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 10/06/2022, I interviewed Brynn Davis, program director. Ms. Davis said that Child A was walking in the cafeteria and tripped on a table wheel and hit her head causing her to bleed and need stiches. Child A's mother works at the school and that it was her first day attending. Ms. Davis administered first aid to Child A, and then took her down to the office. Child A's mother took her to the urgent care. The program did not have any paperwork completed for Child A prior to attending her first day. Ms. Davis did not have the child information card completed prior to attendance or the injury. Ms. Davis usually has everyone complete prior to attending, but in this instance they did not, and an incident occurred. Ms. Davis provided me with all the child information cards for the children in the program and I was able to review them on site. They do have all the cards and information that is needed for the program at the time of my visit. Child A's parent came in after the incident and completed the necessary paperwork. I explained to Ms. Davis that I did not receive notification 09/26/2022 and didn't receive the written incident report until 09/30/2022. The incident report was sent via email. I explained the licensing rules require that they need to notify the licensing consultant of any incident with 24 hours of a child being injured resulting in medical 2 attention. I also explained to Ms. Davis how important it is that any child attending the program have documentation on file prior to the child's attendance. Ms. Davis had five staff present the day that Child A was injured. It was explained that they were transitioning from the gym to the cafeteria for breakfast. Some of the staff were in the cafeteria and some were still in the gym with the other children. I interviewed Carson Fahrembruck, child care staff member. He was in the cafeteria and heard Child A fall. He helped provide some first aid. He did not witness the actual fall but helped the child. I interviewed Child's A mother at the school. She completed the paperwork for Child A after the incident occurred. She does not have any concerns with the program and Child A is still attending the program. She did not have any other concerns. I interviewed Matthew Cairy, licensee designee. I informed him of the incident, and he stated that he was aware. I explained that the program did not have any child information on-site prior to the incident. He has already addressed the concerns with the staff at the school and with the program director as he became aware of them after the incident. This type of incident will not occur again. I completed an exit interview with Mr. Cairy that I would be working with Ms. Davis to complete a corrective action plan.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8143 · R 400.8143 Children's records. (1) At the time of a child's initial attendance, a center shall obtain a child information card, using a form provided by the department or a comparable substitute, that is completed and signed by the child's parent. The center shall keep it on file and accessible in the center.

The program director, Ms. Davis, failed to obtain a child information card for Child A at initial attendance. Ms. Davis reported during the interview on 10/06/2022 that the program did not have Child A's child information card or any documentation completed until after the incident of Child A hitting her head on the table resulting in her needing to get stitches. I also confirmed with Child A's mother that she did not complete the necessary paperwork until after Child A attended the program and after the incident occurred.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8146 · R 400.8146 Information provided to parents. ....... (1) A center shall provide a written information packet to each parent enrolling a child that includes at least all of the following: (a) Criteria for admission and withdrawal. (b) Schedule of operation, denoting hours, days, and holidays during which the center is open, and services are provided. (c) Fee policy. (d) Discipline policy. (e) Food service policy. (f) Program philosophy. (g) Typical daily routine. (h) Parent notification plan for accidents, injuries, incidents, and illnesses. (i) Transportation policy, if applicable. (j) Medication policy. (k) Exclusion policy for child illnesses. (I) Notice of the availability of the center's licensing notebook. The notice must include all of the following: (i) The licensing notebook contains all the licensing inspection and special investigation reports and related corrective action plans for the last 5 years. (ii) The licensing notebook is available to parents during regular business hours. (iii) Licensing inspection reports, special investigation reports, and corrective action plans from at least the past 3 years are available on the department's child care licensing website at 4 www.michigan.gov/michildcare. The website address must be in bold print. (m) The website where parents can access these rules is www.michigan.gov/michildcare.

The licensee designee Mr. Cairy, nor the program director, Ms. Davis provided a written information packet to Child A's mother until after Child A attended the program. Ms. Davis informed licensing that Child A attended for the first time the day of the incident and no documentation or information was provided to I Child A's Darent prior to Child A's attendance.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8158 · R 400.8158 Incident, accident, injury, illness, death, fire reporting. (3) 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.

Licensee designee, Mr. Cairy nor program director Ms. Davis notified the department within 24 hours of the incident involving Child A being transported to the emergency room for stitches after falling in the cafeteria on 09/26/2022. Licensing received the incident report on 09/30/2022 via email.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8158 · R 400.8158 Incident, accident, injury, illness, death, fire reporting. (4) 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.

Licensee designee, Mr. Cairy nor program director, Ms. Davis submitted a written report to the department within 72 hours of the incident involving Child A being transported to the emergency room for stitches after falling in the cafeteria. Licensina received the incident report on 09/30/2022 via email.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.