R 400.8161(1) · R 400.8161(1) 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.

Five classrooms had dirty trash cans and sinks.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8161(4) · R 400.8161(4) Maintenance of premises. (4) Floors, interior walls, and ceilings must be maintained in sound condition, good repair, and maintained in a clean condition.

The walls in five classrooms were dirty.

Open Not marked corrected in the state record

Open / not marked corrected.

R 400.8161(5) · R 400.8161(5) Maintenance of premises. (5) There must be no flaking or deteriorating paint on interior and exterior surfaces or on equipment accessible to children.

Eight classrooms had flaking/deteriorating paint on the walls.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8161(7) · R 400.8161(7) Maintenance of premises. (7) Light fixtures, vent covers, wall-mounted fans, and similar equipment attached to walls and ceilings must be easily cleanable and maintained in good repair.

One classroom had a broken light switch in the bathroom and the light didn't work.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8164 · R 400.8164 Poisonous or toxic materials. Containers of poisonous or toxic materials must be clearly labeled for easy identification of contents and stored out of reach of children. This includes chemical sanitizers and disinfectants.

Toxic materials were accessible to children in four classrooms.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8251(1)(g) · R 400.8251(1)(g) Handwashing (g) After handling bodily fluids from sneezing, wiping, blowing noses, mouths, or sores.

Teachers in two classrooms did not wash hands after wiping child's noses.

Open Not marked corrected in the state record

Open / not marked corrected.

R 400.8269(2)(f) · R 400.8269(2)(f) Emergency preparedness and response planning procedures (2) The written procedures must include all the following as applicable to the type of emergency: (f) A plan for continuity of operations. 4 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP Bureau

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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. 2 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP

Teacher 1 provided appropriate care and supervision to Child A when she fed Child A food from the center.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8213(1)(b) · R 400.8213(1)(b) Staff; volunteer (1) All staff and volunteers present at the center shall: (b) Act in a manner that is conducive to the welfare o f children.

Teacher 2 and Teacher 3 are conducive to the welfare of children.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8219(11) · R 400.8219(11) Sleeping, resting, and supervision (11) Infants and toddlers who fall asleep in a space that is not approved for sleeping shall be moved to approved sleep equipment appropriate for their age a nd size.

Infants are not allowed to sleep on the floor. Infants and toddlers who fall asleep in a space that is not approved for sleeping are moved to a crib.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 2 and Teacher 3 provided appropriate care and supervision of Child A.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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.

The center followed their accident/illness/injury policy and informed Child A's Mother of the injury at pick up time.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8254(6) · R 400.8254(6) Diapering; toileting (6) Diapers and training plants must be checked f requently and changed when wet or soiled.

Lead Teacher, Teacher 1 and Teacher 2 checked Child A's diaper every two hours and Child A’s diaper was changed when it was wet or soiled. When Child A was dry it was not documented in KinderCare Application.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

The center has water available to drink throughout the day for children 1 year of age and older.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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.

There is not sufficient evidence that Lansing Saginaw KinderCare did not provide appropriate care and supervision to Child A regarding changing soiled clothing.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8280(1) · R 400.8280(1) Discipline (1) Positive methods of discipline that encourage self-control, self- direction, self-esteem, and c ooperation must be used.

Teacher 1 provided positive methods of discipline that encourage self-control, self-direction, self- esteem, and cooperation when he redirected Child A, after Child A was throwing blocks.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8125(1) · PR19-R 400.8125(1) Staff; volunteer; requirements. All staff and volunteers shall provide appropriate c are and supervision of children at all times.

FCCSM 1 provided appropriate care and supervision of Child B. There is insufficient evidence to support her hugs were inappropriate. There is insufficient evidence to support she ever kissed any child on the lips.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8125(1) · PR19-R 400.8125(1) Staff; volunteer; requirements. All staff and volunteers shall provide appropriate c are and supervision of children at all times.

FCCSM 1 and CCSM 4 provide appropriate care and supervision of Child A. There is insufficient evidence to support Child A was inappropriately touched by FCCM 1 or CCSM 4.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8125(2) · PR19-R 400.8125(2) Staff; volunteer; requirements. All staff and volunteers shall act in a manner that is c onducive to the welfare of children.

CCSM 4 and FCCSM 1 are conducive to the welfare of children.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8125(2) · PR19-R 400.8125(2) Staff; volunteer; requirements. All staff and volunteers shall act in a manner that is c onducive to the welfare of children.

