ABC Academy Child Care & Dev. C

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, Teacher 2, Teacher 3, and Teacher 4 provide appropriate care and supervision. They did not observe feces stuck to Child A or his underwear. Child A was not observed to have a rash and is taken to the bathroom every hour.

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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.

Teachers provide appropriate communication to parents. There is a parent notification plan for accidents, injuries, incidents and illnesses.

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R 400.8113(3)(a) · R 400.8113(3)(a) 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: (a) Food intake time, type of food, and amount e aten.

Parents can view infant and toddler required daily information on the center's electronic application or by paper copy if the electronic application is now accessible to view their child’s food intake time, type of food, and amount eaten.

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R 400.8113(3)(b) · R 400.8113(3)(b) 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: (b) Sleeping patterns indicating when and how l ong the child slept.

Parents can view infant and toddler required daily information on the center's electronic application or by paper copy if the electronic application is now accessible to view their child’s sleeping patterns indicating when and how long the child slept.

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R 400.8113(3)(c) · R 400.8113(3)(c) 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 m ovements, consistency, and frequency.

Parents can view infant and toddler required daily information on the center's electronic application or by paper copy if the electronic application is now accessible to view their child’s elimination patterns, including bowel movements, consistency, and frequency.

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R 400.8113(3)(d) · R 400.8113(3)(d) 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: (d) Developmental milestones.

Parents can view infant and toddler required daily information on the center's electronic application or by paper copy if the electronic application is now accessible to view their child’s developmental milestones.

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R 400.8113(3)(e) · R 400.8113(3)(e) 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: (e) Changes in the child's usual behaviors.

Parents can view infant and toddler required daily information on the center's electronic application or by paper copy if the electronic application is now accessible to view their child’s changes in the child’s usual behaviors.

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R 400.8125(2) · R 400.8125(2) Outdoor play area. (2) A center operating with children in attendance for 3 or more continuous hours per day shall provide daily outdoor play, unless prevented by inclement weather or other weather conditions that could result in children becoming overheated or excessively c hilled

Teachers take all children outside daily and weather permitting.

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R 400.8260(8) · R 400.8260(8) Medication; administrative procedures (8) Topical nonprescription medication, including, but not limited to, diapering cream, triple antibiotic, sunscreen, and insect repellant, requires written p arental authorization annually.

Teachers used the ointment that was in Child A’s bag the first day she attended the center. Child A's Guardian signed a permission form to apply diaper cream to Child A.

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R 400.8266(4) · R 400.8266(4) Incident, accident, injury, illness, death, fire reporting (4) A licensee, licensee designee, or program administrator shall report to the department, via phone, fax, or email, within 24 hours of notification 4 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP 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 i n care.

The incident where Child A chipped her tooth on 10/3/2025 was reported verbally and writing to the center's child care licensing consultant in the appropriate time frames. The incident report submitted was closed with no findings.

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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.

The incident where Child A chipped her tooth on 10/3/2025 was reported verbally and writing to the center's child care licensing consultant in the appropriate time frames. The incident report submitted was closed with no findings.

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R 400.8131(4)(a) · R 400.8131(4)(a) Equipment. (4) Play equipment, materials, and furniture, must be all of the following: (a) Appropriate to the developmental needs and interests of children as required by R 4 00.8271(2).

During the on-site inspection I did not observe materials, seating options or daily activities available for a school age child in the preschool classroom approved for children ages 3 years to 5 years.

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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.

Child A (10 years old) was left unsupervised in the preschool classroom for one minute.

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R 400.8340(3) · PR19-R 400.8340(3) Food services and nutrition; provided by parents.

At the time of inspection, four bottles were not labeled with the child's first and last name and the date.

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R 400.8161(7) · PR19-R 400.8161(7) Emergency procedures. 2 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP

At the time of inspection, Staff-in-Charge was unable to provide a written log indicating the date and time of fire and tornado drills. New Rule Number 400.8269(9)

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R 400.8173(10) · PR19-R 400.8173(10) Equipment.

At the time of inspection, a rocking chair or other comfortable, adult-sized seating was not provided for 50% of the child care staff members on duty who were providing care for infants and toddlers. New Rule Number 400.8131(10)

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R 400.8152(3) · PR19-R 400.8152(3) Medication; administrative procedures.

At the time of inspection, four diaper creams were not clearly labeled for a named child. New Rule Number 400.8260(3)

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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.

Child Care Staff Member 1 did not provide appropriate care and supervision of Child A and Child B, when Child B pocked Child A in the eye with a stick.

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

The child care staff members are conducive to the welfare of children.

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R 400.8140(1) · R 400.8140(1) Discipline. Positive methods of discipline that encourage self-control, self-direction, self-esteem, and cooperation must be used.

The child care staff members are using positive means of discipline with the child care children.

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R 400.8182(3)(a) · R 400.8182(3)(a) Ratio and group size requirements. Infants and toddlers, birth until 30 months of age, child care staff member to child ratio of 1 to 4, maximum group size of 12. 2 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP

On November 2, 2024, there were 9 children present with 1 child care staff member between 6:12 AM and 7:00 AM and 18 children present with 2 child care staff members between 7:00 AM and 8:30 AM.

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R 400.8182(1) · R 400.8182(1) Ratio and group size requirements. At least 2 adults, 1 of whom is a child care staff member, shall be present at all times when at least 3 children between the ages of birth and 3 years of age are present. A second child care staff member is required when needed to comply with subrule (3) of this rule.

On November 4, 2024, there were not at least 2 adults present between 6:00 AM and 7:00 AM when there were nine children present at least 3 of whom were between the ages of birth and 3 years of age with one child care staff member.

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R 400.8122(1) · R 400.8122(1) Lead caregiver; qualifications; responsibilities. Lead caregivers are required only for groups of children who are preschool age and younger.

The Toddler 2 classroom does not have a lead caregiver.

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R 400.8335 · R 400.8335 Food services and nutrition; provided by center. (1) Food and beverages provided by a center must be of sufficient quantity and nutritional quality to provide for the dietary needs of each child according to the minimum meal requirements of the child and adult care food program (CACFP), as administered by the Michigan department of education, based on 7 CFR part 226, 1-1-18 edition, (2018) of the United States Department of Agriculture, Food and Nutrition Service, CACFP, and is hereby adopted by reference. A copy can be obtained at no cost from CACFP at http://www.fns.usda.gov/cacfp/meals-and-snacks. In addition, a copy is available for inspection and distribution 4 at no cost at the Michigan Department of Licensing and Regulatory Affairs, Bureau of Community and Health Systems, Child Care Division, 611 West Ottawa Street, Lansing, MI 48933.

On 5/22/23 and 10/18/23, I made two separate attempts to interview the complainant without success. On 5/22/23 and 10/18/23, I made two separate attempted to interview Child A & B’s Mother without success. On 5/22/23, I conducted an unannounced onsite inspection to the center and interviewed Ms. Sadie Yoder, program director. I informed her of the allegations. Ms. Yoder denied the allegations stating that all the children eat their meals and snacks each day. Regarding Child A sleeping through his lunch meal on 5/17/23, Ms. Yoder denied the allegation stating that there was a glitch in their automated tadpole system on 5/17/23. Child Care Staff Member 1 (CCSM 1) inputted the lunch meal and snacks into the tadpole automated system, but the information that was inputted did not show up for any of the children regarding the lunch meal on that day. Later the following day, the system self-corrected itself showing the accurate information for the children regarding what they ate on 5/17/23. Ms. Yoder said all the children were served breakfast, lunch, and an afternoon snack on 5/17/23. Ms. Yoder and I reviewed the tadpole automated system and snack and lunch menus at the center. According to the tadpole automated system, on 5/17/23, Child A had breakfast which was cereal and milk around 7:40 a.m. Lunch was served to the children around 11:00 a.m. which consisted of a slider hamburger, peaches, corn, chocolate chip cookie and milk. Child A ate most of his lunch. After lunch, the children had nap/rest time from 11:30 a.m. until around 2:15 p.m. Ms. Yoder said she spoke with all the parents to inform them of the glitch not inputting the information into the tadpole automated system for lunch, to include Child A & B’s Mother on multiple occasions. After the glitch was corrected, the information was listed into the system to accurately reflect what the children had eaten on 5/17/23. 3 On 5/22/23, I separately interviewed CCSM 1 and Child Care Staff Member 2 (CCSM 2) at the center. I informed them of the allegation. Both CCSM 1 and CCSM 2 confirmed Ms. Yoder’s statement regarding mealtime inputs in the tadpole system on 5/17/22. Both CCSM 1 and CCSM 2 acknowledged all the children having breakfast, lunch and an afternoon snack on 5/15/22. CCSM 1 said when she input the Information into the automated tadpole system, there was some sort of glitch and didn’t show that any of children ate lunch but rather that they slept through lunch until afternoon snack. Both CCSM 1 and CCM 2 confirmed Ms. Yoder’s statement regarding all the child care families being made aware of the glitch. The following morning, CCSM 1 spoke with Child A & B’s Mother regarding the glitch and informed her that Child A ate all his meals and snack on 5/17/23. CCSM 1 said Child A is one of her “good eaters,” who always eats the majority of his meals and snacks. On 5/22/2023 during my unannounced onsite inspection, I observed the premises and toddler classroom. I observed the toddler room during lunch mealtime. The children were sitting at the tables eating with two child care staff members (CCSMs). The CCSMs were seated at each table assisting the children with lunch. The children had milk, turkey and cheese sandwiches, applesauce and oyster crackers for their lunch meal. The morning breakfast consisted of milk, peaches, and cornflakes cereal. All the CCSMs interactions with the children were positive and nurturing during my observation; they encouraged the children to try foods and assisted them with eating during the mealtime. On 10/25/23, I separately interviewed Child C’s Mother and Child D’s Mother via telephone. Neither of the parents expressed any concerns regarding the meals and snacks the center provides for their children each day. Both parents acknowledged their children eating meals and snacks each day while in care. They also acknowledged being informed of what their child ate through the tadpole automated system each day. Child D’s Mother said that Child D (ag

