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

Health history and emergency care plan information on file for Child #1 is incomplete. The form indicates Child #1 has asthma and uses an inhaler however information pertaining to signs or symptoms to watch for, steps the child care provider should follow, when to call parents regarding symptoms or failure to respond to treatment and when to consider the condition requires emergency medical care or reassessment has not been provided.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Documentation of the days and hours worked by staff, and in which classroom when the person was included in the staff-to-child ratio is incomplete when staff hours have not been recorded in multiple observed classrooms during the monitoring visit.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Supervision Of Children

Each child was not supervised by a child care worker who is within the sight & sound of the children to guide the children's behavior and activities, prevent harm, and ensure safety. A 3 year old is not within the sight or sound of Staff E when he is observed across the cafeteria in the bathroom outside of the sight and sound of Staff E. A distraught 6 yr. old asking to go home is observed leaving a group of children in a hallway & entering a classroom undetected by Staff F, who has left the group alone in the hallway & is unaware the child has entered a classroom. WL 1/3/24, Order 7/17/24

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Child Tracking Procedure

The daily attendance record is used as the tool to ensure the number, names and whereabouts of children in care are known to the assigned child care workers at all times however this tracking method is not always adhered to. Children are brought from one classroom to another without tracking the transition. A teacher calls out a child on his list but is told by an enrolled child that the child has already left for the day. Included in a Warning Letter issued on 1/3/24, an Order issued on 4/4/24, and an Order/Forfeiture/Imposed Plan of Correction issued on 7/17/24.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(2)(c) · Mixed-Age Group - Staff-To-Child Ratio

The staff-to-child ratio is observed to not be met for mixed-age groups of children when one staff member is alone caring for 25 children in one classroom and another staff member is alone caring for 22 children in another classroom. Included in a Warning Letter issued on 1/3/24, an Order issued on 4/4/24, and an Order/Forfeiture/Imposed Plan of Correction issued on 7/17/24.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Child care workers are not free from non-classroom duties when Staff B, who is needed to meet the staff-to-child ratio, is observed serving dinner to the approximately 105 children present in the cafeteria while Staff A provides care to a group of 26 school-age children in the cafeteria.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(7)(a) · Indoor Space - Square Footage Per Child

Children being cared for in Room 109 are not provided with at least 35 square feet of usable floor space. During the monitoring visit 32 children are observed being cared for in Room 109, a classroom licensed for no more than 20 children at one time due to square footage.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(1)(a) · Written Program Of Activities

Programming is not provided to all children. For example, children in Room 109 are instructed to draw a Christmas ornament on a sheet of paper for an art contest. No art supplies are provided and sheets of paper are not provided to all children because there is not enough paper. One child who is never provided with any paper is observed seated at his desk with his head down throughout the duration of the project.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(1)(e)2. · Child-Selected Activities

The program does not provide daily periods when a variety of experiences are concurrently available for the children to select their own activities. For example, in Rm 109 there is no ability for the children to select their own activities for the observed 3 hour duration of the program. After eating dinner children in Room 109 are instructed to sit at their desks, complete homework & are then instructed to draw a Christmas ornament on a piece of paper for an art contest. After, they play a group game in the gym while awaiting dismissal. No play equipment is provided in any classrooms.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(b) · Policy - Child Guidance

The center failed to implement its written policy that provides for positive guidance and redirection when Staff F is heard repeatedly asking a 6 year old who is crying, upset and asking for her mother throughout the visit "Do I need to call mommy?" in a harsh tone and then tells the child in a harsh tone "Then you need to listen!" In a very loud, harsh tone Staff A states the following to a group of children "Hey, don't touch that screen! Don't do that! Separate! You keep your hands to yourself! Hey!"

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(3)(b)2. · Equipment - Quantity For Indoors

None of the classrooms children are cared for in contain indoor play equipment throughout the duration of the visit.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(b)1. · Mealtime - Staff With Children

Dinner service was observed. Staff failed to sit at the table with the children during mealtime.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A medication administration authorization form on file to administer an over the counter allergy medication to Child #2 is incomplete. The form does not contain the required start and end dates.

Open Not marked corrected in the state record

Open / not marked corrected.

251.095(2m)(b) · School-Age Care - Supervision Of Children Age 7 And Older

Each child 7 years of age and older was not supervised by a school-age program leader or child care teacher to guide the child's behavior and activities, prevent harm, and ensure safety when Staff A is observed facilitating a group game in which children run back and forth across the gym and tag each other. Licensor Slatten observes a child playing the game while running with a sucker in her mouth. No attempts are made by by Staff A or Staff B who are supervising the group to have the child remove the sucker from her mouth.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Violation

(Supervision Of Children ) on 11/4/2025 : Each child was not supervised by a child care worker who is within the sight & sound of the children to guide the children's behavior and activities, prevent harm, and ensure safety. A 3 year old is not within the sight or sound of Staff E when he is observed across the cafeteria in the bathroom outside of the sight and sound of Staff E. A distraught 6 yr. old asking to go home is observed leaving a group of children in a hallway & entering a classroom undetected by Staff F, who has left the group alone in the hallway & is unaware the child has entered a classroom. WL 1/3/24, Order 7/17/24 $250

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Violation

(Child Tracking Procedure ) on 11/4/2025 : The daily attendance record is used as the tool to ensure the number, names and whereabouts of children in care are known to the assigned child care workers at all times however this tracking method is not always adhered to. Children are brought from one classroom to another without tracking the transition. A teacher calls out a child on his list but is told by an enrolled child that the child has already left for the day. Included in a Warning Letter issued on 1/3/24, an Order issued on 4/4/24, and an Order/Forfeiture/Imposed Plan of Correction issued on 7/17/24. $250

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(2)(c) · Violation

(Mixed-Age Group - Staff-To-Child Ratio ) on 11/4/2025 : The staff-to-child ratio is observed to not be met for mixed-age groups of children when one staff member is alone caring for 25 children in one classroom and another staff member is alone caring for 22 children in another classroom. Included in a Warning Letter issued on 1/3/24, an Order issued on 4/4/24, and an Order/Forfeiture/Imposed Plan of Correction issued on 7/17/24. $250

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(2)(L)1.c. · Stipulations, Conditions, Exceptions Posted

A stipulation that affects the license is not posted next to the child care license as required. The stipulation has not been posted. NOTE: Licensor Slatten provided an additional copy of the stipulation to the center director during the monitoring visit which was then posted.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)10. · Sharing Information About Food & Other Allergies

Child #1 is identified as having an allergy to eggs however the child care teacher who provides care to the child has not been informed of the child's food allergy and reports to the department during the monitoring visit that she is not aware of Child #1 as having any food allergies.

Open Not marked corrected in the state record

Open / not marked corrected.

251.11(3)(a) · Regular License - Application Materials Submission

Open Not marked corrected in the state record

Open / not marked corrected.