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Reason(s) for non-compliance: • The Lead Agency has not established a standard for immunizations for licensed centers, licensed family child care, license-exempt in-home providers, or out-of-school programs, and for the prevention and control of infectious diseases for licensed-exempt in-home care providers, as required by 98.41(a)(1)(i). (Plan Questions 5.3.1avi, 5.3.1bi, 5.3.1bii, 5.3.1bvi, and 5.3.1bvii) • The Lead Agency does not require all staff in licensed centers and licensed family child care homes complete pre-service or orientation training within three months on prevention and control of infectious diseases (including immunizations), as required by 98.44(b). (Plan Question 5.4.1m) • The Lead Agency does not require an annual unannounced inspection for licensed centers or licensed family child care providers for compliance with a standard for prevention and control of infectious diseases (including immunizations), and with related pre-service or orientation training requirements, as required by 98.42(b)(2)(i)(B). (Plan Questions 5.5.1aii and 5.5.1bii) Overall Target Completion Date: 11/30/2025 Action Step Number Action Step Description Target Completion Date 1 Research to identify options to reduce the grace period for immunizations. 01/31/2025 2 Engagement with stakeholders from Child Care Licensing, Michigan Department Health and Human Services (MDHHS) Foster Care, MDHHS Immunization, McKinney Vento Coordinator at Michigan Department Education, and MDHHS Eligibility Specialist to review options and make a recommendation for a policy change. 02/28/2025 3 Identification of technology changes needed to implement new policy. 03/31/2025 4 Technology update completed and new policy implemented. 01/01/2026 5 Draft licensing rule sets are finalized with input from the Ad Hoc Committees and internal/external partners. 05/31/2025 6 Draft rule sets are submitted for review and approval by the Joint Committee for Administrative Rules. 05/31/2025 7 Certificate of Adoption will be submitted, and final rules will be filed with the Office of the Great Seal. 09/30/2025 8 Internal staff and providers will be trained on the revised rule sets. 09/30/2025 9 Modifications will be made to relevant systems to incorporate rule changes into current checklists and documentation procedures. 09/30/2025 10 Rule effective date will be 90 days after the Office of the Great Seal approval. 11/30/2025