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

Former Child Care Staff Member did not provide appropriate care and supervision of Child A.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

Former Child Care Staff Member did not provide appropriate care and supervision of Child A.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8520 · R 400.8520 Interior finishes. (14) Combustible materials and decorations may be displayed on walls, not to exceed 20% of each wall in each room. Combustible materials and decorations suspended from or near the ceiling are prohibited.

There was an infant mobile suspended from the ceiling and a blue cloth covering a light on the ceiling.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8188 · R 400.8188 Sleeping, resting, and supervision. (11) Infants and toddlers who fall asleep in a space that is not approved for sleeping shall be moved to approved sleep equipment appropriate for their age and size. C:

CCSM 1 allowed Child A to remain sleeping on a Boppy pillow when he crawled over and fell asleep there. CCSM 1 placed Child B on a Boppy pillow to sleep when he fell asleep as she was rocking him. Child A was sleeping on the Boppy pillow on the floor for approximately 5-10 minutes and Child B was sleeping on the Boppy pillow on the floor for approximately five minutes before the parent came into the classroom and pointed the unsafe environment out to CCSM 1. At that time, she turned both children over and placed them on their backs on the Boppy pillows to continue sleeping. CCSM 1 did not move the children to the crib at that time; the total time Child A and Child B were sleeping on the floor on Boppy pillows is unknown. ..........

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8155 · R 400.8155 Staff; volunteer; requirements. (1) A plan for when and how parents will be notified when the center observes changes in the child's health, a child experiences accidents, and injuries, or incidents, or when a child is too ill to remain in the group shall be developed and implemented.

Child A's Mother was not notified verbally or in writing that Child A was slept in an unsafe sleep position and found sleeping face down on the Boppy pillow. Additionally, the accident, injury, incident policy of Bedford Child Development Center does not adequately address incidents or how and when incidents will be reported to parents.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8173 · R 400.8173 Equipment. (4) Play equipment, materials, and furniture, must be all of the following: (a) Appropriate to the developmental needs and interests of children as required by R 400.8179(2).

CCSM 5 allowed infants to play over a Boppy pillow with water which is not developmentally appropriate. She also allowed infants to play with sandwich baggies filled with baby oil and pom poms which is not developmentally appropriate. ....................................................... ..............................................................................................................................

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8173 · R 400.8173 1 Equipment. (4) Play equipment, materials, and furniture, must be all of the following: M (b) Safe, clean, and in good repair. I

CCSM 5 allowed infants to play with sandwich baggies which are not safe for infants to play with.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8179 · R 400.8179 Program. (8) Tummy time is required daily for all infants under 12 months of age, and must meet all of the following requirements: (c) During tummy time, infants shall not be placed on or near soft surfaces, including but not limited to cushions, pillows, or padded mats. I

CCSM 1 allowed infants to lay over Boppy pillows on their stomach for tummy time.

Open Not marked corrected in the state record

Open / not marked corrected.

R 400.8173 · R 400.8173 Equipment. (1) A center shall not use equipment, materials, and furnishings recalled or identified by the United States Consumer Product Safety Commission (CPSC) as being hazardous. This information is available free of charge at the CPSC website, wwwcpscgov.

The Infant 1 classroom child care staff members were regularly using a Boppy pillow that was recalled by the CPSC on September 23, 2021w ith infants in care.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

R 400.8525 · 1 R 400.8525 Exits. (4) Exit doors and all doors in the means of egress shall be side-hinged and equipped with knob, lever-type, non- locking-against-egress, or panic-type hardware.

On the Infant 1 classroom door there was a gate that required a button be pushed, the gate to then be slid sideways, and then removed from the entryway. The gate takes more than one movement to open and get past it.

Open Not marked corrected in the state record

Open / not marked corrected.

