Peyton's Learning Place

R 400.8131(2) · R 400.8131(2) Equipment. (2) The current list of unsafe children’s products must be conspicuously posted in the center as an actual hard copy or electronic access to the Consumer Product Safety Commission or its successor’s list of recalled children’s products, pursuant to section 15 of the children’s product safety act, 2000 PA 219, MCL 722.1065.

At the time of inspection, the current recall list was not posted

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

At the time of inspection there was flaking paint throughout the center

R 400.8201(2)(e) · R 400.8201(2)(e) Comprehensive background check; fingerprinting. (e) Complete and maintain the connection, disconnection, or withdrawn status of each individual associated with the license within the department’s child care background check system.

During the inspection, there were 4 staff members connected on CCBC who no longer work at the center.

R 400.8210(1) · R 400.8210(1) Lead Teacher; qualifications; responsibilities (1) Lead teachers are required only for groups of children who are preschool-age and younger.

At the time of inspection multiple classrooms did not have a lead teacher

R 400.8216a(1) · R 400.8216a(1) Professional development requirements (1) Program staff, except for substitute teachers and unsupervised volunteers, shall complete 16 clock hours of professional development in a calendar year on topics relevant to job responsibilities that include, but are not limited to, any of the following subjects:

At the time of inspection staff 12 staff did not have 16 training hours

R 400.8260(5) · R 400.8260(5) Medication; administrative procedures (5) Program staff shall keep all medication out of the reach of children and return it to the child’s parent or destroy it if the parent determines it is no longer needed or it has expired.

At the time of inspection, a child's prescribed medication was expired.

R 400.8330(21) · R 400.8330(21) Food services and nutrition generally (21) Bottle propping is prohibited.

At the time of inspection, a 2-month-old child was observed to be sitting in a bouncy chair drinking from a bottle that was propped

R 400.8330(22) · R 400.8330(22) Food services and nutrition generally (22) When feeding, child care staff members shall hold infants, except when infants resist being held and are able to hold their bottle.

At the time of inspection, a 2 month old child was observed to be sitting in a bouncy chair drinking from a bottle that was propped

R 400.8340(3) · R 400.8340(3) Food services and nutrition; provided by parents (3) Breast milk, formula, milk, other beverages, and food furnished in a same-day supply must be covered and labeled with the child's first and last name and the date.

At the time of inspection there were infant bottles not properly labeled with first/last name and date.

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 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. 6 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.

R 400.8335(8)(b) · R 400.8335(8)(b) Food services and nutrition; provided by center (8) All of the following apply to milk: (b) Milk must be served within 7 days after opening. Bureau

R 400.8155(1)(b) · PR19-R 400.8155(1)(b) Child accidents and incidents; child and staff illness. A child experiences an accident, injury, or incident.

CONCLUSION: REQUIREMENT MET Bureau

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.

On 03/26/2025, staff did not provide appropriate care and supervision when Child A was left outside on the playground for approximately six minutes.

R 400.8125 · R 400.8125 1 Staff; volunteer; requirements. (1) All staff and volunteers shall provide appropriate care and supervision of children at all times. I

On July 7, 2023, I made an unannounced onsite inspection to the child care center. I interviewed program director Alicia Sapien. She denied that the center went on a field trip to Jaycee's Splash Pad on July 1, 2023. She said that while the center does do field trips, they do not operate on Saturdays and have never done a Saturday field trip. The center did do a field trip to Jaycee's Splash Pad, but this was a 2 few weeks prior and only school-age children attended. While at the center, I made contact with Child Care Staff Member 1 (CCSM1), who confirmed that the center does not do Saturday field trips and that the field trip to Jaycee's Splash Pad happened a few weeks prior and was on a weekday. CCSM2 was able to confirm the date of the center's field trip to Wednesday, June 21, 2023. There were 26 school-aged children present with 5 or 6 caregivers. CCSM2 was able to confirm the age of the youngest child on the field trip was 6 years. She denied that any child had been unattended on this field trip or that they were alerted to a missing or lost child. On July 7, 2023, I spoke to Witness1, an employee at Jaycee's Splash Pad. She denied that anyone had reported a lost or missing child on July 1, 2023. She checked with the staff that worked on July 1, 2023, and no one reported a lost or missing child. She also was able to view the webcam for that day and there were no child care mini busses arriving or departing from Jaycee's Park. I attempted to contact the complainant by both phone and text for additional information but as of the date of this report, I have not heard back.

