R 400.8213(1)(a) · R 400.8213(1)(a) Staff; volunteer (1) All staff and volunteers present at the center shall: (a) Provide appropriate care and supervision o f children at all times. 2 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP

LT and T1 did not provide appropriate care and supervision of Child A when she fell and hit her head.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8113(1)(h) · R 400.8113(1)(h) Information provided to parents. (1) A center shall provide a handbook, electronically or hard copy, to each parent enrolling a child that includes at least all of the following: (h) Parent notification plan for accidents, i njuries, incidents, and illnesses.

On 11/4/2026, Lead Teacher and Teacher 1 did not provide an incident report to Child A's Mother when Child A (8 months) fell backwards hitting her head.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8266(3)(a) · R 400.8266(3)(a) Incident, accident, injury, illness, death, fire reporting (3) A licensee, licensee designee, or program administrator 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: (a) An incident involving an allegation of i nappropriate contact. 2 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP

PA did not report the incident of inappropriate contact to the department within 24 hours.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8280(1) · R 400.8280(1) Discipline (1) Positive methods of discipline that encourage self-control, self- direction, self-esteem, and c ooperation must be used.

Teacher 4 did not use positive methods of discipline with Child A when she pushed him with her foot to get his attention.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8254(2) · R 400.8254(2) Diapering; toileting (2) Children 1 year of age and older may be changed in a bathroom standing up or on a 3 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP nonabsorbent, easily disinfected surface, with a c hanging pad between the child and the surface.

The teachers in the preschool classroom use the bathroom as a designated diapering area complete stand-up diapering or the teachers borrow a changing mat from another classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8550(1) · R 400.8550(1) Electrical service (1) The electrical service shall be maintained in a s afe condition.

The electrical service was maintained in a safe condition.

Open Not marked corrected in the state record

Open / not marked corrected.

R 400.8161(1) · R 400.8161(1) Maintenance of premises. (1) The premises must be maintained in a clean and safe condition and must not pose a threat to health o r safety.

The premises were maintained in a clean and safe condition and did not pose a threat to health or safety.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8201(1)(c) · R 400.8201(1)(c) Comprehensive background check; fingerprinting. (1) Pursuant to sections 5n and 5q of the act, MCL 722.115n and 722.115q, before an individual has unsupervised contact with children, the department shall determine the individual's eligibility to be any of the following: (c) A child care staff member.

Teacher 5 completed a comprehensive background check and was always supervised in the classroom.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8280(1) · R 400.8280(1) Discipline (1) Positive methods of discipline that encourage self-control, self- direction, self-esteem, and c ooperation must be used.

Lead Teacher 1, Teacher 2 and Teacher 3 did not use positive methods of discipline when they put a mask on Child D for spitting.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8213(1)(a) · R 400.8213(1)(a) Staff; volunteer (1) All staff and volunteers present at the center shall: (a) Provide appropriate care and supervision o f children at all times.

Teacher 1 and Teacher 2 did not provide appropriate care and supervision when Child A left the playground and was unattended in the center for approximately two minutes.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8213(1)(a) · R 400.8213(1)(a) Staff; volunteer (1) All staff and volunteers present at the center shall: (a) Provide appropriate care and supervision o f children at all times.

Teacher 1 and Teacher 2 did not provide appropriate care and supervision when they allowed Child B and Child C to go into the center unattended.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8266(2) · R 400.8266(2) Incident, accident, injury, illness, death, fire reporting (2) A licensee, licensee designee, or program administrator shall report to the child's parent on the same day of the incident and to the department within 24 hours, directly or via phone, fax, or email, if a child is lost or left unsupervised.

PA did not report to the department within 24 hours that Child A, Child B and Child C were left unattended.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8266(5) · R 400.8266(5) Incident, accident, injury, illness, death, fire reporting (5) A licensee, licensee designee, or program administrator shall submit a written report to the department of the occurrences outlined in subrules (1) to (4) of this rule, in a format provided by the department, within 72 hours of the verbal report to t he department.

PA did not submit a written report to the department within 72 hours that Child A, Child B, and Child C were left unattended.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8155 · R 400.8155 Child accidents and incidents; child and staff illness. (1)A center shall have a written plan for how and when a parent is notified when personnel observe any of the following: (c) A child is too ill to remain in the aroun.

