251.055(1)(f) · Child Tracking Procedure

On 7/31/25, the child tracking was not accurate in the infant room as five children were present but four children were marked in on the tracking record.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(dm)1. · Medical Log Book

The prior medical log book was unavailable for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the outdoor play space, nails were observed sticking out of the wooden fence and a screw was observed in the preschool room and accessible to children. **The nails were verified as corrected via email on 5/22/25**

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(b) · Electrical Or Hot Surface Protection

An electrical outlet in the Preschool and Toddler room did not have outlet covers. **This was verified as corrected via email on 5/22/25**

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the infant room, plastic bags and a can of air freshener, labeled keep out of reach of children, was observed in an unlocked cabinet under the sink and accessible to children. **This was verified as corrected via email on 5/27/25**

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 tornado drills were conducted for the month of April 2025.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(3)(a)2. · Indoor Equipment - Construction, Condition

In the Preschool room, the cracked wood paneling on the storage/shelf was sharp and accessible to children. **This was verified as corrected via email on 5/21/25** In the School Age room, a plastic toy car was cracked, with sharp edges, and was accessible to children. **The toy car was thrown out during the monitoring visit**

Open Not marked corrected in the state record

Open / not marked corrected.

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

Under 2 intake forms are completed but were not in the room where care was being provided.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the infant room, an 8 month old was observed sleeping in a crib with a bib on and a pacifier that had a string attached. **The bib and pacifier was removed during the monitoring visit**

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(2)(bm) · Infant & Toddler - Sleep Position

In the infant room, a 6 month old was observed sleeping in a rocker seat.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the infant room, formula brought from home was opened and labeled with the childs name on it but the container was not dated to reflect the date the container was open.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The center did not report that a child received medical attention within 24 hours. On 1/29/25, a child received medical attention after having a seizure while at the center. This was not reported to the department until 2/25/25.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(a)1. · Child Record - Enrollment Information

Persons authorized to call for/receive a child and emergency contact information is not listed on file for Child 1.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The health history information on file for Child 1, who is identified as having a food allergy, is incomplete. There is no documentation of any signs or symptoms, triggers that may cause a problem, signs or symptoms the child care worker should watch for, steps the child care worker should follow, and when the condition requires emergency medical care.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)1. · Staff Record - Personal Information

Staff G does not have all of the required personal information on file; Staff G does not have emergency contact information.

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 worked when used to meet staff-to- child ratio. On the day of the monitoring visit, staff hours were not documented in the school age room when children were in care. **This was corrected during the visit**

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(c) · Cardiopulmonary Resuscitation Training

Staff J does not have documentation of a completed CPR certificate on file and within 3 months after Staff J began working with children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the outdoor play space, nails were observed sticking out of the wooden fence. In the preschool room, a loose telephone cord was accessible to children. **The nails in the wood fence was verified as corrected via email on 2/25/25**

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(b) · Electrical Or Hot Surface Protection

There were several outlets throughout the center that are not protected by outlet guards.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The wall in the mechanical closet had several areas of black and brown dirt and the fan in the hallway, leading to the bathrooms, is caked in dust. In the outdoor play space, garbage, including a glass beer bottle and cigarette butts were observed on the ground. **This was verified as corrected via email on 2/25/25**

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(9)(c)1. · Safe Food

A can of spoiled pears was observed in the mini refrigerator in the kitchen. **The can was tossed during the monitoring visit**

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(9)(d)1.c. · Food Storage - Cold Storage Thermometers

There is no thermometer in the mini freezer/fridge.

Open Not marked corrected in the state record

Open / not marked corrected.

