• Medium

  746.611(a)(3) · Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

  When evaluating children's records, I found that 1 out of 10 files were missing date of admission and signed statements from healthcare providers.

  Corrected Corrected by Mar 17, 2025

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

• Medium

  746.2409(a)(10) · Safety Requirements for Cribs - Label for Each Infant

  During the walk through of Infant A Room, I observed 3 infants in unlabled cribs.

  Corrected Corrected by Mar 14, 2025

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

• High

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

  In the infant room a 4 month old was observed sleeping with bib on. Note: This was removed at inspection.

  Corrected Corrected by Jan 23, 2024

  Marked corrected in the state record.

• Medium

  746.901(2) · Required Personnel Records- Meets Requirements

  A caregiver present at the time of inspection did not have proof of education on file for review.

  Corrected Corrected by Dec 15, 2023

  Category: recordkeeping. Marked corrected in the state record.

• Medium Low

  746.901(4) · Required Personnel Records - Required Affidavit

  A caregiver present at the time of inspection did not have a notarized employment affidavit on file for review.

  Corrected Corrected by Dec 15, 2023

  Category: recordkeeping. Marked corrected in the state record.

• Medium High

  746.1301(a)(3)(A) · Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

  The operation was only able to provide documentation of CPR/first aid training for 3 out of the 13 currently employed caregivers.

  Corrected Corrected by Dec 15, 2023

  Category: recordkeeping. Marked corrected in the state record.

• Medium

  746.4751(b) · Maintenance Procedures for Active Play - Monthly Maintenance Checklist

  The operation was unable to provide a building and grounds checklist.

  Corrected Corrected by Dec 15, 2023

  Marked corrected in the state record.

• Medium

  746.3809 · Medication No Longer Used

  The epinephrine injection for a child in care with a known food allergy had expired on 9/24/2022 and was still on file at the operation. The operation also had expired anti static valved holding chamber as of 2/18/22 and albuterol as of 5/2023 for a child in care.

  Corrected Corrected by Dec 15, 2023

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

• Medium High

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

  A child in care with a documented fish allergy requiring an epinephrine injection did not have an emergency plan on file.

  Corrected Corrected by Dec 15, 2023

  Category: nutrition. Marked corrected in the state record.

• Medium

  746.801(10) · Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

  The operation was unable to provide documentation for a fire drill, lock-down drill for a volatile or endangering person or sheltering drills.

  Corrected Corrected by Dec 15, 2023

  Category: recordkeeping. Marked corrected in the state record.

• Medium High

  746.1305(b) · Pre-service Training for Caregivers of Children Under 24 Months

  A newly hired caregiver present at the time of inspection and counted in the infant child to caregiver ratio did not have safe sleep, SIDS or shaken baby training.

  Corrected Corrected by Dec 15, 2023

  Category: recordkeeping. Marked corrected in the state record.

• Medium

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

  The operation was unable to provide written feeding instructions reviewed within the last 30 days for any of the 7 infants present at the time of inspection not yet on table food.

  Corrected Corrected by Dec 15, 2023

  Marked corrected in the state record.

• Medium Low

  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 posted for review. The employee list posted had caregivers that were no longer employed at the operation. This was corrected at inspection when the caregiver posted an updated employee list.

  Corrected Corrected by Dec 8, 2023

  Marked corrected in the state record.

• Medium

  746.401(6) · Posting Requirements - Daily menu, including all snacks and meals served by the child care center

  The posted menu at the operation was for the week of September 4, 2023. This was corrected at inspection with the director had the menu updated to reflect the current week.

  Corrected Corrected by Dec 8, 2023

  Category: nutrition. Marked corrected in the state record.

• Medium High

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

  The operation had two buses used to transport children that had expired registration and inspection tags. The tags were on the windshields of the vehicles dated 8/24/2022 and 6/2022.

  Corrected Corrected by Dec 15, 2023

  Category: transportation. Marked corrected in the state record.

• High

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

  A front desk administrator/ staff present at the time of inspection did not have an active background check at the time of the inspection.

  Corrected Corrected by Dec 18, 2023

  Category: ratio. Marked corrected in the state record.

• High

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

  School age caregiver did not know how many children caregiver was resposnbile for. Caregiver stated 26 when there wsa 27 children in care.

  Corrected Corrected by Aug 3, 2023

  Marked corrected in the state record.

• Medium High

  746.1601 · Child/ Caregiver Ratio - 13 or More Children

  During the walkthrogh it was found that the school age room was out of ratio by one child. Note: This child was placed in a different classroom.

  Corrected Corrected by Aug 3, 2023

  Category: ratio. Marked corrected in the state record.

• Medium

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

  There were no feeding instructions for infants not on table food.

  Corrected Corrected by Dec 22, 2022

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

• Medium High

  746.5101(b) · Annual Fire Inspection - Conducted by Fire Marshal

  There is not a fire inspection documented for the past year.

  Corrected Corrected by Jan 26, 2023

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

• Medium

  746.4135(c) · Children's Products-Posting of CPSC website

  The CPSC posting was not signed within the past year. This was corrected during the inspection.

  Corrected Corrected by Dec 8, 2022

  Marked corrected in the state record.

Disposition: No Deficiencies Cited

Disposition: No Deficiencies Cited

Disposition: No Deficiencies Cited

A child was left unattended on the playground without direct supervision for hours.

Disposition: Deficiency Cited

During the walk through of the operation the walls were observed to be written on, the wall trimmings were cracked with chipped paint,. The toys were broken on the playgrounds presenting risk of cuts, scrapes and entrapment, the playground had trash accessible to children in two seperate areas, due to recent rain prior to my arrival there were bodies of water in buckets, toys and structures, two silver structures were observed to be broken and placed in the center of the usage zones and the outdoor sink was filled with surfacing gravel rocks. The bathrooms within the classrooms had urine and feces requiring staff to walk around the center and flush all toilets, the bathrooms also had toilet paper on floors, potty trainings seats on the floors, a thick brown muddy substance cracked along the drainage hole in the toddler classroom, exposed toilet paper handles due to the covering on the san jamer holder being broken presenting risk of entanglement. The handwashing sinks were covered in brown stains. The window frames had broken window screens and the inside of the frames were filled with dust and dirt. The toys and equipment in the classrooms for learning were covered in crayon and colorful markings and the floors in the classrooms had small random items resembling trash on the floors presenting choking hazards.

Disposition: Deficiency Cited

It was found that caregiver did not report to a parent about a less serious injury during pick up. A child was hit on the head with a block, and this was not reported to parent by the caregiver. Note: The caregiver has been terminated.

Disposition: Deficiency Cited

Based on information gathered from the investigation, it was found that a caregiver used inappropriate discipline practices on a child.

Disposition: Deficiency Cited

Disposition: No Deficiencies Cited

Based on the investigation, positive methods of discipline were not shown by a caregiver.

Disposition: Deficiency Cited

Disposition: No Deficiencies Cited

Disposition: No Deficiencies Cited

Inappropriate forms of discipline were used during the incident regarding the investigation.

Disposition: Deficiency Cited

Disposition: No Deficiencies Cited