| Dec 17, 2025 | §746.3805(b)(1) Health records & medication | Medium-high risk | Corrected | Administering Medication - Original Container with Child's Name, Date: Two children had medication that were not in the original containers. |
| Dec 17, 2025 | §746.2407 Facilities & equipment | Medium-high risk | Corrected | Infant Care Area Furnishings and Equipment -Use of Safety Straps: Two infants were sitting in high chairs without the safety straps fastened. This was corrected when the infants were removed from the high chairs. |
| Dec 17, 2025 | §746.3809 Health records & medication | Medium risk | Corrected | Medication No Longer Used: Two children with diagnosed food allergies had expired medication. |
| Dec 17, 2025 | §746.3819 Fire safety & emergency drills | Medium-high risk | Corrected | Food Allergy Emergency Plan Signed by Parents and Health Care Professional: One child with a diagnosed food allergy was missing medication that was listed on their food allergy plan. The plan requires an epi-pen and antihistamine and they were missing the antihistamine. |
| Jul 18, 2024 | §746.603(a)(4) Staff qualifications & clearances | Medium risk | Corrected | Children's Records - Immunizations: One child was missing 1 dose of their DTap vaccine and 3 doses of their PCV vaccine. |
| Jul 18, 2024 | §746.603(a)(3) Safety hazards | Medium risk | Corrected | Children's Records - Health Statement: Five children did not have a health statement provided in their record. |
| Jul 3, 2024 | §745.641 Supervision & ratios | High risk | Corrected | AP Background check results - Must receive notification prior to allowing subject to be present at your operation: A caregiver was present and had access to children prior to receiving eligibility results. The caregiver was at the operation for a total of 22 days. |
| Jan 26, 2024 | §746.1315(b) Staff qualifications & clearances | Medium-high risk | Corrected | Each Caregiver and the Director Must Have Current Training in pediatric CPR: Five of the twelve staff files reviewed had an expired CPR certification. |
| Jan 26, 2024 | §746.3819 Fire safety & emergency drills | Medium-high risk | Corrected | Food Allergy Emergency Plan Signed by Parents and Health Care Professional: One of the ten children records reviewed was lacking a parents signature. Also one of the ten children records reviewed was lacking the parent and health care professional's signature. |
| Jan 26, 2024 | §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.: Five of the twelve staff files reviewed had expired first aid. |
| Jan 26, 2024 | §746.623(2)(D) Staff qualifications & clearances | Medium risk | Corrected | Immunizations-Docs may be official record or copy that have signature of health care prof. or name of other prof who administered vaccine: One of the ten children records reviewed was lacking the signature and stamp of the health care professional who admistered their vaccines. |
| Jan 26, 2024 | §746.613(b) Staff qualifications & clearances | Medium-high risk | Corrected | Immunization Records, Exceptions, and Exemptions Current: One out of the ten children records reviewed was lacking the required immunizations. |
| Jan 26, 2024 | §746.4601(2) Supervision & ratios | Medium-high risk | Corrected | Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions: The operation changed the design of play equipment, making it no longer in compliance according to manufactures instructions. |
| Jan 26, 2024 | §746.1309(e) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training- Required Content: Twelve of the twelve staff files reviewed were lacking the required annual trainings. |
