The Learning Experience

R 400.8251(1)(e) · R 400.8251(1)(e) Handwashing (e) After each diapering.

I observed a staff member in the toddler A classroom change a diaper and did not wash her hands following the diaper change.

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R 400.8251(2)(a) · R 400.8251(2)(a) Handwashing (a) Before and after meals, snacks, or food preparation experiences.

Staff in toddler B did not ensure that all children washed their hands before sitting down for morning snack.

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R 400.8251(2)(b) · R 400.8251(2)(b) Handwashing (b) After toileting or diapering.

Staff in toddler A did not ensure that a child washed their hands following a diaper change.

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R 400.8254(1)(f) · R 400.8254(1)(f) Diapering; toileting 3 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP (f) Is cleaned and disinfected after each use.

The diaper pad in the toddler A classroom was not washed, rinsed and disinfected after a diaper change.

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R 400.8201(2)(f) · R 400.8201(2)(f) Comprehensive background check; fingerprinting. (2) An applicant or licensee shall do all of the following: (f) Immediately disconnect each individual within the department's child care background check system once the individual is no longer a licensee, licensee designee, child care staff member, or an unsupervised volunteer under the license. Bureau

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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.

On 1/23/2025, Child A was not provided appropriate care and supervision when he gained access to a packet of Tylenol PM from Child B’s backpack while in the Prepper classroom. One pill from the packet was unaccounted for, and it remains unknown whether Child A ingested it.

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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 05/23/2023, the bureau received a complaint stating that Child B was allowed to scratch Child A on both sides of his face resulting in severe scratches on Child A's cheeks. The complaint stated that Child A had been scratched several times in the past and staff do not take precautions to prevent the incidents from occurring. On 05/25/2023, I made an unannounced onsite inspection to the child care center from 10:24 a.m. to 11:50 a.m. I interviewed program director, Ms. Bennetts. I informed Ms. Bennetts of the complaint allegations. Ms. Bennetts was aware of the situation regarding the preschool 2 classroom and Child A's injuries. Ms. Bennetts shared that she was aware of ongoing behavioral challenges in the preschool 2 classroom including physical conflicts between the children. Some parents have expressed concern regarding the number of children in the classroom and only two child care staff members. Ms. Bennetts stated that many of the parents do not understand the ratio for the preschool 2 classroom of four to five- year- olds is 1 to 12. Many of the parents would see 20 children and think it is too many children for the staff members to handle. Ms. Bennetts shared that in efforts to address parent concerns and decrease the behavioral challenges in the classroom, a third child care staff member had been placed in the preschool 2 classroom. The third child care staff member had been in the classroom since the end of March beginning of April 2023. Ms. Bennetts stated that behavioral issues were common among all of the children in the classroom, however, many of the incidents were between Child A and Child B. Ms. Bennetts shared a couple of the incident reports from Child A and Child B's files, and they involved different children. Many of the incidents that occur in the classroom do not require an incident report. Child A and Child B would often choose to play together in the classroom, but the children would also have a lot of conflict together as well. Ms. Bennetts stated there has been incidents in the past involving Child A and Child B, however, the latest incident was the worst she had ever seen. Child A had received severe scratches to both sides of his face by Child B, and Child A was bleeding pretty badly from the scratches. Ms. Bennetts was unsure if Child A's Mother took Child A to the doctor. Child A was absent from the child care center for one week and then returned. Child A's Mother was very upset regarding the incident and wanted to know what steps the center will take to prevent another incident. Child A's Mother stated she believes there were too many children in the classroom. Appropriate child care staff member to child ratios were explained to the parent as well as the center's decision to include a third staff member in the 3 classroom. Child A has had not been involved in any other incidents and is currently still in care at the center. Child B no longer attends the child care center as of 05/11/2023. Ms. Bennetts stated that both children's parents were contacted after the incident. Child A's Mother was upset and wanted to know how it happened. Child B's Mother did not answer the phone, so Child B's Grandmother was contacted. Ms. Bennetts shared that Child B's Grandmother was concerned, and asked questions but was also frustrated because Child B's Mother was consistently unavailable, and Child B's Grandmother was the main point of contact. I asked Ms. Bennetts if she had spoken to Child B's Mother before the incident occurred regarding any behavioral concerns. Ms. Bennetts shared that prior to the incident (no specific date was given), she spoke to Child B's Mother, and she suggested a behavioral plan may need to be put in place for Child B due to the rising behavioral concerns in the classroom. Ms. Bennetts stated that Child B's Mother asked if she wanted her to find another child care center for Child B. Ms. Bennetts expressed to Child B's Mother that she did not want Child B to leave the center, ho