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

There is no documentation that the medical log book was reviewed within the last 6 months.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Under 2 intake forms in the infant room have not been reviewed and updated within the past 3 months.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(1)(j) · Infant & Toddler - Crib Mattresses & Coverings

Several mattered coverings (sheets) in the infant room do not fit snugly over the mattress in the Pack n Play.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the infant room, infant snacks brought from home (rice cereal) is open and labeled with the childs name on it but the container is not dated to reflect the date the container had been opened.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(4)(a)10. · Infant & Toddler - Diapering Lotions, Powders, Salves

Diaper Rash Ointment, observed in the infant room, was not labeled with the childs name and does not contain written direction from the childs parent or physician.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(4)(a)4. · Infant & Toddler - Diaper Changing Surface Safety

The diaper changing surface was observed to have small rips/tears, making the surface unable to be disinfected easily.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)6. · Violation

(Staff Record - Days & Hours Worked ) on 2/25/2025 : Staff are not consistently documenting hours worked when used to meet staff-to- child ratio. On the day of the monitoring visit, staff hours were not documented in the school age room when children were in care. **This was corrected during the visit** $50

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(a)6. · Violation

(Child Record - Health History ) on 2/25/2025 : The health history information on file for Child 1, who is identified as having a food allergy, is incomplete. There is no documentation of any signs or symptoms, triggers that may cause a problem, signs or symptoms the child care worker should watch for, steps the child care worker should follow, and when the condition requires emergency medical care.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)2. · Staff Record - Completed Background Check

Fingerprints not completed for the following individuals: Individual 001

Open Not marked corrected in the state record

Open / not marked corrected.

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

An Order letter dated 8/12/24 was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The health history and emergency care plan for Child 2 was missing page 2. According to the file, Child 6 has multiple allergies; however, the health history and emergency care plan lacked information on the allergies and what to do in an event of an emergency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Child 6 does not have immunization history on file and has been attending the center for more than 30 days.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(a)8.a. · Child Record - Physical Exam - Under 2

There was no record for Child 8 of having a physical exam in the past 6 months. The last exam was in December 2023.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(b) · Current, Accurate Daily Attendance Record

Attendance was not current and accurate on the day of the licensing visit. There were 21 children in care but only 19 children signed in.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)1. · Staff Record - Personal Information

The files for Staff C, E, F. and H did not contain information for previous work experience and/or reasons for leaving previous positions. The file for Staff G did not have emergency contacts list or prior training in early childhood education.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The file for Staff C lacked documentation of a physical examination upon licensing review. Staff C started in June 2024.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff B did not have documentation of a high school diploma or its equivalent at the time of the monitoring visit.

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. On the day of the monitoring visit, two staff were signed into the Infant room but only one staff was present. That staff member returned to the infant room during the visit. In the Toddler room, one staff member did not sign out and the other staff member did not sign in. In the preschool room, staff signed in on 11/4/24 but did not sign out.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff I, identified as a volunteer and in contact with children in care, does not have documentation of a current child abuse and neglect training.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(gr)3.a. · Meal Prep Personnel - Training

Staff B and G, identified as the meal prep personnel, does not have documentation of completing at least 4 hours of training in kitchen sanitation, food handling, and nutrition.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(j)3. · Volunteer Not Counted In Ratio - Training

Staff I, a volunteer observed in the preschool room at the time of the licensing visit, does not have documentation of completed training in child care programming and procedures before working with children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Supervision Of Children

Sight and sound supervision was not maintained when preschool children were allowed to use the restroom unsupervised. The teacher for the classroom was standing in the hallway by the restroom with other children while some children were inside the bathroom with the door to the bathroom closed. There was no staff in the preschool room as children were laying down for nap time. The infant room teacher stepped in after licensors arrived and reported the preschool room teacher was on break.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Child Tracking Procedure

The centers tracking procedures were not followed when on the day of the licensing visit, nine children were present in the Preschool room but only seven children were marked on the tracking record.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(10)(dm)2. · Potty Chairs - Disinfected

A potty chair containing urine was observed in the girls bathroom.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(11)(bm)3. · Outdoor Play Equipment - Construction, Condition

In the outdoor play space, broken toys with sharp edges were observed and accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(n) · Garbage Containers - Construction & Disposal Schedule

A garbage container that contained used plates and food waste was observed outside the kitchen. Garbage containers in the building shall be rigid, covered, and watertight.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(4)(a) · Fire Extinguishers - Operable, Inspected, Labeled

The fire extinguisher located near the front entrance does not indicate it was last inspected within the last 12 months; the last inspection was August 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 that the required monthly smoke detector testing was conducted for the month of October 2024.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(9)(d)2.a. · Food Storage - Dry Food

An open box of instant mash potatoes observed in the kitchen was not stored in bags with zip type closures or food grade containers with tight-fitting covers. **The box was thrown out during the monitoring visit**

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(9)(f)3. · Food - Leftover Prepared Food

Six plates of food that was prepared for lunch, was observed sitting on the kitchen counter with paper towel on top. Salisbury Steak that was prepared for lunch was not refrigerated and stored property but was observed sitting in a bowl on the counter. Leftover rice observed in the refrigerator was not dated.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(9)(f)5. · Food - Thawing

Frozen foods (Salisbury Steak), labeled keep frozen, was observed thawing in the kitchen sink.