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 05/17/2023, I received a telephone call from license designee/program director Alicia Sapien who disclosed that Child A was left unsupervised on the playground for approximately two minutes. She followed the telephone call by sending me the written incident report. The report stated that Child Care Staff Members (CCSM's) 1 and 2 lined the children up to re-enter the building from the playground. They had 11 children listed as being present and counted 11 children prior to re-entering the building. However, they did not "check-in" a child that was dropped off while they were outside. Therefore, their count was actually 12 children. During this time Child A was in the tunnel portion of a climber when CCSM's 1 and 2 re-entered the building with 11 children, leaving Child A on the playground. Child A exited the tunnel and noticed that the class was no longer on the playground. She tried to enter the building from the door, yet it was locked. She moved a small bike to stand on it and open the gate and entered the parking lot. She located Child B (female, 3 years) and Child C's (male, 5 years) Mother who had arrived to drop her children off at the center. Child B and C's Mother walked Child A into the building and handed her off to CCSM 3. On 05/22/2023, I interviewed Child A's Mother who stated that she received a call from the center after the incident occurred. She spoke to both CCSM 4 and Ms. Sapien about the incident. It was reported to her that Child B and C's Mother walked her into the building, and she was grateful for such. On 05/26/2023, I completed an unannounced onsite inspection at the center from 10:36 am — 12:45 and interviewed Ms. Sapien, CCSM `s 3-5. Ms. Sapien and I watched the video together and I observed CCSM's 1 and 2 on the playground and enter the building. As soon as the door to the center shut (at 57 seconds), Child A exited the tunnel of the play structure (at 1 minute). I observed her knock on the door and attempt to open it (at 1 minute 15 seconds), yet it was locked. I then observed her attempt to open another nearby door, yet it was locked also (at 1 minute 35 seconds). She tried to unsuccessfully move the shelf used for CCSM's backpacks (at 2 minutes 40 seconds). She then exited moved the bike, stood on it, and opened the gate to the parking lot. She was out of view of the camera (at 2 minutes 53 seconds). Ms. Sapien confirmed that she was not at the center on 05/16/2023 when the incident occurred and found out when CCSM 4 called and notified her at approximately 10:00 am. She immediately came to the center, arriving at approximately 11:00 am. CCSM 4 told her that Child A was left on the playground and Child B and C's Mother brought her back into the center from the parking lot. CCSM 3 was in the lobby at the time when Child B and C's Mother entered the building with Child A and though that she was left in the parking lot, so he walked her to her room. When he entered the room the CCSM's seemed surprised and didn't realize that they had left her. CCSM 3 updated CCSM 4 and that is when she 3 called and notified Ms. Sapien. At this time, she interviewed CCSM's 1 and 2 separately and provided written statements. She understood from them that CCSM 2 counted only 11 children when 12 were present, as the 12th child arrived while they were on the playground. The center has a name to face procedure which was not followed. CCSM's 1 and 2 were placed on administrative unpaid leave and asked to leave for the day. On 05/18/2023, per the center's Human Resources department, CCSM 1 and 2 were terminated. Per my interview with CCSM 5, she is the program supervisor. She stated that after the incident, on 05/17/2023 they asked her to speak with the CCSM's in their rooms with the children, about being safe, especially on the playground. At this time, Child A raised her hand and shared with the class that she was in the tunnel and heard CCSM 1 say to line up and when she exited the tunnel, they were already in the bu

R 400.8125 · R 400.8125 Staff; volunteer; requirements. (1) All staff and volunteers shall provide appropriate care and su ervision of children at all times.

