251.04(2)(m) · Health, Safety & Welfare Of Children

The center did not ensure the actions of two staff in the toddling teddies room did not adversely affect the health, safety and welfare of children in care. Video review from October-early November 2024 in the toddling teddies room showed two staff picking up 1 - 2 year old children by lifting them by one or two arms and letting the child's entire body weight hang from the child's arm. The children were frequently dragged along by their arm while their toes did not or barely touched the ground.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(4)(a)2.c. · Parent Notification - Injury, Consumption Of Allergen, Incorrect Medication

Staff in the toddling teddies room did not report to the parents head injuries children incurred from falls on 11/5/24 and 11/7/24.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Supervision Of Children

A review of center video from October-early November 2024 and police reports shows numerous instances of center staff failing to supervise children in the toddling teddies room when the staff were observed to be looking at phones, tablets, a laptop, and taking phone calls. In addition staff can be observed leaving the room, going into the adjoining room, and no staff were observed supervising children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Child Tracking Procedure

A review of center video from October-early November 2024 show tracking was not accurate in the darling duckling and toddling teddies rooms when children were observed on multiple occasions going back and forth between the two rooms. Staff did not update tracking to reflect the accurate whereabouts of the children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(2)(a) · Group Size - Maximum

A review of video shows the toddling teddies room exceeded maximum group size when between 9 and 10 children were in care on 11/5/24 from 8:22 a.m. until 8:46 a.m. and from 8:57 a.m. to 9:13 a.m. Maximum group size is again exceeded on 11/7/24 from 8:16 a.m. to 8:20 a.m. and 8:23 a.m. - 8:30 a.m. when 9 children were in care due to a child crawling into the room from the adjoining classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(2)(b) · Staff-To-Child Ratios - Minimum

A review of center video and police reports show the toddling teddies room did not meet staff to child ratios on numerous instances in late October and early November 2024 when more than four children would be in care with one staff person. There are also instances of 9-10 children in care with two staff.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(d) · Access To Materials Potentially Harmful To Children

A review of police reports showed children in the toddling teddies room had access to cleaning products for approximately 18 minutes on 11/4/24.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(9)(b)3. · Manual Dishwashing - 3-Step Procedure

A review of video from October-early November 2024 in the toddling teddies room showed cups with lids, used for snack, lunch and afternoon snack, were not washed using a three step process before being used again.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(1)(c) · Television As Part Of Program

A review of center video from October-early November 2024 showed instances when children in the toddling teddies room were required to sit at a table and watch videos on a tablet. Other options were not given to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(c)1. · Time Out - Age

A review of video from late October-early November 2024 showed staff in the toddling teddies room putting children under the age of two in time outs. Children were made to lie on the floor or sit in chairs.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(c)3. · Time Out - Time

A review of video from October-early November 2024 in the toddling teddies rooms showed multiple instances when children under the age of two were placed in time-outs and forced to sit in chairs or lie on pillows for up to 40 minutes.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(e)1. · Prohibited Actions - Corporal Punishment

A review of center video and police reports from October-early November 2024 showed 11 days of incidents of two staff in the toddling teddies room using corporal punishment towards children in care. Children were hit, slapped, pinched, thrown, grabbed and pushed. Diaper changes were aggressively completed, with children's legs being pulled down roughly. Children seated at chairs were forcefully pushed into tables.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(e)2. · Prohibited Actions - Verbal

A review of police reports and center video from October-early November 2024 from the toddling teddies room showed two staff being verbally abusive toward children using profane, derogatory, demeaning and harsh language and tone with children on many occasions during 11 days.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(e)3. · Prohibited Actions - Physical Restraint, Restriction, Enclosure

A review of center videos from October-early November showed instances where children in the toddling teddies room were forced to stay on cots, seated in chairs, and sitting or lying on the carpet for extended periods of time during 9 days. A review of police reports detailed an incident when a child was restrained on a cot by a staff person placing the edges of the blanket under the cot legs. The blanket covered the child's entire body.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(e)5. · Prohibited Actions - Cruel, Aversive, Frightening, Humiliating Actions

