251.04(3)(k)1. · Report - Law Enforcement Contact - Harm

The licensee failed to report to the department within 24 hours after the occurrence, an incident in which law enforcement responded to the child care center on 4/14/25 in response to a 911 call made by a private citizen to report a child screaming at the child care center. The department learned of the law enforcement response when the center director reported it to licensors at the end of the 4/17/25 monitoring visit.

Open Not marked corrected in the state record

Open / not marked corrected.

251.04(6)(c) · Daily Attendance Record - Transportation

Per a review of a sampling of transportation attendance records, one arrival time was recorded for two children from the same family for two different families rather than recording a pick up time for each individual child. In addition, a pick up time was not recorded for a child on 4/16/25.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff A, who has been employed since 4/7/25, has not completed the required Child Abuse & Neglect training within one week after beginning employment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff A, who has been employed since 4/7/24, does not have documentation on file demonstrating a completed orientation within one week of employment. Per the center director, the orientation was completed but not documented.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Supervision Of Children

A group of children were not within the sight and sound of a childcare worker while in the outdoor play space when Staff C left the outdoor play space to take other children inside the center to use the bathroom prior to waiting for Staff G to come outside to supervise the children. Another teacher who was outside at the time was unable to see the children due to being seated in an area that is located inside a solid fence enclosure.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Child Tracking Procedure

Child #4 is observed being cared for in the infant room during the visit however she is not documented on the tracking in the infant classroom and is instead still documented on the Toddler Classroom tracking where she was cared for earlier in the day. In addition, Staff C brings a group of children into the center from the playground to use the bathroom however the list of children she brought inside is inaccurate.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Unsecured hanging cords are accessible to children in multiple classrooms. In the Toddler classroom a nursery monitor and a fan are stored on a shelf and their cords are hanging down in front of the sink where children are observed washing their hands. The nursery monitor falls off the shelf while the children are washing their hands. A sharp screw protruding from the fence in the outdoor play space is accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(2)(b) · Policy - Child Guidance

The center failed to implement its written policy that provides for positive guidance and redirection when Staff D, while seated on a bench in the outdoor play space, is heard yelling to a 4 year old child who is throwing wood chips "Do I need to call someone?"

Open Not marked corrected in the state record

Open / not marked corrected.

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

An entry in one of the center's medical log books has not been signed or initialed by the person having made the entry.

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

A child is observed with a visible black eye during the visit. Per the report of Staff D, the child's injury was noticed on 4/14/25. The injury has not been recorded in the medical log book.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(f)1.a. · Medication Administration - Parent Authorization

A current medication authorization on file to administer Children's Tylenol to Child #3 does not contain the time to administer the medication. A additional medication authorization to administer Child #3 Dr. Talbot's Pain + Fever Relief and cough medicine does not contain the time to administer the medications and the length of the authorization (1 year) exceeds the time frame on the medication bottles.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A bottle of Children's Tylenol and a bottle of Dr. Talbot's Pain+ Fever Relief in the Toddler classroom are not labeled with the child's name as required.

Open Not marked corrected in the state record

Open / not marked corrected.

251.08(3)(b) · Information In Vehicle - Emergency Information

A copy of the completed permission and emergency information was not carried in the vehicle for two children transported by the center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Child #5, who is observed being cared for in the Infant Classroom during the visit does not have Infant/Toddler Intake information in the classroom.

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 toddler classroom a sippy cup filled with milk and reported to have been brought from home for the child is not labelled with the child's name and dated as required.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(3)(a)7. · Infant & Toddler - Leftover Milk Or Formula

Leftover milk from multiple sippy cups has not been discarded after feeding and the cups have not been rinsed.

Open Not marked corrected in the state record

Open / not marked corrected.