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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 5/22/23, I conducted an unannounced onsite inspection to the center and interviewed Ms. Sadie Yoder, program director. I informed her of the allegations. Ms. Yoder denied the allegations indicating that she has been having regular staff meetings regarding care and supervision and how the CCSMs should be placing themselves around the room where they can have a global view of the children at all times. Ms. Yoder denied Child A’s sibling, Child B (age 7 years, female) providing care for Child A and said both children attend separate classrooms. On occasions, they may see each other while engaged in outdoor play, but are never in the same classroom together. When outdoors, Child B likes to come over where Child A is playing. During these times, all the CCSMs are present and providing care and supervision of both children. Due to the age of children, there are times when the toddler-aged children will get upset and hit one another. During these timeframes, the CCSMs immediately intervene and speak to the children about the incident. Ms. Yoder could not recall any specific incident when Child A was hit by another child without ant CCSMs intervening. Ms. Yoder said she continually monitors the CCSMs each day and denied any CCSMs huddled around each other talking. While in the classrooms, the CCSMs are engaged with their assigned group of children. When outdoors, the CCSMs position themselves around the children where they are able to have a global view of all of the children on the playground and what activities they are engaged in at all times. 5 On 5/22/23, I separately interviewed CCSM 1 and CCSM 2 at the center. I informed them of the allegation. Both CCSM 1 and CCSM 2 denied Child A’s sibling, Child B, having to provide care for Child A. They also denied all the CCSMs being huddled together and talking rather than providing care for the children. Both CCSM 1 and CCSM 2 said the CCSMs are engaged with the children during activities and position themselves globally throughout the classroom. When outdoors, the CCSMs also place themselves globally around the play area so they are able to supervise all of the children and know what activities they are doing at all times. Regarding Child A’s sibling Child B, providing care for Child A, both CCSM 1 and CCSM 2 said Child B attends another classroom and only has contact with Child A minimally if they are both engaged in outdoor activities. CCSM 2 said Child B tends to gravitate toward Child A when they are outdoors together. Both CCSM 1 and CCSM 2 deny any incident having occurred when Child A was hit by another child in care and no CCSM intervened. Due to the ages of children, there are times when the children will get frustrated and hit each other. When this happens, a CCSM always intervenes. On 10/25/23, I separately interviewed Child C’s Mother and Child D’s Mother via telephone. Neither Child C’s Mother nor Child D’s Mother expressed any concerns regarding the care and supervision the center provides for their children each day. Both parents acknowledged the CCSMs communicating with them each day regarding their children’s experiences while in care. Both Child C’s Mother and Child D’s Mother said their children enjoy attending care at the center each day.

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R 400.8173 · R 400.8173 Equipment. (4) Play equipment, materials, and furniture, must be all of the following: (b) Safe, clean, and in good repair.

On 5/22/23, I conducted an unannounced onsite inspection to the center, and I interviewed Ms. Sadie Yoder, program director. I informed her of 6 the allegation. Ms. Yoder denied the children putting toys in their mouth that were not properly clean and sanitized. Due to the toddler-aged children attending care in the classroom, often the children will put the toys in their mouths. When this occurs, the CCSMs remove the toy and place it in the “wash me bucket” to be clean and sanitized before other children are allowed to use that toy again. Ms. Yoder said all the classroom furnishings are cleaned weekly by washing, rinsing, then sanitizing the play equipment and furnishings. The center has a commercial sanitizing matching that the toys will go into then allow them to air dry. They also clean the play equipment and furnishings each day by using the three-step process of washing, rinsing, then sanitizing the equipment with bleach water and allowing it t to air dry. Ms. Yoder denied having any knowledge of Child A having Thrush, as Child A & B’s Mother never made her aware of him having Thrush while he was in care. Ms. Yoder acknowledged Child A & B’s Mother disenrolling Child A and Child B from care and said she became upset with the center when they had to inform her of an outstanding balance, she had occurred from Child A child care. On 5/22/23, I separately interviewed CCSM 1 and CCSM 2 at the center. I informed them of the allegation. Both CCSM 1 and CCSM 2 denied any of the toys and furnishings not being cleaned properly. Both acknowledged Ms. Yoders statement regarding the toys and furnishing being cleaned and sanitized on a weekly basis. When a child puts a toy in their mouth, CCSM1 and CCSM 2 said the toy will be immediately removed and placed in the clean bucket to assure the toy is cleaned and sanitized before another child uses the toy. Both CCSM 1 and CCSM 2 also acknowledged the center having a commercial sanitizing matching that they purchased during the COVID-9 Pandemic to assist them with cleaning and sanitizing the toys and equipment each day. CCSM 2 acknowledged Child A & B’s Mother telling her of Child A possibly having thrush approximately three weeks ago; but said the illness had cleared up. CCSM 2 had no idea that he had the illness until Child A & B’s Mother made her aware of it afterwards. CCSM 1 and CCSM 2 said that Child A has not been ill, nor did he miss any time from care for having Thrush. On 10/25/23, I separately interviewed Child C’s Mother and Child D’s Mother via telephone. Neither Child C’s Mother nor Child D’s Mother expressed any concerns regarding the center cleanliness and acknowledged the center and classroom equipment and toys being clean each day their children have been in care. Child D’s Mother said she always sees the CCSMs cleaning when she is at the center. On numerous occasions, Child D’s Mother said the CCSMs have already begun cleaning the classroom and play equipment when she has arrived to pick up Child D from care. Both Child C’s Mother and Child D’s Mother also acknowledged the center making them aware of any conformed cased of a communicable disease their child may have been exposed to. They said the center notifies them of the communicable disease as well as both by in person and by their tadpole automated system that includes what illness is going around along with the symptoms to be watchful for and the incubation time if your child becomes contagious. 7

