• Violation

  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 Maximum Groua Size member to Child Ratio A a)Infants and toddlers, 1 to 4 12 birth until 30 months of age

  On 05/11/2022, I arrived at the center for the onsite inspection. I explained the allegations to program director Ms. Ashley Paz. Ms. Paz and I walked through the center and counted 103 children in care and 22 child care staff members. The center maintained ratio for the required number of child care staff members in each classroom for the number of children present. Licensee Designee Ms. Jennifer Benson arrived at the center and Ms. Benson, Ms. Paz, and I went to Ms. Benson's office to discuss the allegations. Ms. Benson stated the center generally has enough staff to schedule an extra staff member in each classroom so that staff can provide breaks to each other while maintaining ratio. For example, the group of infants and toddlers have a required ratio of one child care staff member for 4 children. With twelve infants or toddlers present, four staff would be assigned to the room. Having four staff would allow the staff to take lunch breaks while maintaining ratio. If a staff member has a vacation, is off, or calls in sick, then child care staff from the front office will step in to the classroom to assist staff and students. During Covid, the center scheduled staff to be self-sufficient, with no mixing or crossing of staff between classrooms. Staff do not exit the classroom for breaks until the staff member covering arrives. Program director Ms. Paz stated staff generally take breaks from 10 AM — 11AM, 11 AM-12 PM, 12 PM — 1 PM, 1 PM — 2 PM, or 2 PM — 3 PM. I requested daily schedules, child information cards, staff schedule, staff time cards, and children's sign in/out sheets for Infant I, Infant II, Toddler I, and Toddler II for the weeks of 02/28/2022 through 03/18/2022. Ms. Paz exited the office to prepare the requested paperwork. Ms. Benson stated during Covid, the center kept track of staff break schedule; however, they stopped maintaining the logs when contract tracing ended. Break schedules are hand written daily; however, they are not saved. Ms. Paz entered the office and provided all requested paperwork. During the onsite, Ms. Benson and Ms. Paz were forthright and cooperative; providing information and requested documentation. I reviewed each classroom's daily schedule, staff schedule, children's weekly sign in/out sheets, and staff time cards provided by the center for 03/08/2022 in Infant I, Infant II, Toddler I, and Toddler II. Infant I and Infant II do not have set napping schedules as infants eat and sleep on demand, which is stated on daily schedules. Toddler I has a rest time from 12:00 PM — 1:30 PM and Toddler II has a rest time from 11:45 AM — 1:45 PM, both stated on daily schedules. Infant I had six children present in care on 03/08/2022 with Child A (male, six months) being the youngest. Four staff members were scheduled to work with the children. Time cards for each employee were reviewed and compared with children's weekly in/out sheet. Infant I maintained required ratio of one child care staff member for four children throughout the day. Toddler I had twelve children present in care on 03/08/2022 with Child B (female, 9 months) being the youngest. Four staff members were scheduled and time cards for 4 each employee were reviewed and compared with children's weekly in/out sheet. Toddler I maintained required ratio of one child care staff member for four children throughout the day. Infant II had ten children present in care on 03/08/2022 with Child C (female, eleven months) being the youngest. Four staff members were scheduled to provide care to the children. Time cards for each employee were reviewed and compared with children's weekly in/out sheet. During the review, eight children were present in care with two child care staff members. At 8:26 AM, an additional child, Child D (female, 1 year) arrived for care. The third child care staff member Ms. Adrianna Medina was scheduled to work at 7:30 AM; however, she did not clock in until 8:40 AM leaving Infant II out of ratio for 14 minutes on 03/08/202

  Open Not marked corrected in the state record

  Category: ratio. Open / not marked corrected.

• Violation

  R 400.8140 · R 400.8140 Discipline. (2) All of the following means of punishment are prohibited: (d) Inflicting mental or emotional punishment, such as humiliating, shaming, or threatening a child. 4

  Based on direct observations during my 4/22/2022 unannounced onsite and CCSM statements, there is no evidence that CCSMs at Looking Glass Child Development Center use threats as means of punishment.

  Open Not marked corrected in the state record

  Open / not marked corrected.

• Violation

  R 400.8140 · R 400.8140 Discipline. ......................................... ... (2) All of the following means of punishment are prohibited: (e) Depriving a child of meals, snacks, rest, or necessary toilet use.

  Based on the statements of CCSMs at Looking Glass Child Development Center, there is no evidence that any child was deprived a meal or snack as a form of punishment.

  Open Not marked corrected in the state record

  Category: nutrition. Open / not marked corrected.

• Violation

  R 400.8155 · R 400.8155 Child accidents and incidents; child and staff illness. (4) If a center becomes aware that a staff member, volunteer, or child in care has contracted a communicable disease, then the center shall notify parents and provide all of the following information: (a) The name of the communicable disease the children were exposed to. (b) The symptoms of the disease. (c) Prevention measures as recommended by the U.S. Centers for Disease Control and Prevention (CDC) at the following website: https://www.cdc ov/DiseasesConditions.

