R 400.8173 · ....... . .............................. R 400.8173 Equipment. (4) Play equipment, materials, and furniture, must be all of the following: (b) Safe, clean, and in good repair. I

On January 28, 2022, I made an unannounced onsite inspection to the child care center. I discussed the allegations in the complaint with the program director Peggy Kaczmarek. I asked Ms. Kaczmarek about the cleaning method they use to clean the toys in the center. Ms. Kaczmarek stated that she has cleaning wipes available for the child care staff to use to clean the toys in the classrooms and for larger toys they spray them with bleach water. I asked Ms. Kaczmarek what cleaning process they use for the to clean the kitchen, she stated they use a three-step method cleaning method of washing, rinsing, and sanitizing. 2 During the onsite inspection I viewed the kitchen of the center. The refrigerator was extremely dirty and had mold on the door frame and old sticky food at the bottom of the refrigerator. There were carrots, apples, and strawberries in the refrigerator they did not present as spoiled or moldy. One of the kitchen cabinets was broken and sitting on the floor. I checked the food in the cabinets there were Cheerios in the cabinet which had been opened January 27, 2022, GoGo squeeze applesauce pouches with an expiration date of November 12, 2022, and bagels with an expiration date of February 9, 2022. There were a variety of other crackers and snacks in the cabinets. There was one package of unopened Sun butter in the cabinets was expired. Ms. Kaczmarek stated that they do not serve the Sun Butter but had purchased it a few years ago for an experiment, that they never did. I informed Ms. Kaczmarek that she should dispose of the expired food even if they did not plan on serving it. I viewed the condition of the carpet in the center. The carpet did not appear to be dirty or soiled. Ms. Kaczmarek provided a copy of the receipt showing the carpet was professionally cleaned July 5, 2021. During the onsite inspection on January 28, 2022, I interviewed child care staff member Jala Burroughs regarding the allegations in the complaint. Ms. Burroughs stated that she assists in the 2-year-old classroom and the toys in that classroom have not been cleaned or sanitized in months. Ms. Burroughs thinks part of the problem is they have been having a lot of turn over with child care staff members and the newer child care staff members have not been given directions on cleaning and sanitizing the equipment. The center only has two classrooms that are switching out their bleach water for new sanitizing solution. Ms. Burroughs went on to say that she knows "Ms. Beverly's class cleans and sprays the toys in her classroom." During the onsite inspection I interviewed child care staff member LaDawn Walton- Edmonds. Ms. Walton-Edmonds stated they do not have a cleaning procedure that they have been trained in, however she knows that the toys were not being cleaned properly. I interviewed child care staff member Yvette Murry. Ms. Murry stated that usually works in the 2-year-old classroom with Ms. Walton-Edmonds. She started working at the center in November of 2021. Ms. Murry stated that since Ms. Walton- Edmonds started there has been more structure in the classroom and they spray the toys every night. They now use a three-step process to clean them ending with spraying them with bleach water. 3

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8320 · R 400.8320 Food preperation. .......................................... ...................................... (1) Food must be in sound condition, free from spoilage, filth, or other contamination and be safe for human consumption.

On January 28, 2022, I discussed the allegations in the complaint with the program director Peggy Kaczmarek. Ms. Kaczmarek stated that they provide morning and afternoon snacks for the child care children. They are a nut free center, as they have one child in the center with an allergy to cashew and pistachios. Ms. Kaczmarek went on to say that "yes" she was out of town attending to family business, however prior to leaving she went shopping and there were people from the church that went shopping for the center while she was gone, so she is unaware of there being a time that the child care staff members were struggling to have enough food for the child care children to have for snack. During the onsite inspection I interviewed child care staff member Jala Burroughs. Ms. Burroughs stated she assist in the 2-year-old classroom, but her primary responsibilities are preparing and serving snacks and handling the pick up and drop off door. She has been working at the center since January of 2020. Ms. Burroughs stated that the center always has snacks available for the children, however she frequently has to substitute what is on the menu, because they don't have the listed items in the center. She went on to say that in December 2021 there was barely any food in the center, they "make do with what they have available to make sure the children eat. At the time of the onsite inspection, I observed Ms. Burroughs preparing to provide snack to the children. I noted that what she was serving did not match what was on the menu. The posted menu stated that the afternoon snack was Goldfish and oranges. The snack that was being served was banana's, graham crackers, goldfish, and apple sauce pouches. Ms. Kaczmarek reprimanded Ms. Burroughs and told her to serve the snack that was listed. Ms. Burroughs replied that they did not have any oranges and there were not enough Goldfish for all of the children. Ms. Kaczmarek checked the kitchen and came back and confirmed that there were no oranges.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8380 · R 400.8380 Maintenance of premises (1) The premises must be maintained in a clean and safe condition and must not pose a threat to health or safety.