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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 5/17/23, I reviewed an incident report submitted to the department. The incident report said on 5/10/23, at approximately 4:40 p.m., Child A, Child B, and Child C were grouped together playing on the outdoor play area. The three children had their heads together, mouths open, and tongues out making contact with one another. Child Care Staff Member 1 (CCSM 1) immediately separated the children and informed the program director, Ms. Yoder and the child care parents of the incident. On 5/17/23, I conducted an unannounced onsite inspection to the center and interviewed Ms. Sadie Yoder, program director regarding the allegations. Ms. Yoder said on 5/10/23 around 4:40 p.m. while the children were engaged in outdoor play, CCSM 1 saw a group of children, Child A, Child B, and Child C, huddled together; she told them to go play. The children moved to a different part of the play area and grouped back together behind the large climber. CCSM 1 said the three children had their heads together, mouths open, and tongues out making contact with each other. CCSM 1 was in close proximity of the incident and immediately intervened by separating the children and having them play elsewhere. She told the children that this type of play was inappropriate. CCSM 1 informed Ms. Yoder of the incident and the child care parents. CCSM 1 completed an incident report and notified the department. Ms. Yoder denied any of the children having any previous behavior issues regearing inappropriate play. Ms. Yoder spoke separately with all of the children regarding the incident. Each child gave their perspective as to what took place. Child B said Child A kissed him while playing outdoors. He didn’t want Child A to kiss him. Child C also said Child A tried to kiss him, but he said no, Child A kissed Child B. Child A said that she kissed Child B and Child C watched. Ms. Yoder spoke with all the CCSMs to remind them of the importance to assure they are providing the children with appropriate care and supervision at all times and know what activities the children are engaged in. All three children are now being monitored more closely to prevent another incident from occurring. In addition, Ms. Yoder said they have also made some changes to the outdoor play area, restricting the preschool aged children from using the hallowed log and repositioning the piece of play equipment so it can be monitored better by the CCSMs when the children are engaged in outdoor play. On 5/17/23, I interviewed CCSM 1 at the center. CCSM 1 has been working at the center for approximately one month but has worked in child care for the past seven years. CCSM 1 likes her job and working with children. I informed CCSM 1 of the allegation. CCSM 1 confirmed the incident having occurred on 5/10/23. Around 4:40 p.m., while the children were engaged in outdoor play, Child A, Child B, and Child C were grouped together near the climbing area. CCSM 1 asked them what they were doing and all of the children just smiled. She had the children break apart and go 3 play separately elsewhere in the outdoor play area. After the children went their own ways, within a few minutes they regrouped near grassy area located toward the rear of the climber area to play. CCSM 1 saw Child A, Child B and Child C group together again in the greasy area. All the children had their heads together, mouths open, and togues out touching each other. CCSM 1 immediately intervened again by instructing the children, that this type of play was inappropriate as we respect one another’s boundaries and do not do that type of play. She separated the children and informed the other child care staff members and Ms. Yoder of the incident. Ms. Yoder notified the children’s parents of the incident. An incident report was completed, and the department was notified. CCSM 1 denied any of the children having any pervious behavioral issues with inappropriate play or touching. Since the incident took place, they have spoken with all the childre

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R 400.8110 · R 400.8110 Applicant; licensee; licensee designee; requirements. (7) A child shall only be released to persons authorized by the child's parent or guardian.

On 3/6/23, I conducted an unannounced onsite inspection to the center and interviewed Ms. Sadie Yoder, program director and child care staff member 1 (CCSM 1), assistant director. I informed Ms. Yoder and CCSM 1 of the allegations. Both Ms. Yoder and CCSM 1 acknowledged the allegation stating that on 3/1/23, Child A's Mother called the center just before Witness 1 arrived at the center to inform them that he would be picking up Child A from care. Ms. Yoder explained to Child A's Mother that she needed to come into the office and fill out a new child information card to add Witness 1 as a person authorized to pick up Child A from care as they do not do these types of changes over the telephone. Shortly after the phone call, Witness 1 showed up at the center informing them that he was here to pick up Child A (age 2 years female) from care. Ms. Yoder did not know 1/2 Witness 1 and told him that he was not listed on Child A's child information record as a person identified to pick up Child A from care. Ms. Yoder said the CCSM informed Witness 1 of the center's policy regarding children's pick up and how the center 3 identifies all persons arriving to pick up children and how the child can only be released to persons authorized by the parents on the child information record. Witness 1 got angry and used profanity stating how this was a "stupid rule." The center provided Witness 1 with a new child information card for Child A's Mother to complete authorizing him to be named as a person allowed to pick up child A from care. Witness 1 left the center with the new information card. Approximately 10-15 minutes later, he returned back to the center with the new card filled out containing his name authorizing him to pick up Child A from care. Witness 1 handed the new child information card to Ms. Yoder and CCSM 1. Ms. Yoder explained to Witness 1 that she was still unable to release Child A to him as the center could not verify that Child A's Mother filled out the new child information record authorizing him to pick up child A from care. According to Ms. Yoder, Witness 1 was still angry and began screaming and using profanity. Ms. Yoder asked Witness 1 to wait in the parking lot as his behavior and language was not appropriate. Witness 1 came back into the center to speak with CCSM 1 requesting the center's policy regarding child pick up. The center informed Witness 1 that due to his disruptive behavior; they would be requesting the police department come to assist in this manner. After hearing that the police department was called, Witness 1 got into this vehicle and sped out of the parking lot. When the police officer arrived at the center, Ms. Yoder informed them of the incident. The police officer informed Ms. Yoder to call and request an officer to be dispatched to the center if he returns to the center. Around 4:30 p.m., Child A's Mother and Witness 1 came back to the center to pick up Child A from care, they both were upset. Ms. Yoder and CCSM 1 explained to Child A's Mother why they were unable to release Child A to Witness 1. Ms. Yoder explained since she was not present with Witness 1 when he brought back the completed child information record, they were unable to verify she completed the child information record. Child A's Mother looked over the new child information record and initialed next to her signature acknowledging that she completed the new child information card naming Witness 1 as Child A's Father and authorizing him to be a person eligible to pick up Child A from care. Witness 1 was still upset and said the center was "kidnapping" Child A when they refused to allow him to pick her up from care. Ms. Yoder and CCSM 1 reiterated to Child A's Mother and Witness 1 that it is the center's policy to verify in person all changes that are made when it applies to adding individuals as persons authorized to pick up their children from care. Ms. Yoder explained that this policy was put in place as a safety measure to provide th

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R 400.8137 · R 400.8137 Diapering; toileting. (6) Diapers and training pants must be checked frequently and changed when wet or soiled.

On 3/6/23, I conducted an unannounced onsite inspection to the center and interviewed Ms. Sadie Yoder, program director and CCSM 1. I informed Ms. Yoder and CCSM 1 of the allegations. Both Ms. Yoder and CCSM 1 acknowledged that on 2/21/23, all parents were made that the center would start providing meals for the children. Ms. Yoder said all the parents were notified by email, in person and through text messages of the upcoming change from September of 2022 until the change happened in February of 2023. Both Ms. Yoder and CCSM 1 5 said the center only used to provide beverages and snacks for the children, however the center switched to also providing meals to expose the children to eating more healthy and nutritional food items at each meal. Ms. Yoder and CCSM 1 denied Child A being fed a banana despite being allergic. Ms. Yoder and CCSM 1 said there is an allergy food alert list available in the ProCare application and in the classroom. On 3/1/23, Ms. Yoder and CCSM 1 said Child A had cereal, milk and applesauce for breakfast. Lunch consisted of chicken nuggets, corn, oranges, bread and water. When Ms. Yoder and I reviewed the Tadpole information system, all the mealtimes and food items were noted on the system along with comments that said Child A ate all of her nuggets, some of her corn, most of her oranges, most of her bread, and drank most of her water. Afternoon snack consisted of vanilla wafers and milk. Although the afternoon snack listed on the menu was a banana, due to Child A having a food allergy to bananas, she was offered a substitute for the banana that consisted of vanilla wafers. Ms. Yoder and CCSM 1 reiterated that Child A was not fed a banana but rather had a food substitution that was inputted into the Tadpole information system by the CCSM's on 3/1/23. Regarding Child B losing weight in the past 3-4 weeks since the center began their new food program, Ms. Yoder and CCSM 1 said when they first started providing meals for the children it was an adjustment for some children as they were being exposed to different food items they were not used to ingesting. During this time, the CCSMs encouraged the children to try the different food items but never forced them to eat any food items they didn't want to. Ms. Yoder and CCSM 1 said there is always extra food items available for the children, therefore if something is served the children don't like, they can have extra of another food they do like. Ms. Yoder and CCSM 1 said the center posts the snacks and meals provided for the children each day for the parents to view. In addition, the CCSMs also input the children's daily food intake in the Tadpole information system each day to inform the parents of what and how much food their child ingested each day. Ms. Yoder and CCSM 1 said there are some children enrolled in care with special diets; with these children, the center works with the parents to assure the children are being provided with daily nutritional snacks and meals whether it is provided by the center or children's parents. Overall, Ms. Yoder and CCSM 1 feel the experience of the center providing meals and snacks for the children has been a great success, as now the children are being provided healthy and nutritional snack and meal items each day. Most parents have informed Ms. Yoder that they like that the center is providing meals for their children each day. She said all their snacks and meals are prepared in accordance with the Children and Adult Care Food Program requirements. On 3/27/23, I interviewed Child B's Mother via telephone. Child B's Mother acknowledged the center beginning a new food program in February of 2023 when they started providing the children with the meals and snacks in accordance with federal requirements. Child B's Mother said the children began eating cold fruit and cereal, meatball subs and foods the children were used to eating. During that timeframe, Child B's Mother said Child B lost five pounds in a 3-to-4-week period. A

