| Sep 15, 2026 | §746.605(6) Fire safety & emergency drills | Medium-high risk | Corrected | Required Admission Information - Emergency Contact: Two of the eight children's files reviewed did not have an address listed for their emergency contact. |
| Sep 15, 2026 | §746.613(b) Staff qualifications & clearances | Medium-high risk | Corrected | Immunization Records, Exceptions, and Exemptions Current: One of the eight children's files reviewed did not include a current immunization record. |
| Dec 16, 2025 | §746.5307(b) Fire safety & emergency drills | Medium-high risk | Corrected | Fire Extinguishers Serviced: There was no documentation availble to verify that the fire extinguishers had been serviced within the last 12 months. The tags were dated July 2024. |
| Dec 16, 2025 | §746.5307(a) Fire safety & emergency drills | Medium-high risk | Corrected | Inspect Fire Extinguishers Monthly: There was no documentation available showing that the fire extinguishers are being inspected monthly. Noted: this was corrected during inspection. |
| Mar 25, 2025 | §746.5101(a) Fire safety & emergency drills | High risk | Corrected | Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months: The most recent fire inspection report available for review was dated 1/10/2023. |
| Mar 25, 2025 | §746.1301(a)(2)(A) Staff qualifications & clearances | Medium-high risk | Corrected | Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training: Two staff members who required pre-service training did not have certificates for review. |
| Mar 25, 2025 | §746.1311(b) Staff qualifications & clearances | Medium risk | Corrected | Director Annual Training - Required 6 hours: There were no training certificates available for review in the listed topics for the required hours. |
| Mar 25, 2025 | §746.1301(a)(4)(A) Staff qualifications & clearances | Medium-high risk | Corrected | Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR: Two staff members did not have a certification in CPR for review. Both employees were past their first 90 days of employment. |
| Mar 25, 2025 | §746.1309(b) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training - 6 Hours of annual training required: Two of the seven staff files reviewed did not have certificates for review in the listed topics for the required amount of hours. |
| Mar 25, 2025 | §746.1311(f)(2) Staff qualifications & clearances | Low risk | Corrected | Director Annual Training - More than 5 years experience: There were no training certificates in management topics available for review. |
| Apr 19, 2024 | §746.501(a)(18) Supervision & ratios | Medium risk | Corrected | Written Operational Policies - Promotion of Physical Activity: The operational plocies (Parent operational handbook) was observed to be missing the promotion of indoor and outdoor physical activity. |
| Apr 19, 2024 | §746.501(a)(30) Supervision & ratios | Medium risk | Corrected | Written Operational Policies - Support inclusive services: The operational polcies (Parent opertional handbook) was found to be missing Procedures for supporting inclusive services to children with special care needs. |
| May 3, 2023 | §746.4751(b) Facilities & equipment | Medium risk | Corrected | Maintenance Procedures for Active Play - Monthly Maintenance Checklist: There was not an active play inspection form to review. |
| May 3, 2023 | §746.603(a)(4) Staff qualifications & clearances | Medium risk | Corrected | Children's Records - Immunizations: Two of the ten children's records reviewed did not include current vaccination records. |
| May 3, 2023 | §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: Two caregivers did not have a current CPR/First Aid certifcate. |
| May 3, 2023 | §746.901(1) Staff qualifications & clearances | Medium-low risk | Corrected | Required Personnel Records - Dates of Employment: Two of the four staff records evaulauted did not include date of hire information. |
| May 3, 2023 | §746.605(7) Safety hazards | High risk | Corrected | Required Admission Information - Release Information: Two of the ten children's records reviewed did not include the name and phone numbers for individuals whom the child can be released to. |
| May 3, 2023 | §746.605(6) Fire safety & emergency drills | Medium-high risk | Corrected | Required Admission Information - Emergency Contact: Five of the ten children's files reviewed did not include all required information for the emergency contact listed. |
| Jun 10, 2022 | §746.5205(1) Supervision & ratios | Medium-high risk | Corrected | Fire Drill Monthly - Exit in 3 Minutes: There were no fire drills that were completed in the months of February, April, and May. Note: The operation has scheduled a fire drill to be completed this month in June. |
