251.04(6)(a) · Child Record - Maintenance & Availability

The children's files were locked in the office and not available for review at the time of the licensing visit.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(b) · Current, Accurate Daily Attendance Record

Attendance in the infant room was not accurate on the day of the licensing visit. 5 children were present but only 4 children were signed in.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a) · Staff Record - Maintenance & Availability

The staff files were locked in the office and not available for review at the time of the licensing visit.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)6. · Staff Record - Days & Hours Worked

Staff hours were not accurate on the day of the licensing visit when two staff supervising children in the 2-3 year old room were not signed in.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Child Tracking Procedure

The centers child tracking procedures were not followed when on 7/7/25, 5 children were present in the infant room but 4 children were marked on attendance which the center uses for tracking. There was no tracking in the 2-3 year old classroom, as the tracking was left in the outdoor play space.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(2)(L) · Staff-To-Child Ratios - Non-Classroom Duties

Staff needed to meet ratio in the Jr. Toddler room was preforming non-classroom duties when staff left to make lunch for the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(11)(b)5. · Outdoor Play Space - Energy-Absorbing Surfaces

An energy absorbing surface in a depth of at least 9 inches is not under swings in the outdoor play space.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Ointment and diaper rash creams, labeled keep out of reach of children, was observed in the toddler bathroom, accessible to children. In the Jr. Toddler room, cords were hanging loose and accessible to children. **This was corrected during the visit**

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(9)(d)1.b. · Food Storage - Refrigeration Units

The refrigerator in the Jr. Toddler room was not maintained at 40 degrees or below; the refrigerator is a 50 degrees. The freezer in the kitchen and Jr. Toddler room is not maintained at 0 degrees or below; the freezer in the kitchen was at 8 degrees and in the Jr. Toddler room, the freezer was at 42 degrees.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(3)(f) · Trampolines & Inflatable Bounce Surfaces

Inflatable bounce toys were observed in the Jr. Toddler room and Hop balls and a small trampoline were observed in the outdoor play space, accessible to children. **A picture the inflatable bounce toys were removed from the classroom was verified as corrected on 7/9/25**

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(4)(e) · Naps Or Rest Periods - Bedding Maintenance, Storage, Cleanliness

Bedding is not being maintained and stored in a clean and sanitary manner, as cots are not fully covered with a clean sheet/blanket.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)5.a. · Menus - Post

Menus of meals provided by the center shall be posted in the kitchen and in a conspicuous place accessible to parents. There is no menu posted in the kitchen or in a place for parents. **This was verified as corrected on 7/9/25**

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(dm)4. · Medical Log - Reviewing Injury Records

There is no documentation that the medical log book in the infant room was reviewed within the last 6 months. **This was verified as corrected on 7/9/25**

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(f)1.a. · Medication Administration - Parent Authorization

A medication authorization in the 2-3 year old room does not include a begin and end date on the form.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(f)1.b. · Medication Administration - Containers & Labeling

Childrens Motrin, observed in the infant room, is not labeled with the childs name.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(f)3. · Medication - Storage

An EpiPen was observed in a childs backpack in the 2-3 year old room. **A picture the backpack is no longer accessible was sent via email on 7/9/25**

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(f)6. · Current Authorizations For Medications On Premises

Medication (childrens cough syrup) was observed on the premise without a written authorization form from the parent. An EpiPen observed on the premise expired 5/13/25. The medication authorization for an EpiPen is not current; the authorization form ended 5/9/25. **This was verified as corrected via email on 7/9/25**

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(3)(a)2. · Infant & Toddler - Food & Formula Brought From Home

In the infant room, bottles brought from home are not dated. **This was verified as corrected via email on 7/9/25** A container of puffs brought from home was open and exceeded the suggested use by date on the package. Another container of puffs was open and labeled with the childs name but the container was not dated to reflect the date of opening.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(11)(b)5. · Violation

(Outdoor Play Space - Energy-Absorbing Surfaces ) on 7/7/2025 : An energy absorbing surface in a depth of at least 9 inches is not under swings in the outdoor play space.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(f)6. · Violation

(Current Authorizations For Medications On Premises ) on 7/7/2025 : Medication (childrens cough syrup) was observed on the premise without a written authorization form from the parent. An EpiPen observed on the premise expired 5/13/25. The medication authorization for an EpiPen is not current; the authorization form ended 5/9/25. **This was verified as corrected via email on 7/9/25**

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)2. · Violation

(Staff Record - Completed Background Check ) on 3/12/2025 : Fingerprints not completed for the following individuals: Individual 001

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)2. · Violation

(Staff Record - Completed Background Check ) on 2/21/2025 : Fingerprints not completed for the following individuals: Individual 001

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(a)6. · Child Record - Health History

The file for Child 4 lacked complete health history and emergency care plan upon licensing review. Child 4 noted gastrointestinal/hernia; however, the form lacked documentation of signs or symptoms of the medical condition and signs the childcare worker should watch for, triggers that may cause the program, when to call a parent regarding the symptom, and when the condition requires emergency medical care.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(a)6m. · Child Record - Immunization History