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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 3/6/23, I conducted an unannounced onsite inspection to the center and interviewed Ms. Sadie Yoder, program director and CCSM 1. I informed Ms. Yoder and CCSM 1 of the allegations. Both Ms. Yoder and CCSM 1 denied Child A being in a soiled diaper for an extended period of time. Ms. Yoder and CCSM 1 said the center's policy regarding diaper changes is to check them frequently, at least every 2 hours and change on demand if the child has a wet or soiled diaper. I reviewed the information inputted into the Tadpole information system. According to the tadpole information system, on 3/1/23, Child A's diaper was checked and changed on the following times: • 8:20 am — checked and dry • 10:15 am — wet and changed • 11:35 am —checked and dry • 1:24 pm — wet and changed • 3:16 pm — bowel movement — changed • 5:00 pm wet and changed Ms. Yoder said Child A was picked up from care on 3/1/23 at 5:07 p.m. Ms. Yoder and CCSM 1 said at the time of pickup, Child A's pants were wet from water due to the children just returning from outdoor play shortly before Child A was picked up from care. While outdoors, the children were playing in puddles. Ms. Yoder further explained that Child A's Mother did not accurately set up her Tadpole account when she enrolled Child A into care. She never made administration aware of her having problems with setting upper Tadpole account and rejected the Tadpole application which may be why she was not aware of the diaper changes that were inputted into the tadpole system by the CCSM on 3/1/23. On 3/27/23 and 6/6/23, I separately interviewed CCSM 2 and CCSM 3. I informed them of the allegation. CCSM 2 and CCCM3 3 both denied any child being left in a soiled diaper as their diaper changing policy requires them to check and change the children's diaper at least every 2 hours or as needed. On 3/1/23, CCSM 2 and CCSM 3 worked with Child A and acknowledged her diaper being changed at least every two hours throughout the day. Both CCSM 2 and CCSM 3 also acknowledged them recording the diaper changes into the Tadpole information system. CCSM 2 and CCCSM 3 said on 3/1/23, during the afternoon outdoor play, Child A had wet pants due to her playing in the puddles while outdoors rather than her having a soiled diaper. They acknowledged Child A having her diaper changed when they returned from outdoor play just before Child A's Parents arrived to pick her up from care. On 6/9/23, I interviewed Child C's Mother via telephone. Early on, Child C's Mother said there were some occasions where the CCSMs were not changing Child C's diaper when wet nor documenting it on the Tadpole information system. This was addressed in a previous special investigation (SIR#2023D0104009). Since these rj incidents, Child C's Mother spoke with Ms. Yoder of her concerns and there have been no more incidents when Child C came home with a wet or soiled diaper. Child C's Mother said on those specific incidents when Child C's diaper wasn't changed or documented there was a substitute CCSM working in the classroom. Child C's Mother said all of Child C's CCSMs are great and provide Child C with quality care each day. On 6/9/23, I attempted to interview Child A's Mother and Child D's Mother without success.

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R 400.8170 · R 400.8170 Outdoor play area. (9) Children shall only use age-appropriate equipment.

On 3/24/23, I reviewed two incident reports submitted to the department from the center regarding Child B sustaining injuries while in care at the center. According to the first incident report, on 3/9/23 at approximately 10:15 a.m., Child B was stepping up onto the stepping platform of the climbing play structure. Child B's foot slipped, causing him to fall and hit his mouth on the platform. The center informed Child B's Mother of the incident. Child B was picked up and taken for a medical examination. Child B received three stitches on his mouth lip area. The second incident report indicated on 3/24/23 at approximately 9:30 a.m., Child B opened and closed the half door located in the toddler room. While closing the half door, Child B pinched his left pinky finger in the doorjamb. On 3/27/23, I interviewed Child B's Mother via telephone. Child B's Mother confirmed the above-mentioned incidents, stating that on 3/9/23 while playing outdoors Child B 10 fell and hit his face. A couple weeks later, on 3/24/23, Child B was able to open a door and got his hand shut in the door. Child B's Mother was unsure what door this was but suggested that it may have been the door that leads to the outdoor play area from their classroom. Child B's Mother said Child B had to be taken to the emergency room due to his pink finger only being attached to his hand by a "thread." Child B's Mother said that there have been times when Child B has come home with bruises and the CCSMs never know what happened. Child B's Mother feels the center does not have any safety locks or appropriate security measures in place to keep Child B safe. On 3/27/23, I conducted a second unannounced onsite inspection to the center and interviewed Ms. Sadie Yoder, program director and CCSM 1. I informed Ms. Yoder and CCSM 1 of the allegations. Ms. Yoder and CCSM 1 acknowledged both incidents having occurred to Child B. On 3/9/23, while engaged in outdoor play, Child B was stepping up onto the stepping platform of the large climbing structure when his foot slipped causing him to fall and hit his mouth on the platform. Child B's mouth/lip was cut. The CCSMs immediately provided first aid by comforting him and cleaning the wound. They applied ice to Child B's mouth/lip. Child B's Parents were notified of the incident. They picked him up from care around 11:30 a.m. and took him for a medical examination. Child B received three stitches in his mouth/lip area. On 3/24/23, at approximately 9:30 a.m., Child B opened and closed the half door located in the toddler room on his left pinky finger. Child B got his left pinky finger caught in the doorjamb of the half door when he closed it. Child B's Parents were immediately notified of the incident. Child B's Grandparent picked Child B up from care and took him to the emergency room. Ms. Yoder and I reviewed the video footage of the second incident occurring on 3/24/23. On 3/34/23, CCSM 5, and CCSM 6, and CCSM 7 worked in the toddler room with eight toddler-aged children that included Child B. Child B was observed wandering around the classroom during the video footage. Child B momentarily walked over to the half door, opened the half door, momentarily walked over to the toddler transition area located on the other side of the divided half door, came back into the toddler area, and shut the half door. When Child B shut the half door, he had his left hand placed near the doorjamb causing his left pinky to get shut in the doorjamb. At the time of the incident, all the CCSMs were engaged with the children in the toddler room. CCSM 7 was sitting with a child who was not herself and having some behavioral issues. CCSM 6 was picking up the area as they had just transitioned from a freedom of choice activity and CCSM 5 was talking with a group of children. After Child B shut his pinky into the doorjamb, he began to cry. Both CCSM 5 and CCSM 6 immediately responded. CCSM 6 held Child B in her arms while applying a gauze wrapping to his hand to h

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R 400.8137 · R 400.8137 Diapering; toileting. (6) Diapers and training pants must be checked frequently and changed when wet or soiled.

On 2/13/23, 1 made a telephone call to the complainant to gain further information regarding the allegations. informed us that Child A has attended care at the center for approximately six months. She said that Child A has been phasing out of the infant room and into the toddler room. On 219/23, Child A was dropped off to care around 7:00a.m. and picked up around 5:50p.m. Child A's Mother changed Child A's diaper around 0 .m. and observed a diaper rash, which she described as'________ She took Child A to his pediatrician, the nin and was prescribed diaper cream for his rash. Child A's Mother and I that as of this date she had not picked up the prescribed idiapeirras ream but rather used Desitin ointment that she already had at her home. Child A's Mother said Child A's rash is doing better and is almost cleared up. Child A had diarrhea on 2/9/23 and none of the CCSMs called and notified her. The center has an application (tadpoles) that they use to inform the parents of their child information for that day to include diaper changes. The information was not logged into the application until later at the end of the day. Child A's Mother said the center used to take pictures of the children throughout the day to send to the parents and she has not received any pictures as of late. On 2/9123, according to the tadpole application, Child A's diaper was not changed until 2:00p.m. Child A's Mother spoke expressed her concern and was informed the video footage would be watched to review when Child A's diaper was actually changed. After reviewing the video footage, the center informed her that they saw that Child A's diaper was changed 3 earlier than 2.00p.m. The center informed Child A's Mother that she could view the video footage on 2114123. Outside of the diaper changing, Child A's Mother also said when she has arrived to pick up Child A from care his nose was crusty from being runny and not wiped. She felt that she should not have to use a warm washcloth to clean Child A's nose from the "crusty boogers." On 1131123, when she went into the center to pick up Child A from care, Child A had scratches on his face, specifically on his nose and under his eye. When Child A's Mother asked the child care staff member (CCSM) how Child A obtained the scratch marks, the CCSM said she did not know. When she inquired about why the CCSM didn't know how Child A obtained the scratch marks, the CCSM then informed her that Child A was wrestling with another child then Child A begun crying. Child A's Mother said this upset her that the CCSM did not know how Child A got the scratch marks, nor did they apply A's any topical cream or provide Child Mother with an incident report. Child A's Mother spoke with Ms. Sadie Yoder, program director regarding her concerns. Ms. Yoder informed Child A's Mother that she would speak with the CCSMs regarding the incident and provide them with some additional training. On 2/13123, and I interviewed .......... , pediatrician. conformed Child A being seen at his office for a caper ras last week. conformed Child A having a diaper rash but said he had some redness on his skin where the diaper touched the skin. = said this rash was not unusual and he did not have any concerns. On 2114123, and I conducted an unannounced onsite inspection the center. and I interviewed Ms. Sadie Yoder, program director, regarding the allegation. Ms. Yoder informed and I that last Thursday on 219/23, Child A attended care in the toddler ssroom with two CCSMs, CCSM 1 and CCSM 2 and eight toddler-aged children. Ms. Yoder informed us that both CCSMs are new to the job. At the present time, Ms. Yoder said the toddler room does not have a lead caregiver, but one was hired will begin working next week. Regarding diapering, Ms. Yoder said the CCSMs are supposed to log their diaper changes into the tadpole automated application system. On 2/9/23, Ms. Yoder said that Child A's diaper changes were not logged into the system. Ms. Yoder informed us since Chil

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R 400.8146 · 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 frequency.

