KinderCare Learning Center

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.

LT and Teacher 1 did not provide appropriate supervision when Child B pushed Child A and Child A hit his head on a table resulting in a laceration above his eyebrow requiring four stitches.

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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.

Appropriate care and supervision were not provided for Child A and Child B. Both children were seriously injured while at the center.

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R 400.8266(4) · R 400.8266(4) Incident, accident, injury, illness, death, fire reporting (4) A licensee, licensee designee, or program administrator 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 i n care.

Child B was injured at the center on 8/11/2025, requiring medical treatment. Program Administrator 1 did not notify the department of the injury within 24 hours.

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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 02/07/2023 the complaint was assigned for investigation, and I completed a file review as there was an investigation with allegations against an unnamed perpetrator that was completed by child care licensing consultant Samantha Struppa. I reviewed the special investigation report 2022DO614002 dated 04/09/2022. Ms. Struppa cited the center for R400.8125(1) due to findings that CCSM 1 did*not prroovvii.ddpee~ appropriate care and supervision to children when he ild A's of Child Ras not een working at e center since November er the complaint, Child L has not been enrolled at the center since November 2021. Child L was interviewed by Ms. Struppa and on 02/1412022; she made no disclosure regarding SM 1. During the investigation, CCSM 1 denied the4aega ion was Prue. declined to answer follow up questions through his attorney and invoked his right to remain silent. Child L's parents shared a when Child L was attending the center, she was one of the last children picked up. They would see children in blind spots in the classroom and the center's cameras were constantly not working. Child L would sometimes be happy and sometimes upset when they picked her up from the center and she would tell them about her feelings. They described Child L as a visual child and that she sees something that triggers her. She has been referring to the as an boy. Child L has also been putting her an saying that it is a "mermaid thing." They said she has not been at the center since November 2021. During the forensic interview, Child L stated that She did not remember his name but remembered that he was She said that she could tell that by his size. She said that she was at the library picking out a book when the " . She said that the library was across from the swimming pool. She named a child that saw this happen and said that the boy had to owe recess. She named a teacher that she talked to about After the interview, we spoke with Child L's Mother and Child L's Father again. They did not know anything about a swimming pool or what location she may be referring to. She has said something about the library before. They did not recognize the names of the child or teacher that Child L named. On 031021202 and I completed an unannounced on-site reported at e"acontact with CCSM I briefly at his place of ienmsplpoyemcetnito ann.~ ked him to call him to schedule a time for us to interview him. 3 At the center and I interviewed program director Mimi Tribble. She explained that she was just starting as the director of the center when the previous investigation with CCSM 1 was being investigated. She has never met or talked with CCSM 1. and I interviewed CCSM 2 who said that CCSM 1 was "a really nice guy" and didnot talk to anybody, got his classroom together and helped out with breaks and supplies. She said that he was very nice to the children, and she recalled that he would sit and read books to the children. She described that he had appropriate interactions with the children. She said that children would sit on his lap during group time. She had no concerns about him. and I interviewed CCSM 3 who said that CCSM 1 only worked by himself for short periods of time. He did not change children's diapers. She said that there were two other males CCSMs that worked at the center during that time. CCSM 3 said that CCSM 1 closed and would be in the "big room" with the children. She said that he worked with multiple ages groups at the end of the day and sometimes was by himself then. She said that the last field trip the center took was in 2019 and it was only school age children. and I interviewed CCSM 4 who worked with CCSM 1 when he came in her classroom to cover breaks. She said that he was "fanfrickentastic" and she enjoyed working with him. She said that he played with blocks, pretended to play drums and the children loved him and loved playing with him. There was nothing even remotely negative about him. She said that children would sit in his lap when reading