FCCSM 1 is conducive to the welfare of children.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8125(2) · PR19-R 400.8125(2) Staff; volunteer; requirements. All staff and volunteers shall act in a manner that is c onducive to the welfare of children.

CCSM 2 is conducive to the welfare of children.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8155(1)(c) · PR19-R 400.8155(1)(c) Child accidents and incidents; child and staff illness. A child is too ill to remain in the group.

Program Director did not follow the center’s written plan for handling a child too ill to remain in the group on 1/16/2025 and 1/17/2025 when Child F was allowed to interact with other children in the Pre-K classroom when he had a fever and have vomited within the last 24 hours.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8155(2) · PR19-R 400.8155(2) Child accidents and incidents; child and staff illness. A center shall ensure that a child who is too ill to remain in the group is placed in a separate area and i s cared for and supervised until the parent arrives.

Child F was ill and was allowed to remain in the group and interact with other children on 1/16/2025 and 1/17/2025.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8155(4) · PR19-R 400.8155(4) Child accidents and incidents; child and staff illness. If a center becomes aware that a staff member, volunteer, or child in care has contracted a communicable disease, then the center shall notify p arents and provide all of the following information:

Program Director did not notify parents when Child F tested positive for Influenza A on 1/18/2025 after interacting with children at the center on 1/16/2025 and 1/17/2025.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8182(3)(a) · PR19-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, m aximum group size of 12.

On 1/23/25, 1/24/2025, 1/29/2025, 2/3/2025, 2/4/2025 and 2/19/2025 the toddler classrooms did not follow the required child care staff member to child ratio of 1 to 4.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8182(3)(b) · PR19-R 400.8182(3)(b) Ratio and group size requirements. Preschoolers, 30 months of age until 3 years of age, child care staff member to child ratio of 1 to 8, m aximum group size of 16.

On 1/23/2025, 2/3/2025, 2/4/2025, 2/19/2025, and 3/14/2025, the Discovery Preschool Classroom did not follow the required child care staff member to child ratio of 1 to 8 children.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8182(3)(c) · PR19-R 400.8182(3)(c) Ratio and group size requirements. Preschoolers, 3 years of age until 4 years of age, child care staff member to child ratio of 1 to 10, m aximum group size not applicable.

On 1/23/2025, 1/31/2025, 2/3/2025, and 2/4/2025 the Preschool classroom did not follow the required child care staff member to child ratio of 1 to 10.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8182(3)(d) · PR19-R 400.8182(3)(d) Ratio and group size requirements. Preschoolers, 4 years of age until school-age, child care staff member to child ratio of 1 to 12, maximum g roup size not applicable.

On 1/22/2025, 1/23/2025, 1/24/2025, and 2/4/2205 the Pre-K classroom did not follow the child care staff member to child ratio of 1 to 12.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8134 · R 400.8134 Hand washing. (3) Staff and volunteers shall ensure that children wash their hands at all of the following times: (c) After handling animals and pets. 4 I

