250.04(6)(a)4.a. · Child Record - Physical Exam - Under 2

Child #3, a child under the age of 2, does not have documentation of a follow-up physical examination on file at least once every 6 months after the initial. The most recent physical on file for Child #3 is dated 7/24/24.

Open Not marked corrected in the state record

Open / not marked corrected.

250.06(2)(e) · Potential Source Of Harm On Premises

Metal wire is observed sticking out of a tree stump in the outdoor play space. Exposed sharp screws protruding from the fence are accessible to children in the outdoor play space. A ride on toy in the outdoor play space is cracked resulting in jagged pieces of exposed plastic.

Open Not marked corrected in the state record

Open / not marked corrected.

250.07(6)(f)1.a. · Medication Administration - Parent Authorization

A medication authorization on file for Child #6 does not identify the dosage of medication to administer and does not contain a start or end date.

Open Not marked corrected in the state record

Open / not marked corrected.

250.07(6)(f)1.b. · Medication Administration - Containers & Labeling

All medications kept at the center for enrolled children are not labelled with the child's name as required.

Open Not marked corrected in the state record

Open / not marked corrected.

250.07(6)(f)5. · Current Authorizations For Medications On Premises

Medications on the premises for children enrolled in the child care do not have completed authorizations on file from the parent to administer the medication.

Open Not marked corrected in the state record

Open / not marked corrected.

250.07(7)(c) · Pets & Animals - Notification

A pet was added to the center after a child was enrolled. The licensee added a dog to the child care home on 7/4/25 however parents were not notified in writing prior to the dog's addition to the center.

Open Not marked corrected in the state record

Open / not marked corrected.

250.04(6)(a)1m. · Child Record - Health History

Health history information on file for Child #2 identifies the child as having a food allergy however the parent has not specified triggers that may cause a problem, signs or symptoms to watch for, steps a provider should follow, when to call a parent regarding symptoms, and when the condition requires emergency medical care.

Open Not marked corrected in the state record

Open / not marked corrected.

250.05(3)(e)2. · Provider Training - Current Cpr Certificate

Staff B has not maintained a current certificate of completion for Infant and Child CPR with AED. The most recent certificate of completion on file for Staff B expired on 11/9/24.

Open Not marked corrected in the state record

Open / not marked corrected.

250.05(3)(fm) · Biennial Training - Child Abuse & Neglect

The licensee and Staff B have not completed the required biennial Child Abuse & Neglect training within the last two years as required. The most recent training completed by the licensee expired on 3/30/24. The most recent training completed by Staff B expired on 4/7/24.

Open Not marked corrected in the state record

Open / not marked corrected.

250.07(6)(f)1.a. · Medication Administration - Parent Authorization

An over the counter medication provided by the parent and kept at the center due to Child #2's food allergy does not have a completed medication authorization form on file to administer the medication. The medication authorization on file does not contain the medication dosage or a start an end date.

Open Not marked corrected in the state record

Open / not marked corrected.

250.07(6)(f)1.b. · Medication Administration - Containers & Labeling

A bottle of over the counter medication observed at the center and reported to be for Child #2 is not labeled with the child's name as required.

Open Not marked corrected in the state record

Open / not marked corrected.