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 child care certification worker was not able to gain access to the premises on 11/5/2025 and 11/20/2025.

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202.08(15)(a) · An Operator Shall Ensure That Persons Having Access To Children's Records Do Not Discuss Or Disclose Personal Information Regarding The Children And Facts Learned About The Children And Their Relatives.

Children's information on their food allergies were posted on the fridge visible for others and was not display in a confidential way.

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202.08(4m)(a)1. · An Operator Shall Have A Written Plan For Taking Appropriate Action In The Event Of An Emergency Including A Fire; A Tornado; A Flood; Extreme Outdoor Heat Or Cold; A Loss Of Building Service, Including No Heat, Water, Electricity Or Telephone; Human-Caused Events, Such As Threats To The Building Or Its Occupants; Allergic Reactions; Lost Or Missing Children; Vehicle Accidents; A Provider's Family Situation, Such As Medical Emergency Or Illness; Or Other Circumstances Requiring Immediate Attention.

The operator did not have a written emergency plan for taking appropriate action in the event of emergencies. including a fire; a tornado; a flood; Extreme Outdoor Heat Or Cold; A Loss Of Building Service, Including No Heat, Water, Electricity Or Telephone; Human-Caused Events, Such As Threats To The Building Or Its Occupants; Allergic Reactions; Lost Or Missing Children; Vehicle Accidents; A Provider's Family Situation, Such As Medical Emergency Or Illness; Or Other Circumstances Requiring Immediate Attention.

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202.08(4m)(a)1.a-c · An Operator's Emergency Plan Shall Include Procedures For All Of The Following: A. Evacuation, Relocation, Shelter-In-Place, And Lock-Down. B. Communication And Reunification With Families. C. Ensuring That The Needs Of All Children Are Met, Including Children Under 2 Years Of Age, Children With Disabilities, And Children With Chronic Medical Conditions.

The operator did not have a written emergency plan that include procedures for all of the following: a. Evacuation, relocation, shelter-in-place, and lock-down. b. Communication and reunification with families. c. Ensuring that the needs of all children are met, including children under 2 years of age, children with disabilities, and children with chronic medical conditions.

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202.08(4m)(a)2. · The Emergency Plan Under Subd. 1. Shall Be Reviewed Periodically And Practiced As Specified In The Plan.

The operator has not reviewed periodically and practiced the emergency plan since she did not have a plan. The operator did not have a designated space for tornado drill/shelter. The operator stated that tornado drill and shelter was practiced on the porch or outside.

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202.08(4m)(b) · An Operator Shall Have A Written Plan To Prevent And Respond To Food And Other Allergy-Related Emergencies.

The operator did not have a written plan that discussed how she will prevent and respond to food and other allergy-related emergencies.

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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.

Staff B that was used did not have an orientation checklist completed on file when she begin working.

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202.08(4)(a)1. · For Each Child Under 2 Years Of Age, A Report Of A Physical Examination Conducted Not More Than 6 Months Prior To Nor Later Than 3 Months After The Child Is Admitted, And A Follow-Up Health Examination At Least Once Every 6 Months Thereafter.

Child#1 was missing an Physical Examination and a follow up health examination 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 #5 was missing immunization history record on file.

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202.08(4)(i) · A Provider Shall Change A Child's Wet Or Soiled Clothing Or Diapers Promptly From An Available Supply Of Clean Clothing Or Diapers. The Child's Diaper Shall Be Changed On An Easily Cleanable Surface That Is Cleaned With Soap And Water And A Disinfectant Solution After Each Use. The Disinfectant Solution Shall Be Registered With The U.S. Environmental Protection Agency As A Disinfectant And Have Instructions For Use As A Disinfectant On The Label. The Solution Shall Be Prepared And Applied As Indicated On The Label.

Per the operator's description, the correct 2-step method was not used to clean and disinfect the diapering surface.

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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.

The operator stated that she served corn dogs, pears, corn and apple juice for lunch. The meal did not meet the USDA guideline since milk needs to be serve for the meals.

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202.08(2)(a)1. · All Exits Shall Be Clear Of Obstruction.

The second exit for the backyard had items obstructing the exit.

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202.08(2)(am)1. · A One-Unit Or Two-Unit Residential Building Shall Have A Functional Carbon Monoxide Detector Installed In The Basement And On Each Level Of The Building, Excluding The Garage And Attic, In Accordance With The Requirements Of S. 101.647, Stats.

The basement did not have a carbon monoxide detector.

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202.08(2)(ar) · The Home Shall Have A Functional Smoke Detector On Each Floor Level In Accordance With The Requirements Of S. 101.645, Stats.

The basement did not have a smoke detector

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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.

Fragrance plug was accessible to children in the kitchen.