On 03/17/2023 I made an unannounced visit to the center. program director, Brittany Ellis was interviewed. She said there is a therapy dog that comes to the center that belongs to CCSM 1. This dog is typically at the center every day and weighs approximately 17 pounds. Child A's Mother had a concern regarding the dog coming to the center, therefore Child A is not around the dog nor is the dog in the same classroom as Child A. Child A's Mother was the only parent who expressed concerns and parents were notified via email that a dog would be coming to the center. The dog primarily stays in the pre-kindergarten classroom, which is on the opposite side of the building where infants and toddlers are located. The dog does not go into the infant and toddler classrooms. If needed, the dog can and has stayed in Ms. Ellis's office, which is not approved child use space. Ms. Ellis said the children in the pre-kindergarten classroom are older and they do wash their hands after petting the dog. All the children in the classroom are aware of the rules that hand washing must occur after every time they pet the dog. CCSM 1 is the only child care staff member in her classroom with 12 children and she is also aware of the rules that surround having a dog at the center. All child care staff members know to have children wash their hands after pet handling. CCSM 1 was interviewed. She stated all children wash their hands after petting the dog each time. CCSM 1 has a song that she uses to have the children wash their hands when needed. She has 12 children and is the only child care staff member in her classroom. A parent or child care staff member has never complained to her that children were not washing their hands after petting the dog. CCSM 2 was interviewed. She said she is the lead caregiver in the pre-kindergarten 2 classroom. The dog started coming to the center for approximately three to four 3 months. She does not believe parents were notified prior, but emails were sent to parents after the dog began coming to the center. Her classroom is located next door to CCSM 1's classroom. The dog is "very low profile" and has never shown any aggression. Sometimes the dog visits her classroom or CCSM 1 and CCSM 2 combine classrooms. When children pet the dog, they wash their hands right after, every time. The children are in a routine that if they pet the dog, they will need to wash their hands. She has no concerns with children not washing their hands after petting the dog. CCSM 3 was interviewed, she said she is the lead caregiver in the school-age classroom. She does not know when the dog began coming to the center every day, but CCSM 1 has brought the dog in a few times prior to coming every day. CCSM 1 came to her and asked her if any of the school-aged children had allergies around animals and informed her that she would be bringing her dog to the center. This was sometime after Christmas, late January of 2023. She believes the dog comes to the center roughly two to four days a week. The children wash their hands right after petting the dog. Every time her classroom children touch the dog, she ensures they are washing their hands afterwards. CCSM 1 also follows the same handwashing practices as they have talked about this. She has seen CCSM 1 making sure children are washing their hands. She has no concerns regarding handwashing, and no one has complained to her that this wasn't happening. On 03/17/2023 I received an email from Ms. Ellis with an attachment of an email that sent to parents on 7/21/2022. The email stated the dog would be visiting the center on Friday as a special treat and to reach out if there were any concerns or hesitations. There was no information about the dog having a re-occurring presence at the center. On 05/09/2023 I spoke with Child B's Mother. She said Child B is in the prekindergarten 1 classroom and CCSM 1 was her Child B's child care staff member. She said when she was at the center, she did observe children was

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8310 · R 400.8310 Food preparation areas. (7) Live animals are prohibited in food preparation and eating areas.

I made an unannounced visit to the center, program director, Brittany Ellis was interviewed. Ms. Ellis said food is prepped in the kitchen and the dog is not allowed to go into the kitchen. Snacks are made in the kitchen as well. The dog is in the classroom during mealtimes, but stays on the opposite side of the classroom when children are served meals, snacks and while eating. She is not allowed to be around that area in general. CCSM 1 was interviewed. She is typically the only child care staff member working in her classroom. She stated during meal times, the dog goes onto the opposite side of the classroom and lays down while the children are being served and eating meals and snacks. All meals and snacks are made in the center's kitchen and brought into the classrooms by kitchen staff. The dog does not and has never been inside the kitchen. The dog is never near the children when they are sitting down for meals and snacks. CCSM 2 was interviewed. She said her classroom is next door to CCSM 1's classroom and all meals and snacks are prepared and made in the kitchen. She does not believe the dog has ever been inside the kitchen and she has never seen the dog inside the kitchen before. The dog is typically within close proximity to CCSM 1. She has observed the dog sitting in the kitchen area with the children and has seen the children feed their lunch to the dog during lunch time. The children usually feed the dog the food they do not want to eat. The dog has never accidentally bitten a child as a result of this happening, and this has been observed when her classroom is combined with CCSM 1's classroom. She said this happens approximately twice a month. CCSM 3 was interviewed. She said her classroom is across the hall from CCSM 1's classroom and all food including meals and snacks, are prepared in the kitchen. The kitchen staff then bring the food into the classrooms and place it onto the classroom counters. The dog has her own area in the classroom, away from the eating area and knows not to be around the children while they eat. She has never seen children feeding the dog any food and the children are told not to feed the dog. The dog is also not allowed to be around the eating areas. She usually see's CCSM 1's classroom getting ready for lunch, and she has never seen the dog around the children during lunch time. During my walkthrough of the classroom, CCSM 1 was sitting at the table area with other children around. The children were engaged in table activities. The dog was laying on the floor, next to CCSM 1 in the table area. This table area is where meals and snacks are served and eaten when time to do so. On 05/09/2023, I spoke with CCSM 3. She said CCSM 1 is no longer working at the center and therefore, the dog no longer visits. She said she has never seen any children feed the dog before and no child care staff members have said this was happening. If she did see this happening, she would have said something. She said she is not sure why a child care staff member would say this did happen, but CCSM A 3's classroom is across from CCSM 1's classroom and she isn't watching CCSM 1 at all times during meal times. She said she does not believe there is a child care staff member that had issues with CCSM 1. On 05/09/2023, I spoke with Child B's Mother. She said she was not present at the center during meal or snack times, but she did attend a few classroom parties where food was being served. During these times, the dog was on the opposite corner of the classroom and children were not feeding the dog. Child A was present with Child A's Mother during this phone call and Child A said that the dog would eat the food off of the floor. Child A's Mother said she has not observed this happening. Child A's Mother said she is friends with another mother and they both enjoyed having the dog in the classroom with the children and neither one of them had concerns with the dog being in the classroom. On 05/10/2023 I spoke with CCSM 4.