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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 0312312022, 1 spoke to Child A's grandmother via telephone. Child A's grandmother stated that she dropped Child A off at the center on the morning of 03/11/2022. Child A's grandmother did not observe any marks on Child A's face at that time. On the evening of 03/11/2022, she received a call from Child A's mother informing her that Child A had a mark on his forehead and nose. Child A's grandmother immediately called the center and spoke to an unknown staff 2 member. She asked about the marks on Child A's face and wanted to know how the injuries occurred. The unknown staff member told her that the staff member who was assigned to the toddler A classroom that day had already left the center for the evening. On 03/14/2022, Child A's grandmother went to the center and spoke with Ms. Bennetts, the program director. Ms. Bennetts informed her that she was unsure exactly how Child A obtained the marks on his face. Child A's grandmother was concerned that no one could explain how the injuries occurred and that an incident report was not provided to Child A's mother. Child A returned to the center on 03/16/2022 and there have been no concerns since returning to the center. On 03/23/2022, I spoke with Child A's mother via telephone. Child A's mother stated that she picked up Child A from the center on 03/11/2022 at around 3:00pm. When she arrived home, she noticed that Child A had what looked like a minor rug burn on his forehead and nose. Child A's mother called the center that evening and spoke with Ms. Edgil. She asked Ms. Edgil how Child A received the rug burns on his face. Ms. Edgil informed her that none of the staff members currently at the center observed Child A injure himself during the day and was unsure how he got the rug burns on his face. Child A's mother later spoke with Ms. Bennetts regarding the incident. Child A's mother does not have concerns that the injury was intentional not reported to her. Child A's mother stated that she trusts the staff members and believes that they provide appropriate care to Child A. Child A is still attending the center. On 03/24/2022 I conducted an unannounced on-site We interviewed Jennifer Bennetts (inpsropgercatmioPi c or icense Pesigl n'eeT, Amanda Edgil (assistant program director), Samantha Dorsch (lead toddler A caregiver), and Clare Barksdale (assistant toddler A staff member). The interviews were privately conducted in Ms. Bennetts' office. Ms. Bennetts stated that she was not working on 03/11/2022 but followed up with Child A's mother on 03/14/2022. Child A's mother told her that she did not have any concerns, but she just wanted to know where the marks on Child A's face had come from. Ms. Bennetts stated that she also spoke with Child A's grandmother regarding the incident but said that she felt more comfortable discussing it with Child A's mother. Ms. Bennetts stated that she spoke with Ms. Barksdale who said that she noticed a little red mark on Child A's forehead when he woke up from naptime but was not concerned. She assumed that Child A may have rubbed his forehead on the cot or the carpet during naptime. None of the staff members saw a mark on Child A's nose. Ms. Bennetts stated that staff members typically complete an incident report when they observe a mark, even if they do not observe the actual incident that caused the injury. Ms. Bennetts stated that she believes that the reason an incident was not written was because the mark was minimal, and it was assumed to have been caused by the child while he was sleeping at naptime. Ms. Edgil stated that on 03/11/2022 she walked Child A from the toddler A classroom to his mother in the lobby at pickup time. Child A had his hat on at the 3 time and she did not notice any marks on Child A's face. Child A did not complain about any injuries during the exchange. Ms. Edgil stated that she received a call from Child A's mother later that day and was informed that Child A had a mark on his forehead. Child A's mother did not mention

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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.

