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.

There was flaking paint in four of the classrooms.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8251(1)(e) · R 400.8251(1)(e) Handwashing All program staff and volunteers shall wash their hands at all of the following times: (e) After each diapering.

One teacher did not wash her hands after each diapering.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Diaper cream was accessible to children in two classrooms.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8269(2)(f) · R 400.8269(2)(f) Emergency preparedness and response planning procedures (2) The written procedures must include all the following as applicable to the type of emergency: (f) A plan for continuity of operations. 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.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8330(24) · R 400.8330(24) Food services and nutrition generally (24) Children shall not have beverage containers or food while they are walking around or playing. Bureau

Open Not marked corrected in the state record

Category: nutrition. 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 1 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.

Appropriate care and supervision were not provided when CCSM 1 dropped a vape pen cartridge in the classroom and it was picked up by Child A.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8155(1)(b) · R 400.8155(1)(b) 2 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP Child accidents and incidents; child and staff illness. A child experiences an accident, injury, or incident.

The child care center was in non-compliance of following their written plan to call parents to notify them of incidents when Child A's Parents were not called and notified when Child A picked up a vape pen cartridge dropped by CCSM 1 in the classroom.

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.

Appropriate care and supervision were not provided by CCSM 2 when Child A, Child B, and Child C were behind a kitchen set in the classroom, which created a blind spot and Child C put toy bears in Child A's underwear. Later on, the same day appropriate care and supervision was not provided by CCSM 3 when Child A and Child C were behind the same kitchen set in the classroom and Child A's pants and underwear were pulled down and Child C placed toys in Child A's underwear and rubbed her buttocks with his hand.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

On 3/15/2023 I completed an unannounced on-site inspection at the child care center. Licensee designee and program director Kristen Morgan was aware of the allegations and confirmed she notified her assigned child care licensing consultant, Karen Woodman, both verbally and in writing of the incident. Ms. Morgan said on 3/9/2023 she was in her office talking to a parent when she heard Child A cry out. Ms. Morgan knew Child A's class just went outside so she walked over to Child A's classroom. She observed Child A inside the classroom looking outside through the window. Ms. Morgan took Child A outside and found the children from Child A's classroom were still lined up for the Child Care Staff Members (CCSMS) to complete an attendance count. Ms. Morgan said the policy for completing attendance counts involves one CCSM reading off the names of the children whose names are on the attendance log at that time. When the first CCSM reads off the child's name, the second CCSM lays eyes on that child and says "yes" to confirm the child is accounted for. The CCSMs complete this process prior to 611 W. OTTAWA. P.O. BOX 30664. LANSING, MICHIGAN 48909 www.michigan.gov/lara . 517-335-1980 taking the children outside, then repeat the process after the children line up outside before they allow the children to go play on the playground. When Ms. Morgan spoke to Child Care Staff Member (CCSM) 1 and CCSM 2 about the incident, CCSM 1 said before they went outside, she read off Child A's name from the attendance record then heard CCSM 2 say "yes." CCSM 1 said she did not look up to see Child A, she only heard CCSM 2 reply. CCSM 2 told Ms. Morgan she is confident she saw Child A in line when CCSM 1 called his name for attendance. CCSM 1 and CCSM 2 said Child A likes to take his gloves off when he is inside, so they wonder if Child A took his gloves off in the classroom, then left the line to retrieve his gloves after his name was called. Ms. Morgan said when she took Child A outside after finding him looking out the window, the other children were lined up outside and CCSM 1 and CCSM 2 had not yet completed the second attendance count. CCSM 1 stepped away from the line of children because Child B ran away from the line. Ms. Morgan said both CCSM 1 and CCSM 2 looked surprised that Child A was in the classroom and not with the line of children outside. Ms. Morgan said the time Child A's classroom went outside on 3/9/2023 was a little more hectic that usual. Ms. Morgan said there was another classroom outside who ran over their assigned outdoor play time. This caused two classrooms to be transitioning at the same time which is not typical of the daily schedule. Ms. Morgan said she has never had any concerns with CCSM 1 or CCSM 2 providing adequate supervision of the children. Ms. Morgan said she re-trained the CCSMs on the policy for taking attendance during transition times. Ms. Morgan said she reminded all the CCSMs of the importance of sticking with their daily schedules to avoid m chaotic situations. Ms. Morgan believes Child A was left unattended one minute or less. Ms. Morgan informed Child A's parents of the incident the same day. Ms. Morgan spoke to Child A's Father during pick-up time. Child A's Father told Ms. Morgan he appreciates that Ms. Morgan is taking the situation seriously and he trusts that Ms. Morgan and the CCSMs will make the appropriate changes to assure the situation does not happen again. Ms. Morgan's office is located on the same side of the child care center as Child A's classroom. Ms. Morgan's desk faces a large window that looks out towards a classroom located immediately outside Ms. Morgan's office. Child A's classroom from that classroom is located on the farther side of the building right outside Ms. Morgan's office. The two classrooms are separated by a half wall. Ms. Morgan can see across the entire half of the center from her office except for the area of Child A's classroom that is obstructed by the half wall. Ms. Mo

