| Feb 24, 2026 | §744.1205(a)(3) Facilities & equipment | Medium-high risk | Corrected | Responsibilities of Caregivers - Know children's names and ages: Caregivers did not know the ages of children in care and did not have information showing the ages of the children. |
| Mar 27, 2025 | §744.1315(b)(1) Staff qualifications & clearances | Medium-high risk | Corrected | CPR Training and Recertification Adhere to Guidelines: Skills based pediatric CPR training is needed for two staff members. |
| Mar 27, 2025 | §744.1315(a) Supervision & ratios | Medium-high risk | Corrected | Each caregiver, operation director, program director, and site director Training in Pediatric First Aid with Rescue Breathing and Choking.: One staff member needs Pediatric First Aid with Rescue Breathing and Choking. |
| Mar 27, 2025 | §744.1315(b) Supervision & ratios | Medium-high risk | Corrected | Each caregiver, operation director, program director, and site director Pediatric CPR: One staff member needs Pediatric CPR training. |
| Feb 7, 2025 | §744.1315(a) Supervision & ratios | Medium-high risk | Corrected | Each caregiver, operation director, program director, and site director Training in Pediatric First Aid with Rescue Breathing and Choking.: Four staff members need pediatric first aid training. |
| Feb 7, 2025 | §744.1309(d) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training-Required Topics in Health and Safety: Personnel records evaluated for two staff members show the following: One staff member needs training in all health and safety topics. One staff member needs training in Preventing and controlling the spread of communicable diseases, Administering medication, Preventing and responding to emergencies due to food or an allergic reaction, Understanding building and physical premises safety, and Handling, storing, and disposing of hazardous materials. |
| Feb 7, 2025 | §744.1315(b) Supervision & ratios | Medium-high risk | Corrected | Each caregiver, operation director, program director, and site director Pediatric CPR: Four staff members need pediatric CPR training. |
| Feb 7, 2025 | §744.3559(2) Supervision & ratios | Medium-high risk | Corrected | Sheltering Drill for Severe Weather- 4 times in a calendar year: The operation completed one severe weather drill in 2024. |
| Feb 7, 2025 | §744.3559(3) Supervision & ratios | Medium-high risk | Corrected | Sheltering Drills for Lock-Down-4 times in a calendar year: The operation completed one lock down drill in 2024. |
| Feb 7, 2025 | §744.901 Staff qualifications & clearances | Medium risk | Corrected | Required Personnel Records: Personnel records were evaluated for ten staff members and the following was determined: The files for four staff members did not include the hire date. The files for five staff members did not include proof of request for background checks. Eight staff files did not include documentation showing how the minimum education qualifications are met. Two staff members need a notarized affidavit. A Pre-Employment Affidavit is needed for one staff member. |
| Feb 7, 2025 | §744.201(1) Supervision & ratios | High risk | Corrected | Policies Comply with Rules: The operational policies were not available for review. |
| Feb 7, 2025 | §744.1309(a)(1) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training-15 Hours Required Caregiver: Personnel files were evaluated for two staff members and showed 15 hours of annual training is needed. |
| Feb 7, 2025 | §744.1315(b)(1) Staff qualifications & clearances | Medium-high risk | Corrected | CPR Training and Recertification Adhere to Guidelines: Four staff members completed online CPR training. |
| Feb 7, 2025 | §744.1301(a)(1)(A) Staff qualifications & clearances | Medium-high risk | Corrected | Training Requirements for Employees - Orientation: Orientation training is needed for one staff member. |
| Feb 7, 2025 | §744.1301(a)(2)(A) Staff qualifications & clearances | Medium-high risk | Corrected | Training Requirements for Employees - Pre-Service: Pre-Service training is needed for two staff members. |
| Feb 7, 2025 | §744.1309(c) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training-Required Topics prevention, recognition, and reporting of child maltreatment: Personnel records evaluated for two staff members show the staff did not complete training in prevention, recognition, and reporting of child maltreatment. |
| May 29, 2024 | §744.1205(a)(2) Other | High risk | Corrected | Responsibilities of Caregivers - Know how many children responsible for: A caregiver responsible for a group of children was unaware of the number of children responsible for. The caregiver stated ten children were present however the group consisted of eleven children. A caregiver responsible for a group of third-fifth grade children was unaware of the number of children present with the group. The caregiver stated 30 children were present then 27 children, and afterward 26. The children were counted and it was determined a total of 25 children were present. |
| May 14, 2024 | §744.1205(a)(2) Other | High risk | Corrected | Responsibilities of Caregivers - Know how many children responsible for: During this inspection it was determined caregivers were not aware of the number of children responsible for. Two caregivers responsible for a group of 3rd-5th grade students were unaware of the number of children responsible for. One caregiver stated 12 children were in the group and the other stated 13 children were present. The children were counted and it was determined a total of fifteen children were in the group. A caregiver responsible for a group of 1st grade children stated a total of 14 children were present. The children were counted and it was determined the group consisted of 15 children. |
