R 400.8213(1)(a) · R 400.8213(1)(a) Staff; volunteer (a) Provide appropriate care and supervision of children at all times.

During the onsite inspection, evidence showed that Child A requires individualized, one-on-one attention related to frequent bowel and urine accidents. Child care staff had not been trained in providing care for a school-age child with ongoing bowel and urine accidents. Therefore, the program failed to ensure appropriate care and supervision n ecessary to meet the child’s needs.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8222(4)(e) · R 400.8222(4)(e) Capacity; ratio and group size requirements 2 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP (e) School-aged children, child care staff member to child ratio of 1 to 18. maximum group size of 54.

During the onsite inspection, it was determined that Child A requires one-on-one staff assistance due to frequent bowel and urine accidents. Child care staff reported 32 documented incidents since the start of the school year requiring staff intervention. In each instance, one staff member had to leave the classroom to assist Child A, leaving the remaining staff member solely responsible for the other child care children. This practice resulted in the child care center falling out of compliance with the required 1:18 staff-to-child ratio for extended periods of time, which c ompromises appropriate care and supervision.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.