Buttons and Bows Early Learning Center

746.5607(b) · Child Passenger Safety Seat System - Not expired or damaged in accident

Booster seats that were involved in a vehicle accident continued to be used by children in care. The manufacturers instructions also say that any booster seat involved in an accident should not be used after a crash. This was corrected at inspection when the operation replaced the booster seats that had been involved in the accident with new ones.

Corrected by Apr 29, 2026

746.1205(a)(4) · Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

The caregiver in the classroom was observed sleeping while the children were napping.

Corrected by Feb 18, 2026

746.3417(3) · Children Handwashing After Toileting or Diapering

After toileting, children sat back down in the hallway until the sink in the girls bathroom was available to use for hand washing despite there being a sink in the boys bathroom that could have been used. While waiting, children were observed touching their faces and touching other people with their unclean hands.

Corrected by Feb 9, 2026

746.3701 · Safety - Areas Free From Hazards

A pot around the base of a tree on the playground has broken in multiple places resulting in a few of the edges being a shear hazard.

Corrected by Feb 9, 2026

746.3417(3) · Children Handwashing After Toileting or Diapering

Four children had their diaper changed but their hands were not washed afterwards. The caregiver did not wash their hands either between diaper changes.

Corrected by Jun 25, 2025

746.3505(c) · Diapering Procedures - Use Disposable Gloves

A caregiver was observed changing three diapers without changing out their gloves between each diaper change.

Corrected by Jun 25, 2025

746.3407(12) · Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

There were cleaning supplies accesible to children under a sink in a classroom. The safety latch was broken on the cabinet door.

Corrected by Jun 25, 2025

746.3317(6) · Food Service and Preparation Requirement - Use Sanitary Holders

Food was being served on the bare table for a child to eat at lunch.

Corrected by Jun 25, 2025

746.3701(10) · Safety - Televisions Anchored to Prevent Tip Over

The television in the school age classroom is not anchored and poses a tipping hazard to children in care.

Corrected by Nov 8, 2024

746.3407 · Maintenance of Building, Grounds and Equipment

There are multiple pieces of flooring tile that are chipped/broken that pose a tripping hazard to children in care. Additionally, there is a large pothole out on the playground that could cause a child to trip.

Corrected by Nov 19, 2024

746.2805(9) · Prohibited Punishments - Withholding Active Play

Active play time outside is being withheld for discipline.

Corrected by Nov 5, 2024

746.3407(9) · Floors, ceilings and Walls in Good Repair and Clean

There is a vent in one of the center areas that is bent upwards on one edge and causes a potential tripping hazard. Additionally, there is trash present on the floor of a classroom.

Corrected by Jul 5, 2024

746.401(10) · Required Postings-Child's Food Allergies

The operation did not have posted the two children's names that were found to have a diagnosed food allergy. **This was corrected at inspection when the staff wrote the names on the postings in the classrooms, eating area, and where the food is prepared.

Corrected by May 1, 2024

746.1205(a)(4) · Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

During the inspection, a child wondered off and was left unsupervised as the primary caregivers/staff were not aware of the child's on going activity and did not have auditory or visual awareness of the child.

Corrected by Apr 19, 2024

746.2203(b) · Written Activity Plans - Plan Followed by Caregiver

The staff were observed at inspection not following their activity plan. The classrooms were observed during songs and diaper changes time. One classroom did not have the activity plan available for the group that is cared for.

Corrected by Apr 19, 2024

746.5617(a)(5) · Required Equipment in Vehicles - Fire Extinguisher

Two vans that are used to transport children did not the fire extinguisher required. One of the vans was missing the first aid kit and another van did not have the first aid kit complete. *This was corrected at inspection when the staff placed a complete first aid kit and fire extinguishers were found and placed in the vans.

Corrected by Apr 19, 2024

746.605(16) · Required Admission Information-Completed Food Allergy Plan

One child in care did not have a food allergy plan in their file that required a plan in file by the doctor.

Corrected by Apr 26, 2024

746.3417(3) · Children Handwashing After Toileting or Diapering

Two children were observed having diaper changes and did not wash hands after their diaper was changed.

Corrected by Apr 19, 2024

746.605(12) · Required Admission Information - Emergency Medical Authorization

One child file was reviewed and it was missing the parent signature that provides proof of granting medical authorization in case of an emergency to the facility. One child file was reviewed and it was missing the address for the emergency contact listed by the parent in the file. One child file was reviewed and it was missing information regarding the child school attendance or a shot record in file.

Corrected by Dec 20, 2023

746.603(a)(3) · Children's Records - Health Statement

One child's files was missing a health statement for a child that has been attending care longer than 12 months.

Corrected by Dec 28, 2023

746.401(2) · Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation

The most recent Child Care Regulation inspection form was not posted.

Corrected by Dec 18, 2023

746.1301(a)(1)(A) · Training Requirements for Employees, Caregivers, and Directors - Orientation

Two staff files were reviewed but there was no proof if file showing that orientation provided to related to administering medication, preventing and responding to emergencies due to food or an allergic reaction; understanding, building, and physical premises safety; handling, storing, and disposing of hazardous materials; precautions in transportation and no trainer signature was provided for this.

Corrected by Dec 18, 2023

746.5103 · Documentation of Fire Inspection

The operation does not have documentation of the fire drill that appears to have been conducted in April.

Corrected by Sep 22, 2023

746.603(a)(3) · Children's Records - Health Statement

Two children files were missing a health statement for children that have been attending care longer than 12 months.

Corrected by Jun 19, 2023

746.613(a) · Required Immunizations

One child file reviewed did not have any immunizations in file.

Corrected by Jun 19, 2023

746.1311(a) · Director Annual Training 30 Hours Required

A staff employed did not have the required 30 hours for the annual training and only had 14 hours that were valid during the annual training year for review.

Corrected by May 26, 2023

746.3415(4) · Employee Handwashing After Diapering a Child

A caregiver was observed conducting diaper changes at inspection but did not wash their hands afterwards, despite wearing gloves. Additionally, children did not wash their hands after diaper changes were conducted.

Corrected by May 12, 2023

746.613(a) · Required Immunizations

Four child files reviewed did not have any immunizations in file.

Corrected by May 19, 2023

746.401(9) · Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

The operation did not have a current employee list printed and posted. **This was corrected at inspection when the operation printed and updated the current staff list to reflect current staff employed.

Corrected by May 12, 2023

746.1309(a) · Documented Annual Training Area - 24 Hours Required

Two staff were missing the required topics and also did not have training related to shaken baby syndrome and abusive head trauma including understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and understanding early childhood brain development in their annual training year. One staff did not have all 24 hours required for annual training and were missing 8 hours of training.

Corrected by Jul 5, 2023

746.1316(a) · Transportation Safety Training -Director and Employee Complete 2 Hours Annually

Four staff did not have proof of current transportation training in file for review as it expired last month.

Corrected by May 17, 2023

746.605(6) · Required Admission Information - Emergency Contact

One child file was missing any information from the parent on the special problems/food allergies section. Three children's files were missing the address for the individual listed as the emergency contact for the child. Four children files reviewed did not have any information on the section related to the health statement/doctor statement.

Corrected by May 15, 2023

746.603(a)(3) · Children's Records - Health Statement

Two children files were missing a health statement for children that have been attending care longer than 12 months.

Corrected by May 19, 2023