R 400.8330(5) Food services and nutrition generally (5) A center shall provide adequate staff so that food service activities do not detract from direct care and supervision of children. Bureau

R 400.8330(5) · Correction status not published

R 400.8216(1) Orientation (1) Program staff and unsupervised volunteers shall participate in the center’s orientation training about the center’s policies and practices and these rules.

Out of the five staff records reviewed, one staff member did not have the documentation of center orientation training.

R 400.8216(1) · Correction status not published

R 400.8222(13) Capacity; ratio and group size requirements (13) 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.

The center changed the square footage of the preschool rooms by moving the cabinets in the room. 5 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP

R 400.8222(13) · Correction status not published

R 400.8274(4) Primary care for infants and toddlers (4) Primary teachers' schedules for each infant or toddler must be documented and provided to parents. 7 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP 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.

R 400.8274(4) · Correction status not published

R 400.8112(3) Children's records. (3) When a child under school-aged whose immunizations cannot be completed due to medical reasons, including, but not limited to, a dose waiting period, within 4 months after admittance, a child may remain enrolled for a reasonable length of time that is consistent with good medical practices. The center shall verify additional immunization requirements are current as specified by the department of health and human services unless there is a signed medical exemption filed certifying that the child is in the process of complying with all immunization requirements. The medical exemption must be on file with the center until it can be replaced with proof that the vaccines for which an exemption was granted have been received or the medical exemption has expired.

Out of the ten children's records reviewed, three immunization records for the preschoolers/toddlers were not updated.

R 400.8112(3) · Correction status not published

R 400.8280(1) Discipline (1) Positive methods of discipline that encourage self-control, self- direction, self- esteem, and cooperation must be used.

the staff member in the infant room did not use positive method of punishment when they made statements like " I am going to tell your mama that you are acting up"

R 400.8280(1) · Correction status not published

R 400.8340(3) Food services and nutrition; provided by parents (3) Breast milk, formula, milk, other beverages, and food furnished in a same- day supply must be covered and labeled with the child's first and last name and the date.

The bottles in the infant room either did not have the last names of the children or the date.

R 400.8340(3) · Correction status not published

R 400.8269(1)(c) Emergency preparedness and response planning procedures (1) Written plans and procedures for emergency preparedness and response planning for the care of children and staff in each of the following emergencies must be developed and implemented: (c) Floods. 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.

R 400.8269(1)(c) · Correction status not published