STATE OF M ICHIGAN
DEPARTMENT OF HUMAN SERVICES
OFFICE OF CHILDREN AND ADULT LICENSING
JENNIFER M. GRANHOLM
MARIANNE UDOW
GOVERNOR
DIRECTOR
February 14, 2007
Keisha Townsend
20835 Cunningham
Warren, MI 48091
RE: Application #: DG500287533
Townsend, Keisha
20835 Cunningham
Warren, MI 48091
Dear Ms. Townsend:
Attached is the Original Licensing Study Report for the above referenced facility. You
have submitted an acceptable written corrective action plan covering the violations cited
in the report. The study has determined substantial compliance with applicable
licensing statutes and administrative rules. Therefore, a provisional license with a
maximum capacity of 12 is issued.
Please review the enclosed documentation for accuracy and feel free to contact me with
any questions. In the event that I am not available and you need to speak to someone
immediately, please feel free to contact the local office at (586) 228-2093.
Sincerely,
Christine Mullane, Licensing Consultant
Office of Children and Adult Licensing
39531 Garfield
Clinton Township, MI 48038
(586) 412-6830
enclosure
P.O. BOX 30650 • LANSING, MICHIGAN 48909-8150
www.michigan.gov • (517) 335-6124
MICHIGAN DEPARTMENT OF HUMAN SERVICES
OFFICE OF CHILDREN AND ADULT LICENSING
LICENSING STUDY REPORT
I. IDENTIFYING INFORMATION
License #:
DG500287533
Applicant Name:
Keisha Townsend
Applicant Address:
20835 Cunningham
Warren, MI 48091
Applicant Telephone #:
(586) 427-1575
Administrator/Licensee Designee:
N/A
Name of Facility:
Townsend, Keisha
Facility Address:
20835 Cunningham
Warren, MI 48091
Facility Telephone #:
(586) 427-1575
11/22/2006
Application Date:
Capacity:
12
Program Type:
CHILD DAY CARE GROUP HOME
(CAPACITY 7-12)
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II.
METHODOLOGY
05/06/2006
Orientation Scheduled For-
05/06/2006
Orientation Attended
10/30/2006
Inspection Completed-Heating Approved
11/22/2006
Enrollment
11/27/2006
Contact - Document Received
cpr/first aid 11/18/06
11/27/2006
Contact - Document Received
radon 0.3 pCi/L
11/27/2006
Contact - Document Received
medical 10/27/06 Neg TB 11/01/06 Keisha and Neg TB for
Theloneous 3/9/05
12/13/2006
Application Incomplete Letter Sent
water heater
12/14/2006
Inspection Completed-Water Heater
12/19/2006
Application Complete/On-site Needed
12/19/2006
File Transferred To Field Office
CT
12/21/2006
Contact - Document Received
Licensing file received from Central Office on 12/21/2006.
02/12/2007
Inspection Completed-BFS Sub. Compliance
02/12/2007
Corrective Action Plan Received
02/12/2007
Corrective Action Plan Approved
02/14/2007
Inspection Completed On-site
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III.
DESCRIPTION OF FINDINGS & CONCLUSIONS
A. Description of Facility
This residence is a 3 bedroom, 2 bath home located on a residential street in Warren,
Mi. The home has city water and city sewage service.
The following rooms were inspected and approved for day care use:
Basement
15.5
10
11
Spare bedroom on 9
Main level
x 12.1
x 7
x 7
x
12
The only other room that will be used occasionally for napping infants is the licensee’s
son’s bedroom. An infant will be placed in a porta-crib when sleeping in the licensee’s
son’s bedroom.
There is a total of 456 square feet of available indoor activity space. Day care children
will use the bathroom in the basement. The basement has an egress window that
meets the requirements of Rule 1943 (12). The backyard is completely fenced in.
There is a Little Tyke slide set that will need cushioning materials underneath it before
children will be able to use it. The licensee will not allow children to use the slide set
until the materials are obtained and placed underneath it.
There are no pets or weapons in this home. There is an electric fireplace in the
basement that is blocked off by a baby gate.
This day care home is well equipped with toys, materials and furniture for 12 children at
any one time.
B. Program Description
The licensee has had a family day care home at this address since July 2005. She has
had no complaints filed against her home. This day care home operates Mondays thru
Saturday from 6:30 a.m. to Midnight. Mrs. Townsend has taken great care in training
her assistants. She devised a very thorough staff-training handbook to insure her day
care children receive the best of care.
Mrs. Townsend has current CPR and First Aid. She is on the Federal Food program
and is active in the local provider association group.
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C. Rule/Statutory Violations
R400.1907
Children’s records.
(1) At the time of initial attendance, the caregiver shall obtain
the following documents:
(a) A completed child information card on a form provide by
the department or a comparable substitute approved by
the department.
(b) A child in care statement/receipt using a form provided
by the department and signed by the parent certifying
the following:
(i) Receipt of a written discipline policy.
(ii) Condition of the child’s health.
(iii) Receipt of a copy of the family and group child care
home rules.
(iv) Agreement as to who will provide food for the child.
(v) Acknowledgement that the assistant caregiver is 14
to 17 years of age, if applicable.
(vi) Acknowledgement that firearms are on the premises,
if applicable.
(c) Documentation that immunizations and boosters, as
recommended by the department of community health,
are any of the following:
(i) Have been completed.
(ii) Are in progress.
(iii) Are not being administered due to religious, medical,
or other reasons based on a waiver signed by the
parent.
(d) If a parent objects to emergency medical treatment on
religious grounds, the parent shall provide a signed
statement that he or she assumes responsibility for all
emergency care.
Five child information cards were incomplete and several OCAL 3900 forms were
outdated.
R400.1944
Smoke detectors; fire extinguishers.
(3) A home shall have at least 1 functioning multipurpose fire
extinguisher, with a rating of 2A-10BC or larger, properly
mounted not higher than 5 feet from the floor to the top of
the fire extinguisher, on each floor level that is used by
children in care.
The fire extinguishers on both levels were more than 5 feet from the floor to the top
of the extinguisher.
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R400.1920
Outdoor play area and equipment.
(5) When swings, climbers, slides, and other similar play
equipment with a designated play surface above 30 inches are
used, they shall:
(a) Not be placed over concrete, asphalt, or a similar surface,
such as hard-packed dirt or grass.
(b) Be safe, in good repair, and age-appropriate.
(c) Be placed at least 6 feet from the perimeter of other
play structures or obstacles.
The Little Tyke slide set was higher than 30 inches and it was placed over grass.
IV.
RECOMMENDATION
I recommend issuance of a provisional license to this child day care group home
(capacity 7-12).
02/14/2007
________________________________________
Christine Mullane
Date
Licensing Consultant
Approved By:
2/15/07
________________________________________
Candyce Crompton
Date
Area Manager
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