the documentation that he provided showed a negative test result. The documentation made no mention of him being contagious. Mr. Furrha indicated that he also spoke with a medical doctor who varied that the submitted documents showed a negative test result. While on site, I observed the paperwork showing a negative test result. Ms. Cadmus indicated that on one occasion, 7/5/2022, that a parent thought her child might have pink eye. That child went to the doctor the same day, but the results were negative as the child only had a cold with drainage. In addition, both stated that due with staff members frequently trying to call in sick to work, they started a policy that medical documentation was required regarding reported illness. Based on not having any positive documentation, the parents were not

• Violation

  R 400.8125 · R 400.8125 Staff; volunteer; requirements. (1) All staff and volunteers shall provide appropriate care and su ervision of children at all times. C:

  I spoke with the center's assigned licensing consultant, Ms. Curreathers while reviewing the licensing file. Infant 2 room cares for older infants and young toddlers. Infant 2 is licensed for children ages 9— 18 months old. The room has not been approved by the department to care for school-age children. I completed unannounced on-site inspections to the center on 7/18/2022 and 7/25/2022. Infant 2 room is an open floor plan allowing for easy viewing. I did not observe Child I in the Infant 2 room. In addition, prior to this complaint being received, I also completed two additional unannounced on-site inspections to the center on 5/26/22 and 6/15/22 for unrelated matters. I did not observe Child I in the Infant 2 room on those days. I interviewed Ms. Cadmus, program director and licensee designee. She verified that Infant 2 room only cares for children ages 9 months — 18 months. She stated that Child I (age 7 years) normally attends the PreK room. The PreK room is approved for children ages 4 years and older. Child Care Staff Member 9 (CCSM9) is Child I's 3 Mother. CCSM9 works at the center starting at 2:00p.m. until close at 6:30pm. Child I might accompany CCSM9 into the room before CCSM9 assumes the role of a CCSM in the Infant 2 room. CCSM9 will drop off her belongings and then take Child I to her assigned room, PreK. Child I is not otherwise in the Infant 2 room. Ms. Cadmus has not observed Child I running in the room or picking up the children. I interviewed Mr. Furrha, licensee designee. He stated that he visits the center on a frequent basis. He has not observed Child I in the Infant 2 room. As such, he has not observed Child I run or pick up the children in that room. I interviewed CCSM3 and CCSM4. CCSM3 has not observed Child I in the Infant 2 room. CCSM4 stated that if Child I is present in the Infant 2 Room, it is when CCSM9 arrives for her work shift. CCSM9 and Child I may walk into the Infant 2 room to drop off CCSM9's belongings, but then Child I goes to the PreK room. Child I is not in the room often or "all day." CCSM4 has not observed Child I pick up any children. 111111=T - ~Z•y~f+~~Z~Ly~Nyi •7_:1 "~R [9]M51Us1RTaliff_rsW • • u approximately 4 or 5 times, saying that she was only in the room when CCSM9 was working. CCSM5 was not sure how long Child I remained in the room. CCSM5 has observed Child I sit next to CCSM9 while talking with her. When this occurred, CCSM9 was working in the room at the time, and she would be cleaning or caring for the other children in the room. CCSM5 has not observed Child I pick up the children. CCSM5 last observed Child I in the Infant 2 room on 7/4/2022. I interviewed CCSM6. CCSM6 stated that Child I is supposed to attend the PreK room. However, Child I often stays in the Infant 2 room while CCSM9 is working in that room. She has observed Child I in the Infant 2 room from 2:00p.m.-4:30p.m. approximately once a week. CCSM6 observed this occur approximately four times, but she was not sure of the exact dates. CCSM6 has observed Child I run in the room, but it was not near the other children. She has not observed her jump over the children. Child I sits next to the children and talks to them. CCSM6 has also observed Child I pick up Child A with her hands on the sides of his body. This occurred once, Child A was not injured, and she put him down quickly. On one occasion, Child I sat down "criss cross applesauce" on the floor. Child A was sitting upright with her legs folded in front of her. Child A was holding Child J in her arms, allowing him to rest on her arms and crossed legs in front of her. Child J was awake. CCSM6 stated that she also observed Child I feed Child A his own applesauce with a spoon. She was not sure of the date, and this only occurred once. Child A was sitting at a round table with Child I sitting next to him on the floor. Child A's Mother witnessed Child I feed Child A. The last time Child I was in the room was I interviewed CCSM7. CCSM7 does not work at the sam

  Open Not marked corrected in the state record

  Category: recordkeeping. Open / not marked corrected.

