• Violation

  R 400.8110 · R 400.8110 Applicant; licensee; licensee designee; requirements. (10) Written approval from the department must be obtained before making any changes in the terms of the license, including but not limited to, adding use space, changing age groups served, changing program components, changing the capacity of the center, or making changes to a room or well-defined space that will result in a change in capacity of the room or well-defined space.

  I received an incident report from licensee designee, Allison Hug, on 09/21/2022 regarding an injury that occurred while children were in the sanctuary for chapel. I had previously spoken with Ms. A. Hug, program director, Melissa Hug, and Pastor Phillip Phifer about use of the sanctuary and had offered suggestions on how they could hold chapel but within the guidelines of licensing. I conducted an unannounced onsite inspection at the center on 09/23/2022. The center is located on Trinity Lutheran Church's campus and is comprised of a school building, parsonage, and two modular buildings. There is also a sanctuary building on the premises that is not licensed as child use space. I advised Ms. A. Hug of the allegations. She stated that they had spoken to the superintendent of Trinity Lutheran Schools, and he had told them that centers around the state use the sanctuaries onsite for chapel. He instructed that she get a field trip permission. She had emails printed out with their communication. Ms. Hug, Pastor Phifer, and Trinity Lutheran Church board member, Chester Hamrick, joined Ms. A. Hug and me. I advised of the allegations and concern with the use of the sanctuary for chapel without the required inspections being conducted including a qualified fire inspection, environmental health inspection, and lead hazard inspection. We discussed three options regarding chapel which included requesting a modification of the license to include the sanctuary as child use space, hold chapel in the gym of the school building so all children could participate together, or use individual classrooms since those spaces are already approved as child use space. At the end of the meeting, Mr. Hamrick advised that Trinity Lutheran Church has five parcels of land, all with different addresses. He advised that the sanctuary is located at 721 Pine St, Paw Paw, MI 49079, the school building is located at 725 Pine St, Paw Paw, MI 49070, and the parsonage and two modular buildings are located at 711 Pine St, Paw Paw, MI 49079. I advised that a license number is issued to a specific address. This was the first I had heard of the different parcels and corresponding addresses. The center is not in violation of using unapproved child use space since the sanctuary is located a different address. The issue now is that there are multiple addresses under one license number. I advised I would consult my supervisor, Yolanda Sims since this center has been licensed since 1985. I emailed Ms. Sims on 09/23/2022 advising of the issue with Trinity Lutheran TLC's address. She indicated that she would speak with division director, Erika Bigelow. received an email from Ms. Sims and Ms. Bigelow on 09/27/2022 regarding a qualified fire inspection the center was scheduling for the sanctuary. We scheduled a meeting on 09/28/2022 to discuss the address and fire inspection. 3 I emailed Ms. A. Hug on 09/27/2022. I advised that since the sanctuary had a different address, the Child Care Licensing Bureau was discussing having the center move forward with a new license for the buildings located at 711 Pine St, Paw Paw, MI 49079 and the school building would retain the original license number at 725 Pine St, Paw Paw, MI 49079. I advised I would contact her with more information after the meeting. Ms. Bigelow, Ms. Sims, and I met via a Teams meeting on 09/28/2022. We discussed having the center apply for a new license for 711 Pine St, Paw Paw, MI 49079. The center could then use the sanctuary for chapel if they obtained field trip permission specifically stating that the sanctuary is not inspected or approved as child use space. I emailed Ms. A. Hug with an update on 09/28/2022. On 10/04/2022, I had an email exchange with Ms. Bigelow and Ms. Sims. I was advised to continue to implement that plan as discussed on 09/28/2022. We had another email exchange on 10/11/2022 again confirming the implementation of the plan as discussed. I received an email from Mr. Hamrick on 10/16/2022, requ

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.8112 · R 400.8112 Comprehensive background check; fingerprinting. (1) Pursuant to section 5n of the act, MCL 722.115n, before an individual has unsupervised contact with children, the department shall determine the individual's eligibility to be any of the following: (c) A child care staff member.

