CT DBA Gilden Woods Caledonia

R 400.8161(5) · R 400.8161(5) Maintenance of premises. (5) There must be no flaking or deteriorating paint on interior and exterior surfaces or on equipment accessible to children.

There was flaking and deteriorating paint throughout the building.

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R 400.8254(1)(c) · R 400.8254(1)(c) Diapering; toileting (c) Has non-absorbent, smooth, easily cleanable surfaces in good repair.

The diaper changing pads in the Infant 1, Infant 2, Lyric, and Pedal classrooms had tears and were not easily cleanable.

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R 400.8161(1) · R 400.8161(1) 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.

The STEM room located off of the school age classroom was cluttered and being used for storage. This room is approved child care use space and was not currently safe for children to occupy.

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R 400.8222(13) · R 400.8222(13) Capacity; ratio and group size requirements (13) Written approval from the department must be obtained before making any changes in the terms of the license, including, but not limited to, adding use space, changing age groups served, changing program components, changing the capacity of the center, or making changes to a room or well-defined space that will result in a change in capacity of the room or well-defined space. 3 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP 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.

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

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R 400.8254(6) · R 400.8254(6) Diapering; toileting (6) Diapers and training plants must be checked f requently and changed when wet or soiled.

Program staff have been monitoring diaper changes and appropriately recording them.

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R 400.8213(1)(a) · R 400.8213(1)(a) Staff; volunteer (1) All staff and volunteers present at the center shall: (a) Provide appropriate care and supervision o f children at all times.

Child A was provided with appropriate care and supervision on 10/27/2025. Teacher 1 did not yell at Child A and did not slam a door in his face, causing him to fall down.

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R 400.8213(1)(a) · R 400.8213(1)(a) Staff; volunteer (1) All staff and volunteers present at the center shall: (a) Provide appropriate care and supervision o f children at all times.

On 10/8/2025 program staff were providing Child A with appropriate care and supervision when he got a black eye while in care.

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R 400.8213(1)(b) · R 400.8213(1)(b) Staff; volunteer (1) All staff and volunteers present at the center shall: (b) Act in a manner that is conducive to the welfare o f children.

Based on our findings, investigation, and review - which includes considering the investigation and findings of MDHHS -CCLB determines CCSM 1 is conducive to the welfare of children and is eligible to be associated with a child care organization.

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R 400.8263(1)(a) · R 400.8263(1)(a) Child accidents and incidents; child and staff illness (1) A center shall develop and implement a written plan for how and when a parent is notified if program staff or volunteers observe any of the following: (a) Changes in a child's health.

The program staff followed protocol for infectious disease management and kept ill children isolated from others.

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R 400.8263(1)(c) · R 400.8263(1)(c) Child accidents and incidents; child and staff illness (1) A center shall develop and implement a written plan for how and when a parent is notified if program staff or volunteers observe any of the following: (c) A child is too ill to remain in the group.

The program staff kept ill children isolated and sent them home promptly.

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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.

Appropriate care and supervision was provided to Child A while in care at the childcare facility.

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R 400.8125(2) · R 400.8125(2) Staff; volunteer; requirements. All staff and volunteers shall act in a manner that is conducive to the welfare of children.

Based on our findings, investigation, and review - which includes considering the investigation and findings of MDHHS -CCLB determines child care staff members are conducive to the welfare of children and are eligible to be associated with a child care organization.

