251.06(2)(gm) · Premises - Well Drained, Clean, In Good Repair

There was a large hole in the dry wall in the girls bathroom.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Supervision Of Children

Staff did not supervise children to prevent harm and ensure safety when children were playing by a door causing one to get their thumb caught in the door resulting in injury.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Loose cords were observed throughout the building. Specifically in the School age and Preschool room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Closet with materials labeled keep out of reach of children was observed open and assessable to children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(gm) · Premises - Well Drained, Clean, In Good Repair

There was a significant amount of dust in the School age room and broken blinds were observed in the Preschool room.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(i) · Deteriorating Paint

Flaking paint accessible to children was observed in the girls restroom.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(1)(L) · Infant & Toddler - Soft Materials In Cribs

Infant under the age of 1 was sleeping in a crib with a bib on.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(3)(a)2. · Infant & Toddler - Food & Formula Brought From Home

Can of infant formula was labeled with childs name but container was not dated.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The center self-reported that on 4/4/2025, a 1-year-old child had been placed in a center high by the parent and the safety straps were not used. When staff were removing the child from the high chair, the child started to fall out of the high chair and hit their head on the tray.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(3)(a)11. · Violation

(Infant & Toddler - Care During Feeding ) on 4/8/2025 : The center self-reported that on 4/4/2025, a 1-year-old child had been placed in a center high by the parent and the safety straps were not used. When staff were removing the child from the high chair, the child started to fall out of the high chair and hit their head on the tray.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a) · Staff Record - Maintenance & Availability

Staff A did not have all there required personal information on file, such as early childhood training and emergency contact. **This was corrected during the monitoring visit**

Open Not marked corrected in the state record

Open / not marked corrected.

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

There was no health report on file for Staff B. Staff B started working in October 2024 and would have needed a completed report within 30 days after Staff B was hired.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff are not consistently documenting hours when used to meet staff-to-child ratio. In the 2 year old room, staff did not sign in on 1/9/25 and staff did not sign in or out on 1/8/25. In the preschool room, staff did not sign out on 1/8/25 and on 1/9/25, one staff member did not sign out and the other staff did not sign in. In the infant room staff did not sign out on 1/8/25.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(p)1.b. · Radon - Testing, Current Providers

A test for radon gas levels was not provided to the department by September 2023.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(4)(jm)2. · Fire Alarms & Smoke Detectors - Testing

There is no documentation demonstrating the required monthly smoke detector testing was conducted for the month of December 2024.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(9)(d)1.b. · Food Storage - Refrigeration Units

The refrigerators in the kitchen and infant room are not maintained at 40 degrees or below; the infant room was at 46 degrees and the kitchen was at 42 degrees.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(3)(b)4. · Emergencies - Record Of Fire / Tornado Drills

There is no documentation that monthly fire evacuation drills were conducted for the month of December 2024.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Teething gel observed in the infant room is not labeled with the childs name.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Childrens medication (baby teething gel) was observed in the infant room and did not have a written authorization form signed and dated by the parent. **This was corrected during the monitoring visit as the gel was discarded**

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(3)(a)2. · Infant & Toddler - Food & Formula Brought From Home

Containers of formula and rice cereal, brought from home, were labeled with the childs name but the containers were not dated on the day of opening.

Open Not marked corrected in the state record

Open / not marked corrected.