251.04(4)(a)2.b. · Parent Notification - Medical Evaluation Needed

On 3/11/25, a parent was notified of their child's injury. An incident report was provided which stated a teacher was helping a child ride a bike when her foot got caught in a pedal and she sustained pain in the back of her left foot. The parent sought medical attention for the child and it was determined the child fractured their leg.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)4.a. · Staff Record - Registry Certificate

Staff C did not have a WI Registry certificate on file. Licensors also checked the Registry to review her certificate but were unable to find it.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The high school transcripts in Staff B's file had only half of the page, which cut off the individual's name.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In Room #7, one teacher forgot to sign out and one teacher forgot to sign in. *This was corrected during the visit.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Supervision Of Children

In Room #7, staff were not within sight and sound of a child while the child was using the restroom. The child was alone. Staff did not supervise children to ensure safety and guide behavior. Licensing Specialist reviewed video footage of a child falling off a table on 3/12/25. The footage showed that if staff had intervened quicker, this could have prevented another child from climbing up on the table and pushing the other child off. The child pushed off the table did have a head injury.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(10)(dm)1. · Washrooms - Sanitary Conditions

One of the toilets in the bathroom of Room #7 had urine in it. There was another toilet in that same bathroom that appeared to be clogged with brown paper towel.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(11)(bm)1. · Outdoor Play Equipment - Intended Use

On 3/11/25, a teacher was pushing a child on a tricycle with their weight over the child. The child's foot got caught between the ground and pedal, causing the child's leg to break. Weight of the teacher on the platform back while the child was using the equipment caused an unstable condition. General information on the type of tricycle involved in the incident indicates that there should be no more than 5 pounds of weight on the platform back.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(a) · Potential Source Of Harm On Premises

There is a piece of metal on the framing of a bathroom stall in Room #7 that is sharp and accessible to children. The heating vent cover in Room #8 is loose and also has an opening in one corner that exposes a sharp nail.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(b) · Electrical Or Hot Surface Protection

An outlet in room #8 was missing an outlet cover.

Open Not marked corrected in the state record

Open / not marked corrected.

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

There was a container of wipes in Room #3 in an unlocked cabinet drawer and accessible to children. There was also a container of wipes in Room #5 under the changing table cabinet which was unlocked and accessible to children. The labels on the wipes states to keep out of reach of children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(gm) · Premises - Well Drained, Clean, In Good Repair

There is a broken piece of wood on the bottom of one of the cabinets in Room #5. The light switch cover in Room #8 is cracked.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(n) · Garbage Containers - Construction & Disposal Schedule

A large garbage container in the kitchen was observed without a cover.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(9)(c)1. · Safe Food

There was a container of formula in Room #4 opened on 1/13/25; the label on the container states it should be used within 30 days of opening. There was also container of rice cereal in Room #4 opened on 1/12/25; the label on the container states it should be used within 30 days of opening.

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 child, over the age of one, was observed napping without a cot or sheets/blankets. The child was sleeping on a cushion/soft surface in the reading area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The cots in Room #3 are kept within the childrens play area and were not completely covered, therefore, they were not maintained in a clean and sanitary manner.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(dm)2. · Medical Log - Pages & Entries

There were skipped lines observed in the medical log book.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(dm)3.d. · Medical Log - Medical Evaluation

A self-reported incident that occurred on 3/10/25 where the child sought medical evaluation was not documented in the medical log book. A self-reported incident that occurred on 3/13/25 where the child sought medical evaluation was not documented in the medical log book.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(f)5. · Medication Administration - As Labeled & Authorized

A child's inhaler in Room #7 expired in February 2025.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In Room #7, there was a medication authorization with an end date of 2/1/25.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(1)(b) · Infant & Toddler - Location & Sharing Intake Information

In Rooms #4 and 5, there were missing intake under two forms.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Violation

(Supervision Of Children ) on 3/17/2025 : In Room #7, staff were not within sight and sound of a child while the child was using the restroom. The child was alone. Staff did not supervise children to ensure safety and guide behavior. Licensing Specialist reviewed video footage of a child falling off a table on 3/12/25. The footage showed that if staff had intervened quicker, this could have prevented another child from climbing up on the table and pushing the other child off. The child pushed off the table did have a head injury.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(11)(bm)1. · Violation

(Outdoor Play Equipment - Intended Use ) on 3/17/2025 : On 3/11/25, a teacher was pushing a child on a tricycle with their weight over the child. The child's foot got caught between the ground and pedal, causing the child's leg to break. Weight of the teacher on the platform back while the child was using the equipment caused an unstable condition. General information on the type of tricycle involved in the incident indicates that there should be no more than 5 pounds of weight on the platform back.

Open Not marked corrected in the state record

Open / not marked corrected.

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

There were two teachers signed in Room #2 but only one teacher was present.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(3)(i) · Cleanliness Of Furnishings, Toys, Equipment

A chair/seat in a classroom was observed to have deteriorating fabric which exposed foam, making it a difficult surface to wash or clean.

Open Not marked corrected in the state record

Open / not marked corrected.