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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 child care staff members to children, including children related to a staff member or the licensee, must be as shown in Table 4: Age Child Care Staff member to Child Ratio Maximum Group Size a)lnfants and toddlers, 1 to 4 12 birth until 30 months of age

On 01/17/2023, I completed an on-site inspection. I interviewed program director Kami Ashley, Child Care Staff Member 7 (CCSM 7), Child Care Staff Member 8 (CCSM 8), Child Care Staff Member 9 (CCSM 9), Child Care Staff Member 6 (CCSM 6), Child Care Staff Member 1 (CCSM 1), Child Care Staff 2 Member 10 (CCSM 10), Child Care Staff Member 11 (CCSM 11), Child Care Staff Member 12 (CCSM 12), Child Care Staff Member 13 (CCSM 13), Child Care Staff Member 2 (CCSM 2), and Child Care Staff Member 5 (CCSM 5). Ms. Ashley stated that the only time appropriate ratio requirements may be an issue is if the child care staff members fail to communicate to the front desk that they are going to exceed appropriate ratio requirements. She explained that staff are supposed to call the front desk if a child arrives that will cause the room to exceed appropriate ratio requirements. She has worked on adjusting staff schedules appropriately. She held a staff meeting about expectations regarding appropriate ratio requirements. She stated that a staff member walked off the job on 01/10/2023, but she immediately jumped in to ensure appropriate ratio requirements were maintained. CCSM 7 stated that ratio issues can arise pretty quickly, but children are bumped to other classrooms to ensure that appropriate ratio requirements are maintained. CCSM 8 stated that a classroom may have too many children for two to three minutes, but someone always comes to help when they call the front desk. She could not recall which classroom. CCSM 9 stated that staff are supposed to call the front desk if they are about to exceed appropriate ratio requirements. She stated that the only way a classroom has failed to maintain appropriate ratio requirements is if they do not call the front desk for assistance. CCSM 6 stated that meeting appropriate ratio requirements was pretty rough a couple of months ago, but it has gotten much better. She stated that a classroom has only failed to maintain appropriate ratio requirements for two to five minutes to the most since the last investigation. She could not recall which classroom. CCSM 1 stated that children are bumped between classrooms to ensure appropriate ratio requirements are maintained. She stated that a classroom has only failed to maintain appropriate ratio requirements for three minutes to the most before someone steps in to assist. She could not recall which classroom. CCSM 10 stated that children are moved around in the morning to ensure appropriate ratio requirements are maintained. She stated that the administrators have been working hard to ensure appropriate ratios are maintained. She stated that a classroom has only failed to maintain appropriate ratio requirements for two to three minutes to the most before someone steps in to assist. She could not recall which classroom. CCSM 11 stated that the only way a classroom fails to maintain appropriate ratio requirements is if they fail to call the front desk for assistance. She stated that the 3 preschool end of the center has had no issue with maintaining appropriate ratio requirements. CCSM 12 stated that the Faris classroom (toddler) has failed to maintain appropriate ratio requirements at least three to four times. She stated that children are moved around from classroom to classroom in an effort to maintain appropriate ratio requirements, but sometimes there is no where to move a child to, which causes that classroom to be out of compliance with appropriate ratio requirements. CCSM 13 stated that the allegation is true. She described the mornings as being rough and stressful. She stated that two weeks ago there were no staff in the Farris classroom, which resulted in 18 children being in the Lyric classroom until Farris staff arrived at 8am. Additionally, Pedal classroom also failed to maintain appropriate ratio requirements on this day. She stated that failure to maintain appropriate ratio requirements is a daily occurrence at the center. CCSM 2 stated that maintainin

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R 400.8143 · R 400.8143 Children's records. (11) A center shall maintain an accurate record of daily attendance at the center that includes each child's first and last name and each child's arrival and departure time. Electronic records may be used. If electronic attendance records are used, then they must be available to the department at the time of an inspection. If the electronic attendance records are not available during an on-site inspection, then the center is in violation of this rule.