  On 10/13/2021, I completed an on-site inspection. Program director Ms. Ashlee Paz was present. I explained the allegation to Ms. Paz. She contacted licensee designee Ms. Jennifer Benson via the telephone so she could be part of the interviewing process. Ms. Paz reported that Minor 1 had been observing in the K-Prep Classroom on Monday, October 4, 2021. Minor 1's Mother contacted her either that evening or the next morning to report that Minor 1 had tested positive for Covid-19. Ms. Benson then contacted Ms. Becky Stoddard, a communicable disease nurse for Clinton County. Ms. Benson reported that Ms. Stoddard has been the center's direct contact person for the reporting all positive Covid-19 tests. Ms. Stoddard provided the center with information regarding contact tracing and quarantining. The children who met the criteria for being a close contact, as defined by Ms. Stoddard, were quarantined. Ms. Benson and Ms. Paz determined who those individuals were by watching the center's video recording of the classroom. Six children were quarantined. Ms. Paz spoke directly with the parents of all six children and sent out a message through the center's online messaging system to all of the parents in the K-Prep Classroom. I was provided with a copy of that message. The message identified the communicable disease, listed the symptoms of the disease and provided prevention measures. Ms. Benson and Ms. Paz both reported that they were following the guidelines provided by Ms. Stoddard and she did not say they had to notify all of the parents at the center of the positive test, only the parents of the children who had been in contact with Minor 1. I stated that the health department has their own set of guidelines they are required to follow. The licensing rules require the center to notify all parents when they become aware of a staff member, volunteer, or child in care has contracted a communicable disease. Ms. Paz further reported that she had not been notified of any 4-year-olds that had tested positive for Covid-19. She said that Child A (10-month-old, female) and her family had tested positive for Covid-19, but Child A only attends on a part-time basis. She was in attendance on a Thursday and the family didn't test positive until the following Sunday. Based on the health department's guidelines, Child A and her family did not meet the health department's criteria for contact tracing, and therefore, no action was taken by the center regarding notifying parents. On 10/13/2021, I interviewed Child A's Mother. She reported that before testing positive for Covid-19, Child A's last day in attendance at the center was 09/30/2021. The family went to urgent care on the evening of 10/04/2021, where all three family members tested positive for Covid-19. Even though symptoms had appeared for Child A more than 48 hours after she had been at the center, she still called the center on 10/05/2021 to notify them of the positive test result. She told the center that Child A would not be in attendance until 10/18/2021. The center has always been on top of illnesses and notifying them as parents, either through the online messaging system or receiving a phone call directly from Ms. Paz. On 10/14/2021, communicable disease nurse for Clinton County, Ms. Becky Stoddard provided the following information. She stated she had received a verbal report on 10/05/2021 and an email report on 10/07/2021 from the center regarding an adult volunteer in the K Prep Classroom having tested positive for Covid-19. She 4 provided guidance regarding contact tracing for any/all contacts within the 6 ft. for 15 minutes guideline and the guidelines for quarantining. The health department recommends notifying the parents of the affected classroom of the potential exposure and encourages cleaning, monitoring of symptoms, distancing and masking. In reference to Child A having been at the center on 09/30/2021 and testing positive on 10/04/2021, Ms. Stoddard stated that contact tra

  Open Not marked corrected in the state record

  Category: health medication. Open / not marked corrected.

