R 400.8125(1) · 3 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP PR19-R 400.8125(1) Staff; volunteer; requirements. All staff and volunteers shall provide appropriate c are and supervision of children at all times.

Appropriate care and supervision was not provided to Child A and Child B on 06/30/2025 when their afternoon bottle feedings were missed.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8112a(1) · PR19-R 400.8112a(1) Department; information; eligibility determination. The department may request information from an applicant, licensee, licensee designee, child care staff member, child care aide, or unsupervised volunteer regarding any of the conditions listed in sections 5n, 5q, 5r, and 11 of the act, MCL 722.115n, 722.115q, 722.115r, and 722.121, and any similar or equivalent conditions that occurred in another state or legal jurisdiction in which the individual resided, on a form prescribed by the department, and limited to information necessary to ascertain whether the individual should be deemed i neligible under the statutory requirements.

The center did not maintain an accurate record of staff attendance, detailing daily arrival and departure times, for each staff member on 06/30/2025.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8182(3)(a) · PR19-R 400.8182(3)(a) Ratio and group size requirements. Infants and toddlers, birth until 30 months of age, child care staff member to child ratio of 1 to 4, m aximum group size of 12.

During the investigation, multiple teachers were interviewed who admitted the infant room had been out of compliance with teacher to child ratio, however, could not provide exact dates. An interview with Teacher 5, who was responsible for completing the schedule, also admitted to observing 4 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP the infant room out of compliance with ratio, however, also could not provide exact dates.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8201(2)(e) · R 400.8201(2)(e) Comprehensive background check; fingerprinting. (2) An applicant or licensee shall do all of the following: (e) Complete and maintain the connection, disconnection, or withdrawn status of each individual associated with the license within the department's c hild care background check system.

The licensee did not complete and maintain the connection status of each individual associated with the license within the department's child care background check system when Teacher 6 was not connected to the license.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

R 400.8219(11) · R 400.8219(11) 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 a nd size.

On 07/21/2025 two infants were observed to have fallen asleep in swings and were not moved to an approved crib.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 October 21, 2022, I interviewed Child A's Mother. On October 17, 2022, she was contacted by program director Ashley Mader and told to come to the center to pick up Child A due to . She was also informed that was going to be disenrolled. Child s Mother acknowledged that Child A had een exhibiting such a other children and staff, but denied at home witi or parents. When she arrived at the center, Child A's entire and She denIed that there was a e also observed enssh e asked Ms. Mader about thE Child s Ms. Mader told her arrived at the center with the . She informed Ms. Mader that were not on - 04 MI and there when she received pictures of on the Preschool a app le app gives updates on the child's progress throughout the day). Ms. Mader then offered two additional possibilities. She reported that Child A had been all day and possibly the were from The second version was that possibly by a child Child Am another child. Child A's Mother became agitated and told em she wanted to speak with the owner, Jaclyn Voss. When she was contacted by Ms. Voss, she was told she was not present at the center when the incident occurred but would look into the incident. She acknowledged that she threatened Ms. Voss and told her that they better provide her with an explanation of what happened to Child A or they could tell it to the department. Ms. Voss told Child A's Mother that despite the incident they were standing by their decision to disenroll Child A. I asked Child A's Mother if Child A was taken for medical treatment or if a police report was filed due to thinking Child A. She denied filing a police report. She took Child A to the pediatrician three days later on October 20, 2022, not but because Child A had an When she took Child A to the"ope o rician the Child A's Mother reported she had taken pictures of Child and would submit them to this consultant. The pictures were taken atA th's"cen r on the same day of the incident when she picked .ip at 2:40 pm. Child A's Mother is unaware how theme occurred but wanted to ensure were not from retaliation. Child A did not report to Smother that someone in thM I reviewed the pictures of Child A's One picture was of Child A which appeared to be clear with no marks or discoloration. However there did appear to be n the Child A's Child A's Motner reponeo m is picture was sent to her in the Preschool2Me app at 11:00 am. The second picture was taken at 2:30 pm. Child A's and appeared to be consistent with the look of something came in contact with the that caused The on the was now I also observeo he other side of appe:aareedlc to have as well. I did not observe any s as reported by Child A's Mother. The picture does no mars at wou ook like a and is not consistent with On Friday October 21, 2022, made on onsi e inspection to the home of Child A to assess we11be1ng. She observed Child A' . There were no n Child A' . Child A was doing well, provided a picture of Child A to this consultant that was taken during the home visit, made a referral to law enforcement and was informed that based on the initial information there did not appear to be any reason to warrant police involvement and for her to proceed with the joint investigation with the department. 3 On October 25, 2022, 1 made a joint onsite investigation with . We interviewed the owner of the child care center, Jaclyn Voss. Sheon ac ed Child A's Mother regarding her concerns. Child A's Mother sent pictures via text messaging to show Child A's at pick up time. Ms. Voss described the and She also observed that e y further care" Ms. Voss apologized to Child A's Mother and agreed that the child staafmf em ers (ccsm's) should have done a better job at and ~ of Child A. Child A's Mother threatened her that if they did not agree to re- enroll Child A that they would contact the department and the media. Ms. Voss informed Child A's Mother that despite her threats she was not going to allow Child A to return to care at the center. During the onsite investig