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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 01/18112023, and I completed an unannounced on-site ins ction. eRin erviewe who reported that she is the lead caregiver in the Toddler 2 classroom and is the third person in charge at the center. She was on vacation on 01/06/2023 and heard about it when she returned on the 01112/2023. She had no first-hand information regarding the investigation. She said that on 01/12/2023, Child A's Mother asked her for gauze but did not say what for. Later, CCSM 6 told her that Child A had blisters on his hand. The only heating source in the Infant 1 classroom is a bottle warmer that is kept on the counter, and it is never moved. and I interviewed CCSM 2 who is an assistant in the Infant 1 classroom which is Child A's classroom. She said that when she arrived to work around 8:45 AM, CCSM 3 pointed out the injury on Child A's fingers and said that it looked like a bum to her. CCSM 3 told her that she had asked Child A's Mother what happened, and that Child A's Mother sounded surprised and said she did not know how it happened. Child A's Mother returned to the classroom, and she then asked her if she was going to take Child A to urgent care. Child A's Mother then left with him and 1st told her later that they said Child A had a degree burn. On 01/1202023, CCSM 2 noticed the burn looked worse and infected. She asked Child A's Mother if she could message the doctor about it. Child A's Mother told her later that the doctor wanted to see Child A the next day. On 01/13/2023, Child A's Mother told her that she had taken Child A to the doctor, and they said it was a 1s t degree bum. Child A's Mother told her that she did not know what happened to Child A. CCSM 2 asked her if happened when Child A was with his dad, and she said no. CCSM 3 who was also 3 present, then said to Child A's Mother that she had told her on 01/06/2023 that she had given him to his dad at the advice of her friend that morning and that it started a fight between them. Child A's Mother had previously told them that she had to place Child A on Child A's Father when she needed him to hold Child A and that Child A's Father does not help her with Child A. CCSM 2 said that she talked to Child A's Mother about the difference between it being an accident and now knowing what happened. Child A's Mother was upset and crying about taking him to the doctor and said that she had to go home and get Child A's Father out of her house. CCSM 2 said that she thinks she was crying about Child A's Father and not that Child A had gotten injured. CCSM 2 said that Child A's Mother said it may have been caused by her heating register; CCSM 2 lives in the same apartments, the register is on the floor and Child A's Mother's bed is pushed up against the wall. CCSM 2 stated the bottle warmer is the only things that gets hot in the classroom, it is kept on the counter and never moved. Child A did not have the injury on the 5th. It was very noticeable so they would have documented it if he had. Child A can roll both ways but is not mobile. and I interviewed CCSM 3 who reported that she is the lead caregiver "te Infant 1 classroom. On 01/06/2023, she started working at 6:15 AM and had two infants by herself until around 8:00 AM when Child A's Mother brought Child A in. Child A's Mother was washing Child A's bottles and talking about how she was frustrated with Child A's Father when Child A began crying. CCSM 3 said she went over to Child A who was still in his car seat to put his pacifier in his mouth. Child A 4th 51h put his hand up by his face and she saw what looked like blisters on the and fingers of his right hand. CCSM 3 said that she stated, "oh my god, what happened to his hand." Child A's Mother responded, "what do you mean" and came over to look at his hand, gasped, said that she had not noticed it and had clipped his fingernails the night before. CCSM 3 said that she told Child A's Mother that it looked like a burn blister and Child A's Mother told her that it was not there the previous night.

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R 400.8143 · R 400.8143 Children's records. (1) At the time of a child's initial attendance, a center shall obtain a child information card, using a form provided by the department or a comparable substitute, that is completed and signed by the child's parent. The center shall keep it on file and accessible in the center.

The center did not obtain a child information card for Child A at the time of Child A's initial attendance.

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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 05/18/2022 interim program director Mimi Tribble, sent licensing consultant, Stacia Thrower an incident report. The incident report outlined an incident that occurred on 05/17/2022 where Child A was left outside during the transition into the classroom from the playground. The report stated that once the door to outside closed, child care staff member (CCSM) Renee Diedering noticed Child A and immediately brought him inside. On 05/20/2022 I completed an unannounced onsite inspection at the facility and spoke to the interim program director Mimi Tribble and CCSM's Renee Diedering and Sarah Ellsworth. Ms. Tribble identified the incident occurred in the Pre-K 1 classroom which is made up of 3- and 4-year-old children. She was unable to give me an exact time Child A was left unsupervised outside. She looked at her records and the centers internal incident investigation form, but an exact time Child A was left unattended was not documented. 2 I spoke to Ms. Diedering who works as the lead caregiver in the Pre K 1 classroom. She identified there were 20 children and 2 CCSM's present on 05/17/2022 and they went outside to the playground around 9:00am. She estimated they were on the playground for close to an hour and came in around 10:00am. Ms. Diedering was not sure of the exact time the children returned into the classroom and stated it varies daily. She explained that the door to her classroom is on the opposite side of the building from the playground. The class goes through two gates and around two corners to get to the playground. Ms. Diedering stated the class was on the playground for approximately 45 minutes before transitioning back inside. She had the children line up near the gate on the playground. She completed a name to face check of the children to ensure she had everyone. She opened the gate and went around the first corner. Once around the first corner she did another head count. She identified two children were running around so she took one child and the other CCSM, Ms. Ellsworth, took the other child. The class went around the second corner. Another count was completed, and all the children were present. Ms. Diedering had the children go through the second gate and had them line up against the wall to complete a name to face as they entered the classroom. She thought all the children were present and in the classroom. When the children enter the classroom, she attempts to have them enter one at a time but sometimes they group up and go in together. She closed the door and once she turned around, she saw Child A standing near the window outside. She estimated that Child A was outside for approximately one minute unattended. I spoke to CCSM Sarah Ellsworth. She works as the assistant in the Pre K 1 classroom. She identified that she and Ms. Diedering were attempting to get the children inside from the playground. One child was running around and didn't want to line up, so she stood next to him. Ms. Diedering completed a name to face check and they started walking back to the classroom. They went around the first corner, stopped, did name to face again and everyone was present. The class went around the second corner, and everyone was still in the same line. Ms. Ellsworth explained she was still maintaining supervision of the one child who was having a difficult time staying in line. The children lined up against the wall and Ms. Diedering completed a name to face check again as the children entered the classroom one at a time. When the children entered the classroom, they washed their hands and sat down for snack. Ms. Ellsworth recalled getting down bowls from the cupboard and passing out snack while Child A was still outside. She recalled some children still eating snack and others were done and in the classroom playing when a child at the table saw Child A outside of the window and brought this to everyone's attention. Ms. Diedering opened the door and let Child A inside. It was reported that Child A was upset