On January 28, 2022, I made an unannounced onsite inspection to the child care center. I discussed the allegations in the complaint with the program director Peggy Kaczmarek. Ms. Kaczmarek stated that they are understaffed and she is working hard to hire new employees. They have also had a problem with frequent call offs of the child care staff members that are already employed at the center. Ms. Kaczmarek states that she does everything she can to avoid being out of ratio. On January 18, 2022, she had to close the center for the day because there was not enough staff. On January 14, 2022, she has to close the center at 3:00 p.m. because there was not enough child care staff members available to keep the center open. Ms. Kaczmarek stated that she also moves the child care staff members to different classrooms and will combine rooms to keep them in ratio. During the onsite inspection on January 28, 2022, I interviewed child care staff member Jala Burroughs. Ms. Burroughs stated that the center is "short staffed" and they have had to close when there were not enough child care staff members, however last week Ms. Pasha was working in a classroom by herself with nine 1-2 year-old children. During the onsite inspection I interviewed child care staff member LaDawn Walton- Edmonds. Ms. Walton-Edmonds stated that she works with the 2-year-old children and works alone the majority of the time. She is usually alone with between four to six, 2-year-old child care children. There have been times she can't even go to the rest room, because there are not enough child care staff members, so someone can come in and watch the children so she can step out of the classroom. She has text the program director and asked her to come into the classroom, however she did not receive a response to the text. Ms. Walton-Edmonds stated that there was one instance that she was caring for 10 children of various ages alone, however that is not the norm she usually has between four and five child care children. During the onsite inspection I interviewed child care staff member Yvette Murry. Ms. Murry stated that she works in the classroom with Ms. Walton-Edmonds a lot, they usually have six or seven children in the classroom. Ms. Murry stated that she has had to work alone with the child care children, however she does not recall ever having to have more than four children. Ms. Murry stated she has never seen any of the classrooms out of ratio when she is at the center. Ms. Murry stated that the center is "definitely understaffed," however, she does not think the classrooms are out of ratio often. On January 28, 2022, I completed an exit conference with the program director Peggy Kaczmarek and discussed the findings of the complaint. Ms. Kaczmarek stated that she tries to maintain ratio at all times, however it is hard to do so when people call off at the last minute or no call no show. She does what she can to combine classrooms and has closed the center early to avoid being out of ratio. A

R 400.8330 · 1 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.

Although the center is not providing the snacks listed on the menu the snacks provided are healthy and meet the two- component requirement for centers.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R400.8182 · R400.8182 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: TABLE 4 Child Care Staff Member to Child Ratios Age Child Care Staff Maximum Member to Child Ratio Size ( Infants and toddlers, birth until 30 1 to 4 12 a) months of age ( Preschoolers. 30 mouths of Ito 8 16 b) oath 3 years of e age { Preschoolers, 3 years of age until 4 1 to 10 Not applicable c years of { Pie'cage hoolers,4 years ot'age until 1 to 12 :Not applicable school-age ( Scluwl-alters 1 to 18 Not applicable C)

The child care center is understaffed and has been out of ratio in all of the classrooms, because child care staff members of call off work and sometimes no-show. The required child to child care staff ratios are not always maintained. I I

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8330 · R 400.8330 Food services and nutrition generally. ........................... ................ ........................................................ (10) Menus must be planned in advance, dated, and posted in a place visible to parents. Food substitutions must be noted on the menus the day the substitution occurs.

The center has a menu planned; however they do not note the changes to the menu on the menu that is visibly placed for the parents.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.