R 400.8170 · R 400.8170 Outdoor play area. (10) An outdoor play area and any equipment located on the center's premises must be maintained in a safe condition and inspected daily before use to ensure that no hazards are present.

I made an unannounced visit to the center, program director, Brittany Ellis was interviewed. Ms. Ellis said the dog only goes to the bathroom on the grassy area located in front of the center. This area is not approved nor used by child care children. The dog has been on the playground with the children, but only to play and she has never seen or heard of the dog using the bathroom on the outdoor, approved child play areas. CCSM 1 was interviewed. She said the dog goes to the bathroom by the grassy area located in the front of the center. The dog never goes outside in the outdoor play area because CCSM 1 is worried she might use the bathroom while outside with the children. No parents or child care staff members have complained to her about bathroom use with the dog. When she takes her children outdoors, the dog will stay in the classroom. Sometimes this causes her to bark and CCSM 3 gets the dog and take her into her classroom. CCSM 3 is also aware of the rules surrounding having the dog in the classroom and follows them. CCSM 2 was interviewed. She said CCSM 1 takes the dog to the grassy area located behind the center. This area is between two, fenced in play areas that the children use. The space in between the two playgrounds is where the dog will use the bathroom and the children use this space as a transition space. She has never observed CCSM 1 picking up any bathroom messes left by the dog outside. CCSM 1 has taken her dog to the fenced in outdoor play areas as well, but it is not known if the dog has used the bathroom in the fenced in play areas. She has never seen dog feces on the playground before. CCSM 2 said Child A's Mother said she was never notified that the dog would be coming to the center until she dropped off Child A the morning that the dog was present. CCSM 2 and CCSM 1 were both present in the classroom with the children and Child A's Mother told CCSM 2 that she had some concerns about the dog, such as bathroom uses and liability concerns. CCSM 2 shared this with Ms. Ellis and informed her it is a liability of the center to allow a dog around children. CCSM 1 will only bring the dog into her classroom if she knows Child A is not present. If they need to combine and Child A is in attendance, the dog stays in the other classroom with no children. There were no other parent concerns that were brought to her attention. The dog stays in their wing of the center and does not go into the other classrooms. CCSM 3 was interviewed. She said she has seen CCSM 1 take the dog to the grassy area located in the front of the center. This is not an area that is approved or used by children. She has never seen the dog going outside behind the center, where the fenced in playgrounds are located. She said she has two windows in her classroom where the playgrounds can be seen and she has never observed the dog to be walking around those areas. She has no concerns with the dog being at the center. Child A's Mother did share concerns with a dog being at the center and rj •• r i• - i - l • I t IIJISLJLL. dog i • • I.

R 400.8380 · 1 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.

During my walk through of the child approved outdoor play areas with Ms. Ellis, there were dog feces located on the grassy area between both fenced in playgrounds. This poses a risk to health and safety of the children.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

On 3/2/2023, I completed an unannounced on-site inspection at the child care center. I informed licensee designee/program director Brittany Ellis of the allegations. Ms. Ellis said there is a coffee pot located in the main lobby of the child care center. The coffee is located outside of the classrooms away from children. Child Care Staff Members (CCSMs) typically drink coffee while they are on their lunch breaks outside of the classroom. Ms. Ellis said most of the CCSMs drink iced coffee. If a CCSM drinks hot coffee in a classroom around children, the CCSM 611 W. OTTAWA. P.O. BOX 30664. LANSING, MICHIGAN 48909 www.michigan.gov/lara . 517-335-1980 is required to keep the hot coffee in a cup with a secured lid and out of reach of children. Ms. Ellis said most CCSM keep their iced coffee cups covered as well. Ms. Ellis believes all the CCSMs follow the policy for hot coffee in the classrooms. She said she has never observed any of the CCSMs walk around with open hot coffee cups in the classrooms around children. I interviewed CCSM 1. CCSM 1 said when CCSMs drink hot coffee in the classrooms, they only use cups that are securely covered. The only time CCSM 1 has observed anyone drinking hot coffee with an open cup is in the lobby where there are no children present. CCSM 1 said she has never seen a CCSM drink an open cup of hot coffee in a classroom. I interviewed CCSM 2. CCSM 2 said she mainly sees CCSMs drinking iced coffee in the classrooms. If a CCSM brings a hot coffee into the classroom, the coffee is in a container with a securely closed lid. CCSM 1 said she has never seen a CCSM walk around children with an open container of hot coffee. On 5/26/2023 I placed telephone calls to Child B's Mother and Child C's Mother. I left voice messages requesting return calls. On 5/26/2023 I completed an exit conference by telephone with license designee Brittany Ellis.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

