Tiny Tots

R 400.1923 · R 400.1923 Diapering and toilet learning. (3) Diapers or training pants must be changed when wet or soiled.

On 3/22/2023, I interviewed Child A's Mother. She stated that Child A was not being changed while at the child care home. Child A told her when he had to use the bathroom at home and when they are out. When he attended the child care home Child A's Mother would send him in a Pull-up. Ms. Dennis informed her that Child A does not let her know when he has to use the bathroom. She said the Pull-up she dropped Child A off with was the same Pull up when she picked him 2 up at the end of the day. The Pull up would be wet, however, Ms. Dennis would inform her that she changed him. On 3/22/2023, I interviewed Ms. Dennis. She said Child A was not toilet trained. He never let her know if he needed to use the bathroom. Ms. Dennis informed Child A's Mother that she took him every two hours to the bathroom with the other children. When she took Child A to the bathroom, he never used the toilet. Child A's Pull-up would be wet and she changed it. She checked Child A's Pull-up before he left each day, and he never went home wet. She stated that Child A's Mother wanted to bring Child A in underwear because she did not want to buy anymore Pull-ups. Ms. Dennis informed her that Child A could not come to the child care home without a Pull-up until he says he has to use the toilet. She continued to take him to the toilet without him asking. On 3/23/2023, I interviewed Child B's Mother, Child B is 4 years old. She stated that Ms. Dennis communicated with her by text regarding Child B. Child B's Mother said Child B is on the autism spectrum and has been enrolled with Ms. Dennis since birth. She has no concerns with Ms. Dennis changing Child B. He cannot use the toilet on his own. He never comes home wet. On 3/23/2023, I interviewed Child C's Mother. Child C is 4 months old. She stated she has no concerns regarding Child C's diapering. Child C is not old enough for toilet training and his diapers are not wet when she picks him up.

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R 400.1923 · R 400.1923 Diapering and toilet learning. (6) Toilet learning must be planned cooperatively between the parent and the licensee so the toilet routine established is consistent.

On 3/22/2023, I interviewed Child A's Mother. She stated that she picked Child A up from the child care home one day and his nose was cold and running. This only occurred once. On 3/22/2023, I interviewed Ms. Dennis. She stated that her furnace was functioning properly and was not shut off. She offered to show her paid heating bill as well. On the day of my inspection, the heat was not off, and the home was not cold. On 3/23/2023, I interviewed Child B's Mother. She stated there were a few days the child care home did not have power, but she was notified ahead of time and the home was closed. On 3/23/2023, I interviewed Child C's Mother. She was not aware of the heat not working in the child care home.

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..............................9... I 400.1941 ...H....e...a...t..-.p....r..o...dpruodcucinin g equipment. (1) All flame-producing and heat-producing equipment must be maintained in a safe condition and shielded to protect against burns. This subrule applies to all of the following: (a) A furnace.

There is insufficient evidence to determine that the heat was not working properly in the child care home while children were in attendance.

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R 400.1907 · R 400.1907 Child's records. .............. .......................................................... ............................................................................... (1) Prior to a child's initial attendance, a licensee shall obtain the following documents: 4 ......................... ...................................... (a) A completed child information card on a form provided by the department or a comparable substitute approved by the department. ................ ...

There were no child information cards on file at the child care home.

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R 400.1907 · R 400.1907 Child's records. (1) Prior to a child's initial attendance, a licensee shall obtain the following documents: (b) A child in care statement or receipt using a form provided by the department and signed by the parent certifying all of the following: (i) Receipt of a written disciplinary policy. (ii) Condition of the child's health. (iii) Acknowledgement that the parent has been offered either a copy of the licensing rules for a child care home or has been given the website for an electronic copy of these rules. (iv) Agreement as to who will provide food for the child. (v) Acknowledgement that firearms are on the premises, if applicable. (vi) If the child care home was built prior to 1978, then the licensee shall inform the parents of each child in care and all personnel of the potential presence of lead-based paint or lead dust hazards, unless the licensee maintains documentation from a lead testing professional that the home is lead safe.

There was no child in care statements on file at the child care home.

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