251.04(2)(L)1.a. · Monitoring Results Posted

The most recent noncompliance statement and correction plan (issued as a result of the 10/29/24 monitoring visit) is not posted next to the child care license as required.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(2)(L)1.b. · Department Notices Posted

A notice from the department regarding rule violations-the Warning Letter issued to the facility on 11/13/24 is not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(3)(b) · Report - Damage To Premises

The licensee failed to report damage to the premises that may affect compliance with this chapter within 24 hours when the director's office and classrooms were damaged as a result of the historic August 2025 flooding which required the center to close for two days to dry out and clean the classrooms.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Health history and emergency care information on file for Child #3 and Child #5 is incomplete. Child #3 is identified as having a nut allergy however questions #2-8 pertaining to the nut allergy have been marked "NA." Child #5 is identified as having asthma requiring use of an inhaler however his health history form has "no specific medical condition" checked.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Documentation of a physical examination report that was completed not more than 12 months prior to nor more than 30 days after the person was hired is not on file for Staff A, who has been employed since 7/17/23.

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 is incomplete and inaccurate. No staff hours have been recorded for 9/29/25, 9/30/25 and the day of the monitoring visit for the infant and two's classroom despite children having been in care. Staff C recorded a departure time of 3:00 PM for the classroom she is working in despite being used to meet the staff-to-child ratio during the visit.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(c) · Cardiopulmonary Resuscitation Training

Staff C does not have on file either paper or electronically a current certificate of completion for a department-approved course in Infant and Child CPR with AED. The most recent certificate of completion on file for Staff C expired in August 2024.

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 and sound of the children to guide the children's behavior and activities, prevent harm, and ensure safety when the center director (Staff B) left 2 two year old children alone in their classroom while she answered the door to let the department in. During this time she could not see either child.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Child Tracking Procedure

Staff C does not have the classroom tracking sheet while she is caring for her classroom of children and reports she left it downstairs on a table. The center director (Staff B) has her tracking sheet in her classroom but did not fill it out to reflect the names of the children in her care. Included in a Warning Letter issued 11/13/24.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A large stand alone fan is observed running and has been placed on top of the countertop in a classroom where it is accessible to two three year old children being cared for in the classroom. Cords are accessible to children in multiple classrooms including cords that are on the floor and hanging. A looped metal blind cord is observed hanging down a wall in a classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A spray bottle containing a solution of soap and water and a tub of Clorox disinfecting wipes labelled "keep out of reach of children" are accessible to children in a room where two 3 year olds are being cared for.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(o) · Windows & Doors Used For Ventilation

A window opened for ventilation in a classroom is not screened as required.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)4. · Meals & Snacks - Minimum Meal Requirements

USDA minimum snack requirements are not always met when Fruit Loops cereal is served as a snack component.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)5.b. · Menus - Plan

The center provides a morning and afternoon snack. The snack menus are not planned at least one week in advance, dated and kept on file for three months. A menu for the week 9/30/25 has not been planned.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Three center medical log books have not been reviewed within the last 6 months per observation of the books and the report of the center director. For example, the most recent review documented in the toddler room medical log book occurred on 3/18/24. The most recent documented review of the infant room medical log book occurred in 2022.

Open Not marked corrected in the state record

Open / not marked corrected.

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

An asthma inhaler with an expiration date of December 2024 is observed in the center medication box for Child #5. There is not a current medication authorization on the premises to administer the medication. The most recent medication authorization on file was signed by the parent on 4/11/23 and does not contain a start or end date.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Violation

(Child Tracking Procedure ) on 10/1/2025 : Staff C does not have the classroom tracking sheet while she is caring for her classroom of children and reports she left it downstairs on a table. The center director (Staff B) has her tracking sheet in her classroom but did not fill it out to reflect the names of the children in her care. Included in a Warning Letter issued 11/13/24.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff D and Staff C have not completed training on child abuse and neglect reporting requirements at least every two years. The most recent training completed by Staff D and Staff C expired on 3/2/24.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Child Tracking Procedure

