| May 16, 2026 | §746.3501(2) Sanitation & hygiene | Medium-high risk | Corrected | Diaper Changing Steps- Cleanse Child with Individual Cloths: Information obtained throughout the investigation shows that a child was not thoroughly cleaned during a diaper change, resulting in a diaper rash. |
| Dec 10, 2025 | §746.801(10) Supervision & ratios | Medium risk | Corrected | Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors: The operation did not document the dates that the fire extinguishers, smoke detectors, and carbon monoxide detectors were checked. This was corrected when the director completed the documentation. |
| Dec 10, 2025 | §746.3819 Fire safety & emergency drills | Medium-high risk | Corrected | Food Allergy Emergency Plan Signed by Parents and Health Care Professional: Two children were missing parent signatures on their food allergy plans. One child was missing a doctor's signature on their food allergy plan. |
| Dec 10, 2025 | §746.3809 Health records & medication | Medium risk | Corrected | Medication No Longer Used: Three children with diagnosed food allergies had expired medication. |
| Dec 10, 2025 | §746.605(15) Supervision & ratios | Medium-high risk | Corrected | Required Admission Information-Child's allergies and Completed Food Allergy Plan: One child with a diagnosed food allergy did not have all of the medication listed on their food allergy plan present at the operation. |
| Sep 11, 2025 | §746.1301(a)(5)(A) Staff qualifications & clearances | Medium-high risk | Corrected | Training Requirements for Employees, Caregivers, and Directors - 24 Annual training: Three caregivers were missing annual training hours. One caregiver was missing 4 hours, one caregiver was missing 24 hours, and the last caregiver was missing 7 hours. |
| Jul 17, 2025 | §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 current fire inspection. The most recent expired inspection 7/16/25. |
| Jun 27, 2025 | §746.3805(b)(1) Health records & medication | Medium-high risk | Corrected | Administering Medication - Original Container with Child's Name, Date: Two epipens were not in their original containers. |
| Jun 3, 2025 | §746.603(a)(3) Safety hazards | Medium risk | Corrected | Children's Records - Health Statement: Two children did not have health statements on file. |
| Jun 3, 2025 | §745.621(a)(2) Staff qualifications & clearances | High risk | Corrected | AP Initial background checks submitted - At the time you hire someone: A caregiver, with direct access to children, was present without a background check eligibility. The caregiver was sent home during the inspection. |
| May 21, 2025 | §746.901(2) Staff qualifications & clearances | Medium risk | Corrected | Required Personnel Records- Meets Requirements: One caregiver did not have proof of education on file. |
| May 21, 2025 | §746.1301(a)(2)(A) Staff qualifications & clearances | Medium-high risk | Corrected | Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training: Two caregivers did not have proof of preservice training. |
| May 21, 2025 | §746.1105(4) Staff qualifications & clearances | Low risk | Corrected | Minimum Qualifications Employees and Caregivers - Affidavit (Form 2912): One caregiver hired after 9/2023 did not have a pre-employment affidavit on file. |
| May 21, 2025 | §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: One caregiver did not have current first aid training. |
| May 21, 2025 | §746.1301(a)(4)(A) Staff qualifications & clearances | Medium-high risk | Corrected | Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR: One caregiver did not have current in person CPR training. |
| May 21, 2025 | §746.5319 Supervision & ratios | High risk | Corrected | Smoke Detectors Testing: Operation did not have documentation that smoke detectors are being tested monthly. |
| May 21, 2025 | §746.1105(3) Staff qualifications & clearances | Low risk | Corrected | Minimum Qualifications Employees and Caregivers - Affidavit (Form 2985): Three caregivers did not have affidavits on file. |
| May 21, 2025 | §746.1301(a)(1)(A) Staff qualifications & clearances | Medium-high risk | Corrected | Training Requirements for Employees, Caregivers, and Directors - Orientation: Two caregivers did not have orientation training. |
| May 21, 2025 | §746.201(8) Supervision & ratios | Medium risk | Corrected | Liability Insurance Maintained: Operation has not updated liability through the provider portal as discussed on 5/7/25 during the inspection. |
| May 7, 2025 | §746.1301(a)(5)(A) Staff qualifications & clearances | Medium-high risk | Corrected | Training Requirements for Employees, Caregivers, and Directors - 24 Annual training: Five caregivers did not have the required 24 hours of annual training. |
| May 7, 2025 | §746.1301(a)(6)(A) Staff qualifications & clearances | Medium-high risk | Corrected | Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training: The director did not have the required 30 hours of annual training. |
| May 7, 2025 | §746.3417(3) Sanitation & hygiene | Medium-high risk | Corrected | Children Handwashing After Toileting or Diapering: A caregiver was observed diapering a child and allowing the child to go back and play without washing their hands. |
| May 7, 2025 | §746.605(6) Fire safety & emergency drills | Medium-high risk | Corrected | Required Admission Information - Emergency Contact: Two children did not have the address of their emergency contacts listed. |
| May 7, 2025 | §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: Three caregivers did not have first aid training. |
| May 7, 2025 | §746.3805(b)(1) Health records & medication | Medium-high risk | Corrected | Administering Medication - Original Container with Child's Name, Date: Two epipens were not in their original containers. |
| May 7, 2025 | §746.3803(b) Health records & medication | Medium-high risk | Corrected | Medication Authorization Expires on First Anniversary: There was expired benadryl on the premises. |
| May 7, 2025 | §746.1301(a)(4)(A) Staff qualifications & clearances | Medium-high risk | Corrected | Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR: Three caregivers did not have hands on CPR training. |
| May 7, 2025 | §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: A caregiver walked out of her classroom and left the children unattended briefly during my inspection. |
| May 7, 2025 | §746.3401(a) Supervision & ratios | Medium-high risk | Corrected | Annual Sanitation Inspection: The operation has did not have a current health inspection on file. |
| May 7, 2025 | §746.603(a)(3) Safety hazards | Medium risk | Corrected | Children's Records - Health Statement: Three children did not have a health statement on file. |
| May 30, 2024 | §746.5101(a) Fire safety & emergency drills | High risk | Corrected | Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months: The last compliant fire inspection was observed to be completed in 2022. A fire inspection completed on 4/3/24 required corrections that are not yet completed. |
| May 30, 2024 | §746.1315(b)(1) Staff qualifications & clearances | Medium-high risk | Corrected | CPR Training and Recertification Adhere to Guidelines-skill based: Three of four personnel files reviewed were found to only have online CPR training certificates available for review. The in person aspect of the training was missing. |
| Aug 21, 2023 | §746.611(b) Records, permits & program | Medium risk | Corrected | Health Statement on File within 1 Week of Admission: Three of 8 childrens' files reviewed were lacking a physician signed health statement. |
