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 October 12, 2022, licensee designee and program director, Ms. Jacqueline Deconick, called and self-reported an incident that occurred on October 11, 2022. According to Ms. Deconick, a child care staff member dropped Child A (female, 6 months old). Child A landed on the floor on her head and back. Child A had a "blow out" and her diaper and clothes needed to be changed. Child care staff member, Ms. Kaitlynn McMichael, changed Child A's diaper. Ms. Deconick said Child A was wearing nothing but a diaper when Ms. McMichael went to put Child A's dirty clothes in Child A's bag. Ms. McMichael had Child A in one arm and the clothes in the other arm. Child A flipped out of Ms. McMichael's arm and fell on to the floor. Ms. Deconick believes Child A fell about 3 feet from the floor. The 1/2 floor is not carpeted. Ms. Deconick said the incident occurred during pick up time. Child A's Father happened to arrive at the center within a couple minutes shortly after the incident. Child A's Father stayed at the center with Child A for 20 to 25 minutes; he monitored and fed her a bottle before leaving the center. Child A's Father tried calling the pediatrician's office but was unsuccessful, so he took Child A to the emergency room. Ms. Deconick was not present at the child care center when the incident occurred. However, there are cameras in the classroom and the incident was recorded. Ms. Deconick said she met with Child A's Mother and Child A's Father this morning. They discussed the corrective action plan and what will happen next to ensure that it doesn't happen again. On October 12, 2022, I received an incident report from Ms. Deconick. On October 13, 2022, I completed an unannounced on-site inspection. I interviewed Ms. Deconick, and child care staff members, Ms. Taylor Hull, Ms. Rebecca Taylor, Ms. Janeen Geisler and Ms. Cheryl Simek, separately. Ms. Kaitlynn McMichael and Ms. Elizabeth Wilkinson were absent. Ms. Hull is the assistant director. She was not present at the child care center when the incident occurred. She was coming back to the center to attend a staff meeting scheduled later that evening. Ms. Taylor said she, Ms. Simek, Ms. Wilkinson, Ms. McMichael were in the classroom with six children. She was off the clock but had stayed at the center because they had a staff meeting later that evening. She was helping out in the Infant Classroom. Ms. Taylor said she was sitting in the rocking chair on the 611 W. OTTAWA. P.O. BOX 30664. LANSING, MICHIGAN 48909 www.michigan.gov/lara . 517-335-1980 opposite side of the room when she heard Ms. McMichael say she dropped Child A. Ms. McMichael and Child A were both crying. Ms. Taylor believes Ms. McMichael was holding Child A in her left arm and a bottle with her right hand. Ms. McMichael was kneeling down to put the bottle in Child A's bag when Child A fell backwards out of Ms. McMichael's arm. Child A's head hit the floor. Ms. Taylor said Ms. Simek took Child A and examined her for any injuries. There were no marks or bruises. Ms. Taylor said Child A's Father arrived within five minutes after the incident occurred. Ms. Geisler said she was in the lobby when Ms. Simek informed her that Ms. McMichael dropped Child A, and Child A landed on her head. Ms. Simek asked her to call Child A's Mother and Child A's Father. Ms. Geisler said Child A's Father arrived at the center as she was about to call him. She informed Child A's Father that there was an accident. Ms. Geisler said Child A's Father went to the Infant Classroom. He held Child A while applying an ice pack to the back of her head. Ms. Geisler said there was a red mark on the back of Child A's head. Ms. Geisler said Child A was due for a bottle, so Child A's Father stayed and fed Child A. Ms. Geisler recommended that he take Child A to the doctor's office. Child A's Father called Child A's Mother to see if they could get a hold of the pediatrician. Ms. Geisler said Child A's Father eventually left and took Child A to the hospital. Ms.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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.