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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 11/04/2021 I made an unannounced visit to the center and spoke with program director, Cassandra Chartier. Ms. Chartier stated there is only one male employee named CCSM1 working at the center. CCSM1 works in the school age classroom, ages range from 5 to 12 years. She explained the school aged children are here for before and after school only. Throughout the day, CCSM1 will help relieve other staff members for breaks in all of the other classrooms, but he typically does not assist in the infant classroom. CCSM1 helps in the toddler, discovery preschool and pre-k classrooms. The toddler classrooms have age ranges from 1 to 2 years between Toddler room 1 and Toddler room 2. 1/2 Discovery preschool has age ranges from 2 to 3 or until toilet trained. Preschool 1/2 age ranges from 3 to 4 and pre-k age ranges from 4 to 5. The allegations were discussed with Ms. Chartier as well as an explanation of the high-risk notification requirement. She stated these allegations are new and no one has reported concerns of this nature before. When asked about possibly other male employees, she explained there is a gentleman that teaches soccer to the children once a week, Seth Levy, every Thursday for 30 minutes. The results of his background check have not come back yet, but he is supervision only. Mr. Levy has out of state background checks that need additional information, and this process can take longer. She explained Mr. Levy does not help with the children's care and is not present for nap time as he only stays at the center for roughly 30-45 minutes to teach soccer. Ms. Chartier explained some classrooms are closed on different days due to lack of staffing and to ensure staff to child ratio requirements are met. She stated she has ongoing staffing issues that result in roughly 2 to 3 classrooms needing to close every day. This has been occurring since the third week of September 2021. Currently, two additional staff members put in their notice of resignation as well. Ms. Chartier explained CCSM1 has dark hair, and he has been working at the center since 2018. She stated she has no concerns regarding CCSM1 Ms. Chartier stated the only classroom CCSM1 would be alone in, would be the school age classroom and sometimes pre-k, but he is never alone in a classroom where diapering is needed. CCSM1 typically arrives at the center at 7:30AM in the Varsity Classroom (the school age room) until roughly 8:30AM when he takes them to the bus. 7 Afterwards CCSM1 will sometimes go in the kitchen for support and will begin covering for breaks around 10:00AM. CCSM1 is present at the center Monday through Friday 7:30AM until 5:OOPM-6:OOPM. Ms. Chartier stated she is familiar with Child A who attended the discovery preschool classroom. She stated this is not a classroom CCSM1 would be alone in because children are still in diapers. She explained this is best practice for the center for males as there was once a parent questioning why a male staff member would be present in discovery preschool because of diaper changes. She explained if there was an emergency, CCSM1 would complete diaper changes, but it would be supervised. Best practice for the center is to not allow males to do diaper changes. The preschool lead would either be CCSM8 or CCSM5. When discovery preschool is open, preschool is closed so the preschool lead with go into discovery preschool so there is an active lead in that classroom. Ms. Chartier explained if ratio dropped and staff members were moving around, it could be possible for CCSM1 to be alone in the discovery preschool classroom, but not likely. Ms. Chartier explained she was advised Child A would no longer be attending the center because of the staffing issues. She was not aware of any* ina ropriate touching allegations. She began working at this center in and has never had allegations of this nature. She explained nap time is typica een noon and 2:OOPM-2:30PM. The children will wake up on their own, but CCSM1 is not typically alo

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MCL 722.115m Child care center, group child care home, or family child care home; requirements for licensure. (2) ... If the department determines that a service, facility, applicant, licensee, child care staff member, or member of the household is not conducive to the welfare of the children, the department shall deny that application or revoke that licensee's license according to section 11.