  I conducted the onsite inspection at the center on 09/07/2022. I was already scheduled to be at the center for a modification. I advised licensee designee, Allison Hug, of the allegations. She initially denied that there were individuals working at the center that had not completed a comprehensive background check through the Child Care Background Check (CCBC) system. She explained that some individuals were "supervision only" and another had come from another child care center and already had the correct background check completed. Despite it being difficult to find staff, they are diligent about getting the background checks done. Later during the onsite, Ms. A. Hug determined that there was one child care staff member (CCSM), Ahlexis Vasquez, that had left employment and came back. They had scheduled an appointment for her to get fingerprinted and then Ms. Vasquez canceled. Ms. Hug didn't realize that the appointment had been canceled. She saic she was sending Ms. Vasquez home immediately and would make sure she completes the required background check prior to returning to work. I interviewed program director, Melissa Hug, and CCSM, Guadalupe Nunez, while onsite on 09/07/2022. They did not think there was anyone without the correct background check. They knew some CCSMs had to still be supervised while waiting for their background check to process. I interviewed CCSM, Laticia Zaragoza, while onsite on 09/07/2022. She was previously working at a different center and had already had the comprehensive background check. She was not aware of the status of other CCSMs background checks. I interviewed lead caregiver, Jamie McQueen, while at the center on 09/07/2022. She thought everyone had been fingerprinted. She knows there are some new CCSMs that still need to be supervised. I spoke with Child A's Mother over the telephone on 10/18/2022. She said that the center does not keep CCSMs so she wouldn't be surprised if they did not all have the required background check. I spoke with Child B's Mother over the telephone on 10/18/2022. She was unsure of who has completed the background check. She would not doubt there were individuals working without the background check because the center has such a high turnover rate. 3 I attempted telephone contact with Child C's Guardian on 10/18/2022. I spoke with her over the telephone on 10/19/2022. She was not sure about fingerprinting.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.8320 · R 400.8320 Food preparation. ..................................... (1) Food must be in sound condition, free from spoilage, filth, or other contamination and be safe for human consumption. ................. .................... .............. .................. ....

  While at the center on 09/07/2022, I interviewed Ms. A. Hug, Ms. M. Hug, and Ms. Nunez. They said they have been cleaning and organizing the Little Learners building. They went through all the food a couple weeks ago. They checked dates on the center food and snacks. Anything old or that did not have a date got thrown away. I observed the Little Learner's Building while onsite on 09/07/2022. I checked the refrigerator and cabinets. There were Cheerio's stored that were dated 6/29/2022. We discussed the storage of food for center supplied foods and parent supplied foods. While onsite on 09/07/2022, I interviewed CCSM, Leticia Zaragoza. She has been cleaning the Little Learner's Building. She cleaned out the refrigerator and didn't see any bad food, but she did not check every date. She is new at the center, so she is not sure how they store all their food. While onsite on 09/07/2022, I interviewed lead caregiver Jamie McQueen. She does not recall any bad food being in the Little Learner's Building. She acknowledged that there were old Cheerio's stored. The children do not really like that kind, so they don't eat them. There are a couple other boxes she will get rid of as well. She said that she will make sure everything is labeled. 4 I spoke over the telephone to Child A's Mother on 10/18/2022. Child A gets hot lunch at the center, and she sends snack bags. The center has been sending the snack bags home regularly. She was not aware of any bad food. I spoke over the telephone to Child B's Mother on 10/18/2022. She was not aware of any bad food at the center. Child B gets hot lunch and snacks from the center. She was sending food over the summer. When she would get Child B's stuff out of the refrigerator, it was mostly cleaned out. I spoke over the telephone to Child C's Guardian. She has not seen any bad food at the center. She provides all of the food for Child C.

  Open Not marked corrected in the state record

  Category: ratio. Open / not marked corrected.

• Violation

  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.