On June 9, 2021, I called and spoke with Child A's Mother. Child A's Mother said Child A (male, 11 months old) suffered three injuries to his head and face. The injuries occurred on June 1 and June 3, 2021, in the Infant Classroom. Child A's Mother said on June 1, 2021, she picked up Child A from the child care center. When she arrived home, she noticed red marks on Child A's head. The marks were located in the middle of his head, approximately two centimeters from the soft spot. Child A's Mother said she sent an email to child care staff member, Ms. Katelyn Stempak. Ms. Stempak responded and said she did not know how Child A obtained the injury. Ms. Stempak contacted the other caregivers and no one knew what happened. Child A's Mother said she was upset; however, she understood that accidents could happen especially with Child A starting to walk. Child A's Mother said on June 3, 2021, Child A suffered an injury by his eye and a head injury. Child A's Mother did not know of the injuries until she arrived at the child care center. She was informed that Child A was excited and crawled towards a bin of toys. He did a belly flop and hit the bin, causing it to flip. The edge of the bin hit Child A by his left eye. Child A had a black eye. Later that day, Child A was playing with a toy and fell backward. He suffered an indentation on the back of his head, no open wound. Child A's Mother said she went to the center on June 8, 2021. The program director was not at the center so she spoke with Ms. Rachelle Terrana, assistant director. Child A's Mother withdrew Child A from the center and received a refund. Ms. Terrana reviewed the video footage from June 1, 2021. Ms. Terrana did not see any incidents involving Child A. Child A's Mother said Ms. Terrana also reviewed video footage from June 3, 2021. Ms. Terrana said the child care staff members' account of the accidents match with the film footage. Child A suffered a head and eye injury during play time. On June 10, 2021, I completed an unannounced on-site inspection. I interviewed child care staff members, Ms. Rachelle Terrana, Ms. Katelyn Stempak, Ms. Clarissa Leahu, Ms. Janeen Geisler, Ms. Hunter Dumas, and Ms. Olivia Cisman, separately. Program director and licensee designee, Ms. Jacqueline Creighton, and child care staff member, Ms. Stacey Roose, were not present during the inspection. Ms. Terrana said she is aware of two accidents; both injuries occurred on June 3, 2021. Ms. Terrana did not see Child A's injuries but she read the boo-boo reports. The boo-boo reports are documents used by the child care center to report accidents to parents. Ms. Terrana reviewed the video footage and confirms that Child A crawled to a sensory bin and flipped it. The bin hit Child A by his left eye. There was also video footage of Child A playing with a toy and falling backward. Child A hit the back of his head on the floor. 4 Ms. Terrana is unaware that Child A had any head injuries on June 1, 2021. She did not know when Child A was injured so she reviewed the whole video footage for June 1, 2021. Child A arrived at the center at 11:30 A.M. and was picked up at 5:30 P.M. Ms. Terrana did not see any accidents involving Child A. Child A played and did not cry the whole time he was at the center. I interviewed Ms. Stempak who is the lead caregiver in the Infant Classroom. Ms. Stempak said she received an email from Child A's Mother at 10:30 P.M. on June 1, 2021. Child A's Mother sent two pictures of Child A's head. She wanted to know what happened to Child A's head. Ms. Stempak said she contacted Ms. Leahu, Ms. Dumas and Ms. Geisler who all said they did not see Child A get hurt. Ms. Stempak informed Child A's Mother that she nor any of the caregivers saw Child A fall or get injured. They did not know how Child A suffered a bump on his head. Ms. Stempak said on June 1, 2021, Child A arrived between 11:00 A.M. and 12:00 P.M. and was picked up at 5:00 P.M. Ms. Stempak was in the classroom until 3:00 P.M

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8146 · 1 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: (a) Food intake time, type of food, and amount eaten.

On September 11, 2020, I called and spoke with Ms. Creighton. Ms. Creighton said the child care center recently changed from Kaymbu Daily Note to Pro Care application at the end of August 2020. The application is used to 2 document when a child eats, sleeps and when a diaper is changed. Ms. Creighton said they realized there were glitches with the Daily Note application. For example, during a feeding, one child care staff member logs into the application and records that a bottle is being warmed up. Another child care staff member takes the bottle and feeds the child. The second child care staff member logs in and records the feeding. The application counted the one feeding as two bottles. Ms. Creighton said Child A's Mother disenrolled Child A (female, 4 months old); Child A is no longer at the child care center due to this issue. On September 14, 2020, I completed an unannounced on-site inspection. I interviewed child care staff members, Ms. Stempek, Ms. Janeen Geisler, Ms. Hunter Dumas, Ms. Mayson Lupro and Ms. Megan Maynes, separately. Program director and licensee designee, Ms. Creighton and child care staff member, Ms. Clarissa Leahu, were not present at the center. Ms. Stempek said in August 2020, Child A's Mother was upset because the Kaymbu Daily Note did not match the amount of milk being fed to Child A. Child A has four bottles of breast milk. Kaymbu Daily Note indicated that Child A was fed four bottles but there was one full bottle left in Child A's bag at the end of the day. Child A's Mother was upset and met with Ms. Creighton. Ms. Stempek, Ms. Dumas and Ms. Geisler all said they realized that the application was recording the feedings incorrectly. Sometimes one person will warm the bottle and another person will feed the child. If both child care staff members logs it in the application it looks like the child is being fed twice. On September 15, 2020, I called and spoke with Ms. Leahu who said sometimes it gets busy in the classroom, so they'll help each other with warming bottles and feedings. She is only aware of one incident when a bottle was entered twice in the application by two different child care staff members. It appeared that the child was fed twice. On September 17, 2020, I called and spoke with Child A's Mother who said there has been a couple of incidents since Child A's enrollment at the child care center in July 2020. The first incident occurred at the beginning of August 2020. The daily record did not match with the amount of milk consumed. Child A has four bottles. The record showed Child A was fed four bottles but there was one full bottle of milk left in the bag. She did not bring this up to Ms. Creighton. This happened again on August 25, 2020. This time she spoke with Ms. Creighton to inform her of the discrepancy. According to Child A's Mother, Ms. Creighton told her that the application had technical issues and was logging in the warming bottle and feeding twice. The center recently transitioned to a different application. On September 28, 2020, I completed a telephone exit conference with Ms. Creighton. 3

