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R 400.8216(3)(h) · 7 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP R 400.8216(3)(h) Orientation (h) The prevention and control of infectious diseases, including immunizations.

Two of thirteen staff members did not complete prevention/control of infectious diseases including immunizations.

R 400.8216(6)(a) · R 400.8216(6)(a) Orientation (a) Administration of medication.

Two of thirteen staff members did not complete Health and Safety Training - 90 Days: Medication administration.

R 400.8134(17)(b) · R 400.8134(17)(b) Sleeping equipment. 4 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP (b) Bedding must not come in contact with other bedding.

In the infant room, I observed two children's bedding piled on top of each other in a crib.

R 400.8213(1)(d)(i) · R 400.8213(1)(d)(i) Staff; volunteer (i) The individual is aware that abuse and neglect of children is against the law.

One of thirteen staff member files did not have a signed and dated abuse and neglect statement: Child abuse is against the law.

R 400.8213(1)(d)(ii) · R 400.8213(1)(d)(ii) Staff; volunteer (ii) The individual is informed of the center’s policies on child abuse and neglect. 5 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP

One of thirteen staff member files did not have a signed and dated abuse and neglect statement: Informed of center's policies on child abuse and neglect.

R 400.8213(1)(d)(iii) · R 400.8213(1)(d)(iii) Staff; volunteer (iii) The individual knows they are mandated reporters of child abuse and child neglect and are required by law to immediately report suspected abuse and neglect to the department of health and human services, children’s protective services, as described in subdivision (c) of this subrule.

One of thirteen staff member files did not have a signed and dated abuse and neglect statement: Mandated reporting requirements.

R 400.8216(2)(c) · R 400.8216(2)(c) Orientation (c) The prevention of abusive head trauma.

Two of thirteen staff members did not complete the prevention of abusive head trauma prior to caring for children.

R 400.8216(2)(d) · R 400.8216(2)(d) Orientation (d) The prevention of child maltreatment.

Two of thirteen staff members did not complete the prevention of child maltreatment prior to caring for children.

R 400.8216(2)(e) · R 400.8216(2)(e) Orientation (e) The recognition and reporting of child abuse and neglect.

Two of thirteen staff members did not complete recognition/reporting of child abuse/neglect prior to caring for children.

R 400.8216(6)(b) · R 400.8216(6)(b) Orientation (b) Prevention of and response to emergencies due to food and allergic reactions as provided in R 400.8269a. 8 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP

Two of thirteen staff members did not complete Health and Safety Training - 90 Days: Prevent/respond food/allergic reactions.

R 400.8216(6)(c) · R 400.8216(6)(c) Orientation (c) Building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic.

Two of thirteen staff members did not complete Health and Safety Training - 90 Days: Building/physical premises safety.

R 400.8216(6)(d) · R 400.8216(6)(d) Orientation (d) Handling and storage of hazardous materials and appropriate disposal of biocontaminants.

Two of thirteen staff members did not complete Health and Safety Training - 90 Days: Hazardous material handle/storage, bio-contaminant disposal.

R 400.8216(6)(f) · R 400.8216(6)(f) Orientation (f) Child development including the major domains of cognitive, social, emotional, physical development, and approaches to learning as provided in R 400.8271.

Two of thirteen staff members did not complete Health and Safety Training - 90 Days: Child development.

R 400.8216(6)(g) · R 400.8216(6)(g) Orientation (g) Pediatric first aid and pediatric, infant, child, and adult cardiopulmonary resuscitation (CPR) training.

Two of thirteen staff members did not complete Health and Safety Training - 90 Days: CPR/First Aid training.

R 400.8216a(13) · R 400.8216a(13) Professional development requirements (13) When the department publishes a notice that a new health and safety update document or a new health and safety update training activity is published on MiRegistry, the licensee 10 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP shall ensure that all identified staff or volunteers in the notice read and acknowledge the document or complete the activity within the timeframe indicated in the notice.

Three of thirteen staff members did not complete the health and safety update from 2024.

R 400.8137(3) · R 400.8137(3) Telephone service. (3) Emergency phone numbers, including 911, fire, police, Michigan Mental Health Hotline (866-903-3783), and the poison control center, and the facility's physical address and 2 main cross streets, must be conspicuously posted in a place visible to staff. For outdoor nature-based centers, emergency phone numbers including, 911, fire, police, and the poison control center, and the emergency location for emergency medical services to arrive must be available to all staff at all times while in operation and caring for children. Technical Assistance Technical assistance is support and training given to the licensee/licensee designee on a specific rule. Technical assistance includes consultation on how the facility can best maintain compliance with a rule.

R 400.8201(2)(a) · R 400.8201(2)(a) Comprehensive background check; fingerprinting. (2) An applicant or licensee shall do all of the following: (a) Ensure that each individual who requires an eligibility determination completes, signs, and submits all of 11 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP the information required in subrule (5) of this rule, and in subrule (6) of this rule if applicable, on a form prescribed by the department. Technical Assistance Technical assistance is support and training given to the licensee/licensee designee on a specific rule. Technical assistance includes consultation on how the facility can best maintain compliance with a rule.

R 400.8251(2)(b) · R 400.8251(2)(b) Handwashing (2) Program staff and volunteers shall ensure that children wash their hands at all of the following times: (b) After toileting or diapering. Technical Assistance Technical assistance is support and training given to the licensee/licensee designee on a specific rule. Technical assistance includes consultation on how the facility can best maintain compliance with a rule.

R 400.8254(1)(c) · R 400.8254(1)(c) Diapering; toileting (1) Except as provided in subrule (2) of this rule, diapering must occur in a designated diapering area that complies with all of the following: (c) Has non-absorbent, smooth, easily cleanable surfaces in good repair. Technical Assistance Technical assistance is support and training given to the licensee/licensee designee on a specific rule. Technical assistance includes consultation on how the facility can best maintain compliance with a rule.

R 400.8260(3) · R 400.8260(3) Medication; administrative procedures (3) All medication must be in its original container, stored according to instructions, and clearly labeled for a named child, including all nonprescription topical medications described in subrule (8) of this rule. 12 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP Bureau