Review of center video and police reports show in October 2024-early November 2024, two staff in the toddling teddies room using cruel, frightening, and humiliating actions towards children in care on 13 days. Children were told to be quiet when they were not making loud noises. Staff laughed at children when the children were confused after staff gave them conflicting directions. Children observed staff yelling at and being abusive toward other children. Children observed a staff person's child being allowed to get up, run around, and shout when other children were not allowed these actions.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(4)(b) · Naps Or Rest Periods - Awake Children

A review of center video from October-early November 2024 showed children in the toddling teddies room who woke after nap were not allowed to get up. The children were told to lie back down and were covered by blankets.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(4)(cm) · Naps Or Rest Periods - Sleeping Surfaces - Children 1 And Older

A review of video from the toddling teddies room shows cots were placed closer than 2 feet apart on 11/5/24.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)3. · Meals & Snacks - Intervals

A review of center video showed a child in the toddling teddies room was not given a morning snack on 11/5/24.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)4. · Meals & Snacks - Minimum Meal Requirements

A review of video from October-early November 2024 in the toddling teddies room showed instances when children who dropped food were not given additional food to meet minimum meal requirements. Staff also took food from some children's plates and gave it to other children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)4m. · Meals & Snacks - Additional Portions

A review of video from the toddling teddies room showed an instance when children requested more food and were told no. A staff person's child was given more food.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(b)5. · Eating Surfaces - Cleaned, Sanitized

A review of center video from October-early November 2024 of the toddling teddies room showed instances of the table not being cleaned and sanitized prior to children eating or after the meal/snack was done. When the table was washed, it was not washed using a two step clean and sanitize process.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(dm)3.b. · Medical Log - Injury In Care

A review of center video in the toddling teddies room showed children incurred head injuries on 11/5 and 11/7. Neither injury was documented in the medical log book. Injuries documented in the medical log book were not entered on the day the injury occurred when a 11/6 entry was written after two 11/7 entries.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(i)1. · Washing Child's Hands & Face

A review of center video from late October-early November 2024 in the toddling teddies room showed numerous instances when children's hands were not washed before meals and snacks, or after diapering.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(i)2. · Adult Handwashing

A review of center video from late October-early November 2024 in the toddling teddies room showed numerous instances when staff did not wash their hands before handling food, before and after each child's diaper changes, or after wiping children's noses. The staff were observed to change diapers and then touch toys, tables, tablets, chairs, etc. Staff on occasion washed their diaper soiled hands in the food preparation sink.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(1)(k) · Infant & Toddler - Bedding

A review of center video from October-early November 2024 from the toddling teddies room showed numerous instances of staff covering children's entire body, including mouth and nose, with blankets. Children would remove the blankets and staff would cover the children's entire bodies again. Police report review detailed one instance when staff covered a child's entire body with the blanket and put the edges of the blanket under the cot legs, restraining the child to the cot.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(2)(a) · Infant & Toddler - Responding To Crying Children

A review of video and police reports from October and early November 2024 showed numerous lengthy instances where staff did not respond to crying children in the toddling teddies room. Children were sometimes left to cry for up to 40 minutes.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(2)(e) · Infant & Toddler - Language Development, Learning Experiences

A review of center video from October 2024-early November 2024 showed two staff in the toddling teddies room did not use regular routines as occasions for language development or other learning experiences.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(3)(a)8. · Infant & Toddler - Drinking Water

A review of center video from October-early November 2024 from the toddling teddies room showed days where children were not offered drinking water throughout the day. The children were often only given a drink with meals and snacks. A few instances showed children not being given a drink at snack time.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(4)(a)3. · Infant & Toddler - Diaper Changing Surface Disinfection