• Violation

  R 400.8173 · R 400.8173 Equipment. .................................................... ..................................................................... (4) Play equipment, materials, and furniture, must be all of the following: (a) Appropriate to the developmental needs and interests of children as required by R 400.8179(2). ............ ............................ .........................................................................................................._...........................................................................................

  Child I, age 7 years old, was present in the Infant 2 room on a frequent basis for hours at a time. The Infant 2 room has play and learning equipment geared toward children ages 9 months to 18 months of age. The room did not contain play and learning equipment for school age children. Mr. Furrha does not intend to include school age children in the Infant 2 room.

  Open Not marked corrected in the state record

  Category: physical safety. Open / not marked corrected.

• Violation

  R 400.8179 · R 400.8179 Program. (2) A center shall implement a program plan that includes daily learning experiences appropriate to the developmental level of the children. Experiences must be designed to develop all of the following: (a) Physical develoument. (b) Social development. (c) Emotional development. (dl Coanitive development.

  Child I, age 7 years old, was present in the Infant 2 room on a frequent basis for hours at a time. The Infant 2 room provides educational programming geared toward children ages 9 months to 18 months. The room does not provide organized school-aged educational programming. Mr. Furrha does not intend to include school age children in the Infant 2 room.

  Open Not marked corrected in the state record

  Open / not marked corrected.

• Violation

  R400.8122 · R400.8122 Lead caregiver; qualifications; responsibilities. (1) Lead caregivers are required only for groups of children who are preschool age or younger.

  The center employs lead caregivers for groups of children who are preschool age and younger.

  Open Not marked corrected in the state record

  Open / not marked corrected.

• Violation

  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...

  After the initial complaint was received, two additional complaints were received alleging various allegations. The three complaints were reported on 5/24/22, 5/31/22, and 6/14/22. The allegations in these three separate complaints were combined into this one Special Investigation report (number 2022D0197014). I spoke with the center's assigned licensing consultant, Ms. Curreathers. She stated that the approved child use space includes: • Infant 1 is licensed for 16 children ages 6 weeks through 9 months with a maximum group size of 12 children. • Infant 2 is licensed for 16 children ages 9— 18 months with a maximum group size of 12 children. • Toddler 1 (left side) is licensed for 15 children ages 1 to 2 years old with Y2 1/2 a maximum group size of 12 children. • Toddler 2 (back) is licensed for 16 children ages 1 to 2 years old with a 1/2 1/2 maximum group size of 12 children. • The Lower-Level Early Preschool and Preschool Areas are in one large room. The room is divided into two groups of children. The Early Preschool Area is licensed for 16 children ages 2 to 3 years old with a maximum group size of 1/2 16 children. The Preschool Area is licensed for 31 children ages 3-4 years with a maximum group size of 30 children. • The Lower-Level Pre-K Room is licensed for 22 children ages 4-5 years. 4 • The lower-level large motor room is used as approved child use space for gross motor activities. I completed an onsite inspection to the center on 5/26/22. I observed the center to be following both group size requirements and the Child Care Staff Member (CCSM) to child ratio requirements. The Infant 1 Room contained one CCSM with four infants, Infant 2 contained one CCSM with four infants, Toddler 1 contained two CCSMs with two children. Toddler 2 contained two CCSMs with three children, Early Preschool Area contained two CCSMs with eight children, Preschool Area contained two CCSMs with 14 children, and PreK contained one CCSM with ten children. I interviewed Child Care Staff Member 11 (CCSM11). CCSM11 stated that previous program director, Ms. Hughes, is no longer employed at the center as of 5/10/22. Unsupervised Volunteer 1 (UV1) "stepped into" the role of program director, but as of 5/25/22, she was no longer interested in being the program director. As such, CCSM11 is now the assigned interim director as of 05/25/22. She has not been approved by the department to be a program director as of this date. CCSM11 stated that historically staffing has been more than sufficient; however, a recent COVID illness has affected the center in the last few weeks. Last week there were 20 children out sick. This week, several CCSMs are out sick. This caused a struggle the week of 5/23/2022 in the morning to have enough CCMSs present for the number of children in care. CCSM11 stated that there were as many as 14 infants and young toddlers in one group/room with four CCSMs, thus having enough CCSMs present to support the one CCSM to four children rule requirement. I also reviewed with CCSM11 that although the rooms may have the square footage to support 14 children, the group size requirement for infants and toddlers is only 12 children in a group. As such, this would be a violation of the group size requirements for children of this age, even if CCSM to child ratio was complying with the rules. CCSM11 acknowledged that she did not fully understand group size requirements. CCSM11 also stated that during the morning on 5/24/2022, Infant 2 room contained 14 children ages 18 months and under with only two CCSMs. The CCSMS in the room included CCSM1 and CCSM2. The two additional planned CCSMs had not yet arrived at the center, and they were not in compliance for about 15-20 minutes. I explained to CCSM11 that this would place the center in violation of both group size requirements of 12 children for that age group, as well as the CCSM to child ratio requirements of one CCSM to four children of this age group. CCSM11 acknowledged these violations.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.8170 · R 400.8170 Outdoor play area, ............................. (3) A center operating with children in attendance for 3 or more continuous hours per day shall provide daily outdoor play, unless prevented by inclement weather or other weather conditions that could result in children becoming overheated or excessively chilled.