On 01/17/2023, I completed an on-site inspection. I interviewed program director Kami Ashley, CCSM 7, CCSM 8, CCSM 9, CCSM 6, CCSM 1, CCSM 10, CCSM 11, CCSM 12, CCSM 13, CCSM 2, and CCSM 5. Ms. Ashley stated each classroom has a fresh wash water, rinse water, and sanitization buckets every day to clean and sanitize surfaces as necessary. Staff are required to clean and sanitize surfaces and equipment when soiled, at nap time, and at the end of the day. Additionally, staff are required to do a deep clean every three months. Ms. Ashley stated that the center provides each classroom with a daily cleaning checklist and a quarterly deep cleaning checklist. She is not aware of any staff or parent concerns regarding the cleanliness of the building. She has no concerns with the cleanliness of the building. I toured the building and did not observe anything of concern regarding the cleanliness of the building. CCSM 7 stated that all surfaces and equipment are cleaned and sanitized as needed throughout the day and again at the end of the day. She has no concerns with the cleanliness of the building. CCSM 8, CCSM 1, CCSM 10, CCSM 11, CCSM 12, CCSM 2, CCSM 5, and CCSM 6 stated that all surfaces and equipment are cleaned and sanitized daily in each classroom. They have no concerns with the cleanliness of the building. CCSM 9 stated that she cleans and sanitizes surfaces and equipment daily in her classroom, and even more often if an illness is making its way through the center. She has no concerns with the cleanliness of the building. CCSM 13 stated that although closing staff often skip cleaning and sanitizing steps, she ensures that all surfaces and equipment are cleaned and sanitized before the children arrive. 2nd On 04/24/2023, I completed a on-site inspection. I toured the entire center and did not see anything of concern regarding the cleanliness of the building.

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R 400.8110 · 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. 5 r-•. r' i •-a. r •-r. - - r 1 liii] • • r • ~ :] I i :1 '' INVESTIGATION: On 01/17/2023, I completed an on-site inspection. I interviewed program director Kami Ashley, CCSM 7, CCSM 8, CCSM 9, CCSM 6, CCSM 1, CCSM 10, CCSM 11, CCSM 12, CCSM 13, CCSM 2, and CCSM 5. Ms. Ashley stated that she has talked to some staff who have bigger voices to remind them to use appropriate tone and level with the children. She has never heard a staff member yell at any child. She stated that staff are told that they can call for support if they feel like they need a brief break from the classroom. CCSM 7 stated that a few staff members use more than a teacher voice on occasion. She described the tone as more of a scolding tone. CCSM 8 stated that a couple of staff members have raised their voice to the children, but the administrators have addressed the matter and things have improved. CCSM 9 stated that she has only heard staff use a teacher voice that she would not describe as harsh or aggressive. CCSM 6 stated that she has never heard a staff member yell at any child. CCSM 1 stated that there are a few staff members who raise their tone with the children, but the administrators are handling the matter in a private and professional manner. CCSM 10 stated that past employees have yelled at the children, but none of the current staff do. She stated that the administrators address staff if an inappropriate tone is used with the children, and staff hold each other accountable as well. CCSM 11 stated that a couple staff members have been written up for the yelling at the children. CCSM 12 stated that she has heard a few staff members raise their voice to the children. CCSM 13 stated that a couple of staff members have been talked to by administration for talking too loudly to the children. CCSM 2 stated that she has never heard a staff member yell at any child. She has never heard staff use anything more than a teacher voice. CCSM 5 stated that she has heard a couple of staff members yell at the children. She will offer to step in for her coworkers if it seems like they need a break. 7

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R 400.8140 · R 400.8140 Discipline. (1) Positive methods of discipline that encourage self-control, self-direction, self-esteem, and cooperation must be used.

Although some staff members used more than a teacher voice with the children, administrators addressed the matter with the staff members in a timely manner and effectively resolved the issue.

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R 400.8173 · ................... . R 400.8173 Equipment. 1 (4) Play equipment, materials, and furniture, must be all of the following: (b) Safe, clean, and in good repair.

Based on staff interviews and two on-site inspections, the play equipment, materials, and furniture are maintained in a safe and clean manner.