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

R 400.8340 · R 400.8340 Food services and nutrition; provided by parents. (9) Beverages and food must be fed only to the child for whom the item is labeled.

On September 10, 2020, program director and licensee designee, Ms. Jacqueline Creighton, called and reported an incident. Ms. Creighton said child care staff member, Ms. Katelynn Stempek, gave the wrong bottle to Child B (male, 7 months old). The bottle was filled with breastmilk. As soon as the nipple touched Child B's lips, Ms. Stempek realized it was the wrong bottle. She gave Child A's bottle to Child B. Ms. Creighton said Ms. Stempek immediately informed her of the incident. Ms. Creighton said even though Child B did not ingest any breastmilk, she called and informed Child A and Child B's families about the incident. According to Ms. Creighton, both families appeared to be fine. This occurred on September 1, 2020. Ms. Creighton said another incident occurred on Tuesday, September 8, 2020. The wrong bottle was sent home with Child A. After she spoke with the child care staff members in the Infant Classroom, Ms. Creighton determined that the bottle belonged to Child A and the lid belonged to Child B. Child A's Mother is concerned that Child A was fed the wrong bottle. On September 11, 2020, the department received a complaint. On September 11, 2020, the department received an incident report from Ms. Creighton. According to the incident report, Ms. Creighton had a meeting with Child A's Mother. Child A's Mother believes Child A may have been fed the wrong bottle. On September 8, 2020, a bottle was sent home with Child A. The bottle did not belong to Child A. Ms. Creighton spoke with the Infant Classroom child care staff members and believes that it was the correct bottle but the wrong lid. The bottle belonged to Child A and the lid belonged to Child B. Child B's Mother received all the correct labeled bottles but was missing a lid. The infant classroom child care staff members believes it was a mix up that occurred at the end of the day. In addition to the incident that occurred on September 8, there was a prior incident on September 1, 2020. In the infant classroom, Ms. Stempek was feeding Child B when she realized she had Child A's bottle in her hand. Child A and Child B have the same bottles; both bottles are labeled. It is believed Child B did not ingest any of the breastmilk. Child A's Mother believes with all of the recent mix ups, Child A was fed the wrong bottle. On September 11, 2020, I called and spoke with Ms. Creighton. Ms. Creighton said due to the incident from September 8, 2020, with the bottle and lid that were sent home with Child A, Child A's Mother is assuming Child A was fed from the wrong 5 bottle. Ms. Creighton said the bottle belongs to Child A but the lid belonged to Child B. She does not believe Child A was fed the wrong bottle. According to Ms. Creighton, Child A's Mother disenrolled Child A. Child A is no longer at the child care center. On September 14, 2020, I completed an unannounced on-site inspection. I interviewed child care staff members, Ms. Stempek, Ms. Janeen Geisler, Ms. Hunter Dumas, Ms. Mayson Lupro and Ms. Megan Maynes, separately. Program director and licensee designee, Ms. Creighton and child care staff member, Ms. Clarissa Leahu, were not present at the center. Ms. Stempek is the lead caregiver in the infant classroom for the past two months. She said Child A has four bottles, all breast milk. Child B has four bottles, two breast milk and two formulas. Child A and Child B both have the same 4-ounce bottles, same color and same brand. Child A's bottles are labeled with her name on a white label; the lid is not labeled. Child B's bottles and lids are labeled with his name with animal stickers. Ms. Stempek said on September 1, 2020, she was in the infant classroom with Ms. Leahu. The incident occurred between 10:30 A.M. and 11:00 A.M. She gave Child B the wrong bottle. She noticed that Child B wasn't drinking the breastmilk. She realized it was Child A's bottle and immediately took the bottle away. The incident occurred within seconds. She does not believe Child B ingested any breast