  I interviewed Complainant 2. They stated that the youngest children attending the center are not taken outside to play daily. When confronted, the excuse given that the CCSMs are still being trained. For example, the children did not go outside on 4/1/2022 despite it being 70 degrees outside. I interviewed UV1. She believes that the children in care go outside daily weather permitting. She stated that the CCSMs and children love going outside. 11 I interviewed Ms. Cadmus. She has instructed the CCSMs to take the children outside daily, weather permitting. She was not aware of children not going outside. She has not had any CCSMs express that they do not want to go outside. I interviewed Mr. Furrha. To his knowledge, the children go outside daily, weather permitted. He has observed different rooms of children outside when he visits the center. I interviewed CCSM5, CCSM6, CCSM7, CCSM8, and CCSM9, all of whom work with infants and young toddlers. The five CCSMS work varying hours that cover the entire hours that the center is operation. The five CCSMs stated that the children in the infant rooms do not go outside daily, even when the weather is appropriate. The infant rooms have one stroller that holds four children and one wagon that holds two children. CCSM5 stated that although they aim to go outside daily, the children go outside only a couple times a week. CCSM5 indicated that it is difficult to have all the infant's schedules match up to all go outside together. CCSM6 stated that the infants go outside once or twice a week, citing that it is difficult to take 12 children outside with only one small stroller and one wagon. CCSM7 stated that the infants go outside approximately three times a week, also citing the children's different schedules and limited seating being a hinderance to taking the infants outside at one time. CCSM8 and CCSM9 were only aware of the infants going outside once in the last month. I suggested to the CCSMs that they take the infants and young toddlers outside in shifts, while maintaining the required CCSM to child ratio requirements. This would allow for the children go outside daily without needing all the children to be on the same schedule. This would also eliminate the need for more strollers. The CCSMS were receptive to this suggestion. I interviewed CCSM1, CCSM2, CCSM3 and CCSM4. The four CCSMs stated that the children in their rooms go outside daily, weather permitting. During the investigation, I completed four unannounced on-site inspections to the center. During my on-site inspections, I observed different groups of children engaged in outdoor play activities. I did not observe the children in Infant 1 or Infant 2 go outside while I was on-site. I interviewed Child A's Mother. She believes that the children in Infant 1 and Infant 2 go outside to play, saying that she has been sent pictures of her child outside. I interviewed Child B's Mother. She stated that the children in the Toddler Rooms go outside every day, weather permitting. When Child B attended the infant room, she does not believe that they went outside every day. The CCSMs in the infant room told her they did not go outside as much as the other rooms, and that it was not a daily activity. 12

• Violation

  R 400.8176 · R 400.8176 Sleeping equipment. (6) Car seats, infant seats, swings, bassinets, and play yards are not aoDroved sleeoina eauioment.

