North Hills Child Care Center

R 400.8213(1)(a) · R 400.8213(1)(a) Staff; volunteer (1) All staff and volunteers present at the center shall: (a) Provide appropriate care and supervision o f children at all times.

The Lead Teacher did not provide appropriate care and supervision when Child A was left outside on the playground.

View state record

R 400.8266(2) · R 400.8266(2) Incident, accident, injury, illness, death, fire reporting (2) A licensee, licensee designee, or program administrator shall report to the child's parent on the same day of the incident and to the department within 24 hours, directly or via phone, fax, or email, if a child is lost or left unsupervised.

The PD did not inform Child A’s Mother when Child A left outside on the playground.

View state record

R 400.8280(2)(a) · R 400.8280(2)(a) Discipline (2) All of the following means of punishment are prohibited: (a) Hitting, spanking, shaking, biting, pinching, or inflicting other forms of corporal p unishment.

Based on the interviews, there is no evidence that LT 1 hits or yells at the children.

View state record

R 400.8325(1) · R 400.8325(1) Sanitization. All tableware, utensils, food contact surfaces, and food service equipment must be thoroughly washed, rinsed, and sanitized after each use. Multipurpose tables must be thoroughly washed, rinsed, and sanitized before and after they are used for meals or snacks.

The table in the Turtle classroom was not washed rinsed and sanitized.

View state record

R 400.8335(8)(a) · R 400.8335(8)(a) Food services and nutrition; provided by center. Containers must be labeled with the date opened.

The open milk in the Turtles classroom was not dated when opened.

View state record

R 400.8131(5) · R 400.8131(5) Professional development requirements. 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:

One staff member did not complete the H&S A, B, and C.

View state record

R 400.8330(22) · R 400.8330(22) Food services and nutrition generally. Infants or toddlers shall not have bottles, beverage containers, or food in sleeping equipment.

One child in the Turtles classroom was on the cot drinking their bottle.

View state record

R 400.8134(4) · R 400.8134(4) Hand washing. Guidelines for hand washing must be posted in food preparation areas, in toilet rooms, and by all hand washing sinks.

The bathrooms did not have handwashing signs.

View state record

R 400.8176(18)(b) · R 400.8176(18)(b) Sleeping equipment. Cots and mats must be at least 18 inches apart.

The occupied cots in the Turtles classroom were not spaced 18" apart.

View state record

R 400.8161(8) · R 400.8161(8) Emergency procedures. Each child care staff member shall be trained at least twice a year on his or her duties and responsibilities for all emergency procedures referenced in subrule (1) of this rule.

The center did not train the staff on the emergency procedures in 2024.

View state record

R 400.8143(1) · R 400.8143(1) Children's records. 3 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP 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.

There were four incomplete child information cards.

View state record

R 400.8161(5) · R 400.8161(5) Emergency procedures. A fire drill program, consisting of at least 1 fire drill quarterly, must be established and implemented.

The center did not complete the required fire drills in 2024.

View state record

R 400.8161(6) · R 400.8161(6) Emergency procedures. A tornado drill program, consisting of at least 2 tornado drills between the months of March through November, must be established and implemented.

The center did not complete the required tornado drills in 2024.

View state record

R 400.8380(5) · R 400.8380(5) Maintenance of premises. There must be no flaking or deteriorating paint on interior and exterior surfaces or on equipment accessible to children.

The playroom sensory bin lid has flaking paint.

View state record

R 400.8335(8)(b) · 4 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP R 400.8335(8)(b) Food services and nutrition; provided by center. Milk must be served within 7 days of opening.

The open milk in the kitchen was dated 2/19/2024 when opened which is over seven days.

View state record

R 400.8131(2) · R 400.8131(2) Professional development requirements. 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.

One staff member did not complete the H&S A, B, and C.

View state record

R 400.8131(3) · R 400.8131(3) Professional development requirements. 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.

One staff member did not complete the H&S A, B, and C.

View state record

R 400.8131(4) · R 400.8131(4) Professional development requirements. 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.

One staff member did not complete the H&S A, B, and C.

