R 400.8182(2) · R 400.8182(2) Ratio and group size requirements. At least 2 adults, 1 of whom is a child care staff member, shall be present at all times when 7 or more children over 3 years of age are present. A second child care staff member is required when needed to comply with subrule of this rule.

Based on interviews with child care staff members and review of the staff and child attendance records, it could not be determined that child care staff members are left in the building alone with large groups of children.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8170(10) · R 400.8170(10) Outdoor play area. 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.

The gate is broken and can be repaired temporarily but needs to have a permanent fix. There are old and broken toys on the playground that need to be removed from the playground area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8140 · 1 R 400.8140 Discipline. (2) All of the following means of punishment are prohibited: (d) Inflicting mental or emotional punishment, such as humiliating, shaming or threatening a child. I

On 2/28/2023 I was completing an onsite inspection of another child care located in the same building as Woodlawn 2. During my inspection, I walked past one of the Woodlawn 2 closed door classrooms and overheard Child Care Staff Member 1 (CCSM1) yelling loudly at a Child A. CCSM1 was overheard yelling at Child A that he was "rude" and "bad" and that CCSM1 was going to tell Child A's parents and he would "be in so much trouble." Immediately following the incident, CCSM1 exited the classroom and unexpectedly made contact with me in the hallway. CCSM1 was making frustrated and exasperated grunting sighs and shaking her head as she exited the room. I explained to CCSM1 that I had overheard her exchange with Child A and that it was not appropriate for her to threaten, shame or yell at a child care child in that manner. She indicated that she was very frustrated with Child A and was just reacting impulsively. I reiterated that it was inappropriate and unacceptable. I recommended she walk away or ask for support from another CCSM in the classroom during those moments instead of reacting in that manner. She expressed understanding. Following the incident and interaction with CCSM1 I attempted to locate program director Kristin Mankowski to discuss the concern. I was notified by CCSM2 working in the office that Ms. Mankowski was out of the building. I notified CCSM2 about the reported incident and asked for Ms. Mankowski to contact me when available. On 3/2/2023 I had phone contact with Ms. Mankowski about the reported incident. She expressed that she did address the concern with CCSM1 following my visit. She reported that CCSM1 broke down crying and was very upset with the situation. CCSM1 apologized and was regretful over her behavior and interaction with Child A. Ms. Mankowski and CCSM1 discussed alternative options for how she could have handled her frustration such as, walking away to cool down or engaging another CCSM to assist. Ms. Mankowski denied any previous incidents or issues with CCSM1. Ms. Mankowski discussed the incident with CCSM3 as well. CCSM3 was the other staff member in the classroom at the time the incident occurred. She explained to CCSM3 that they should be supporting and/or intervening when another staff member is presenting as frustrated, angry or overwhelmed. CCSM3 expressed understanding and indicated that they would respond and assist in any similar situation. On 3/8/2023 I completed a renewal inspection at the child care and an interview with CCSM1. CCSM1 expressed that at the time of the incident, she was feeling frustrated and overwhelmed with Child A's behavior. She indicated that Child A has 3 a history of behavioral issues and takes quite a bit of intervention and attention. She stated that after the incident she took time to reflect on her response that day. She expressed that she is deeply embarrassed by her reaction and has processed what steps she needs to take in the future to avoid that occurring again. She acknowledged that she was personally having a bad day and let that impact her reaction. CCSM1 indicated that if she ever is feeling frustrated like that again, she will ask for help from the other staff, walk away and seek out support. CCSM1 has reviewed techniques for managing difficult behaviors and will continue to explore these concepts. During this onsite inspection, I observed CCSM1 working in the classroom with child care children. She responded appropriately and used positive methods of discipline with children. CCSM1 presented as calm and collected throughout the day and displayed the skills and ability to manage the classroom.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8140 · R 400.8140 1 Discipline. (2) All of the following means of punishment are prohibited: (a) Hitting, spanking, shaking, biting, pinching, or inflicting other forms of corporal punishment.