  I interviewed Complainant 2. In April 2022, they observed a 5 or 6-month-old infant laying on the floor. The infant may have been awake. In April 2022, Complainant 2 also observed an infant sleeping in an infant swing a "handful" of times. In addition, an 8-month-old child was given permission to use a swaddle sack; however, this did not happen. The complainant did not make their concerns known to anyone else. I interviewed UV1. She was not aware of infants sleeping in infant swings. The children do not sleep on the floor. Infants are allowed to use swaddle sacks if the parents desire. UV1 was not aware of the licensing rule only allowing swaddle sacks only up to 2 months of age. UV1 was not sure of the children's ages that may have used swaddle sacks. I interviewed Ms. Cadmus. She stated that infants sleep on demand in cribs. Although swaddle sacks are permitted by licensing rules, she has told the CCSMs to not use them with the infants in the room. She is not aware of any infants sleeping in infant swings or using swaddle sacks since she started employment the end of June 2022. I interviewed Mr. Furrha. He often visits the center. He has not observed any infants sleeping on the floor or in infant swings. He was not aware of children using swaddle sacks over 2 months of age. I interviewed CCSM3. The infants currently all sleep on demand in cribs. The children do not sleep on the floor. In the past, CCSM3 observed infant Child E sleep in an infant swing with parent permission. This last occurred in March 2022. 13 According to CCSM3, once UV1 came to the center, she stopped this from occurring. CCSM3 stated that Child F and Child G were allowed to use swaddle sacks between the ages of 3-4 months old. This last occurred about a month ago. I interviewed CCMS4. The infants sleep on demand in cribs. She has not observed children sleeping in infant swings or on the floor. She stated that Child F used a swaddle sack until approximately 3 months old. The CCSMs were recently told they needed to stop using swaddle sacks. CCSM4 was not aware that infants over 2 months old could not use swaddle sacks; however, the center is now in compliance. I interviewed CCSM1 and CCSM5. The infants sleep on demand in cribs. CCSM1 and CCSM5 have not observed the children sleeping in infant swings or on the floor. CCSM1 stated that Child F used a swaddle sack up to 3 months of age. This last occurred the middle of July 2022. CCSM5 stated that Child G also used a swaddle sack until they were 3-4 months old. This last happened a couple of weeks ago and has not occurred since. I interviewed CCSM7. The infants sleep on demand in cribs. In February 2022, infant Child E was allowed to sleep in an infant swing three times, due to parent permission. Child E slept for approximately an hour at a time. This has not 1/2 happened since February 2022. CCSM7 has not observed any infants sleeping on the floor or using swaddle sacks. I interviewed CCSM2, CCSM6, CCSM7, CCSM8, and CCSM9. The five CCSMS stated that the infants sleep on demand in cribs. They have not observed any infants sleeping in infant swings or on the floor. They have not observed any infants using swaddle sacks. I interviewed Ms. Cadmus again based on several of the CCSMs statements. She verified the ages of Child F and Child G, both of whom would have been at least 3 months of age when allowed to use swaddle sacks in the room. Ms. Cadmus was not aware that Child E slept in an infant swing, as this occurred prior to her beginning employment. She stressed that infants have not slept in an infant swing since she started employment. I reviewed infant safe sleep rules with Ms. Cadmus, including her need to re-train all CCSMs working with infants and toddlers on these rules. I spoke with Ms. Cadmus again during the exit conference. She stated that all of the staff members have been trained again in infant safe sleep rules. I conducted four unannounced on-site inspections to the center. I did not observe any

• Violation

  R 400.8176 · R 400.8176 Sleeping equipment. (8) Swaddling with a sleep sack swaddle attachment or swaddle wrap is allowed only for infants up to 2 months of age. If a child has a health issue or special need that requires the child use a swaddle attachment or swaddle wrap after the child is 2 months of age, documentation from the health provider is required. The documentation must include specific sleeping instructions and time frames for how long the child needs to sleep in this manner, including an end date.

