R 400.8140(1) · R 400.8140(1) Discipline. Positive methods of discipline that encourage self-control, self-direction, self-esteem, and cooperation must be used.

CCSM 3 did not provide positive methods of discipline when she put her knee in Child A’s back pushed him and then lightly pushed Child A three times with her foot causing him to fall forward on his face.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8380(1) · R 400.8380(1) Maintenance of premises. The premises must be maintained in a clean and safe condition and must not pose a threat to health or safety.

The premises are maintained in a clean and condition and do not pose a threat to the health or safety.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8173(4)(b) · R 400.8173(4)(b) Equipment. Safe, clean, and in good repair.

The kitchen was removed from the classroom immediately after it fell on Child J. The play equipment was safe, clean, and in good repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8152(8) · R 400.8152(8) Medication; administrative procedures. Topical nonprescription medication, including but not limited to diapering cream, triple antibiotic, sunscreen, and insect repellant, requires written parental authorization annually.

The classrooms had written parental authorization for the diaper cream and sunscreen.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8113(2)(b) · R 400.8113(2)(b) Program director qualifications; responsibilities. At least 50% of the time children are in care but not less than a total of 6 hours per day for programs operating 6 or more continuous hours.

Former Program Director 1 was present in the center at least 50% of the time but not less than 6 hours per day.

Open Not marked corrected in the state record

Open / not marked corrected.

R 400.8182(4) · R 400.8182(4) Ratio and group size requirements. Children who have reached 33 months of age may, when developmentally appropriate, be enrolled in a 3-year-old classroom with written parental permission. The ratio listed in subrule (3)(c) of this rule applies.

The classroom is licensed for children ages 2-3 years so written permission is not required for children under 33 months.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8110(14) · R 400.8110(14) Applicant; licensee; licensee designee; requirements. A center shall post a notice in a place accessible and visible to parents, staff, and visitors stating that smoking and 5 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP vaping are prohibited in the center and on the center's property.

There was a No Smoking/No Vaping sign in the front hallway that is accessible and visible to parents.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8140(3) · R 400.8140(3) Discipline. 6 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP Non-severe and developmentally appropriate discipline or restraint may be used when reasonably necessary, based on a child's development, to prevent a child from harming himself or herself or to prevent a child from harming other persons or property, excluding those forms of punishment prohibited by subrule (2) of this rule.

There is not enough evidence to support that Program Director 1 inappropriately restrained Child B.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8140(1) · R 400.8140(1) Discipline. Positive methods of discipline that encourage self-control, self-direction, self-esteem, and cooperation must be used.

There is not enough evidence to support that Former Lead Caregiver 10 did not provide positive methods of discipline that encourage self-control, self-direction, self-esteem, and cooperation with Child E.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8125(2) · R 400.8125(2) Staff; volunteer; requirements. All staff and volunteers shall act in a manner that is conducive to the welfare of children.

CCSM 8 is conducive to the welfare of children.

Open Not marked corrected in the state record

Category: recordkeeping. 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.

There is no evidence to support that there were toddlers unattended in the parking lot.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8140(3) · R 400.8140(3) Discipline. Non-severe and developmentally appropriate discipline or restraint may be used when reasonably necessary, based on a child's development, to prevent a child from harming himself or herself or to prevent a child from harming other persons or property, excluding those forms of punishment prohibited by subrule (2) of this rule. 7 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP

There is not enough evidence to support that Ms. Howard restrained a child.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8155(4) · R 400.8155(4) Child accidents and incidents; child and staff illness. 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:

The center notified parents of ringworm in the Coral classroom.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8112(1)(c) · R 400.8112(1)(c) Comprehensive background check; fingerprinting. A child care staff member.

Former CCSM 12 had unsupervised contact with children before a comprehensive background check was completed.