CCSM1 is not conducive to the welfare of children as he inappropriately touched Child A's private body and proceeded to engage in "comfy touches" to private areas of Child J. ..........

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MCL 722.115q Child care center, group child care home, or family child care home; contact with child by licensee, child care staff member, or household adult member prohibited; conditions. (1) Except as provided in section 5n(8), a licensee, child care staff member, or adult member of the household may not have contact with a child who is in the care of a child care center, group child care home, or family child care home, until the department obtains documentation from the department of health and human services that he or she has not been named in a central registry case as the perpetrator of child abuse or child neglect. Upon request by the department, the licensee, child care staff member, or adult member of the household shall provide the department with an updated authorization for a central registry clearance. If a central registry clearance documents that a licensee, child care staff member, or adult member of the household is named in a central registry case as 27 a perpetrator of child abuse or child neglect, he or she is ineligible to receive a license to operate a child care center, group child care home, or family child care home, be an adult member of the household, or be a child care staff member.

CCSM1 is not eligible to be a staff member.

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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 7/21/2021, the complainant stated that she was told that staff members are constantly on their phones and do not properly supervise children in care to meet the needs of the children in the classroom. The complainant reported on 7/16/2021, Child A's Father picked Child A up from care and was able to watch the monitor that is located at the entrance in the facility. He watched staff member, Katelynn Miles, forcefully grab Child A out of his crib while he was asleep. The complainant added that Child A did not have any bruises, scratches, or marks from the incident. The complainant stated that Child A no longer attends the center. On 7/21/2021, I completed an unannounced inspection the facility. Upon my arrival I briefly interviewed program director, Cassie Chartier, and explained the allegations. I requested to watch the monitor in the hallway for the infant classroom. Ms. Chartier stated that Katelynn Miles was the only staff member in the classroom, and she was providing care for three infants. Ms. Chartier and I started watching the monitor at 10:10am. Ms. Miles was at the counter with her back to all the children in care. The three children in care were crawling around the classroom. Ms. Miles was working at the counter until 10:39 with her back towards the children not providing supervision. Twice during that 29-minute timeframe, Ms. Miles turned around to see what the infants were doing. At one point she picked up an infant that had crawled to the door and placed the infant on the mat in the room. Twice during that time, Ms. Miles briefly checked her phone. At 10:39am, Ms. Miles sat down with the children in care and engaged with them. Ms. Chartier denied that child care staff members play on their phones. She stated that she was unaware of the alleged incident regarding Ms. Miles forcefully grabbing Child A from his crib. She stated that she is often in the infant room and has never seen Ms. Miles forcefully grab a child. Ms. Chartier agreed that Ms. Miles did not provide proper supervision when she had her back to the children in care for most of the 29 minutes she worked at the counter. During my onsite inspection, I interviewed lead caregiver, Katelynn Miles. When asked about the allegations regarding picking up Child A forcefully out of his crib from a nap, Ms. Miles denied the allegations. She stated that she picked Child A up under his arms out of the crib when his dad came to pick him up. She added that Child A was not crying after she picked him up. Ms. Miles stated that she had her back towards the children in care because she was prepping an art project that she planned on doing with the children this afternoon. She stated that she will work from 7AM-6PM and did not have time to do the lesson prep before the children arrived. Ms. Miles denied playing on her phone while providing care for children, she stated the only time she uses her phone is to change the song that is playing in the classroom. After speaking with Ms. Miles, I spoke to Ms. Chartier again. I asked Ms. Chartier if the lead caregivers get time to prep for their daily lessons. Ms. Chartier stated that they currently do not have time to prep because they are short staffed. Ms. Chartier plans on requesting that lead caregivers each get paid one hour per week to prep for 4 their lesson plans, so it does not distract them from their duties while in the classroom. On 8/10/2021, I spoke to Autumn Campbell. She stated that she never saw Ms. Miles forcefully grab a child or hold them improperly. Ms. Campbell stated that Ms. Miles was never aggressive towards children and has no reason to believe that Ms. Miles would ever hurt a child. Ms. Campbell reported the only time she has ever seen Ms. Miles on her phone is to change a song on the speaker that controls the music in the classroom. On 8/12/2021, I spoke to Child A's Father. Child A's Father reported on 7/16/2021, when he picked up Child A, he was watching the monitor and watched staff member, Kately

