2026-07-20 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: Yes. Correction date: 2026-07-20. Correction verified: Not recorded.
Several bottles in the infant room were not labeled with the infant's first name and initial of last name. Note: This was CORRECTED at inspection as the bottles were labeled with the required information.
2026-07-20 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2026-07-27. Correction verified: 2026-07-27.
An external wall of the building in the outdoor playground required maintenance. Black mold was observed on the wall around pvc pipes. The mold posed a safety hazard as it was in an area withing children s reach. The fence in the outdoor playground was observed with three broken pickets. Cleaning supplies were stored under a sink cabinet without a safety latch in the infant room. The cleaning supplies observed were a can of Lysol disinfectant spray, a spray bottle of clorox with water, and plastic bags. This posed a safety hazard as the cleaning supplies and plastic bags were accessible to children. Note: This was addressed with the caregiver and the cleaning supplies and plastic bags were stored in an area out of children's reach.
2025-08-25 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2025-09-02. Correction verified: 2025-08-29.
2 of 4 childrens files reviewed did not have the child's immunization record for review.
2025-08-25 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2025-08-29. Correction verified: 2025-08-29.
The director was missing current training in transportation safety.
2025-08-25 · 746.1311(a) · Medium
Director Annual Training 30 Hours Required
Corrected at inspection: No. Correction date: 2025-09-08. Correction verified: 2025-08-29.
The director was missing annual training for training year 4/7/2024 - 4/6/2025 on the following topics: (1).Serving children with special care needs; (2). Prevention, recognition, and reporting of child maltreatment; (3). Recognizing and preventing shaken baby syndrome and abusive head trauma; (4). Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); (5). Understanding early childhood brain development; (6). Emergency preparedness: (7). Preventing and controlling the spread of communicable diseases, including immunizations; (8). Administering medication; (9). Preventing and responding to emergencies due to food or an allergic reaction; (10). 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 (11). 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?).
2025-08-25 · 746.4003(a) · Medium
First Aid Kit - Incomplete Kit
Corrected at inspection: No. Correction date: 2025-08-26. Correction verified: 2025-08-26.
1 of 2 transportation vehicles had an incomplete first aid kit. The first aid kit was missing a thermometer.
2025-01-07 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2025-01-21. Correction verified: 2025-01-24.
Six children's records were reviewed. One file is missing health statement and a second file is missing updated immunization record.
2025-01-07 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2025-01-28. Correction verified: 2025-01-27.
Three out of six staff files reviewed are missing personnel / training information. One file is missing notarized affidavit and the translation of a foreign high school diploma. A second file is missing certificates for 11 hours of annual training including the topics of SIDS/Shaken Baby/ Early Brain Development, Hazardous Materials, Food Allergies, Administering Medications, Emergency Preparedness, Communicable Diseases and Building & Physical Premises Safety. A third file is missing annual trainings on the topics of hazardous materials and building & physical premises safety.
2024-09-18 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2024-09-22. Correction verified: 2024-09-30.
Six staff training records were reviewed. One files is missing building / physical premises safety training and a second file is missing transportation training.
2024-09-18 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2024-09-25. Correction verified: 2024-10-01.
One out of six children records reviewed is missing immunization records.
2024-09-18 · 746.2426(a)(1) · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2024-09-18. Correction verified: 2024-10-01.
A 13mo child slept in a restrictive device during naptime.
2024-08-19 · 746.305(a)(2) · Medium High
AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Corrected at inspection: No. Correction date: 2024-09-16. Correction verified: 2024-09-18.
Based on the information obtained during the course of the investigation, operation failed to report to CCR an incident that took place at operation which required a child to receive medical treatment.
2024-05-01 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: Yes. Correction date: 2024-05-01. Correction verified: Not recorded.
An infant age child was not strapped while in a rocker. Note: This was corrected at inspection when the child was removed from the rocker and the blanket covering the straps was removed.
2023-11-13 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2023-11-22. Correction verified: 2023-11-20.
Emergency Plan for a child diagnosed with a food allergy is missing the symptoms and steps take if the child has an allergic reaction.
2023-10-03 · 746.1329(c)(2) · Low
Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-11.