I interviewed the complainant for additional information. I interviewed Child A's Father. He stated that Child A has attended the center since October or November 2021 every other week. He attended from approximately 8:00a.m. — 4:30p.m. Child A was ill prior to 3/29/22. He was not in care on 3/28/22 due to not being fever free for 36 hours. Child A returned to care on 3/29/22 as he was well enough to go to the center. He informed the center in writing that Child A did not feel well the previous week and he spoke with Ms. Hadley. On 3/29/22, Child A had his temperature taken at drop off and he did not have a fever. Child A was not taking any fever reducing or other medication on 3/29/22. Child A's Father was not notified during the day that Child A was feeling ill or that he needed to be picked up early. When he arrived to pick up Child A, Child A could barely walk out of the center and he was not talking, which is not usual for him. He asked an unknown child care staff member about Child A's behaviors, to which she stated that she "did not know", and that he had "not moved or talked much today." Child A was later found to have a fever of 101 degrees. On 3/29/22, while in his care, Child A went into respiratory distress. This resulted in him going to urgent care three times and his pediatrician once. He did not require hospitalization. Child A's last day at the center was 4/27/22. I interviewed Ms. Hadley. She stated that Child A attended the center since 12/6/21. Child A was not in care on 3/28/22. On 3/28/22, Child A's Father contacted the center through Tadpoles, the center's on-line communication system. Child A's Father indicated on 3/28/22 that Child A had "some sort of respiratory infection on 3 Friday. His mom stayed home with him all week and thinks he's good for daycare today, but he ended up coughing so hard he puked before bed so I'm gonna monitor him today. RSV and COVID negative." Child A returned to care on 3/29/22. Ms. Hadley stated that if a parent brings their child back to child care, the CCSMs assume that the child is well enough to return to care. In addition, the children all have their temperature taken at the time of drop off while looking for signs of illness. If a child has a fever, they are not admitted to the center. Child A did not have a fever at drop off. The children are also monitored closely throughout the day for any signs of illness. Ms. Hadley believes that all the CCSMs do an "excellent" job monitoring the children for signs of illness. If a child begins to show signs of illness, the child's temperature is taken again. If the child has a fever or indicates that they are feeling ill, the child's parent is contacted to pick up their child from care. Child A was not sent home early on 3/29/22 and she was not aware that Child A felt ill. Ms. Hadley described Child A as "quiet for a 2-year-old." As such, him being quiet would not automatically cause concern that he may not feel well. Child A's Father sent a note to the center via Tadpoles on 3/30/22 indicating that Child A "had a fever of 101 when we got home and wasn't talking or playing. Gonna keep him home tomorrow. Fever today so no daycare tomorrow." Ms. Hadley stated that his note did not indicate that Child A's Father had concerns regarding the center. Child A did not attend the center on 3/30/22, 3/31/22 or 4/1/22. Child A's Father sent a note to the center via Tadpoles on 4/1/22 stating that he was "gonna keep him out again today, sorry guys. Poor dude was at 102 again yesterday. He ended up hitting 103 the night before and I strapped him in the truck and was rushing to the ER when his PED told me to stop being a helicopter dad lol, (which is fair) lemme know if there is anything going around and we'll see you guys in another week." Ms. Hadley stated that she is sad that Child A's Father was not happy with the care Child A received at the center. She believes that Child A's Father had unrealistic expectations for a center environment in

Open Not marked corrected in the state record

Category: health medication. 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.

