The following deficiencies were observed at the time of Complaint #00158826 investigation conducted on 2/19/26 and are subject to changes pending programmatic review. A telephone call was made to the Complainant on 2/19/26. The Written Document of Corrections is due within 10 days A complete inspection of the facility was not conducted. The following classroom ratios were observed: Infants: 2:8 Ones: 2:12 Ones: 1:7 Ones: 1:6 Twos: 2:10 Twos: 2:11 Threes: 1:13 Threes/Fours: 1:12 Fours/Fives: 2:16 Two staff members were interviewed during this investigation. The following documentation was reviewed: Classroom rosters. Upon completion of the complaint investigation, it was determined from observation, staff interview and documentation that 1 of 1 allegation was substantiated. The following deficiencies were observed.

Disposition: Complete

The following deficiencies were observed at the time of Complaints #00155936 and #00155745 investigations conducted on 1/13/26 and are subject to changes pending programmatic review. A telephone call was made to the Complainant on 1/13/26. The Written Document of Corrections is due within 10 days A complete inspection of the facility was not conducted. The following classroom ratios were observed: Infants: 2:10 Ones: 2:12 Ones: 1:5 Twos: 1:8 Twos/Threes: 2:11 Threes: 2:15 Fours: 1:13 Fours/Fives: 1:15 Six staff members were interviewed during this investigation. The following documentation was reviewed: Facility incident reports. Upon completion of the complaint investigation, it was determined from observation, staff interview and documentation that 1 of 3 allegations for case 155745 was substantiated, and 1 of 1 allegation for case 155936 was substantiated. The remaining allegations lacked sufficient evidence to be substantiated. The following deficiencies were observed.

Disposition: Complete

The following deficiencies were observed at the time of Complaints #00146195 and #00146199 investigations conducted on 9/30/25 and are subject to changes pending programmatic review. A telephone call was made to the Complainant on 9/30/25. The Written Document of Corrections is due within 10 days A complete inspection of the facility was not conducted. The following classroom ratios were observed: Infants: 2:11 Ones: 2:10 Ones: 2:6 Twos: 1:7 Twos: 1:5 Threes: 1:13 Threes/Fours: 1:4 Fours: 2:11 Fives: 2:15 Seven staff members were interviewed during this investigation. One staff file was reviewed during this investigation. The following documentation was reviewed: Facility incident/accident documentation. Facility email documentation. Hospital discharge paperwork was discussed via phone call with facility management. 1 of 1 Fingerprint Clearance card was determined as valid via a search on DPS website. Upon completion of the complaint investigation, it was determined from observation, staff interview and documentation that 2 of 2 allegations lacked sufficient evidence to be substantiated. The following deficiency was observed.