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

Child 1 does not have documentation of a follow-up health examination report at least once every 6 months as required. The most recent health report on file for Child 1 was on 11/25/24.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff A and Staff E do not have documentation in the staff record of address, date of birth, education, position, previous work experience in child care, including the reason for leaving previous positions, and the name, address, and telephone numbers of persons to be notified in an emergency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff D and Staff E do not have documentation of a physical examination report within 30 days after Staff D and Staff E were hired.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff D and Staff E do not have documentation of 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)(c) · Cardiopulmonary Resuscitation Training

Staff A does not have a current certificate of completion for infant and child CPR and AED use. The CPR certificate on file for Staff A expired 08/26/24. Staff D does not have documentation of a certificate of completion for infant and child CPR and AED use within 3 months after Staff D began working with children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff A does not have documentation of a current biennial child abuse & neglect training. The most recent training certificate on file for Staff A was taken April 2023. Staff D and Staff E do not have documentation of a biennial child abuse & neglect training within one week after Staff D and Staff E began work at the center.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(g)2. · Assistant Child Care Teacher - Qualifications

Staff H, identified as an assistant teacher, does not have documentation of assistant teacher qualifications.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(gm)3. · Program Aide - Training

Staff B, identified as a program aide, does not have documentation of completion of an assistant child care teacher training program approved by the Wisconsin department of public instruction, or a noncredit department-approved course in early childhood education within 6 months after Staff B assumed the position.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff E does not have documentation of a written orientation plan within Staff E's first week at the center.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Supervision Of Children

Children were doing an activity in the gross motor area. 1 child came back to the Alim classroom unescorted and was left outside of the classroom for approximately 30 seconds.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Child Tracking Procedure

During the visit, 8 children were present in the Rimonim classroom, however 5 children were marked as being inside of the classroom and the other 3 children were marked as out of the classroom. In the Alim classroom, 9 children were present during the visit, however 10 children were marked as being in the classroom on the center tracking method. During the visit in the Shemesh classroom, 7 children were present in the classroom, but 8 children were marked as being present in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

There are toys on the grass on the outside of the center. The center allows children to use these toys in the parking lot of the center posing a potential hazard with vehicles coming in and out of the parking lot. There are loose cords in the T'marim classroom and Tziporim classroom. In the Tziporim classroom, there is a microwave on a low shelf accessible to children in that classroom. In the Tziporim classroom, there is a basket that has latex gloves and loose plastic bags accessible to children. These items pose a potential choking and suffocation hazard.

Open Not marked corrected in the state record

Open / not marked corrected.

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

There is an electric outlet in the T'marim that is not covered with an electrical outlet cover guard. In the same classroom, there is also an electric fan that does not have a screen on it.

Open Not marked corrected in the state record

Open / not marked corrected.

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

During the beginning of the visit, the Shemesh classroom had several toys scattered throughout the classroom posing a potential for someone to trip.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Garbage cans containing food refuse in the Alim, Parparim, and Tziporim classrooms are not covered.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The cold storage thermometer in freezer in between Afunim and Tutim classrooms reads 20 degrees Fahrenheit and not maintained at 0 degrees Fahrenheit or below.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Cots in the Aytzim classroom are not covered.

Open Not marked corrected in the state record

Open / not marked corrected.

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

An entry in the medical log book in the Kochavim classroom was made in pencil. In the same classroom there are skipped lines 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

Injury records are not reviewed in the Bonim classroom every 6 months as required. The last documented injury record review was on 07/01/24.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(g)4. · Properly Clothed Children

Children in the Shemesh classroom were observed doing an activity wearing only diapers with no shirts on.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Violation

(Supervision Of Children ) on 6/3/2025 : Children were doing an activity in the gross motor area. 1 child came back to the Alim classroom unescorted and was left outside of the classroom for approximately 30 seconds. $200

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Violation

(Child Tracking Procedure ) on 6/3/2025 : During the visit, 8 children were present in the Rimonim classroom, however 5 children were marked as being inside of the classroom and the other 3 children were marked as out of the classroom. In the Alim classroom, 9 children were present during the visit, however 10 children were marked as being in the classroom on the center tracking method. During the visit in the Shemesh classroom, 7 children were present in the classroom, but 8 children were marked as being present in the classroom. $250

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Supervision Of Children

On 03/17/25, while a group of 8 children were transitioning from the Kochavim classroom to the community hall, two other children ran ahead of the group and the two teachers ran after the two children rather than one teacher staying back with the group. While this happened, a 1.5 year old child went back into the Kochavim classroom and was left unsupervised for 1-2 minutes.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Violation

(Supervision Of Children ) on 3/20/2025 : On 03/17/25, while a group of 8 children were transitioning from the Kochavim classroom to the community hall, two other children ran ahead of the group and the two teachers ran after the two children rather than one teacher staying back with the group. While this happened, a 1.5 year old child went back into the Kochavim classroom and was left unsupervised for 1-2 minutes. $250

