746.2409(a)(1) · Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib

One crib was observed to have two mattresses.

Corrected Corrected by Jul 24, 2025

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

746.2411(2)(A) · Safety Requirements for Play Yards - Snug Fitting, Firm, Flat Mattress Designed for Use in Play Yard and No Extra Pads

A play yard was observed to have 5 additional mattresses/foam padding addedd.

Corrected Corrected by Jul 24, 2025

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

746.3415(4) · Employee Handwashing After Diapering a Child

A caregiver was observed changing 2 diapers and used gloves. The careigiver was observed using gloved and did not remove the gloves and wash their hands in between the diaper changes.

Corrected Corrected by Jul 24, 2025

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

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

One caregiver hired 12/2022 did not have documentation of 24hours of annual training completed for the 2023-2024 training year

Corrected Corrected by Aug 14, 2025

Category: recordkeeping. Marked corrected in the state record.

746.5202(5) · Emergency Preparedness Plan-Reunification Plan

The operations emergency prepoaredness plan was reviewed and observed to be missing the following; The first responsibility of staff in an emergency evacuation or relocation is to move the children to a designated safe area or alternate shelter known to all employees, caregivers, parents, and volunteers; (B) How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; (C) The staff responsibility in a sheltering/lock-down emergency for the orderly movement of children to a designated location within the center where children should gather; (D) An emergency evacuation and relocation diagram as outlined in ?746.5207 of this title (relating to Must I have an emergency evacuation and relocation diagram?); (E) Name and address of the alternate shelter away from the center you will use as needed; and (F) How children in attendance at the time of the emergency will be accounted for at the designated safe area or alternate shelter. The emergency telephone number that is on file with us; and (B) How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents and CCR How your staff will evacuate and relocate with the essential documentation including: (A) Parent and emergency contact telephone numbers for each child in care; (B) Authorization for emergency care for each child in care; and (C) The child tracking system information for children in care; (4) How your staff will continue to care for the children until each child has been released; (5) How you will reunify the children with their parents as the evacuation, relocation, or sheltering/lock-down is lifted.

Corrected Corrected by Aug 14, 2025

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

746.5603(c) · Types of Vehicles Used to Transport Children - Be Maintained Safely

Two seat belts were observed to be stuck and could not be buckled.

Corrected Corrected by Aug 13, 2025

Category: transportation. Marked corrected in the state record.

746.3417(3) · Children Handwashing After Toileting or Diapering

After a diaper change, the caregiver did not have a child wash their hands.

Corrected Corrected by Jul 24, 2025

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

746.1311(e) · Director Annual Training - Additional required topics

The directors record was reviewed and current training in allergy response and hazardous materials was not available for review. NOTE: The last documents training availalbe was observed to be completed 6/2022.

Corrected Corrected by Aug 11, 2025

Category: recordkeeping. Marked corrected in the state record.

746.1309(e) · Documented Annual Training- Required Content

Of the 9 staff records reviewed, 8 did not have training in responding to food allergy reactions. 9 did not have training in handling hazardous materials.

Corrected Corrected by Aug 11, 2025

Category: recordkeeping. Marked corrected in the state record.

746.3407 · Maintenance of Building, Grounds and Equipment

A mesh fence was added to the playground to separate the play space from the air unit. The fence was observed to be falling, the air unit and other hazardous materials were accessible to children.

Corrected Corrected by Aug 13, 2025

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

746.1205(a)(3) · Responsibilities of Caregivers - Know children's names and ages

Staff in the infant and prek rooms were not aware of the ages of children in their care. In the infant room, when asked, the caregiver stated the children were 9-13mo. When asked later for the individual ages to determin specified age group(SAG), the caregiver then stated the youngest in care was 4mo and the oldest was 20 months. In the prek room. The caregiver stated the children were 3-5yrs. When asked for individual ages of children to determin SAG, the caregiver stated there were 10-15 3yr olds in care and 5 5yr olds. Staff present continuned to provide in consistent information on the ages of children in their care. One caregiver stated there were no 5yr olds in care. NOTE: The birthday wall posted only listed the ages of 14 children

Corrected Corrected by Jul 24, 2025

Marked corrected in the state record.

746.5207(b) · Emergency Evacuation and Relocation Diagram - Posted in Each Room

The operation did not have an evacuation diagram posted near the exit of the building

Corrected Corrected by Jul 24, 2025

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

746.3407(11) · Sanitize Tables Tops, Furniture and Similar Equipment

A caregiver was observed changing 2 diapers and did not sanitize the diaper changing table in between.

Corrected Corrected by Jul 24, 2025

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

746.3503(c)(3) · Diaper Changing Equipment - If Above Floor Level Caregiver Must Face Child and Be Within Arm's Length of Child

A caregiver was observed turning their back to a child on a diaper changing table to talk to another child and give them a bottle.

Corrected Corrected by Jul 24, 2025

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

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

Fire extinguisher was observed to be on the floor in the front unsecured.

Corrected Corrected by Jul 24, 2025

Category: transportation. Marked corrected in the state record.