On 10/28/2022 I had phone contact with program director and one of the licensee designees Jeanette Davis. Ms. Davis reported that she was notified by Child A's Father that Child A reported to him that a child care staff member (CCSM) hit her on the back. Child A's Father was not able to identify which CCSM allegedly hit Child A on the back. Ms. Davis stated that she was working at the child care that day until approximately 10:00 AM, along with Jonique Anderson and Sui Khim. Ms. Davis stated that Child A is brand new to the child care and has never attended child care before. She believes that CCSM Ms. Anderson or Ms. Khim were patting Child A on the back during nap time, and this is what Child A is reporting to her father. She expressed that Child A likely wasn't familiar with being patted on the back in this manner, so she misunderstood. Ms. Davis told Child A's Father that she believes this is a misunderstanding and that Child A was not hit for discipline, but he was insistent that she was hit for discipline and not from being patted during nap time. Ms. Davis stated that she asked Child A's Father if he would like to bring Child A to the child care to identify which CCSM reportedly hit her, but he refused. Ms. Anderson and Ms. Khim denied hitting Child A for discipline. Ms. Khim is Burmese and primarily speaks that language. Her English is very limited, so it is difficult to discuss with her in detail. Ms. Davis stated that Child A's Father also spoke to the other licensee designee Gilbert Ortiz about these allegations. Mr. Ortiz does not really work onsite at this location, and when he spoke with Child A's Father, he told him that he reviewed the video recordings and did not see any physical discipline. Ms. Davis expressed that there are no video recordings at this location so he could not have reviewed anything. On 10/28/2022 I completed phone contact with Child A's Father. He reported that when Child A was picked up from the child care earlier this week, she immediately reported that a CCSM hit her. He stated that she said the CCSM hit her on her back or on her upper legs. Child A's Father expressed that Child A has repeatedly stated she was "hit" and that "it hurt." Earlier today Child A randomly stated that a CCSM "smacked my leg." He does not know which CCSM reportedly hit Child A. He expressed that Ms. Davis, Ms. Anderson, and Ms. Khim were all present at the child care on the day the incident occurred. He denied that Child A has any marks or bruises from the incident. Child A's Father does not believe that Child A would keep repeating this incident to him if it was not true. He further indicated that he believes that Child A was hit for discipline and not from being patted on the back at nap time. Child A's Father 3 reported that he initially spoke to Ms. Davis about his concern. She told him that Child A was likely speaking about being patted on the back during nap time. He does not believe that this is what Child A is reporting. Child A's Father stated that after speaking to Ms. Davis, he contacted Mr. Ortiz because he was under the impression that he was the "boss" over Ms. Davis and the rest of the CCSM's at this location. Mr. Ortiz told him that he watched videos of the day and did not observe any incident of physical discipline. Mr. Ortiz then stated that he would go back over the videos to make sure there was no incident. Child A's Father immediately doubted that Mr. Ortiz had reviewed any video footage. He challenged Mr. Ortiz about watching the videos, and then Mr. Ortiz admitted that he had not yet watched any video footage but would review them and get back to him on his findings. Later that day, Mr. Ortiz contacted Child A's Father and stated that he did not review any video footage because there were no cameras at the facility. Mr. Ortiz claimed that he had ordered cameras for that facility, but they must not have been installed yet. Child A's Father believes that Mr. Ortiz was lying about the whole si

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8110 · R 400.8110 Applicant; licensee; licensee designee; requirements. ................................................ ................. (1) The licensee or licensee designee shall do all of the following: (c) Be responsible for compliance with the act and these rules. 4

On 4/28/2022 I completed phone contact with Great Start to Readiness monitor She indicated that child care staff members have reported to her that they have not received CPR and first aid training, but they still received a certification of completion from the American Red Cross. Ms. Johnson stated that the program director Corinne Hastings is a certified trainer for Red Cross and provides the training and testing for the staff. On 4/28/2022 I completed phone contact with Child Care Staff Member 1 (CCSM1). They reported being employed at the child care for over six months. They stated that last fall Ms. Hastings was scheduled to provide CPR and first aid training for them and other child care staff, but the training was cancelled. Even though CCSM1 did not receive the training, they received a certification of completion from the American Red Cross. CCSM1 texted me a photo of the certificate dated October 2021. CCSM1 reported that they have asked to receive the training on a few occasions, but it still has not occurred. CCSM1 is concerned about being alone with child care children without the CPR and first aid certification. CCSM1 reported that other child care staff members also received the CPR and first aid certificate without having completed the training. On 4/28/2022 I competed phone contact with Child Care Staff Member 2 (CCSM2). They reported that in the fall of 2021 child care staff were scheduled to complete CPR and first aid training with Ms. Hastings as the American Red Cross trainer. CCSM2 expressed that the CPR and first aid training was cancelled, but they still received a certificate of completion. CCSM2 expressed that they still have not received the CPR and first aid training and it has been approximately six or seven months. On 4/29/2022 I completed an unannounced onsite inspection and interviews with child care staff member 3, child care staff member 4, child care staff member 5, and child care staff member 6. Ms. Hastings was not present during the onsite inspection. CCSM3 reported that there was a CPR and first aid training in the fall of last year, but they were not scheduled to attend because their certification has not yet expired. CCSM4 expressed that they completed their CPR and first aid training through a different organization, and it remains current and valid. CCSM5 and CCSM6 reported that they received their CPR and first aid certification over a year ago and are not due yet for renewal. They denied knowledge of anyone receiving a fraudulent certification of training. On 4/29/2022 I completed phone contact with Child Care Staff Member 6. They reported that they have been working at the child care for almost a year and have 3 not yet received CPR and first aid training. They were scheduled to receive the training in the fall of 2021, but the training was cancelled and never rescheduled. CCSM6 reported that they have been alone in a classroom with children. On 4/29/2022 I completed phone contact with Ms. Hastings. She expressed that there was a CPR and first aid training scheduled for all staff that needed it in the fall of 2021. She reported that due to illness the training was cancelled. Since that time, she has tried to reschedule the training on at least two occasions but there has always been a conflict of some kind and they have been cancelled. She is requiring all child care staff to attend CPR and first aid training in the next month. Ms. Hastings stated that no one should have received their certification for the fall training. She acknowledged that when she scheduled the training, she entered all of the child care staff that were planning to attend in the Red Cross system as if they had completed the course. She was planning to then send all the certificates out once the training was complete. She did not hand them out to child care staff members and did not know that anyone had received a certification of completion. Ms. Hastings denied that she intentionally provided false CPR and firs