  I interviewed Ms. A. Hug, Ms. M. Hug, and Ms. Nunez while onsite on 09/07/2022. They advised that have been cleaning the Little Learner's Building. CCSM, Leticia Zaragoza, is new and has been focusing on cleaning that building. They all denied seeing any mold. Ms. M. Hug advised that they did find a field mouse in a trap that had been set by the custodian, Tom Labadie. She advised that he probably didn't think about checking them once they were set. She went into the Little Learner's Building and threw the mouse and trap away. She will create a policy about checking traps and disposal. I saw Mr. Labadie in the hallway of the school building. He said he set the traps a couple weeks ago. If someone finds something in the trap, they can call, and he will take care of it. He recently replaced the tubing for the heating and cooling, and he did not notice anything in the traps. He was going into the Little Learner's Building frequently because his grandson was in that building. He has not seen any mold. 5 I interviewed CCSM, Leticia Zaragoza, while onsite on 09/07/2022. She has seen some mold in the staff bathroom of the Little Learner's Building while she was deep cleaning last week. The mold was on a black bag in a tote or basket. Children do not have access to this bathroom. She said the ceiling near the lights is really dirty, but she is not sure if it is mold. There was a "dead critter" under the sink in a trap. It was in the middle cabinet under the sink. Ms. M. Hug disposed of it. Ms. Zaragoza has been trying to deep clean the best she can before children arrive. She did not think the center was dirty or unhealthy. I interviewed lead caregiver, Jamie McQueen, while onsite on 09/07/2022. She has not noticed any mold. She has been maintaining the building and cleaning regularly. She does not have any concerns about the cleanliness, but it gets messy from the kids and toys and could always use more cleaning. She heard about the dead mouse in the trap under the sink. She was not aware there was a mouse trap under the sink. It is in a locked cabinet and children do not have access. If she would have seen it, then she would have taken care of it. She doesn't think there are any traps set currently. I observed the Little Learner's Building while I was onsite on 09/07/2022. The building is dated but appeared to be clean and free of visible hazards. I did not see any evidence of mold on the walls or ceilings of the main room. The building has two bathrooms, one bathroom for children and one for CCSMs. Both bathrooms had light fixture and fan combination on the ceiling. There appeared to be dust and dirt around the fan. It did not appear to be mold. Ms. M. Hug and I discussed having a custodian clean the ceiling around the light fixtures and fan. The CCSM bathroom did contain a black canvas bag that was moldy. Ms. M. Hug removed the bag from the bathroom and said she was going to dispose of the bag. Ms. McQueen advised it was her bag and she was going to take it home. She went and put the bag in her car. I checked the cabinets of the building. Ms. M. Hug showed me where the mouse and trap were located. The middle cabinet under the sink had a child lock that was engaged. When I opened the cabinet, I observed mouse feces. I asked them to clean the cabinets. I spoke over the telephone to Child A's Mother on 10/18/2022. She had not seen any mold in the Little Learner's Building. She thinks the center is dirty and unsanitary. Child A has gotten sick often in the Little Learner's Building, three times in one month. She thinks it is because the CCSMs are not cleaning properly. She gets letters weekly about exposure to illnesses. She denied seeing any mold, insects, or rodents. Child A's Mother expressed a few additional concerns during the interview. She had one concern from the summer of 2021. She observed a child left unsupervised in the Little Mover's Building. She stayed with the child until a CCSM came into the A building. She thought th

• Violation

  R 400.8140 · R 400.8140 Discipline. (2) All of the following means of punishment are prohibited: (a) Hitting, spanking, shaking, biting, pinching, or inflicting other forms of corporal punishment.

  During the onsite inspection on 03/25/2022, I asked Ms. Hug for verification that had received an orientation and completed required trainings for CC s. She indicated that she would check and send the verifications. During the interview on 03/28/2022, stated that she had not received orientation nor completed any trainings prior to starting to care for children. She only completed paperwork and had to get a fingerprint. She could not change diapers until her fingerprint came back. She denied any in person or online training. They did not review the center policies with her. I conducted an exit conference with Ms. Hug on 03/28/2022. I advised oncerns with discipline and that there is yelling or hollering occurring in the classroom. A safety plan was discussed, and Ms. Hug advised she would send *co . Ms. Hug stated that she was unsure of who's broom it was, but picked up the broom from the center over the weekend and took it om She described the broom as being waist high with a square head and white and grey nylon bristles, was very upset. Ms. Hug advised that they have struggled with a tough group of children and Ms. Green has requested additional training for those behaviors. They are currently changing from a consequence based to reward-based discipline system. The CCSM will be receiving more training in discipline techniques. I advised that there were concerns expressed regarding programming. Ms. Hug indicated that the content in the beginning was too easy, there was little circle time, and the children were mostly playing. They sat down to talk about the standards and have implemented a new curriculum. She stated that they are aware and taking action and efforts to improve programming for that age group. They are working on implementing. 7 On 04/01/2022, Ms. Hug emailed stating that they did not have any training verifications or verification that participated in an orientation. She included a draft safety plan and indicated that she would have CCSMs review and sign the document. I conducted a search of MiRegistry trainings. does not have a MiRegistry account set up. There are no verifications available. On 04/05/2022, Ms. Hug emailed a copy of the signed safety plan.

  Open Not marked corrected in the state record

  Category: recordkeeping. Open / not marked corrected.