Three separate classrooms of children are playing in the outdoor play space however there is no tracking of the children. One teacher then leaves the playground with some of the children and no tracking. The tracking clipboards which list the child's names are inside the center. In addition, one of the children present in the toddler classroom is not listed on the tracking clipboard after the children return to their classrooms inside.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(3)(b)2. · Emergencies - Practice Written Plans

There is no documentation on file demonstrating that the required monthly tornado drills were completed for the months of April-September 2024.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(e) · Child Guidance - Prohibited Actions

A teacher was observed to grab a preschool child's arm and tell her in a harsh tone to "hold your horses" after the child had been waiting for a popsicle and the child had attempted to obtain the popsicle.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)4. · Meals & Snacks - Minimum Meal Requirements

Minimum USDA requirements are not always met per a review of this week's snack menu. Snack components include items such as "cookies, chips and fruit snacks." These items do not meet the minimum USDA snack requirements.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)5.b. · Menus - Plan

The snack menu is not dated as required. Snack menus are not kept on file for 3 months as required.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Medical log books have not been reviewed within the last 6 months per observation of the toddler room medical log book and the report of the center director. The most recent review documented in the toddler room medical log book occurred on 3/18/24.

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 on file to administer over the counter Ibuprofen to a toddler does not identify an end date or the child's birthdate. The parent also does not identify a specific dose of Acetaminophen to administer the child and documents that 3-4 ml should be administered.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Two tubes of Orajel observed in the toddler room are not labeled with the child's name.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Medication administered to a child in care was administered contrary to the instructions from the prescription label on the bottle from the doctor. The prescription says 2 ml should be administered however per an entry in the medical log book the center administered 3 ml to the child on 9/13/23.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Two tubes of teething gel (Orajel) are observed in the toddler room without a current medication authorization from the parent.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(2)(a) · Infant & Toddler - Responding To Crying Children

The toddler room teacher failed to respond promptly to a crying child's needs. An infant (11 months) & toddler cried for an extended period of time. The infant rocked back & forth while crying in the bucket seat table awaiting the teacher to prepare their lunches. The teacher, while standing at the microwave, made comments including "If you're that tired go to sleep now. You 2 might be the only ones eating b/c you're the only ones who can keep it together. If you weren't fighting your morning nap maybe you wouldn't be so tired now. Do I need to get your cot now & you can eat after naptime?"

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(3)(a)11. · Infant & Toddler - Care During Feeding

A child is observed to not be strapped into the feeding table bucket seat in the toddler classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Violation

(Child Tracking Procedure ) on 10/29/2024 : Three separate classrooms of children are playing in the outdoor play space however there is no tracking of the children. One teacher then leaves the playground with some of the children and no tracking. The tracking clipboards which list the child's names are inside the center. In addition, one of the children present in the toddler classroom is not listed on the tracking clipboard after the children return to their classrooms inside.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(e) · Violation

(Child Guidance - Prohibited Actions ) on 10/29/2024 : A teacher was observed to grab a preschool child's arm and tell her in a harsh tone to "hold your horses" after the child had been waiting for a popsicle and the child had attempted to obtain the popsicle.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(f)1.a. · Violation

(Medication Administration - Parent Authorization ) on 10/29/2024 : A medication authorization on file to administer over the counter Ibuprofen to a toddler does not identify an end date or the child's birthdate. The parent also does not identify a specific dose of Acetaminophen to administer the child and documents that 3-4 ml should be administered.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(f)5. · Violation

(Medication Administration - As Labeled & Authorized ) on 10/29/2024 : Medication administered to a child in care was administered contrary to the instructions from the prescription label on the bottle from the doctor. The prescription says 2 ml should be administered however per an entry in the medical log book the center administered 3 ml to the child on 9/13/23.

Open Not marked corrected in the state record

Open / not marked corrected.