R 400.8158(3) · R 400.8158(3) Premises. (3) Doors opening to the outside must not be p ropped open.

Based on the interviews completed with PA and Teacher, there is insufficient evidence to support that the infant and toddler room door was unlocked and left ajar. PA and Teacher both stated that none of the doors at the child care center were unlocked and left ajar on 09/17/2025. On 09/17/2025, a staff member opened the door for a parent who arrived for a tour of the child care center. The parent did not have to wait five to ten minutes for PA to give the tour.

Open Not marked corrected in the state record

Open / not marked corrected.

R 400.8216(1) · R 400.8216(1) Orientation (1) Program staff and unsupervised volunteers shall participate in the center's orientation training about t he center's policies and practices and these rules. 2 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP

Based on the interviews that were completed, there is sufficient evidence to support that Teacher completed the center’s orientation training about the center’s policies and practices and the child care center licensing rules.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(2)(a) · R 400.8216(2)(a) Orientation (2) Within 30 calendar days after being present at the center and before caring for children, program staff and unsupervised volunteers shall have training on all of the following, as applicable: (a) The prevention of shaken baby syndrome, i f the center serves infants and toddlers.

Teacher completed training in the prevention of shaken baby syndrome within 30 calendar days after being present at the center and before caring for children, which was verified by a review of her MiRegistry training record.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(2)(b) · R 400.8216(2)(b) Orientation (2) Within 30 calendar days after being present at the center and before caring for children, program staff and unsupervised volunteers shall have training on all of the following, as applicable: (b) The prevention of sudden infant death syndrome and use of safe sleep practices, if the c enter serves infants and toddlers.

Teacher did not complete training in the prevention of sudden infant death syndrome and use of safe sleep practices within 30 calendar days after being present at the center and before caring for children, which was verified by a review of her MiRegistry training record.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(2)(c) · R 400.8216(2)(c) Orientation (2) Within 30 calendar days after being present at the center and before caring for children, program staff and unsupervised volunteers shall have training on all of the following, as applicable: (c) The prevention of abusive head trauma.

Teacher completed training in the prevention of abusive head trauma within 30 calendar days after being present at the center and before caring for children, which was verified by a review of her MiRegistry training record.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(2)(d) · R 400.8216(2)(d) Orientation (2) Within 30 calendar days after being present at the center and before caring for children, program staff and unsupervised volunteers shall have training on all of the following, as applicable: (d) The prevention of child maltreatment.

Teacher completed training in the prevention of child maltreatment within 30 calendar days after being present at the center and before caring for children, which was verified by a review of her MiRegistry training record.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(2)(e) · R 400.8216(2)(e) Orientation (2) Within 30 calendar days after being present at the center and before caring for children, program staff and unsupervised volunteers shall have training on all of the following, as applicable: (e) The recognition and reporting of child a buse and neglect. 4 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP

Teacher completed training in the recognition and reporting of child abuse and neglect within 30 calendar days after being present at the center and before caring for children, which was verified by a review of her MiRegistry training record.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(3)(a) · R 400.8216(3)(a) Orientation (3) Within 30 calendar days of being present at the center and prior to caring for children unsupervised program staff and unsupervised volunteers shall have training on all of the following: (a) Who to contact for questions.

Based on the interviews that were completed with LD, PA, LT, and Teacher, there is sufficient evidence to support that Teacher received training regarding who to contact for questions within 30 calendar days of being present at the center and prior to caring for children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(3)(b) · R 400.8216(3)(b) Orientation (3) Within 30 calendar days of being present at the center and prior to caring for children unsupervised program staff and unsupervised volunteers shall have training on all of the following: (b) Discipline policy.

Based on the interviews that were completed with LD, PA, LT, and Teacher, there is sufficient evidence to support that Teacher received training regarding the discipline policy within 30 calendar days of being present at the center and prior to caring for children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(3)(c) · R 400.8216(3)(c) Orientation (3) Within 30 calendar days of being present at the center and prior to caring for children unsupervised program staff and unsupervised volunteers shall have training on all of the following: (c) Emergency procedures to include, but not limited to, location of first aid equipment, fire 5 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP prevention, fire exits, and responsibilities during an e mergency.