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 31212423 I completed an unannounced on-site in accompanied by ana i inrormea program airector Kristen Morgan of the allegations. Ms. Morgan said Child A's Mother reported she was standing in a classroom that is adjacent to Child A's classroom, separated by a half wall. Child A's Mother was attempting to remain out of Child A's sight so Child A would not try to leave her room to go to where Child A's Mother was standing. Child A's Mother observed Child A wake from a nap, then go over to sit on a "back jack' chair. Child A's Mother described a "back jack" chair as a seat that sits flush with the floor and has a back rest for child care staff members (CCSMs) so they can comfortably sit on the floor with the children during nap time. Child A's Mother said while Child A was sitting on the chair, she observed CCSM 1 grab Child A by her forearm and move Child A over about one foot to the side of the chair. Child A's Mother said she could not tell if CCSM 1 raised Child A completely off the floor as her sight was obstructed by the half wall. Ms. Morgan said Child A's Mother has expressed concerns regarding the way CCSM 1 speaks about Child A. Ms. Morgan said CCSM 1 has made comments to Child A's Mother in a joking manner such as "thank God you're here to pick up your little devil." Ms. Morgan said she believes CCSM 1's comments are meant to be in a joking manner, but Child A's Mother does not find the comments funny. Ms. Morgan spoke to CCSM 1 about the comments and believes the concern was addressed. Ms. Morgan has not had any concerns with CCSM 1's interactions with children in the past. CCSM 1 was placed on temporary administrative leave. If CCSM 1 returns to the center, Ms. Morgan will provide her with additional training on appropriate child guidance. Ms. Morgan said she will provide this training to all the CCSMs as a refresher. After Child A's Mother reported her concern, Child A went to Ms. Morgan's office. Ms. Morgan did not see any marks on Child A and Child A did not complain of any pain or discomfort. Ms. Morgan said CCSM 2 iss only CCSM currently present at the center who works with CCSM 1 in Child A's Classroom. and I interviewed Child A"s Mother. Child A's Mother said she was standing in the classroom that is adjacent to Child A's classroom and divided by a half wall. She observed Child A walk over the to a "back jack" chair to sit. Child A's Mother said Child A appeared to be happy and not causing any problems in the chair. Child A's Mother did not hear CCSM 1 give Child A any verbal directions to move off the chair. Child A's Mother observed CCSM 1 walk over to Child A and grab her by the forearm where she lifted Child A by her forearm and moved her over about a foot from the chair. CCSM 1 said she could not see if CCSM 1 lifted Child A off the ground. Child A cried for a little while after the incident. Child A's Mother said she does not believe Child A was crying because she was hurt, she believes Child A was crying because she wanted to remain on the chair. Child A's Mother said she has never observed any other concerning interactions between CCSM 1 and Child A or any other children. CCSM 1 has made comments to Child A's Mother regarding Child A that Child A's Mother interpreted as rude. However, the comments were directed towards Child A's Mother, not Child A directly. Child A's Mother does not believe it was CCSM 1's intention to hurt Child A. Child A's Mother believes CCSM 1 could have just verbally asked Child A to move off the chair. Child A's Mother believes CCSM 1 physically moving Child A from the chair was not necessary. She does not have a problem with CCSM 1 returning to the child care center to work in Child A's classroom. and I interviewed CCSM 2. CCSM 2 said she has worked in a classroom with CCSM 1 for almost a year. CCSM 2 said she was not present when the incident between CCSM 1 and Child A occurred. CCSM 2 has never had any concerns with the way CCSM 1 interacts with any of the children. CCSM 2

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8137 · R 400.8137 Diapering; toileting. (6) Diapers and training pants must be checked frequently and changed when wet or soiled. 4

When Child A was enrolled at the center in June and July 2022 his diapers were not checked frequently and changed when wet or soiled. .................

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.