View state record

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: Age Child Care Staff Maximum Group Size member to Child Ratio a)lnfants and toddlers, 1 to 4 12 birth until 30 months of age

On 01/25/2023 The complaint stated that the Fox 2-year-old classroom frequently has nine children with one child care staff member. On 01/27/2023 Ms. Koendarfer stated she is the lead caregiver in the Fox classroom. The children are ages 23 months to 30 months and the child care staff member to child ratio is 1 to 4. Since September 2022 she has worked in the Fox classroom alone with more than five children, mainly on Wednesdays and Thursdays. She has six children alone on Wednesday and five children alone on 2 Thursday. Ms. Brown, the program director, told her that she could have 8 children alone because the state rules have changed. She could not locate this change in the licensing rules, but she followed Ms. Brown's instructions. There are seven children enrolled in the class with six children that attend regularly. She could not recall having nine children enrolled or present. Ms. Lane, pre-k lead caregiver, stated that Ms. Brown informed her that the child care staff member to child ratio had changed in September for the Fox classroom from 1:4 to 1:8. Ms. Brown stated that she had received an email, and the state law had been amended. Ms. Lane thought that the Fox classroom ratio was 1:4 until Ms. Brown told her that the law had changed. Ms. Valente is a floater, and she has worked in the Fox classroom breaking Ms. Koendarfer. She has worked with more than four children on several occasions. She has worked with five and six children alone. This started in September of 2022. Before September the child care staff member to child ratio was 1:4 in the Fox classroom. She was told by Ms. Koendarfer that she could be alone with more than four children because there was a change in the state law. On 01/27/2023 there were four children in the Fox classroom with Ms. Koendarfer. I observed the room to be in compliance. On 01/31/2023 Ms. Brown stated that all of the children in the Fox classroom were 2 years old which was why Ms. Koendarfer could have more than four children '/2 alone in the classroom. She stated that the staff misunderstood what she was saying when she informed them that the child care staff member to child ratio is 1 to 8 when the children turn 2 She did not tell the staff that the law had changed. I requested 1/2. the child information cards for the children enrolled in the Fox classroom. On 02/06/2023 I received the child information cards for the Fox classroom from Ms. Brown. On 02/15/2023 I reviewed the seven child information cards for the children enrolled in the Fox classroom. Five of the seven children were under 2 in September 2022; 1/2 Child A (2 years 2 months), Child B (2 years 4 months), Child C (2 years 1 month), Child D (1 year 10 months), and Child E (2 years old); four were under 2 in '/2 November 2022 Child A (2 years 4 months), Child C (2 years 3 months), Child D (2 years old), and Child E (2 years 2 months), three were under 2 in January 2023 1/2 Child C (2 years 5 months), Child D (2 years 2 months), and Child E (2 years old 4 months), and two were under were 2 in February 2023 Child D (2 years 3 months) 1/2 and Child E (2 years 5 months). Two children were 2 in September 2022 Child F 1/2 (3 years old) Child G (2 years old). 1/2 3

View state record

R 400.8140 · R 400.8140 Discipline. (1) Positive methods of discipline that encourage self- control, self-direction, self-esteem, and cooperation must be used.

Staff members use positive methods of discipline including re- direction and communication with parents regarding behavior concerns.

View state record

R 400.8131 · R 400.8131 Professional development requirements. (10) All child care staff members who work directly with 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.

I spoke with the complainant; she stated none of the infant and toddler staff members have current CPR, First Aid, and Bloodborne Pathogen training. The complainant stated she observed the cards were expired by at least a year. I spoke with the licensee designee, Nicole Brown. Ms. Brown stated all staff members are required to complete CPR, First Aid, and Bloodborne Pathogen training at date of hire and every two years before the expiration date. I reviewed 30 staff files. All 30 staff files contained valid cards through the American Red Cross for pediatric and adult CPR, First Aid, and Bloodborne Pathogen training dated April 12, 2019. The cards will not expire until April 12, 2021.

View state record

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,_ iinncclluuddiinn g immunizations. ..

