RICK SNYDER GOVERNOR STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING SHELLY EDGERTON DIRECTOR October 12, 2016 Christina Morales Matrix Human Services 2051 Rosa Parks Detroit, MI 48216 RE: Application #: DC820384395 Matrix Head Start Timbuktu 10800 E Canfield Detroit, MI 48214 Dear Ms. Morales: Attached is the Original Licensing Study Report for the above referenced facility. The study has determined substantial compliance with applicable licensing statutes and rules. Therefore, a provisional license with a maximum capacity of 36 is issued. Please review the attached 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 (313) 456-0380. Per MCL 722.113g, this report must be filed in your Licensing Notebook. Sincerely, Nicole Gibby, Licensing Consultant Bureau of Community and Health Systems Cadillac Pl. Ste. 9-100 3026 W. Grand Blvd Detroit, MI 48202 (313) 938-5874 enclosure 611 W. OTTAWA P.O. BOX 30664 LANSING, MICHIGAN 48909 www.michigan.gov/lara 517-335-1980 MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF COMMUNITY AND HEALTH SYSTEMS LICENSING STUDY REPORT I. IDENTIFYING INFORMATION License #: DC820384395 Applicant Name: Matrix Human Services Applicant Address: 2051 Rosa Parks Detroit, MI 48216 Applicant Telephone #: (313) 962-5255 Licensee/Designee: Christina Morales, Designee Name of Facility: Matrix Head Start Timbuktu Facility Address: 10800 E Canfield Detroit, MI 48214 Facility Telephone #: (313) 962-5255 08/16/2016 Application Date: Capacity: 36 Program Type: CHILD CARE CENTER 1 II. III. METHODOLOGY 06/22/2016 Inspection Completed- Environmental Health: A Rating 07/26/2016 Application Complete/On-site Needed 08/02/2016 Inspection Completed- Fire Safety: A Rating 08/16/2016 Enrollment 08/17/2016 Contact - Document Sent Rules and act sent 08/17/2016 File Transferred To Field Office Detroit/Wayne 08/17/2016 Contact - Telephone call received I talked with Ms. Morales to let her know this application was sent to Detroit office today. 08/22/2016 Inspection Completed On-site 09/01/2016 Inspection Completed-BCAL Full Compliance DESCRIPTION OF FINDINGS & CONCLUSIONS A. Description of Facility Timbuktu Academy is a Charter School located at 10800 E. Canfield in Detroit. Timbuktu Academy is a two story school building. Matrix Head Start will operate Head Start program. The classrooms are located on the lower level of the building. The center is requesting a maximum capacity of 36 children. Approved space (room numbers, sizes, capacity and ages of children for which each room/well-defined space is approved, etc.): The following rooms are approved for child care: Classroom 119 measures 27 ft. x 24 ft., providing approximately 648 sq. ft. and can accommodate up to 18 children (ages 2.5 years to 5 years) based on 35 sq. ft. per child. Classroom 121 measures 27 ft. x 24 ft., providing approximately 648 sq. ft. and can accommodate the requested capacity of 18 children (ages 2.5 years to 5 years) based on 35 sq. ft. per child. 2 Classroom 123 measures 27 sq. ft. x 24 sq. ft., providing approximately 648 sq. ft. and can accommodate the requested capacity of 18 children (ages 2.5 to 5 years old) based on 35 sq. ft. per child. Equipment: The center has an adequate supply of play and developmentally appropriate equipment for the children to utilize. Number of sinks and toilets: The boys’ bathroom has two toilets, two urinals, and two sinks. The girls’ bathroom has two toilets and two sinks. This is sufficient to support the requested capacity. Outdoor play area - location, fenced or not, water hazards: The center will not utilize the outdoor in-ground equipment until an outdoor playground inspection has been completed. The program will utilize outdoor play equipment such as balls, bicycles, jump ropes, etc. The outdoor play area is fenced in and there are no water hazards. Documentation if a lead hazard risk assessment was required and the results: This center had a lead hazard risk assessment completed and approved on 10/5/2016 by Dawn Winther, Lead Hazard Risk Assessor, ATC Group Services, LLC, #P-04290 Documentation of playground safety: The playground has not been inspected. B. Program Description Ages of children served: This child care program will serve children age 2.5 years to 5 years. Proposed days and hours of operation: Days and hours of operation are Monday-Friday from 7:30 a.m. – 6:00 p.m. Full or part time (AM or PM sessions or both): This center will offer full day sessions. Other program components - transportation, swimming, food service: 3 The center will offer breakfast, lunch and PM snack. The food will be catered in from Touch of Class Catering Services. The license number is SFE4063072896 if there are any changes to food services will require an initial inspection of the kitchen facility by the Institute for Population Health-Environmental Health and Safety Division. The center will not offer transportation or a swimming component. Name of program director and under what rules the program director is qualified: Christina Morales is the program director. She is approved under R400.8113 (9) (a) and (13). Is there a central administrator that meets the administrative requirement? Explanation of variance(s), if any: No variance was requested. C. Rule/Statutory Violations There are no rule/statutory violations. IV. RECOMMENDATION I recommend issuance of a provisional license to this child care center. 10/12/2016 ________________________________________ Nicole Gibby Date Licensing Consultant Approved By: 10/17/2016 ________________________________________ Shirley D. Baskin Date Area Manager 4
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