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

There was no file available for review for Staff I.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff I does not have documentation of a completed child care background check in the staff record or online indicating Staff I is eligible to work in a child care program.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The physical examination on file for Staff B and Staff C is incomplete. The report for Staff C is not dated and the reports on file for Staff B and Staff C do not include the name and address of the health care professional who completed the form.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)4.a. · Staff Record - Registry Certificate

Staff B and D do not have a registry certificate on file. Staff B and D have been working as lead teachers for longer than 6 months.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Documentation of a high school diploma or its equivalent is not on file for Staff D.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff aren't consistently documenting hours when in ratio. During visit, staff in Preschool Rm not signed in and person that was signed in did not sign out. There were staff signed in rooms on 10/27/2025, 10/28/2025 and 10/29/2025 but not sign out; and staff hours missing when children in care, as follows: in Inf. Rm. 10/27/25, 6:35am-7:17am, 10/28/25, 6:36am-7:15am and 10/29/25, 6:33am-7:35am; in Tod. Rm. 10/29/25, 6:10am-7am, and no staff signed in on 10/28/25; in Preschool Rm, 10/27/25, 7:00am-8:11am, 10/28/25, 7:30am-9:07am, and 10/29/25, 7:20am-8am.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a) · Violation

(Staff Record - Maintenance & Availability ) on 10/29/2025 : There was no file available for review for Staff I.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)2. · Violation

(Staff Record - Completed Background Check ) on 10/29/2025 : Staff I does not have documentation of a completed child care background check in the staff record or online indicating Staff I is eligible to work in a child care program.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)3.a. · Violation

(Staff Record - Physical Examination ) on 10/29/2025 : The physical examination on file for Staff B and Staff C is incomplete. The report for Staff C is not dated and the reports on file for Staff B and Staff C do not include the name and address of the health care professional who completed the form.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)6. · Violation

(Staff Record - Days & Hours Worked ) on 10/29/2025 : Staff aren't consistently documenting hours when in ratio. During visit, staff in Preschool Rm not signed in and person that was signed in did not sign out. There were staff signed in rooms on 10/27/2025, 10/28/2025 and 10/29/2025 but not sign out; and staff hours missing when children in care, as follows: in Inf. Rm. 10/27/25, 6:35am-7:17am, 10/28/25, 6:36am-7:15am and 10/29/25, 6:33am-7:35am; in Tod. Rm. 10/29/25, 6:10am-7am, and no staff signed in on 10/28/25; in Preschool Rm, 10/27/25, 7:00am-8:11am, 10/28/25, 7:30am-9:07am, and 10/29/25, 7:20am-8am.

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.

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

Staff are not consistently documenting hours worked when used to meet staff-to-child ratios. The week of 4/28/25, staff hours were not documented in the Twos and Preschool room. On 5/2/25, staff signed into the Infant room from 7:11am - 12:30pm but staff reported working in a combined classroom (the Toddler and Twos room) until 8:00am. The second staff member in the Infant room did not document any hours for the week of 4/28/25. In the Toddler room, one staff signed in on 4/28/25 but did not sign out and no hours were documented on 4/29/25, 4/30/25, 5/1/25, and 5/2/25.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(2)(c) · Mixed-Age Group - Staff-To-Child Ratio

On 5/1/25, staff-to-child ratios were not met when the Toddler and Two's room were combined. Based on the pro rata total of 1.08 at 7:30am and 1.501 at 7:45am, more than two child care workers are required.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(2)(d) · Mixed Age Group With Children Under Age 2 - Group Size

On 5/1/25, there were two providers with a group of 9 children, two of them under the age of two. Group size cannot exceed 8 when there are children under the age of 2.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on multiple staff interviews, it was determined on 5/1/25, a child was lifted up/physically moved by the child's hand/arm. As a result, the child suffered physical pain and an injury to her elbow.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)6. · Violation

