R 400.8122 · R 400.8122 Lead caregiver; qualifications; responsibilities. (5) Lead caregivers shall meet 1 of the following qualifications shown in Table 3: TABLE 3 Lead Caregiver Qualifications Education Coursework in Early Childhood Hours of Education, Child Development, Experience or a Child-Related Field 4 (a) Bachelor’s degree or higher in early childhood education, child development, or a child- related field (b) Montessori 480 hours credential with (c) Associate’s degree or higher in early childhood education or child development (d) Valid child 480 hours development associate credential with (e) High school 12 semester hours and 960 hours diploma or GED with (f) High school 12 semester hours, 18 CEUs, 1,920 hours diploma or or a combination to equal 18 GED with clock hours with (g) High school 6 semester hours, 9 CEUs, or 3,840 hours diploma or a combination to equal 90 GED with clock hours with

On August 8, 2023, I called and spoke with the Complainant. The Complainant said the infant classroom does not have a lead caregiver. The lead caregiver was child care staff member (CCSM) 5 but she left the infant classroom and went to the toddler classroom in June 2023. The infant classroom hasn’t had a lead caregiver since June 2023. On August 9, 2023, I completed an unannounced on-site inspection. I interviewed licensee and program director, Ms. Jodie Hutcheson, CCSM 1, CCSM 2, and CCSM 3, separately. CCSM 9 was absent. Ms. Hutcheson said CCSM 12 was the lead caregiver in the infant classroom. On July 12, 2023, CCSM 12 didn’t show up to work. Her employment was terminated shortly afterwards. Ms. Hutcheson said she is working with CCSM 9 to get her back fulltime as the lead caregiver in the infant classroom. CCSM 9 has a second job and is currently working at the center between three to four days a week. Ms. Hutcheson said CCSM 9 will be returning to the center as a full-time employee in September 2023. Ms. Hutcheson said she is the lead caregiver in the toddler classroom. CCSM 5 is also in the toddler classroom. CCSM 5 is currently in the CDA program and has completed half of the courses. Ms. Hutcheson said she will submit a lead variance request for CCSM 5. She or CCSM 5 can step in the infant classroom and assist, if needed. Please note, Ms. Hutcheson submitted a lead variance request on August 10, 2023 for CCSM 5. The variance was approved by the department on September 7, 2023. I interviewed CCSM 1, CCSM 2, and CCSM 3; all said CCSM 9 is the lead caregiver in the infant classroom. CCSM 2 and CCSM 3 both said CCSM 9 does not work full time at the center. CCSM 3 said CCSM 9 works three to four days a week from 11:00 am to closing.

Open Not marked corrected in the state record

Open / not marked corrected.

