| Dec 18, 2025 | §746.5401 Other | Medium-high risk | Corrected | Requirement of Gas Leak Inspection: A gas leak inspection has not been conducted. |
| Dec 18, 2025 | §746.5537(a)(2) Fire safety & emergency drills | Medium-high risk | Corrected | Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly: Emergency practices form was reviewed: last fire drill was documented on 07/2025 and last CO detector and fire extinguisher checks on 8/2025. Per provider a fire drill was conducted last month but was not documented. Note: This was corrected at inspection when fire drill was documented and provider conducted a CO detector and fire extinguisher check during inspection. |
| Dec 18, 2025 | §746.4135(b) Supervision & ratios | Medium risk | Corrected | Children's Products- Annual Certification: Operation has not completed the annual children's products certification. |
| Dec 18, 2025 | §746.603(a) Staff qualifications & clearances | Medium risk | Corrected | Children's Records Maintained: Three out of ten children's records reviewed are missing immunization records. One file is missing allergy plan including the symptoms and steps to take during an emergency. |
| Jan 9, 2025 | §746.901(2) Staff qualifications & clearances | Medium risk | Corrected | Required Personnel Records- Meets Requirements: One out of ten staff files reviewed is missing copy of high school diploma or equivalent. |
| Jan 9, 2025 | §746.603(a) Staff qualifications & clearances | Medium risk | Corrected | Children's Records Maintained: Ten children's records were reviewed. One file is missing emergency food allergy plan, a second file is missing immunization records and a third file is missing hearing / vision screening. |
| Jan 9, 2025 | §746.5205(1) Fire safety & emergency drills | Medium-high risk | Corrected | Fire Drill Monthly - Exit in 3 Minutes: Last fire drill was documented on 6/14/2024 and last CO detector and fire extinguinsher checks were documented on 6/17/2024. No lock down drills were documented for the year of 2024. Per provider last fire drill was conducted on 11/2024 but was not documented. Note: CO detector and fire extinguisher checks were conducted and documented by provider during the inspection. |
| Jul 26, 2024 | §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: An infant was observed asleep with a boppy pillow in a crib. Note: This was addressed with the caregiver and the boppy pillow was removed from the crib. |
| Feb 13, 2024 | §746.1309(a) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training Area - 24 Hours Required: Three of ten personnel records reviewed were mising annual training in the following topics: A caregiver with DOE 6/25/2021 was missing annual trianing in: (1)Emergency preparedness, and (2)Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic. A caregiver with a DOE 3/15/2021 was missing annual training in: (1)Emergency preparedness; (2)Preventing and responding to emergencies due to food or an allergic reaction; and (3)Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). A caregiver with a DOE 11/25/2019 was missing annual training in the following topics: (1) Emergency preparedness; (2) Preventing and controlling the spread of communicable diseases, including immunizations; (3) Preventing and responding to emergencies due to food or an allergic reaction; (4) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?); and (1) Recognizing and preventing shaken baby syndrome and abusive head trauma; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Understanding early childhood brain development. |
| Feb 13, 2024 | §746.3407(12) Safety hazards | High risk | Corrected | Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children: Several cans/bottles of disinfectant sprays were stored under a sink and on top of a sink. This posed a safety hazard as the cleaning supplies were within children reach. Note: This was CORRECTED during the inspection as the cleaning supplies were removed and stored in an area out of children's reach. |
| Feb 13, 2024 | §746.1315(b)(1) Staff qualifications & clearances | Medium-high risk | Corrected | CPR Training and Recertification Adhere to Guidelines-skill based: A caregiver completed pediatric CPR training online. |
| Feb 13, 2024 | §746.5207(b) Fire safety & emergency drills | Medium-high risk | Corrected | Emergency Evacuation and Relocation Diagram - Posted in Each Room: Am emergency evacuation and relocation diagram was not posted in two classrooms that children use. Note: This was CORRECTED during the inspection as an emergency evacuation and relocation diagram was posted in both rooms. |
| Feb 13, 2024 | §746.4907(d) Facilities & equipment | Medium-high risk | Corrected | Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained: Loose fill surfacing (mulch) was not maintained at the proper depth of 6 inches for a play structure in the outdoor play area. The plastic underneath the mulch was visible in different areas. |
| Feb 15, 2023 | §746.1309(a) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training Area - 24 Hours Required: 4 of 7 caregivers records reviewed were missing annual training on the following topics. Two caregivers were missing annual training on the following topics: (1) Preventing and controlling the spread of communicable diseases, including immunizations; (2) Administering medication,; and (3) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic. A third caregiver was missing annual training on the following topics for training year 11/01/2021 - 10/31/2022: (1) Recognizing and preventing shaken baby syndrome and abusive head trauma; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Understanding early childhood brain development (4) Emergency preparedness; (5) Preventing and controlling the spread of communicable diseases, including immunizations; (6) Administering medication,; (7) Preventing and responding to emergencies due to food or an allergic reaction; (8) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (9) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). A fourth caregiver was missing annual training on the following topics for training year 8/17/2021 - 8/16/2022: (1) Emergency preparedness; (2) Preventing and controlling the spread of communicable diseases, including immunizations; (3) Administering medication; (4) Preventing and responding to emergencies due to food or an allergic reaction; (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (6) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). |
