R 400.8131(12) · R 400.8131(12) Professional development requirements. When the department of licensing and regulatory affairs or the department of education publishes a notice that a new health and safety update document or a new health and safety update training activity has been published on MiRegistry, the licensee shall ensure that all personnel read and acknowledge the document or complete the activity within 6 months of the notice. Technical Assistance Technical assistance is support and training given to the licensee/licensee designee on a specific rule. Technical assistance includes consultation on how the facility can best maintain compliance with a rule.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8525(5) · R 400.8525(5) Exits. Exit doors and doors in rooms occupied by 21 or more children shall swing in the direction of egress. Bureau

Open Not marked corrected in the state record

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.

The child care staff members provided appropriate care and supervision of Child A and the children. Child A had a bruise on his left and right shoulders. It is undetermined where he may have sustained the marks.

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 May 4, 2023, 1 received an email from program director and licensee designee, Ms. Kerry McShane. Ms. McShane self-reported an incident that occurred today at the center. Child A (female, 22 months old) was left outside on the gated toddler playground for approximately eight minutes. On May 5, 2023, I received an incident report. According to the report, "On Thursday, May 4, 2023, Child A, was left outside in the gated toddler playground when her class went inside. At this time, the Preschool class and the Young Preschool class was occupying the playground areas on both sides of the toddler playground. It was noticed by preschool teacher, child care staff member (CCSM) 5, that Child A was outside by herself. CCSM 5's co- teacher, CCSM 6, brought Child A inside to the office. Child A's Mother and Child A's Father were both contacted to communicate details of the incident. CCSM 4, admin team member, called Child A's Father, at approximately 5:10 pm. Child A's Mother was also contacted by Ms. McShane, at 5:11p m." 3 On May 9, 2023, I completed an unannounced on-site inspection. I interviewed Ms. McShane, program director, Ms. Kelly Plummer, and CCSM 4, CCSM 6 and CCSM 7. CCSM 1, CCSM 2, CCSM 3, and CCSM 5 were absent. Ms. McShane and Ms. Plummer both said they were not at the child care center when the incident occurred. CCSM 4 called and informed them that Child A was left outside on the playground. The incident occurred at approximately 4:39 pm. Ms. McShane and Ms. Plummer both came back to the center. Ms. McShane said CCSM 1, CCSM 2 and CCSM 3 were outside on the toddler playground with ten children. CCSM 3 left when two children were picked up from the playground and the class was in ratio. CCSM 1 and CCSM 2 were on the playground with eight children. Ms. McShane said when it was time to come inside the building, CCSM 1 took four children and left the playground. CCSM 2 followed shortly with three children. Child A was left on the playground. Ms. McShane said the child care center has training videos on how to complete name-to-face head count. Ms. McShane said CCSM 1 and CCSM 2 will be re- trained. CCSM 1 had the iPad, and she took it inside the building with her when she left the playground. CCSM 2 didn't have an iPad. Ms. McShane said they have ordered more iPads so each classroom will have at least two iPads. The child care center uses the Tadpole system which tracks the children's arrival and departure times. Each classroom has an iPad tablet that child care staff members use to track supervision and attendance throughout the day. The Tadpole system allows child care staff members to move a child from one location to the next. I interviewed CCSM 4 who said she works in the classroom as well as the office. CCSM 4 said she was working in the office when CCSM 6 brought Child A to the office around 4:45 pm. CCSM 6 said Child A had been left outside on the playground. According to CCSM 4, she asked CCSM 6 what had happened and CCSM 6 said she, CCSM 5 and the preschool children were outside on the preschool playground. CCSM 6 said they were outside for at least 15 minutes before CCSM 5 noticed Child A standing alone on the toddler playground. CCSM 4 said Child A was not upset or crying. CCSM 4 called Ms. McShane and informed her of the incident. I interviewed CCSM 6. CCSM 6 said she was outside on the playground with CCSM 5, the preschool children and a new child care staff member who was in training. CCSM 6 said CCSM 5 took two children inside to use the bathroom. When CCSM 5 came back outside, CCSM 5 looked over at the toddler playground and saw Child A. 4 CCSM 6 said Child A was standing in the corner by the fence. Child A was talking to a couple of the preschool children. Child A was not crying nor appeared to be upset. CCSM 6 said she thinks Child A didn't understand what was going on or what had happened. CCSM 6 believes Child A may have been left alone for approximately 15 minutes. CCSM 6 said she brought Child A insid

