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.

CCSM 3 did not provide appropriate care and supervision when CCSM 3 turned to throw away Child A’s diaper and Child A fell from the diaper changing table resulting in a concussion.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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.

CCSMs provided appropriate care and supervision by being within an appropriate proximity to and sight of Child A and Child B while they were playing near the shelving unit. Child A and child B did not display verbal or physical signs of aggression towards each other immediately prior to the incident. CCSMS provided first aid and notification to Child A's Mother in a timely manner.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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.

CCSM 1 provided appropriate care and supervision. CCSM 1 was playing an age-appropriate game over a padded mat when Child A got her foot caught on a stick she was jumping over.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 June 27, 2023, I spoke with Child A and B's Father. Child A and B's Father stated Child A told him that Child A and Child B were running on the playground and Child B pushed Child A down. He stated there is a little discrepancy as both boys insist Child B pushed Child A down on the playground. However, the program director Morgan Palmer-Wilkins told him that they checked the camera system and Child A's classroom did not go outside that day. Child A is now using his shoulder just fine. He does have to see a specialist to ensure the injury is cared for appropriately. When Child A and B's Mother picked Child A up and she buckled him into the car seat is when she really noticed something was wrong with his arm/shoulder. He has no concerns with supervision or how the incident was handled. Child A and Child B get into "spats" from time to time but usually they are pretty good. Child A and Child B have been attending Charlotte Public Schools — Weymouth since they were each born. On June 27, 2023, I spoke with Child Care Staff Member (CCSM) 1. CCSM 1 stated she is not sure what happened with Child A's shoulder; later in the day Child A told her that Child B pushed him. He told her this sometime after lunch but before nap. Child A said it happened outside. She is not sure; she just knows he said it happened. She asked CCSM 2 and CCSM 3 about Child A's shoulder and no one knew what happened. When she asked Child A where it hurt, he pointed to a bump on his arm and said it itched and hurt and that is what she thought he was talking about. She did not notice anything unusual with Child A that day. On June 27, 2023, I spoke with Child A and B's Mother. Child A and B's Mother stated when she dropped Child A off the morning of June 20, 2023, he did not complain of anything hurting that morning or before dropping off. He did not cry or complain of anything when he was placed in the car seat the morning of Jun 20, 2023. When she picked Child A up on June 20, 2023, one of the child care staff members said Child A was complaining about his arm and they noticed he had a 3 bug bite and they thought it was from that. It was naptime and everyone was sleeping when she picked up, so she did not ask the child care staff member or Child A any questions in the classroom. When she placed Child A in the car to leave Charlotte Public Schools — Weymouth, he was in pain and instantly began crying. When she tightened the belt to the car seat his pain level and cries got worse. Child A and B's Mother stated seven days prior to and leading up to the morning of June 20, 2023, when she dropped Child A off at the center, he never cried or was in pain at all. More specifically he did not cry when he was being strapped into the car seat and the straps were being tightened. Child A and B's Mother stated she asked Child A what happened, and he said that he and Child B were running outside, and Child B pushed him down in the grass. Child A continued to be in pain when being put in the car seat. On June 22, 2023, in the evening, they made the decision to take him to the doctor and the doctor asked him what happened. Child A told the doctor the same thing, he and Child B were running outside, and Child B pushed him down. The only time Child A was in pain at the doctor visit was when the doctor pushed in a downward motion on his shoulders. They diagnosed Child A with a fracture of the right clavicle. A few days after the injury she asked Child A again what happened, and he again said Child B pushed him outside on the playground and he fell in the grass. Child A and B's Mother stated she, Child A, Child B, and Child A and B's Father went camping the weekend before June 20, 2023, and Child A and Child B were not in school on August 19, 2023. She is not aware of Child A getting injured during the camping trip. However, Child A and Child B are likely watched a little better at child care than they are home due to ratio and child care rules. Child A and B's Mother stated nei

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8155 · 1 R 400.8155 Child accidents and incidents; child and staff illness. (1)A center shall have a written plan for how and when a parent is notified when personnel observe any of the following: (a) Changes in a child's health. (b) A child experiences an accident, injury, or incident. (c) A child is too ill to remain in the group. M

Charlotte Public Schools — Weymouth does not have a policy which clearly addresses how and when parents will be notified in case of an incident. They also do not state that parents are provided written incident report to review and sign at the time of pick up for injuries, incidents, and accidents. CCSM 1 and CCSM 2 did not call Child A and B's Mother when he was not able to hold his food tray or when he cried in pain when attempting to reach upward from a laying position. They also did not give Child A and B's Mother these details at pick up or on the incident report. They did not state on the incident report that they did not observe how he was injured.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.

Neva Clarke did not provide appropriate care and supervision of Child A when she placed him on a countertop to look out a window. Child A fell out of the window and was iniured.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8170 · R 400.8170 Outdoor play area. (11) The playground equipment, use zones, and surfacing in the outdoor play area must be inspected by a certified playground safety inspector and an approval granted for playground equipment and areas used before issuance of an original license, upon request of the department, and before using any newly added playground equipment. The center shall provide documentation of the inspection to the department upon request and shall keep it on file at the center.

There was an orange slide, a yellow/red/green/blue slide, and a blue/red/cream play structure located in the toddler play area which were not on the playground inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8170 · R 400.8170 Outdoor play area. (13) All pieces of playground equipment that have an elevated playing or climbing surface, regardless of the height of the playing or climbing surface, must be surrounded by a shock absorbing surface and meet the guidelines defined by the Consumer Product Safety Commission (CPSC) Handbook for Public Playground Safety, which is available at no cost at www.cpsc.gov. This handbook is also available for inspection, and distribution at no cost, at the Michigan Department of Licensing and Regulatory Affairs, Bureau of Community and Health Systems, Child Care Division, 611 West Ottawa Street, Lansing, MI 48933. The shock absorbing surface material may be either unitary or the loose-fill type. An exception to this subrule is provided for natural playgrounds.

There was an orange slide located in the toddler play area which did not have ground cover, it was placed on dirt/grass. The yellow/red/green/blue slide when it was located in the toddler play I area did not have ground cover, it was placed on grass.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.