| Oct 6, 2026 | §746.3415(7) Staff qualifications & clearances | Medium-high risk | Corrected | Employee Handwashing After Handling or Cleaning Bodily Fluids: A caregiver was observed wiping a child's nose and then failed to wash their hands. The caregiver then went around the room helping other children with their activity and touching the puzzle pieces with the used tissue still in their hand. |
| Aug 27, 2026 | §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: A blanket was observed in the crib of a child younger than twelve months of age while the child was sleeping. |
| Aug 27, 2026 | §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 was observed sleeping on the floor when the CCR inspector entered the room. The caregiver continued sleeping for about a minute before waking up. |
| Aug 27, 2026 | §746.1203(3)(D) Facilities & equipment | Medium-high risk | Corrected | Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games: Upon entering a classroom, a caregivers phone was observed propped up against a crib and a movie was playing. Though the caregiver was asleep when the CCR inspector initially walked in, the caregiver had fallen asleep watching the movie. |
| Jul 29, 2026 | §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: Based on evidence obtained during the investigation, staff have been observed sleeping while responsible for the supervision of children. |
| Jul 29, 2026 | §746.2419(3) Food & nutrition | High risk | Corrected | Requirements for Feeding Infants - Never Prop Bottles: Evidence obtained during the investigation supports the allegation of bottles being propped while infants are eating. |
| Jul 21, 2026 | §746.2426(a)(1) Facilities & equipment | High risk | Corrected | Infant May Not Sleep in a Restrictive Device: A child under 12 months old was observed sleeping in a restrictive device for five minutes. The child was finally moved to their crib when CCR staff prompted the caregiver to remove the child from the restrictive device. The child does not have a sleep exception form on file from a doctor allowing them to sleep in a restrictive device. |
| Jul 21, 2026 | §746.2419(7) Food & nutrition | Medium-high risk | Corrected | Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup: A child was observed sleeping in a restrictive device and also had a bottle laying on them that they had eaten out of. |
| Jul 21, 2026 | §746.4813(a) Facilities & equipment | Medium-high risk | Corrected | Measurement of Use Zone for Rotating and Rocking Equipment (Sitting): The bicycle track ride on the playground did not have the required six feet of use zone around it. It is less than six feet from a concrete footing that goes around the playground as well as the fence. |
| Jul 8, 2026 | §746.1609 Supervision & ratios | Medium-high risk | Corrected | Maximum Group Size 13 or More Children: There were 5 children present in the infant room with one caregiver. The specified age group was 0-11 months therefore there could only be a maximum of 4 children with one caregiver. The classroom was over ratio by one child. |
| Jul 8, 2026 | §746.1301(a)(5)(A) Staff qualifications & clearances | Medium-high risk | Corrected | Training Requirements for Employees, Caregivers, and Directors - 24 Annual training: Two of the four caregivers files reviewed did not have any of the annual training hours for the prior training year. |
| Dec 2, 2025 | §746.1015 Staff qualifications & clearances | Medium-high risk | Corrected | Director Qualifications - 13 or More Children: Documentation has not been received to show that the director meets director qualifications. |
| Nov 13, 2025 | §746.1015 Staff qualifications & clearances | Medium-high risk | Corrected | Director Qualifications - 13 or More Children: The individual who is named director does not meet director qualifications. |
| Aug 26, 2025 | §746.613(a) Staff qualifications & clearances | High risk | Corrected | Required Immunizations: Two of the eight children's records reviewed did not have proof of current immunizations. |
| Jul 31, 2025 | §746.1301(a)(4)(A) Staff qualifications & clearances | Medium-high risk | Corrected | Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR: One of the seven staff files reviewed during the inspection did not have current CPR training. The CPR training on file expired in 10/2024. |
| Jul 31, 2025 | §746.613(a) Staff qualifications & clearances | High risk | Corrected | Required Immunizations: Two of the eight children's records reviewed did not have proof of current immunizations. |
| Sep 17, 2024 | §746.2426(a)(1) Facilities & equipment | High risk | Corrected | Infant May Not Sleep in a Restrictive Device: An infant was observed on a Boppy pillow in their crib during the inspection. Staff interviews confirm that the child uses the boppy pillow to also sleep in an inclined position sometimes. |
| Sep 9, 2024 | §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 child was observed in a room without a caregiver present and the child was visibly upset. |
| Sep 9, 2024 | §746.2206(1)(B) Facilities & equipment | Medium risk | Corrected | Written Activity Plan - Outdoor Play - 13 Months to Toddler and Pre K: The activity plan in the toddler classroom does not have two opportunites for outside time. Additionally, the children in this classroom are only getting 25 minutes of the required 60 minutes outside. |
| Sep 9, 2024 | §746.2421(a) Supervision & ratios | Medium risk | Corrected | Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional: One of the infants at the operation did not have infant feeding instructions on file for review. |
| Jul 27, 2022 | §746.401(2) Records, permits & program | Medium risk | Corrected | Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation: During the inspection it was observed that the last inspection form dated 12/10/2021 was not posted. I observed Natalie print and post the form 2936 dated 7/27/2022 during this inspection. |
| Dec 10, 2021 | §746.1309(e) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training- Required Content: One out of six personnel records reviewed was missing the annual training for 746.1309(e)(4)Preventing and responding to emergencies due to food or an allergic reaction. One out of six personnel records reviewed was missing the annual training for 746.1309(e)(1-6) (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. |
