R 400.8125 · R 400.8125 Staff; volunteer; requirements. (2) all staff and volunteers shall act in a manner that is conducive to the welfare of children.

On June 14, 2023, I received an email forwarded from child care licensing consultant Karen Woodman containing a video of the incident. I reviewed the video and observed Child A putting food on her utensil and then dipping the utensil with the food into the milk cup of the child sitting next to her and then removing the spoon. Child A does not appear upset and the child sitting next to her does not react in any way to food being placed in his milk cup. CCSM 2 stands up and asks, “Why did you do that”, she then takes Child A by the forearm on one side and under her elbow on the other side and guides her out of her chair and has her sit on the floor. CCSM 2 stands in front of Child A bent forward stating in an elevated tone, “That is not nice, you don’t put your spoon from your mouth and put it in someone’s cup. Don’t do that. Do you understand? I think you are done.” Child A cries “Noooooo” as she bends her head toward the floor. CCSM 2 tells Child A she will give her another chance to show her she is (inaudible). CCSM 2 then yells at Child A “Stop crying.” Child A runs to the book area where Child H is and continues crying as she sits down. CCSM 2 sits at the table with the children while CCSM 3 has her back turned to Child A in the far-left corner of the classroom and states, “Child A, she said you can try again.” Child A lunges toward Child H and he begins to cry. CCSM 3 goes to Child A and Child H and then CCSM 2 gets Child H and returns to the table with him on her lap. She is comforting him. CCSM 3 tells Child A, “We don’t hit our friends, that is not nice.” She then says, “We don’t hit our teachers either.” CCSM 2 tells CCSM 3 to hold Child A and she does. Child A is in CCSM 3’s lap facing out with CCSM 3’s arms wrapped around Child A, holding Child A’s arms down. Child A struggles to get away and then CCSM 3 puts her down on the floor saying, “Okay, quit pinching me I am letting you go.” CCSM 3 stands up and steps away from the area and then tells CCSM 2 she is going to go before it gets “chaotic” and walks out of the classroom. This is at 2:35 in the video. Meanwhile Child A 4 incident report is dated June 13, 2023, at 3:25 p.m. and states Child A was injured after being hit or pushed by another child and sustained an injury to her right eye resulting in a bruise or swelling. Parents were notified through the ProCare application at an unspecified time. The fourth incident report is dated 06/13/2023 at 5:35 p.m. and states that Child A and another child were playing one using the shopping cart the other using the stroller when they bumped into each other resulting in Child A falling and bumping her forehead. Parents were notified face-to- face at 5:40 p.m. All the incident reports state comfort was provided and then Child A returned to her normal activities. On August 31,2 023, I completed an exit conference with substitute program director Amber Lundberg. I summarized the investigations and violations. Ms. Lundberg was understanding of each violation.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

R 400.8140 · R 400.8140 Discipline. (3) Non-severe and developmentally appropriate discipline or restraint may be used when reasonably necessary, based on a child's development, to prevent a child from harming himself or herself or to prevent a child from harming other persons or property, excluding those forms of punishment prohibited by subrule (2) of this rule. 13

CCSM 2 used reasonable restraint after Child A had scratched another child and when the restraint was not helpful, she eventually put her back on the floor. CCSM 3 used restraint when Child A was not harming herself or anyone else and this led to Child A becoming more escalated and then she instructed CCSM 2 to continue to restrain her further when the restraint was clearly just escalating the matter further. Neither CCSM 2 or CCSM 3 used any form of positive conflict resolution nor did they remove the child from the situation or remove themselves from her reach.

Open Not marked corrected in the state record

Open / not marked corrected.