I interviewed Child A's Father. He stated that Child A had feces in the creases of his groin area when he got home from the center approximately two dozen times. The feces did not appear fresh, as it was dry. Child A's Father addressed his concerns "over three times" with the center child care staff members but was given excuses that the feces may have been missed. Ms. Hadley told him that sometimes-improper wiping happens, that she was sorry, and the CCSMs are "really busy". Ms. Hadley told him that she would speak to the CCSMs. Child A also had weekly rashes while in care. He has "very" sensitive skin. He would start to get the rash in the beginning of the week. As such, he requested that Child A have diaper cream placed on him at each diaper change; however, the diaper change log did not always indicate that cream was applied. Child A has also come home, and his skin did not appear to have any cream on it. The rash would continue to get worse during the week. Over the weekend the rash would get better. I interviewed Ms. Hadley. She stated that Child A's Father "yelled" on two different occasions about diaper changes, saying that Child A was not changed, he had a rash, and that he needed diaper cream each time he was changed. Ms. Hadley was "taken back" by his demeaner and told him that she would investigate his concern. Ms. Hadley stated she no longer remembers the specific days, but she remembers when she checked the log at the time, and Child A's diapers were changed every 1 to 2 hours that day. Ms. Hadley also showed Child A's Father where the change 1/2 log was located on the daily form. On the second occasion, it was a situation where he was confused about the log because the diaper changes are logged in a different area than the toilet use attempts. Once the form was explained to him, as well as it 7 was explained that Child A may remain in his already clean diaper if he attempts to use the toilet but was not successful, Child A's Father "backed down." Child A's Father also expressed concern regarding Child A's diaper changes on 2/1/22 in a 2nd note that he left on Tadpoles. The note indicated that "yesterday was the time he has come home with poop on his butt still from improper wiping. That tells me the caretaker is either rushed or not paying attention and is not applying the Aquaphor." The center replied to his note in writing by saying "We do unfortunately miss areas to clean once in a while changing diapers, we apologize if this has happened and will try better in the future." Despite the apology saying that "if this has happened", Ms. Hadley does not believe that any CCSMs miss cleaning any areas of the children if they are laying down for a diaper change. She stated that if a child is changed standing up, it is not as easy to view the wiping area. Despite this, she still believes that the children are changed and cleaned well while in care. Ms Hadley also spoke with the CCSMs in Child A's room, all of which denied the allegations. Ms. Hadley denied telling Child A's Father that improper wiping happens or that the CCSMs are "really busy." Ms. Hadley stressed that she would never ignore a parent's concerns. Ms. Hadley stated that sometimes children have bowel movements when leaving to go home, which is not in the center's control. Ms. Hadley stated that the children in Child A's room are in the process of potty training. Sometimes they have their diapers changed laying down, and other times they are changed standing up. She believes the diapers are changed timely when they are wet or soiled. She was not aware of Child A having a rash. Child A's Father requested that diaper cream be used at each change, despite this not being the best practice because children's skin also needs to be exposed to air at times. Child A's Father expressed concerns that Child A had a "major rash", but Ms. Hadley is not sure if that is accurate. She indicated that although the CCSMs record the diaper changes, including bowel movements

R 400.8146 · 1 R 400.8146 Information provided to parents. (3) For infants and toddlers, a center shall provide parents with a written daily record that includes at least the following information: (c) Elimination patterns, including bowel movements, consistency, and freauencv.

I interviewed Child A's Father. He stated he understood that scratches can happen, and that he is "not super concerned about it." However, Child A's Father wished that the center had better communication with him because they did not tell him about the scratches when they occurred in care. Child A had scratches on both arms, his back leg, and on the back of his neck that they did not report to him. Only one of the scratches bled "a tiny bit" on the back of his neck. The scratches looked as if they could be play related or from small fingernails. Most recently on 4/27/22, he was informed that Child A had a bit on his leg; however, there were no bite marks. All the children in the room are about the same age as Child A. I interviewed Ms. Hadley. She stated that Child A received five minor injury or notification reports while in care, and all those injuries were communicated with Child A's Father. Ms. Hadley believes the CCSMs do a "great" job providing the children with care and supervision. The CCSMs also do a "great" job communicating 11 with parents. Child A's room does have "a biter", and they are currently monitoring that child closely to keep biting from happening between the children. It is not uncommon for small scratches to occur while in care, as young children do not have the verbal abilities to communicate well. At times, children also accidently scratch themselves. The CCSMs do their best to prevent injuries. If a child is injured while in care, the CCSMs immediately tend to the children, the CCSMs will speak with the child that hurt the other, they take pictures, and they communicate with parents on Tadpoles. She has not received any other parent complaints. Ms. Hadley provided the following injury information regarding Child A. The following was entered into the Tadpoles system. Pictures were also taken of Child A and uploaded into the Tadpoles system. The pictures showed minor age- appropriate injuries. 2/4/22: This morning while playing, (Child A) was scratched by another toddler leaving a small scratch on the left side of his forehead. We washed the area and gave him cuddles and a cold compress. 4/11/22: While playing in the toddler room, (Child A) was scratched in a couple small scratches on his left check and the back of his neck. Applied a cold compress to the areas and gave him lots of TLC and cuddles. 4/15/22: Upon arrival, we noticed this mark on (Child A's) forehead. 4/25/22: I noticed a rash on (Child A's) neck while playing with children reading books. He does not seem hurt or bothered by it. 4/27/22: While playing on the climber this morning, another child bit (Child A) on the back of his calf. He didn't cry, but we didn't quite catch them in time to stop it. Applied an ice pack and gave hugs. He went right back to playing. I observed the included picture. There did not appear to be any bite marks on Child A. I interviewed Ms. Limmer, Ms. Bibler, Ms. Harnes, Ms. Straub, and Ms. Brownell separately. The five CCSMs all indicated that if a child is injured the CCSMs immediately tend to the injured child, they take pictures, and they notify the child's parent. The CCSMs have "good" communication with parents. The CCSMs provide the children with "good" care and supervision. The CCSMs actively supervise the children and try to prevent injuries from happening. Despite doing their best, sometimes age-appropriate injuries such as scratch marks and biting can occur with toddlers. Any injuries to the children have been minor. None of the CCSMs had concerns with biting in Child A's room, saying that it rarely occurs. Ms. Limmer remembered Child A being bitten once on the leg while climbing. Another child was standing behind him. As Child A climbed, his calf muscle came to mouth level for the child standing behind him. Child A was not injured, there were no marks, and he did not cry. Despite not having any marks, Child A's Father was still notified. Ms. Limmer has not received any complaints from parents. I observ