  I interviewed Complainant 2, who stated that the center has not maintained consistent CCSMs. The children have several staff members in a week, and the children are not assigned to any staff member. I completed an unannounced onsite inspection. I observed the infant and toddler rooms to have a board in the room identifying the children's primary caregivers for that day. 15

  Open Not marked corrected in the state record

  Category: health medication. Open / not marked corrected.

• Violation

  R400.8185 · R400.8185 Primary Care (2) The center shall implement a primary care system so that each infant and toddler has a primary caregiver.

  I interviewed Complainant 2. The center uses a "tracking application" to record diaper changes. On more than one occasion, Child H was only changed two times in 8 hours, which is not enough. Child H attends the center three days a week, M, W, Th from about 9:00a.m. — 5:45p.m. UV1 was aware that this occurred, saying that they were training CCSMs. I interviewed UV1. She believes that the children's diapers are checked every two hours, as well as changed when they are wet or soiled. Diaper changes are recorded in the center's on-line system as well as recorded on a white board in the rooms. UV1 provided me with daily logs for Child H for 4/21, 4/25, and 5/16. According to the daily logs: • On 4/21/22, Child H was in care from 9:22a.m. — 5:11p .m. She slept from 1:01p .m.-3:00p.m. She was in care for 7 hours 41 minutes. Child H was changed twice, once at 10:58a.m. and again at 3:30p.m. • On 4/25/22, Child H was in care from 9:05a.m. — 5:25pm. She slept from 1:15p.m.-3:00pm. She was in care for 8 hours, 20 minutes. She was changed twice, once at 11:50 a.m. and 3:20p.m. • On 5/16/22, Child H was in care from 10:00a.m. — 5:16pm. She was in care for 7 hours and 16 minutes. According to the log, she was not changed while in care. After reviewing these logs entries for Child H, UV1 stated that perhaps the diapers change times may have been deleted as part of past "staff sabotage". In addition, at times the internet at the center does not work properly, so perhaps the diaper changes were not uploaded into the system. Despite what was recorded in the in the daily logs, UV1 continues to believe that the children are changed when wet or soiled. She does not believe that Child H was in care all day on 5/16/22 and not changed. I interviewed Ms. Cadmus. She stated that the diapers are checked every two hours and changed when wet or soiled. Even if the children are dry, she instructs the CCSMs to change the children's diapers. She was not aware of any concerns. I interviewed Mr. Furrha. He stated that the children's diapers are checked every two hours and changed when wet or soiled. He believes the CCSMs do a "good job" changing the children and recording those changes in the on-line system. I interviewed CCSM 1 and CCSM2. They both stated that the children's diapers are changed every two hours, or more often if they are wet or soiled. Both believe that the diaper changes are reported accurately in the on-line computer system. 17 However, both indicated that the system has "crashed" and suffered from "glitches." Despite this, they believe that they were able to accurately re-enter the information. In the event diaper changes were not showing as documented, it may have been because of a computer issue and not because they child was not changed. I interviewed CCSM3. The children's diapers are changed every two hours or more if needed. The diaper changes are documented in an on-line computer system. She believes that the CCSMs do a good job documenting the diaper changes. She stated that sometimes the center's internet service does not work properly, so this can cause delays or errors in entering the information. In addition, if a child is transitioning between two rooms, they must remember to log into a different room to log the diaper change information. I interviewed CCSM4, CCSM5, CCSM6, CCSM7, and CCSM9. They indicated that the children's diapers are changed when wet or soiled. The diaper changes are documented in an on-line computer system. The five CCSMs did not report any concerns. I interviewed Child A's Mother and Child B's Mother. Both believe that the CCSMs do a "good job" changing diapers when wet or soiled. The CCSMs also do a "good job" recording the diaper changing on the on-line system.