| May 14, 2024 | §744.1205(a)(1) Other | High risk | Corrected | Responsibilities of Caregivers - Know Group Responsible For: A group of students were observed in the cafeteria area. A caregiver was asked who was if they were responsible for the group and replied no. It was later stated whichever staff member remains inside of the area is the responsible caregiver. |
| May 14, 2024 | §744.2005(b)(3) Records, permits & program | Medium risk | Corrected | Written Activity Plans - Followed by Caregivers: The activity plan was reviewed during this inspection and it was determined grades 3-5 were not following the schedule. |
| May 23, 2023 | §744.605(6) Fire safety & emergency drills | Medium-high risk | Corrected | Required Admission Information-Emergency Contact: An emergency contact is needed for three children enrolled. |
| May 16, 2023 | §744.3559(1) Fire safety & emergency drills | Medium-high risk | Corrected | Fire Drill Monthly - Exit in 3 Minutes: The Emergency Practices form was reviewed and showed the last fire drill was conducted on 03/02/2023. |
| May 16, 2023 | §744.605(6) Fire safety & emergency drills | Medium-high risk | Corrected | Required Admission Information-Emergency Contact: An emergency contact is needed for three children enrolled. |
| May 16, 2023 | §744.1205(a)(1) Other | High risk | Corrected | Responsibilities of Caregivers - Know Group Responsible For: During this inspection a caregiver was unaware of the group responsible for. The caregiver stated fourteen children were present however ten were observed. A caregiver responsible for a group of second graders was unaware of the number of children responsible for. The caregiver stated they were responsible for seven, however it was found the caregiver was responsible for an additional three children observed in a separate area. |
| May 16, 2023 | §744.3559(3) Fire safety & emergency drills | Medium-high risk | Corrected | Sheltering Drills for Lock-Down-4 times in a calendar year: The Emergency Practices form was reviewed and showed the last lock down drill documented occurred on 12/2/2021. |
| May 16, 2023 | §744.1205(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: Upon arrival a group of children were observed on the outdoor playground unsupervised. Note: The caregiver in charge exited the cafeteria to join the group. |
| May 16, 2023 | §744.2669 Fire safety & emergency drills | Medium-high risk | Corrected | Food Allergy Plan-Emergency plan for diagnosed child, signed by health care professional and parent: A food allergy emergency plan is needed for two children enrolled. |
| May 16, 2023 | §744.3559(2) Fire safety & emergency drills | Medium-high risk | Corrected | Sheltering Drill for Severe Weather- 4 times in a calendar year: Documentation of a severe weather drill was not available for review during this inspection. |
| Jan 12, 2023 | §744.201(4) Supervision & ratios | Medium-high risk | Corrected | Designating Director: The operation does not have a qualified site director in place. |
| Oct 27, 2022 | §744.2517(4) Sanitation & hygiene | Medium-high risk | Corrected | Children Handwashing After Outdoor Activities: A group of children ages 8-10 years old did not wash their hands after returning from outdoor activities. During this inspection I observed children eating snack. The children did not wash their hands prior to eating their snack. Note: This was corrected during inspection. |
| Jun 6, 2022 | §744.1203(2) Other | High risk | Corrected | Responsibilities of Caregivers - Know Group Responsible For: A caregiver responsible for a group of children 7-10 years old was unaware of the number of children responsible for. The caregiver stated 13 children were present, however 14 were counted. A caregiver responsible for a group of children ages 4-6 years old was unaware of the number of children responsible for. The caregiver stated 11 children were present however 8 were counted. |
| Jun 1, 2022 | §744.1203(2) Supervision & ratios | High risk | Corrected | Responsibilities of Caregivers - Know Group Responsible For: The caregiver responsible for a group of children ages 3-7 years old was unaware of the number of children she was responsible for. The caregiver stated she was responsible for 25 children, however five of those children were being supervised by another caregiver who was apart of another group. The caregiver was also responsible for a group of 7 children ages 8-11 years old, but did not include them in the initial number of children responsible for. |
| Jun 1, 2022 | §744.1005(a)(1) Supervision & ratios | Medium-high risk | Corrected | Director Responsibilities - Operate in Compliance: The operation is not maintaining compliance and has had several repeated deficiencies. The operation has had repeated deficiencies regarding caregiver responsibilities. Several follow ups were conducted due to the operations inability to maintain compliance. |
| May 18, 2022 | §744.1203(2) Supervision & ratios | High risk | Corrected | Responsibilities of Caregivers - Know Group Responsible For: Three of six staff members present were unaware of the number of children present at the operation. |
| May 2, 2022 | §744.1203(2) Supervision & ratios | High risk | Corrected | Responsibilities of Caregivers - Know Group Responsible For: Five of six staff members present were unaware of the number of children present at the operation. |
| Mar 14, 2022 | §744.303(4) Supervision & ratios | Medium-high risk | Corrected | Report Change in Director: The operation did not report program and site director changes. |
| Jan 27, 2022 | §744.303(4) Supervision & ratios | Medium-high risk | Corrected | Report Change in Director: The operation failed to report a change in director. |