Based on the interviews that were completed with LD, PA, LT, and Teacher, there is sufficient evidence to support that Teacher received training regarding emergency procedures to include, but not limited to, location of first aid equipment, fire prevention, fire exits, and responsibilities during an emergency within 30 calendar days of being present at the center and prior to caring for children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(3)(d) · R 400.8216(3)(d) Orientation (3) Within 30 calendar days of being present at the center and prior to caring for children unsupervised program staff and unsupervised volunteers shall have training on all of the following: (d) Information to provide to parents.

Based on the interviews that were completed with LD, PA, LT, and Teacher, there is sufficient evidence to support that Teacher received training regarding information to provide to parents within 30 calendar days of being present at the center and prior to caring for children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(3)(e) · R 400.8216(3)(e) Orientation (3) Within 30 calendar days of being present at the center and prior to caring for children unsupervised program staff and unsupervised volunteers shall have training on all of the following: (e) Appropriate care and supervision, i ncluding child care staff member to child ratios.

Based on the interviews that were completed with LD, PA, LT, and Teacher, there is sufficient evidence to support that Teacher received training regarding appropriate care and supervision, including child care staff member to child ratios, within 30 calendar days of being present at the center and prior to caring for children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(3)(f) · R 400.8216(3)(f) Orientation (3) Within 30 calendar days of being present at the center and prior to caring for children unsupervised program staff and unsupervised volunteers shall have training on all of the following: (f) Daily schedules, such as planned daily a ctivities and routines.

Based on the interviews that were completed with LD, PA, LT, and Teacher, there is sufficient evidence to support that Teacher received training regarding daily schedules, such as planned daily activities and routines, within 30 calendar days of being present at the center and prior to caring for children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(3)(g) · R 400.8216(3)(g) Orientation (3) Within 30 calendar days of being present at the center and prior to caring for children unsupervised program staff and unsupervised volunteers shall have training on all of the following: (g) Health policies and procedures.

Based on the interviews that were completed with LD, PA, LT, and Teacher, there is sufficient evidence to support that Teacher received training regarding health policies and procedures within 30 calendar days of being present at the center and prior to caring for children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(3)(h) · R 400.8216(3)(h) Orientation (3) Within 30 calendar days of being present at the center and prior to caring for children unsupervised program staff and unsupervised volunteers shall have training on all of the following: (h) The prevention and control of infectious d iseases, including immunizations.

Based on the interviews that were completed with LD, PA, LT, and Teacher, there is sufficient evidence to support that Teacher received training regarding the prevention and control of infectious diseases, 7 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP including immunizations, within 30 calendar days of being present at the center and prior to caring for children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(3)(i) · R 400.8216(3)(i) Orientation (3) Within 30 calendar days of being present at the center and prior to caring for children unsupervised program staff and unsupervised volunteers shall have training on all of the following: (i) Illness procedures for children and staff.

Based on the interviews that were completed with LD, PA, LT, and Teacher, there is sufficient evidence to support that Teacher received training regarding illness procedures for children and staff within 30 calendar days of being present at the center and prior to caring for children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8216(3)(j) · R 400.8216(3)(j) Orientation (3) Within 30 calendar days of being present at the center and prior to caring for children unsupervised program staff and unsupervised volunteers shall have training on all of the following: (j) Diapering procedures, only if applicable to c hildren served.

Based on the interviews that were completed with LD, PA, LT, and Teacher, there is sufficient evidence to support that Teacher received training regarding diapering procedures within 30 calendar days of being present at the center and prior to caring for children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8260(4) · R 400.8260(4) Medication; administrative procedures (4) Prescription medication must have the pharmacy label indicating the physician's name, child's first and last name, instructions, name and strength of the medication, and must be given according to those i nstructions. 8 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP

Based on the interviews that were completed with PA, Teacher, and Child A's Father, there is insufficient evidence to support that Child A's Father did not receive Child A's medication. PA and Teacher stated that when Teacher returned Child A's epi-pen to Child A's Father, she mistakenly gave him a tester epi-pen that was not Child A's.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8269a(4)(d) · R 400.8269a(4)(d) Food (4) The prevention measures must include all of the following, at a minimum: (d) Prevent food sharing between children.