746.5603(c) · Types of Vehicles Used to Transport Children - Be Maintained Safely

The van used to transport children was evaluated, one seatbelt was not observed to be operating properly.

Corrected Corrected by Mar 6, 2025

Category: transportation. Marked corrected in the state record.

746.5207(a)(4) · Emergency Evacuation and Relocation Diagram - Designated Location Inside

Evacuation plans were observed in 5 newly added spaces, the plans did not include a designated location inside the building in the event of shelter in place/lock down.

Corrected Corrected by Feb 20, 2025

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

746.4305 · Fenced Outdoor Activity Space

The outdoor space to be used by children was not observed to be fully fenced. A shipping container was observed to be used to close off space

Corrected Corrected by Mar 6, 2025

Marked corrected in the state record.

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

2 booster seats used were observed to have an expiration date of 2020.

Corrected Corrected by Feb 20, 2025

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

746.3407 · Maintenance of Building, Grounds and Equipment

Several safety hazards were observed on the playground to be used by children, including pesticides, broken, loose boards, exposed rebar/screws, metal rake, screwdriver, and ant hills. broken areas of fencing.

Corrected Corrected by Mar 6, 2025

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

746.5617(a)(2) · Required Equipment in Vehicles - Emergency Medical Information

10 of the 15 children being transported did not have emergency medical information available.

Corrected Corrected by Feb 27, 2025

Category: transportation. Marked corrected in the state record.

746.5207(a)(3) · Emergency Evacuation and Relocation Diagram - Designated Location

Evacuation plans were observed in 5 newly added spaces, the plans did not include a designated location away from the building

Corrected Corrected by Feb 20, 2025

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

746.4135(b) · Children's Products- Annual Certification

Children's product's safety certificate was last completed 5/3/2022

Corrected Corrected by Aug 7, 2024

Marked corrected in the state record.

746.1315(b)(1) · CPR Training and Recertification Adhere to Guidelines-skill based

One caregiver recieved online CPR with no hands-on training.

Corrected Corrected by Aug 14, 2024

Category: recordkeeping. Marked corrected in the state record.

746.605(13) · Required Admission Information - Special Needs Statement

Of the 6 children's records reviewed, one child did not have a special needs statement completed

Corrected Corrected by Aug 7, 2024

Marked corrected in the state record.

746.605(6) · Required Admission Information - Emergency Contact

Of the 6 children's records reviewed, one child did not have the address listed for an emergency contact

Corrected Corrected by Aug 7, 2024

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

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

Of the 6 children's records reviewed, one child with a diagnosed food allergy did not have an allergy plan of file

Corrected Corrected by Aug 14, 2024

Category: nutrition. Marked corrected in the state record.

746.2409(a)(2) · Safety Requirements for Cribs - Snug Fitting Sheets

2 sheets were observed to be loose. One sheet was observed to be tied in knots under the mattress causing the ends of the mattress to bend. NOTE: Corrected at inspection. The walking infant was removed from the crib and placed on a mat. The other mattress/sheet was removed from the room.

Corrected Corrected by Feb 8, 2024

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

746.2409(a)(2) · Safety Requirements for Cribs - Snug Fitting Sheets

3 cribs in the infant room were observed to be loose.

Corrected Corrected by Jan 31, 2024

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

746.2419(7) · Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup

3 infants between the ages of 14mo-16mo were placed in cribs with bottles.

Corrected Corrected by Jan 31, 2024

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

746.2421(a) · Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

Written feeding instructions for a 4 mo old not yet on table food was not available for review.

Corrected Corrected by Feb 2, 2024

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

746.2415(b) · AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

A 4 month old infant was observed to be in a crib with a blanket and a bottle of milk.

Corrected Corrected by Jan 31, 2024

Marked corrected in the state record.

746.2403(4) · Infant Care Area - Crib Placement

Cribs in the infant room were not observed to have enough space. Three infants in cribs were observed to be able to touch each other from their cribs.

Corrected Corrected by Jan 31, 2024

Marked corrected in the state record.

746.3407(4) · Sanitize Sleeping Equipment

3 sheets used infant cribs were observed to be soiled and stained.

Corrected Corrected by Jan 31, 2024

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

746.3317(8) · Food Service and Preparation Requirement - Cover All Stored Food

A bag of carrots and an avacado was observed to be open and uncovered in the refrigerator.

Corrected Corrected by Nov 14, 2022

Category: ratio. Marked corrected in the state record.

746.2501(5) · Care Requirements for Toddlers - Free from Choking Objects That May Cause Choking in Infants or Toddlers

A 20 mo old was observed sleeping in a crib with a bib around their neck. NOTE: Corrected at inspection. The bib was removed from the child

Corrected Corrected by Nov 8, 2022

Marked corrected in the state record.

746.901(4) · Required Personnel Records - Required Affidavit

Of the 3 staff records reviewed including the director, none of the staff had a notarized affidavit on file available for review.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Documentation that two caregivers received orientation was not available for review.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

746.5617(a)(6) · Required Equipment in Vehicles - First-aid Kit

First aid kit was observed to be missing cotton balls, scissors, tweezers, and a thermometer. NOTE: Corrected at inspection, all missing items were placed on the van.