Four out of five staff training records reviewed include an unclear copy of the First Aid / CPR training.
2023-10-03 · 746.1329(b)(5) · Low
Documentation of Training Requirements - Trainer's Qualifications
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-05.
Training certificates are missing trainer's qualifications.
2023-10-03 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2023-10-17. Correction verified: 2023-10-12.
One out of five staff files reviewed is missing 13 hours of annual training including the following topics: -Abuse / Neglect -Hazardous materials -Food Allergies -Administering Medications -Emergency Preparedness -Building and Physical Premises -Communicable Diseases -Transportation
2023-10-03 · 745.8641 · High
Requirements during probation
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-11.
Two out of six children's files were evaluated during inspection were not reviewed by operation as indicated under probation action item #4.
2023-10-03 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-05.
Six children's files were reviewed: #1 Missing emergency contact other than the parent #2 Missing health statement, parent signature and statement indicating policies were received #3 Missing statement indicating policies were received #4 Missing signed emergency medical authorization #5 Missing emergency contact address #6 Missing emergency contact address
2023-04-04 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2023-04-06. Correction verified: 2023-04-06.
Incident report containing accurate information has not been shared with parent.
2023-03-21 · 746.2426(a)(2) · High
Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
Corrected at inspection: No. Correction date: 2023-03-21. Correction verified: 2023-04-04.
Two infant-age children were obseved asleep in rockers.
2023-02-27 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2023-02-27. Correction verified: 2023-03-06.
Children ages 10mo to 4yo were watching the movie Sing.
2023-02-27 · 746.2426 · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2023-02-27. Correction verified: 2023-03-06.
A 6mo old child was asleep in a rocker and covered with a blanket.
2023-02-27 · 746.1605 · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2023-02-27. Correction verified: 2023-03-06.
A group of 11 children ages 10mo-4yo were combined in the school-age room watching a movie.
2023-02-24 · 746.3803(a)(1) · Medium High
Medication Authorization - Signed and Dated
Corrected at inspection: No. Correction date: 2023-03-24. Correction verified: 2023-04-04.
Based on the information obtained during the course of the investigation, a child was administered a medication without parent authorization.
2023-02-24 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Corrected at inspection: No. Correction date: 2023-03-27. Correction verified: 2023-04-04.
Based on the information obtained during the course of the investigation children's information including emergency medical transport and treatment authorization forms and parent?s names and telephone numbers and emergency telephone numbers were missing from Transportation Binder taken during routes.
2023-02-24 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2023-03-24. Correction verified: 2023-04-04.
Based on the information obtained during the course the investigation; Director provided inaccurate information, did not communicate well with staff nor ensured staff followed the required steps after an incident took place.
2023-02-24 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2023-03-27. Correction verified: 2023-04-04.
Based on the information obtained during the course of the investigation, incident Report was shared with parent 22 days after the incident took place and contains inaccurate information.
2023-02-24 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-03-24. Correction verified: 2023-04-04.
Based on the information obtained during the course of the investigation, operation staff did not demonstrate good judgment when staff directed children to close a vehicle door that requires force which resulted in an injury, drove transportation van while a child was on the floor of the van and provided inaccurate statements.
2023-02-24 · 746.1203(10) · Medium High
Responsibilities of Caregivers - Share Information with Incoming Caregivers
Corrected at inspection: No. Correction date: 2023-03-24. Correction verified: 2023-04-04.
Based on the information obtained during the course of the investigation, staff failed to communicate between each other after an incident took place. This delayed a child from receiving medical attention and inaccuracy of the information provided under the incident report.
2023-02-24 · 746.3607(2) · High
Critical Injury - Give First Aid or CPR
Corrected at inspection: No. Correction date: 2023-03-24. Correction verified: 2023-04-04.
Based on the information obtained during the course of the investigation, staff failed to provide the necessary first aid after an incident took place.
2023-01-13 · 746.2203(b) · Medium
Written Activity Plans - Plan Followed by Caregiver
Corrected at inspection: No. Correction date: 2023-01-15. Correction verified: 2023-01-27.
Staff in the infant room were not familiar with the activities indicated under the infant lesson plan. Toddler schedule was not being followed, indicated children participate in outdoor play at 10AM and staff indicated children go out of the playground at 11AM.