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: (a) A licensee. (b) A licensee designee. (c) A child care staff member. (d) A child care aide. (e) An unsupervised volunteer. M

On June 11, 2021, I interviewed the Complainant. The Complainant stated it is believed Stephen Maher has completed the proper documentation to be a child care staff member, but the Complainant does not believe he has the proper documentation. Mr. Maher has been working since February of 2021. Pauline Schieb the program director put out a document of all employees missing information. The Complainant is unsure if he had completed his background check or not. On June 22, 2021, I completed an on-site inspection. I interviewed Sarah Kaiser, lead caregiver in the infant classroom. Ms. Kaiser stated she is not aware of any child care staff members that are working or have been allowed to work without their required background check and notification of eligibility. On June 22, 2021, I interviewed Paula Sprague, child care staff member in the infant classroom. Ms. Sprague stated she is unaware of anyone working in the classroom without having their background check and notification of eligibility. On June 22, 2021, I interviewed Kelly Bohland, lead caregiver in the toddler 1 classroom. Ms. Bohland stated she is unaware of anyone working without their required background check and notification of eligibility. On June 22, 2021, I interviewed Sarah Amrose, lead caregiver in the preschool 1 classroom. Ms. Amrose stated Ms. Schieb and/or Ms. Maher does let the child care staff members know if someone has not had their background check/eligibility notification and lets the child care staff members know they cannot be alone with children and then they are never left alone with children. On June 22, 2021, I interviewed Brooke McClellan, child care staff member in the preschool 2 classroom. Ms. McClellan stated she has no knowledge of anyone working unsupervised before they are allowed to. On June 22, 2021, I interviewed Briahna Todoroff, child care staff member in the preschool 1 classroom. Ms. Todoroff stated she is not aware of anyone being allowed to work before they are able to. If someone cannot be left unsupervised due to background check not being back, Ms. Schieb and/or Ms. Maher makes child care staff members aware of it and they know not to leave the staff alone. On June 22, 2021, I interviewed Megan Pedelose, child care staff member. Ms. Pedelose stated she is not aware of child care staff members being allowed to work unsupervised before they are approved to. Staff are allowed to ask if a child care staff member has the clearance to be alone with children and most of them know if someone does not have their clearance to be alone with children. On July 29, 2021, I interviewed Ms. Pedelose and she stated when she spoke with me on June 22, 2021, there was one day prior to that day that she worked alone with children, but she does not remember the date. She stated once she became eligible, which was shortly after she saw me on the 22nd of July, she received notice from Ms. Schieb and/or Ms. Maher that her background check was back; she was cleared to work alone with children. On June 22, 2021, I interviewed Riley Moody, child care staff member in the toddler 1 classroom. Ms. Moody stated there is one person that she knows of working alone with children without her approved background check and that is Megan Pedelose. She does not have her background check and has been left alone with children in the classrooms. She knows this because Ms. Pedelose has said to her, "I do not have my background check and I should not be working alone." Bethany Bryan, child care staff member, was left alone before her background check was approved. She knows this because Ms. Bryan was really upset about it and told her about it. Those are the only two current child care staff members she knows of that have been left alone when they should have been supervised. She believes this goes back to the staffing issue as the center needs those extra child care staff members for times like this. On June 22, 2021, I interviewed Sarah Christopher, child care staff me

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8112 · ................................................................................................................................................................................................................................................... I R 400.8112 Comprehensive background check; fingerprinting. (2) An applicant or licensee shall do all of the following: (e) Within the department's child care background check system, accurately complete and maintain the connection, disconnection, or withdrawn status of each individual associated with the license.

