251.04(3)(a) · Report - Incident Or Accident

The licensee failed to report an incident/accident to the department within 24 hours after the occurrence that resulted in a child receiving professional medical evaluation. On 9/23/25 a child fell, hitting his head on the ground while in care required a staple to close the wound. This incident was not reported to the department as required and the department learned of it upon reviewing the medical log book.

Open Not marked corrected in the state record

Open / not marked corrected.

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

There is no documentation on file for Child #4 that indicates the child's immunization history is in compliance with s.252.04, Stats., and ch. DHS 144. Child #4 began attending the center on 10/14/24.

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 and Child #4 do not have an initial health examination report on file that is not more than 6 months prior to nor more than 3 months after being admitted to the center. Child #1 has attended the center since 8/27/24; Child #4 since 10/14/24.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff A and Staff C do not have completed Physical Examination Reports on file that were completed not more than 12 months prior to nor more than 30 days after the person was hired. Staff A was hired on 1/6/24; Staff C was hired on 12/5/22 and has the results of a TB test only on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff C and Staff E are both employed as child care teachers however they do not have certificates from the Wisconsin Registry on file documenting they have met the educational qualifications for their positions of child care teacher. The Registry website indicates Staff C and Staff E each meet the qualifications for assistant child care teachers.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff E does not have documentation on file either on paper or electronically of a high school diploma or its equivalent.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The documentation of the days and hours worked by staff do not accurately document which classroom the person works in when the person was included in the staff-to-child ratio. For example, Staff E is documented as meeting the staff-to-child ratio in the Toddler and School-Age Classrooms when she is actually caring for all of the children together in the Toddler classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(c) · Cardiopulmonary Resuscitation Training

Staff E has not maintained a current certificate of completion for infant and child CPR with AED. Staff E's certificate expired on 3/1/25.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff A does not have documentation on file demonstrating completion of the required biennial child abuse and neglect training. Staff A has been employed since 1/6/25.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(2)(d) · Mixed Age Group With Children Under Age 2 - Group Size

Per a review of a sampling of attendance records and discussion with the licensee, group size has been exceeded on multiple occasions when children under the age of 2 were combined with the School-Age classroom and both groups of children were cared for together in the Toddler classroom. For example: 2/10/25-12 children 2/11/25-11 children 2/13/25-10 children 2/14/25-10 children

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(11)(b)8. · Outdoor Play Space - Prohibited Surfaces

Two slides are observed placed over concrete in the outdoor play space. Concrete and asphalt are prohibited under climbing equipment, swings and slides.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Two nails are observed on the ground in the outdoor play space.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During the visit Staff E is observed yelling at 2 year old child in a loud harsh tone including "Stop! Now!" Afterwards, she is observed roughly ripping the child's coat out of his hand. Staff E ignores another child rather than attempting to redirect his behavior when the child is lying on the floor kicking and screaming at which time Staff E states to another staff member who has brought the child's behavior to her attention, "He just crying because he wants to go back outside."

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(3)(a)1. · Indoor Equipment - Developmental Level, Size

School-age children are regularly cared for in the Toddler Classroom including the morning of the visit. The equipment in the Toddler classroom is not scaled to the developmental level, size and ability of school-age children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(3)(a)5. · Indoor Equipment - Intended Use

A plastic stand alone children's basketball hoop in the outdoor play space is not used in accordance with all manufacturer's instructions and recommendations. The base should be filled with water or sand but is empty. The basketball hoop is instead tied to the fencing with a plastic children's jump rope.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Water toys in the outdoor play space contain dirty water and leaves.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)6. · Menus - Changes

Changes to the menu as planned were not recorded on the copies of the menu kept on file and posted for parents. On 3/18/25 Honey Nut Cheerios, bananas and juice were reported as having been served however the menus state a breakfast corn dog, pears and milk were served for breakfast.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Infant & Toddler Intake information is not in the Toddler classroom when multiple children under the age of 2 are being cared for in the classroom during the monitoring visit.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(1)(c) · Infant & Toddler - Documenting Changes In Development

Infant & Toddler Intake information has not been updated within the last three months for Child #5 The information was last updated on 9/6/24.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)3.a. · Violation

(Staff Record - Physical Examination ) on 3/18/2025 : Staff A and Staff C do not have completed Physical Examination Reports on file that were completed not more than 12 months prior to nor more than 30 days after the person was hired. Staff A was hired on 1/6/24; Staff C was hired on 12/5/22 and has the results of a TB test only on file.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(b) · Violation

(Policy - Child Guidance ) on 3/18/2025 : During the visit Staff E is observed yelling at 2 year old child in a loud harsh tone including "Stop! Now!" Afterwards, she is observed roughly ripping the child's coat out of his hand. Staff E ignores another child rather than attempting to redirect his behavior when the child is lying on the floor kicking and screaming at which time Staff E states to another staff member who has brought the child's behavior to her attention, "He just crying because he wants to go back outside."

Open Not marked corrected in the state record

Open / not marked corrected.