On 08/18/2022, 1 completed an unannounced onsite inspection at Peyton's Learning Place. I conducted interviews with Program director Alicia Sapien, Assistant director Brandi Nichols, child care staff members Summer Froats, Cecily Tyll and I spoke on the telephone to licensee designee Dawn Linesman. The following documents were provided at request, Parent handbook, Staff handbook, attendance for Little Learners room. Assistant director Brandi Nichols provided the licensee designees phone number who had requested to be contacted. Ms. Nichols reports she had previously worked at Peyton's Learning Place, she had left and returned after an eight-month absence. During the time she had been gone the previous program director had disenrolled Child A and Child B and asked them to no longer attend due to biting issues then. When Child A's mother found out she had returned to the center, she contacted her asking if the children could return to the center as well. After looking into it they decided the children could be re-enrolled as the children would be switching rooms to a different room, they would have shadowing in place, and it had been reported the children were no longer biting. I met with program director Alicia Sapien, who has had multiple conversations with Child A and Child B's parents about the issues at the center with biting, specifically in the last two weeks. It was recently learned some home conditions had changed and the children were going between two homes. The children were having a hard time with the recent change, Child A more so than Child B. They tried several different things, meetings with parents, sucky's (pacifiers), teething items such as a biting necklace, printed off material about why children bite, had an extra worker in the room to shadow the children. They even had the family members of the children come in to volunteer in the room and provide extra support to Child A and Child B. This occurred after they asked the family to keep the children out for about two weeks, and they could not do that, so they compromised with having some family come in for a few hours a day. This was because there was one child who was being bitten a lot. The hope was to keep them out until that child could transition to the two and half year-old room. The staff member they had in the room to shadow the children was not very effective and at times could be seen on the monitor to not be shadowing them as she should be. The parents had been upset because they said they had not been notified prior to the request of the children staying home for two 4 weeks that there had been an uptick in biting incidents. Ms. Sapien thought the teachers were relaying the issue to the parents at pick-up time. The other parents who had children bitten did get their bite reports, but it seemed possible the parents of Child A and B did not get notice the children had been biting more. They told the family they could only offer this solution of their family coming for one week. They also said if the family wanted to share the cost of hiring an additional work just for Child A and B, that could be explored. I spoke with licensee designee Dawn Linesmen via telephone at her request. She wanted to relay she felt the complaint had come in from a disgruntled ex-employee as corporate also received the same complaint after this employee did not meet the criteria to receive a raise. I conducted an interview with child care staff member 1, Summer Froats, who is the lead teacher in the Little Learners Room. She has one assistant at this time child care staff member 2 Cecily Tyll. Ms. Froats has been employed at the child care center off and on for around seven years. She normally works 6:00 AM until around 3:00 or 4:00 PM depending on need. She has been the lead in this classroom for the last three years. Ms. Froats herself shadows Child A, 24/7, and Child B is with Ms. Tyll. There has been times Child A has bitten her. They have tried hard to work with both

R400.8155(5) · R400.8155(5) Child accidents and incidents; child and staff illness

On 08/18/2022, I completed an unannounced onsite inspection at Peyton's Learning Place. I conducted interviews with Program director Alicia Sapien, Assistant director Brandi Nichols, child care staff members Summer Froats, Cecily Tyll and I spoke on the telephone to licensee designee Dawn Linesman. The following documents were provided at request, Parent handbook, Staff handbook, attendance for Little Learners room. Assistant director Brandi Nichols provided the licensee designees phone number who had requested to be contacted. On 08/18/2022, I conducted an interview with program director Alicia Sapien. She had a child care staff member who had texted her and said she had COVID and waned to be gone for an entire week. She was asked to send in a doctor's note and a copy of the positive COVID screen. The child care staff member provided a doctor's note, but it did not say she had COVID. The child care staff member said they did not give her a copy of the positive screen; she was asked to go back inside as she was still in the parking lot she said and get a copy of the positive COVID screen. It took the worker over an hour, but the child care staff member then texted she must have misunderstood them because she didn't have COVID. Her test was negative, but she was exposed so they told her they were treating her as if she had COVID. She was advised she needed to come to work, as people who are exposed are not being excluded from work any longer. The child care staff member said her entire family was sick from COVID on August 15, 2022. She had called in on Monday and Tuesday already that week. On Tuesday she went to the urgent care and wanted to be put off from work until Friday. She again believed she was exposed, and claimed the urgent care told her it might be too early to test positive so they were going to treat her as positive. The Urgent Care put her off from work until Friday. She was told if she did not have COVID she needed to come to work on her scheduled shift time. This child care staff member has been calling in at least once a week since she started and had not been working at the center for very long. The child care staff member told her she didn't feel comfortable coming to work when she could have COVID. She then told them she was going to be looking for a new job, and Ms. Sapien told her she did not need to come back to work if she was looking for a new job. The child care staff member had not been written up or provided written notice about her attendance issues, these were just verbal conversations they had had. I conducted an interview with child care staff member 1, Summer Froats, who is the lead teacher in the Little Learners Room. She has one assistant at this time child care staff member 2 Cecily Tyll. Ms. Froats has been employed at the child care center off and on for around seven years. She normally works 6:00 AM until around 3:00 or 4:00 PM depending on need. She has been the lead in this classroom for the last three years. She knows there is an illness exclusion policy for both staff and children. She has not had any issues with it. She reports they are supposed to have a doctor's note if they cannot be here. She has not been concerned with other staff coming in and being sick or being told to come in when sick. There was a time when they were working really long hours due to staffing shortages, but they have not been there for a bit, and things have been better. If they are working more than eight hours in a day, it is because other people are calling in. I conducted an interview with child care staff member 2, Cecily Tyll, who is the assistant in the Little Learners room. She has been employed at the center since February of 2021. The center does not make people come in if they are sick. There have been a lot of call ins lately but she understands the center has just hired a lot of new workers so that should help them. She has not been forced to work over or sick, and she believes the center is crac