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 August 8, 2023, I called and spoke with the Complainant. The Complainant said CCSM 1 is Child A’s Mother. CCSM 1 recorded a video of Child A (male, 4 ½ years old) and Child B (female, 4 ½ years old) and posted it on Facebook. The Complainant feels that the video was inappropriate. The Complainant said Child A and Child B were lying next to each other on a cot. Child A was not wearing a shirt. Child A and Child B are observed kissing. The Complainant said, “Child B licked Child A’s lips when he puckered up for a kiss.” On August 8, 2023, I received a copy of the video of Child A and Child B from the Complainant. The Complainant said she recorded the footage from Facebook using her phone. I reviewed the video and noted that Child A and Child B were lying next to each other. Child A was not wearing a shirt. Child A puckers his lips and turns his head towards Child B. Child B sticks her tongue out and quickly licks Child A’s lips. There is no date or time indicated on the video. On August 9, 2023, I completed an unannounced on-site inspection. I interviewed Ms. Hutcheson, CCSM 1, CCSM 2, CCSM 3, CCSM 4, CCSM 5, CCSM 6, CCSM 7, and CCSM 8, separately. CCSM 9 and CCSM 10 were absent. CCSM 11 was on break and not interviewed. Ms. Hutcheson said she was not aware of the video. Ms. Hutcheson said Child B hasn’t been at the center since the beginning of summer 2023. She said none of the children are sharing a cot and that each child has his/her own cot. Ms. Hutcheson said CCSM 1 is Child A’s Mother. CCSM 1 allows him to sleep without a shirt on. CCSM 1 said Child A is her son. Child A and Child B are both in the preschool classroom. CCSM 1 said she is good friends with Child B’s Mother. Child A and Child B are best friends. She doesn’t recall when she took the video, but she believes it occurred last year. It occurred after naptime when the children were waking up. She doesn’t know if Child A went to Child B’s cot or if Child B went to 6 Child A’s cot. CCSM 1 said she thought it was cute, so she recorded the video. According to CCSM 1, Child A doesn’t like to sleep with his shirt on, so he took it off. CCSM 1 said Child B’s Mother is aware of the video. CCSM 2, CCSM 3, CCSM 4, CCSM 5, CCSM 6, CCSM 7, and CCSM 8 all said they have not seen the video of Child A and Child B. No one knew anything about the incident. CCSM 2 said she wasn’t employed with the center at that time and doesn’t know anything about the video. CCSM 7 said she doesn’t have a Facebook account. On August 9, 2023, I called and left a message with Child A’s Mother. On August 10, 2023, I received an email from Ms. Hutcheson. Ms. Hutcheson said CCSM 1 “would clock out everyday and get Child A off his cot to go home. She most likely was not on the clock and isn’t a preschool teacher. She was a toddler teacher and wouldn’t be in the classroom if she was on the clock.” Ms. Hutcheson believes that CCSM 1 was not on the clock and was acting as a parent when she recorded the video. On August 10, 2023, I received an email from Ms. Hutcheson. Ms. Hutcheson sent a copy of CCSM 1’s time card for Thursday, October 6, 2022. CCSM 1 clocked in at 7:08 am and out at 2:59 pm. On August 31, 2023, I completed an unannounced on-site inspection. I interviewed CCSM 1 and CCSM 10, separately. Ms. Hutcheson was absent. I re-interviewed CCSM 1. She said after thinking about the video, she recalls recording it on October 6, 2022. It occurred when she was picking up Child A right after naptime. CCSM 1 said she worked in the toddler classroom, clocked out and went to the preschool classroom to get Child A. CCSM 1 said she worked from 7:00 7 am to 3:00 pm. CCSM 1 said she was Child A’s Mother when she recorded the video, and not a child care staff member. CCSM 1 reiterated and said Child B’s Mother is aware of the video. CCSM 1 said Child B’s Mother had sent her a text message saying, “Thanks for letting me know.” I interviewed CCSM 10 who said she doesn’t have a Facebook account. She doesn’t know

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. 9

On August 8, 2023, I called and spoke with the Complainant. During the conversation, the Complainant said the child care staff members in the infant classroom applied baby powder on Child D’s (female, 9 months old) “bottom and vagina.” According to the Complainant, Child D is allergic to baby powder. The incident occurred yesterday, August 7, 2023. On August 9, 2023, I completed an unannounced on-site inspection. I interviewed Ms. Hutcheson, CCSM 1, CCSM 2, and CCSM 3, separately. Ms. Hutcheson, CCSM 1, CCSM 2, and CCSM 3 all said they do not have baby powder at the child care center. CCSM 1 and CCSM 2 both said the children use diaper cream or “butt “cream, which parents provide. Ms. Hutcheson, CCSM 1, CCSM 2, and CCSM 3 all said there was no incident involving Child D and baby powder. During the inspection, I inspected the infant classroom and did not observe any baby powder. I also reviewed Child D’s child information card. No allergies were indicated on the card. On October 23, 2023, I called and spoke with Child D’s Mother who said there were no incidents involving Child D at the center. Child D does not have any allergies. Child D’s Mother said she has no concerns or complaints. On August 31, 2023, I completed an unannounced on-site inspection. I inspected the infant classroom and did not see any baby powder.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8134 · R 400.8134 Hand washing. (2) All staff and volunteers shall wash their hands at all of the following times: (d) Before giving medication.

