Kiddie Patch Daycare Center

§746.1301(a)(5)(A)

Staff qualifications & clearances

Medium-high risk

Corrected

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training: Two caregivers were missing multiple required training topics for their annual training.

§746.901

Staff qualifications & clearances

Medium risk

Corrected

Required Personnel Records: Out of four staff files reviewed, one staff member was missing a pre-employment affidavit and another was missing statements that they received the employee handbook and parent handbook, and that they attended orientation with an overview on the center's abuse neglect policies.

§746.603(a)

Fire safety & emergency drills

Medium risk

Corrected

Children's Records Maintained: Out of the four children's records reviewed, two children were missing an admission date, one child was missing an emergency contact and persons the child could be released to, two school-age children were missing their school's information, and one parent had not acknowledged that they received the parent handbook.

§746.1601

Supervision & ratios

Medium-high risk

Corrected

Child/ Caregiver Ratio - 13 or More Children: One caregiver had a group of twenty children that had a specified age of four years old. Four-year-old classes can only have eighteen children per one caregiver. This was corrected during the inspection when two of the three-year-olds in that class were transferred to another class.

§746.1301(a)(3)(A)

Staff qualifications & clearances

Medium-high risk

Corrected

Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing: One caregiver was unable to provide a copy of their current first aid and CPR card.

§746.4907(d)

Facilities & equipment

Medium-high risk

Corrected

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained: The sand around the climbing structures and merry-go-round had compacted and was no longer shock-absorbing.

§746.1301(a)(6)(A)

Staff qualifications & clearances

Medium-high risk

Corrected

Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training: The director was missing 3.5 hours of annual training, including training in management, communicable diseases, administering medications, food allergies, understanding building and physical premises safety, and handling hazardous materials.

§746.3417(3)

Sanitation & hygiene

Medium-high risk

Corrected

Children Handwashing After Toileting or Diapering: A caregiver changed a child's diaper and did not wash the child's hands afterwards. This was corrected during the inspection when the caregiver was reminded that children's hands must be washed after diaper changes.

§746.1605(1)

Supervision & ratios

Medium-high risk

Corrected

Child/Caregiver Ratio - 18 Months Difference in Age: A a sixteen-month-old was cmobined with the pre-k class in the front area of the operation. This was corrected during the inspection when the infant was taken to the toddler room with the toddlers.

§746.3505(e)

Sanitation & hygiene

Medium-high risk

Corrected

Diapering Procedures - Sanitizing Diaper Changing Area: A caregiver changed a child's diaper and did not sanitize the diapering surface before moving on to the next child. This was corrected during the inspection when the caregiver was reminded to sanitize the surface between diaper changes and the caregiver did so before changing the next child

§746.3415(4)

Staff qualifications & clearances

Medium-high risk

Corrected

Employee Handwashing After Diapering a Child: A caregiver changed a child's diaper and did not wash hands before changing the next child's diaper. This was corrected during the inspection when the caregiver was reminded about washing hands, and they washed their hands before changing the next child.

Apr 30, 2026

§746.1605(1)

Supervision & ratios

Medium-high risk

Corrected

Child/Caregiver Ratio - 18 Months Difference in Age: During the investigation, it was found that an infant who is sixteen months old was being combined with children up to four years old in the mornings during drop-off.

Apr 26, 2026

§746.1205(a)(4)

Supervision & ratios

High risk

Corrected

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity: During the investigation, it was determined that caregivers have been supervising two classes at once by standing in the doorway between the classrooms.

May 1, 2025

§746.1203(3)(D)

Facilities & equipment

Medium-high risk

Corrected

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games: Two caregivers were using their iPads for personal use. This was corrected during the inspection when the caregivers were informed that electronic devices can't be used for personal use and the devices were turned off.

§746.1301(a)(5)(A)

Staff qualifications & clearances

Medium-high risk

Corrected

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training: One caregiver did not have any annual training for the 2023-2024 training year.

§746.2421(b)

Food & nutrition

Medium risk

Corrected

Written Feeding Instructions - Review and Update Every 30 Days: One infant had feeding instructions that were last updated in January.

§746.5617(a)(6)

Supervision & ratios

High risk

Corrected

Required Equipment in Vehicles - First-aid Kit: The first aid kit in the operation's vehicle had antiseptic solution and cream that had expired. This was corrected during the inspection when the expired supplies were removed from the first aid kit.

§746.1301(a)(2)(A)

Staff qualifications & clearances

Medium-high risk

Corrected

Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training: One caregiver who was past her first 90 days was missing an hour of pre-service training.

§746.201(1)

Safety hazards

High risk

Corrected

Policies Comply with Rules: The parent handbook was missing field trip procedures, information on parent's rights, benefits of physical activity, critera for extreme weather that will prohibit outdoor play, and a plan for indoor physical activity to occur when the children cannot go outside.

§746.4135(b)

Staff qualifications & clearances

Medium risk

Corrected

Children's Products- Annual Certification: The children's product certfiication form was last signed in January 2024. This was corrected during the inspection when a new certification form was signed.

Jun 20, 2024

§746.2426(a)(1)

Other

High risk

Corrected

Infant May Not Sleep in a Restrictive Device: There was an infant sleeping in a swing. This was corrected during the inspection when the infant was removed from the swing.

§746.1316(a)

Supervision & ratios

Medium-high risk

Corrected

Transportation Safety Training -Director and Employee Complete 2 Hours Annually: The 2 caregivers are drivers for the operation did not have current transportation on file.

§746.1309(a)

Staff qualifications & clearances

Medium risk

Corrected

Documented Annual Training Area - 24 Hours Required: There were 2 caregivers that did not complete the required annual training for the previous year. One caregiver only completed 12 hours and one caregiver did not have any trainings on file.

§746.2415(b)

Facilities & equipment

High risk

Corrected

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age: There were 3 infants that had blankets in the crib. One infant also had a boppy pillow in the crib. The blankets and boppy pillow were reviewed by a caregiver.

§746.2421(b)

Food & nutrition

Medium risk

Corrected

Written Feeding Instructions - Review and Update Every 30 Days: There were 3 infants in care that did not have updated infant feeding instructions.

§746.1301(a)(2)(A)

Staff qualifications & clearances

Medium-high risk

Corrected

Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training: There were 2 caregivers that did not have pre-service or orientation on file for review.

§746.1311(a)

Staff qualifications & clearances

Medium risk

Corrected

Director Annual Training 30 Hours Required: The director had only completed 15 hours of annual training for the previous year.

§745.641

Supervision & ratios

High risk

Corrected

AP Background check results - Must receive notification prior to allowing subject to be present at your operation: There was one person observed at the operation in a classroom that did not have a background check on file. The person was sent home during the inspection, bringing the deficiency into compliance.