I spoke with the complainant who stated staff members in the infant room do not check diapers frequently. Infants sit in dirty diapers for hours at a time. The infant room smelled strongly of feces. Staff members would only use bleach to clean the diaper changing tables and did not wash and rinse the diaper changing area between each use. I reviewed the center's diaper changing policy. It illustrated that staff must wash with soapy water, rinse, and sanitize the diaper changing area after each diaper change. Staff are required to check diapers every two hours. Ms. Brown stated during observations of the classroom, she observed that all staff cleaned and sanitized the diaper changing tables using the three-step process. No parents or staff have brought concerns regarding diapers not being changed frequently. I spoke with Child A's Mother and Child B's Mother; they both stated their children's diapers were always clean at pick-up time and they did not have any rashes or other evidence of not having diapers changed frequently. Both parents stated they receive daily records that show diapering was completed at least every two hours. They did not have any concerns regarding the cleanliness of the center or cleanliness of the diaper changing area. Deborah Williams stated she has observed diapering in the infant room. She has seen diapering checks completed at arrival, every two hours, before nap, after nap, and before pick-up. No parents have approached her with any concerns regarding diapering policies or procedures. There have been no complaints regarding infants with rashes. Staff clean the diaper changing area using the three-step process of washing the area with soapy water, rinsing the diaper changing table, and then sanitizing the diaper changing table.

View state record

R 400.8137 · R 400.8137 Diapering; toileting. (1) Except as provided in subrule (2) of this rule, diapering must occur in a designated diapering area that complies with all of the following: f Is washed, rinsed, and sanitized after each use.

I spoke with the complainant who stated she had concerns regarding inappropriate supervision in the infant room. She stated in September of 2019, she observed staff grabbing infants by the back of the arm and yelling at them. She stated every staff member employed at the center has been observed yelling at and pulling on the infants' arms. She saw a staff member pull a one-year old female up from sitting to standing position, resulting in two finger marks above the elbow. The complainant stated the fingerprint marks went away after a minute. The complainant also observed a staff member placing their legs over a child to keep him or her from getting up. The complainant stated she also observed a child crying during naptime in the infant room. The staff member placed her leg over the child and bopped the child on the mouth repeatedly. The complainant stated she did not bring these concerns up with the director or licensee designee because they always ignored everything she shared with them. I reviewed the center's discipline policy, which states staff members and parents will address children's behavior together. Staff will re-direct children and talk to them at eye level. The licensee designee, Nicole Brown denied observing any inappropriate discipline at the center. She stated staff members always use re-direction and talking at the child's level. Staff and parents are supposed to communicate to decide cooperatively what type of discipline should be used with each individual child to ensure that only positive forms of discipline are used. Ms. Brown denied that any staff member or parent has ever approached her with concerns regarding appropriate care and supervision. Child A's Mother, Child B's Mother, and Child C's Mother all stated that staff members use appropriate discipline at the center. They denied having any concerns with any of the staff members at the center. 5 Deborah Williams stated she has not received any telephone calls from parents reporting any concerns regarding infant caregivers' interactions with children. No staff members or parents have approached her with any concerns.

View state record

R 400.8137 · R 400.8137 Diapering; toileting. (6) Diapers and training pants must be checked frequently and changed when wet or soiled. .................

The Licensee Designee Nicole Brown stated a ratio of one staff member with four infants is maintained at all times. There is never a time when the ratio exceeds four children with one staff member. Ms. Brown is available to step into the classroom if additional assistance is needed. Child A's Mother, Child B's Mother, and Child C's Mother all denied concerns regarding ratio. Child A's Mother stated Child A was often the only child present in the room at pick up and drop off. There are sufficient staff present to supervise children. Child B's Mother stated she has never seen more than three infants with one staff member at the facility. Child C's Mother stated she has never seen more than three or four infants present with one staff member. Deborah Williams stated she is not in the infant rooms regularly but the times she has visited the rooms, there have never been more than four children with one staff member. No parents or staff members have brought up any concerns regarding ratio.

View state record

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, Child Care Staff Member to Child Ratio 1 to 4 1 Maximum Group Size 12

A ratio of one staff member to four infants in the infant classroom is maintained.

View state record