On August 8, 2023, I called and spoke with the Complainant. The Complainant said at the beginning of June 2023, there was an incident involving Child C (female, 3 years old) and CCSM 8. The Complainant said CCSM 8 was applying sunscreen on another child who was eating peanut butter. CCSM 8 didn’t wash her hands before putting sunscreen on Child C who is allergic to nuts. Child C’s EpiPen was expired. On August 9, 2023, I completed an unannounced on-site inspection. I interviewed, Ms. Hutcheson, CCSM 1, CCSM 2, CCSM 3, CCSM 4, CCSM 5, CCSM 6, CCSM 7, and CCSM 8, separately. CCSM 9 and CCSM 10 were absent. CCSM 11 was on break and not interviewed. Ms. Hutcheson said CCSM 8 was applying sunscreen on Child C when she broke out in a rash. Ms. Hutcheson said she called Child C’s Mother who said Child C had a similar reaction several days prior. She also sent Child C’s Mother a picture of the rash. Ms. Hutcheson said Child C had an expired EpiPen when the incident occurred. She informed Child C’s Mother during the conversation. Ms. Hutcheson checked Child C’s backpack and showed me Child C’s new EpiPen. A new medication permission form was obtained during the inspection. I provided 10 technical assistance and advised Ms. Hutcheson to check the expiration dates and store the EpiPen in the office or somewhere it is inaccessible to the children. CCSM 1, CCSM 2, and CCSM 7 all said they did not witness the incident with Child C. CCSM 3, CCSM 4, and CCSM 6 were not working at the center when the incident occurred. CCSM 6 said she had already left the center that day. CCSM 5 said during the summer, she and CCSM 8 were putting sunscreen on the children. CCSM 8 applied sunscreen on Child C when they noticed a rash on her arm. It was reddish and itchy. CCSM 5 said Ms. Hutcheson called Child C’s Mother who said Child C had broken out in a rash about a week ago after sunscreen was applied. CCSM 5 said Child C’s Mother provided the sunscreen and not the center. CCSM 5 denied that any of the child care staff members touched Child C with peanut butter on their hands. CCSM 5 said they make sure to wash their hands before and after applying sunscreen, and especially with children who have nut allergies. CCSM 8 said she had washed her hands and changed gloves before applying sunscreen on Child C. CCSM 8 said there was no peanut butter involved. She denied touching Child C with peanut butter on her hands. According to CCSM 8, within seconds, Child C’s skin started to break out in a rash. It was red and blotchy. She immediately informed Ms. Hutcheson who called Child C’s Mother. Child C’s Mother said Child C had a similar reaction over the weekend. CCSM 8 said Child C’s Mother brought in new sunscreen for Child C since the incident. CCSM 5 and CCSM 8 both said Child C was picked up and went home after the incident occurred. On August 9, 2023, I received an email from Ms. Hutcheson with a copy of the 2023- 2024 Parent Agreement & Health Care Service Plan. According to the plan, “HANDWASHING is critically important to be done after diapering a child or wiping a child’s nose, before preparing or eating foods, after using toilet facilities, before and after treating or bandaging a cut, after cleaning toys, wiping down surfaces, cleaning spills or any other housekeeping, and after being in contact with any body fluids from another person. Hands should be washed regardless of whether latex gloves were worn during the contact with body fluids. HAND WASHING POLICY 1. Rub hands vigorously with soap under running water. 2. Wash all surfaces, including back of hands, wrist, between fingers, and under fingernails. 3. Rinse well with running water. 4. Dry hands with a paper towel. 5. Turn off water using paper towel instead of using bare hands. 11 6. Dispose of paper towel.” On August 31, 2023, I completed an unannounced on-site inspection. I interviewed CCSM 10 who said she didn’t know anything about the incident. On October 23, 2023, I called and spoke with Child

R 400.8152 · R 400.8152 Medication; administrative procedures. (5) A child care staff member shall keep all medication out of the reach of children and shall return it to the child's parent or destroy it when the parent determines it is no longer needed or it has expired. 12