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 8, CCSM 19, and Former CCSM 12 did not provide appropriate care and supervision when Child N was left unattended in the classroom for approximately five minutes.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8330(11) · R 400.8330(11) Food services and nutrition generally. A center shall not serve infants and toddlers or allow them to eat foods that could easily cause choking, including but not limited to, popcorn, seeds, nuts, hard candy and uncut round foods such as whole grapes and hot dogs.

Toddlers were served full hot dogs and skewers with large chunks of apple and cheese cubes which are choking hazards.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

R 400.8176(16) · R 400.8176(16) Sleeping equipment. All sleeping equipment and bedding must be washed, rinsed, and sanitized when soiled, between uses by different children, and at least once a week regardless of use by different children.

Cots are not washed, rinsed, and sanitized when soiled, between uses by different children, and at least once a week regardless of use by different children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8330(24)(c) · R 400.8330(24)(c) Food services and nutrition generally. 9 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP Sitting with toddlers during meal times.

Child care staff members did not sit with toddlers during mealtimes to foster and facilitate toddlers' independence, language, and social interactions.

Open Not marked corrected in the state record

Category: nutrition. 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.

Former CCSM 9 did not provide appropriate care and supervision when she left children unattended in the classroom during naptime.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8380(5) · R 400.8380(5) Maintenance of premises. There must be no flaking or deteriorating paint on interior and exterior surfaces or on equipment accessible to children.

The wooden cars in the Coral classroom had flaking paint that was accessible to children.

Open Not marked corrected in the state record

Category: physical safety. 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.

Former CCSM 6 and Former CCSM 19 did not provide appropriate care and supervision when Child E was left unattended in the classroom

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8158(2)(a) · R 400.8158(2)(a) Incident, accident, injury, illness, death, fire reporting. A child is lost or left unsupervised.

Former Program Director 1 and Ms. Howard did not report to the department within 24 hours that Child E was left unattended.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8158(4) · R 400.8158(4) Incident, accident, injury, illness, death, fire reporting. A licensee, licensee designee, or program director shall submit a written report to the department of the occurrences outlined in subrules (1), (2), and (3) of this rule, in a format provided by the department, within 72 hours of the verbal report to the department. 11 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP

Former Program Director 1 did not submit a written report the department within 72 hours of Child E being left unattended.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8143(2) · R 400.8143(2) Children's records. Child information cards must be reviewed and updated by parents at least annually and when the center becomes aware of changes.

There were 4 out of 12 child information cards in the Teal classroom and 1 out of 14 child information cards in the Coral classroom that were not reviewed and updated by parents at least annually and when the center becomes aware of changes.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8152(5) · R 400.8152(5) Medication; administrative procedures. A child care staff member shall keep all medication out of the reach of children and shall return it to the child's parent or destroy it when the parent determines it is no longer needed or it has expired.

The Green classroom had sunscreen under the sink that was accessible to children.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8152(3) · R 400.8152(3) Medication; administrative procedures. All medication must be in its original container, stored according to instructions, and clearly labeled for a named child, including all nonprescription topical medications described in subrule (8) of this rule.

The Light Blue classroom and the Yellow classroom did not have sunscreen and diaper cream labeled with the child’s first name and last name.

Open Not marked corrected in the state record

Category: health medication. 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 2 and Former CCSM 11 did not provide appropriate care and supervision when seven children were bit by Child G in one day. Former Program Director 1 did not provide appropriate care and supervision when she did not follow the center policy and send Child G home.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8330(3) · R 400.8330(3) Food services and nutrition generally. 13 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP Beverages and food must be appropriate for the child's individual nutritional requirements, developmental stages, and special dietary needs, including cultural preferences.

Child D was given cheese-its and yogurt despite special dietary needs. Child D's breast milk was given to another child.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

R 400.8158(2)(a) · R 400.8158(2)(a) Incident, accident, injury, illness, death, fire reporting. A child is lost or left unsupervised.

Former Program Director 1 did not report to Child N's parent or the department within 24 hours of Child N being left unattended.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8146(4) · R 400.8146(4) Information provided to parents. Parents of children with special needs may request a written daily record that includes at least the information required by subrule (3) of this rule.