• Violation

  R400.8185 · R400.8185 Primary Care (3) Each infant and toddler shall have not more than 4 primary caregivers in a week. For centers operating less than 24 hours a day, an exception may occur during the first hour and after the center opens and the hour before closing.

  I interviewed Complainant 2. In April 2022, there was infant, possibly 6 months old, resting in the u shape of a bobby pillow with a bottle next to him or her. The child was not holding the bottle at the time. The child may have been able to hold the bottle on its own. Complaint 2 did not address their concerns with anyone at the center. I interviewed UV1, Ms. Cadmus, and Mr. Furrha. The center does not use bottle propping with the children. UV1 and Ms. Cadmus stated that if a child can hold their own bottle, they are allowed to feed themselves. Ms. Cadmus stated that the CCSMs sit next to the child self-feeding and assist them if needed. Mr. Furrha has only observed CCSMs holding the bottles. I interviewed CCSM1, CCSM2, CCSM3, CCSM4, CCSMS, CCSM6, CCSM7, CCSM8, and CCSM9. The nine CCSMs denied that the infants are fed by bottle propping. If children want to are able to independently feed themselves, they are allowed to hold their own bottles. If not, the CCSMs will hold the bottles for the children. If children are independently eating, they are closely supervised to be sure they are safe. I interviewed Child A's Mother and Child B's Mother. Neither had any concerns that the infants are fed by bottle propping. Child A's Mother has observed an older infant leaning on a bobby pillow feeding themselves with no concerns. The child was not struggling and a CCSM was directly supervising the child. Child B's Mother has only observed children drinking from bottles that were held by CCSMs. 19

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R400.8131 · R400.8131 Professional development requirements. (5) With 90 days of being hire, or the first day as an unsupervised volunteers, all child care staff members and unsupervised volunteers who work directly with children shall completed the following training, which may could toward annual professional development hours and are available at MiRegistry:....

  Mr. Furrha does not work as a CCSM. UV1 has completed this training and is approved to work as a CCSM.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R400.8137 · R400.8137 Diapering; toileting (6) Diapers and training pants must be checked frequently and changed when wet or soiled. ....................................... ...........................................................................................................................................

  I reviewed the centers criminal background check system. Mr. Furrha and UV1 have both completed the comprehensive background checks and have been deemed eligible to work with children. I interviewed UV1. According to UV1, Mr. Furrha does not provide care for the children. UV1 stated that she assists in caring for the children on occasion. UV1 provided documentation showing that she has completed First Aid, CPR, and the other department required trainings to care for children. UV1 has completed training regarding prevention of sudden infant death syndrome and the use of safe sleep practices; training on prevention of shaken baby syndrome, abusive head trauma and child maltreatment, and recognition and reporting of child abuse and neglect; and training on prevention and control of infectious disease training, including immunizations. UV1 has also completed trainings in administration of medication; prevention of and response to emergencies due to food and allergic reactions; building and physical premises safety; emergency preparedness and response planning; handling and storage of hazardous materials and appropriate disposal of bio-contaminant; precautions in transporting children; and child development. As such, UV1 is approved to care for children. I interviewed Mr. Furrha. He stated that he does not care for the children. UV1 is approved to care for children. I informed Mr. Furrha that if he were to provide to care for the children, he is required to complete additional trainings prior to being the rooms. Mr. Furrha is not interested in being a CCSM in the rooms. I interviewed Ms. Cadmus, CCSM1, CCSM2, CCSM3, CCSM4, CCSM5, CCSM6, CCSM7, CCSM8, and CCSM9. They all indicated that Mr. Furrha does not provide care for the children. They all indicated that UV1 cares for the children when needed. I completed four unannounced on-site inspections to the center. I did not observe Mr. Furrha or UV1 caring for the children. I interviewed Child A's Mother and Child B's Mother. They stated that Mr. Furrha does not care for the children. They stated that UV1 cares for the children when needed.

  Open Not marked corrected in the state record

  Category: ratio. Open / not marked corrected.