On 3/2/2023, I completed an unannounced on-site inspection at the child care center. I informed program director Brittany Ellis of the allegations. Ms. Ellis said there are no children in Child A's classroom who are identified as chronic biters. Ms. Ellis said there were two incidents where Child A was bit by two different children. The incident reports indicate both bites did not break the skin. Ms. Ellis said neither of the children who bit Child A had a history of biting other children. I interviewed CCSM 1. CCSM 1 said She is not aware of any children from Child A's classroom who are chronic biters. CCSM 1 said due to the age of the children in the classroom, there are occasionally times when a child bites another child out of frustration. However, there are no children in the classroom right now who bite other children every day. I interviewed CCSM 2. CCSM 2 said there are no children in Child A's classroom who are identified as chronic biters. CCSM 2 said there were two incidents where two separate children bit Child A. Neither of the children had a history of biting other children in the classroom. CCSM 2 said Child A was kept separate from both children and there were no further incidents.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8155 · R 400.8155 Child accidents and incidents; child and staff illness (1) A center shall have a written plan for how and when a parent is notified when personnel observe any of the following: (a) Changes in the child's health. (b) A child experiences an accident, injury, or incident. (c) A child is too ill to remain in the group. 611 W. OTTAWA. P.O. BOX 30664. LANSING, MICHIGAN 48909 www.michigan.gov/lara . 517-335-1980

On 3/2/2023 I completed an unannounced on-site inspection at the child care center. I informed program director Brittany Ellis of the allegations. Ms. Ellis said there were three incident reports regarding minor injuries on Child A in a short period of time. Ms. Ellis said the child care centers policy on reporting incidents or injuries is that major injuries that involve bruising, bleeding, swelling, etc. are an immediate call to parents. CCSMs also contact parents by telephone if children receive any major or minor injuries from the neck up. Ms. Ellis said if a child receives a minor injury such as a scrape or scratch that does not break the skin, or a small red mark, the incident report is sent to parents by a digital application the center utilizes to communicate with parents. Ms. Ellis reviewed the only three incident reports completed for Child A while she was enrolled at the center. Ms. Ellis and I reviewed the incidents involving Child A. All the reports described minor injuries that did not meet the criteria of a telephone call to parents according to the center's reporting injuries policy. Ms. Ellis provided me a description of the center's injury reporting policy. I found the written policy to be consistent with Ms. Ellis's explanation of the policy described above. Ms. Ellis said the CCSMs are trained to keep written reports "factual and to the point." Ms. Ellis said if an incident report involves another child in the classroom, the second child's name is not used in the report. Ms. Ellis said she believes all the CCSMs are receptive to providing additional information to parents who have questions about incident reports. Ms. Ellis reached out to Child A's Mother on three occasions to set up a meeting to discuss Child A's Mother's concerns. Ms. Ellis said Child A's Mother did not follow through with organizing a meeting. I interviewed CCSM 1. CCSM 1 said if a child receives a major injury at the center, the CCSMs contact the parent by telephone right away. CCSM 1 provided examples of injuries that would result in an immediate call to parents as an injury that involves, potential broken bones, bleeding or swelling. CCSM 1 said when a child receives a minor injury that does not result in bleeding or breaking the skin, the parents are notified by sending a copy of the report to the parent by the digital application. CCSM 1 said she believes all the CCSMs are open to speaking to parents about incidents if they have any concerns. CCSM 1 said they are trained to stick with just the facts on the written reports. If an incident involves two children, they do not identify the second child to the parent who is receiving a report on their child. CCSM1 said some parents don't like that they won't name the other child. CCSM 1 said she is aware of two incidents involving CCSM 1 being bit by two other children. CCSM 1 said one child did not have a history of biting so CCSMs did not know to keep the child separated from other children. The other child who bit Child A was newly enrolled from a different center and did not have a reported history of biting. CCSM 1 said she talked to Child A's Mother regarding the incidents and assured her 611 W. OTTAWA. P.O. BOX 30664. LANSING, MICHIGAN 48909 www.michigan.gov/lara . 517-335-1980 they would keep Child A separated from the two other children. CCSM 1 said they were successful in keeping Child A separated from the children who bit her, and it did not happen again. CCSM 1 said she was told there was a second incident involving another child slapping Child A, but she was not present for that incident. CCSM 1 said all 3 incident reports involving Child A fall under the policy of sending the written report to a parent via the digital application for communication. I interviewed CCSM 2. CCSM 2 said she is aware of three incident reports regarding Child A. CCSM 2 said the injuries CCSM 2 sustained to not meet the criteria of the center's reporting policy to call parents immediately. CCSM 2 sa