On 2/9/23, CCSM 1 and CCSM 2 did not provide Child A's Mother with daily accurate information regarding Child A's elimination patterns. CCSM 1 and CCSM 2 only logged in the tadpole system that Child A's diaper was changed at 2:00p.m. despite him being in care on that day from 7:00a.m. until around 5:00 pm.

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R 400.8125 · 1 R 400.8125 Staff; volunteer; requirements. (1) All staff and volunteers shall provide appropriate care and supervision of children at all times.

On 1/13/2022 I receive a telephone call from Child Care Licensing Consultant Jenny Brundage. Ms. Brundage informed me she has been in contact with Mariann Gladstone regarding a different matter. Ms. Gladstone notified Ms. Brundage the child care center is closed the remainder of the week due to large amount of positive COVID-19 cases at the child care center. On 1/14/2022 I placed a telephone call to the complainant. I left a voice message requesting a return telephone call. On 1/18/2022 I completed an unannounced on-site inspection at the child care center. I interviewed Administrator and executive director of the licensed ABC centers in Jackson County Mariann Gladstone and program director Kristy West. When I entered the child care center the outer door leading to the office was latched. The inner door leading from the office to the hallway that leads to the classrooms was locked. Ms. West said that recently she was made aware that the outer door was not latching properly. Ms. West was able to fix the latch with a very minor repair as soon as the problem was brought to her attention. Ms. Gladstone and Ms. West said the only time the inner door is left open is when school-age children are transitioning to the school buses in the morning. Two buses arrive at the center in the morning back-to-back. When the first bus arrives, Ms. Gladstone brings one group of school-age children out to the bus. The Ms. Gladstone returns inside the center to retrieve the second group of school-age children to take them out to the next bus. Ms. Gladstone props the inner door open so she can quickly retrieve the second group of children to take to the bus to avoid the bus waiting for an extended period. Once Ms. Gladstone returns inside the center, she locks the inner door for the remainder of the day. They said there are currently no children in the center who are identified runners. On 3/9/2022 I completed an announced on-site inspection to gather clarifying information on the allegations. When I arrived at the center the outer door was latched properly, and the inner door was locked. Ms. Gladstone said she no longer props the inner door open while she takes the two groups of school-age children out to the buses. Ms. Gladstone realized the complainant had valid point regarding the risk with keeping the inner door propped open. Although no children ran out the propped door, Ms. Gladstone decided to lock the inner door in between taking the two groups of school-age children out to the buses. Ms. Gladstone said Child A and B no longer attend the child care center. On 3/14/2022 I placed a telephone call to Child C's Mother. I received a message that the voice mail was full. I was unable to leave a message. I placed a telephone call to Child D's Mother. I received a message from Google assistant asking the nature of the telephone call. I was unable to leave a message. 3 On 3/14/2022 I sent e-mails to Child C's Mother and Child D's Mother requesting return telephone calls or written feedback regarding the child care center. On 3/14/2022 I placed a completed an exit conference by telephone with licensee designee Lisa Potvin.

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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: (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.

On 1/18/2022 I completed an unannounced on-site inspection at the child care center. I interviewed Ms. Gladstone and Ms. West. Ms. Gladstone said on 12/3/2021 Child A and B's Mother contacted lead child care staff member Amiya Taylor to inquire about a bite mark Child A and B's Mother found on Child A after she picked Child A up from the child care center. Child A and B's Mother said she found a bite mark on Child A's upper back that resembled a small child size full mouth bite. Ms. Taylor told Child A and B's Mother she did not observe any other children bite Child A and did not observe Child A to cry out as if he was in pain at any time during the day. Ms. Taylor informed Ms. Gladstone of Child A and B's Mother's concerns regarding a bite mark Child A and B's Mother found on Child A when he returned home from the center. Ms. Gladstone followed up with Child A's Mother by e-mail and later by telephone call to inform her that an incident report was not completed because the child care staff members were not aware that an incident occurred. Ms. Gladstone asked if Child A and B's Mother was satisfied with the information Ms. Taylor provided to Child A and B's Mother during their telephone 4 conversation. Child A and B's Mother told Ms. Gladstone all her questions were answered. Ms. Gladstone said she believed Child A and B's Mother seemed satisfied with the response she received from Ms. Taylor and Ms. Gladstone. When Child A and B's Father arrived to pick up the children, he thanked Ms. Gladstone for the follow up phone call she made to Child A and B's Mother. Ms. Taylor is no longer employed at the child care center, so she was unable to be interviewed at this time. Ms. Gladstone said child care staff member Jadyn Rockey completed an incident report when Child B obtained a bite injury on 12/13/2021. The prior week, Ms. Gladstone was out of the office unexpectedly for a few days to attend a funeral. Assistant director and child care staff member Sadie Yoder covered for Ms. Gladstone while Ms. Gladstone was out of the office. Ms. Rockey completed and signed the incident report and turned the report into Ms. Yoder for review. Ms. Yoder then placed the incident report on Ms. Gladstone's desk. When Ms. Gladstone returned to the office on 12/13/2021 she received a telephone call from Child A and B's Mother. Ms. Gladstone looked through her stack of paperwork from the days she was off work and found the incident report regarding the injury Child B received at the child care center. Ms. Gladstone reviewed the incident report with Child A and B's Father when he arrived at the child care center to pick up the children. Child A's Father signed the incident report. On 1/18/2022 I interviewed child care staff member Jadyn Rockey. Ms. Rockey said she completed an injury report but could not remember if anybody verbally informed Child A and B's Mother or Father about the incident. On 1/18/2022 I completed an unannounced on-site inspection at the child care center. I interviewed Ms. Gladstone and Ms. West. Ms. Gladstone said on 1/7/2022 Ms. Taylor observed Child B to have a small scratch on his chin at the end of the day. The scratch was by Child B's chin and was less than an inch long. The skin was not broken. When Child A and B's Father came to pick up the children Ms. Taylor had not completed the incident report yet. Ms. Gladstone told Ms. Taylor to verbally inform Child A and B's Father of what happened before he left the center, then complete the report later. Child A and B's Father told Ms. Taylor "Don't worry about it. Boys will be boys." Ms. Taylor did not follow up with a written report. 1/18/2022 I completed an unannounced on-site inspection at the child care center. I interviewed Ms. Gladstone and Ms. West. Ms. West said on 1/11/2022 a red, blotchy looking mark showed up on the side of Child A's face. None of the child care staff members in the classroom noticed the red mark prior to Child A eating late snack at 5:00. Ms. West was

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R 400.8170 · R 400.8170 Outdoor play area ............................. (3) A center operating with children in attendance for 3 or more continuous hours per day shall provide daily outdoor play, unless prevented by inclement weather or other weather conditions that could result in children becoming overheated or excessively chilled.

On 1/18/2022, I completed an unannounced on-site inspection at the child care center. I interviewed Administrator and executive director of the licensed ABC centers in Jackson County Marianne Gladstone and program director Kristy West. Ms. Gladstone and Ms. West said the children go outside every day weather permitting. During the winter, the child care center guidelines are that the children remain inside if the temperature is below 20 degrees "real feel" or if it is raining or other extreme weather hazards. Ms. Gladstone said she believes all the child care staff members follow the guidelines and take the children outside daily as long as the weather permits. On 1/18/2022 I interviewed child care staff member Jadyn Rockey. Ms. Rockey said child care staff members consistently take children outside as long as the weather is permitting.

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R 400.8330 · R 400.8330 Food services and nutrition generally ................................................ ............................................ ............. .............. (6) A center shall make water available to drink throughout the day to children 1 year of age and older.