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 and tornado drills were conducted for the month of October 2024.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)10. · Sharing Information About Food & Other Allergies

A list of childrens food allergies are not posted in the kitchen and classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)5.a. · Menus - Post

Menus of meals and snacks provided by the center shall be posted in the kitchen and in a conspicuous place accessible to parents. Menus are posted in the kitchen but there is no menus posted in a place for parents.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(a)6. · Menus - Changes

Changes that were made to the planned menu were not documented on the menu to reflect what was actually served. For example, on the day of the licensing visit, lunch states turkey will be served when Salisbury Steak was served.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(dm)2. · Medical Log - Pages & Entries

The medical log book in the toddler room had skipped lines.

Open Not marked corrected in the state record

Open / not marked corrected.

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

An inhaler, observed on the premise, lacked a current authorization form signed and dated by the childs parent.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(1)(am) · Infant & Toddler - Intake Information

Child 2 did not have a complete infant/toddler intake form on file; pages 2 & 4 were missing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Infant and Toddler intake forms were not available in the room care was provided.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(1)(j) · Infant & Toddler - Crib Mattresses & Coverings

The mattress covering (sheets) in the Infant room did not fit snugly over the mattress in the Pack n Play.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(1)(k) · Infant & Toddler - Bedding

In the infant room, blankets used to cover children were not tucked tightly under the mattress and kept away from the childs mouth and nose. Three children (all one years old) were observed with blankets over their face during the monitoring visit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the infant room, an infant was observed sleeping in a crib with a bib on.

Open Not marked corrected in the state record

Open / not marked corrected.

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

On the day of the monitoring visit, three children in the infant room were observed sitting in highchairs without safety straps.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(b) · Violation

(Current, Accurate Daily Attendance Record ) on 11/6/2024 : Attendance was not current and accurate on the day of the licensing visit. There were 21 children in care but only 19 children signed in. $100

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)6. · Violation

(Staff Record - Days & Hours Worked ) on 11/6/2024 : Staff are not consistently documenting hours when used to meet staff-to-child ratio. On the day of the monitoring visit, two staff were signed into the Infant room but only one staff was present. That staff member returned to the infant room during the visit. In the Toddler room, one staff member did not sign out and the other staff member did not sign in. In the preschool room, staff signed in on 11/4/24 but did not sign out. $50

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Violation

(Child Tracking Procedure ) on 11/6/2024 : The centers tracking procedures were not followed when on the day of the licensing visit, nine children were present in the Preschool room but only seven children were marked on the tracking record. $100

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(1)(b) · Age Range Of Children

On 7/24/24, children under the age of 2 were observed in care. The center is licensed for 2 years to 11 years, 11 months.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(2)(k) · License Posted & Visible

The child care license was not posted. **This was verified as corrected via email on 7/29/24**

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(a) · Child Record - Maintenance & Availability

On 7/24/24, there were no children files available for review for Child #8 - #14.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(a)1. · Child Record - Enrollment Information

Persons authorized to call for/receive child had missing information on file for Child 1.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The health history information on file for Child 4, identified as having asthma, was incomplete. There was no documentation on triggers that may cause the problem and signs or symptoms to watch for.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(b) · Current, Accurate Daily Attendance Record

According to attendance records, on 7/23/24, children had an arrival time in the preschool and school age room but were missing departure times. During the visit, attendance in the preschool room was not accurate as multiple children were not signed in and some children had times that were pre-filled in.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)2. · Staff Record - Completed Background Check

The files for Staff A, B, C, F, and H lacked documentation from the Department, either paper or electronic, indicating staff are eligible to work in a child care program. Staff A-H were present at the time of the licensing visit and had unrestricted access to children. Staff H was verified as corrected on 7/29/24