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Supervision Of Children

Based on multiple staff interviews conducted after a self-report from the center was made, a 4-year-old child was without sight and sound supervision of three child care providers on 1/27/25 for approximately 5 minutes when that child left the group of children and was discovered in a vestibule downstairs from the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Child Tracking Procedure

Based on multiple staff interviews, the child tracking procedure was not met on 01/27/25, when 15 children were transitioning from the outdoor play space to the Mayim classroom. Name to face checks were not conducted when the children were inside of the Mayim classroom resulting in 14 children being present in this group.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(a) · Violation

(Supervision Of Children ) on 2/5/2025 : Based on multiple staff interviews conducted after a self-report from the center was made, a 4-year-old child was without sight and sound supervision of three child care providers on 1/27/25 for approximately 5 minutes when that child left the group of children and was discovered in a vestibule downstairs from the classroom. $200

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Violation

(Child Tracking Procedure ) on 2/5/2025 : Based on multiple staff interviews, the child tracking procedure was not met on 01/27/25, when 15 children were transitioning from the outdoor play space to the Mayim classroom. Name to face checks were not conducted when the children were inside of the Mayim classroom resulting in 14 children being present in this group. $200

Open Not marked corrected in the state record

Open / not marked corrected.

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

Child 1 and Child 4 have documented medical conditions, however there is no information in the emergency care plan about triggers that may cause a problem, signs or symptoms for the provider to watch for, steps a provider should follow, when to call a parent regarding symptoms, when the condition requires emergency medical care, and identification of all providers who have received specialized training or instructions to help treat symptoms.

Open Not marked corrected in the state record

Open / not marked corrected.

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

There are loose hanging cords in the Tmarim classroom hanging down from light up balloons on the wall and loose cords coming from an air purifier in the same classroom. This was verified as corrected during a verification visit on 08/13/24.

Open Not marked corrected in the state record

Open / not marked corrected.

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

There are two electrical outlets in the Tmarim classroom are not covered. There are electrical outlets in the World of Wow large motor room that are not covered.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The bathrooms outside of Aytzim and Tziporim classrooms were unlocked during the visit. In the girls bathroom, is a container with Advil medication, hair spray, and Clorox disinfectant wipes. These items are accessible to children in care. In the boys bathroom outside of the Aytzim and Tziporim classrooms, there is an unlocked cabinet containing various cleaning products including bleach which are accessible to children. In another bathroom outside of the Aytzim and Tziporim classrooms, there is a diaper changing table with packages of baby wipes accessible 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

The fan in the Tmarim classroom is covered in dust. There is a missing ceiling tile outside of the bathrooms located between the Aytzim and Tziporim classrooms.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the Aytzim classroom, there is a hole in the window screen which was being used for ventilation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The cold storage thermometer in the Shemesh classroom freezer read 10 degrees Fahrenheit. The cold storage thermometer in the Tmarim classroom freezer read 12 degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the area between the Kochavim and Limonim classrooms, there is an open bag of chickpea puffs that is not stored in a bag with zip-type closures or metal, glass or food grade plastic containers with tight-fitting covers, and is not labeled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The pages in medical log book in the Parparim classroom are numbered only to page 5. The pages in the medical log book in the Limonim classroom are numbered only to page 12. In the Shamiyam classroom, an entry in the medical log book dated 07/24/24 was continued in pencil.

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 in the Alim classroom was observed with a bruise under the child's right eye. This injury occurred at the center on 08/07/24 and was not documented in the medical log book.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The authorization for a Hydrocortisone medication being stored for the Shamayim classroom is not current. The authorization ended on 07/24/24. The authorization for a calamine lotion being stored for the Mayim classroom is not current. The authorization ended on 07/19/24. This was verified as corrected during a verification visit on 08/13/24.

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the Shamiyam classroom, a child's hands were observed not being washed with soap and warm running water after diapering.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(i)2. · Adult Handwashing

A staff member in the Shamiyam classroom did not wash hands with soap and warm running water after diapering a child.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(4)(a)3. · Infant & Toddler - Diaper Changing Surface Disinfection

In the Shamiyam classroom, a staff member was observed washing the diaper changing surface with a soap and water, but not a disinfectant solution.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(11)(bm)1. · Outdoor Play Equipment - Intended Use

On 07/23/24, a 2 year old child was injured climbing a piece of climbing equipment that is manufacturer recommended for preschool age children and older.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(11)(bm)1. · Violation

(Outdoor Play Equipment - Intended Use ) on 7/25/2024 : On 07/23/24, a 2 year old child was injured climbing a piece of climbing equipment that is manufacturer recommended for preschool age children and older. $150

Open Not marked corrected in the state record

Open / not marked corrected.

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

On 07/01/24, the gate in the outdoor play space was damaged causing the gate to no longer latch. The gate was being secured with a bungee cord. A 2.5 year old child was able to crawl out of the bottom portion of that gate and access the area outside of the outdoor play space enclosure.

Open Not marked corrected in the state record

Open / not marked corrected.