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R 400.8137 · R 400.8137 Diapering; toileting. (6) Diapers and training pants must be checked frequently and changed when wet or soiled. I

On 7/21/2021, 1 spoke to the complainant. She stated that Child A started receiving care in November 2020 and "the place has been a mess since he started." The complainant stated that Child A continuously has a red irritated bottom that she can clear up over the weekend when he is not in care, but as soon as the week starts Child A's bottom will get red again. The complainant stated that according to app the center uses, he is being changed every two hours, but questions if they are really being done. She added that she is not sure if staff members are changing him when he soils his diaper and he is sitting in his dirty diaper until the next diaper change. The complainant also stated that since Child A has started care, they have not been able to go into his classroom and speak with his staff members/caregivers and feels that there is a disconnect between staff members and parents. On 7/21/2021 during the onsite investigation, I watched the infant classroom from the monitor in the hallway. At 11:03am, Ms. Miles completed diaper changes. Ms. Chartier reported that all 3 babies were changed around 9am, which aligned with the center's diaper policy. During the diaper changes, I observed that Ms. Miles changed her gloves between each diaper change but did not wash her hands. After watching the monitor, I continued to interview Ms. Chartier. She stated that diaper changes have been getting done every two hours. She had recently met with the staff members reminding them to ensure that children are being changed as needed. Ms. Chartier reported that when she is in the classroom staff members are changing diapers when they are soiled or wet. Ms. Chartier was able to retrieve the previous week's daily sheets for Child A. Based off the daily sheets, diaper changes were completed every two hours. During my onsite inspection, I interviewed lead caregiver, Katelynn Miles. When I read her the allegation, Ms. Miles stated that diapers are being changed every two hours and when children soil their diapers. She stated that during each diaper change she wipes the babies bottoms thoroughly to ensure they are clean before she puts a new diaper on each child. I reminded her to make sure she washes her hands between each diaper change and changing gloves did not prevent germs that could potentially be spread. On 8/10/2021, I spoke with Autumn Campbell. Ms. Campbell denied that children were not being changed regularly or when wet or soiled. Ms. Campbell stated that children are changed every two hours or when needed. She stated the only time they would go over that two-hour threshold is when the child is sleeping. On 8/12/2021, I spoke to Child B's Mother. She stated that she has never noticed any issues with diaper changes. Child B's Mother stated that they had an issue with their App that updates parents on daily diaper changes: it was not working properly about 6 weeks ago. Child B's Mother stated that her child has never had a red bottom or rash that would lead her to believe that diaper changes were not being completed. On 8/12/2021, I spoke to Child C's Mother. She reported that she has never had any issues with her son's diaper changes. Child C's Mother stated that Child C has never had any rashes or redness that would lead her to believe that diaper changes were not being completed. Child C's Mother added that staff members will double check his diaper to ensure he is dry before he leaves for the day. On 8/13/2021, I spoke to staff member, Angie Wilder. Ms. Wilder stated that she helps in the infant room when needed. She stated that infants are to be changed at least every 2 hours or when they soil a diaper. Ms. Wilder reported that when she helps in the classroom, staff follow that schedule and are being changed on time. Ms. Wilder stated that when she helps in the infant room, Ms. Miles changes diapers every 2 hours or when needed. On 8/13/2021, I spoke to staff member, Danielle Mosser. She stated that infants are to be changed at least e

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R 400.8134 · R 400.8134 Hand washing. (2) All staff and volunteers shall wash their hands at all of the following times: (e) After each diapering. I

During my onsite inspection, I observed staff member, Katelynn Miles, not wash her hands between each diaper change.