(Staff Record - Days & Hours Worked ) on 5/7/2025 : Staff are not consistently documenting hours worked when used to meet staff-to-child ratios. The week of 4/28/25, staff hours were not documented in the Twos and Preschool room. On 5/2/25, staff signed into the Infant room from 7:11am - 12:30pm but staff reported working in a combined classroom (the Toddler and Twos room) until 8:00am. The second staff member in the Infant room did not document any hours for the week of 4/28/25. In the Toddler room, one staff signed in on 4/28/25 but did not sign out and no hours were documented on 4/29/25, 4/30/25, 5/1/25, and 5/2/25.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(2)(c) · Violation

(Mixed-Age Group - Staff-To-Child Ratio ) on 5/7/2025 : On 5/1/25, staff-to-child ratios were not met when the Toddler and Two's room were combined. Based on the pro rata total of 1.08 at 7:30am and 1.501 at 7:45am, more than two child care workers are required.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(e) · Violation

(Child Guidance - Prohibited Actions ) on 5/7/2025 : Based on multiple staff interviews, it was determined on 5/1/25, a child was lifted up/physically moved by the child's hand/arm. As a result, the child suffered physical pain and an injury to her elbow.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The health report and emergency care plan for Child 1 is incomplete. The health and emergency care plan has a box checked stating no specific medical condition. Additional documents in the file noted the child to have an allergy. The health history information on file for Child 2 does not have the appropriate box marked to indicate the childs food allergy.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(a)8.b. · Child Record - Physical Exam - Over 2, Under 5

There is no record for Child 2 and 3 of having a follow up health examination within the past two years; the last exam for Child 2 was in April 2022 and Child 3s last exam was in March 2023.

Open Not marked corrected in the state record

Open / not marked corrected.

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

At the time of the monitoring visit, there is no file available for review for Staff D.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The file for Staff A and D lacked staff information. The file for Staff C does not have all of the required personal information on file, including emergency contact information and staffs education.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff C, observed proving care and supervision to children, does not have documentation of a completed background check that indicates Staff C is eligible to work in a child care program.

Open Not marked corrected in the state record

Open / not marked corrected.

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

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

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff hours worked are documented but it does not include what room staff are working in when used to meet staff-to-child ratio.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff A does not have documentation of completing training in Shaken Baby Syndrome/Abusive Head Trauma prior to working with children under 5 years old.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(c) · Cardiopulmonary Resuscitation Training

Staff B does not have a current CPR certificate on file at the center; the most recent certificate expired in July 2023. Staff C does not have documentation of completed CPR certificate within 3 months after beginning to work with children; staff C started working in September 2024.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff A and C started working in September 2024 and have not completed the required biennial child abuse and neglect training.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff B only has documentation on file to work as an assistant teacher but has been working as a lead teacher.

Open Not marked corrected in the state record

Open / not marked corrected.

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

On the day of the monitoring visit, an assistant teacher was observed working alone in the infant room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The staff orientation checklist on file for staff A, B, and C is completed but does not contain all the required information, such as prevention and response to emergencies due to food and allergic reactions, administration of medications, the procedure to contact a parent if a child is absent from the center without prior notification, and building and physical premises safety.

Open Not marked corrected in the state record

Open / not marked corrected.

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

On the day of the monitoring visit, a group of 8 children in the infant room are not supervised by a qualified teacher.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Child Tracking Procedure

The centers tracking procedures is not followed when on 1/8/25, 4 children were in attendance in the Toddler room but 7 children were marked in on the tracking record. A teacher supervising a group of preschool children were observed using the hallway bathroom; the teacher reported leaving the clipboard used for tracking in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff-to-child ratios were not met on 1/8/25 when 1 childcare worker was providing care for 8 children under the age of 2 years when the child care teacher was on break from 12:53pm until 2:21pm. The staff-to-child ratio for this age is 1:4.

Open Not marked corrected in the state record

Open / not marked corrected.