A review of video from the toddling teddies room in later October-early November 2024 showed the diaper changing surface was frequently not sanitized between diaper changes. When the changing surface was cleaned, it was not cleaned using a two step, clean then sanitize process.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(4)(a)4. · Infant & Toddler - Diaper Changing Surface Safety

A review of video from the toddling teddies room from late October-early November 2024 showed children were frequently left alone on the diaper changing surface for short periods of time.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(2)(m) · Violation

(Health, Safety & Welfare Of Children ) on 1/3/2025 : The center did not ensure the actions of two staff in the toddling teddies room did not adversely affect the health, safety and welfare of children in care. Video review from October-early November 2024 in the toddling teddies room showed two staff picking up 1 - 2 year old children by lifting them by one or two arms and letting the child's entire body weight hang from the child's arm. The children were frequently dragged along by their arm while their toes did not or barely touched the ground. $200

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(e)1. · Violation

(Prohibited Actions - Corporal Punishment ) on 1/3/2025 : A review of center video and police reports from October-early November 2024 showed 11 days of incidents of two staff in the toddling teddies room using corporal punishment towards children in care. Children were hit, slapped, pinched, thrown, grabbed and pushed. Diaper changes were aggressively completed, with children's legs being pulled down roughly. Children seated at chairs were forcefully pushed into tables. $2200

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(e)2. · Violation

(Prohibited Actions - Verbal ) on 1/3/2025 : A review of police reports and center video from October-early November 2024 from the toddling teddies room showed two staff being verbally abusive toward children using profane, derogatory, demeaning and harsh language and tone with children on many occasions during 11 days. $2200

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(e)3. · Violation

(Prohibited Actions - Physical Restraint, Restriction, Enclosure ) on 1/3/2025 : A review of center videos from October-early November showed instances where children in the toddling teddies room were forced to stay on cots, seated in chairs, and sitting or lying on the carpet for extended periods of time during 9 days. A review of police reports detailed an incident when a child was restrained on a cot by a staff person placing the edges of the blanket under the cot legs. The blanket covered the child's entire body. $1800

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(e)5. · Violation

(Prohibited Actions - Cruel, Aversive, Frightening, Humiliating Actions ) on 1/3/2025 : Review of center video and police reports show in October 2024-early November 2024, two staff in the toddling teddies room using cruel, frightening, and humiliating actions towards children in care on 13 days. Children were told to be quiet when they were not making loud noises. Staff laughed at children when the children were confused after staff gave them conflicting directions. Children observed staff yelling at and being abusive toward other children. Children observed a staff person's child being allowed to get up, run around, and shout when other children were not allowed these actions. $2600

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Violation

(Supervision Of Children ) on 1/3/2025 : A review of center video from October-early November 2024 and police reports shows numerous instances of center staff failing to supervise children in the toddling teddies room when the staff were observed to be looking at phones, tablets, a laptop, and taking phone calls. In addition staff can be observed leaving the room, going into the adjoining room, and no staff were observed supervising children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(d) · Violation

(Access To Materials Potentially Harmful To Children ) on 1/3/2025 : A review of police reports showed children in the toddling teddies room had access to cleaning products for approximately 18 minutes on 11/4/24.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)1. · Staff Record - Personal Information

Staff A's documentation of personal information did not include information regarding previously completed coursework.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)4.d. · Staff Record - Educational Qualifications

Staff A and B did not have documentation of education qualifications on file.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)5. · Staff Record - High School Diploma

Staff A and B did not have documentation of a high school diploma or equivalency on file.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(b) · Abusive Head Trauma Prevention Training

Staff A and B did not have documentation of training in abusive head trauma prevention on file.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(cm) · Child Abuse & Neglect - Biennial Training

Staff A and B did not have documentation of training in child abuse & neglect identification, laws, and reporting on file.

Open Not marked corrected in the state record

Open / not marked corrected.