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R 400.8137 · R 400.8137 Diapering; toileting. (6) Diapers and training pants must be checked frequently and changed when wet or soiled. 4

On 6/29/2021, I competed an unannounced onsite inspection. During my onsite inspection, I interviewed Program Director, Cassandra Chartier. Ms. Chartier reported that she was the program director at the KinderCare in Belmont and transferred to this KinderCare on 6/11/2021. Since her start date on 6/11/2021, she has been back and forth to both facilities to help the new program director at her previous site. Ms. Chartier stated that she is still getting familiar with her new location and the child care staff members. Ms. Chartier stated that Child A's Father called on 6/24/2021 stating that his son's last day was on 6/23/2021 and that he had concerns with his son's diaper changes and he had an infected urethra. Ms. Chartier also provided a letter from Child A's Mother that was dated on 6/18/2021, providing a two week notice that Child A would no longer be attending the facility for care. Ms. Chartier reported that KinderCare uses an app that records the times children take naps, get fed and when they have diaper changes. Ms. Chartier printed off Child A's log for 6/21-23/2021. She stated that infants' diapers should be checked and changed every 2 hours or when the diaper is soiled, this is a written policy in the KinderCare handbook provided to staff members. According to KinderCare's written policy, the only times that children will go over the 2 hour mark is when they are asleep. According to Child A's log, on 6/23/2021, Child A had diaper changes at 9:07am, 11:14am, and his last diaper change was at 1:54pm. Child A had bowel movements at 11:14am and 1:54pm. Child A was signed out at 4:00pm for the day. On 6/29/2021, I interviewed lead caregiver, Katelynn Miles. She stated that she has been working at the facility since 2019. Ms. Miles reported that children in care should be changed every 2 hours or when their diaper is soiled. She did not notice any redness when changing Child A. Ms. Miles noted that Child A is a very easy baby and does not cry often. She also added that they were having issues with their iPad and was not always able to update the app, in a timely manner with diaper changes, feeding and napping. On 6/29/2021, I interviewed Autumn Campbell, Child A's primary caregiver. Ms. Campbell stated that she has been working at the facility for a few months. She stated that children are changed every two hours or when they soil a diaper. Ms. Campbell added that if the child is asleep, they will not wake a child up to change their diaper. She stated that she was the one who changed Child A most of the time. She added that she never noticed any redness or diaper rash when she changed him. On 7/01/2021, I spoke to Child A's Mother. She reported that Child A started care on 6/01/2021. Child A's Mother stated she was concerned because the child care staff members in his classroom were not updating the app they use and she was unable to get updates during the day. Child A's Mother stated on 6/22/2021, she 3 was giving Child A a bath and noticed he had a red urethra. She emailed the director and let her know that they would be picking up Child A at 4:00pm on 6/23/2021 because he had a doctor appointment for his red urethra. On 6/23/2021, when she was at the doctor's office, she changed his diaper at approximately 4:30pm, his diaper was wet and there was dried feces on his bottom and the diaper. When she checked the app his last diaper change was at 1:54pm, going over the 2 hour diaper change. Child A's Mother stated that she contacted the program director with her concerns about diaper changes and Child A's feeding schedule. Child A's Mother stated Ms. Chartier apologized and said that she just started at this facility and was going to make changes to ensure that children's needs are being met. Child A's Mother stated that she did not want to wait for changes to be made, she informed Ms. Chartier that Child A would no longer be attending the center for care. On 8/12/2021, I spoke to Child B's Mother. She stated that she has n

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R 400.8330 · R 400.8330 Food services and nutrition generally. (7) Infants and toddlers shall be fed on demand.

Ms. Chartier stated when children are dropped off by their parents, staff members ask parents when their child last ate, they write it down on the white board located in the classroom, then staff members feed each child according to the feeding form their parents fill out. Ms. Chartier stated that infants are fed on demand, which is typically every 2-3 hours. On 6/22/2021, Child A was in care from 7:00am-5:30pm. Child A was fed at 10:18am and 2:12pm, Child A ate 4.5 ounces at each feeding. On 6/23/2021, Child A was in care from 7:30am-4:00pm. Child A was fed on 10:11a m and 1:15pm, Child A ate 4.5 ounces at each feeding. Ms. Miles reported that she believes that Child A should be fed every 4-5 hours based on the feeding form they have on file for him. Ms. Miles noted that Child A is a very easy baby and does not cry often. She also added that they were having issues with their ipad and was not always able to update the app with diaper changes, feeding and napping. Ms. Miles provided the feeding form that Child A's parents filled out, according to the form, Child A should be feed every 3-4 hours or as needed. Autumn Campbell reported that infants are fed according to the feeding form their parent's fill out, or when the infants appear to be hungry. Ms. Campbell stated that they may go over an infant's feeding schedule if the infant is asleep. Angie Wilder reported that infants are feed according to their parent recommendation or when needed. She explained that parents fill out a form of their child's eating routine and that is what the center follows. Ms. Wilder added that they may feed a child sooner if they see cues from the child that they are hungry. Ms. Wilder reported that infants are typically fed every 2-3 hours. Danielle Mosser reported infants are feed according to the child's feeding form that their parents fill out or when they appear to be hungry. Ms. Mosser added that infants may go over their feeding schedule if they are asleep, however they are fed as soon as they wake up. Ms. Mosser stated that infants are typically fed every 2 1/2 to 3 hours. 5 Child A's Mother stated she had concerns because the child care staff members were not feeding him every 3 to 4 hours, they were waiting about 5 hours to feed him. Child A's Mother indicated that during the appointment the doctor said Child A lost about 10% of his BMI. Child A's Mother stated that she contacted the program director, Ms. Chartier and she apologized and stated that she just started at this facility and was going to make changes. Child A's Mother stated that she did not want to wait for changes to be made, she informed Ms. Chartier that Child A would no longer be attending the center for care.

