| Oct 26, 2026 | §746.603(a)(4) Staff qualifications & clearances | Medium risk | Corrected | Children's Records - Immunizations: A reviewed child file did not have the updated immunization record. |
| Oct 26, 2026 | §746.3819 Fire safety & emergency drills | Medium-high risk | Corrected | Food Allergy Emergency Plan Signed by Parents and Health Care Professional: A food allergy plan for a child with a known food allergy was not signed by the parent. |
| Oct 26, 2026 | §746.3809 Health records & medication | Medium risk | Corrected | Medication No Longer Used: Two children with known food allergies had epi-pens that expired on 7.2026 and 2.2026. |
| Oct 26, 2026 | §746.3401(a) Supervision & ratios | Medium-high risk | Corrected | Annual Sanitation Inspection: The most current sanitation inspection conducted at the operation was on 5.22.2025. |
| Oct 30, 2025 | §746.201(8) Facilities & equipment | Medium risk | Corrected | Liability Insurance Maintained: The current insurance on file expired 5.2025 |
| Oct 30, 2025 | §746.1311(a) Staff qualifications & clearances | Medium risk | Corrected | Director Annual Training 30 Hours Required: Seven of the required director annual trainings were missing for the most current full year. |
| Oct 28, 2025 | §745.635(3) Staff qualifications & clearances | High risk | Corrected | AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions: A caregiver that is provisionally eligible with conditions was alone and responsible for children. The provisional caregiver's class was then combined with an eligible caregiver's class. |
| Oct 28, 2025 | §746.1309(a) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training Area - 24 Hours Required: Three of the reviewed caregiver files had less than the 24 required training hours. |
| Oct 28, 2025 | §746.1315(b) Staff qualifications & clearances | Medium-high risk | Corrected | Each Caregiver and the Director Must Have Current Training in pediatric CPR: A caregiver did not have a cpr certification. |
| Oct 28, 2025 | §746.901(2) Staff qualifications & clearances | Medium risk | Corrected | Required Personnel Records- Meets Requirements: A caregiver's file had an invalid education certificate. |
| Oct 28, 2025 | §746.5101(a) Supervision & ratios | High risk | Corrected | Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months: The current fire inspection at the operation is dated 9.3.24 |
| Jan 21, 2025 | §746.303(b) Staff qualifications & clearances | Medium-low risk | Corrected | Report Number of Employees: A review of the Employees Who Left Employment in 2024 data from January 17, 2025, revealed that the center had not reported the number of employees who left employment in 2024 by January 15, 2025, as required. |
| Oct 30, 2024 | §746.1309(d) Staff qualifications & clearances | Medium-high risk | Corrected | Documented Annual Training - Caregivers of Children Under 24 Months Required: Eight staff files were reviewed, and five caregivers did not complete shaken baby, safe sleep, and brain development training. |
| Oct 30, 2024 | §746.1309(b) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training - 6 Hours of annual training required: Eight staff files were reviewed, and five caregivers did not complete the required six clock hours of training topics. |
| Oct 30, 2024 | §746.1309(c) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment: Eight staff files were reviewed, and Four caregivers are missing the child maltreatment training topics. |
| Oct 30, 2024 | §746.1309(e) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training- Required Content: Eight staff files were reviewed, and Eight caregivers are missing the required special topic training. |
| Feb 14, 2024 | §746.501(a)(18)(A) Supervision & ratios | Medium risk | Corrected | Written Operational Policies - Benefits: The operation did not have in their operational policy on the benefits of physical activity . |
| Feb 14, 2024 | §745.635(3) Supervision & ratios | High risk | Corrected | AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions: A caregiver was observed supervising 8 children in the 3-year-old classroom by herself, even though her background check conditions prohibit her from supervising children alone. |
| Feb 14, 2024 | §746.5405 Supervision & ratios | Medium-high risk | Corrected | Documentation of Gas Leak Inspection: The operation did not have an updated gas inspection report, the last inspection was done on 10/7/2021 which expired on 10/7/2023. |
| Feb 12, 2024 | §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: It was determined three children ages 23 months and two 2 years old was left alone in a classroom for disclose amount of time. |
| Feb 12, 2024 | §746.707 Supervision & ratios | Medium risk | Corrected | Incident/Illness Report Form Shared with Parent: The operation did not have incident reports for the three children that was placed at risk. |
| Feb 12, 2024 | §746.305(a)(6) Supervision & ratios | High risk | Corrected | Report Situation Placing Children at Risk: The operation did not make a report with in 48 hours. The situation happen on Friday and the operation did not report until Monday. Corrected: When the director and I spoke about the standard and timeline on when and where a report can be make. |
| Feb 23, 2023 | §746.1315(a) Staff qualifications & clearances | Medium-high risk | Corrected | Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.: One caregiver did not have update first aid training. |
| Feb 23, 2023 | §746.1107(2) Staff qualifications & clearances | Medium-high risk | Corrected | Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion: Two caregiver did not have qualifications for having a high school diploma. |
| Feb 23, 2023 | §746.3701(1) Safety hazards | Medium-high risk | Corrected | Safety - Electrical Outlets Covered: In the pre-school classroom four outlets were not covered. |
| Feb 23, 2023 | §746.1315(b) Staff qualifications & clearances | Medium-high risk | Corrected | Each Caregiver and the Director Must Have Current Training in pediatric CPR: One caregivers did not have updated CPR training. |
| Feb 23, 2023 | §746.5101(a) Supervision & ratios | High risk | Corrected | Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months: The operation did not have a updated fire inspection report the last report date was 11/22/2021. |
| Feb 23, 2023 | §746.1309(a) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training Area - 24 Hours Required: Five caregivers are missing annual training. One caregiver is missing 6 1/2 hours from training year 3-3-21 to 3-3-22. One caregiver is missing 17 hours for training year 6-4-21 to 6-4-22. One caregiver is missing 7 annual training hours for 8-16-21 to 8-16-22. Two caregivers are missing 24 annual hours for training year 7-19-21 to 7-19-22 and 9-6-21 to 9-6-22. |
| Jul 21, 2022 | §745.641 Supervision & ratios | High risk | Corrected | AP Background check results - Must receive notification prior to allowing subject to be present at your operation: It was determined that the new director did not have a background check ran when she started. |
| Mar 1, 2022 | §746.605(6) Fire safety & emergency drills | Medium-high risk | Corrected | Required Admission Information - Emergency Contact: Duriing review of records 1 out of 10 records evaluated did not have an emergency contact as required by minimum standards. |
| Mar 1, 2022 | §746.4503(a) Facilities & equipment | Medium risk | Corrected | Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age: During review of physical facilities 3 mats were found to have rips and tears. This was corrected when the caregiver removed the mats and replaced them with new mats. |