R 400.8125 · 1 R 400.8125 Staff; volunteer; requirements. (1) All staff and volunteers shall provide appropriate care and supervision of children at all times.

On 08/09/2022, I emailed Jennifer Kerr, with the Disciplinary Action Unit, to inquire as to the status of the DAU proceedings. On 08/09/2022, I spoke with licensing consultant Juli Gohl. This is her facility, however, consultant Catherine Edgar had the most recent special investigation. The center was previously privately owned and was bought by a corporation. They have another center in Genesee County, and they are run pretty much the same. On 08/09/2022, I emailed licensing consultant Catherine Edgar, requesting an update on the previous special investigation. 3 On 08/9/2022, I received an email from licensing consultant Catherine Edgar, advising she would call. On 08/19/2022, I spoke with licensing consultant Catherine Edgar. The licensee designee had recently completed a settlement agreement regarding the last special investigation, which was regarding a lost child in the center. On 08/09/2022, I received an email from Jennifer Kerr, DAU. The center signed a settlement agreement to modify license to a 1st provisional, however she does not believe it had been issued yet. On 08/09/2022, I attempted to call the complaint source, I left a voice mail and requested a call back. To date, there has not been a return call. On 08/09/2022, I completed an onsite inspection at Peyton's Learning Center, 906 Tacoma St Clio MI 48420. I completed interviews with licensee designee Dawn Linesman, program director Alicia Sapien, child care staff members; Summer Froats, Karissa Puff, Cecily Tyll, Brianna Hernandez, Breonna Givens, Crystal White, Alanna Combs, and Stephanie Lokinski. Ms. Linesman and Ms. Sapien Ms. Linesman and Ms. Sapien deny there is any child in the center who has a diagnosis of sensory disorder. They report there are a few children who are being tested for some diagnoses, however none are for sensory disorders that they know of. They deny the center is understaff, they comply with the state required ratio, and often times they have more staff then required. They deny any rooms except the infant room, are without interior bathrooms, so all bathroom use is within line of sight for child care staff members. They deny child care staff are ignoring issues in rooms and are confident they are intervening when incidents happen. They deny they are telling staff not to complete their job duties as licensing requires. I interviewed Summer Froats, child care staff member 1. She has been employed at the center off and on for the last seven years. She works normally a 6:00 AM shift until about 3:00 or 4:00 PM. She is the lead teacher in the Little Learners (Toddler 2 room). She has been the lead for the last three years. She has two assistants in her room; Cecily Tyll, child care staff member 3, and Karissa Puff, child care staff member 2. The classroom normally has round 11 children between 2 and 2 years 1/2 old. There is not any children in their classroom with a sensory disorder they did recently get a child who has a slight case of cerebral palsy. If she thought about it, she does believe there is another child who their mom was looking into a diagnosis but believed the parents thought it was more along the lines of attention deficit hyperactivity disorder. There was a time recently where they were extremely short-staffed, and they were working long hours but they are not working long hours any more. She cannot pinpoint a child who is being picked on in her classroom. She would not allow any child to pick on another child. There are no issues with management telling them not to follow the licensing rules. She has never been told to do things one way when 4 licensing was there versus when licensing is not there. She has no issues or concerns working at Peyton's Place. I interviewed Karissa Puff, child care staff member 2. She has been employed at Peyton's Learning Place since April 2022. She works as the assistant in the Little Learners room with Summer as the lead. They have a new child in the classroom who has a slight case of cereb

R 400.8131 · R 400.8131 Professional development requirements. (3) Before caring for children, all child care staff members and unsupervised volunteers who work directly with children shall be trained on prevention of shaken baby syndrome, abusive head trauma and child maltreatment, and recognition and reporting of child abuse and neglect.