• Violation

  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 08/19/2021, Michigan Department of Health and Human Services (MDHHS) worker Ms. MaryLynn Jordan reported that while investigating another allegation at the center, Child C's Mother mentioned to her that Child C (6- year-old, female) came home from the center one day and told her that two children in her classroom had touched each other's privates. That same day, she received a telephone call from the center. The child care staff member who called her told her that Child C has been involved in the incident, then she corrected herself and said that Child C had not been involved but was the one who had brought it to the child care staff member's attention. When Child C's Mother returned to the center the next day and asked for clarification of the situation, she stated that none of the child care staff members knew what she was referring to. On 08/23/2021, I interviewed Child C's Mother via telephone. She reported that Child C had come home from school one day and told her that someone had told her a secret that she didn't feel right about and so she had told the teacher. At that time, Child C did not disclose any specific details about the secret she had been told. When the child care staff member called her shortly after Child C had told her this, they told her that two little kids were playing with each other, looking at each other and touching each other. The child care staff member said that she did not know all of the details of what had happened as the video recordings had not been watched to either confirm or deny the incident had occurred. On 08/26/2021, I interviewed Child B's Mother. She reported that child care staff member Ms. Oliva [Wenzlick] Geller notified her of the incident. She told her that a girl had asked Child B (6-year-old, male) to show her his penis and he did. She also told her that it was just the showing of the penis and that it's something that just happens between children at this age. Child B's Mother asked Child B about the incident and he confirmed that it had happened. On 08/26/2021, I interviewed child care staff member Ms. Oliva [Wenzlick] Geller. Ms. [Wenzlick] Geller mainly works at the front desk of the center assisting the program director Ms. Ashlee Paz. She reported that approximately one month ago, Child A (6-year-old, female) had asked Child C and Child B and Child D (6-year-old, male) to see their penis' and they had showed them to her. She recalled that child care staff member Ms. Rachel Shrauben had called the front desk on the day the 3 incident occurred and requested her assistance because she told her she didn't know how to handle it. Ms. [Wenzlick] Geller said she handled the situation by going down to the room and speaking to the children and then speaking to the parents at pick up time. She reported that she had not reviewed any of the video recordings for the classroom and she had asked Ms. Schrauben to complete a report about the incident. On 08/26/2021, child care staff member Ms. Oliva [Wenzlick] Geller provided me with a "Owie Report" from the center that was in Child A's file regarding inappropriate contact between children. The report, dated 7/23, stated the following: "Child A and a friend were playing together during free choice & it was brought to our attention she & the friend may have been touching each other inappropriately. Upon looking into it we came to the conclusion they were pulling on each others pants & that it was nothing inappropriate but we did discuss keeping our hands off of others bodies." The report was signed by child care staff member Ms. Kayleigh Wells. When Ms. Olivia [Wenzlick] Geller was asked about the details surrounding the incident, she stated that she had been on vacation on 07/23/2021 and was not aware of what had occurred that day. On 08/26/2021, I interviewed child care staff member Ms. Rachel Schrauben. She stated that she had been working on the day Child A asked Child C and Child D to show her their penis. She had been outside on

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.8158 · 1 R 400.8158 Incident, accident, injury, illness, death, fire reporting. (2) A licensee, licensee designee, or program director shall report to the child's parent and the department, directly or via phone, fax, or email, within 24 hours of the occurrence of any of the following: (b) An incident involving an allegation of inappropriate contact.

  Licensee designee Ms. Jennifer Benson stated that she was not aware that incidents involving the inappropriate contact between children required the center to report it to the department. Technical assistance and consultation were provided to Ms. Benson and program director Ms. Ashlee Paz on 08/26/2021, 9/14/2021 and 9/15/2021, that any incident involving the inappropriate contact between child care children, regardless of age, must be reported to the department of licensing. ........................................................ ................................................................... .....................................

  Open Not marked corrected in the state record

  Category: health medication. Open / not marked corrected.

• Violation

  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 04/16/2021, I received an email from Ms. Jennifer Benson, licensee designee, informing me that on 04/15/2021 while Child A was jumping from one platform to another, he missed the platform and hit his nose. Attached to the email was an incident report, child care staff summaries, ouchie report, and three pictures of Child A moving between platforms. Child care staff applied ice and immediately notified Child A's parents. Child A remained in care and when Child A's Mother picked him up, she took him to Urgent Care where he was diagnosed with a broken nose. On 04/22/2021, I made an onsite inspection at the center. Ms. Jennifer Benson, licensee designee, and Ms. Ashlee Paz, program director, were not at the center; however, Ms. Paz was contacted and I was informed she was on her way. I requested to talk with Ms. Chelsea Clark, lead teacher, in Preschool II where the incident occurred. While waiting, I had an opportunity to see and measure the platforms. Each platform was 22 inches in diameter and ranged in height from 4 to 8 inches. I observed the squares on the rug where the platforms were placed and determined the platforms were appropriately spaced for the development of the children. Ms. Clark came in from outside and I and explained the allegations to her. Ms. Clark stated she had returned from taking a break on 04/15/2021 and the three wooden platforms were out for the children and placed on the rug like an obstacle course. Children were familiar with the platforms and had used them on numerous occasions. Ms. Clark said she was adjacent to the third platform and saw Child A gearing up to run. She reminded Child A to make safe choices by walking, be cautious, and gentle with his body. Child A attempted to jump from platform one to another platform but slipped on the edge with his shoe. Child A fell down and hit his face of the third platform. Ms. Clark thinks he just did not have enough momentum to make the jump. She quickly picked him up, carried him to a chair, and looked at his nose. Ms. Bailey Wise, child care staff member, was sitting in the block area, engaged in play with children. Ms. Clark said by the time she put Child A in the chair, Ms. Wise had jumped to her feet and was on the phone with the kitchen requesting ice. Ms. Wise attempted to call the front desk; however, phones were busy. Within minutes, Ms. Jill Linman, child care staff member, arrived at the classroom with ice. Ms. Clark had Ms. Linman remain in the room with Ms. Wise while she went to the front desk to talk with Ms. Olivia Wenzlick, child care staff member. On 04/22/2021, Ms. Bailey Wise, child care staff member, stated the children, child care staff member Ms. Meghan Soliz, and she had returned from outdoor play. A child had asked Ms. Soliz to get out the three platforms to be put on the rug, which she did. Ms. Wise said she was watching children taking turns jumping from one platform to the next. When Ms. Clark returned from her break, Ms. Soliz exited the classroom for her break and she moved to the block are where she began 3 supervising the children in that area. She saw Ms. Clark adjacent to the platforms supervising. Within minutes she saw Child A attempt to jump from one platform to the third platform, skipping the second platform. She thought Child A was playing a game called "hot lava" where you are moving from one spot to another without touching the ground. Child A was unable to make the jump and fell. Ms. Wise said she immediately got up and called the kitchen for ice. When Ms. Linman arrived with ice, Ms. Clark exited the classroom to get help. On 04/22/2021, Ms. Wenzlick stated on 04/15/2021 Ms. Clark came to the front desk and told her Child A had an injury to his nose. Ms. Wenzlick followed Ms. Clark to the classroom where she observed Ms. Wise holding ice on Child A's nose. After looking at Child A's nose, she removed Child A from the classroom and took him to the front desk area. Ms. Ashlee Paz, program director finished her