Corrected Corrected by Nov 8, 2022

Category: transportation. Marked corrected in the state record.

746.605(4) · Required Admission Information - Parents' Information

Of the 11 records reviewed, 1 child did not have the name of the parent listed.

Corrected Corrected by Nov 14, 2022

Marked corrected in the state record.

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

Of the 11 records reviewed, 5 children did not have a health statement on file signed by the parent or a health care professional

Corrected Corrected by Nov 14, 2022

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

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

Fire extinguisher was observed to be in the box and not secured

Corrected Corrected by Nov 14, 2022

Category: transportation. Marked corrected in the state record.

746.605(13) · Required Admission Information - Special Needs Statement

Of the 11 records reviewed, 3 children did not have a special needs statement on file.

Corrected Corrected by Nov 14, 2022

Marked corrected in the state record.

746.1301(2)(A) · Training Requirements for Employees and Caregivers - Pre-service Training

Documentation a caregiver with no previous experience received 24hrs of pre-service training was not available for review.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

746.2415(a)(1) · Prohibited Equipment for Infants - Baby Walkers

A 14 mo infant was observed in a baby walker. NOTE: Corrected at inspection. The walker was removed from the classroom

Corrected Corrected by Nov 8, 2022

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

746.605(6) · Required Admission Information - Emergency Contact

Of the 11 children's records reviewed, 6 did not have an address listed for the emergency contact, 1 did not have a name listed, and 2 children did not have anyone listed as an emergency contact.

Corrected Corrected by Nov 14, 2022

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

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

Of the 11 records reviewed, one child did not have emergency medical authorization.

Corrected Corrected by Nov 14, 2022

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

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

Transportation training for the director was not observed to be current. NOTE: Training observed expired 1/27/22

Corrected Corrected by Nov 14, 2022

Category: transportation. Marked corrected in the state record.

746.5617(a)(2) · Required Equipment in Vehicles - Emergency Medical Information

Emergency medical information was not available for one child being transported.

Corrected Corrected by Nov 14, 2022

Category: transportation. Marked corrected in the state record.

746.2207(c)(4) · Screen Time Activities - Not Used During Eating or Rest Times

Baby shark videos were observed being played while children were eating lunch. NOTE: The TV was turn off during the inspection

Corrected Corrected by Oct 20, 2022

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

746.5205(1) · Fire Drill Monthly - Exit in 3 Minutes

Fire drills have not been conducted monthly or within 3 minutes. The last fire drill conducted was July 1st and lasted 4 minutes.

Corrected Corrected by Oct 10, 2022

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

746.1203(4) · Responsibilities of Caregivers - Supervision of Children

Upon arrival a caregiver was observed running into a classroom. In the classroom, another caregiver was observed supervising 2 groups, According to the director, the caregiver was asked to stand in the doorway and watch both groups so they could go to the restroom.

Corrected Corrected by Oct 5, 2022

Category: supervision. Marked corrected in the state record.

746.401(3) · Posting Requirements - Licensing Notice-Keeping Children Safe

The Keeping children safe poster was not posted

Corrected Corrected by May 19, 2022

Marked corrected in the state record.

746.2409(a)(9) · Safety Requirements for Cribs - Documentation that Crib Meets Applicable Federal Rules

Three cribs intended to be used were observed to be manufactured prior to June 2011. Two cribs were manufactered May 2009 and one crib was manufactured June 1980

Corrected Corrected by May 19, 2022

Category: recordkeeping. Marked corrected in the state record.

746.5617(a)(6) · Required Equipment in Vehicles - First-aid Kit

The vehicle that will be used for transportation did not have a first aid kit

Corrected Corrected by May 26, 2022

Category: transportation. Marked corrected in the state record.

746.4907(a)(1) · Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

Three slide sets did not have surfacing

Corrected Corrected by May 26, 2022

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

746.4003(a) · First Aid Kit - Incomplete Kit

The first aid kit was reviewed and observed to be missing tape, twezzers, cotton balls, and a themometer

Corrected Corrected by May 19, 2022

Marked corrected in the state record.

746.401(5) · Posting Requirements - Activity Plans for each group of children in the child care center

A copy of the activity plan was not posted.

Corrected Corrected by May 19, 2022

Marked corrected in the state record.

746.2405(4) · Infant Care Area Furnishings and Equipment - Hand-washing Sink

The designated infant space does not have a hand-washing sink

Corrected Corrected by May 19, 2022

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

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

The vehicle that will be used for transportation did not have a fire extinguisher

Corrected Corrected by May 26, 2022

Category: transportation. Marked corrected in the state record.

746.401(7) · Posting Requirements - Licensing Parent Notification Poster

The parent notification form was not observed ot be posted.

Corrected Corrected by May 19, 2022

Marked corrected in the state record.

746.5103 · Documentation of Fire Inspection

The fire inspection report was not made available for review

Corrected Corrected by May 26, 2022

Category: recordkeeping. Marked corrected in the state record.