On 08/09/2022, I attempted to call the complaint source, I left a voice mail and requested a call back. To date, there has not been a return call. On 08/09/2022, I completed an onsite inspection at Peyton's Learning Center, 906 Tacoma St Clio MI 48420. I completed interviews with licensee designee Dawn Linesman, program director Alicia Sapien, child care staff members; Summer Froats, Karissa Puff, Cecily Tyll, Brianna Hernandez, Breonna Givens, Crystal White, Alanna Combs, and Stephanie Lokinski. I interviewed Summer Froats, child care staff member 1. She has been employed at the center off and on for the last seven years. She works normally a 6:00 AM shift until about 3:00 or 4:00 PM. She is the lead teacher in the Little Learners (Toddler 2 room). She has been the lead for the last three years. She has two assistants in her room; Cecily Tyll, child care staff member 3, and Karissa Puff, child care staff member 2. She has been trained on many things, she completed several trainings at the start and throughout her time at Peyton's, with MiRegistry, blood borne pathogens. She feels they do a lot of training at the center. When you get hired in you have an interview, and then a "working interview" where you shadow workers in the classrooms. She believes how long you train for really depends on your individual experience, the lead in the classroom, each person trains differently. I interviewed Karissa Puff, child care staff member 2. She has been employed at Peyton's Learning Place since April 2022. She works as the assistant in the Little Learners room with Summer as the lead. She has been trained; she remembers doing a lot of training when she hired in; safe sleep, blood borne pathogens, computer training online, fingerprinting, TB testing and shadowing others. During her shadowing time, they trained her on using the tablet, how far the cribs/beds have to be apart, 3-step cleaning process, what to clean, when to clean, lesson plans and other items. She felt prepared when she began to work in a room. I interviewed Cecily Tyll, child care staff member 3. She has been employed at Peyton's Learning Place since February 2021. She is the assistant in the Little Learners room (Toddler 2). She has had a lot of training, she previously worked at an autism center, and she learned everything she ever learned from Peyton's. She has done a lot of computer training on MiRegistry, she has completed shadowing in the classrooms. The center does a good job with training staff. They could be clearer in their communication, when there is an issue, they work on it and correct it, the stuff gets solved whatever it is. 10 I interviewed, Brianna Hernandez, child care staff member 4. She has been employed at Peyton's Learning Place for approximately a month. She is in the Imaginatives Room, and previously worked at a different child care center. She is an assistant in the room, and the current lead is Alanna. She was trained when she was hired, on many different items. Cleaning, phones and who to call if she needs help, nap routines, food routines, diapers and she completed online training as well. She had CPR and First Aid training but feels she could have been trained better in emergency situations, including breaking of bones, fire, and tornados. She does feel she was trained well and received enough training outside of emergencies. I interviewed Breonna Givens, child care staff member 5. She has been employed at Peyton's Learning Place for a few years, she did have a time where she left for a few months but then returned. She is the lead in the Trailblazers room (3-4 years old). She has two assistants in the room, Ms. Lokinski and Ms. White. She has worked in other child cares before and in the middle of the two times at Peyton's. She does believe she has been sufficient trained. She has received training through great start readiness program, trained on behaviors, things going on at home, the follow the state requirements for training on MiRegistr

R 400.8131 · R 400.8131 Professional development requirements. ........ (5) Within 90 days of being hired, or the first day as an unsupervised volunteer, all child care staff members and unsupervised volunteers who work directly with children shall complete the following trainings, which may count toward annual professional development hours and are available at MiRegistry: a Administration of medication. 12 (b) Prevention of and response to emergencies due to food and allergic reactions. (c) Building and physical premises safety. (d) Emergency preparedness and response planning. (e) Handling and storage of hazardous materials and appropriate disposal of bio-contaminants. (f) Precautions in transporting children, if applicable. _ ......................................... Child development...................................................................................................................—

The staff are appropriately trained following guidelines set by licensing and onboarding at Peyton's Learning Place. Staff documents were reviewed, and all had completed required training within the required time frames.

R 400.8125 · 1 R 400.8125 Staff; volunteer; requirements. (1) All staff and volunteers shall provide appropriate care and supervision of children at all times.

