The Nest School Towne Lake

Medium-high risk An evacuation and relocation diagram must be prepared as the state requires.

State rule 746.5207(a) (minimum standards for child-care centers): "Emergency Evacuation and Relocation Diagram"

Inspector's note: An evacuation diagram was not posted in one of the classrooms used by children. Note: The operation posted the diagram during the inspection.

Corrected while the inspector was there.

Medium-high risk Caregivers must set appropriate behavior expectations for children.

State rule 746.1203(6) (minimum standards for child-care centers): "Responsibilities of caregivers-Set appropriate behavior expectations"

Inspector's note: Based on the information obtained, a caregiver did not set appropriate behavior expectations.

Corrected Nov 14, 2025, verified by the state Nov 24, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Employees and caregivers must show competence, good judgment and self-control.

State rule 746.1201(1) (minimum standards for child-care centers): "Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control"

Inspector's note: Based on the information obtained, there was sufficient evidence to show that a caregiver did not practice good judgment when walking a child to their nap mat inappropriately.

Corrected Nov 14, 2025, verified by the state Nov 25, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Each caregiver must know how many children they are responsible for.

State rule 746.1205(a)(2) (minimum standards for child-care centers): "Responsibilities of Caregivers - Know number of children responsible for"

Inspector's note: A caregiver did not know the correct number of children they were responsible for during the inspection.

Corrected Oct 6, 2025, verified by the state Oct 17, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Caregivers must step in when needed to keep each child safe.

State rule 746.1205(a)(5) (minimum standards for child-care centers): "Responsibilities of Caregivers - Intervene to ensure each child's safety"

Inspector's note: Based on the information obtained, caregivers did not intervene to guide a child when a child stood at the bottom of a slide and jumped off of the slide and injured themselves.

Corrected Sep 29, 2025, verified by the state Oct 6, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Each employee's file must hold the personnel records the state requires (such as signed affidavits, dates of employment and proof of qualifications).

State rule 746.901 (minimum standards for child-care centers): "Required Personnel Records"

Inspector's note: As of today, 7/24/25 the provider has not submitted education documents showing how a caregiver meets minimum educational requirements.

Corrected Aug 1, 2025, verified by the state Jul 31, 2025.

Medium-high risk Infant equipment such as high chairs and swings must be used with their safety straps.

State rule 746.2407 (minimum standards for child-care centers): "Infant Care Area Furnishings and Equipment -Use of Safety Straps"

Inspector's note: An infant was observed in a high chair and the safety straps were not fastened. Note: Caregiver fastened the straps during the inspection.

Corrected while the inspector was there.

Medium-high risk The fire inspection report must be kept and made available.

State rule 746.801(11) (minimum standards for child-care centers): "Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care"

Inspector's note: The operation has not provided the annual fire inspection report that was requested on May 14th, 2025.

Corrected Jun 23, 2025, verified by the state Jun 12, 2025.

Medium risk Each employee's file must hold the personnel records the state requires (such as signed affidavits, dates of employment and proof of qualifications).

State rule 746.901 (minimum standards for child-care centers): "Required Personnel Records"

Inspector's note: The provider has not submitted education documents showing how a caregiver meets minimum educational requirements.

Corrected Jun 23, 2025, verified by the state Jul 24, 2025.

Medium-high risk Pediatric CPR training and recertification must follow the state's guidelines and be skill-based.

State rule 746.1315(b)(1) (minimum standards for child-care centers): "CPR Training and Recertification Adhere to Guidelines-skill based"

Inspector's note: 1 out of 10 employee files evaluated did not contain the skills-based CPR Training.

Corrected May 23, 2025, verified by the state May 19, 2025.

Medium-high risk Each child's file must list the child's allergies and hold a completed food allergy plan.

State rule 746.605(15) (minimum standards for child-care centers): "Required Admission Information-Child's allergies and Completed Food Allergy Plan"

Inspector's note: A food allergy emergency plan was missing the parent signature.