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8131 · 1 R 400.8131 Professional development requirements. (10) All child care staff members who work directly which children are required to be trained in first aid and pediatric, child, and adult cardiopulmonary resuscitation (CPR) within 90 days of being hired. Prior to issuing a license to operate a child care center, and prior to the renewal of a license, the department shall verify that at least 50% of the child care staff members who work directly with children are currently certified in first aid and pediatric, child, and adult CPR. Each of these child care staff member's first aid and CPR certificates must be valid and retained on file in the center.

Child care staff members working directly with children for over 90 days have not been trained in CPR and first aid with in 90 days of being hired. Further, child care staff members received invalid certificates of training.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8143 · R 400.8143 Children's records. (1) At the time of a child's initial attendance, a center shall obtain a child information card, using a form provided by the department or a comparable substitute, that is completed and signed by the child's parent. The center shall keep it on file and accessible in the center.

On 2/24/2022 I completed phone contact with Great Start to Readiness Program (GSRP) coach Carrie Johnson. She did not have information regarding this allegation. On 2/24/2022 I completed an unannounced onsite inspection and interviews with program directors Jeanette Davis and Kristin Makowski. They both expressed that they do not currently have children records on site. The records were removed and taken to an off-site location by the licensee designee Corrine Hastings. They do have copies of the child information cards on site for emergency purposes. I observed the child information cards while on site. They do not have the physical evaluations, immunization records, or signed parent forms, because those were all included in the children's files that were removed. On 2/24/2022 I completed a face-to-face interview with Ms. Hastings at another licensed facility. Ms. Hastings acknowledged that she had removed the children's files from the Woodlawn 2 child care facility for review. Ms. Hastings was reminded that children's files should remain on site at all times. I completed phone contact with Child A's Mother, Child B's Mother, and Child C's Mother. They had had no information regarding the children's records.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8143 · R 400.8143 1 Children's records. (3) For children under school-age, at the time of a child's initial attendance, a center shall obtain, keep on file, and make accessible in the center 1 of the following: (a) A certificate of immunization showing a minimum of 1 dose of each immunizing agent specified by the department of health and human services (DHHS). (b) A copy of a waiver addressed to DHHS and signed by the parent stating immunizations are not being administered due to religious, medical, or other reasons.

During phone contact with Ms. Johnson, Ms. Davis, Ms. Mankowski and Ms. Hastings, they all denied knowledge of the child care facility operating out of ratio. They have not observed the child care operating with more than 12 children per one child care staff member. On 3/15/2022 I completed phone contact with Child A's Mother. Child A (male, 5 years) has been enrolled at the child care facility for approximately seven months. Child A's Mother stated that she has never observed her child's classroom with more than 12 children per child care staff member. She reported that there are always at least two child care staff members present each time she has been at the facility. She denied any concerns. On 3/15/2022 I completed phone contact with Child B's Mother. Child B (male, 4 years) has been enrolled at the child care facility for approximately seven months. Child B's Mother denied concerns with the child care facility. Child B's Mother denied ever observing more than 12 children in a classroom per child care staff member. She reported that there are always at least two child care staff members present. On 3/15/2022 I completed phone contact with a Child C's Mother. Child C (female, 4 years) has been enrolled at the child care for approximately seven months. She denied any concerns with the child care. She expressed that she has been very happy with the child care staff and thinks they do a wonderful job. She further stated that there are always at least two child care staff members present in the classroom when she has been present. She has never observed more than 12 children per one child care staff member.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8143 · R 400.8143 1 Children's records. (6) Within 30 days of a child's initial attendance, a center shall obtain, keep on file, and make accessible in the center a record of a physical evaluation of the child that notes any restrictions and is signed by a physician or the physician's designee. An electronic record from a physician's office will be accepted. The physical evaluation must be performed within 1 of the following time limits: (c) For preschoolers, within the preceding 12 months. 4

Physical evaluations of children have not remained on file and accessible on site for enrolled child care children.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8146 · 1 R 400.8146 Information provided to parents. (2) Written documentation that the parent received the written information packet, as required by subrule (1) of this rule, must be kept on file at the center.

Written documentation that parents received the written parent handbook have not remained on file at the center. .....................................................................................

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8182 · R 400.8182 (3) Ratio and group size requirements. TABLE 4 Child Cue Staff Member to Child Ratios Age Child Cate Staff Maximum Member to Child Ratio Omup Size Infants and toddlers, birtlt until 30 1 to 4 12 a) months of age Preschoolers, 30 months of age 1 to 8 16 b until 3 year of age ( Preschoolers. 3 years of age until 4 1 to 10 Not applicable c years of age ( Preschoolers, 4 years of age until 1 to 12 Not applicable d) school- age ( School-asters 1 to 18 Not applicable e) N

There is not enough information to support that the child care has operated out of ratio.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.