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  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 03104/2021 I arrived at the center and explained the allegations to program director Ms. Ashlee Paz. Ms. Ashlee Paz provided the names of the child care staff members who had been working in the Classroom when Child A injured leg on 03/03/2021. The child care sst aa ff members were Ms. Adrianna M ma, Ms. Cheyenne Perry, Ms. Chelsea Clark and Ms. Alexandria Johnson. Ms. Ashlee Paz shared the video recording of the Classroom that was taken at approximately 10:50 a.m. on 03/0312021 when i d A iniured lea. On 0310412021 licensee designee Ms. Jennifer Benson submitted an incident report. The incident report stated: "Child A was walking through the dramatic play area and slipped on a toy. twisted leg when E fell. Care was immediately given. Child A was taken to the bathroom to check the leg. Cuddles and ice were given until mom was able to pick up." On 0311012021 1 arrived at the home of Child A along with interviewed Child A's lVlot er. Child A's Mat er reported t at on 0310312029 Child A=s Father called her at approximately 10:50 a.m. and said that he had received a call from the centear sta ting that Child A had fallen, it hurt when attempted to put weight on leg and needed to be picked up from the center. en she arrived at the cen er, at approximately 11:30 a.m., Child A was sleepin on a cot with iceeevideleog that was propped up. A child care staff member picked up and handed ver to her. Child A cried and was inconsolable. The center o ered to show her of what had occurred, but she declined because Child A was just too upset. She left the center and stopped at but decided to proceed to the because aCnh~il d was in too much pain. She arrived at the iust before 12:00 o.m. Child A wa . She was concerned at first with Child A's injury, ` fell on a toy and I was concerned about the = because it was such a idn't know the details of the ,so I was concerned at the time." Child Psather had viewed the video recording that had been taken by the center at the time the injury occurred and he reported to her that he did not have any concerns regarding the care and supervision of the child care staff members. Child A's Mother stated that she believes the injury was an accident but would like to know the details in regards to the number of children in the room and the number of child care staff members who were in the room at the time the injury occurred and if someone was not providing appropriate supervision. On 03/1812021 and I arrived at the center. Together we interviewed child member Ms. Alexandria Johnson. She reported that she was working in the Classroom on 03/03/2021 when Child A injured leg. The injury occurred Mae in the morning just before lunch time. She was stan ing near the bathroom area supervising children and assisting child care staff member Ms. Chelsea Clark with changing diapers when she heard Child A crying. When she turned around, she sitting on the floor crying. She stated, "l did not actually see Y fall." Child scaawreqsaff member Ms. Adrianna Medina immediately ran over to Chil when she heard crying, "Child A was scream crying, you could tell was in real pain." Child care s a member Ms. Cheyenne Perry walked into the classroom 4 after the injured had occurred and she contacted Ms. Ashlee Paz to come down to the classroom. When Ms. Ashlee Paz arrived in the classroom she and Ms. Cheyenne Perry took Child A into the bathroom to examine. Child A continued to I scream in pain any time was moved. Ms. Ashlee Paz ca e Child A's Mother and . was placed on a napping cot until she arrived within minutes to pick ■ up. Ms. Alexandria Johnson believes there were 12 children in the classroom and three caregivers at the time Child A's injury occurred; herself, Ms. Chelsea Clark and Ms. Adrianna Medina. This was the first time something like this has happened to Child A while attending the center. She has no concerns with how the children are treated by the child care staff members. "Everything happened so fast, but they [child c

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

Child A obtained a from tripping over a toy. The injury is not consistent with the explanation provided.

Disposition: Substantiated