STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH CARE SERVICES

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RICK SNYDER GOVERNOR June 12, 2015 STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH CARE SERVICES MIKE ZIMMER DIRECTOR Jennifer Miller RE: License #: DG810064189 Jennifer's Day Care Dear Ms. Miller: Your Group Child Care Home license is renewed. It is valid only at your present address and is nontransferable. If you move, please notify us at least 30 days in advance. You will be receiving the license in the mail. Please review it for accuracy. Attached is the Licensing Study Report for the above referenced facility. The study has determined substantial compliance with applicable licensing statutes and rules. You have submitted an acceptable written corrective action plan covering the violations cited in the report. Therefore, your license is renewed. Please review the enclosed documentation for accuracy and contact me with any questions. In the event that I am not available and you need to speak to someone immediately, please contact the local office at (517) 284-9720. Per MCL 722.113g, this report and any related corrective action plans must be filed in your Licensing Notebook. P.O. BOX 30650 LANSING, MICHIGAN 48909 www.michigan.gov (517) 284-9700

Sincerely, Dalerie Hughes, Licensing Consultant Bureau of Children and Adult Licensing 22 Center Street Ypsilanti, MI 48198 (734) 660-7987 enclosure 2

MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF CHILDREN AND ADULT LICENSING RENEWAL INSPECTION REPORT I. IDENTIFYING INFORMATION License #: Licensee Name: Licensee Address: DG810064189 Jennifer Miller Licensee Telephone #: (734) 428-7459 Licensee: Name of Facility: Facility Address: N/A Jennifer's Day Care Facility Telephone #: (734) 428-7459 Original Issuance Date: 12/12/1994 Capacity: 12 Age Range: Ages Birth Thru 17 years 1

II. METHODS OF INSPECTION Date of On-site Inspection(s): 06/09/2015 No. of Records Reviewed No. of children enrolled in care 14 14 No. of assistant caregivers employed 3 3 No. of children present at time of inspection 11 No. of assistant caregivers present at time of inspection 1 Licensee present at time of inspection? Yes No. of children interviewed/observed 11 Persons Interviewed: Licensee Assistant Caregivers Approved child use space: The entrire main floor of the home Exiting information (including second floor and basement): There are three remote exits. Approved variances - No Yes Description: Additional information: Pets? No Yes If yes, describe. There a 3 cats and 2 dogs. Hot tubs or spa pool? No Yes If yes, are there appropriate barriers? Swimming pool? No Yes If yes, describe pool and barriers. Other water hazards? No Yes If yes, describe. Fireplace or wood burning stove? No Yes If yes, describe. Fireplace/wood burner in use during child care hours? No Yes If yes, describe barriers to protect children from burns. III. DESCRIPTION OF FINDINGS & CONCLUSIONS This renewal inspection involved a review of all applicable child care home administrative rules and statutes. Verification of compliance included direct observations of the physical environment and the program, discussions with staff, and a review of the home s records, including staff records and children s records. 2

Staff records include background checks, medical clearance information, and training information. Children s records include child information cards and child in care statements/receipts. During the inspection, the child care home was found to be in compliance with all applicable rules and statutes except for the following violations: MCL 722.115d Offer of employment to person at child care organization; criminal history check and criminal records check; current employees; cost. (1) Before a child care organization makes an offer of employment to a person or allows a person to regularly and continuously work under contract at the child care organization, the child care organization shall perform a criminal history check on that person using the department of state police's internet criminal history access tool (ICHAT) or equivalent check on that person from the state or province of residence. One assistant caregiver did not have documentation that an ICHAT was completed before an offer an employment was made. R 400.1905 Training. (6) Verification of participation in the required training, signed by the trainer or an authorized individual, shall be kept on file. One assistant caregiver did not have documentation of completed training available on file. R 400.1906 Records of caregiving staff and child care home family; record maintenance. (1) The caregiver shall maintain a file for the caregiver and each assistant caregiver including all of the following: (b) A statement signed by a licensed physician or his or her designee and which attests to the individual's mental and physical health. (ii) For the assistant caregivers, within 1 year prior to caring for children and at the time of subsequent renewals. 3

Two assistant caregivers did not have current statements of health completed by a physician available. R 400.1906 Records of caregiving staff and child care home family; record maintenance. (1) The caregiver shall maintain a file for the caregiver and each assistant caregiver including all of the following: (f) Documentation from the department of human services that the assistant caregiver has not been involved in substantiated child abuse or neglect. One assistant caregiver did not have documentation from the department of human services on file that she was not placed on central registry. A corrective action plan was requested and approved on 06/09/2015. It is expected that the corrective action plan be implemented within the specified time frames as outlined in the approved plan. A follow-up evaluation may be made to verify compliance. Should the corrections not be implemented in the specified time, it may be necessary to reevaluate the status of your license. IV. RECOMMENDATION I recommend issuance of a regular license to this child care group home (capacity 7-12). June 12, 2015 Dalerie Hughes Date Licensing Consultant 4