Star Bright Child Care Center

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

There was no evidence to support that any teachers were taking children to the restroom for discipline.

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

There was no evidence to support that children were served expired food.

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R 400.8201(1)(c) · R 400.8201(1)(c) Comprehensive background check; fingerprinting. (1) Pursuant to sections 5n and 5q of the act, MCL 722.115n and 722.115q, 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.

There was no evidence to support that the required background checks were not completed.

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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.

There was no evidence to support that teachers provided inappropriate care and supervision of children.

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R 400.8143(2) · R 400.8143(2) Children's records. Child information cards must be reviewed and updated by parents at least annually and when the center becomes aware of changes.

Four of the nine child Information cards reviewed were no undated by parents at least annually.

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R 400.8143(7)(b) · R 400.8143(7)(b) Children's records. Every 2 years for preschoolers.

Five of nine toddler and preschooler physical evaluations reviewed were not updated within two years of the last one.

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R 400.8113(2)(b) · R 400.8113(2)(b) Program director qualifications; responsibilities. At least 50% of the time children are in care but not less than a total of 6 hours per day for programs operating 6 or more continuous hours.

The dates and times the program director spent in the center was not documented so it could not be determined if she was present at least six hours per day.

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R 400.8112(2)(e) · R 400.8112(2)(e) Comprehensive background check; fingerprinting. 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.

Connections and disconnections of each individual associated with the license were not completed timely in the child care background check system.

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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. Bureau

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R 400.8182 · R 400.8182 Ratio and group size requirements. (7) If there are children of mixed ages in the same room or well-defined space, then the ratio and group size is determined by the age of the youngest child, unless each group of children is clearly separated and the appropriate child care staff member-to-child ratios and group sizes, if applicable. for each ape arouo are maintained.

On 05/13/2023, I interviewed Child A's Mother. Child A's Mother explained that Child A was enrolled and started child care with Star Bright mid-February 2023. Based on Child A's age, Child A was placed in the toddler room upon enrollment and attends Monday, Tuesday, and Wednesday typically from 1:30 p.m. to 6:00 p.m. Recently Child A has been seen placed with the preschool children/room for naps and play. Child A is under 30 months old, and it was agreed that Child A stays in her designated toddler room. Child A's Mother does not understand why Child A 2 moves from the toddler room to the preschool room and does not feel like mixing the ages of the children is appropriate. On 05/15/2023, I conducted an unannounced onsite inspection where I observed all the classrooms and interviewed child care staff members, including Licensee Designee/Program Director Rojan Yousif. I observed all the child care rooms during the onsite inspection: • Infant Room is approved for children from four weeks old to 12 months old and there was a total of seven children and two child care staff members present with the youngest child in the classroom being seven weeks old. • Toddler Room is approved for children from 13 months old to 30 months old and there was a total of seven children and two child care staff members present with the youngest child in the classroom being 14 months old. • Young Preschool Room is approved for children 2 years old to three years '/2 old and there was a total of five children with one child care staff member with the youngest child in the classroom being 2 years old. '/2 • Preschool Room is approved for children three years old to six years old and there was a total of nine children and one child care staff member present with the youngest in the classroom being three years old. All the classrooms were within their approved ratio and group sizes, and Child A was observed in the Toddler Room. There were no classrooms that had children of mixed ages in the same room. The child care staff members in the toddler room, Child Care Staff Member 1, and Child Care Staff Member 2, explained that Child A's assigned classroom is in the toddler room. Child A is dropped off in the afternoon three times a week and it is typically during nap time. Sometimes Child A does not nap and rests with the children in the young preschool room depending on staffing and ratio. I interviewed both Program Director Ms. Yousif and Child Care Staff Member 3 during the onsite inspection. Ms. Yousif explained that Child Care Staff Member 3 is the appointed child care staff member that assists her when she is not in the center. Both Ms. Yousif and Child Care Staff Member 3 stated that Child A is almost at the age where she can be transitioned to the Young Preschool Room once she turns 2 years old, and they have been placing her in that room for short periods of times 1/2 when in ratio to assist her in that transition. Also, Child A typically arrives in the middle of nap time and due to ratio, they at times have her in the Young Preschool area until the children wake up. On 08/07/2023, I interviewed enrolled parents Child B's Mother, Child C & D's Mother, Child E & F's Mother, and Child G's Mother. Child B's Mother, Child C & D's Mother, Child E & F's Mother, and Child G's Mother all consistently stated that they have no concerns with ratio and group size of their children's placements at the center. 3