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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 03/31/21 Angie Wilder reported to her assigned licensing consultant that Child A, female age 4, reported that Assariyah Broden, child care staff member, pulled her hair. She sent an incident report following the verbal report. On 04/05/21 I spoke with Child A's Mother and Father by telephone. They explained to me on 03/31/21, Child A, female age 4, said a teacher in her class pulled her hair. She said the teacher, "pulled her ponytail and pushed her and told her to shut up." Child A's Father went to the center the next day and spoke with Angie Wilder, interim director, who told him that child care staff member Assariyah Broden, "had her hand on her (Child A's) head" as she was "acting up in line." Child A's Mother went to the facility later that day and was told Ms. Broden would not be in the classroom with Child A. On 04/05/21 I made telephone contact with the reporting person. The reporting person stated they were in the facility when the incident with Child A took place. They were up at the front of the building and Child A's staff member, Whitney Nichol, brought her to the front stating she was frustrated with Child A and her parents needed to be contacted about her behaviors. The reporting person stated they would sit with Child A, who they then comforted, and while sitting with her Child A said, "Ms. Sari (Assariyah Broden) pulled my hair." Child A said it was not an accident and demonstrated to the reporting person that she grabbed her "puff/ponytail" on the top of her head. The reporting person has worked with Ms. Broden and feels she is "very young and talks to the children mean." She has heard Ms. Broden say things like: "I'm going to fight you" or "don't act like that you're ugly" when interacting with children in the classroom. On 04/06/21 I conducted an unannounced on-site inspection to the facility. I met face to face with Angie Wilder, interim director. She was aware of the reported concern and said Ms. Broden is on administrative leave pending child care licensing's investigation. She said she was on a bus run when the incident took place. She spoke with Ms. Broden after the incident and she told her, "she had her hand on her head and said stop hitting." Child A was acting up in line and thrashing her arms around so Ms. Broden put her hand on her head to control her. She denied she has had any inappropriate behavior from Ms. Broden in the past or heard any inappropriate comments. I then viewed outside the presence of others. explained he is a cook for the facility. He was up front on the date of the incident when Child A was brought to front by a staff member. He said while Child A was being comforted, she said, "Ms. Sari pulled my hair." He asked her some clarifying questions and she said again that Ms. Sari pulled the "puff/ponytail" on the top of her head. 3 I then interviewed Whitney Nichol, lead caregiver, in the Pre-K classroom, outside the presence of others. Ms. Nichol, provided me with a couple of different explanations of what took place, each one differed from the other. She stated she is related to Ms. Broden and denied she pulled Child A's hair. She felt Child A is "very difficult" and there is limited support in managing her behaviors when she is in care. I then interviewed Brandon Wilder, child care staff member, outside the presence of others. He stated he has been working in the Pre-K classroom for the last couple of months. He has worked with Ms. Broden and has had no concerns that she has been physically aggressive with children in care. He has noted she, "sometimes can speak unprofessionally with children." He felt she responds to the children like a kid rather than using professional adult techniques when frustrated or irritated with them. I then interviewed Tess Clifton, child care staff member, outside the presence of others. She explained she has worked with Ms. Broden and brought concerns about her interactions with children to Ms. Wilder as she witnessed her breaking a child's tower

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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.

Positive methods of discipline were not used by Assariyah Broden when responding to Child A's behaviors.