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R400.8140 · R400.8140 Discipline (2) All of the following means of punishment are prohibited: (a) Hitting, spanking, shaking, biting, pinching, or inflicting other forms of corporal punishment. ................ ..............................................................................

The Child A's were not the result of someone or using any

Open Not marked corrected in the state record

Open / not marked corrected.

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

The child care staff members were unaware that Child D had ran out of the classroom until someone brought him back to the classroom.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8158 · R 400.8158 Incident, accident, injury, illness, death, fire reporting. (2) A licensee, licensee designee, or program director shall report to the child's parent and the department, directly or via phone, fax, or email, within 24 hours of the occurrence of any of the following: (a) A child is lost or left unsupervised.

The center failed to verbally report within 24 hours that Child D was found unsupervised in the hallway.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 October 14, 2022, I conducted a telephone interview with Ashley Mader, program director regarding the incident. Valentina Todaro and Angelina Earle were the child care staff members (ccsm's) responsible for the care and supervision of Child A at the time of the incident on October 11, 2022. They failed to do a headcount when they entered the lobby area (a required checkpoint) when transitioning back into the building. Ms. Mader was present in the building when the incident occurred and was in the office when someone came to report to her that Child A was missing. As she was walking out of the office, she was told by ccsm Alyson Szydlowski that she found Child A outside in front of the center standing by the door. She estimated that only a minute passed from the time she was notified that Child A was missing from when she was told he was found. Ms. Todaro and Ms. Earle both received training at orientation on care/supervision, head counts, and on the required check points to conduct headcounts when transitioning in/out of the room. Both were fairly new hires. Ms. Earle was hired August 29, 2022, and Ms. Todaro was hired Sept 19, 2022. There were no issues with either ccsm regarding inappropriate care or supervision prior to the incident. Both were terminated on October 12, 2022, for failing to appropriately supervise Child A. On October 14, 2022, I interviewed Child A's Mother. Child A's Mother was immediately notified about the incident. He was aware he had been left outside as he was upset and crying. Child A is fine and there were no physical injuries to Child A as a result of the incident. On October 14, 2022, I interviewed Ms. Todaro. Ms. Todaro had only been employed at the center for three weeks prior to the incident. She was a floater in the toddler room and worked in the toddler room most of the day. There were seven children in her care and ccsm Angelina Earle worked in the room with her just prior to them going outdoors. There were outside for approximately twenty to thirty minutes. She estimated that they came back inside the building around 5:00 pm. Child A was near the front of the line near Ms. Earle and Ms. Todaro was at the end of the line. They did a head count as they were leaving the playground, then counted as they crossed the sidewalk, and counted again once they reached the front door. As they approached the front door of the center Child B's father who is enrolled in the toddler room was arriving and held the door open for them as the children entered the building. She began talking to Child B's father and got distracted. Ms. Earle entered the building first, then the children, then Ms. Todaro. She assumed all the children made it in the building and the parent came in after her 3 and the door closed. As they were walking down the hallway, she observed two ccsm's (Katrina Stockemer and Alyson S) standing outside their classroom door talking. She entered the classroom helped Child B gather his belongings and then handed him to his father. (A review of the attendance record showed that Child B was signed out of the center at 5:05 pm). Once they entered the classroom, they did the final headcount and noticed that Child A was missing. She admitted that a head count was not done in the lobby which is one of their check points she was trained on for doing a head count. Child A was found by Alyson Szydlowski within a few minutes of them entering their classroom. Ms. Szydlowski reported that Child A was in the bye-bye stroller that is parked just outside the front/main door on the sidewalk. She reported that she was given a write up on October 11, 2022. She was contacted the following day and was informed that she was being terminated because Child A was left outside. On October 21, 2022, I conducted a telephone interview with child care staff member (ccsm) Angelina Earle. Ms. Earle is assigned to work in the infant room but is a floater in the toddler room as well. On the day of the incident, she transitione