On 03/11/2022 a staff member observed a mark on Child A's forehead after naptime. The staff member thought the mark was caused from Child A sleeping and did not consider it to be an injury and did not notify Child A's mother.

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R 400.8330 · 1 R 400.8330 Food services and nutrition generally. (3) Beverages and food must be appropriate for the child's individual nutritional requirements, developmental stages, and special dietary needs. including cultural preferences.

On 03/03/2022 I received an incident report from Jennifer Bennetts. The incident report stated that on 02/28/2022 at 11:30am in the preschool 1 classroom, Child A accidently ingested milk during lunch time. Child A was given a dosage of Benadryl and his parents were immediately contacted. Child A's allergic reaction continued to worsen even after the Benadryl. Child A appeared in distress and began to cough. Ms. Bennetts administered Child A's epinephrine injection and called 911. EMS arrived and evaluated Child A and recommended that his parent take him to the pediatrician for a follow-up evaluation. On 03/07/2022 I spoke with Child A's father via telephone. Child A's father stated that on 02/28/2022 the center contacted him and informed him that Child A had ingested milk and was having an allergic reaction. Child A's father arrived at the center around 12:00pm and was told that they had already given Child A Benadryl. Child A was visibly upset and began coughing. At this point it was decided that it was time to administer the epinephrine injection. Ms. Bennetts was the person who administered the injection and EMS was called. Child A's father stated that EMS evaluated Child A and recommended that they take him to his pediatrician to be further monitored. Child A's father transported Child A to the pediatrician where he had a 2nd reaction and required additional medication. Child A had to remain at the pediatrician's office for a few hours to be monitored before he was able to be released to go home. Child A's father stated that Child A has numerous allergies including dairy and peanuts. The center has been made aware of all of his known allergies. Child A's father stated that they provided the center with a special milk replacement that is allergy friendly called Ripple. The center is given a new carton of Ripple by Child A's parents at the start of each week. Child A's father stated that he believes it was an accident and that he does not have any concerns since the center notified him immediately and addressed Child A's allergic reaction properly. Child A's father stated that Ms. Bennetts informed him of the new procedures that were put in place to ensure that Child A does not come into contact with any of his known allergies in the future. Child A will be sitting in an assigned chair and will only be served his replacement milk out of a cup that will be brought from home. Child A's father is satisfied with the plan and Child A will continue to attend the center. On 03/08/2022 I conducted an unannounced on-site inspection. I interviewed Jennifer Bennetts, Katherine Castillo, and Tina Glass. Interviews were privately conducted in the program director's office. 3 Ms. Bennetts stated that Child A is in the process of transitioning from the prepper's classroom to the preschool 1 classroom. On 02/28/2022, Child A was in the preschool 1 classroom with Ms. Casstillo and Ms. Glass. Ms. Bennetts stated that the center is aware of all of Child A's known allergies. Child A's parents go through the weekly menu and highlight the food that Child A can be given, and they also provide the center with Ripple, an allergy friendly milk. Ms. Bennetts stated that on 02/28/2022, she called Child A's mother before lunch was served because she wanted to check to make sure the new brand of chicken nuggets they were serving were safe to give to Child A. When she walked into the preschool 1 classroom to tell them to go ahead and give Child A the chicken nuggets, she saw that Child A had some redness around his mouth. Ms. Bennetts immediately went over to his cup and looked and noticed that it looked like milk and not Ripple, which has a slightly different color that normal milk. When she asked Ms. Castillo and Ms. Glass if they had poured Child A a cup of Ripple, both staff members stated that they had not poured his Ripple yet, so this confirmed that the cup that Child A drank from contained regular milk. Ms. Bennetts immediately gave Child A a dos

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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

Between September and November 2020 Linda Turnley provided appropriate care and supervision to the children in her care, including Child A. Child A was not placed in Ms. Turnley's classroom. Ms. Turnley only came into contact with Child A for brief periods of time. All contact between Child A and Ms. Turnley occurred while she was working with other staff members, and no other staff member reported witnessing any inappropriate contact between Ms. Turnley and Child A.

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