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

On 05/13/2023, I interviewed Child A's Mother. Child A's Mother explained that on 03/30/2023 her husband went to pick up Child A from the center at 6:23 p.m. and noticed as they were going home that Child A's diaper was soiled. There is concern that Child A's diaper was not checked on that day. On 05/15/2023, during the onsite inspection I interviewed Child Care Staff Member 1 in the toddler room. Child Care Staff Member 1 explained that she is the lead child care staff member in the toddler room and her and the assistant child care staff members regularly check and change the children's diapers. While in the toddler room, Child Care Staff Member 1 presented verification of the daily recordings in each of the children's toddler's log where they document the children's feeding, diaper changes, and sleeping times for the children present in the room today. Per the daily recording log, child care staff members are consistently changing diapers. Regarding Child A, Child Care Staff Member 1 remembers changing Child A before she was being picked up by her parent and apparently had a soiled diaper. There was a short period of time between when Child A's diaper was changed and when 4 Child A's parent arrived. Child Care Staff Member 1 would never intentionally leave a child in wet or soiled diapers. During the onsite, Child Care Staff Member 3 and Ms. Yousif were able to pull past children's records and provided me with verification from Child A's daily toddler log sheet documented and signed by Child Care Staff Member 1 on 03/30/2023 that Child A's diaper was checked and changed at 11:55 a.m., 2:58 p.m., 4:40 p.m., and 6:15 p.m. Child Care Staff Member 3 stated that she knows that Child A's Mother called the center that day and wanted to know why Child A's diaper was soiled upon pick up. It was explained that Child A and all the children's diapers are checked and changed regularly, and Child A must have just soiled herself upon pick up as she was changed before Child A's parent arrived at the center. Child Care Staff Member 3 discussed with the child care staff members in the toddler room to make sure when the parents arrive to do a last check and change before the child is released. On 08/07/2023, I interviewed enrolled parents Child B's Mother, Child C & D's Mother, Child E & F's Mother, and Child G's Mother. Child B's Mother, Child C & D's Mother, Child E & F's Mother, and Child G's Mother all reported that they have never had any concerns with the diapering at the center. The children are frequently checked and changed, and the child care staff members provide copies of daily logs to the parents.

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R 400.8155 · R 400.8155 Child accidents and incidents; child and staff illness. (4) If a center becomes aware that a staff member, volunteer, or child in care has contracted a communicable disease, then the center shall notify parents and provide all of the following information: (a) The name of the communicable disease the children were exposed to. (b) The symptoms of the disease. (c) Prevention measures as recommended by the U.S. Centers for Disease Control and Prevention (CDC) at the following website: https: //www.cdc. ov/DiseasesConditions. 1

On 05/13/2023, I interviewed Child A's Mother. Child A's Mother stated that Child A was not at the center from 03/14/2023 — 03/27/2023, as they did not need care during that period. Upon returning and dropping off Child A, Child Care Staff Member 3 provided a copy of a letter emailed to the parents on 03/20/2023. On 05/15/2023, during the onsite inspection I interviewed Child Care Staff Member 3 and Ms. Yousif. Ms. Yousif explained that the center does their best to notify parents as soon as they are made aware that an enrolled child or an enrolled child's family member has a communicable disease. At the end of March there was a case of Hand, Foot, and Mouth Disease that was confirmed with an enrolled family's older sibling that was not attending care. As a precaution, notifications as well as informational sheets were provided to the parents. Child Care Staff Member 3 was able to provide a copy of the notification letter dated 03/20/2023 and the informational sheet provided to the parents. On 08/07/2023, I interviewed enrolled parents Child B's Mother, Child C & D's Mother, Child E & F's Mother, and Child G's Mother. Child B's Mother, Child C & D's Mother, Child E & F's Mother, and Child G's Mother all consistently stated that any time the center was made aware of a child or staff illness that was communicable, they have properly notified the parents and provided informational sheets to assist in the matter. There was communication in March and the center closed during the weekend to clean the center as an extra precaution. On 08/07/2023, I conduced an exit conference with Program Director/Licensee Designee Rojan Yousif. I informed Ms. Yousif that there were no licensing violations found during the investigation.

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R 400.8185 · R 400.8185 Primary care. (2) The center shall implement a primary care system so that each infant and toddler has a primary caregiver.