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202.08(2)(g) · Bathrooms, Including Toilets, Sinks, And Potty Chairs, Shall Be Clean And In Good Working Condition. Soap, Toilet Paper, Towels, And A Waste Paper Container Shall Be Provided In The Bathroom And Shall Be Accessible To Children.

There were no paper towels for children to use during the visit.

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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 child #5.

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202.08(12)(d) · 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 Making A Copy Of The Applicable Certification Standards Available To Each Parent

The operator did not have ongoing communication with the parents for children #1, #2, #4, #5, #6 by making a copy of the applicable certificate standards available to the parents.

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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, #2, #3, #4 and #5 had missing or incomplete Enrollment And Health History Information on file.

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202.08(12)(g) · 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 Using Information Obtained On The Department-Provided Child Care Intake For Child Under 2 Years Form, Which Collects Essential Information For Infants And Toddlers, To Individualize The Program Of Care For Each Child Under 2 Years Of Age.

The Child Care Intake for Child Under 2 Years form was missing from child #1 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.

Parents were not inform of whether the premises and child care business are covered by a child care liability insurance policy for children #1, #2, #3,#4,#5 and #6.

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202.08(12)(k) · 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 Notifying The Parent In Advance Of The Date, Time, And Destination Of A Field Trip That Is Not Considered Part Of The Regularly Scheduled Program.

The operator stated that she has taken the child care children on field trips. There was no permission slips in the children's file.

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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 was missing documentation on file that she was free from tuberculosis prior to the date staff B begins 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.

Staff B training documentation on file was illegible to read, the certifier search on the Wisconsin Register and staff B was not found.

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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.

Staff B training documentation on file was illegible to read, the certifier search on the Wisconsin Register and staff B was not found.

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202.08(1)(b)3.a. · Each Certified Child Care Operator And Each Provider Shall Comply With S. 48.651 And Complete Training Including At Least 2 Credits In Early Childhood Education Or A Non-Credit Course In Caring For Children That Is Approved By The Department.

Staff B training documentation on file was illegible to read, the certifier search on the Wisconsin Register and staff B was not found.

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202.08(1)(b)3.b. · Each Certified Child Care Operator And Each Provider Shall Comply With S. 48.651 And Complete A Non-Credit Course In Operating A Child Care Business That Is Approved By The Department Or A Course For Credit In Business Or Program Administration.

Staff B training documentation on file was illegible to read, the certifier search on the Wisconsin Register and staff B was not found.

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202.08(1)(b)3.c. · Each Certified Operator And Each Provider Shall Comply With S. 48.651 And Complete Training In Child Abuse And Neglect Laws And Identifying, Documenting, And Reporting Child Abuse And Neglect.

Staff B training documentation on file was illegible to read, the certifier search on the Wisconsin Register and staff B was not found.

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202.08(1)(b)3.d. · Each Certified Operator And Each Provider Shall Comply With S. 48.651 And Obtain And Recertify As Necessary To Maintain Current Certification In Infant And Child Cardiopulmonary Resuscitation (Cpr). The Cpr Training Must Result In A Certificate Of Completion. If The Certificate Of Completion Does Not Have A Date Specifying The Length Of Time For Which It Is Valid, The Cpr Training Must Be Renewed Every Year.

Staff B did not have current CPR training on file, the certifier search on the Wisconsin Register and staff B was not found.

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202.08(1)(b)5. · After Completion Of Preservice Training Under Subd 3., A Child Care Provider Shall Receive And Document Receiving At Least 5 Hours Of Qualifying Continuing Education Annually. Continuing Education Qualifies Under This Subdivision If It Covers Any Of The Topics Listed Under 202.08(1)(B)5. A. Through N.

The operator was not able to provide documentation of 5 hours of qualifying continuing education during the visit. The certifier search on the Wisconsin Register and the operator was not found.

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202.08(11)(d) · A Safe Crib Or Playpen With A Tight-Fitting Mattress With A Tight-Fitting Covering Shall Be Available For Each Child Under One Year Of Age To Use For Napping Or Sleeping. The Crib Or Playpen May Not Contain Soft Or Loose Materials, Such As Sheepskins, Pillows, Blankets, Flat Sheets, Bumper Pads, Bibs, Pacifiers With Attached Soft Objects Or Stuffed Animals. A Certified Family Child Care Operator Shall Ensure That Each Crib Used By A Child In Care Satisfies The Applicable Federal Safety Standards In 16 Cfr Part 1219 Or 1220.

a child was observe to be sleeping in a car seat during the visit instead of in the playpen that was available in the infant room.

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202.08(5)(j) · The Operator Shall Maintain Documentation Of The Actual Hours That A Provider Who Is Not Also The Operator Has Worked.

Staff B worked in the childcare and the operator did not have documentation of the actual hours that staff B has worked.

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