Child F's Mother did not receive daily written records for Child F who has special medical needs.

Open Not marked corrected in the state record

Category: recordkeeping. 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 8, CCSM 18, Former CCSM 14 and Former CCSM 12 did not provide appropriate care and supervision when Child L bit seven children in five days.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8158(4) · R 400.8158(4) Incident, accident, injury, illness, death, fire reporting. A licensee, licensee designee, or program director shall submit a written report to the department of the occurrences outlined in subrules (1), (2), and (3) of this rule, in a format provided by the department, within 72 hours of the verbal report to the department.

Former Program Director 1 did not submit a written report the department within 72 hours of Child N being left unattended.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8158(3) · R 400.8158(3) Incident, accident, injury, illness, death, fire reporting. 15 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP A licensee, licensee designee, or program director shall report to the department, via phone, fax, or email, within 24 hours of notification by a parent that a child received medical treatment or was hospitalized for an injury, accident, or medical condition that occurred while the child was in care.

Former Program Director 1 did not report to the department within 24 hours that Child M received medical treatment.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8140(1) · R 400.8140(1) Discipline. Positive methods of discipline that encourage self-control, self-direction, self-esteem, and cooperation must be used.

CCSM 8 did not use positive methods of discipline that encourage self-control, self-direction, self-esteem, and cooperation when she grabbed Child A's arm to prevent Child A from running out of the building.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8182(3)(a) · R 400.8182(3)(a) Ratio and group size requirements. Infants and toddlers, birth until 30 months of age, child care staff member to child ratio of 1 to 4, maximum group size of 12.

The Green classroom did not follow the required 1:4 CCSM to child ratio on 09/12/2024 and 09/16/2024.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8155 · R 400.8155 Child accidents and incidents; child and staff illness. (5) A center shall have a written policy detailing when children, staff, and volunteers will be excluded from the center due to illness. 611 W. OTTAWA. P.O. BOX 30664. LANSING, MICHIGAN 48909 www.michigan.gov/lara . 517-335-1980

On 08/25/2021, an anonymous complaint was received by the department reporting that two child care staff members tested positive for Covid-19. The child care center did not close the entire center but instead, only closed the rooms where the infected child care staff members worked. The complainant felt that the program director acted "irresponsibly" by not having a period of quarantine for the entire center to "ease the minds" of the parents 611 W. OTTAWA. P.O. BOX 30664. LANSING, MICHIGAN 48909 www.michigan.gov/lara . 517-335-1980 On 08/30/2021, I conducted an onsite inspection at the child care center. When I approached the front door of the child care center, I observed two notices taped to the door informing anyone entering the building that someone associated with the program tested positive for chicken pox and another notice confirming that someone associated with the center tested positive for COVID-19. During the onsite inspection, I interviewed Program Director, Sheryl Howard. I informed Ms. Howard of the complaint. Ms. Howard confirmed that she recently had two child care staff members test positive for COVID-19. She stated that on 08/18/2021, she was notified that a child care staff member in the teal room tested positive for COVID-19. Ms. Howard stated that she did not close the teal classroom because she was not advised to close that classroom by the Ingham county health department. On 08/20/2021, Ms. Howard learned that a second child care staff member tested positive. Because of the uncertainty of when the infection occurred and the proximity of the classrooms, Ms. Howard closed the yellow and light blue classrooms. These rooms were closed for a 10- day quarantine after the child care staff member tested positive. Ms. Howard also closed the child care center the following Monday, 08/23/2021, so that the entire center could be cleaned and sanitized to avoid further infections. Ms. Howard stated that she has not had any additional reports of anyone testing positive for COVID-19 after the second child care staff member. During the onsite inspection Ms. Howard showed me the email communication she's had with the representative from the Ingham County Health Department. Ms. Howard stated that the representative gave her the current guidance which detailed the requirements for quarantine. Ms. Howard followed those guidelines and also quarantined additional rooms because of the uncertainty of when the child care staff members were infected. Ms. Howard also provided the names and contact information for anyone who was potentially exposed to assist with contact tracing. Ms. Howard denied that she was required to close the entire child care center, although she willingly closed to clean and sanitize the child use spaces. While onsite, Ms. Howard provided me with a copy of the child care centers COVID-19 plan. The plan included details on drop off/pick up, temperature checks, face masks requirements, handwashing, classroom & building sanitizing, and social distancing. Ms. Howard stated that she has not included details about classroom and quarantining because the guidance is ever changing. She stated that if she is notified that a child or child care staff member tests positive for COVID-19, she contacts the Ingham county health department and follows the guidance provided at that time.