On August 8, 2023, I called and spoke with the Complainant. The Complainant said Child D (female, 9 months old) and Child E (male, 7 months old) are sharing sleep sacks. On August 9, 2023, I completed an unannounced on-site inspection. I interviewed Ms. Hutcheson, CCSM 1, CCSM 2, and CCSM 3, separately. Ms. Hutcheson said each of the children have his or her own sleep sack. She denied that the children are sharing sleep sacks. The sleep sacks are laundered weekly or sent home to the families to be washed. CCSM 1 said Child D and Child E both have their own sleep sacks. CCSM 1 said in May or June 2023, some of the sleep sacks were not labeled. Child D’s sleep sack was given to Child E. The sleep sack was washed and cleaned. It was not used by Child D and given to Child E. CCSM 1 said Child D’s Mother noticed that Child E had Child D’s sleep sack. According to CCSM 1, they labeled the sleep sacks to avoid any more confusion. CCSM 1 said Ms. Hutcheson does laundry at least once a week. If the sleep sack isn’t washed, then it is sent home. CCSM 2 said the former lead caregiver (CCSM 12) allowed the children to share sleep sacks. For example, some families would bring in two sleep sacks. CCSM 2 said CCSM 12 would give another child one of the sleep sacks. CCSM 2 said she told Ms. Hutcheson who put a stop to it. All the sleep sacks are labeled. CCSM 3 said there’s no sharing sleep sacks in the infant classroom. CCSM 3 recalls an incident when one of the children was wearing a sleep sack that belonged to another child. CCSM 3 said the sleep sack was cleaned and not worn by two children on the same day. CCSM 3 said Child D’s Mother came to pick up Child D and noticed another child was wearing Child D’s sleep sack. CCSM 3 said a few of the sleep sacks are labeled, but not all. 13 On October 23, 2023, I called and spoke with Child D’s Mother and Child E’s Mother. Child D’s Mother and Child E’s Mother both said they had no concerns or complaints. Child E’s Mother said the child care staff members provide great care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8176 · R 400.8176 Sleeping equipment. (16) All sleeping equipment and bedding must be washed, rinsed, and sanitized when soiled, between uses by different children, and at least once a week regardless of use by different children.

On August 8, 2023, I called and spoke with the Complainant. The Complainant said everyday between 12:45 pm and 2:00 pm, the preschool child care staff members leave the classroom and sit in the lobby area. The preschool classroom is out of ratio. On August 9, 2023, I completed an unannounced on-site inspection. I interviewed Ms. Hutcheson, CCSM 7, and CCSM 8, separately. CCSM 11 was on break and not interviewed. Upon my arrival, I observed the three child care staff members (CCSM 7, CCSM 8, and CCSM 11) with thirteen children in the preschool classroom. The children were finishing lunch and transitioning to naptime. Ms. Hutcheson said during naptime, the child care staff members are scheduled to go on their lunch breaks. Some child care staff members take their breaks in the lobby area. Ratio in the classroom is always maintained. CCSM 7 said she works in the preschool classroom with CCSM 8, CCSM 10, and CCSM 11. CCSM 11 is a newly hired staff member and started about two weeks ago. They have an average of 15 to 16 children daily. CCSM 7 said there’s no issue 14 with ratio, and there’s always at least two child care staff members present when the third person goes on break. CCSM 8 said she works with CCSM 7, CCSM 10, and CCSM 11 in the preschool classroom. CCSM 11 is a new hire. She denies being out of ratio and said there’s plenty of staff available to provide coverage. On August 31, 2023, I completed an unannounced on-site inspection. Upon my arrival, I observed three child care staff members with fourteen children in the preschool classroom. The children were on their cots. I interviewed CCSM 10 who said the child care staff members usually take their breaks in the lobby because the kitchen only has two seats. CCSM 10 said ratio is maintained when staff are on break. On October 23, 2023, I called and spoke with Child C’s Mother. Child C’s Mother said she has no concerns or complaints. Child C’s Mother said the staff are great and friendly. On October 23, 2023, I left a message with Child B’s Mother and Child F’s Mother. On October 23, 2023, I received telephone calls from Child B’s Father and Child F’s Mother. Neither Child B’s Father nor Child F’s Mother had any concerns.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 caregivers to children, including children related to a staff member or the licensee, shall be the following: (c) For preschoolers 3 years of age, there shall be 1 caregiver for 10 children.