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.

I interviewed Child A's Father. He stated that he witnessed an unknown CCSM in the hallway of the center yelling at an unknown older child on 4/27/22 when he arrived for pick up. The CCSM said to the child, "Get back in that room right now." The child was approximately 4 or 5 years old. Child A's Father believes that what he heard was a "yell" because he could hear what the CCSM said through a set of double doors and down a short hallway. I interviewed Ms. Hadley. She denied the allegations, saying the CCSMs do not yell at the children. If children leave the room to follow a CCSM, they are verbally redirected back into the room. The center employees three CCSMs that are also mothers of children that attend the center, so it may have also been a mother speaking her own child in an authoritative voice. Ms. Hadley stated that the CCSMs use positive language and redirection when speaking with the children. She has not received any parent complaints. She stated that the CCSMs working on 4/27/22 during pick up time included Ms. Straub, Ms. Bibler, and Ms. Brownell. I interviewed separately Ms. Limmer and Ms. Harnes. They denied the allegations. They have never heard any CCSM yell at the children. At times, CCSMs may use an authoritative voice, but it is "not yelling." They have no concerns regarding the CCSMs interactions with the children, saying the CCSMs use positive speech and redirection. Ms. Limmer stated that she has not received any parent complaints. Ms. Harnes stated that the main door to the hallway does not block sound very well, so it easy to hear through the shut doors and down the hallway. I separately interviewed Ms. Bibler, Ms. Straub, and Ms. Brownell, all of whom were working during pick up time on 4/27/22. The three CCSMs denied the allegations, saying that the children are not yelled at while in care. Ms. Bibler and Ms. Straub stated that they may use authoritative voice at times, but it is "not yelling." If a child follows a CCSM out of the room, the child will be verbally redirected to go back in the room. Ms. Bibler stressed that she would "never yell at them." Ms. Straub stated that her own child often tries to follow her out the room. She has used her "mom authoritative" voice to redirect her own child, but it was "not yelling." The three CCSMs had no concerns regarding any of the CCSMs interactions with the children, saying the CCSMs use positive speech and redirection. Ms. Bibler and Ms. Straub 14 both indicated that the main door to the hallway does not block sound very well, so it easy to hear through the shut doors and down the hallway. I observed all the children interacting with CCSMs at the center on 5/2/2022 and 5/6/2022. I did not witness any CCSM yell at the children. The CCSMs spoke to the children in a quiet tone of voice, using positive and encouraging language. The children actively sought attention from the CCSMs. None of the children expressed or exhibited any fear or hesitation. In addition, during the on-site inspection on 5/6/22, I stood outside the closed double doors that lead to the center's main hallway. I could easily hear Ms. Hadley and other CCSMs speaking in a normal tone of voice through the door and down the short hallway. I interviewed Child B and Child C's Mother, and Child D, Child E, and Child F's Mother separately. They do not have any concerns. Neither parent has witnessed any CCSMs yelling at the children in care. They both stated that the CCSMs appear to enjoy their jobs, and the CCSMs speak to the children in a positive manner. Their children enjoy attending the center. Their children have never expressed or exhibited any concerns.

R 400.8155 · R 400.8155 Child accidents and incidents; child and staff illness. (1)A center shall have a written plan for how and when a parent is notified when personnel observe any of the following: (b) A child experiences an accident, injury, or incident. 13

If a child is injured while in care, the CCSMs provide first aid to the child, pictures are taken, and parents are notified.

Open Not marked corrected in the state record

Category: health medication. 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.

Positive methods of discipline that encourage self-control, self- direction, self-esteem, and cooperation must be used. The CCSMs do not yell at the children in care. The children are spoken to in a positive and encouraging manner. I

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.