• Violation

  R 400.8131 · R 400.8131 Professional development requirements. (1) The center shall provide an orientation about the center's policies and practices and these administrative rules for all personnel hired after the effective date of these rules and before unsupervised contact with children.

  stated she did not receive an orientation. The Mad it cou not provide documentation showing that participated in orientation.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.8131 · R 400.8131 Professional development requirements. (3) Before caring for children, all child care staff members and unsupervised volunteers who work directly with children shall be trained on prevention of shaken baby syndrome, abusive head trauma and child maltreatment, and recognition and reporting of child abuse and neglect.

  The center did not have verification that completed training on prevention of shaken baby syndrome, sive head trauma and child maltreatment, and recognition and reporting of abuse and neglect.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.8131 · R 400.8131 Professional development requirements. (4) Before unsupervised contact with children, all child care staff members who work directly with children shall complete prevention and control of infectious disease training, including immunizations.

  The center did not have verification that completed prevention and control of infectious disease training, including immunizations.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.8131 · R 400.8131 Professional development requirements. (5) Within 90 days of being hired, or the first day as an unsupervised volunteer, all child care staff members and unsupervised volunteers who work directly with children shall complete the following trainings, which may count toward annual professional development hours and are available at MiRegistry: (a) Administration of medication. (b) Prevention of and response to emergencies due to food and allergic reactions. (c) Building and physical premises safety. (d) Emergency preparedness and response planning. (e) Handling and storage of hazardous materials and appropriate disposal of bio-contaminants. (f) Precautions in transporting children, if applicable. (g) Child development.

  The center did not have verification that completed training in administration of medication, prevention and response to emergencies due to food and allergic reactions, building and physical premises safety, emergency preparedness and response planning, handling and storage of hazardous materials and appropriate disposal of biocontaiminants, precautions in transporting children, and child development.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  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. ............. ...................

  I conducted an unannounced on-site inspection on 05/06/21. Program Director, John Koehler, denied the allegation that the facility is not following the covid guidelines regarding the mask mandate. Mr. Koehler stated that all child care staff members and children four-years-old and older are required to wear masks while inside the facility. Child care staff members are not required to wear a mask while eating and while they are outside. Preschoolers and above are not required to wear a mask while they are eating, napping, playing outside and while they are in their pod groups. Two-year-old children have masks and there is an effort to keep this age group masked, however, children in this age group will not always keep the masks on. During the unannounced on-site inspection, I observed the staff and children in the main building. Everyone was wearing masks. On 05/06/2021, I received and reviewed the center's Covd-19 plan. The information in the written Covid-19 plan reflected what Program Director, John Koehler, stated during his interview. I attempted to contact child care staff members, Heather Tannehill, Brittny Rowlee, Lupida Nunez and Megan Franks on 05/27/2021. I left a message for Heather Tannehill and Brittny Rowlee. I attempted contact with Lupida Nunez. Someone answered the phone and stated that I had the wrong phone number. Megan Franks's voice mail was full. 3 On 6/24/2021 I interviewed child care staff member Brittny Rowlee, Child A's Mother, Child B's Mother, Child C's Mother, Child D's Mother, Child E's Mother and Child F's Mother. There were no concerns. I contacted Program Director, John Koehler, through e-mail on 06/24/2021. 1 requested a new phone number for Lupida Nunez. Mr. Koehler e-mailed me back on that same day with Ms. Nunez's new phone number. On 06/25/2021, I interviewed child care staff members, Heather Tannehill and Lupida Nunez. They had no concerns. I attempted to contact child care staff member, Megan Franks. Ms. Frank's voice mail was full.

  Open Not marked corrected in the state record

  Category: supervision. Open / not marked corrected.

• Violation

  R 400.8155 · R 400.8155 Child accidents and incidents; child and staff illness. (5) A center shall have a written policy detailing when children, staff, and volunteers will be excluded from the center due to illness.

  During the unannounced on-site inspection on 05/06/2021, I interviewed Program Director, John Koehler. Mr. Koehler denied that children and staff were allowed to come and remain at the center when they are sick. Mr. Koehler stated they have and follow a policy regarding when children, staff and volunteers are excluded due to certain symptoms and/or illnesses. During the unannounced on-site inspection on 05/06/2021, I observed children and staff at the center. I did not observe anyone who appeared sick. I received the parent handbook through e-mail from Program Director, John Koehler, on 05/11/2021. The parent handbook detailed exclusion policy for volunteers, staff and children. I observed the exclusion policy to be appropriate. 4

  Open Not marked corrected in the state record

  Category: health medication. Open / not marked corrected.

Facility does not follow covid guidelines regarding the mask mandate. Children and child care staff members are allowed to come to and remain at the center when they are sick

Disposition: Substantiated