Primrose School Of Canton

R 400.8545(3) · R 400.8545(3) Fire extinguishers (3) Fire extinguishers must be properly mounted, inspected, and maintained in accordance with NFPA-10. The fire extinguisher must bear a tag indicating the last date of inspection or service and the initials of the individual who performed the inspection or service. Bureau

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R 400.8335(8)(a) · R 400.8335(8)(a) Food services and nutrition; provided by center (8) All of the following apply to milk: (a) Containers must be labeled with the date opened. 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 400.8210(6)(a)(i) · R 400.8210(6)(a)(i) Lead Teacher; qualifications; responsibilities (6) A lead teacher shall meet 1 of the following to qualify: (a) All of the following: (i) A minimum of 1 year of experience

Based on the records provided by the program director, the lead teachers have the necessary qualifications.

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R 400.8210(6)(a)(ii) · R 400.8210(6)(a)(ii) Lead Teacher; qualifications; responsibilities (6) A lead teacher shall meet 1 of the following to qualify: (a) All of the following: (ii) 3 hours of MiRegistry approved training in each of the following areas: (A) Program management (B) Observation, documentation, and assessment. (C) Teaching and learning.

Based on the records provided by the program director, the lead teachers have the necessary qualifications.

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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.

Teacher 1 did not provide appropriate care to child when playing the airplane game caused Child A to sustain a nursemaid's elbow.

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R 400.8155 · R 400.8155 Child accidents and incidents; child and staff illness. (2) A center shall ensure that a child who is too ill to remain in the group is placed in a separate area and is cared for and supervised until the parent arrives.

On 10/11/2021, during the onsite investigation, the licensee designee, Ms. Patel Kunjan was made aware of the allegations. She denied the allegation that a child was allowed to remain in the school while she was sick. She obtained the documents to show that Child A's (3-year-old female) Mother was called at 9:15 a.m. on 10/05/2021. During the time, Child A's mother was not able to be contacted, and they final reached the grandmother. It was thought that Child A's Mother was in labor, and would not be able to pick up Child A, however; Child A's Mother did arrive after 11:00a.m. to pick up Child A. She stated that Child A was in the front office at the time. On 11/17/2021, the complainant was interviewed by phone. Complainant said Child A became ill and was allowed to remain in the classroom. On 11/17/2021, I spoke to child care staff member, Annette Tefft. She stated Child A threw up in the classroom and she notified the front office at 8:20 a.m. and asked that she be removed from the classroom. Ms. Tefft said she was instructed to put Child A on the couch in the Reading Center area located in the classroom. This prevented the child from being isolated while in the classroom. She reported that Child A was not removed from her classroom until a parent arrived much later to pick her up. On 11/17/2021, I interviewed child care staff member, Clair Modson. She confirmed that on 10/05/2021, she arrived in the classroom around 8:25 a.m. and took Child A's temperature. Child A did have a high temperature, and she stated that Child A had to remain in the classroom until later. She stated that it was a very busy morning and that there was only 1 teacher in the classroom at the time with the children. About another 20 minutes later she returned to the classroom to get Child A and take her to the front room with her. She said there was no one available to supervise the child in an isolated area. Ms. Modson said she is not allowed to call parents, and she has to get permission. The documentation shows that a parent was not called until 9:15 a.m. According to statements made by Ms. Tefft, Ms. Modson, and Ms Patel, it appears that Child A was left in the classroom for about 45 minutes after being identified as ill. Child A's mother was not called until almost an hour after Ms. Tefft notified staff that Child A was sick and should be removed from the classroom. Child A was not removed from the classroom but was allowed to lay down on a couch in the classroom until another staff member could remove her and provide supervision in another room. I received a copy of the policy and procedures. The center did not follow their own policy and procedures. It stated "when a child shows signs of illness that requires 3 R r f f f f •I I f' ~ ~ ~ f f • ,i • •' _ • r _• • s • • • ` • i • f i ~'~ r

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R 400.8182 · 1 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: b) Preschoolers, 30 months of age until 3 years of age I to 8. 16

The complainant said the center informs the parents that they have a chef on-site to prepare the meals daily for the children; however, the children are served rice and beans three times a week. The menus posted are not being followed. Ms. Patel stated that they do have to make changes to the menu, and they edit it accordingly. She reported the kids are receiving nutritious meals daily. According to a menu observed, there were days where changes were made to the menu to reflect what was been served that day. I asked Child B's and Child C's Mother if they had any concerns about the food being served or the menus. Both parents stated that their children had not complained about the food being served at the center and they did not have any concerns.

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

Ms. Patel reported there are times when menus are adjusted, and she makes the necessary changes to the menus. A menu was observed documenting the changes made for the specific days.

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