On 08/31/2022, I completed an unannounced onsite investigation. I interviewed Ms. Sameeah Zuhra, office manager, Julia Durdur, child care staff member, Rugaya Hussan, child care staff member, Madleen Issak, child care staff member, and Fahmida Munny, child care staff member. I informed Ms. Zuhra, I needed to see and observe the infant and toddler rooms as Ms. Yousif was not currently at the center at the time of the investigation. I did not observe in the toddler or infant room documentation of primary caregivers' assignments for the children. There was only one child care staff member (Ms. Issak) in the toddler room. There were three child care staff members (Ms. Hussan, Ms. Durdur and Ms. Munny) in the infant room at various times caring for the infants in the room. I observed both rooms for approximately an hour. As there were only two children currently in the toddler room, Ms. Issak was caring for the children. Ms. Zuhra would periodically enter the toddler room and infant room to assist if needed. Ms. Zuhra stated there was another child care staff member assigned to work in the toddler room but she was not currently there. In the infant room, I observed Ms. Munny, Ms. Durdur and Ms. Hussan interacting, feeding and/or diapering various child care children as needed. Primary caregiving by the child care staff members appeared to be based on the need of the child not assignment. I asked Ms. Zuhra how the center determined primary caregivers for the toddler and infant room. The same caregivers are typically in a specific room and each caregiver will help out where needed. I explained that there should be a primary caregiving system in place, to allow for both parents and children to know who to go to for questions and for care. I also informed Ms. Zuhra there needed to be documentation of primary caregiving assignments. I suggested she could place a white board with the required information at the front where parents first come in or before the entrance to either room. I interviewed Ms. Issak. She stated she is typically the child care staff member in the toddler room. They have from two to four children daily at this time. She handles the care for the children in the room. 3 1 1 r• i • r • - • `• • • • i r` i' 'fl l f i ' 'r f • • roo i • • f f - • f • f . R i 1'•' 1: 1 • • I• t • -r l ! 1 1 i • : f • . - f r - • * i

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R 400.8185 · R 400.8185 Primary care. (5) Primary caregiving assignments must be documented and provided to parents.

On 08/31/2022, I observed the infant and toddler rooms from 10:40 a.m. until 12:05 p.m. I observed Ms. Issak (toddler room), Ms. Durdur, Ms. Fahmida Munny and Ms. Rugaya Hussan (infant room), documenting on written daily records. I asked Ms. Zuhra about the daily logs. Ms. Zuhra stated if a parent asks about a child's day child care staff member can talk to them about it and daily logs are kept in the office for parents to see them. I informed Ms. Zuhra that the written daily logs must be given to parents daily. Ms. Zuhra had a stack of written daily logs kept in the office. On 08/31/2022, I spoke with Ms. Yousif by telephone. Ms. Yousif stated child care staff members were completing the written logs but were being kept in the office. I informed Ms. Yousif the logs must be given to parents daily. Ms. Yousif would begin to provide the parents in the infant and toddler rooms the daily written log. On 09/08/2022, I interviewed Child A's Mother by telephone. Child A's Mother stated, Child A is enrolled in the infant room. She has concerns about how much Child A is eating daily as Child A is sent to the center with three bottles and return home with two full bottles. Child A's Mother did not receive any written daily log from the center. I interviewed Child B's Mother by telephone on 09/08/2022. Child B started attending child care June of 2022 and is in the infant room. She did not receive any written daily logs previously but the last few days have received them. She did not have any concerns with Child B's diapering and feeding schedule. On 09/08/2022, I interviewed Child D's Mother by telephone. Child D is currently enrolled in the toddler classroom for approximately two weeks. She recently started receiving written daily log for Child D. She did not receive them when Child D first 5 started at Starbright. She only had one concern with Child D being wet when picked up but she had a discussion with the child care staff member (name not given) and has not had any issues since then.

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R 400.8146 · R 400.8146 Information provided to parents. (3) For infants and toddlers, a center shall provide parents with a written daily record that includes at least the following information: (a) Food intake time, type of food, and amount eaten. (b) Sleeping patterns indicating when and how long the child slept. (c) Elimination patterns, including bowel movements, consistency, and frequency. (d) Developmental milestones. (e) Changes in the child's usual behaviors. ............................ ............... ................................ .......................................... ..............................................

Parents were not receiving a written daily record of the above required information for children in the infant and toddler rooms.

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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 of the licensee, must be shown in Table 4: Table 4 Child Care Staff Member to Child Ratios ......................................................... ................... ................. Age Child Care Staff Maximum Member to Child Group Size Ratio ............................... Infants and 1 to 4 12 toddlers, birth until 30 months of a e.

On 08/31/2022, the center did not maintain appropriate child care staff member to child ratio, the appropriate child care staff member to child ratio is 1 to 4. Ms. Fahmida Munny left the infant room leaving one Mrs. Durdur with six infants.

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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.