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

On the day of the monitoring visit, two infants were observed sleeping in swings; one infant was sleeping with a blanket and the other infant was sleeping with a bib on.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the kitchen refrigerator, a container of peaches and leftover spaghetti is not dated.

Open Not marked corrected in the state record

Open / not marked corrected.

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

USDA minimum meal requirements are not always being met when Pop-tarts, cookies, Fritos/Gardettos, and cereal bars are served as a component of snack.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(dm)3.a. · Medical Log - Observation Or Evidence Of Injury

An injury to a child's face was observed during the monitoring visit. Staff reported the injury occurred outside of the center. The injury is not documented in the medical log book.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(dm)3.c · Medical Log - Medication Administration

It was reported by staff that medications that are dispensed to a child in care are documented on forms for the parents but not documented in the medical log book.

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 in the medical log book in the infant room was reviewed in the last 6 months. The medical log book in the Preschool room was also not reviewed in the last 6 months; the most recent review date occurred on 6/11/24.

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 letter, signed and dated by the parent, was observed in the infant room. The letter does not include the begin and end date of the authorization nor does it specify the times to administer medication but instead stated every 6 hours if needed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Medications observed in the infant room (Mucus and Cold Relief and Vitamin D drops) are 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

Several medications (childrens Tylenol, Mucus & Cold Relief, Saline Spray/drops, and Acetaminophen) are observed on the premise without written authorization from the parent.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(1)(e) · Infant & Toddler - Provider Training

Staff D started working in March 2024 and does not have documentation on file of completing 10 hours in Infant and Toddler training within six months of resuming the position.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Several mattress coverings (sheets) in the Infant room do not fit snugly over the mattress in the cribs.

Open Not marked corrected in the state record

Open / not marked corrected.

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

On the day of the monitoring visit, two infants were observed sleeping in swings.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)2. · Violation

(Staff Record - Completed Background Check ) on 1/8/2025 : Staff C, observed proving care and supervision to children, does not have documentation of a completed background check that indicates Staff C is eligible to work in a child care program.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(2)(a)3.a. · Violation

(Staff Record - Physical Examination ) on 1/8/2025 : Staff A, B and C do not have the required physical exam on file and have been working at there center for more than 30 days.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(b) · Violation

(Abusive Head Trauma Prevention Training ) on 1/8/2025 : Staff A does not have documentation of completing training in Shaken Baby Syndrome/Abusive Head Trauma prior to working with children under 5 years old.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(c) · Violation

(Cardiopulmonary Resuscitation Training ) on 1/8/2025 : Staff B does not have a current CPR certificate on file at the center; the most recent certificate expired in July 2023. Staff C does not have documentation of completed CPR certificate within 3 months after beginning to work with children; staff C started working in September 2024.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(cm) · Violation

(Child Abuse & Neglect - Biennial Training ) on 1/8/2025 : Staff A and C started working in September 2024 and have not completed the required biennial child abuse and neglect training.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(4)(a) · Violation

(Staff Orientation - Develop, Implement, Document ) on 1/8/2025 : The staff orientation checklist on file for staff A, B, and C is completed but does not contain all the required information, such as prevention and response to emergencies due to food and allergic reactions, administration of medications, the procedure to contact a parent if a child is absent from the center without prior notification, and building and physical premises safety.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(b) · Violation

(Supervision - Teacher Per Group Of Children ) on 1/8/2025 : On the day of the monitoring visit, a group of 8 children in the infant room are not supervised by a qualified teacher.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(2)(b) · Violation

(Staff-To-Child Ratios - Minimum ) on 1/8/2025 : Staff-to-child ratios were not met on 1/8/25 when 1 childcare worker was providing care for 8 children under the age of 2 years when the child care teacher was on break from 12:53pm until 2:21pm. The staff-to-child ratio for this age is 1:4.

Open Not marked corrected in the state record

Open / not marked corrected.