On January 11, 2022, the bureau was contacted regarding Child A being unsupervised at the center on the previous day. A written follow-up regarding this was received on January 12, 2022. On January 20, 2022, I spoke to licensee designee Dawn Linsenman, who said that she had watched the center's video feed on January 10, 2022, and confirmed that Child A was in the hallway, just outside of his classroom from approximately 1:51p m and 1:53pm. Child care staff member (ccsm) Amber French had opened the classroom door to speak to a person in the adjacent classroom, whose door is next to the toddler room door, instead of using the intercom. Assistant program director Brandi Nichols was patrolling the hallway and took Child A back to his classroom. Because of the incident, Amber French had been fired and the second ccsm that was in the classroom at the time was put on final warning regarding employment at the center. A full retraining of supervision was conducted for all staff. On January 21, 2022, I made an unannounced onsite inspection to the child care center. I interviewed program director Alecia Sapien and assistant program director Brandi Nichols. Ms. Nichols reported that she was at the front desk at the center and heard a noise in the hallway. When she went down the hallway, she saw Child A alone in the hallway. He was not far from the classroom door and appeared to be playing with a piece of paper. When she took Child A back to the classroom, Amber French was surprised and said "he was just by my leg!" and appeared to be distraught about the incident. When Ms. Nichols entered the classroom, ccsm Cecily Tyll was on the classroom rug, tending to other children. Child A's mother was contacted, and she was very understanding. I was able to confirm that Child A still attends the child care. On January 12, 2022, all staff received an hour of supervision training to prevent something like this from ever occurring again. They said that they were able to review the video for that day and time but that the cameras do not record but can play back the very recent video feed. Both confirmed the two-minute time frame that had been given for Child A's time in the hallway unattended. I interviewed ccsm Cecily Tyll when I was onsite at the center. Ms. Tyll confirmed that on January 10, 2022, she was working in the toddler classroom with Amber French and there were seven children present. She did not see Child A leave the classroom, so she was not sure how long Child A was unattended in the hallway. She was not near the classroom door when Child A was brought back to the classroom. Amber French took responsibility for Child A leaving the classroom. She confirmed that Child A still attends the child care and Child A seemed to be fine when he was brought back inside the classroom. She has never witnessed anything like this ever occurring at the center. While at the center, I observed the toddler classroom and the hallway that the toddler classroom exits to. The toddler classroom is not located near an exit to the outside. Ms. Sapien and Ms. Nichols showed me a desk had been set up in the hallway so the 4 program supervisor can help with curriculum and can be readily available for a classroom. By placing the program supervisor in the hallway instead of in the front office offers the center another layer of supervision should a child leave a classroom. I interviewed former ccsm Amber French by telephone on January 24, 2022. Ms. French confirmed that she had not worked at the center since the date of the incident. On January 10, 2022, she was in the toddler classroom with ccsm Cecily Tyll. She was not sure how long Child A was in the hallway but estimated it to be a couple of minutes from the time she opened the classroom door and when Ms Nichols brought Child A back into the classroom. She had opened the classroom door to knock on the adjacent classroom door since the person in there was not answering their phone when she tried to call them. Child