2023-01-13 · 746.3505(e) · Medium High
Diapering Procedures - Sanitizing Diaper Changing Area
Corrected at inspection: No. Correction date: 2023-01-13. Correction verified: 2023-01-27.
A caregiver did not sanitize the diapering surface after changing a child's diaper. Caregiver also did not wash the child's hands after the diaper change. Note: Caregiver washed the child's hands after it brought to caregivers attention.
2023-01-13 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2023-02-22. Correction verified: 2023-01-27.
Last fire inspection was conducted on 11/09/2021.
2023-01-13 · 746.2411(2)(I) · Medium High
Safety Requirements for Play Yards - Label for Each Infant
Corrected at inspection: No. Correction date: 2023-01-13. Correction verified: 2023-01-27.
Play-yards in the infant room are not labeled.
2023-01-13 · 746.1203(5) · Medium High
Responsibilities of Caregivers - Children in Control
Corrected at inspection: No. Correction date: 2023-01-13. Correction verified: 2023-01-27.
Children in the toddler room were climbing onto furniture, tables and throwing toys.
2022-10-14 · 746.3701(8) · High
Safety - Bodies of Water Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2022-10-14. Correction verified: Not recorded.
There was a bucket filled with water in the younger playground. Note: This was corrected at inspection when provider dumped the water from the bucket.
2022-09-09 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2022-09-16. Correction verified: 2022-09-15.
One out of four children's records reviewed is missing a health statement.
2022-09-09 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-09-13.
Four staff trainings records were reviewed. One staff member is missing 11 hours of annual training including abuse/neglect training. Transportation training for driver could not be located at the time of inspection.
2022-08-05 · 746.1605 · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2022-08-05. Correction verified: 2022-08-11.
A total of 12 childen ages 12mo-12yo were observed combined in the school-age room.
2022-07-21 · 746.3803(a)(1) · Medium High
Medication Authorization - Signed and Dated
Corrected at inspection: No. Correction date: 2022-07-22. Correction verified: 2022-08-05.
Medications were administered to three children without written parent authorization.
2022-06-17 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2022-06-17. Correction verified: 2022-06-29.
Children ages 12mo-6yo were watching TV in the school-age room.
2022-06-17 · 746.4503(b) · Medium
Cots, Beds, Mats Labeled With Child's Name
Corrected at inspection: Yes. Correction date: 2022-06-17. Correction verified: Not recorded.
Napping mats are not labeled with the children's name nor number assigned. Note: This was corrected at inspection when provider labeled the mats by number and generated a list with the mat assignment.
2022-06-17 · 746.1605 · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2022-06-17. Correction verified: 2022-06-29.
A total of 14 children ages 12mo-6yo were combined in the school-age classroom.
2022-04-22 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2022-04-23. Correction verified: 2022-04-25.
Two staff members were present at the operation without background check elegibility notice.
2022-04-13 · 746.3301(f) · Medium High
Nutrition and Food Service - Drinking Water Available and Served
Corrected at inspection: No. Correction date: 2022-04-13. Correction verified: 2022-04-22.
No water was offered or served during PM snack. No water jugs/cups were observed in the toddler room and water fountain in school-age room is not working.
2022-04-13 · 746.2405(2) · Medium High
Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age
Corrected at inspection: Yes. Correction date: 2022-04-13. Correction verified: Not recorded.
Operation did not have individually assigned cribs / play-yards for two children under the age of 12mo. This was corrected at inspection when provider assigned each of the children a play-yard and labeled them with their names.
2022-04-13 · 746.1605 · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2022-04-13. Correction verified: 2022-04-22.
A total of 13 children ages 11mo-4yo were combined in the school-age room.
2022-04-13 · 746.5209(c) · High
No Blocked or Locked Doors as Exits
Corrected at inspection: No. Correction date: 2022-04-13. Correction verified: 2022-04-22.
Front door which is labeled as an emergency exit was locked upon arrival. All staff present at the operation were in charge of a group of children and no other staff were readily available to allow access without leaving the classroom.
2022-04-13 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-04-13. Correction verified: 2022-04-22.