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8158 · R 400.8158 Incident, accident, injury, illness, death, fire reporting. (2) A licensee, licensee designee, or program director shall report to the child's parent and the department, directly or via phone, fax, or email, within 24 hours of the occurrence of any of the following: (a) A child is lost or left unsupervised.

The center failed to verbally report within 24 hours that Child A was left outside and unsupervised.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8158 · 1 R 400.8158 Incident, accident, injury, illness, death, fire reporting. (4) A licensee, licensee designee, or program director shall submit a written report to the department of the occurrences outlined in subrules (1) (2) and (3) of this rule, in a format provided by the department, within 72 hours of the verbal resort to the department.

The center failed to submit a written report to the department within 72 hours that Child C was found unsupervised in the hallway.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 October 7, 2022, program director Ashley Mader reported that Child A jumped from an outdoor play structure and injured himself. The child care staff members (ccsm's) responsible for the care and supervision of Child A were Valentina Todaro, Rylee McKelvey, and Kristen Tompor. A review of the center's licensing file revealed that the center did not have prior approval from the department for the installation of outdoor play equipment. On October 11, 2022, I contacted Ms. Mader and asked her to send this consultant a picture of the play structure. Ms. Mader submitted via email a picture of the play structure. The unit was a vinyl and foam mat play unit designed for indoor use only, often referred to as "foam-nasiums." There were four parts to the unit that were not attached but pushed together. The middle part is in the shape of a square/cube and has a flat surface on the top. The other two pieces were on each side of the square/cube. One was a wedge for sliding down and the other piece of the unit has bumpy stairs for climbing. These three pieces are the same height. The fourth part of the unit is a triangle/pie shaped mat that rests flat on the ground in front of the unit. It appears there is at least a three-foot drop from the top of the unit to the bottom mat and there were not any protective barriers to prevent a child from jumping or falling from the top or sides of the unit. This unit was placed in the corner of the outdoor play area and was resting on grass which is not an approved ground surface cushioning material. The picture also showed several children on the unit at one time. On October 11, 2022, I interviewed licensee designee Carly Comparoni after reviewing the picture. She did not know who put the climber on the outdoor play area and thought that it was an appropriate unit for toddlers. I provided technical assistance to Ms. Comparoni and explained the wedge unit is an indoor piece of equipment, not for outdoor use and would require direct supervision where a caregiver would need to position themselves in the middle. I also discussed that it appeared the height was too tall for young toddlers. I further reminded Ms. Comparoni of the licensing rules that require that any equipment that is placed or installed on the outdoor play area must be inspected and approved by a certified playground inspector. The play unit would also need to be placed on appropriate ground surfacing material such as wood chips or pea gravel instead of being placed on grass which could have possibly prevented Child A from obtaining the type of injury to his leg he sustained. She reported that after the injury to Child A they immediately removed the unit from the outdoor play area. Ms. Comparoni was informed that an investigation would be opened. On October 14, 2022, I interviewed ccsm Valentina Todaro. They took the children outside at 3:00 pm. She had a group of children with her who were playing on the plastic/foam play unit. She reported there were four children on the structure at one 3 time, two were on the right side of the unit near the bumpy stairs, one was positioned toward the front/slide of the structure and Child A was at the very top of the unit on the cube/square in the middle. Ms. Todaro reported that she was sitting near the play structure. When she noticed that Child A was attempting to jump from the top she tried to get up and catch him, but he was too fast and he fell and landed on his hands and knees and then shifted and fell on his ankle. He began crying and said "foot." She picked him up and took him toward Ms. Mckelvey and Ms. Tompor to report what happened. She carried him inside the building and reported the injury to Ashley Mader, program director. They placed him on his back and tried to bring his knees up toward his chest and he continued to cry. They made several attempts to contact Child A's Mother and she did not answer the phone. They contacted Child A's Grandmother and reported the injury and asked that s