R 400.8158(3) · MCL 722.115m Child care center, group child care home, or family child care home; requirements for licensure. (2) A person, partnership, firm, corporation, association, nongovernmental organization, or governmental organization shall not establish or maintain a child care center, group child care home, or family child care home unless licensed by the department. Application for a child care center, group child care home, or family child care home license shall be made on forms provided, and in the manner prescribed, by the department, including the fees required under subsection (10). Before issuing or renewing a child care center, group child care home, or family child care home license, the department shall investigate the applicant's activities and proposed standards of care and shall make an on-site visit of the proposed or established child care center, group child care home, or family child care home. Except as otherwise provided in this subsection and sections 5q and 5r, if the department is satisfied as to the need for a child care center, group child care home, or family child care home, as to its financial stability, and that the service, facility, applicant, licensee, child care staff member, or member of the household is conducive to the welfare of the children, the department shall issue or renew the child care center, group child care home, or family child care home license. If the department determines that a service, facility, applicant, licensee, child care staff member, or member of the household is not conducive to the welfare of the children, the 14 not remember the date. However, she heard about it and was told Child A overheated. She is not aware of Child A ever overheating on the playground while she was in her care and she has never heard of anyone having to use icepacks on Child A. On June 16 ,2023, and I spoke with program director Amanda Pohl. Ms. Pohl stated there was not an incident report done when Child A overheated on June 8, 2023, and resulted in Child A being laid down with ice packs. Both Ms. Pohl and CCSM 7 agreed that Child A’s parents should have been made aware of this incident and a report should have been completed. Ms. Pohl stated this has never happened to Child A or any other child before. She was not aware of Child A ever having to go to the doctor for overheating at the child care center, and she was not aware of Child A ever having to receive intravenous fluids due to overheating at the center. If she had known she would have followed proper procedure and filed an incident report pursuant to R 400.8158(3) which requires the department be notified within 24 hours of notification by a parent that a child received medical treatment for an injury that occurred while the child was in care. Ms. Pohl provided the ProCare communication for Child A from March 29, 2023, through June 13, 2023. On March 29, 2023, Child A’s Mother stated Child A was not feeling well and would not be in attendance. On May 19, 2023, Child A’s Mother stated Child A came home dehydrated on May 18, 2023, and she would be staying home to obtain fluids and rest. On May 23, 2023, CCSM 6 told Child A’s parents that Child A was not herself and had a temperature of 99.9, they would recheck in an hour; Child A ate well and drank enough water at lunch. Child A was not in attendance on June 9, 2023. On June 12, 2023, it notes Child a did not sleep at nap time. On June 16, 2023, program director Amada Fisher emailed the email exchange between her and Child A’s Mother on June 8, 2023. Child A’s Mother asks if there is any plan to cover the sand area and she is wondering because Child A tells her often it is hot and appears to be overheated from being outside. Child A’s Mother explains when she picked her up today Child A was laying down with ice packs on her and when asked she was told by an unknown child care staff member that Child A “got too hot” outside. This has happened before. Ms. Pohl responds that she has reminded he

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.

CCSM 2 and the unknown child care staff member working with her did not appropriately supervise Child F when they left him outside and returned to their classroom. The video footage shows Child F was left outside. CCSM 5 and Ms. Pohl were aware this incident occurred.

Open Not marked corrected in the state record

Category: supervision. 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: (a) Changes in a child’s health. (b) A child experiences an accident, injury, or incident. (c) A child is too ill to remain in the group.

Program director Amanda Pohl did not follow the incident policy of Haslett Child Development Center when she did not inform Child F’s parents that he had been left outside without supervision, found by another classroom, and then returned to his classroom. The incident policy and accident/injury policy of Haslett Child Development Center states parents will receive written notification of incidents, accidents, or injuries. However, it does not say when that notification will be received.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8158 · R 400.8158 Incident, accident, injury, illness, death, fire reporting. (2) A licensee, licensee designee, or program director 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) Changes in a child’s health. (b) A child experiences an accident, injury, or incident. (c) A child

Program director Amanda Pohl did not inform the department or Child F’s parents within 24 hours or at all that Child F had been left outside without supervision, found by another classroom, and then returned to his classroom. This was found out during the investigation, and I informed Child F’s Father.

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.

Child care staff members and Ms. Pohl were aware of the continued negative behavior from Child A and there was never a meeting with parents, a written behavior plan, or documented collaboration with the family to address the behaviors and work toward resolution of the concerns.

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. 25 overheating on June 8, 2023. On June 8, 2023, when Child A became overheated outside, the child care staff members did not contact Child A’s Mother and she never received a written report.

Open Not marked corrected in the state record

Category: ratio. 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: (a) Changes in a child's health. (b) A child experiences an accident, injury, or incident. (c) A child is too ill to remain in the group.

Haslett Child Development Center’s incident, accident, injury and illness policy does not state when parents will be notified of incident and changes to health. It also does not say when the report notifying parents of minor injuries/accidents will be provided. On June 8, 2023, when Child A became overheated outside, the child care staff members did not contact Child A’s Mother and she never received a written report.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8144 · R 400.8144 Discipline. (4) A written policy must be developed and Implemented regarding the age appropriate, non-severe discipline of children. The policy must be provided to staff and parents. . ..............................

did not follow the center's discipline policy as required. She instea Child A

Open Not marked corrected in the state record

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. [c3

Appropriate care and supervision was not provided to Child D when without supervision for approximately two minutes.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

