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

The health history and emergency care plan for a child has a documented medical condition, however there is no information in the child record 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.

251.04(6)(a)5. · Child Record - Alternate Arrival / Release Agreement

Child 2, observed being picked up via a school bus during the visit, does not have documentation from the parent outlining the plan for Child 2 to come to the center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Child 1 does not have documentation of an initial health examination within 3 months after Child 1 was admitted to the center as required.

Open Not marked corrected in the state record

Open / not marked corrected.

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

1 child left the center during the visit and was not signed out on the attendance until it was brought to the the staff member's attention by the licensor.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Staff A and Staff E do not have documentation of a physical examination report within 30 days after Staff A 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 A 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)(cm) · Child Abuse & Neglect - Biennial Training

Staff E does not have documentation of training on child abuse and neglect reporting requirements within one week after Staff E began working at the center.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Child Tracking Procedure

1 child left the upstairs classroom and left the center to get on the bus during the visit. That child was not signed out on the tracking app until it was brought to the the staff member's attention by the licensor.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Loose hanging cords from 2 bottle warmers in the infant room were observed posing a potential strangulation and/or burning hazard.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Food stains were observed on a sheet covering a mattress in a crib in the infant room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Milk was being served in 2-3 ounce cups for children ages 3-5 years old. The required amount of milk served for this age group is 6 ounces. In reviewing menu records, veggie straws were served as a snack, which do not meet the minimum meal (USDA) requirements for snack served.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(5)(b)1. · Mealtime - Staff With Children

Children were eating lunch at a table in the Mini Movers classroom. Staff were not sitting with the children during mealtime.

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 was observed with bruises under the right eye in the Mini Movers classroom. There was no documentation of this in the medical log book.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(1)(d) · Infant & Toddler - Assignment To Room & Caregiver

2 infants were observed in the Mini Movers classroom. This is not the regularly assigned room the children are care for in.

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 was observed in the Mini Movers classroom and in the infant room.

Open Not marked corrected in the state record

Open / not marked corrected.

251.09(3)(c) · Infant & Toddler - Bottles And Nipples

Bottles with milk were being reused without being cleaned and sanitized.

Open Not marked corrected in the state record

Open / not marked corrected.

251.055(1)(f) · Violation

(Child Tracking Procedure ) on 5/8/2025 : 1 child left the upstairs classroom and left the center to get on the bus during the visit. That child was not signed out on the tracking app until it was brought to the the staff member's attention by the licensor. $150

Open Not marked corrected in the state record

Open / not marked corrected.