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff B, C, E, F, and K do not have the required physical exam on file and have been working at the center for more than 30 days.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)4.d. · Staff Record - Educational Qualifications

The center lacked documentation of staff's educational qualifications at the time of the licensing visit for 4 Staff identified as teachers, Staff A, C, H and K

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff A, B, D, E, H, and K did not have documentation of a high school diploma or its equivalent at the time for the licensing visit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff is not consistently documenting hours worked when used to meet staff-to-child ratio. In the School age room, on 6/8/24 and 6/15/24, staffs hours were not documented when children were in care. On 7/23/24, staff did not sign in and out and on 7/24/24, staff did not sign in. In the Toddler room, on 7/21/24, staffs hours were not documented when children were in care. On 7/23/24, staff did not document hours from 5:20-6:00pm when children were in care and on 7/24/24, staff did not sign in.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(b) · Abusive Head Trauma Prevention Training

There is no documentation available for review for employees (Staff A, B, C, E, H, and K) who provide care and supervision to children under 5 years of age demonstrating completion of department-approved training in abusive head trauma, and appropriate ways to manage crying, fussing, or distraught children prior to beginning to work with children under 5 years of age.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff present and working with children during the licensing visit lacked documentation of child abuse and neglect prevention training. Staff A, C, D, E, G, H and K did not have documentation of a current child abuse and neglect training on file at the time of the licensing visit.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(f)3. · Child Care Teacher - Entry-Level Training

Staff A, and H did not meet required training requirements for the position of a child care teacher.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(g)1. · Assistant Child Care Teacher - Supervision

On 7/24/24, staff working in the infant room, toddler room, and pre-school room were not working under the supervision of a child care teacher, as required.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(4)(a) · Staff Orientation - Develop, Implement, Document

There is no documentation of a written orientation (staff orientation checklist) was implemented for staff working in the center.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(b) · Supervision - Teacher Per Group Of Children

On 7/24/24, children in the infant room, toddler room, and pre-school room were not supervised by a qualified lead staff person.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Child Tracking Procedure

The centers tracking procedures was not followed, when on 7/24/24, the Toddler Room, Pre-school and school age room transitioned to the outdoor play space. The director reported staff left the attendance/tracking binders inside the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(2)(b) · Staff-To-Child Ratios - Minimum

In the Infant room, there were 6 children, under the age of 2 years in care with 1 staff. The second staff member was observed outside upon licensors arrival.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(11)(bm)3. · Outdoor Play Equipment - Construction, Condition

Broken toys with sharp edges was observed in the outdoor play space and accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the outdoor play space, nails were observed on the ground and broken toys were accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Materials harmful to children were accessible to children when a door to an area used for construction was not closed. Items observed in the space include power tools, paint thinner, hammers, nails.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the outdoor play space, the wood panel on the fence was not secure. There was a significant amount of garbage and a piece of a cigarette attached to a filter was observed on the ground and accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Upon licensors arrival, the front door was propped open by a chair.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(4)(a) · Fire Extinguishers - Operable, Inspected, Labeled

The label for the fire extinguisher located in the rear hallway does not indicate it was last inspected within the last 12 months; the last inspection was 6/2023. **This was verified as corrected via email on 7/29/24**

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(9)(d)1.c. · Food Storage - Cold Storage Thermometers

There was no thermometer in the kitchen freezer chest.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(9)(d)1.d. · Food Storage - Covering Refrigerated Food

An open container of frozen chicken breast was observed in the kitchen freezer.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(9)(d)2.a. · Food Storage - Dry Food

Dry goods (flour and cereal) were not stored in bags with zip-type closures or food grade containers with tight-fitting covers.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(4)(e) · Naps Or Rest Periods - Bedding Maintenance, Storage, Cleanliness

In the infant room, the mattress in the pack n play had several visible stains and dirty.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Frosted Animal Crackers was served for snack; frosted animal crackers does not meet the USDA meal requirements.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(dm)2. · Medical Log - Pages & Entries