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 December 21, 2022, licensee designee, Ms. Jamie Miller, called at 4:56 P.M. and left a message. She self-reported an incident that occurred at the child care center at 4:00 P.M. Child A (male, 16 months old) was left outside unsupervised for less than a minute. Ms. Miller indicated that she was contacting Child A's parents and that she will submit a written report of the incident. On December 23, 2022, I received the incident report. According to the incident report, 3 "On December 21, 2022, at 4:07 P.M. it was brought to Ms. April Cangialosi's (admin team) attention via phone call from a parent, Child B's Mother, that a child was left outside the building unattended. Child A is currently enrolled in the Toddler classroom. At the time of the incident, the Toddler class was transitioning from the outdoor playground to the classroom. There were three teachers (Ms. Lily Sultana, Ms. Emilia Bonas, and Ms. Shelby Moore) in charge of 11 children at the time. The classroom performed a head count at the building wall on the sidewalk and all children were accounted for. They then walked inside the building with one teacher in front, one in the middle of the group, one at the end and were in the process of doing another headcount at the hallway wall when a Toddler Too teacher, Marisa Richardson, brought Child A to them, saying he was left outside. The total time apart from the group was approximately less than 30 seconds. Immediately following the incident, April notified Jamie Miller (owner) and Kelly Plummer (interim director) about the situation. April contacted Child A's parents to inform them of the details of what occurred. Child A returned to school as planned the following day, Thursday, December 22nd, 2022. Jamie Miller reported the incident to licensing via phone message within the 24 hours." On January 3, 2023, I called and spoke with interim program director, Ms. Kelly Plummer. Ms. Plummer said she was not at the center at the time of the incident. Ms. Cangialosi called and informed her that the Toddler Classroom was coming in from outdoor play when Child A was left outside. Ms. Plummer said Ms. Richardson is a child care staff member in the Toddler Too Classroom. Ms. Richardson had gone outside to the playground to retrieve one of the children's gloves. Child B's Mother stopped Ms. Richardson and informed her that Child A was left outside on the sidewalk. Ms. Richardson picked up Child A and brought him inside the building to the Toddler Classroom. She believes Child A was left outside on the sidewalk for 30 seconds. Ms. Plummer said Child B's Mother was picking up Child B (male, 3 years old) '/2 when she witnessed the incident. Child B's Mother called and reported the incident to Ms. Cangialosi. I asked if there were any security cameras, and Ms. Plummer said there are security cameras on the side of the building, but she does not believe that there are any in front of the building. Ms. Plummer said Ms. Cangialosi called and spoke with Child A's Mother and Child A's Father. Ms. Cangialosi also followed up with them the next day. Ms. Plummer said Ms. Sultana, Ms. Bonas, and Ms. Moore were all disciplined and re-trained on head counting. IXL created a head count training video that covers policy and protocol. Ms. Plummer said to prevent this from happening again, Ms. Sultana, Ms. Bonas, and Ms. Moore are required to take smaller groups of children outside. Each child care staff member is responsible for four children. They must 4 stop and complete a verbal head count at the office when they leave and when they come back in from outdoor play. On January 3, 2023, I received a telephone call from Ms. Plummer. Ms. Plummer said there is a security camera located at the front of the building. She will send the video footage to me. On January 3, 2023, I received the video footage from Ms. Miller. Child A was left unsupervised for 30 seconds outside on the sidewalk in front of the building. I reviewed the video footage and noted

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 January 6, 2021, the department received a complaint alleging that on January 5 2021 Child A , years old) woke up to another child trying to put an in ~- On January 6, 2021, 1 received a telephone call from licensee designee, Ms. Jamie Miller. Ms. Miller self-reported an incident that occurred on January 5, 2021. Ms. Miller said program director, Ms. Kerry McShane, spoke with Child A and Child B's Father briefly. Child A and Child B's Father said Child A was taken to a to an from _. They were later informed that the was a Child A is currently the child care center. On January 7, 2021, 1 completed an unannounced on-site inspection. I interviewed program director and licensee designee, Ms. Jeannine Makowski, program director, Ms. Kerry McShane, and child care staff members, Ms. Allison Tschirhart and Ms. April LaVier, separately. Ms. Makowski said Child A has been at the child care center since she was an She enrolled in the Pre-K classroom on . Ms. Tschirhart and Ms. LaVier are child care staff members in the classroom. The Pre-K classroom was in ratio with one child care staff member and nine children on January 5, 2021. Due to the low numbers of enrolled children, Ms. Tschirhart and Ms. LaVier work split 3 shifts. Ms. LaVier works from Ms. Tschirhart works from. Ms. Makowski said on months old) were S. Makowski said it was aboi Mother to see if they were She was informed that the were Ms. Makowski said Child A and Child B's Mother was "very short" during the telephone call. It was very odd because they have a good relationship with the family. Child A and Child B have been coming to the center since they were_. Ms. Makowski said between 3:30 P.M. and 4:00 P.M., Ms. McShane received a telephone call from Child A and Child B's Father. He informed her that "a Child A's and in there." Child A an hild B's id not mention the name. Child A was where the that interviewed Ms. Tschirhart and Ms. LaVier. I interviewed Ms. McShane who said she did not arrive at the child care center until noon on January 6, 2021. Upon her arrival, Ms. Makowski informed her that Child A and Child B wer1,Cj at the center, so she had contacted Child A and Child B's Mother. Child A an hild B's Mother said the children were _ and that they had a situation. Ms. McShane said at 3:45 P.M. she received a telephone call from Child A and Child B's Father. Child A and Child B's Father said he picked up Child A from the center on January 5, 2021. Child A told him that a and ■ there. Child A was taken to the where the and Child B's Father said Child A and Child B will totth e center until they know what to do next. Ms. McShane said she didn't know what the was and that Child A and Child B's Father didn't tell her. She didn't know until informed her and Ms. Makowski that it was a - Ms. McShane said due to COVID 19, they are not allowing parents in the building. She or Ms. Makowski meet the parents and the children at the front door. They walk the child to his/her classroom in the morning. During pick up time, they walk the child from the classroom to the front door, to the parents. On January 5, 2021, she got 4 Child A and Child B from their classrooms and walked them to the front door. There was nothing unusual or anything that was out of the ordinary. I interviewed Ms. LaVier who said she is the lead caregiver in the Pre-K classroom. _IIIIIII _II . She works from Ms. LaVier said naptime is between 1:00 P.M. and 3:00 P.M. There was one child who was awake and coloring at the table and two others who stayed on their cots. She believes most of the children were asleep. She remembered sifting next to Child C. years old) and pattin back to gets to sleep. Ms. LaVier thought she heard Child A laughing but was actually crying; had tears in: eyes. Ms. LaVier believed Child A was missing mom and a paatttteedd R d A's back and eventually fell back to sleep within we minutes. Afterwards, she walked around the classroom and sat at the table where she has direct sight of all of

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.