Corrected May 23, 2025, verified by the state May 27, 2025.

Medium-high risk The fire inspection report must be kept and made available.

State rule 746.801(11) (minimum standards for child-care centers): "Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care"

Inspector's note: Documentation showing the annual fire inspection report from the local fire marshal was not available to review upon request.

Corrected May 23, 2025, verified by the state Jun 9, 2025.

Medium risk Each child's file must hold the required admission information.

State rule 746.603(a)(2) (minimum standards for child-care centers): "Children's Records - Admission Information"

Inspector's note: Children's files evaluated were missing the following admission information: - Name, Address and Phone number of the emergency medical facility or physician. - Name, Address and Phone number of emergency contact person - Date of Admission

Corrected May 23, 2025, verified by the state May 27, 2025.

Medium risk Each child's file must hold a health statement.

State rule 746.603(a)(3) (minimum standards for child-care centers): "Children's Records - Health Statement"

Inspector's note: 1 out of 10 children's files evaluated was missing a completed health statement.

Corrected May 23, 2025, verified by the state May 27, 2025.

Medium risk Each child's file must hold current immunization records.

State rule 746.603(a)(4) (minimum standards for child-care centers): "Children's Records - Immunizations"

Inspector's note: 1 out of 10 children's files evaluated was missing an immunization record.

Corrected May 23, 2025, verified by the state Jun 6, 2025.

Medium risk Each employee's file must hold the personnel records the state requires (such as signed affidavits, dates of employment and proof of qualifications).

State rule 746.901 (minimum standards for child-care centers): "Required Personnel Records"

Inspector's note: Staff files evaluated were missing the following information: - Photo ID or Driver's License - Documentation showing staff meet minimum education requirements - Education documents written in a foreign language were not translated to English - Employment Affidavit Form

Corrected May 23, 2025, verified by the state Jun 9, 2025.

High risk Caregivers must supervise every child at all times: close enough to step in, and always aware of what each child is doing.

State rule 746.1205(a)(4) (minimum standards for child-care centers): "Supervision ensures each child's safety, well-being, including physical proximity and auditory or visual awareness of each child's on going activity"

Inspector's note: Based on the information obtained, children were observed running in and out of the restroom unattended.

Corrected Jul 10, 2025, verified by the state Jul 16, 2025. The inspector gave technical assistance (advice on how to comply).

High risk The state prohibits certain punishments of children, such as hitting, grabbing, shaming, withholding food or rest, or locking a child in a room.

State rule 746.2805(3) (minimum standards for child-care centers): "Prohibited Punishments - Grabbing and Pulling"

Inspector's note: Based on the information obtained, a caregiver grabbed a child by the arm.

Corrected Jul 10, 2025, verified by the state Jul 16, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Caregivers must set appropriate behavior expectations for children.

State rule 746.1203(6) (minimum standards for child-care centers): "Responsibilities of caregivers-Set appropriate behavior expectations"

Inspector's note: Based on the information obtained, a caregiver did not set appropriate behavior expectations when children were observed climbing on the tables and the couch and fighting with one another.

Corrected Jul 10, 2025, verified by the state Jul 16, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Parent right to review video recordings of alleged incident of abuse or neglect involving parent child

State rule 746.521(8) (minimum standards for child-care centers): "Parent right to review video recordings of alleged incident of abuse or neglect involving parent child"

Inspector's note: Based on the information obtained, the operation did not provide parents the opportunity to review an alleged incident of abuse when it was requested.

Corrected Jul 10, 2025, verified by the state Jul 16, 2025.

Medium-high risk Pediatric CPR training and recertification must follow the state's guidelines and be skill-based.

State rule 746.1315(b)(1) (minimum standards for child-care centers): "CPR Training and Recertification Adhere to Guidelines-skill based"

Inspector's note: Based on the information obtained from the operation, the skill-based portion of CPR training was not completed for the director.

Corrected May 20, 2025, verified by the state May 13, 2025. The inspector gave technical assistance (advice on how to comply).