• Violation

  R 400.8146 · R 400.8146 Information provided to parents. (3) For infants and toddlers, a center shall provide parents with a written daily record that includes at least the following information: (c) Elimination patterns, including bowel movements, consistency, and frequency.

  I interviewed UV1, Ms. Cadmus, and Mr. Furrha. They indicated that the center employees lead caregivers in their classrooms. Ms. Cadmus provided documentation showing the assigned lead caregivers for each room. The lead caregivers appear to have the minimum requirements needed to qualify as lead caregivers. I interviewed CCSM1, CCSM2, CCSM3, CCSM4, CCSM5, CCSM6, CCSM7, CCSM8, and CCSM9. The nine CCSMs indicated that the center employees lead caregivers in their classrooms. I interviewed Child A's Mother and Child B's Mother. Neither parent expressed concerns that the classroom was lacking lead caregivers.

  Open Not marked corrected in the state record

  Category: recordkeeping. Open / not marked corrected.

• Violation

  R400.8330 · R400.8330 Food service and nutrition generally. I I (20) Bottle aropaina is prohibited.

  I The center does not use bottle propping to feed infants.

  Open Not marked corrected in the state record

  Category: nutrition. Open / not marked corrected.

• Violation

  R400.8112 · R400.8112 Comprehensive background check; fingerprinting (2)(a)The applicant or licensee shall do all of the following: (a) Ensure that each individual who requires an eligibility determination....

  Mr. Furrha and UV1 have both completed the comprehensive background checks and have been deemed eligible to work with children.

  Open Not marked corrected in the state record

  Category: background checks. Open / not marked corrected.

• Violation

  R400.8131 · R400.8131 Professional development requirements. (2) Child care staff members shall have training that includes information about prevention of sudden infant death syndrome and the use of safe sleep practices before caring for infants and toddlers.

  Mr. Furrha does not work as a CCSM. UV1 has completed this training and is approved to work as a CCSM.

  Open Not marked corrected in the state record

  Category: recordkeeping. Open / not marked corrected.

• Violation

  R400.8131 · R400.8131 Professional development requirements. (3) Before caring for children, all child care staff members and unsupervised volunteers who work directly with children shall be trained on prevention of shaken baby 21 ............................................. ...... ............. ......................... ......................................................... syndrome, abusive head trauma and child maltreatment, and recognition and reporting of child abuse and neglect. ... ............................ ..........................................................................................................................................................................._..............................

  Mr. Furrha does not work as a CCSM. UV1 has completed this training and is approved to work as a CCSM.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R400.8131 · R400.8131 Professional development requirements. (4) Before unsupervised contact with children, all child care staff members who work directly with children shall complete prevention and control of infectious disease training, including immunizations.

  Mr. Furrha does not work as a CCSM. UV1 has completed this training and is approved to work as a CCSM.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.8110 · 1 R 400.8110 Applicant; licensee; licensee designee; requirements. (6) The licensee or licensee designee shall maintain accurate records detailing daily arrival and departure times for each child care staff member, child care aide, and volunteer.

  During the beginning stages of the investigation, the center did not have the daily arrival and departure times for each child care staff member available for review.

  Open Not marked corrected in the state record

  Category: recordkeeping. Open / not marked corrected.

• Violation

  R 400.8110 · 1 R 400.8110 Applicant; licensee; licensee designee; requirements. (1) The licensee or licensee designee shall do all of the following: (b) Comply with section 5n of the act, MCL 722.115n, which requires a comprehensive background check.