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8170 · R 400.8170 Outdoor play area. ............................. (11) The playground equipment, use zones, and surfacing in the outdoor play area must be inspected by a certified playground safety inspector and an approval granted for playground equipment and areas used before issuance of an original license, upon request of the department, and before using any newly added playground equipment. The center shall provide documentation of the inspection to the department upon request and shall keep it on file at the center.

The center placed a play structure on the outdoor play area without getting it inspected and approved by a certified playground safety inspector to ensure it was safe and age appropriate for use.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

R 400.8170 · R 400.8170 1 Outdoor play area. (13) All pieces of playground equipment that have an elevated playing or climbing surface, regardless of the height of the playing or climbing surface, must be surrounded by a shock absorbing surface and meet the guidelines defined by the Consumer Product Safety Commission (CPSC) Handbook for Public Playground Safety, which is available at no cost at www.cpsc.gov. This handbook is also available for inspection, and distribution at no cost, at the Michigan Department of Licensing and Regulatory Affairs, Bureau of Community and Health Systems, Child Care Division, 611 West Ottawa Street, Lansing, MI 48933. The shock absorbing surface material may be either unitary or the loose-fill type. An exception to this subrule is provided for natural olavarounds.

I The vinyl/foam play unit was placed on top of grass which is not an approved shock absorbing surface material.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

On June 15, 2022, I interviewed the complainant who reported child care staff members are not properly caring for children. Often times at pick up children have dried food, dirty noses and hands are sticky from not being cleaned properly. The child care staff members are not properly cleaning children after diapering. On June 27, 2022, I made an unannounced onsite investigation to the center and interviewed Ashley Mader, program director. She acknowledged that there was a concern with Child A (female, 13 months of age) brought to her attention by Child A's Mother about diapering. When she was made aware of the problem, she discussed it with staff and informed them to ensure they are doing better cleaning of faces, hands, and buttocks after diapering. Children who are able to hold their heads up are allowed to wash their hands in the sink. Infants who are not able to hold their heads up, staff use baby wipes to clean faces and hands. They have two different systems to document diaper changes. They use the Preschool2Me app that is updated throughout the day to document diaper changes, temperament, feedings... etc. They also will list the diaper changes and feeding times on the board as visual reminders to child care staff to feed and diaper children. Once the app is uploaded with the information, it is erased from the board. They try as best they can to make updates in the app as quickly as possible but it is not always as the event is occurring. The app has the capability to allow any child care staff member to update the app, not just the primary caregiver. While present in the room, I was able to observe a child care staff member diapering a child. The child was appropriately cleaned while the diaper was changed and the child was taken to the sink to wash their hands. I provided technical assistance to Ms. Mader regarding labeling the sinks to denote which sink will be used exclusively for handwashing after diapering only. The child care staff member also appropriately washed, rinsed, and sanitized the diapering table. On June 27, 2022, I interviewed Child A's Mother. She confirmed that Child A is constantly coming home with a dirty face from dried food and milk from not being cleaned after feeding times. Her hands are sticky and nose is dirty as well. One time there was an incident when they got home, Child A's Mother was changing Child A's diaper, she observed dried poop on Child A's onesie and her buttock. This was very upsetting and is unsure how long the dried poop was on her buttock. She addressed it with the program director but there has not been any improvement. Staff could do a better job of caring for the children and attending to their needs. She has no concerns about how Child A is being supervised. On September 13, 2022, I interviewed Child B's Mother. She has no concerns with supervision at all and feel the child care staff members have a genuine concern for 3 his well-being. In terms of his care, she confirmed that her son comes home with a dirty face and lent/dirt around his neck area. This has occurred since the center opened back in June of 2022 and continues to occur. Her child drools a lot, she just makes sure she washes his face and neck when they get home. She has not brought it to anyone's attention at the center as there could be bigger issues in terms of his care and did not want to address this as a concern. Things were very chaotic in the room a few months ago when the center first opened; but things have seemed to settle down currently. She denied any concerns with how he is diapered and has not observed any dried feces on his buttocks and no rashes that would give her concern that he is not being diapered properly. On September 13, 2022, I interviewed Child C's Mother. She has no concerns for her son's safety or the supervision provided by the child care staff members. In terms of his care, he comes home with a very dirty face and hands. Some days are better than others and it depends on which ch