On 1/18/2022 I completed an unannounced on-site inspection at the child care center. I interviewed Ms. Gladstone and Ms. West. Ms. Gladstone said the children are provided with beverages during snack and meal times. The beverages provided vary depending on the meal. The child care center follows the food program guidelines. The children are provided with either water, juice or milk. There is a sink located in the classroom. Child care staff members provide children with water upon request from the children. On 1/18/2022 I interviewed child care staff member Jadyn Rockey. Ms. Rockey said children are provided with drinking water upon request.

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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 completed an unannounced on-site inspection. While on site, I observed the children playing outside. There were two CCSM with 17 children ages 3 years and older, thus having enough CCSMs present. The CCSMs were spread out throughout the play area providing appropriate care and supervision to the children. I observed a Ms. Bright redirect a child by using a calm voice after that child pulled someone's jacket. I interviewed Ms. Gladstone, administrator, and executive director of the licensed ABC Centers in Jackson County. She is currently working daily in the building due to staffing shortages. The center is trying to hire new child care staff members; however, those hired are often new to child care and need training. As she is at the center daily, this allows her to be available to provide modeling and training. She is also available to serve as a floater in the rooms if needed. Ms. Gladstone stated that she received an email from Child C's Mother regarding the preschool room on 10/29/2021. The parent expressed concerns about the operation of the preschool room when she arrived to pick up her child. The parent chose to disenroll her child. Ms. Gladstone stated that the preschool room has some challenging behaviors with children on individual educational service plans (IEP). The CCSMs in the room have limited child care experience. As such, they have struggled with how to deal with some of the behaviors. The center is actively addressing the children's behaviors. She has also been proactively working with the CCSMs by consulting with child specialists and providing trainings on child care topics. She has not had any previous complaints reported to her about the CCSMs. Ms. Gladstone also assists in 611 W. OTTAWA. P.O. BOX 30664. LANSING, MICHIGAN 48909 www.michigan.gov/lara . 517-335-1980 the room frequently to model caregiving for the CCSMs. Ms. Gladstone stated that she has heard Ms. Bright used a raised voice with the children. She did not describe it as a yell, nor was she being demeaning. Ms. Gladstone explained to Ms. Bright that speaking in a raised voice is not effective. Once she discussed this with Ms. Bright, Ms. Bright made improvements. Ms. Gladstone stated that all the CCSMs at the center are respective to learning new skills. In addition, she has begun doing additional trainings on how to work with challenging behaviors. The center also works closely with the intermediate school district (ISD) on care suggestions. The center will also be bringing in child specialists to assist the CCSMs. Ms. Gladstone stated that the plan is to eventually put a third person in the room, despite only needing two CCSMs to maintain CCSM to child ratio requirements. However, with continued lack of staffing issues, this has not been possible. Ms. Gladstone was not in the room on the afternoon of 10/29/2021, but she was working at the center. The CCSMs in the room that day included Ms. Bright and Ms. Taylor. Child A attends the Great Start to Readiness Program (GSRP) during the day, but transitions in the preschool room in the afternoon. Child A struggles with his behaviors, and when he is overstimulated, he acts out. The center is currently working on assisting the family with obtaining an IEP. Ms. Gladstone stated that on 10/29/2021, if she had known the CCSMs needed backup, she would have gone into the room. Ms. Gladstone and I observed the preschool room video recording for the afternoon on 10/29/21. There were two CCSMs with 13 children ages 3 years and older, thus following CCSM to child ratio requirements of 1 CCSM to 10 children. The video shows a large area of room but is not all inclusive of every area. There is no volume on the video. I observed the following at the listed approximate times over a 15- minute time frame. • 16:09: There were children engaged in free play in the room. Ms. Bright was sitting at a table in the middle of the room using the center IPAD device, which is used to update children's information, post p

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R 400.8380 · R 400.8380 Maintenance of premises. (1) The premises must be maintained in a clean and safe condition and must not pose a threat to health or safety.

I completed an unannounced on-site inspection. I observed inside the preschool room. The room was clean and neat. The toys were picked up. There were not items on the children's tables. There was no food on the floor. Ms. Gladstone assists frequently in the room. Ms. Gladstone was not in the room on the afternoon of 10/29/2021, but she was working at the center. The CCSMs in the room that day included Ms. Bright and Ms. Taylor. She indicated that in the afternoon, the children eat snack, which can lead to food being on the floor. The children then go outside to play. As such, the food may not be cleaned up immediately as the CCSMs are focused on other duties. They clean the floors when the room is calm enough to complete this task. Otherwise, the rooms are kept clean. The children are allowed to get toys out to play but can make the room look cluttered. The center uses the three-step cleaning process of wash, rinse, and sanitize classroom items and surfaces. Ms. Gladstone and I observed the preschool room video recording for the afternoon on 10/29/21. The video shows a large area of room but is not all inclusive of every area. The room was not filthy. I did not see any food on the floor in the video. There 611 W. OTTAWA. P.O. BOX 30664. LANSING, MICHIGAN 48909 www.michigan.gov/lara . 517-335-1980 were times when the room was cluttered with toys. I observed the CCSMs pick up the toys. I interviewed Ms. Taylor and Ms. Bright, CCSMs. Both were working in the room on 10/29/21. Although Ms. Taylor stated that she did not remember all the specifics about that day, they both stated that there were a lot of toys on the floor, but it was not filthy. Neither remembered there being food on the floor. Both indicated that they clean up the room frequently during the day by picking up. They verified using the three-step cleaning process. Ms. Taylor stated that they try to clean up any food before they go outside. I interviewed Ms. Pinson, GSRP teacher. She has assisted in the preschool room on several occasions, including on 10/29/21. She did not report any concerns that the room is filthy, or concerns regarding food being on the floor. There are times when it can be cluttered with toys. She stated that on 10/29/21, her focus was mainly on working directly with a Child A. I interviewed Child D's Mother and Child E's Mother. They did not report any concerns regarding the cleanliness of the room. I attempted to contact Child A's Mother, Child B's Mother, Child C's Mother, and the complainant but was not successful.

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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.

During my interview with Child M and N's Mother, she stated that Child M started reporting that "Ms. Kennedy is mean to her, she does not like her, and Ms. Kennedy hurts her arms." I asked Child M and N's Mother if Child M ever said what Ms. Kennedy did to hurt her arms and were there ever bruises. She responded "no" she did not see any bruises and did not know what Ms. Kennedy might have done. Child M and N's Mother further added, "My kids both would cry at night, and that's not like them. And my son told me he didn't want to go to school and started crying." Andrea McCabe, regional director, stated that she was unaware of any time Ms. Savageau hurt a child or was too rough. She also believes other child care staff members would report it if they saw something inappropriate. Kennedy Savageau, child care staff member, was visibly upset when I explained the complaint allegations. She said she has never been rough with a child or mean. She had no idea why someone would say something like this. Ms. Savageau explained that she was new as the lead caregiver. That the previous lead caregiver was let go and some parents and staff were unhappy. She thought maybe someone was mad at her for accepting the lead position. Dakota Bright, child care staff member, informed me that Kennedy Savageau is very good with the children. She is always gentle and calm. Ms. Bright has never seen Ms. Savageau pick up any child roughly or by the arms. Sarah Pinson, child care staff member, has not seen Ms. Savageau use any form of physical punishment or be mean to a child. Ms. Savageau uses redirection and is always calm with the children. Ms. Pinson stated that the caregivers in the preschool classroom do not pick up the children by the arms. They use two hands on the children's sides, under the arm area. Child A's Mother stated that her daughter loves Ms. Savageau. She has never heard a negative comment about any of the child care staff members from her daughter. Ms. Savageau is very interactive with the children. Child A's Mother said she has never seen an unexplained bruise or has had her daughter make any comments about being hurt or anyone being mean. Child B's Mother said that her son loves "Ms. Kennedy". Child B's Mother said she and her son have a conversation every evening about his day. She has not heard any negative comments. On weekends he has made the comment that he misses "Ms. Kennedy". Child C's Mother said her daughter started at the center as an infant. She is in her fourth room. Child C's Mother stated that she has always felt listened to by the child 3 care staff members and her daughter really enjoys the program. She added that her daughter loves Ms. Kennedy.

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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: (a) Food intake time, type of food, and amount eaten. ALLEGATIONAN Daily logs documenting food intake are not a rule requirement ALYSIS: for preschool aged children. The center chooses to use the Tadpoles application to communicate the children's daily activities with the parents.