  I interviewed the complainant to clarify this allegation. The complainant initially reported that, "They have an Abu size mentally towards controlling children and implement it in their day care as well and brag about it. The owners talked about how they see nothing wrong with "controlling" children with force and letting them cry it out some of the kids bang their hands with special needs and they ignore them. Some children are not given food because they make a mess so they can learn not to". Once I spoke with the complainant, the person's allegations changed and are now detailed above. The complainant has not heard the owners brag about being mentally controlling. The complainant stated that his or her allegation revolves around the one incident that occurred on 12/3/2021 with one child. Despite initially saying that the child was banging their hands, the complainant changed their statement to banging their head. I attempted to gain additional information from the complainant. The complainant refused to provide the child's name, child's specific age, classroom name, or the name of the CCSM caring for the 5 children. The complainant believes that Mr. Furrha should be solely held responsible for the care and treatment of the children, despite him not being present and not working with the children in the rooms. Upon further questioning, the complainant would only state that the child was three or four years old, may have special needs, and they provided me with a basic physical description. I interviewed Mr. Furrha. He was not at the center during lunch time on 12/3/2022. He adamantly denied the allegations. He stated that he would never suggest that a child be allowed to cry, or that they should be denied food because they are messy eaters. He does not believe that this occurred at the center. He stated that if a child is upset, the CCSMs will quickly comfort the child. He has not received any concerns from parents or CCSMs regarding the treatment of the children. When he is present at the center, he has only observed the children being treated with the best possible care. Mr. Furrha stressed that his goal to have the best child care facility in Ann Arbor, focusing on the safety and health of children. I interviewed Ms. Hughes. She denied the allegations. She also denied that any children in this age range match the description as provided by the complainant. She does not believe that Mr. Furrha would direct anyone let a child cry or to not feed a child to teach them not to be messy. Ms. Hughes stated that Mr. Furrha does not provide direct care and supervision to the children. As an administrator, he is active in the financial aspect of the center. He trusts the care of the children to her professional expertise as the director, and to the other experienced CCSMs. He has shown interest in the how the children are cared for to assure that they are receiving the best possible care. He has never suggested that a child be cared for in a way that was not caring. Ms. Hughes stated that the children eat meals and snacks in their assigned rooms. The center provides the meals and snacks, or parents can provide food for their children. She stated that the CCSMs would "never" deny a child food. Children are encouraged to eat, as well as the center has additional food options available to the children. In addition, Ms. Hughes stressed that there is not an expectation for the children to be neat eaters. With this age group, "messy is expected" and it is not a source of concern by the CCSMs. Ms. Hughes stated that she often visits the room as a "floater" or as part of her supervisory duties. She has never observed any concerns regarding meals, or the CCSM's treatment of the children. She described all the CCSMs as knowledgeable and caring. If a child is upset, the child is "always and quickly" acknowledged and comforted. Ms. Hughes stated that on 12/3/2022, the CCSM in the room at lunch time was Ms. Myers. She described Ms. Myers as "ama

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.8125 · 1 R 400.8125 Staff; volunteer; requirements. (1) All staff and volunteers shall provide appropriate care and supervision of children at all times.

  The CCSMs provide the children with appropriate care and supervision. If a child is upset, the children are quickly acknowledged and comforted.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.8140 · R 400.8140 Discipline. (2) All of the following means of punishment are prohibited: (e) Depriving a child of meals, snacks, rest, or necessary toilet use. ANALYIS: The children are provided with meals and snacks while at the center. The children are encouraged to eat. The children are not denied food.

  Open Not marked corrected in the state record

  Category: nutrition. Open / not marked corrected.

The rooms may not have enough child care staff members (CCCMs) due to being short staffed. On 5/24/2022 there were two CCSMs in the toddler room with 15 children. It took 15-20 minutes for another CCSM to arrive. On 5/26/2022, there were two CCSMs with 10 young toddlers. Parents are assisting to maintain correct CCSM to child ratio requirements. The center does not participate in daily outdoor play time. Infants sleep in infant swings. CCSMs were told an 8-month- could still use a swaddle sack. The center does not practice primary caregiving with the infants and young toddlers. The staff do not change diapers enough based on the center's reporting system. The center feeds the infants by bottle propping. Mr. Furrha and Unsupervised Volunteer 1 (UV1) are providing care for the children. It is unknown if they have the proper qualifications. The center does not have any lead staff.

Disposition: Substantiated

On 12/3/2021, Child A (age 3 or 4 years) was not allowed to eat despite saying he was hungry. He was crying and banging his head on the table. He was not allowed to eat as a way of teaching him to not make a mess with his food. The child care staff member (CCSM) in the room indicated that he would cry and be fine, and that this is how the owner Mr. Furrha wants the situation handled.

Disposition: Substantiated