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 September 24, 2021, a complaint was received stating that Child A's Father noticed a cut or laceration on Child A's lip after she left the child care center on Wednesday September 22, 2021. One of the workers at the center grabbed her lip and pulled down hard. On September 24, 2021, I interviewed licensing consultant Juli Gohl, who informed me that the center program director Lesley Kelly had contacted her to report the allegations once she became aware of them. On September 28, 2021, I completed an unannounced onsite inspection at the center in conjunction with Department of Health and Human Services worker Sasha Zoller. I interviewed Ms. Kelly. Ms. Kelly stated that she was unaware of any incidences resulting in a mark or cut on Child A's lip that could have occurred at the child care center. On Thursday September 23, 2021, Child A's Mother had left her a voice message asking her to gather Child A's belongings so she could pick them up sometime soon. She had no idea why she requested this so she attempted to call her back, with no success. She was unaware of any concerns otherwise until Officer Brett Adkins from the Clio Police Department showed up at the center unexpectedly on Friday September 24, 2021 and informed her of an alleged injury to Child A that would have occurred on Wednesday September 22, 2021 at the center. Officer Adkins reviewed the video cameras and interviewed all three child care staff members (Sylvia Arrington, Chelsea Howe, and Emilee Carpenter) who had cared for Child A that day. There was nothing on the video camera to show how Child A could have sustained an injury to her lip. The staff did not have any knowledge of Child A having a mark on her lip. Ms. Kelly then contacted Juli Gohl, her licensing consultant, to report the allegation. Child A was just enrolled in the center and had only attended the program for 2 days (September 20, 2021, and September 22, 2021) prior to this happening. Previously Child A's Mother had actually worked in the center for one month (in 2020) and Child A had attended the center during that time for 5 days without incident. Child A's Mother was terminated due to disciplinary reasons. Ms. Kelly interviewed all three caregivers who would have had contact with Child A that day. None of them were aware of the injury or any incidences. According to Ms. Arrington, the lead caregiver that day, Child A had a great day and had only cried a little at nap time because she missed her mother. She was comforted and eventually rested. Ms. Arrington denied pulling Child A's lip or observing her have any kind of incident to cause it. She had no idea that a cut on laceration was on her lip. The center's daily procedure policy is to conduct a visual assessment of each child when they come in the door. If there are any noticeable marks or bruises, they immediately conduct the parent and write it down in their log. They did not have any written log of Child A having a cut on her lip. In addition, the mark on the inside of her lip would have been hard to see, but no one noticed her touching her lip. Ms. Kelly happened to be present when both of the parents picked Child A up that day. Child 3 A's Mother had bent down to her level to talk to her and ask her how her day went. She did not indicate any injury at that time or say that she noticed a cut on her lip. On September 28, 2021, I reviewed Ms. Arrington's personnel file. She did not have any previous discipline action against her. She had completed a fingerprint background check and is eligible to work in a child care center. She has completed all of the required trainings for a caregiver. On September 28, 2021, I interviewed Ms. Arrington. She denied pulling Child A's lip or using any physical discipline on her. Physical discipline is not allowed, per the center's discipline policy. Child A is a very sweet child and she had no negative behaviors on either of the two days she attended the center. It was only her second day attending the c

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.

On August 17, 2021, I interviewed Child A's Mother. On August 11, 2021, upon arrival to pick up Child A and Child B (male, age 5), Child A's Mother observed Child A at the front desk and visibly upset. Program Director Lesley Kelly was present and attempting to calm down Child A. The incident was reported that Child A and Child B were arguing in the classroom and that was why Child A was upset. Once Child A got out to the car, he remained very upset. He then reported that his teacher (Elizabeth Hall) yanked his arm across to table, in order to get him to move. Child A was taken back inside where he explained to Ms. Kelly what occurred with Ms. Hall. Child A's Mother does not have any concerns with the care and supervision provided by the facility. Redirection is typically the method of discipline utilized by the facility. On August 18, 2021, I completed an unannounced onsite inspection at the facility. I interviewed Ms. Kelly. On August 11, 2021, Emily Carpenter, child care staff member, brought Child A to the front office. It was initially explained to Ms. Kelly that Child A and Child B had a situation over usage of toys. Child A was not letting Child B play with toys in the classroom. Child A is quick to get upset over situations and the facility is working on reassurance and helping Child A remain calm during situations. Child A left with Child A's Mother and returned about five minutes later. Child A returned and explained that Ms. Hall pulled on his arm to get him to move. Ms. Hall was working in a preschool classroom with no more then ten children. The facility has video cameras but due to storms on August 11, 2021, the cameras were glitching. The cameras do not record footage for an extended period of time. Video footage of this incident was not available. Ms. Kelly spoke with Ms. Hall about Child A's statements. Ms. Hall indicated that she helped his body to come out of his chair. Ms. Hall was terminated by the facility. Ms. Hall has not had any previous concerns related to her employment. The facility has a zero tolerance policy for any form of discipline other then redirection. Training in appropriate methods of discipline is provided during staff orientation and additional training is offered during staff meetings. If a child care staff member is having issues with a child, additional child care staff are available to assist. Child care staff are directed to contact the office for assistance. Each end of the building also has a staff manager available for assistance. Even though it was the end of the day, child care staff were available and could have assisted Ms. Hall. No other child care staff members were present in the classroom with Child A and Ms. Hall. On August 18, 2021, I interviewed Ms. Carpenter. Ms. Carpenter was leaving her classroom for the day with items to return to the storage closet. On the way to the front, she stopped in Ms. Hall's classroom to see if she wanted to use any of the items before they were returned. Ms. Hall and Child A were observed yelling at each other. It was visible that Ms. Hall and Child A needed a break, so Child A was taken to the front office by Ms. Carpenter. The situation happened so fast, Ms. Carpenter was not able to identify what Child A and Ms. Hall were yelling about. Child A was visibly upset but did not indicate what occurred to Ms. Carpenter. The facilities discipline policy is to utilize redirection, if a child needs to be removed from a 3 situation or classroom, child care staff are to contact management for assistance. Ms. Carpenter has not previously observed any concerns with how Ms. Hall disciplines child care children. On August 18, 2021, I interviewed Ms. Hall. On August 11, 2021, toward the end of the day the classrooms combine to close. Child A came to the preschool classroom from the school age classroom. Ms. Hall was caring for approximately seven children. Child B approached Ms. Hall and indicated that Child A would not allow him to use any of the toy

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.