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

R 400.8134 · R 400.8134 Hand washing. (3) Staff and volunteers shall ensure that children wash their hands at all of the following times: (a) Before meals, snacks, or food preparation experiences. (b) After toileting or diapering. (c) After handling animals and pets. (d) When soiled.

The complainant reported a concern over if there were too many cribs in the room. They are not spaced appropriately and has concerns on if it is safe the cribs to be so close together when the children are napping. I inquired if 5 • •' i 11411 for f' - .•f • -• ! • f f f' f : Vii - •' •- • " ff' • - f •. ^ • I . • - .' :~ •:ea •. . it • - fi ! f •• - f - fI. f f! •• f f R 1 ■'' - f. • f liii] i[SI II11 I • i • . :11 i :1 'P X During my onsite inspection on June 27, 2022, I observed children seated at the table during lunchtime. There were children consuming bottles of milk/formula. Children who were eating table foods also had sippy cups containing milk. Ms. Mader denied that milk is not being provided to children. Depending on the age of the child, they are provided with formula which would be their meal. These are provided on demand and not at specific meal times. Children who eat table food or baby food are often times, just given their meals, but milk is provided and made available. There are other children who are given both meals and milk depending on their age/stage of development. They do not typically serve water in the room as most of the children are under 1 year of age. Water is available for children over the age of 1 years of age if needed. In this room, there are parents who provide their own meals/formula for the younger children. The older children typically receive meals/milk provided by the center. Ms. Mader further added that they will try to encourage children to eat/drink but cannot force a child to consume either. There are times when a child may not want to consume food or beverages and this information is reported on the app to the parents so they are made aware. Child A's Mother discussed a concern with her regarding this issue. Child A sometimes has difficulty drinking from the sippy cups provided by the center which had straws, the parent has since started provided her own sippy cup for Child A and seems to have resolved the issue of Child A not wanting to consume milk. There is a refrigerator in the infant room that I inspected. There was a container of opened milk in the refrigerator. Ms. Mader reported this milk was specifically for Child A who is lactose intolerant. This container was not labeled with the child's name nor the date of opening. On June 27, 2022, I interviewed Child A's Mother. She reported that there are times when Child A would be picked up and would have only one bottle/cup of milk that had been consumed all day. She is concerned that especially during snack times if they are consuming dry crackers that children would need a beverage with the snacks. She made a request for her child to receive a beverage with her snacks and does not believe her request is being honored because there are days when the child would come home with the bottles/cups still in her bag with full bottles containing water and milk. On September 13, 2022, I interviewed Child B's Mother. She denied any issues or concerns with staff making beverages available to her child. The mother provides her own formula and the child drinks 8-ounce bottles. There was one time when his last bottle accidentally spilled out and they substituted it with puffs as an alternative. They made her aware and there was no issue. He has never come home with the same number of bottles at the end of the day. On September 13, 2022, I interviewed Child C's Mother. She provides formula in bottles for her child. There are no issues/concerns with the staff not providing the bottles to her child. At pick up time, he has consumed all if not most of his bottles. 7 On September 13, 2022, I interviewed Child D's Mother. She has no concerns with her child not getting enough beverages throughout the day. He is on regular milk that she provides in four bottles for the day. At the end of the day, he has consumed all but one bottle. He is also on table food, which she provides in containers. The containers are empty and rinsed out when they are given

R 400.8330 · ....................................................................................................................................... R 400.8330 Food services and nutrition generally. (2) A written agreement must be kept on file at the center if the parent has agreed to provide formula, milk, or food. The center shall provide an adequate amount of formula, milk, or food if the parent does not.