On June 11, 2021, I interviewed the Complainant. The Complainant stated Stephen Maher is working as a child care staff member who floats where he is needed, and recently he was alone in the infant classroom with seven infants. This occurred at the end of the day near closing and the extra children left quickly. It has happened other times that the center classrooms are out of ratio, the Complainant is not sure on exact dates but knows it happens "pretty frequently." Ms. Schieb and/or Ms. Maher have had to close the center "pretty frequently" as there is not enough child care staff members. On June 22, 2021, I completed an on-site inspection. All of the classrooms were checked for ratio. No concerns were noted. I interviewed Pauline Schieb, program director for the past 13 years. Ms. Schieb stated at opening there are two child care staff members that begin at 6:30 a.m., a third that comes in at 6:45 a.m., and a fourth that arrives at 7:00 a.m. Staff continue to arrive in intervals until they are fully staffed between 8:30 a.m. and 9:00 a.m. As the children and staff arrive, the classrooms are opened, and children and child care staff members are moved to their respective classrooms. At opening all children are combined regardless of age. They do not document when children move to their respective classrooms or which staff if any leave the opening classroom when an additional classroom is opened. The parents 10 are under contracts for specific start times, and they adhere to those times as closely as possible, but they do try to be flexible if they can. Ms. Schieb stated she is not aware of the opening classrooms being out of ratio. Ms. Schieb stated she is not aware of ratio being a concern. I recommended Ms. Schieb they begin having each classroom do a paper copy of the opening, closing, and each classroom to note what children are present and what time children leave those classrooms. This should be done with staff as well. This would give proper documentation of how many children are in the classrooms and how many child care staff members. I interviewed Sarah Kaiser, lead caregiver in the infant classroom. The ratio for infants and toddlers is 1:4. She stated her classroom has never had an issue being out of ratio, and she has not heard of any other classrooms being out of ratio. When she goes on break someone always relieves her; there are12 infants and three child care staff members in the classroom or one child care staff member for every four infants in the event there are fewer than 12 children. She knows sometimes when she arrives someone is working in her classroom. Today for example, when she arrived Pauline Schieb and Meghan Bomia were in the classroom with five children. On June 22, 2201, I interviewed Katie Roark, child care staff member in the infant classroom and she also works as a floater. The ratio for infants and toddlers is 1:4. She stated the ratio in the infant classroom is one child care staff member to every four infants. She is not aware of the infant classroom or any classroom ever being out of ratio. She has opened a few times, and now she is the third person arriving at 6:45 a.m. At one point there were a lot of infants being born at the beginning of June 2021. At that time four infants started at the same time and there were a few random days when two infants came earlier than they were scheduled. She does not believe the classroom was ever out of ratio, but at that time she did not come in until 9:30 a.m. She is not sure of the date in June 2021, but there was one day that she came in at 7:30 a.m. and she was told that there were four infants at 6:30 a.m. in the morning. That is when Ms. Schieb and/or Ms. Maher switched the schedule so that more people started earlier. Prior to that there was just two child care staff members opening and then Ms. Schieb and/or Ms. Maher added the 6:45 a.m. position. When asked if there was ever a time when Mr. Maher was alone with six infants, Ms. Roark reported

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

The schedules provided by Cynthia Maher and Pauline Schieb reflect two staff members present when at least three children between the ages of birth and 3 years of age are present.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8182 · R 400.8182 Ratio and group size requirements. (3) In each room or well-defined space, the maximum group size and ratio of child care staff members to children, including children related to a staff member or the licensee, must be as shown in Table 4: (a) Infants and toddlers, birth until 30 months of age shall have a child care staff member to child ratio of 1 to 4 with a maximum group size of 12 children. 21

On June 14, 2021, for approximately 2-3 minutes Stephen Maher was alone with seven infants. Note: The allegations stated the infant classroom was out of ratio in the mornings, and several child care staff members stated the opening classroom had been out of ratio. However, there was not proof in the classroom logs and staffing schedules to validate that allegation.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8131 · R 400.8131 j Professional development requirements. (2) Child care staff members shall have training that includes information about prevention of sudden infant death syndrome and use of safe sleep practices before caring for infants and toddlers.

Megan Pedelose, Stephen Maher and Sarah Christopher did not complete training that includes information about prevention of sudden infant death syndrome and use of safe sleep practices before caring for infants and toddlers.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8131 · R 400.8131 Professional development requirements. (3) Before caring for children, all child care staffs 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. ... ... ........................._...............................................

Stephen Maher, Sarah Christopher, Bethany Bryan, and Megan Pedelose did not complete training on prevention of shaken baby syndrome, abusive head trauma and child maltreatment, and recognition and reporting of child abuse and neglect prior to caring for children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 25 shall complete prevention and control of infectious disease training, including immunizations.

Stephen Maher, Sarah Christopher, Bethany Bryan, and Megan Pedelose did not complete training on shall complete prevention and control of infectious disease training, including immunizations prior to unsupervised contact with children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8128 · R 400.8128 Staff; volunteer; tuberculosis. A center shall keep on file at the center evidence to verify that each child care staff member and each volunteer who has contact with children at least 4 hours per week for more than 2 consecutive weeks is free from communicable tuberculosis (TB). Verification of TB status is required within 1 year before employment or volunteering. ............................ ...... ..................................... .......................... ...............................................................................

Stephen Maher, Sarah Christopher, and Megan Pedelose did not have on file at the time he was having contact with children at least 4 hours a week for more than 2 consecutive weeks verification of being free from communicable tuberculosis (TB).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.