On 11/04/2022, 1 spoke with child care licensing consultant, Karen Woodman. She emailed me a copy of the video footage of and Child A during nap time. I watched the video. The video is three minutes and 49 seconds lon can T be seen Child A's for a pick____ u using two hands an ay own o stosmeaccohnI es to ge off mat and run away, but uses 3 which a ears to make Child A to up again and an fries get checks her phone a few times during the video. Child can be seen moving legs and feet and is movin down towardill mat. Chi at times throughout the video. Child A a ars to get halfway up on mat and almost stands o knees when Child A's in a quick motion. These actions appeare Dian was I emailed her a copy of the video footage as well. On 1100402022, and child care licensing consultant, Ms. Woodman and RI aPeaon a=nnoun"cevisi to Witness I and Witness 2's home. Mega attempted a forensic interview of Child A. Information pertaining to the ons were not gathered during the forensic interview. Witness 1 said Child A will not talk about things does not like. Child A has talked a lot about thati but has never spoke about Child A likes to put when it is time to rest, such as on a wall, but has always had difficu Child A is a very active and energetic c dd. Witness 1 spoke with Ms. Rohl tood ay about incident but has not watched the video footage. She said she attended a meeting with Ms. Po*rouhly two weeks ago regardin Child A's was while at the center and . There wer incident repo s or plan was made to have help Child A during as she appears to be well connected to Child Witness 1 was told that On 11/07/2022, and I made an unannounced visit to the center. Amanda P01,1, program director was interviewed. She said Child A had been attending the center since August 2022. Child A was experiencing some the classroom, but when first started care, washhaving these difficulties. These started a few weeks ago. Child has had some , Ru rts were identified such as making a plan for to shadow ild A as Child A tends to respond well to her. Ms. Pohl also contacted in the center's classroom. This consultant came onsi a last week and i classroom observations and offered feedback on how to make a better environment for the children, such as having child care staff members tell the children stories as they are falling asleep and allowing them to engage in an I Spy book. She is scheduled to return to the center today. There are three child care staff members that work in Child A's classroom, but at the time of the incident, it wa working. - was taking 4 her lunch breWdun'n this time, is a newer child care staff member, but started wor ing a he center in the summer of 2022. Child A does no tae at home and has had difficulty takin center as well. Child A is never forced to sleep, bu is encouraged to resWt an relax. If does not want to sleep, can read a boo or do quiet activities at the table. knew to allow Chil A to do quiet activities as she has helped 0 with his previously. had Child A in the commons area of the center, which is _ similar to a lobby. Ms. Pohl was on the phone when first approached her. Sometime later, went into the office and Ms. Pohl believes was in the doorway. held Child A andU appeared calm at this time. then reported some Child A's she only said that had but not how at this time. commented on is, but Ms. Pohl cannot remem er what she said. She believes then began talking about having a meeting with Child A's parents again as there was an idea that was brought up in the past of having Child A attend for half days only since is challenging for a peared upset, her tone of voice was Rdiif ferent, and she was defensive was complaining about Child A's and asking how long she needs to endure this and said Child A is- while"inaendance. Ms. Pohl asked what she would like to see happen and reminded her that Child A said other centers would disenroll children with these S. Pohl believes she then reminded _ that the center's philosophy is to help childr

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8140 · R 400.8140 Discipline. (a) Positive methods of discipline that encourage self- control, self-direction, self-esteem, and cooperation must be used.

did not use positive methods of discipline when she Child A to ......... ......... ....... ......... ......... ......... ......... ......... ......... ........

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8140 · R 400.8140 Discipline. (2) All of the following means of punishment are prohibited: (a) Hitting, spanking, shaking, biting, pinching, or inflicting other forms of corporal punishment.

used as a form when she Child A and

Open Not marked corrected in the state record

Open / not marked corrected.

R 400.8158 · R 400.8158 Incident, accident, injury, illness, death, fire reporting. ............................................ ........................................................ ............................................................................................................................. (2) A licensee, licensee designee, or program director 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) A child is lost or left unsupervised.

Ms. Pohl did make a verbal report to the department regarding Child D

Open Not marked corrected in the state record

Category: supervision. 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 resort to the department.

Ms. Pohl did not submit a written report to the department of Child D

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8155 · ....................... J 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: (a) Changes in a child's health. (b) A child experiences an accident, injury, or incident. (c) A child is too ill to remain in the group.

The center does not have a written plan for how and when a parent is notified when personnel observe a child experiencing an incident.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8330 · R 400.8330 Food services and nutrition generally. (4) A center shall ensure a child who has special dietary needs is provided with snacks and meals in accordance with the child's needs and with the instructions of the child's parent or licensed health care provider.

Asli Dahir did not follow Child A's special dietary needs as instructed by Child A's Mother when she fed Child A another child's bottle which contained dairy and soy, and then did not immediately contact Child A's Mother and Father.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8340 · R 400.8340 Food services and nutrition; provided by parents. (9) Beverages and food must be fed only to the child for whom the item is labeled.

Ash Dahir fed Child A another child's bottle.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

R 400.8340 · R 400.8340 Food services and nutrition; provided by parents. (3) Breast milk, formula, milk, other beverages, and food furnished in a same-day supply must be covered and labeled with the child's first and last name and the date. .................... ................_.......... ..... ........

In the infant classroom there were nine bottles and two sippy cups that were not properly labeled with the child's first and last name, and the date.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.