On June 27, 2022, I inspected the center. There was not a menu posted in the infant room. I inspected the toddler room next door and there was no menu posted in this room either. I inspected the main lobby area and there was no menu posted in the lobby. There was a menu posted in the kitchen area, but this would not be an area accessible/visible to parents to observe. I provided technical assistance to Ms. Mader and advised her that menus must be posted in an area visible to parents. I recommend that she post the menu on the blank bulletin board that was in the lobby and create a main board of general information that would provide information that would be applicable to all families.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

R 400.8330 · R 400.8330 Food services and nutrition generally. (6) A center shall make water available to drink throughout the day to children 1 year of age and older.

The complainant reported that the center is not providing a balanced meal consisting of fruits and vegetables. The lunch options do not appear to be of nutritional standard. During the onsite inspection on June 27, 2022, I observed the lunch being served. The meal consisted of chicken nuggets, green beans, tator tots and milk. This meal rj would meet the requirements under the child and adult care food program (CACFP) requirements. The requirements do not require both a fruit and vegetable but one or the other. I inspected the kitchen to determine if an adequate amount of food was available at the center. I inspected the refrigerator and freezer and observed bulk sizes of food for breakfast and lunch such as but not limited to chicken nuggets, beefaroni, pizza sticks, tortillas, waffles, mixed vegetables, french toast, mac n cheese.. .etc. The cabinets contained cereal, oatmeal, vanilla wafers, gold fish crackers, canned fruits, canned vegetables... etc. Ms. Mader reported that they purchase milk on a weekly basis and do a big Gordons order for the bulk items one time per month. There is no indication that the center does not have an adequate amount of food at the center. Of the sampling of parents interviewed, Child F's Mother was the only child who eats the meals provided by the center. She reported no concerns regarding the nutritional value of the types of meals that are provided. Her child has received nuggets, pizza strips and they usually provide some type of vegetable or fruit. They try their best to provide a balanced meal. Snacks are typically crackers.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

R 400.8330 · 1 R 400.8330 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 noted on the menus the da the substitution occurs.

This consultant inspected the infant classroom on June 27, 2022. I did not observe anything on the floors that would give the appearance of them being extremely dirty. The floor appeared clean upon visual inspection. Ms. Mader reported she was made aware of this concern by a parent who indicated that their child comes home with dirty feet. She informed the parent that they make every effort to sweep the floors several times throughout the day, after meal times, and they mop the floors at the end of the day. Ms. Mader added that she was unclear if there is dust falling on the floor from the building being new construction but could not provide a clear explanation on why her child would have dirty feet. Ms. Mader has not been made aware of this concern by any other parent. If someone walks in during meal times, there are moments when food will get on the floor near the tables as some of the children are self-feeding. This would be the only time when the floor would be dirty. However, it is only under the feeding table and it is cleaned immediately after meal times. On June 27, 2022, I interviewed Child A's Mother. Child A comes home with dirty clothes and socks due to the floors being extremely dirty. There is nothing visibly that can be seen when looking at the floor but something is causing her child to come home with dirty clothes and socks. On September 13, 2022, I interviewed Child B's Mother. She has no concerns with the cleanliness of the room. She has not had any issues with her child coming home with dirty clothes, socks, or feet. On September 13, 2022, I interviewed Child C's Mother. She has never noticed dirty floors and does not have any issues with her child having dirty clothes or feet. She has observed a child care staff member sweeping the floors and mopping the floors at the end of the day at pick up time. On September 13, 2022, I interviewed Child D's Mother. She has never noticed any extremely dirty floors. Her child has not come home with dirty clothes. She sends her child to the center with black socks so she has not observed any dirt on the socks and has never had her child come home with dirty feet after removing socks. On September 13, 2022, I interviewed Child E's Mother. She has never noticed any items on the floor or visibly seeing dirt on the floor. She denied her child coming home with dirt on her clothes, socks, or feet. On September 13, 2022, I interviewed Child F's Mother. She has never visibly seen dirt on the floors in the room. However, when the center first opened in June of 2022 there were a few times when her child would come home with dirty socks. They probably were not doing a good job of mopping the floors initially. This has improved and has not been an issue recently. 11