Child 1 does not have immunization history on file and has been attending the center for more than 30 days.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(a)8.a. · Child Record - Physical Exam - Under 2

Child 1 enrolled in April 2024 and does not have documentation on file of completing an initial health exam within 3 months of enrollment.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(a)8.b. · Child Record - Physical Exam - Over 2, Under 5

There was no record for Child 2, 3, and 4 of having a follow up examination within the past two years. Child 6 enrolled in August 2023 and did not have documentation on file of completing an initial health exam within 3 months of enrollment.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)2. · Staff Record - Completed Background Check

Staff G, H, and J lacked documentation of Department approved background checks upon licensing review. Staff D and I did not have documentation of a completed child are background check in the staff record or online indicating they are eligible to work in a child care program. Staff D and Is eligibly was expired. All five staff were present at the time of the licensing visit and had unrestricted access to children. **Staff J was verified as corrected on 11/13/24**

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)3.a. · Staff Record - Physical Examination

The file for Staff D lacked documentation of a physical examination upon licensing review. Staff D started in September 2024 and would have needed a physical examination within 30 days of hire.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)6. · Staff Record - Days & Hours Worked

Staff are not consistently documenting hours on the day of the licensing visit. There were two staff in the Jr. Toddler Room and 3-4 year old room but only one staff signed in. Actual hours staff worked are not documented correctly when staff in the 2.5-3 year old room already filled in hours for 11/5/24.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(c) · Cardiopulmonary Resuscitation Training

The CPR certificate on file for Staff A was not a course from a department approved provider. Staff F does not have documentation of a current CPR certificate on file. The most recent certificate was from April 2022.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(gr)3.a. · Meal Prep Personnel - Training

Staff A and B, identified as the food service person and preparing meals, does not have documentation of completing the annual one hour training in kitchen sanitation, food handling, and nutrition.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(4)(a) · Staff Orientation - Develop, Implement, Document

The file for Staff D lacked documentation of completed orientation, conducted within staffs first week at the center.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(11)(b)5. · Outdoor Play Space - Energy-Absorbing Surfaces

The outdoor play space lacked sufficient energy-absorbing surfaces at the time of the licensing visit. Areas under climbing equipment, swings, and slides, and within a four-foot fall zone lacked at least 9 inches of mulch.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(11)(b)7. · Outdoor Play Space - Enclosure

In the outdoor play space, the fence/gate near the parking lot had a gap larger than 4 inches.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(c) · Potentially Dangerous Items On Premises

A push reel lawn mower, with exposed blades, was observed in the outdoor play space and is accessible to children. In the Jr. Toddler Room, there was also shelving units in bathroom stalls that were wobbly and accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(i) · Deteriorating Paint

There is flaking paint on the wall in the Jr. Toddler 2 room that is accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(4)(jm)2. · Fire Alarms & Smoke Detectors - Testing

There is no documentation demonstrating that the required monthly smoke detector testing was conducted for the months of September and October 2024.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(9)(d)1.b. · Food Storage - Refrigeration Units

The refrigerator in the Jr. Toddler room was not maintained 40 degrees or below; the refrigerator was at 52 degrees. And the freezer in the Jr. Toddler room was not maintained at 0 degrees; the freezer was at 7 degrees.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(3)(b)4. · Emergencies - Record Of Fire / Tornado Drills

There was no documentation that monthly fire drills were conducted for the months of July and October 2024 and there was no documentation that monthly tornado drills were conducted for the months of April, July, and October 2024.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(dm)4. · Medical Log - Reviewing Injury Records

There is no documentation that the medical log book for the center and the infant room was reviewed within the last six months. The book for the center was last reviewed in January 2024.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(f)1.a. · Medication Administration - Parent Authorization

A medication authorization form dated 7/11/24, observed in the infant room was incomplete as it does not give a start and end date for the medication (acetaminophen).

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(f)3. · Medication - Storage

There was a large amount of medicated ointment creams observed in the 2.5-3 year old bathroom that are accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(f)6. · Current Authorizations For Medications On Premises

Childrens medication (Acetaminophen) observed in the infant room, lacked a current authorization. The authorization form expired 10/24/24. Several medications (childrens cough medication, Vicks nasal mist, and Musus and Cold Relief) was observed in the kitchen and did not have written authorization forms signed and dated by the parent.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)2. · Violation

(Staff Record - Completed Background Check ) on 11/5/2024 : Staff G, H, and J lacked documentation of Department approved background checks upon licensing review. Staff D and I did not have documentation of a completed child are background check in the staff record or online indicating they are eligible to work in a child care program. Staff D and Is eligibly was expired. All five staff were present at the time of the licensing visit and had unrestricted access to children. **Staff J was verified as corrected on 11/13/24**

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)3.a. · Violation

(Staff Record - Physical Examination ) on 11/5/2024 : The file for Staff D lacked documentation of a physical examination upon licensing review. Staff D started in September 2024 and would have needed a physical examination within 30 days of hire.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(4)(a) · Violation

(Staff Orientation - Develop, Implement, Document ) on 11/5/2024 : The file for Staff D lacked documentation of completed orientation, conducted within staffs first week at the center.

Open Not marked corrected in the state record

Open / not marked corrected.