Child A and Child B were not under the care and supervision of the facility when they dropped off at the facility by Clio Area Schools Transportation Department. Clio Area Schools Transportation Department did not assure a child care staff member was present before dropping off Child A and Child B.

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 12/11/2020 I interviewed Child A's Mother who stated that the center left her a voicemail at approximately 11:13 am on 12/10/2020 requesting that she return their telephone call. At approximately 11:14 am Child A's Father received a telephone call from enrollment director Brandi Nichols stating that Child A 3 had been burned by hot water. Ms. Nichols indicated to Child A's Father that another child had taken Child A's pacifier so she placed it in a in a bowl of hot water to be sanitized. Ms. Nichols reported that the water was obtained from a water cooler on top of the counter. Ms. Nichols explained to Child A's Father that the lanyard attached to Child A's pacifier was hanging off the side of the bowl and Child A reached for the lanyard, pulling the bowl of hot water onto . Ms. Nichols explained to Child A's Father that the majority of the hot water spilled onto the floor, while some soaked into bib that was wearing, resulting in a burn mark on the right side of neck. Ms. ichols cPanfied to Child A's Father that Child A's bib was immediately removed, and ■ clothes were subsequently changed. Child A's Mother reported that at approximately 11:40 a.m. on 12/10/2020 Child A's Mother and Father went to the center to determine Child A's well-being. Child A's Mother re orted that Child A was observed with a red mark on the right side of neck, yet seemed to be in good spirits, so Child A's Mother and Father allowe i ■ to stay at the center. Child A's Mother texted me a picture of Child A's injury that was taken at approximately 12:00 pm on 12/10/2020 and it appeared to be red and blistered. Child A's Mother explained that when Child A's Mother and Father were at the center to pick Child A up for the day, at approximately 4:30 pm, Child A's Mother and Father reviewed the video of the incident, per their request. Child A's Mother stated that it confirmed that when Child A reached up to the lanyard attached to the pacifier in the bowl of water, the bowl tipped over and the hot water spilled onto . Child A's Mother clarified that child care staff member was nearby and reacted very quickly by grabbing ■. Child A's Mother stated that e was very concerned as to how much more severe Child A's injury would have been if had not been standing so nearby and reacted so quickly. Child A's Mother provided me with a copy of the written injury/accident report that she received from the center. Child A's mother texted me a picture of Child A's injury that was taken at approximately 11:20 am on 12/11/2020 and it appeared that the blister had burst, and the wound was beginning to scab. Child A's Mother confirmed that they were applying triple antibiotic ointment to Child A's wound at home and did not require or receive any medical treatment. Child A's Mother clarified that C i d A's at the center was as the they had previously provided the centerR eir prior to this incident. On 12/14/2020 I completed an unannounced onsite inspection at the center from 10:05 am — 11:30 pm with and interviewed program specialist Valerie Tolene, enrollment director Brandi Nichols and child care staff member The interviews took place in the room where the incident occurred. Ms. Tolene showed us the water cooler, the bowl and the location of these items. Ms. Tolene was not aware of how hot the water was from the cooler and allowed me to test it, resulting in 158 degrees Fahrenheit. Ms. Tolene stated that the cooler was in the room so child care staff could sterilize pacifiers. I expressed my 4 concern with having water get so hot in the room and accessible to children. Ms. Tolene reported that since the incident the water cooler was moved from the top of the small dorm-size refrigerator to the top of the small table/shelf directly next to the refrigerator, yet a couple inches taller. As an alternative, I recommended utilizing bleach as a sanitizing product as it is safe, effective, and inexpensive. I reminded Ms. Tolene that the water and non-scented chlorine bleach mixtu

R 400.8125 · R 400.8125 1 Staff; volunteer; requirements. (1) All staff and volunteers shall provide appropriate care and supervision of children at all times.

Braxton Cowell did not confirm that Child A {male, was appropriately strapped in a stroller, causing him to slip out, hit on the side of the stroller and fall to the ground.