On August 8, 2023, I called and spoke with the Complainant. The Complainant said Child F (female, 4 years old) fell off a bicycle and broke her arm. The Complainant said this occurred during an interim inspection while I was at the child care center. On August 9, 2023, I completed an unannounced on-site inspection. I interviewed Ms. Hutcheson, CCSM 7, and CCSM 8, separately. CCSM 11 was on break and not interviewed. Ms. Hutcheson said Child F was riding on the trike when she fell off. Ms. Hutcheson didn’t think Child F’s arm was broken. When Child F’s arm started to swell, Ms. Hutcheson said Child F’s Mother was contacted and informed of the incident. Ms. Hutcheson said Child F’s Father and Child F’s Mother are both in the medical profession. Child F’s Father placed Child F’s arm in a sling. Ms. Hutcheson said she called and emailed Child F’s Mother at least three times on May 24, 2023, and June 1, 2023, and one time on June 6, 2023. She also texted Child F’s Mother and spoke with Child F’s Mother and Child F’s Father at pick up time before they went on vacation. According to Ms. Hutcheson, she found out a couple of days later that Child F had x-rays completed and they confirmed that Child F had fractured her arm. Ms. Hutcheson said she forgot to report the incident to the department. CCSM 7 said she was rehired in July 2023. She was not at the center in May 2023. CCSM 8 said she didn’t see Child F fall off the trike. According to CCSM 8, she went inside the building and saw Child F with an ice pack. She didn’t know that her arm was broken. CCSM 8 believes Child F’s Father didn’t take her to the hospital until the next day. On August 31, 2023, I completed an unannounced on-site inspection. I interviewed CCSM 10 who said Child F fell off the trike outside on the playground. This occurred towards the end of the day. She took Child F inside the building and gave her an ice pack. CCSM 10 said she called and informed Child F’s Mother of the incident. CCSM 10 said they didn’t know Child F had broken her arm until a couple of days later. On August 10, 2023, I received an incident report from Ms. Hutcheson. According to the report, “Child F was riding the bike trike with the roof, when she attempted to ride it over the sidewalk/grass area and it didn't make it over and she tipped the toddler cozy coop as she was inside of it. CCSM 10 immediately applied ice, no bruising or swelling. When it looked like it was swelling, phone call to Child F’s Mother was made at 4:00 pm, 20 minutes later. Parents assessed it overnight with no action, 16 dad gave her a sling to sleep with (he is a doctor). Child F's mother came in 5/24 to get it X-rayed.” The incident occurred on May 23, 2023, at 3:40 pm. On October 23, 2023, I called and left a message with Child F’s Mother. Child F’s Mother called back the same day. Child F’s Mother said Child F was seen at the University of Michigan Mott’s Children Hospital in Ann Arbor. She received x-rays that determined that she suffered a fractured elbow. Child F was in a cast and later had surgery. Child F’s Mother said it was a freak accident. Child F was riding on the trike when it hit a curb and toppled over. Child F’s Mother does not have any concerns or complaints. She said CCSM 10 called right away. They had iced Child F’s arm, contacted her within 30 minutes, and Child F’s Father was on his way to pick her up.

R 400.8158 · R 400.8158 Incident, accident, injury, illness, death, fire reporting. (3) A licensee, licensee designee, or program director shall report to the department, via phone, fax, or email, within 24 hours of notification by a parent that a child received medical treatment or was hospitalized for an injury, accident, or medical condition that occurred while the child was in care.