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.

On 10/13/2020, I completed an unscheduled on-site inspection. Ms. Sheryl Howard, program director/licensee said on the day of the incident she left to get 2 pizza for lunch and was gone for about 30-45 minutes. As she walked into the center around 11:15am, Cayla Moore, child care staff member stopped her in the hallway and said Child A just ran out the door. Ms. Howard went outside and looked around to the building to see if he her was outside, when she did not see him, she called 911. While she was doing that, Ms. Moore called Child A's Father. When Ms. Howard called 911, dispatch told her that a police officer already found Child A because someone from the neighborhood also contacted 911. Child A's Father told Ms. Moore if Child A was not found within 10 minutes to call him back. Ms. Howard then called Child A's Father. She explained to him what happened and that a police officer was bringing Child A back to the center. Child A's Father told Ms. Howard that Child A was having a rough week and "he does things to see what he can get away with." Child A's Father also said Child A has run away from his home before because he was upset. Child A is going through a rough situation at home and is currently seeking help as a result. Ms. Howard said she told Child A's Father, that was important information she should have been informed at the time of enrollment. Ms. Howard said when Child A was enrolled at the center, all Child A's Father told her was he is "a handful and hyperactive." It was only Child A's third week in attendance. Child A's Father enrolled Child A at the center on 09/01/2020 for virtual learning and only attends every other week while he is in the care of his Father. There were six school-age children in attendance at the time of incident. I viewed the attendance records to confirm. Ms. Moore was in the classroom by herself at the time, so she could not immediately run after Child A. She asked an extra child care staff member in the infant classroom, to come into the class and care for the children before she could attempt to find Child A. Around 11:20-11:25 a.m., Child A was returned to the center by Officer Jason Cotton, East Lansing Police Department. Officer Cotton told Ms. Howard, Child A said he ran away from the center because his classroom was loud, and there was yelling. Ms. Howard then spoke with Child A. He said he ran out the door because Ms. Moore was yelling at them and when his parents were together, they would yell at him and since his parents' divorce, his mom said no one would yell at him again, so he decided to run. Ms. Howard told Child A next time he feels like he needs to run out of the classroom, or he feels as if the room is too loud, to ask the teacher if he can come to her office. Around 2:30 p.m., Child A's Father arrived, and Ms. Howard spoke with him. Child A's Father told her that Child A "goes through some rough patches and then smooths out." Child A's Father again acknowledged that Child A has ran away from the home and is getting help for his "personal issues." Ms. Howard said Ms. Moore works with the school-age children K-4th grades with their virtual learning. She said Ms. Moore has a loud voice, but it is never yelling, "she does not yell at the children." Ms. Howard added, there have been times when Ms. Moore will use a "stern raised voice," but she has never heard Ms. Moore yell at the children. 3 There are two classrooms approved as child use space for school-age children. Only one of the classrooms was being used, so Ms. Howard moved the children to a classroom that does not have a door that leads directly to outside. During the on-site inspection, I viewed the classroom that was being used on the day of the incident. There are three doors in that classroom. The door on the north side goes directly to the hallway of the center, the door on the south side goes directly outside and the door on the east side goes into another classroom. The classroom the children have been moved

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.