| Feb 15, 2023 | §746.603(a)(4) Staff qualifications & clearances | Medium risk | Corrected | Children's Records - Immunizations: 4 of 6 Children's files reviewed were missing the child's immunization record. |
| Feb 15, 2023 | §746.3503(a) Sanitation & hygiene | Medium-high risk | Corrected | Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface: The diaper changing mat in an infant room and a toddler room were observed torn. Note: This was CORRECTED during the inspection as both diaper changing mats were replaced with new mats. |
| Feb 15, 2023 | §746.2409(a)(1) Facilities & equipment | Medium-high risk | Corrected | Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib: 6 of 6 cribs in the infant room were supplemented with an additional mattress. Note: This additional mattress was removed from each crib during the inspection. |
| Feb 15, 2023 | §746.5307(b) Fire safety & emergency drills | Medium-high risk | Corrected | Fire Extinguishers Serviced: The fire extinguisher in the transportation vehicle was not currently serviced. The service date on the tag was January 2022. |
| Feb 15, 2023 | §746.1311(a) Staff qualifications & clearances | Medium risk | Corrected | Director Annual Training 30 Hours Required: The director was missing annual training on the following topics: (1) Preventing and controlling the spread of communicable diseases, including immunizations; (2) Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?); (3) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (4) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). The Second director was missing annual training on the following topics: (1) Preventing and controlling the spread of communicable diseases, including immunizations; (2) Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?); (3) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; |
| Feb 15, 2023 | §746.2407 Facilities & equipment | Medium-high risk | Corrected | Infant Care Area Furnishings and Equipment -Use of Safety Straps: Safety straps were not fastened for an infant using a bouncer seat in an infant room. 4 children sitting at a kidney shaped table were did not have a safety strap fastened. Chairs to the kidney shaped table were missing the safety straps in a second infant room. |
| Aug 19, 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: Two caregivers and a staff were allowed to be present in the operation and have director contact with children in care prior to the operation receiving notice from the CBCU (Centralized Background Check Unit) regarding the person s eligibility. Note: Person left the operation during the inspection. |
| Mar 11, 2022 | §746.3503(a) Sanitation & hygiene | Medium-high risk | Corrected | Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface: The diaper changing mats were observed torn in two different classrooms. Note: This was CORRECTED during the inspection as the diaper changing mats were replaced. |
| Mar 11, 2022 | §746.501(a)(18) Supervision & ratios | Medium risk | Corrected | Written Operational Policies - Promotion of Physical Activity: The operational policies reviewed were missing the following information: The Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan): (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play. Note: This was CORRECTED during the inspection as the missing information was added to the operational policies. |
| Mar 11, 2022 | §746.603(a) Staff qualifications & clearances | Medium risk | Corrected | Children's Records Maintained: 3 of 10 children's files reviewed were missing the children's immunization record. 2 of 10 children's files reviewed were missing the children's vision and hearing screening results. |
| Mar 11, 2022 | §746.1309(a) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training Area - 24 Hours Required: 4 of 10 Personnel files reviewed were missing annual training clock hours. A caregiver with DOE 1/29/2021 was missing 5 clock hours of annual training. A caregiver with DOE 2/01/2018 was missing 1 clock hour of annual training in prevention, recognition, and reporting of child maltreatment. A caregiver with DOE 8/17/2020 was missing 6 clock hours of annual training. A caregiver with DOE 8/16/2019 was missing 5 clock hours of annual training. |
| Mar 11, 2022 | §746.2421(b) Food & nutrition | Medium risk | Corrected | Written Feeding Instructions - Review and Update Every 30 Days: An infant's written feeding instructions were not current. The date on the feeding instructions reviewed was 2/04/2022. |
| Mar 11, 2022 | §746.1329(a) Staff qualifications & clearances | Medium-low risk | Corrected | Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee's personnel record: The original training certificate for a training completed was not available for review for the director and a caregiver. |
| Mar 11, 2022 | §746.901(2) Staff qualifications & clearances | Medium risk | Corrected | Required Personnel Records- Meets Requirements: 2 of 10 employees files reviewed were missing the caregivers education documentation. 3 of 10 employees files reviewed did not have the caregivers education documentation translated into English for education received outside of the United States. |