On August 8, 2023, I called and spoke with the Complainant. The Complainant said she has never seen any of the toys washed or sanitized. On August 9, 2023, I completed an unannounced on-site inspection. I interviewed Ms. Hutcheson, CCSM 1, CCSM 2, CCSM 3, CCSM 4, CCSM 5, CCSM 6, CCSM 7, and CCSM 8, separately. CCSM 9 and CCSM 10 were absent. CCSM 11 was on break and not interviewed. Ms. Hutcheson said toys are washed and sanitized daily. Any toys that have been in a child’s mouth is brought to the kitchen. It is either placed in the dishwasher or hand washed using the three-step method of washing, rinsing, and sanitizing. CCSM1, CCSM 2, CCSM 4, CCSM 5, CCSM 7, and CCSM 8 all said the toys are cleaned using the three-step process which includes washing with soapy water, rinsing with water, and sanitizing with bleach mixed solution. The toys are left out overnight to air dry. The toys are sanitized daily. CCSM 3 and CCSM 8 both said any toys that were in a child’s mouth are washed immediately. CCSM 3 said the other toys are washed and sanitized at the end of the week. CCSM 4 and CCSM 5 both said Lysol is used on the bigger bins and furniture. CCSM 5 and CCSM 6 said they clean throughout the day. In the classroom, they use the three-step process to clean the toys. Toys that are brought to the kitchen are washed in the sink with soapy water, rinsed, and left to dry overnight. No bleach is used. I reinterviewed Ms. Hutcheson and provided technical assistance on washing, rinsing and sanitizing toys. Toys should be soaked, sprayed, or wiped with a sanitizing solution such as a bleach mixed solution. On August 9, 2023, I received an email from Ms. Hutcheson with a copy of the 2023- 2024 Parent Agreement & Health Care Service Plan. According to the plan, the cleaning and sanitizing procedures states, “GENERAL WASHING PROCEDURES 1. Wash surface or item with soapy water. 2. Rinse surface or item with clean clear water. 3. Spray or submerge surface item for 60 seconds with a bleach water solution. 4. Air Dry. 18 5. Wash your hands before and after cleaning or sanitizing. INFANT AND TODDLER TOYS 1. For items used by children younger than 2.5 years old, where they are likely to be mouthed, the practice of washing and sanitizing their items is done daily or when the item has been visibly soiled/contaminated. 2. The method of washing these items is done by following the “general washing and sanitation procedures” noted above. 3. The cleaning and sanitizing of toys (and other surfaces) used by older children is done once a week using the same “general washing and sanitizing procedures.” 4. Wash your hands before and after cleaning. CLEANING WITH A DISINFECTANT should be done daily on all changing surfaces and in the children’s play area, and on an “as needed” basis on any surface that has meet blood. Expensive disinfectants are not necessary; a basic bleach solution is generally sufficient for daily cleaning and disinfecting. Efforts should be made to clean children’s toys with this solution also, or to wash them in the dishwasher, if appropriate. Wash your hands before and after.” On August 31, 2023, I completed an unannounced on-site inspection. I interviewed CCSM 10 who said toys, tables and furniture are cleaned daily with bleach water. On October 23, 2023, I called and spoke with Child C’s Mother, Child D’s Mother, and Child E’s Mother. I left a message with Child B’s Mother and Child F’s Mother. Child C’s Mother, Child D’s Mother and Child E’s Mother all said they had no concerns or complaints. On October 23, 2023, I received telephone calls from Child B’s Father and Child F’s Mother. Neither Child B’s Father nor Child F’s Mother had any concerns.

R 400.8158 · R 400.8158 Incident, accident, injury, illness, death, fire reporting. (4) A licensee, licensee designee, or program director shall submit a written report to the department of the occurrences outlined in subrules (1), (2), and (3) of this rule, in a format provided by the department, within 72 hours of the verbal report to the department.

On August 8, 2023, I called and spoke with the Complainant. The Complainant said in the infant classroom, the children’s bottles are not labeled with their names, and that children were given the wrong bottles. The Complainant believed this occurred in June 2023. On August 9, 2023, I completed an unannounced on-site inspection. Upon my arrival, I inspected the infant classroom. The bottles were labeled with the children’s first and last names and date. I interviewed Ms. Hutcheson, CCSM 1, CCSM 2, CCSM 3, separately. Ms. Hutcheson, CCSM 1, and CCSM 2 all said the bottles are labeled every day. If parents bring in bottles that are not labeled, the child care staff members label the bottles. CCSM 3 said most parents label the bottles with tape or a band with the child’s name. If a bottle comes in without a label, they don’t label the bottle. CCSM 3 said they place a color band on the bottle; there’s no name on the color band. CCSM 3 said the bottle is then placed in a container in the refrigerator. The container has the child’s name. Ms. Hutcheson, CCSM 1, CCSM 2, and CCSM 3 all denied that any of the children were given wrong bottles. I provided technical assistance and reminded Ms. Hutcheson, CCSM 1, CCSM 2, and CCSM 3 that the children’s bottles should have the child’s first and last name and the date. On August 31, 2023, I completed an unannounced on-site inspection. I inspected the infant classroom and noted that all the children’s bottles were labeled with the child’s first and last name and the date. 20

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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. 19

The toys are cleaned daily using the three-step process which includes washing with soapy water, rinsing with water, and sanitizing with bleach mixed solution. The toys are left out overnight to air dry. Lysol is used on bigger bins and furniture.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8340 · R 400.8340 Food services and nutrition; provided by parents. (3) Breast milk, formula, milk, other beverages, and food furnished in a same-day supply must be covered and labeled with the child's first and last name and the date.

In the infant classroom, the bottles were labeled with the children’s first and last names and dated on August 9, 2023 and August 31, 2023.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.