KinderCare - West River Lower daycare inspections in Belmont, MI

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

On June 15, 2021 and l made face-to-face contact with Child B a at residence and spoke with mother and father. Child B's Mother stated Child B ha started attending the child care center on . On June 8 and June 9, 2021 attended for shorter days and then on June 10 and June 11, 2021, atten a full days. On June 8, 2021, Child B's Mother noticed scratches on ild B's 3 0 legs. She stated she clipped, nails but came home with more scratches the next day. She received incident reports from the center concerning the scratches. On June 10, 2021, Child B's Mother reported she noticed "some purplish spots" on Child B on chest near the left shoulder and on back (left side) nears c.pine. On the evening o June 11, 2021, she noticed the a spots were yellowing and she realized the spots pur were bruises. She took photographs of the s ots and bruises, had received copies of the photographs. I asked to send me the photographs. Child B's Mother stated that on June 14, 2021, she went to the child care center to speak with the program director, Cassandra Chartier. The program director was not present at the center and she was told by a staff member that Ms. Chartier would call her. Child B*s Mother stated she received a phone call from Ms. Chartier shortly after leaving the center. Child B's Mother said she informed Ms. Chartier of the bruises she observed on Child B and wondered if anything had happened to Child B while was in care that would cause the bruises, Ms. Chartier told her she was not aware of any injuries or incidents and asked her for the details of where the bruises were and timeline of when they were observed. Child B's Father stated that Child B likes to stand or lunge and wonders if a staff member may have grabbed ■ hard to keep from falling while holding . Child B's Mother took Child B to see the doctor on une 15, 2021. The doctor to er the bruises nt report. The incident reports Child Bas Mother provided document that on June 8, 2021, staff noticed scratches on Child B's chin and on June 10, 20211,, Child B scratched pretty good" on the chest. Both incidents state they occurred when Child B woe up from a nap. I requested copies of the incident reports from the center. I received these on June 23, 2021' . The copies from the center are identical to the reports provided by Child B's Mother. On June 17, 202, and I made an unannounced on-site inspection at the child careRener. We "sppoewith the acting program director, Cassandra Chartier on the telephone. She was at another location providing coverage. Ms. Chartier stated she spoke with Child B's Mother concerning the bruises she found on Child B. She has spoken with staff that would have been in the room from June 811 , 2021, and none report witnessing anything that would have caused bruising to Child B's chest or back. They all reported that Child B was "fussy' and wanted to be "held a lots due to being in care for the first time. took bottles well and liked being rocked Buta to sleep.. She informed us that staff are trained to pick up infants by placing their open hands under the "head and bottom' and then scooping the infant up. Child care staff members Jessica Cook and Kaitlynn Green both reported to Ms. Chartier that it was difficult to scoop infants from the cribs due to their stature and the height of the mattresses in the cribs. But they told her they use the "scoop" method to pick up infants 4 from cribs. None of the staff expressed any concerns about how other staff handle children. Ms. Chartier stated staff shared a concern about Ms. Cook having "long nails." Ms. Chartier stated she was aware of two incident reports that were sent home due to Child B scratching She has not witnessed any staff in the room mishandle children. She added that she has re-trained staff on how to hold and pick up infants. This was due to a previous investigation (2021D 0611010) concerning bruises being found on Child A on March 3, 2021. During the on-site inspection and I spoke face to face wit

Substantiated Complaints

Supervision

Jun 15, 2021

Appropriate care and supervision was not provided for Child B age months) during the week of June 7, 2021, when bruises were found on ches and back.

Disposition: Substantiated

Supervision

Apr 6, 2021

Appropriate care and supervision were not provided to Child A on 3/31/2021 when bruises were found on ■ back and leg.

Disposition: Substantiated

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

On 410612021, I spoke to program director, Cassandra Chanter. Ms. Chanter reported that Child A's Mother came into her office Thursday morning and stated that when she was giving Child A a bath on Wednesday evening, she noticed bruises on Child A's back and leg along with a scratch next to the bruise on leg. Child A's Mother told her she did not know how it happened and wondered had happened while in care. The mother told her that Monday Child A was which caused bruises on the tops of. legs, Tuesday during bath time there were no bruises on lower leg or back. Ms. Chartier stated that narrowed that the bruises would Ave occurred at some point on Wednesday. Ms. Chatier reported that primary caregiver is Desiree Sterley, and there were five other child care sta members that would have had direct contact on Wednesday: Jessica Cook, Katelynn Green, Megan Khan, and Tracey Traone. Ms. Chatier stated that she spoke to all the staff members that would have had contact with Child A that day and no child care staff members indicated that there were not any incidents that would have causes the bruising. Due to COVID in the facility, and I were unable to complete an onsite inspection until 4/21/2021. During our onsite inspection and I interviewed program director, Ms. Chanter. She reported that she has been "wracking her brain" trying to think of ways that Child A could have gotten the bruises to back and leg. Ms. Chanter stated that she "whole heartly" believes that none o ier child care staff members would have intentionally caused any of the bruising to Child A. She explained that Child A is a very happy, easy going, that only cries when needs to have needs met. Ms. Chanter re orted that hild A has outsCidheildM A She reported wondering if could have accidently caused the bruising while holding or playing with . Ms. Chanter d that child care staff members take t e children y and will put the on blankets, she wondered if maybe there was a stone underneath the Oan t could have rolled on. She reported that child care staff members do thati art activities with the about every other day. On 3/31/2021, child care staff members took footprints of the . Child A's primary caregiver, Desiree Sterley was the one who held during the I observed a picture of Child A and Ms. Sterley that was taken on 3131/2021 during the footprint activity, it did not appear that Ms. Sterley was holding Child A in a way that could cause bruising. Ms. Chairter stated that staff members reported to her that Child A was not crying or upset during the activity. Ms. Chanter reported that she spoke to Child A's Father, and he mentioned one evening when he came to pick up Child A, Ms. Katelynn Green was feeding an infant, with the infant's bottle under her chin, while stanEdin up and signing Child A out for the day. Ms. Chanter explained that Ms_ Green Ica During my onsite inspection, _ and I interviewed Traci Traore. She reported she was aware of the allegations. Ms. Traore reported that she provided care in Child A's room at the end of the day on 3/31/2021. She did not notice any bruises on Child A during that time. Child A was happy and playing. She was in the classroom for about 30 minutes until she went into another classroom to close. Ms. Traore stated that Ms. Green was left in Child A's classroom to close. Ms. Green fed Child A a bottle while she was in the classroom. She confirmed that Ms. Green was holding Child A properly when she was feeding . Ms. Traore reported that she had no concerns with any of the child care staff members in the building. During my onsite inspection, _ and I interviewed Child Care Staff Member, Jessica Cook. Ms. Cook stated that she was aware of the allegations. She reported that two weeks prior to the complaint, she noticed a similar bruise on Child A's leg, but stated that it is not uncommon for children to sometimes get bruises, so she was not too concerned. Ms. Cook reported on 313112021, she had been in Child A's room for the majority

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KinderCare - West River Lower

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

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

R 400.8330 Food services and nutrition generally. (20) Bottle propping is prohibited