202.08(1m)(a)4. · A Certified Child Care Operator Shall Comply With All Laws Governing The Certified Child Care Program And Its Operation, Including S. 48.686, Stats., And Ch. Dcf 13 And Ensure That All Employees And Volunteers Comply With These Laws.

Fingerprints not completed for the following individuals: Individual 001

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202.08(4m)(e)1.-5. · An Operator Shall Ensure That Each Provider, Volunteer, Substitute, And Emergency Back-Up Provider, Receives An Orientation Before Beginning Work That Covers The Following: 1. The Names And Ages Of Children In Care. 2. A Review Of Children's Records, Including Parent And Emergency Contact Information. 3. Specific Information Relating To A Child's Special Health Care Needs, Including Administration Of Medications, Disabilities, Allergies, Or Other Special Health Conditions. 4. A Review Of The Operator's Plan For Responding To Emergencies. 5. A Review Of This Chapter.

The operator was not able to provider document that staff B received an orientation before beginning work that covers the following: 1. The names and ages of children in care. 2. A review of children's records, including parent and emergency contact information. 3. Specific information relating to a child's special health care needs, including administration of medications, disabilities, allergies, or other special health conditions. 4. A review of the operator's plan for responding to emergencies. 5. A review of this chapter.

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202.08(4)(a) · Health Form: A Certified Child Care Operator Shall Have A Current Report Of A Physical Examination On File For Each Child, Including The Operator's Own Children, Who Are Not Enrolled In A Public Or Private School.

Child #4 did not have a health form on file.

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202.08(4)(e) · The Certified Child Care Operator Shall Have On File For Each Child In Care A Record Of The Child's Immunization History To Document Compliance With S. 252.04, Stats., And Ch. Dhs 144.

Child #4 did not have a record of an immunization history document on file.

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202.08(10)(a) · A Child Care Provider Shall Ensure That Each Child Shall Be Served One Meal Or Snack At Least Once Every 3 Hours. Each Meal And Snack Shall Meet The U.S. Department Of Agriculture Child And Adult Care Food Program Minimum Meal Requirements.

It was asked during the visit what was served for lunch for the children that was in care, the operator stated chicken fingers, french fries, broccoli, milk and yogurt. The meal did not meet the U.S. department of agriculture child and adult care food program minimum meal requirements because the operator did not provide a grain for lunch since it is one of the five components that is needed to be served during meals.

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202.08(1m)(a)9. · A Certified Child Care Operator Shall Permit A Child Care Certification Worker To Have Unrestricted Access To The Premises, Including Access To Children Served, Child Records, And Any Other Materials Related To Compliance Under This Chapter.

The operator was not able to provide staff B's file during the monitoring visit to be reviewed. It was asked that the operator submit a copy of the file to the certifier to be reviewed and as of 9/19/2025, the operator has not submitted documents of staff B's file to the certifier aside from the tuberculosis screen stating that the staff was free from tuberculosis.

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202.08(2)(c) · The Indoor And Outdoor Areas Of The Home Shall Be Free Of Hazards. Potentially Dangerous Items And Materials Harmful To Children, Including Power Tools, Flammable Or Combustible Materials, Insecticides, Matches, Drugs And Any Articles Labeled Hazardous To Children Shall Be In Properly Marked Containers And Stored In Areas Inaccessible To Children.

The air conditioner cord that was plug into the wall was accessible to children.

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202.08(12)(c) · The Certified Child Care Operator Shall Be In Ongoing Communication With A Child's Parent Or Ensure That A Substitute Child Care Provider Is In Ongoing Communication With A Child's Parent By Developing A Written Contract That Specifies The Charge For Child Care And The Expected Frequency Of Payment For The Service. The Contract Shall Be Signed By The Operator And A Parent Or Guardian.

A written contract that specifies the charge for child care services and the expected frequency of payment that is signed by a parent or guardian and the operator were missing for children #1, #2, #3 and #4 files.

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202.08(12)(f)1-4 · Prior To A Child's First Day Of Attendance For Any Child In Care, Obtaining Information On A Form Prescribed By The Department With Enrollment And Health History Information, Including All Of The Following: 1. The Parents' Home And Work Phone Numbers. 2. Health History, Including Information Relating To A Child's Special Health Care Needs And Emergency Care Plan. 3. The Parents' Signed Consent For Emergency Medical Care. 4. A Name And Number To Call If The Child Requires Emergency Medical Care.

Children #1 and #2 were missing an emergency contact on the enrollment and health history information form on file. Child #4 was missing an enrollment and health history information form on file.

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202.08(12)(i) · The Certified Child Care Operator Shall Be In Ongoing Communication With A Child's Parent Or Ensure That A Substitute Child Care Provider Is In Ongoing Communication With A Child's Parent By Informing The Parent In Writing Whether The Premises And Child Care Business Are Covered By A Child Care Liability Insurance Policy.

The parent for child #3 did not check the box on the enrollment and health history form stating that the operator discussed whether she has liability coverage for the premises and childcare business with the parent.

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202.08(1)(a)2. · Each Child Care Operator Shall Demonstrate That The Operator Is Free From Tuberculosis Prior To Initial Certification. Each Provider Shall Demonstrate That He Or She Is Free From Tuberculosis Prior To The Date The Provider Begins Working With Children In Care.

Staff B's documentation that was provided stated staff B was free from tuberculous as of 5/21/2025. However, employment period stated 1/27/2025. Staff B did not have documentation stating that that staff B was fee from tuberculous prior to the date that staff B began working with children in care. Staff B's file was not provide during the visit to determine correct dates of when staff B started working with children in care.

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202.08(1)(b)1. · Prior To Certification And Prior To Beginning To Work With Children Each Provider, Including Volunteers, Substitutes, And Emergency Back-Up Providers, Or Any Other Person Who Provides Care And Supervision For Children Under One Year Of Age Shall Complete Training In The Most Current Medically Accepted Methods For Reducing The Risk Of Sudden Infant Death Syndrome.

The operator was not able to provided staff B's file during the visit and the certifier gave time for the operator to submit trainings to the certifier. The deadline of when the trainings document needed to be submitted to the certifier were not provided as discussed during the visit.

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202.08(1)(b)2. · Prior To Certification And Prior To Beginning To Work With Children Each Provider, Including Volunteers, Substitutes, And Emergency Back-Up Providers, Or Any Other Person Who Provides Care And Supervision For Children Under 5 Years Of Age Shall Complete Department-Approved Training On Shaken Baby Syndrome And Abusive Head Trauma And Appropriate Ways To Manage Crying, Fussing, Or Distraught Children.

The operator was not able to provided staff B's file during the visit and the certifier gave time for the operator to submit trainings to the certifier. The deadline of when the trainings document needed to be submitted to the certifier were not provided as discussed during the visit.

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202.08(5)(i) · The Certified Child Care Operator Shall Keep Current And Accurate Written Records Of The Daily Hours Of Attendance Of Each Child In Care, Including The Actual Arrival And Departure Time Times For Each Child. If Children Are Transported To Or From The Premises Or School By The Operator Or Another Provider On Behalf Of The Operator, The Daily Attendance Record Shall Include The Actual Time The Child Was Picked Up Or Dropped Off.

Four children were present and only two children were signed in for the monitoring visit.

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