On 06/13/2022, Child A and Child B were found alone by an employee from the Child A and Child B were left unsupervised rom when t ey exited the center at 4:57 p.m. until returned safely to the center at 5:20 p.m. Child Care Staff Member 1, Child Care Staff Member 2, and Child Care Staff Member 3 were unaware that the children walked out of the center.

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R 400.8131 · R 400.8131 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. 11

Child Care Staff Member 2, Child Care Staff Member 3, and Child Care Staff Member 4 reported that they did not complete the sudden infant death and safe sleep practices before caring for infants and toddlers. There was no documentation to verify any trainings for the child care staff members.

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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.

Child Care Staff Member 2, Child Care Staff Member 3, and Child Care Staff Member 4 reported that they did not complete the required training on prevention of shaken baby, abusive head trauma and child maltreatment, and recognition and reporting of child abuse and neglect. Child Care Staff Member 2, Child Care Staff Member 3, and Child Care Staff Member 4 were left unsupervised with children in their care. There was no documentation to verify any trainings for the child care staff members.

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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. 12

Child Care Staff Member 2, Child Care Staff Member 3, and Child Care Staff Member 4 reported that they did not complete the prevention and control of infectious disease training, including immunizations, and were left unsupervised with children in their care. There was no documentation to verify any trainings for the child care staff members.

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R 400.8131 · R 400.8131 rprofessional 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.

Child Care Staff Member 2, Child Care Staff Member 3, and Child Care Staff Member 4 reported that they did not complete the required health and safety trainings that are made available at MiRegistry and were left unsupervised with children in their care. There was no documentation to verify any trainings for the I child care staff members.

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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.

According to the parents interviewed, the children in care during the late afternoon and early evenings are seen running up to the front door of the center without staff, and one child in care attempted to walk out of the center at the front door. Child D's Mother was able to redirect that child back into the center during one of the pick-up times. Child care staff members during the late afternoon and evening shifts have been witnessed to not provide appropriate care and supervision to the children while in their care.

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

According to the parents and child care staff members interviewed, they have never witnessed child care staff member Raney Yousif to be under the influence of marijuana. Mr. Yousif provides appropriate care and supervision to the children while in his care. ................... ..........

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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, shall be the following: (a) For infants and toddlers, there shall be 1 caregiver for 4 children and a maximum group size of 12. I

During the onsite inspection, the toddler room had a total of five toddl .e ....r ..s ... ..w . .i .t ..h .. ...o nly one child care staff member in the classroom.

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R 400.8182 · R 400.8182 Ratio and group size requirements. (7) If there are children of mixed ages in the same room or well-defined space, then the ratio and group size is determined by the age of the youngest child, unless each group of children is clearly separated and the appropriate child care staff member-to-child ratios and group sizes, if applicable, for each age group are maintained. Z

During the onsite inspection on May 20, 2022, Program Director Ms. Valentine was caring for children of mixed ages in the preschool room that included seven preschoolers and four toddlers. In addition, Child A's Mother witnessed upon pick up one child care staff member caring for a total of eight children with the youngest being about four months old to the oldest being four years old.

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R 400.8330 · R 400.8330 1 Food services and nutrition generally. (10) Menus must be planned in advance, dated, and posted in a place visible to parents. Food substitutions must be I noted on the menus the day the substitution occurs.

During the onsite inspection on March 28, 2022, the center did not have a menu available or posted for the parents to review.

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R 400.8110 · R 400.8110 Applicant; licensee; licensee designee; requirements. (6) The licensee or licensee designee shall maintain accurate records detailing daily arrival and departure times for each child care staff member, child care aide, and volunteer.

During the onsite inspection on May 20, 2022, Program Director Ms. Valentine was unable to provide the required daily arrival and departure times for attendance documentation for child care staff member Raney Yousif and herself.

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R 400.8125 · R 400.8125 Staff; volunteer; requirements. (3) All supervised volunteers shall receive a public sex offender registry (PSOR) clearance before having any contact with a child in care. A copy of this clearance must be kept on file at the center.

During the onsite inspection on May 20, 2022, Ms. Valentine had a reportedly supervised volunteer, Elizabeth Schiller, assisting during closing. Ms. Valentine did not have the required public sex offender registry clearance completed for Ms. Schiller at the center.

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R 400.8176 · ............................. ............................................................. ...................................................................................... R 400.8176 Sleeping equipment. ..................................................... ................................................................................................................................................................................................................... (13) Soft objects, bumper pads, stuffed toys, blankets, quilts, comforters, and other objects that could smother a child must not be placed in, or within reach of, a crib or orta-crib with a resting or sleeping infant.

During the onsite inspection on May 20, 2022, I observed one infant that was in a crib with a small blanket.

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