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. 7

On 10/20/2022 1 spoke with the complainant. On 10/20/2022 I spoke with Child A's Mother. Child A has been at this center since the spring of 2021 and is currently in the toddler classroom. He has been in this 2 classroom for roughly six to eight months. The center has a high child care staff member turnover, but Child A has consistent child care staff members, Autumn Lyon and Ellyn Davies. Child A is allergic to peanuts, and she is not sure if there is a specific plan put into place for his allergy, but there is a sign in the toddler room that says this is a nut free room. On 10/19/2022, Child A's Mother received a voicemail and a phone call from Child A's Father regarding an incident around 11:54AM. Child A's Father advised her Child A was having an allergic reaction to something. She saw a picture of Child A through the KinderCare App (an app used to document feedings, naps, diapers, etc. that parents have access to from their phones). After seeing the marks on Child A's skin from the pictures, she went to Walgreens to purchase Benadryl and Cortisone. When she arrived at the center at roughly 12:31P M, Child A was sitting with assistant program director, Autumn Karn, who said she was not sure what had happened as Child A did not have any new foods from the center. Child A's Mother then looked over Child A's body in order to assess the severity of his reaction. Child A was itching, and the rash appeared to be centralized on his upper body, very inflamed towards his neck and around the right side of his face, up towards his jaw line and across the side of his face, behind his ear and back down to his shoulder. The rash was isolated to a single side of his body. He had hives that were red and blotchy, but it was not swollen. An indication of Child A consuming something that would cause an allergic reaction is swelling as he has had large, raised masses on his skin. The reaction at the child care was very different from the reaction he has had when consumes peanuts. Child A's Mother applied Cortisone cream to stop the itching and then administered 5m1 of Benadryl. Two layers of Cortisone cream were applied to his skin. She was unsure if he needed a steroid shot and considered taking him to urgent care. However, she left him at the center and advised them to call her in an hour if Child A didn't respond to the medication. As she was leaving the center, she threw away some wrappers behind the front desk and noticed a box of doughnuts. The box contained two peanut doughnuts, she then pointed this out to Ms. Karn and told her that if a child care staff member consumed a doughnut with peanuts and then touched Child A, he would have an allergic reaction. If someone touches peanuts, then touches him, Child A will have an allergic reaction. She remembered seeing the doughnuts at drop off at approximately 7:30AM. She believes based on the location of the rashes, that someone consumed a doughnut that contained peanuts and then Child A was came into close contact with this person's mouth. Child A is very sensitive to peanut protein. Ms. Karn said the box of doughnuts was not in Child A's Classroom and Child A's Mother felt she was dismissive towards her concerns about this. Child A's Mother left the center and child care staff members followed up with her and took pictures of Child A showing him responding to the medications. Child A had inflamed patches after the mediation but appeared "A million times better." Child A's Mother believes she communicated with the child care staff members that Child A could have an allergic reaction through touching and not just ingesting. However, she believes this was communicated when they first discovered Child A 3 was allergic to peanuts, which was in June of 2021. She does not recall going over this information recently. There is an epi pen onsite for Child A along with paperwork for his medication. Child A has had some allergic reactions in the past at the center from consuming an egg sandwich and ra

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8179 · ................. 1 R 400.8179 Pro ram. (12) For children with special needs, care must be provided according to the child's needs as identified by parents, medical personnel, or other relevant professionals.

Child A's Mother identified a peanut allergy and child care staff members followed his plan and never provided food with peanuts to him. Child care staff members provided care according to Child A's needs.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

R 400.8152 · R 400.8152 Medication; administrative procedures. (5) A child care staff member shall keep all medication out of the reach of children and shall return it to the child's parent or destroy it when the parent determines it is no longer needed or it has expired. I

Child A's epi pen expired in November of 2021 and was not returned to the parent or destroyed upon expiration.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.