Child M and N's Mother said, "Every night my daughter would come home with a soaking wet diaper." She added that on one occasion she had to change Child M in the car before driving home because she had a bowel movement. Child M and N's Mother informed me that the center has a telephone application for parents to use to see their child's daily report. "Ms. Kennedy would not fill out what my kids ate, how often they went to the bathroom, when their diapers were changed." I explained to Child M and N's Mother that daily logs were not a requirement in the preschool classroom where the age range was 30 months to 5 years. Licensing requires documentation on a daily log for infants and toddlers (up to age 30 months). The fact that ABC Child Care had their staff complete them was part of their program, not a licensing requirement. During my unannounced onsite inspection on July 7, 2021, Andrea McCabe, logged into the daily log application, called Tadpoles. I was able to see the across the board, child care staff members are using the application to document food intake, napping and elimination times. I asked Ms. McCabe to pull up four dates for Child M and Child N since Ms. Savageau has been the lead caregiver in their classroom. The dates were June 1, 10, 14, and 16, 2021. All four of these dates had entries by Ms. Savageau. The items documented were food eaten, length of nap, health screenings, and use of toilet and diaper changes. The application showed that three of these dates had not been opened and reviewed by a parent. Ms. Savageau, Ms. Bright, and Ms. Pinson, child care staff members, all reported that they use the daily log application every day to chart what foods the children eat, elimination times and sleep patterns. All three also added without being questioned, that if a parent asks for a diaper change at pick up, they always accommodate. There have been occasions when children were picked up during outside play and they had 4 soiled there diaper while outside. No one noticed until the parent put the children in the car or arrived home. Child A's Mother did not have any negative comments regarding diaper changes or toileting. She thought the child care staff members did a good job addressing the children's needs and documenting their day in the Tadpoles application. Child B's Mother has no issues regarding toileting. Her son is potty trained and has had no accidents at child care. Child B's Mother receives the Tadpole application. Child C's Mother said her daughter has had a few accidents while potty training. But she does not think they were the result of negligence. She has picked her up from outside play on a couple occasions and discovered a wet diaper. She knows if she would have asked, one of the child care staff members would have taken her daughter inside and changed her.

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R 400.8146 · 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 frequency. 5 ..... .. ................. .............;

Child M and N's Mother reported that Child M had scrapes on her knees and a bump on her head and she never received an incident report. She had been receiving the reports prior to Kennedy Savageau taking over as lead caregiver. Andrea McCabe showed me the policy describing when parents are notified of an incident and when an "ouch" report is written or added to the Tadpole application. Kennedy Savageau stated that if a child gets a minor bruise, they write an "ouch" report or explain it to the parent at pick up. If it is more serious, a parent is called so they can make the decision if medical treatment is necessary, and an incident report is completed. Ms. Savageau said minor scratches may not get reported if a child does not bring them to the attention of a child care staff member, but a bump on the head would usually warrant a call to a parent. But again, only if a child care staff member was aware of the bump. Ms. Savageau was unaware of any bumps or scrapes on Child M or Child N. The dates I reviewed the Tadpole application for Child M and Child N, I did not see any documentation regarding injuries or unusual incidents. The application showed foods ate, diapering, and lengths of naps. Dakota Bright stated that if a child gets an injury, even minor, the tell the parent at pick up or write an "ouch" report. Sarah Pinson said that it is routine to write out when a child is injured, and then tell the parent at pick up. If it is more serious, the office is called, and they notify the parents. Child A's Mother, Child B's Mother, and Child C's Mother all stated they have not been called due to an injury, but there have been comments in the Tadpole application or they have received a written ouch report about minor falls, trips, and bumps.

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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: 1 (b) A child experiences an accident, injury, or incident.

The center has a written plan on when a parent should be notified of an injury or incident. The child care staff members follow the plan.

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R 400.8155 · R 400.8155 Child accidents and incidents; child and staff illness. (4) If a center becomes aware that a staff member, volunteer, or child in care has contracted a communicable disease, then the center shall notify parents and provide all of the following information: (a) The name of the communicable disease the children were exposed to. (b) The symptoms of the disease. (c) Prevention measures as recommended by the U.S. Centers for Disease Control and Prevention (CDC) at the following website: https:I/www.cdc,govlDiseasesConditions. I

On June 2, 2021, I interviewed Andrea McCabe, regional director of Premier. She stated that all child care staff members were informed of the COVID- 19 policy and all of them knew that they needed to leave the center if they presented with any symptoms. They also needed to inform administration and parents if a child was present with any COVID-19 symptoms. On July 7, 2021, I met with Andrea McCabe and Tamra Cushard, program director. They informed me that they worked with Denise Schonhard, Immunization Action Plan Coordinator, Jackson County Health Department, regarding concerns when child care staff members and child care children were exposed to COVID-19. The center also posted or sent information to all families when child care staff members or child care children were exposed or tested positive. When three child care staff members tested positive for COVID-19 within a few days of each other, the center closed for two weeks. Child Care Staff Member 2 (CCSM2) was aware of the COVID-19 policies and was never discouraged from reporting illnesses of children or other child care staff members. Temperatures were checked every morning and then monitored throughout the day. If the child's temperature was over 99 degrees, parents were called to pick up the child. Notices were given to parents if their child was in a room with anyone who displayed COVID-19 symptoms and if anyone tested positive, all of the families were notified. Kennedy Savageau, child care staff member, said the center took the pandemic seriously and they were all trained on the COVID-19 protocol. Ms. Savageau stated the children's and child care staff member's temperatures were taken and if they were over 99 degrees, they were sent home. Sarah Pinson, child care staff member, informed me that the child care center takes COVID-19 seriously. All of the child care staff members were trained on the policy. Ms. Pinson said the children and child care staff members have a temperature check upon arrival and the children's temperatures are also monitored throughout the day. If a child care staff member shows symptoms of COVID-19, they have to go home. If a child is showing symptoms of COVID-19, their parents are called to pick them up. On July 8, 2021, I received a copy of an email from Denise Schonard, Jackson County Health Department, confirming that she has worked with various ABC Academy sites, including Laurence Avenue, regarding COVID -19 exposures. Ms. Schonard stated in the email, "ABC Academy contacted the health department to seek guidance and ensure that they were following CDC and MDHHS guidelines". 3

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R 400.8155 · R 400.8155 1 Child accidents and incidents; child and staff illness. (5) A center shall have a written policy detailing when children, staff, and volunteers will be excluded from the center due to illness.

During my interview with Andrea McCabe on June 2, 2021, she stated that the center had a COVID-19 policy that met the requirements of the Health Department. Ms. McCabe provided me with a copy of the policy titled, "ABC Academy, Inc's COVID-19 Preparedness and Response Plan". The plan covers what symptoms warrant sending a child care staff member or a child care child home, or to quarantine them until they can leave the center. It also covers what types of exposure to CVOD-19 would require a person to stay home. Ms. McCabe added that if any child care staff members or child care children presented with any symptoms of COVID-19, they were sent home. The center's temperature policy during the pandemic is 99 degrees. If anyone presents with a temperature over 99 degrees, they also need to leave the center. CCSM2 reported being exposed to someone who tested positive for COVID-19 in December 2020. CCSM2 was sent home immediately and had to quarantine until the COVID-19 test came back negative. CCSM2 was aware of other child care staff members who were sent home due to exposure and positive test results. CCSM2 also stated that at least two children tested positive and remained home. Kennedy Savageau stated that all child care staff members were made aware of the COVID-19 policy. She said the center closed for two weeks because of the number of exposures. This followed with the center's policy. 4 Child R's Mother said her daughter was sent home on July 2, 2021, because her temperature was over 99 degrees. She had to be fever free for at least 72 hours before she could return to the child care center. Child R's Mother said as of July 5, 2021, parents could not go to the classroom to pick up their children if they were not wearing a mask. On July 20, 2021, I conducted a telephone interview with Mackenzie Casterline, former child care staff member. Ms. Casterline confirmed that the center's policy was to send anyone home with COVID-19 symptoms. She was not aware of any child care staff members being sent home, but she recalled two child care children who went home due to COVID-19 symptoms. Marianne Gladstone, executive director for Premier, stated that the center's COVID- 19 policy was strictly followed as soon as it was developed. They conferred with the Jackson County Health Department in developing the policy and stay current as protocols changed. Child T and U's Mother said that she was made aware of the COVID-19 protocol from her child's child care staff member. Child T and U's Mother had to pick up her children on at least two occasions due to them displaying CVOID-19 symptoms. Both of her children did test positive for COVID-19 and had to quarantine. Her children's rooms were closed until they could be disinfected, and all the children had to quarantine. Child T and U's Mother added that the center completely closed for two weeks because of the number of COVID-19 exposures. She believes that the center did a great job trying to keep everyone healthy. Child S's Father did not return my telephone call.