One caregiver was caring for five children ages 3mo, 3mo, 11mo, 12mo and 12mo. Specified Age Group is 0-11mo. Classroom was over ratio by one child.
2022-04-13 · 746.3807(3) · Medium High
Storage of Medication - Refrigerate Separate from Food
Corrected at inspection: No. Correction date: 2022-04-13. Correction verified: 2022-04-22.
Children's medication was stored in the fridge next to food items including sauce, pudin and yogurt.
2022-04-13 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-04-13. Correction verified: 2022-04-22.
A caregiver was in charge of ten children, however, children were divided among two classrooms. There were four children in the school-age room ages 19mo to 4yo, one of them was in a high chair while an additional 6 children ages 18mo-4yo were napping in the toddler room.
2022-04-13 · 746.3317 · Medium High
Food Service and Preparation Requirement - Safe and Sanitary
Corrected at inspection: No. Correction date: 2022-04-13. Correction verified: 2022-04-22.
Groceries including frozen chicken patties and ground meat were left at room temperature for over two hours.
2022-03-14 · 746.2207(c)(1) · Medium
Screen Time Activities - Related to Planned Activities
Corrected at inspection: Yes. Correction date: 2022-03-14. Correction verified: Not recorded.
A group of nine children ages 11mo-6yo were watching the movie Sherk. Note: This was corrected at inspection when provider turned off the TV.
2022-03-03 · 746.2401(7) · High
Basic Requirements for Infants - Never Unsupervised
Corrected at inspection: No. Correction date: 2022-03-03. Correction verified: 2022-03-14.
An infant-age child was alone and unsupervised in the infant room.
2022-02-28 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2022-03-03. Correction verified: 2022-03-02.
A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.
2022-02-25 · 746.2417(2)(B) · High
Activities for Infants - Not in Restrictive Device for more than 15 Minutes
Corrected at inspection: No. Correction date: 2022-02-25. Correction verified: 2022-03-03.
An infant-age child was awake and remained in a high chair for 25 minutes.
2022-02-25 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2022-02-25. Correction verified: 2022-03-03.
Children ages 9mo-3yo were watching coco melon during inspection.
2022-02-25 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2022-03-04. Correction verified: 2022-02-25.
Four children's files were reviewed; one file is missing immunization records.
2021-11-19 · 746.5202(1) · Medium High
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Corrected at inspection: No. Correction date: 2021-11-26. Correction verified: 2021-11-23.
Emergency Preparedness Plan was reviewed and the following items are missing: -Procedure of how children under age 24 mo / with limited mobility will be evacuated -How will operation continue care after an emergency evacuation/relocation
2021-11-19 · 746.5207(a)(2) · Medium High
Emergency Evacuation and Relocation Diagram - Two Exits from Each Room
Corrected at inspection: No. Correction date: 2021-11-24. Correction verified: 2021-11-23.
Emergency Evacuation and Relocation diagrams are posted in all rooms, however, diagrams signal of which way to exit the rooms but do not indicate the path that staff/children need to take to evacuate or relocate. Diagrams are also posted at an adult's eye level that would make difficult for young children to view.
2021-11-19 · 746.5619 · Medium High
Plan to Handle Transportation Emergencies
Corrected at inspection: No. Correction date: 2021-11-26. Correction verified: 2021-11-23.
Operation does not have an emergency transportation training.
2021-11-19 · 746.501(a)(18) · Medium
Written Operational Policies - Promotion of Physical Activity
Corrected at inspection: No. Correction date: 2021-11-26. Correction verified: 2021-11-23.
Operational Policies were reviewed and the following items are missing: -Procedures for parental notifications -Physical and outdoor activities policy -Inform parents they may visit the child-care center at any time during your hours of operation without having to secure prior approval
2021-11-19 · 746.5531 · High
Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
Corrected at inspection: No. Correction date: 2021-11-22. Correction verified: 2021-11-23.
There is not a carbon monoxide detector at the operation.
2021-11-19 · 746.4003(a) · Medium
First Aid Kit - Incomplete Kit
Corrected at inspection: No. Correction date: 2021-11-22. Correction verified: 2021-11-23.
First Aid kit is missing tape, scissors, tweezers and cotton balls.