Based on the interviews that were conducted with PA, Teacher, and Child A's Father, there were prevention measures in place to prevent food sharing between Child A and other children. Child A and Child B's lunch boxes were labeled with their first and last names. Although the lunch boxes were labeled with Child A and Child B's first and last name, Teacher gave Child A and Child B the wrong lunch boxes because she assumed that Child A's lunch box was not pink and black because he is male. Child A and Child B did not eat each other's lunches. Therefore, Child A did not have an allergic reaction to Child B's bologna and mayonnaise sandwich.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

R 400.8152 · 1 R 400.8152 Medication; administrative procedures. (6) A child care staff member shall give or apply any prescription or nonprescription medication according to the directions on the original container, unless otherwise authorized by a written order of the child's ohvsician.

On 5/23/2022, I completed an unannounced inspection at the center. I spoke with program director and licensee designee, Natalie Church. She stated that on 5/16/2022, Child A arrived at the facility a little drowsy. Child A's mother alerted Ms. Church that she had given him new medication that morning. Ms. Church stated that no caregivers had administered any medication to Child A that day. Child A became less responsive while in care and Ms. Church called his mother to come get him and offered to call Emergency Medical Services (EMS). Child A's mother did come and agreed to have EMS called to have Child A checked 2 out. Child A saw a doctor and was able to return to school his next scheduled day, 5/19/2022. On 5/23/2022, I observed Child A in class. He appeared healthy and well adjusted. I reviewed his medication log in his file. He was taking an over-the-counter vitamin supplement at the center up until 3/14/2022. No other medication had been administered since then. On 5/26/2022, I spoke with the complainant. The complainant did not know who gave Child A medication on 5/16/2022, but Child A was lethargic and sleeping while standing up. Ms. Church called 911. The complainant does not know the outcome of the situation. On 5/26/2022, I spoke with Child A's mother. Child A's mother stated that Child A was on a new medication, and she was instructed to increase the dose a little bit at a time over several days. She administered the medication to Child A at their home on 5/16/2022. There had not been a problem with the new medication at that point. At around 10:45 a.m. the school notified her that Child A was "out of it" and she went to the school. At around noon they decided to call 911. Child A was seen by a doctor and released. He is fine. Child A's mother thought the facility and the staff handled the situation well and she is very happy with how they cared for Child A.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8182 · R 400.8182 Ratio and group size requirements. (3) In each room or well-defined space, the maximum group size and ratio of child care staff members to children, including children related to a staff member or the licensee, must be as shown in Table 4: Age Child Care Staff Maximum Group Size member to Child Ratio (c) Preschoolers, 3 years of age until 4 years of age 1 to 10 (d) Preschoolers, 4 years of age until school age 1 to 12 4

On 5/23/2022, I observed two rooms being used for child care. The toddler room had four children and one staff member. The preschool room had 17 children (ages 3 and 4 years old) and two staff members. I reviewed the attendance logs for the past week (5/16/22-5/20/22). It appeared the center was in ratio the entire time for each day. Ms. Church stated that hiring has been hard lately. She had to bring a staff member from another location to work at this location, and she also disenrolled six part time families. She did this to ensure a consistent schedule and to maintain ratio until more staff can be hired. I spoke with the preschool room staff members Rose Allport and Vicky Lang. Vicky opens in the morning at 6:30 a.m. and Rose arrives about an hour later at 7:30 a.m. They both stated there is not a problem with ratio at the center. They confirmed that staff has come from another center and that some infant families were let go to keep a good staff to child ratio. On 5/26/2022, I spoke with the complainant. The complainant stated that sometimes in the mornings children would arrive before additional staff members arrived. The complainant specifically referred to 5/16/2022. I reviewed the staff attendance once more. There were two child care staff members at 6:30 a.m., three at 7:00, four at 8:30 until 8 :45. There are only 22 children enrolled. Based on schedules, only four of the five infant/toddlers enrolled are present in the infant/toddler room each day, requiring a minimum of one child care staff member. There are 17 children enrolled in the preschool room (3- and 4-year-olds) requiring a minimum of two child care staff members.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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.

On 5/23/2022, Ms. Church, Ms. Allport, and Ms. Lang all reported that there was no mold in the center. They have never seen mold in the center. I looked through all the rooms and did not see or smell mold. There were no staff lockers. On 5/26/2022, the complainant stated that there was mold near the side entrance that the preschoolers use. The mold has been there since 2019. I reviewed the most recent environmental health inspection dated 2/1/2021. The facility received an "A" rating and there was no mention of mold.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.