STATE OF MICHIGAN
RICK SNYDER
GOVERNOR
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
BUREAU OF COMMUNITY AND HEALTH SYSTEMS
MIKE ZIMMER
DIRECTOR
December 1, 2015
Mary Smith
705 Crapo
Mt Pleasant, MI 48858
RE: License #: DG370075430
Smith Mary Jane
705 Crapo
Mt Pleasant, MI 48858
Dear Mrs. Smith:
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 (231) 922-5309.
Per MCL 722.113g, this report and any related corrective action plans must be filed in
your Licensing Notebook.
Sincerely,
Mary Pat Jennings, Licensing Consultant
Bureau of Community and Health Systems
1919 Parkland Drive
Mt. Pleasant, MI 48858-8010
(989) 948-0559
enclosure
P.O. BOX 30664 • LANSING, MICHIGAN 48909-8164
www.michigan.gov • (517) 335-1980
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
BUREAU OF COMMUNITY AND HEALTH SYSTEMS
RENEWAL INSPECTION REPORT
I. IDENTIFYING INFORMATION
License #:
DG370075430
Licensee Name:
Mary Smith
Licensee Address:
705 Crapo
Mt Pleasant, MI 48858
Licensee Telephone #:
Licensee:
N/A
Name of Facility:
Smith Mary Jane
Facility Address:
705 Crapo
Mt Pleasant, MI 48858
Facility Telephone #:
(989) 772-7342
Original Issuance Date:
02/25/1997
Capacity:
12
Age Range:
Ages Birth Thru 14 years
1
II. METHODS OF INSPECTION
Date of On-site Inspection(s):
12/01/2015
No. of Records
Reviewed
6
6
1
1
No. of children enrolled in care
No. of assistant caregivers employed
No. of children present at time of inspection
No. of assistant caregivers present at time of inspection
Licensee present at time of inspection?
4
1
Yes
No. of children interviewed/observed
Persons Interviewed:
4
Licensee
Assistant Caregivers
Approved child use space: Family room, play room, kitchen and living room
Exiting information (including second floor and basement):
No
Yes Description:
Approved variances Additional information:
• Pets? No
Yes
If yes, describe.
•
Hot tubs or spa pool? No
•
Swimming pool? No
•
Other water hazards? No
•
Fireplace or wood burning stove? No
•
Fireplace/wood burner in use during child care hours? No
describe barriers to protect children from burns.
Yes
Yes
If yes, are there appropriate barriers?
If yes, describe pool and barriers.
Yes
If yes, describe.
Yes
If yes, describe.
Yes
If yes,
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.
Staff records include background checks, medical clearance information, and
2
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:
R 400.1905
Training.
(1) The caregiver shall complete not less than 10 clock hours of
training each year related to child development, program
planning, and administrative management for a child care
business, not including CPR, first aid, and blood-borne
pathogen training.
Mrs. Smith had not completed all of her required training hours over the past two
years.
R 400.1905
Training.
(2) Each assistant caregiver shall complete not less than 5
clock hours of training each year related to child development
and caring for children, not including CPR, first aid, and bloodborne pathogen training.
Mrs. Smith’s assistant caregiver had not completed required training over the past
year.
R 400.1923
Diapering and toilet learning.
(2) The designated changing area shall comply with all of the
following:
(d) Have a nonabsorbent, easily sanitized surface with a
changing pad between the child and the surface.
Mrs. Smith had a changing pad, but it was not placed over a non-absorbent surface.
R 400.1923
Diapering and toilet learning.
(2) The designated changing area shall comply with all of the
following:
(g) Have a plastic-lined, tightly covered container exclusively
for disposable diapers and diapering supplies that shall be
emptied and sanitized at the end of each day.
3
There was no covered, plastic lined container for the disposal of diapers and
diapering supplies.
A corrective action plan was requested and approved on 12/01/2015. 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 712).
________________________________________
Mary Pat Jennings
12/01/15
Licensing Consultant
4