R 400.1913 · ........... ................................................................................... .................... R 400.1913 Discipline; cchhiilldd handling. ................ ................... ..................................... (3) Personnel shall not do any of the following: (a) Hit, spank, shake, bite, pinch, or inflict other forms of corporal punishment.

I conducted an on site inspection on 06/01/2022 and interviewed the licensee, Lori Carollo. She neither physically nor verbally abuses the children in her care and did not "know what that is." Ms. Carollo's discipline policy was reviewed while on site and deemed developmentally appropriate as well as acceptable per child care licensing rules and regulations. 2 During phone interviews with Child B's mother and Child D's mother conducted on 06/16/2022, neither parent expressed concern with Ms. Carollo's discipline policy. Child B's mother had not witnessed any inappropriate disciplinary actions. Child D's mother had not heard of any inappropriate disciplinary actions from other parents and had no specific concerns regarding discipline. Voicemail messages were left for Child A's parent as well as Child C's parent on 06/15/2022. Neither parent returned the call.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.1931 · R 400.1931 Food preparation and service. ....................................... ........ .. ..... ......................... (1) A licensee shall ensure that all of the following requirements are met: (a) Each child shall be provided with nutritional and sufficient food pursuant to the minimum meal requirements of the child care food program, as administered by the Michigan department of education. These minimum meal requirements are based on the dietary guidelines for Americans made by the National Academy of Medicine, which are available at https://www.fns.usda.gov/cacfp/meals-and-snacks. This subrule does not apply to children whose parents provide I their food.

Ms. Carollo stated that she uses the food program and as such follows a menu. Menus for the past month were reviewed as were the children's food program entries. Neither Child B's mother nor Child D's mother verbalized any concern in regards to snacks and meals provided by Ms. Carollo.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.1932 · R 400.1932 Home maintenance and safety. ............. ...... (1) The structure, premises, and furnishings of a child care home must be in good repair and maintained in a clean, safe, and comfortable condition.

While on site, this consultant inspected the licensed child use space. The spaces had toys and activities for the children as well as appropriate bedding. The child care space also included Ms. Carollo's furniture and belongings as the child care is located in her home. While there were many household items, the child care space did not appear to be unhygienic. The children in care were safe in accordance with the relevant rule. The children in care during the inspection appeared to be comfortable. Neither Child B's mother nor Child D's mother verbalized concern in regards to the cleanliness of Ms. Carollo's house. ................................

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.1907 · R 400.1907 Child's records. (3) Dated daily attendance records of children in care must be maintained and include the child's first and last name and the time of arrival and departure. Electronic records may be used. If electronic records are used, they must be available to the department at the time of the inspection. If electronic attendance records are not available during an on-site inspection, the child care home is in violation of this rule.

The last name of two children were not included on the daily attendance record dated 05/03/2022 and 05/18/2022.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.1931 · ...................................................................................................................................................................... R 400.1931 Food preparation and service. .................................................. ................................................................................................................................................................................................................. (13) Children shall not have beverage or food containers when they are in bed or when they are walking around or playing.

A partially full baby bottle was observed in a porta crib with a child approximately 18 months old.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.1932 · 1 R 400.1932 Home maintenance and safety. (2) All dangerous and hazardous materials or items must be stored securely and out of the reach of children.

• Two bottles of Visine were observed on an end table and located within reach of the children in care. • A bottle of medication for Ms. Carollo's dog was observed on the kitchen counter within reach of the children in care. • A bag of plastic bags was observed on a shelf in the kitchen within reach of the children.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.1936 · R 400.1936 Animals and pets. (5) Litter boxes, pet food, pet dishes, and pet toys must be inaccessible to children.

A bag of dog food, a bowl with a small amount of dog food in it, as well as several dog toys were observed in child use space while the children were in care.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

R 400.1914 · ................. R 400.1914 Dail activity ram. (3) All of the following developmentally appropriate opportunities must be provided daily: (b) Indoor and outdoor play, except during inclement or extreme weather, or unless otherwise ordered by a health care provider. F

I conducted an onsite on 08/06/2021 and spoke to the licensee, Lori Carollo. Ms. Carollo stated that the children do go outside on a regular basis. The written daily routine was reviewed. It was observed that outdoor play was scheduled. The outdoor play area, located directly behind the house, was inspected for signs of use. The area did appear to be used on a regular basis.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.1914 · R 400.1914 j Daily activity program. (4) Television, video tapes, movies, electronic devices, and computers must be limited to not more than 2 hours per day and to programs designed for children's education, enjoyment, or both. Other activities must be available to children during television and movie viewina.

Throughout the duration of the onsite inspection, the children in attendance were napping. The television was on; however, it was playing music rather than playing a television show/video. A telephone interview with Delaney Cram, child care staff member revealed that the television is on during the day; however, she could not determine the exact length of time it was on. Ms. Carollo stated that the children did not watch tv all day.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.1931 · R 400.1931 Food preparation and service. (1) A licensee shall ensure that all of the following requirements are met: (a) Each child shall be provided with nutritional and sufficient food pursuant to the minimum meal requirements of the child care food program, as administered by the Michigan department of education. These minimum meal requirements are based on the dietary guidelines for Americans made by the National Academy of Medicine, which are available at https://www.fns.usda.gov/cacfp/meals-and- snacks. This subrule does not apply to children whose parents provide their food.

Ms. Carollo stated that she uses the food program and as such follows a menu. Menus for the previous two months were reviewed as were the children's food program entries. One acceptable lunch menu item is a peanut butter and jelly sandwich with applesauce and green beans. There are several children that prefer to eat this for lunch on a regular basis.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.1910 · 1 R 400.1910 Ratio of personnel to children. (1) The ratio of personnel to children present in the home at any 1 time must be not less than 1 member of the personnel to 6 children. The ratio must include all children in care who are not related to any personnel and any of the following children who are less than 6 years of age: (a) Children of the licensee. (b) Children of a child care staff member or child care assistant. (c) Children related to any member of the household by blood, marriage, or adoption. 4

• Ms. Carollo stated that she had no qualified child care staff member or assistant on the day of the onsite inspection. • Ms. Carollo's husband does not have the required qualifications for a qualified staff member or assistant. • I observed nine children present with one staff member; two child care staff members should have been present.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.1915 · R 400.1915 Indoor space; play equipment and materials. (1) A child care home shall provide not less than 35 square feet per child of safe, usable, accessible indoor floor space, not including bathrooms and storage areas.

• Nine children were observed in a licensed child care use space which has a capacity of five children. • Ms. Carollo stated that she could not use the licensed space in the basement as it was full.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.