The medical log book in the pre-school room had skipped lines and an entry on 6/18/24 was not signed or initialed by the person making the entry. An entry in the medical log book in the school age room dated 7/22/24 was written in pencil.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Several medications observed on the premises lacked a current written authorization form signed and dated by the childs parent.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(i)1. · Washing Child's Hands & Face

In the toddler room, a childs hands was not washed after the child had been diapered.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(i)2. · Adult Handwashing

A child care worker did not wash hands after wiping a childs nose and after diapering.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Infant and toddler intake forms were not on file in the same room as the children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(1)(j) · Infant & Toddler - Crib Mattresses & Coverings

In the infant room, a tight fitting sheet over the mattress was not provided to a child placed inside a Pack N Play during the visit. The child was placed directly on the mattress.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(2)(bm) · Infant & Toddler - Sleep Position

An infant was observed sleeping in a car seat placed inside a Pack N Play.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the infant room, a container of baby formula observed in a childs cubby was open but was not labeled with the childs name and dated to reflect the date the container had been opened.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(3)(a)2m. · Infant & Toddler - Correct Food, Breastmilk, Or Formula

There were two bottles in the infant room that was not labeled with the childs name or dated and one bottle was labeled with the childs name but was not dated.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(4)(b) · Infant & Toddler - Sinks In Self-Contained Area

The sink located in the infant room, for diapering purposes, contained childrens toys.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(1)(b) · Violation

(Age Range Of Children ) on 7/24/2024 : On 7/24/24, children under the age of 2 were observed in care. The center is licensed for 2 years to 11 years, 11 months.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(a) · Violation

(Child Record - Maintenance & Availability ) on 7/24/2024 : On 7/24/24, there were no children files available for review for Child #8 - #14.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(b) · Violation

(Current, Accurate Daily Attendance Record ) on 7/24/2024 : According to attendance records, on 7/23/24, children had an arrival time in the preschool and school age room but were missing departure times. During the visit, attendance in the preschool room was not accurate as multiple children were not signed in and some children had times that were pre-filled in.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)2. · Violation

(Staff Record - Completed Background Check ) on 7/24/2024 : The files for Staff A, B, C, F, and H lacked documentation from the Department, either paper or electronic, indicating staff are eligible to work in a child care program. Staff A-H were present at the time of the licensing visit and had unrestricted access to children. Staff H was verified as corrected on 7/29/24

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)3.a. · Violation

(Staff Record - Physical Examination ) on 7/24/2024 : Staff B, C, E, F, and K do not have the required physical exam on file and have been working at the center for more than 30 days.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)4.d. · Violation

(Staff Record - Educational Qualifications ) on 7/24/2024 : The center lacked documentation of staff's educational qualifications at the time of the licensing visit for 4 Staff identified as teachers, Staff A, C, H and K

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(b) · Violation

(Abusive Head Trauma Prevention Training ) on 7/24/2024 : There is no documentation available for review for employees (Staff A, B, C, E, H, and K) who provide care and supervision to children under 5 years of age demonstrating completion of department-approved training in abusive head trauma, and appropriate ways to manage crying, fussing, or distraught children prior to beginning to work with children under 5 years of age.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(cm) · Violation

(Child Abuse & Neglect - Biennial Training ) on 7/24/2024 : Staff present and working with children during the licensing visit lacked documentation of child abuse and neglect prevention training. Staff A, C, D, E, G, H and K did not have documentation of a current child abuse and neglect training on file at the time of the licensing visit.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(f)3. · Violation

(Child Care Teacher - Entry-Level Training ) on 7/24/2024 : Staff A, and H did not meet required training requirements for the position of a child care teacher.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(4)(a) · Violation

(Staff Orientation - Develop, Implement, Document ) on 7/24/2024 : There is no documentation of a written orientation (staff orientation checklist) was implemented for staff working in the center.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(b) · Violation

(Supervision - Teacher Per Group Of Children ) on 7/24/2024 : On 7/24/24, children in the infant room, toddler room, and pre-school room were not supervised by a qualified lead staff person.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Violation

(Child Tracking Procedure ) on 7/24/2024 : The centers tracking procedures was not followed, when on 7/24/24, the Toddler Room, Pre-school and school age room transitioned to the outdoor play space. The director reported staff left the attendance/tracking binders inside the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.