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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 11/01/2022, I interviewed the Complainant by telephone. The Complainant stated that a sensory bin in the Lyric classroom had moldy dried deer corn in it, which was moved to the gym on 10/31/2022. 2 On 11/02/2022, I completed an on-site inspection. I interviewed program director Kami Ashley, Child Care Staff Member 3 (CCSM 3), Child Care Staff Member 5 (CCSM 5), Child Care Staff Member 2 (CCSM 2), Child Care Staff Member 4 (CCSM 4), Child Care Staff Member 6 (CCSM 6), and Child Care Staff Member 1 (CCSM 1). Kami Ashley stated that the sensory bin was used for a family night event that the center hosted on 10/25/2022. She stated that the bin has since been dumped. CCSM 3 stated that the center used the sensory bin for an activity on 10/25/2022. She noticed mold in the bin on 11/01/2022. She noted that the bin was put in the gym. CCSM 5 stated that the sensory bin was in the gym and was never in the Lyric classroom. She stated that the bin was fine last week, but this week it was so stinky that it took her breath away. She stated that there was mold in the bin. CCSM 2 stated that the sensory bin was in the gym and was never in the Lyric classroom. She saw a lot of moldy corn in the bin last week. However, the children did not play in the bin once it became moldy. CCSM 1, CCSM 4 and CCSM 6 stated that they had no knowledge of the sensory bin.

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R 400.8182 · R 400.8182 1 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: (a) For infants and toddlers, birth until 30 months of age, there must be 1 child care staff member for 4 children with a maximum group size of 12.

On 11/01/2022, the complainant stated that over the past two to three months one or two classrooms have not maintained appropriate ratio requirements from 7:30am and 8:30am. She stated that the center does not secure adequate staff ahead of time. She has spoken to program director Kami Ashley about the matter. Kami Ashley advised her that it was being handled. 3 On 11/02/2022, I completed an on-site inspection. I interviewed program director Kami Ashley, Child Care Staff Member 3 (CCSM 3), Child Care Staff Member 5 (CCSM 5), Child Care Staff Member 2 (CCSM 2), Child Care Staff Member 4 (CCSM 4), Child Care Staff Member 6 (CCSM 6), and Child Care Staff Member 1 (CCSM 1). Kami. Ashley stated that the center has been short-staffed lately and the center has failed to maintain appropriate ratio requirements one or two mornings in the toddler classrooms; however, she could not recall which days. She stated that she looks ahead one week to assure there is enough staff for the children scheduled. She noted that call-ins create a staffing issue for the center. She has closed classrooms due to shortage of staff. CCSM 3 stated that the center has failed to maintain appropriate ratio requirements on some mornings in the toddler classrooms, usually between 7:30am and 8:30am. She stated that the center has failed to maintain appropriate ratio requirements at least five times in the last month. The center met ratio requirements this morning because the Lyric classroom was closed. CCSM 5 stated that the center fails to maintain appropriate ratio requirements most mornings in the toddler classrooms, but this morning the Lyric classroom was closed to ensure appropriate ratio requirements were met. She stated that the center has failed to maintain appropriate ratio requirements at least 10 times in the last month. She stated that there have been some mornings when she has had eight toddlers by herself. She described working "out of ratio" as chaotic and stressful for the staff and the children. CCSM 2 stated that the center has more than likely failed to maintain appropriate ratio requirements every morning in the toddler classrooms in the last month. However, the center met ratio requirements this morning. CCSM 4 stated that the center occasionally fails to maintain appropriate ratio requirements in the toddler classrooms, but just in the mornings. She stated that the center has failed to maintain appropriate ratio requirements approximately two days a week for the last month. CCSM 6 stated that the center is getting better at maintaining appropriate ratio requirements. She knows of one time the center failed to maintain appropriate ratio requirements. CCSM 1 stated that her classroom has never failed to maintain appropriate ratio requirements. She had no knowledge of the other classrooms failing to maintain appropriate ratio requirements. On 04/24/2023, I completed a 2nd on-site inspection to check ratio. The center met the appropriate ratio requirements.

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