• Medium Low

  746.901(4) · Required Personnel Records - Required Affidavit (Form 2985)

  At time of inspection, director did not have Notariized Affidavit form 2985 in file.

  Corrected Corrected by Jan 16, 2026

  Category: recordkeeping. Marked corrected in the state record.

Disposition: No Deficiencies Cited

Based on interviews conducted two children were able to walk away from the restroom and were left unsupervised for three minutes.

Disposition: Deficiency Cited

Based on video footage provided. Child was left unsupervised for three minutes.

Disposition: Deficiency Cited

Licensing Incident Report form was not shared with parent or signed.

Disposition: Deficiency Cited

Licensing Incident Report form for child that was left unsupervised was not completed.

Disposition: Deficiency Cited

Based on information provided, one out of the three caregivers did not know the number of children they were responsible at the time of the incident.

Disposition: Deficiency Cited