Not marked corrected in the state record

R 400.8335 · R 400.8335 Food services and nutrition; provided by center. (1) Food and beverages provided by a center must be of sufficient quantity and nutritional quality to provide for the dietary needs of each child according to the minimum meal requirements of the child and adult care food program (CACFP), as administered by the Michigan department of education, based on 7 CFR part 226, 1-1-18 edition, (2018) of the United States Department of Agriculture, Food and Nutrition Service, CACFP, and is hereby adopted by reference. A copy can be obtained at no cost from CACFP at http://www.fns.usda.gov/cacfp/meals-and-snacks. In addition, a copy is available for inspection and distribution at no cost at the Michigan Department of Licensing and Regulatory Affairs, Bureau of Community and Health Systems, Child Care Division, 611 West Ottawa Street, Lansing, MI 48933.

Ms. Mader confirmed that there were two preschool-age children who had ticks on them believed to occur from the outdoor play area. They sent a notice out to parents informing them to bring in bug spray, sunscreen etc. as they would be going outdoors. Ms. Mader confirmed that Ms. Voss's (licensee) husband came and sprayed something on the outdoor play area to treat for the ticks. She is not aware of what type of treatment was applied. She reported that the treatment was applied on a Thursday during the child care operating hours. The children were not allowed to go outdoors until the following afternoon. She acknowledged that a notification was not sent out to the parents that a treatment was applied as required. I provided Ms. Mader with technical assistance/consultation regarding how the notification is to be made in advance of the treatment and the notification should include the type of pesticide used, the target pest, approximate location of the treatment, and the date in which the pesticide will be applied.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

R 400.8380 · R 400.8380 Maintenance of premises. (4) Floors, interior walls, and ceilings must be kept in sound condition, good repair, and maintained in a clean condition.

I The floors were maintained in a clean condition.

Open Not marked corrected in the state record

Open / not marked corrected.

R 400.8380 · R 400.8380 Maintenance of premises. (9) A center shall adopt and implement an integrated pest management policy as required by section 8316 of the natural resources and environmental protection act, 1994 PA 451, MCL 324.8316.

The center failed to implement the pest management policy when they failed to notify parents about a pesticide treatment being applied to the outdoor play area in treatment of ticks.

Open Not marked corrected in the state record

Category: physical safety. 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: Age Child Care Staff Maximum Group Size member to Child Ratio a) Infants and toddlers, 1 to 4 12 birth until 30 months of age b) Preschoolers, 30 months 1 to 8 of age until 3 years of age c)Preschoolers, 3 years of 1 to 10 age until 4 years of age d)Preschoolers, 4 years of 1 to 12 age until school-age e) School-agers 1 to 18

On June 13, 2022, I made an unannounced onsite investigation and interviewed program director Ashley Mader. She admitted that when the center first opened in May of 2022, there were some staffing issues due to scheduling conflicts with the parents. Children were arriving at earlier times than contracted which would cause staffing issues during the opening hours from 6am-8am. The center opens at 6am with two child care staff members. The child care staff members would arrive every hour during the opening hours. Once all the rooms 1/2 were opened for the day, they were following the child care staff member to child ratios. There was another incident at the beginning of June of 2022 when they had three child care staff members who were out ill at the same time which caused them to be out of ratio again throughout the day until they could get additional staff. To address the issue, Ms. Mader has started bringing child care staff members in every 15 minutes to help appropriately staff the center. She has also hired five new child care staff members who were reported to start their orientations the following day. I conducted an inspection of the entire center to do a headcount. All of the rooms were following the child care staff member to child ratios during my onsite investigation. The infant room had a 3:12 child care staff member to child ratio. The 2 toddler room was closed on this day. The young preschool room (2yr-3yr) had a 3:10 child care staff member to child ratio. The preschool room (3y-4yr) had a 2:15 child care staff member to child ratio. The pre-k classroom (4yr-5yr) had a 1:11 child care staff member to child ratio. The school-age classroom had a 1:8 child care staff member to child ratio.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

R 400.8345 · R 400.8345 Water supply; plumbing. (4) All plumbing fixtures and water and waste pipes must be properly installed and maintained in good working condition.

The toilet in the preschool classroom was not maintained in good working order.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.