Tami's Tots Daycare

R 400.1907(2) · R 400.1907(2) Child’s record. Records in subrule (1) of this rule must be reviewed and updated annually or when information changes.

Of 10 child information cards and child in care statements reviewed, 9 had not been updated within the past year. The one that was is for a newly enrolled child.

R 400.1945(4) · R 400.1945(4) Emergency; plan; drill. Fire drills must be practiced while children are in care at least once quarterly, and a written record that includes the date and time it takes to evacuate must be maintained.

A fire drill must be conducted quarterly. There was no drill completed in the 3rd quarter of 2025.

R 400.1952(1)(a) · R 400.1952(1)(a) Child transportation; parent permission; child information card; required when off-premises. Routine transportation, at least annually."

Tammy Postema did not obtain written permission to routinely transport a child care child.

722.115n(3) Application for or renewal of license to operate child care center, group child care home, or family child care home; household member or child care staff member; criminal history check; requirements; duties of department. Each individual listed in subsection (1) shall give written consent at the time of the license application and before a group child care home or family child care home allows an individual to be a member of the household, or before becoming a child care staff member to allow the department of state police to conduct the criminal history check required under subsection (1). The department shall require the individual to submit his or her fingerprints to the department of state police and the Federal Bureau of Investigation for the criminal history check as required in subsection (1). 3 LANDMARK BUILDING • 105 W. ALLEGAN STREET • LANSING, MICHIGAN 48933 Michigan.gov/MiLEAP Bureau

R 400.1961 · ............... R 400.1961 Parent notification required; incidents; accidents; illness; disease; isolation. (1) A licensee shall promptly report to a child's parent any of the following: (b) A child who is exposed to a communicable disease so the child may be observed for symptoms of the disease.

On 10/20/2021 the department received a complaint alleging that Ms. Postema has had an outbreak of Hand, Foot, and Mouth Disease and an outbreak of Covid-19 and did not promptly report these cases to parents of other children in her care. I interviewed the Complainant in order to get further clarification. The Complainant reported that Hand, Foot, and Mouth Disease went around the facility in the beginning of September. Despite being told by parents that she needed to post a notice that a communicable disease was present in the facility, Ms. Postema did not post anything. When Ms. Postema did post a notice, she put it on a slider door that is usually not visible to parents. Ms. Postema was not home during my onsite inspection. Child care staff member Ms. Vicki Esch confirmed that children in the child care had Hand, Foot, and Mouth Disease. Ms. Postema told the parent that the child could not return until he was cleared up. Ms. Esch is "pretty sure" Ms. Postema notified the other parents. The child care did not close but they cleaned with Lysol. Child care staff member Ms. Lacey Hawk reported that two or three children had Hand, Foot, and Mouth Disease at the end of September 2021. She reported that Ms. Postema put a note on the door. She denied that the child care closed but reported that they sanitized toys. Ms. Postema reported that two children (Child B and a child she could not recall) had Hand, Foot, and Mouth Disease. Ms. Postema reported that she posted a note on the slider and texted or told verbally all the parents of children in care, and deep cleaned the home. Ms. Postema called me on October 26, 2021 to inform me that she had all parents sign a document stating that she told them of the previous Hand, Foot, and Mouth Disease. Ms. Postema called back later to report that there were actually three children (Child A, Child B, and Child C) who had Hand, Foot, and Mouth Disease. Child A's Mother reported that Child A got Hand, Foot, and Mouth disease in September. Ms. Postema did post a notice on the slider door, but Child A's Mother reported that it was about two weeks after Ms. Postema was informed that a child had a communicable disease. Child A's Mother denied that she was notified that any other children had the disease. Child A's Mother denied any concerns with the care her son receives. Child B's Mother reported that Child B was not feeling well on Sunday, August 29th. Child B was diagnosed with Hand, Foot, and Mouth Disease on Wednesday, September 1st. When she called Ms. Postema the same day to tell her, Ms. 3 Postema told her that another child also had Hand, Foot, and Mouth Disease. Child B's Mother mentioned to Ms. Postema that she needed to tell the other parents about the communicable disease, especially with the upcoming holiday weekend. Ms. Postema said she was not going to inform parents "because they'll panic." Ms. Postema posted a notice on the door on September 3. Child C's Mother stated that Child C was diagnosed with Hand, Foot, and Mouth Disease due to a fever, but Child C's Mother thinks he was misdiagnosed. He was kept out of care until the fever was gone. Child C's Mother could not remember when this was, but it was sometime shortly after school started in September. Child C's Mother did not know if other parents were notified of the diagnosis. Child C's Father reported that Child C was diagnosed with Hand, Foot, and Mouth Disease on Wednesday, October 13 and was kept out of care until his fever was gone. Child C's Father could not remember if he received a text indicating that there were multiple cases of Hand, Foot, and Mouth Disease present in the child care. He did see a sign on the slider door entering into the childcare stating that a child had Hand, Foot, and Mouth Disease. Child D's Mother stated Child D was diagnosed with Hand, Foot, and Mouth Disease on the Friday or Saturday of Labor Day weekend and was out of care for a week. Child D's Mother did not know if Ms. Postema notified pa

R 400.1910 · R 400.1910 Ratio of personnel to children. ................ ..... (1) The ratio of personnel to children present in the home at any 1 time must be not less than 1 member of the personnel to 6 children. The ratio must include all children in care who are not related to any personnel and any of the following children who are less than 6 years of age: ...

Ms. Postema did not ensure that the appropriate ratio of 1 caregiver per 6 children is followed at all times. While Ms. Hawk was picking up children from preschool, Ms. Esch was left caring for seven children. ..........

R 400.1913 · R 400.1913 Discipline; child handling. ....................................... .... ............. (3) Personnel shall not do any of the following: (g) Use time out for children under 3 years old.

Ms. Postema did not ensure that children under three years are not placed in time out. During the onsite inspection, a child care staff member placed a two-year-old in time out.

R 400.1924 · R 400.1924 Hand washing. (2) Personnel shall ensure that children wash their hands at all of the following times: (a) Before and after meals, snacks, or food preparation experiences.

Ms. Esch did not ensure that children wash hands after eating.