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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 June 2, 2021, I interviewed Andrea McCabe, regional director. Ms. McCabe was unaware that Child Care Staff Member 1 (CCSM1) had a seizure disorder until she had a seizure at the center on May 27, 2021. Ms. McCabe stated that CCSM1 was sent home after her seizure on May 27, 2021. Ms. McCabe was not at the center on May 27, 2021, when CCSM1 had the seizure. She had taken a break away from the center and was gone for approximately 30 minutes. Ms. McCabe was notified by telephone by Julissa Milukhim, child care staff member. Ms. McCabe immediately returned to the center. CCSM1 had a minor seizure the day prior, May 26, 2021. Kennedy Savageau, child care staff member, was working in the room with CCSM1. CCSM1 went home after that seizure to rest. On June 1, 2021, CCSM1 returned to work for her last three days on the job. I asked Ms. McCabe if parents were notified that their children witnessed a child care staff member having a seizure. She said there was not a formal notice made. The children in the classroom were napping and she was not made aware there were concerns regarding the children. Andrea McCabe, program director, was not working on May 26-28, 2021. Child Care Staff Member 1 told me that she has stress induced seizures. She is under medical care, does not take any medication, and her doctor said she could work. She confirmed she had a minor seizure on May 26, 2021, and one a little longer on May 27, 2021. She was in the classroom both times with another child care staff member. On May 26, 2021, Kennedy Savageau was the other child care staff member in the room. Jasmine Knapp, child care staff member, was working with CCSM1 on May 27, 2021. CCSM1 stated that she can usually tell when a seizure is starting. She remembers telling Ms. Savageau that she was going to have a seizure and she laid down. CCSM1 said the seizures make her tired and the center had enough child care staff members that she could go home. So she went home early on May 26 and 27, 2021. CCSM1 said she has had more stress recently and she believes that has increased the frequency of the seizures. CCSM1 does not hide her seizure condition. She stated that she informs each new child care staff member she works with so they will not be shocked if she has a seizure. She is also never scheduled to work in a classroom alone. CCSM1 did not know if Ms. McCabe knew about her seizure disorder because Ms. McCabe did not work at the center on a daily basis until recently. The program director, Tamra Cushard, knowns she has seizures and so did the previous program director. Julissa Milukhim, child care staff member, stated that Ms. Knapp called she and John Werner to the Pre-K room on May 27, 2021, because CCSM1 was having a seizure. She said that neither she nor John really knew what to do. The seizure occurred during nap time, but at least one child was awake. I asked if this child appeared upset and Ms. Milukhim said she did not look at the children. She was focusing on CCSM1 and going back to her own classroom. But Mr. Werner had told her that the children were "terrified". 3 John Werner, child care staff member, said he was called to the Pre-K room on May 27, 2021, because he and Ms. Milukhim were in charge while Ms. McCabe was out of the building for a while. When he entered the Pre-K room, he saw CCSM1 on the floor having a seizure and the children were "terrified". I asked how many children were awake. He said at least a few. I asked if CCSM1 was working that room alone. He said, "No, another caregiver was there, but I don't remember who. She was supervising the children." Mr. Werner said he learned the CCSM1 had a seizure the day before, but he did not know the details. Kennedy Savageau, child care staff member, said she was working with CCSM1 on May 26, 2021. CCSM1 was putting out cots and said, "I am going to have a seizure". CCSM1 shook for a couple minutes and then was fine. Ms. Savageau was not shocked because she was aware of CCSM1's seizure disorder.

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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.

A complaint was received on May 28, 2021, alleging that a child left the fenced in playground unsupervised and Julissa Milukim, child care staff member, chased this child and returned him or her to the child care. I interviewed Andrea McCabe, regional director for Premier. Ms. McCabe stated that she did not believe a child left the playground on May 14, 2021, unsupervised. She stated that a child did leave the fenced playground on May 10, 2021, and was returned to the building by Mackenzie Redman, child care staff member. Ms. McCabe said that situation was reported to licensing and is currently being investigated. I interviewed Julissa Milukhim, child care staff member. Ms. Milukhim told me that she did not return a child care child to the center on May 14, 2021, or any other day. She had no idea why someone would say she did. Ms. Milukhim was unaware of any child leaving the property on May 14, 2021. Melissa Tooker, child care staff member, said she had not heard anything about a child care child who left the child care unsupervised on May 14, 2021. 5 Sarah Pinson, child care staff member, informed me that she was aware of a child leaving the playground on May 10, 2021. But she had not heard of incident where a child left the playground unsupervised on May 14, 2021. Ms. Pinson also added that there are new protocols which include assigned stations on the playground and name to face recognition counting. Kennedy Savageau, child care staff member, stated she had not heard about a child care child leaving the fenced in play area unsupervised on May 14, 2021. She said if it happened, all of the staff members would have heard about it. Ms. Savageau added that the child care staff members have been assigned stations on the playground to assure that the entire playground is visible and that every 15 minutes they conduct a name to face count of the children. Tamra Cushard, program director, was at the center all day on May 14, 2021. No one came to her with a child that was unattended, nor did she hear anything about it. The first she heard about this allegation was during my on-site inspection on June 2, 2021. Ms. Cushard does not believe there was an unsupervised child at the center on May 14, 2021. Either someone confused the date with another incident, which has been investigated, or it was a false complaint.

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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.

At 1:56p.m., on May 10, 2021, Tamra Cushard, program director, contacted me regarding Child K leaving the fenced in playground unattended. Ms. Cushard also submitted an Incident Report on the same day. During my unannounced onsite inspection on May 12, 2021, I interviewed Ms. Cushard. Ms. Cushard stated that on May 10, 2021, Child K, arrived later than usual. She was checked in at 11:20a.m. Ms. Cushard walked Child K outside to the playground so she could join her class and was left with Martha Smith, the lead caregiver of the preschool classroom. Child K is enrolled in the preschool classroom. Ms. Cushard was in her office at 11:36a.m. when Mackenzie Redman, child care staff member, came in carrying Child K. Ms. Cushard asked why they came in through the front door. Ms. Redman explained that she was sitting in her car eating lunch and saw Child K in the road. She jumped out and got to her as a car stopped in front of Child K. Ms. Cushard took Child K back to the playground and informed the child care staff members that Child K left the playground unattended. No one knew Child K left the playground. Ms. Cushard informed me that at the time Child K left the playground there were three classes outside, the preschool class which had 10 preschool aged children with one child care staff member, Martha Smith. The Pre-K classroom, which had 12 Pre-K children with two child care staff members, Kaycee Arras and Sarah Pinson and the Great Start to Readiness Program (GSRP) classroom which had 17 children with three child care staff members, Kalie Schmall, John Werner and Mackenzie Casterline. All the children were between the ages of 3 and 5 years old and the required child to child care staff member ratio was maintained in all age groups. Three classrooms outside at the same time was unusual because the center only schedules two classrooms of children out at one time. Based on the time the classrooms were outside, Ms. Cushard determined that the preschool room went outside earlier than scheduled. Ms. Cushard and I went to the playground. The fenced area forms a "L" shape around the building. On the short end of the "L" there is no outdoor equipment. A child care staff member is usually stationed so that they can observe the playground equipment and the area without equipment. Child K went to that area unnoticed and either climbed the fence or went through a small gap that was formed by a support pole bending away from the building. After the incident, 3 Tamra Cushard tied a piece of lattice on the fence to close the gap. I viewed the outdoor play area and the fence. I do not believe any child could have fit through the gap at it is very small. Ms. Cushard also stated that she did not think a child's head could fit through the gap. Mackenzie Redman, child care staff member, explained that she was eating lunch in her car when she saw Child K walking through the parking lot. She jumped out of her car and ran to Child K. Child K had made it into the street by the time Ms. Redman reached her. As she got to Child K, a car screeched to a stop a few feet away. The woman driving asked if everything was okay. Ms. Redman responded, "yes". She did not think to ask the woman her name. Ms. Redman then carried Child K into the building while asking her where she came from. Child K pointed to the fence on the North side of the building. Ms. Redman took Child K into the building and left her with Ms. Cushard. Child K appeared "unfazed" by the incident. Kalie Schmall, child care staff member, said when she took the GSRP class of 17 children outside, they were the first classroom on the playground. She positioned herself near the sandbox. John Werner and Mackenzie Casterline, child care staff members were also present with this classroom. Ms. Casterline supervised from the swing area. Mr. Werner went to the back open field to supervise that area. The only one of these three caregivers that might have been able to view the area of the playground where Chil

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