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R 400.8140(2)(a) · R 400.8140(2)(a) Discipline. (2) All of the following means of punishment shall be prohibited: (a) Hitting, spanking, shaking, biting, pinching, or inflicting other forms of corporal punishment.

On 12/16/2020, Ms. Ashlee Graham, program director, sent Ms. Stacia Thrower, child care licensing consultant, an incident report that indicates on 12/15/2020, Ms. Diedering, child care staff member, was frustrated with Child A for peeling tape off a table. Mr. Thompson, child care staff member, heard Ms. Diedering and Child A arguing back and forth about the tape. Mr. Thompson heard a sound that mimicked a slap, turned, and saw Ms. Diedering near Child A with her hand swinging away. He did not see a slap, but heard Child A say, "why did you hit me like that?", to which Ms. Diedering replied, "I did not hit you, I bumped you". 2 On 12/17/2020, Ms. Thrower interviewed Quentin Thompson regarding the allegation. He stated that on 12/15/2020 he was working in the Preschool classroom with Renee Diedering, the assigned lead caregiver. Mr. Thompson explained that he was setting up the children's cots as the classroom prepared for rest time. He had placed all of the cots down for rest, and he was near the rear of the classroom getting sheets and cleaning up the area. He stated that Ms. Diedering was closer to the front of the classroom with approximately 4 children. She was assisting with toileting and helping children at a U-shaped table. He reported that the children were getting anxious, and they were not listening to Ms. Diedering. Child A (Female 3 years of age) and 3 other children were picking tape off of the table. Mr. Thompson explained he heard Ms. Diedering say, "to Child A, please stop picking at the tape." Mr. Thompson reported hearing Ms. Diedering ask Child A to stop picking the tape off of the table three times. The other children were also pulling the tape off, but Child A was primarily doing this. Ms. Diedering was having a hard time with Child A who continued to pick the tape off of the table. Mr. Thompson stated that the situation became tense and he began looking over his shoulder to see if Ms. Diedering may need his assistance. Ms. Thrower explained she asked Mr. Thompson to explain what he meant by the situation becoming "tense." Mr. Thompson explained that Ms. Diedering became frustrated. Her tone of voice became stern and aggressive, and she said, "Stop picking the tape." Mr. Thompson stated that he continued to watch the situation over his shoulder, and he observed Ms. Diedering positioned across the table from Child A (opposite sides of the table). Mr. Thompson stated that he observed Ms. Diedering raise her hand up, and he continued cleaning and setting up for rest time. Mr. Thompson stated that he then heard a sound described as a "clap." This sound caused Mr. Thompson to turn around, and he saw Ms. Diedering's hand come down from Child A's head level. Ms. Diedering then started to reapply the tape to the table, and Child A said, "Why'd you hit me like that?" Child A appeared very confused, her eyes were wide, and she was staring at Ms. Diedering. Mr. Thompson stated that he was confused as well, but Ms. Diedering was much calmer now and she had "quieted way down." Ms. Diedering responded to Child A, "I didn't hit you." Ms. Diedering's tone was much kinder now. Ms. Diedering then turned to another child and said, "did I hit [Child A]?" Mr. Thompson explained that the child has a very soft voice, and he did not hear her respond to Ms. Diedering's question. Mr. Thompson stated that Ms. Diedering asked him to help Child A at rest time. He stated that Child A's behavior was different than it normally is at rest time. He explained that Child A wanted Mr. Thompson to be near her and she typically would ask for Ms. Diedering when it was time to rest. At the end of the day, Mr. Thompson stated that he asked Child A, "Did Ms. Diedering hit you today?" He said that Child A responded, "Yes, she hit me on my cheek." Mr. Thompson said that Child A generally has rosy cheeks, but the cheek that she identified as being hit by Ms. Diedering did appear slightly redder than normal. After the incident occurred, Mr. Thompson st

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R 400.8125(5)(c) · R 400.8125(5)(c) Staff and Volunteers (5) A written statement shall be signed and dated by staff and volunteers at the time of hiring or before volunteering indicating all of the following information: (c) The individual knows that all staff and volunteers are required by law to immediately report suspected abuse and neglect to children's protective services.

Child Care Staff Member initially reported that he heard what sounded like a slap, a child reported that she was hit, and the child had a slightly redder cheek than normal. He reported the incident to the program director. Neither the staff member nor program director immediately reported concerns of abuse and neglect to Children Protective Services. The program director finally reported the incident to MDHHS over a month after the initial concern.

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