746.2421(b) · Written Feeding Instructions - Review and Update Every 30 Days

One infant did not have feeding instructions that were reviewed with the parent and dated within the last 30 days.

Corrected Corrected by Feb 3, 2025

Marked corrected in the state record.

746.605(12)(C) · Required Admission Information - Prescribed Medications; Long Term Use

Two children did not have medication at the operation for a prescribed allergy or medical condition as indicated that was needed for the child's condition by a medical professional on their FARE forms.

Corrected Corrected by Feb 10, 2025

Category: health medication. Marked corrected in the state record.

746.3805(b)(1) · Administering Medication - Original Container with Child's Name, Date

One child's medication was stored in a Ziploc bag and did not have the date it was brought to the operation on it.

Corrected Corrected by Feb 10, 2025

Category: health medication. Marked corrected in the state record.

746.1205(a)(2) · Responsibilities of Caregivers - Know number of children responsible for

One caregiver did not know how many children they were responsible for during inspection. This was addressed at inspection when I was able to count the correct number of children in care and let the caregiver know so they were aware.

Corrected Corrected by Jan 27, 2025

Marked corrected in the state record.

746.3809 · Medication No Longer Used

One child's medication was out-of-date and expired July 2024.

Corrected Corrected by Feb 3, 2025

Category: health medication. Marked corrected in the state record.

746.5307(a) · Inspect Fire Extinguishers Monthly

The fire extinguishers were not being inspected monthly.

Corrected Corrected by Jan 31, 2025

Category: physical safety. Marked corrected in the state record.

746.4003(b) · First Aid Kit - Supplies Not Expired

Two items in the First Aid Kit were expired. These two items were removed from the First Aid Kit during inspection.

Corrected Corrected by Jan 27, 2025

Marked corrected in the state record.

746.3407(8) · Garbage Inaccessible to Children; Maintained in Sanitary Manner

The operation had trash accessible to children in three classrooms. This was corrected at inspection when the trash cans containing trash without lids were removed from the classrooms during inspection.

Corrected Corrected by Jan 27, 2025

Marked corrected in the state record.

746.623(2)(D) · Immunizations-Docs may be official record or copy that have signature of health care prof. or name of other prof who administered vaccine

Two children's immunization record did not include the signature (including a rubber stamp or electronic signature) of the health-care professional who administered the vaccines.

Corrected Corrected by Feb 10, 2025

Category: health medication. Marked corrected in the state record.

746.1613(a) · Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met

Follow up inspection was completed at the operation on 5/1/2023. One caregiver was observed supervising 10 children, ages 15months to 23months. The naptime ratio should have been 1:9. This was corrected when an additional caregiver was added to the ratio.

Corrected Corrected by May 1, 2023

Category: ratio. Marked corrected in the state record.

746.1613(a) · Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met

One caregiver was observed supervising 10 children, ages 14months to 22months. The naptime ratio should have been 1:9. This was corrected when an additional caregiver was added to the ratio.

Corrected Corrected by Apr 13, 2023

Category: ratio. Marked corrected in the state record.

746.1315(b) · Each Caregiver and the Director Must Have Current Training in pediatric CPR

Current First aid/ CPR certification was not available to review for two of the 28 staff members.

Corrected Corrected by Apr 21, 2023

Category: recordkeeping. Marked corrected in the state record.

746.5202(1) · Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

The operation's emergency preparedness plan did not contain information on how the operation will evacuate children that have limited mobility, may need additional assistance or are under 24 months of age during an evacuation.

Corrected Corrected by May 9, 2022

Category: physical safety. Marked corrected in the state record.

746.3819 · Food Allergy Emergency Plan Signed by Parents and Health Care Professional

One child with a food allergy emergency plan did not contain the parent's signature on the plan.

Corrected Corrected by May 10, 2022

Category: health medication. Marked corrected in the state record.

746.4801 · Definition- What does Licensing mean by the term ?use zone??

On the 3-5 year old playground there were two tires positioned at the bottom of the rock wall of the playscape not allowing for a use zone of 6 ft.

Corrected Corrected by May 6, 2022

Marked corrected in the state record.

745.641 · AP Background check results - Must receive notification prior to allowing subject to be present at your operation

The operation had two employees present at the operation before receiving notice from the background unit (CBCU) regarding the employee's eligibility. One employee was working in the kitchen and the second was managing the front desk and the daily operation of the facility. NOTE: The employees were removed from the operation and their background checks were submitted during the inspection.

Corrected Corrected by May 6, 2022

Category: ratio. Marked corrected in the state record.