Toddler House 5

Medium-high risk The director and each caregiver must have current pediatric first aid training (with rescue breathing and choking).

State rule 746.1315(a) (minimum standards for child-care centers): "Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking."

Inspector's note: Of the six personnel records, one caregiver lacked First Aid Training.

Corrected Aug 7, 2026, verified by the state Sep 4, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk People who leave the operation must be removed from its background-check list within 7 days.

State rule 745.651(1) (licensing rules for every operation): "Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving"

Inspector's note: Background check for two former staff have not been inactivated within seven days of their last day of employment.

Corrected Jul 24, 2026, verified by the state Jul 24, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk Caregivers' annual training must cover the topics the state requires, and be documented.

State rule 746.1309(e) (minimum standards for child-care centers): "Documented Annual Training- Required Content"

Inspector's note: Of the six personnel records evaluated, two caregivers did not training in one or more of the following topics for the previous training year: food allergies and administering medications.

Corrected Aug 7, 2026, verified by the state Sep 4, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk There must be enough caregivers when the children in a group differ in age by 18 months or more (the state's child-to-caregiver ratio).

State rule 746.1605(1) (minimum standards for child-care centers): "Child/Caregiver Ratio - 18 Months Difference in Age"

Inspector's note: An infant was combined with children that were more than 18 months older than the youngest child in the group.

Corrected Jun 25, 2026, verified by the state Jul 24, 2026.

High risk Areas children use must be kept free of safety hazards, such as uncovered electrical outlets, unprotected heaters or fans, or reachable water.

State rule 746.3701(9) (minimum standards for child-care centers): "Safety - Bodies of Water Inaccessible to Children"

Inspector's note: A mop bucket with water was accessible to children in the children's restroom. This was corrected when the mop bucket was removed from the restroom an away from children's access.

Corrected while the inspector was there. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Areas children use must be kept free of safety hazards, such as uncovered electrical outlets, unprotected heaters or fans, or reachable water.

State rule 746.3701(3) (minimum standards for child-care centers): "Safety - Air Conditioners, Fans, Heaters Safeguarded"

Inspector's note: An air blower was found to be accessible to children in a classroom that did not have a safegaurd or barrier around it. This was corrected when the blower was removed out of the classroom.

Corrected while the inspector was there.

High risk The operation's policies must comply with the state's minimum standards.

State rule 746.201(1) (minimum standards for child-care centers): "Policies Comply with Rules"

Inspector's note: The operational policies did not include the following information: 1. The benefits of outdoor play. 2. Recommended clothing and footwear. 3. The criteria used to determine when the weather will prevent outdoor play. 4. Parent's Rights. 5. The correct website for Child Care Regulation.

Corrected Feb 17, 2026, verified by the state Feb 17, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Employees, caregivers and directors must complete pre-service training as the state requires.

State rule 746.1301(a)(2)(A) (minimum standards for child-care centers): "Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training"

Inspector's note: Of the seven personnel records evaluated, two have not completed 24 clock hours of pre-service training.

Corrected Feb 19, 2026, verified by the state Feb 24, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The infant's daily report must give times and amounts of food.

State rule 746.2431(2) (minimum standards for child-care centers): "Infant Daily Report - Times and Amount of Food"

Inspector's note: The daily report sheet for one child did not include the times or amount of food the child is eatinig throughout the day.

Corrected Feb 3, 2026, verified by the state Feb 24, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk Caregivers must complete 24 hours of annual training, and it must be documented.

State rule 746.1309(a) (minimum standards for child-care centers): "Documented Annual Training Area - 24 Hours Required"

Inspector's note: Of the seven personnel records evaluated, two did not complete the required 24 clock hours of training for their respective training year.

Corrected Mar 12, 2026, verified by the state Mar 12, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk Caregivers' annual training must cover the topics the state requires, and be documented.

State rule 746.1309(e) (minimum standards for child-care centers): "Documented Annual Training- Required Content"

Inspector's note: One caregiver did not complete training in communicable diseases including immunizations and food allergies.

Corrected Mar 12, 2026, verified by the state Mar 12, 2026.

Medium risk The director must complete 30 hours of annual training.

State rule 746.1311(a) (minimum standards for child-care centers): "Director Annual Training 30 Hours Required"

Inspector's note: The director received 22 of the 30 clock hours of required annual training for the March 2024-March 2025 training year. The director will need to complete 8 clock hours of training.

Corrected Mar 12, 2026, verified by the state Mar 12, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk Activities for Infants - Outdoor Play Daily

State rule 746.2417(1) (minimum standards for child-care centers): "Activities for Infants - Outdoor Play Daily"

Inspector's note: Infants are not going outside daily.

Corrected while the inspector was there.

Medium risk Each infant's written feeding instructions must be reviewed and updated every 30 days.

State rule 746.2421(b) (minimum standards for child-care centers): "Written Feeding Instructions - Review and Update Every 30 Days"

Inspector's note: The written feeding instructions for one infant has not been updated within the last 30 days.

Corrected while the inspector was there.

Medium risk The first-aid kit must be complete.

State rule 746.4003(a) (minimum standards for child-care centers): "First Aid Kit - Incomplete Kit"

Inspector's note: The First Aid Kits on the buses was missing supplies. Bus 12 was missing scissors, tweezers and adhesive tape and Bus 11 was missing a thermometer.

Corrected while the inspector was there.

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: Of the eight children's records evaluated, one was behind with immunizations.

Corrected Feb 17, 2026, verified by the state Feb 17, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk Each child must have the written health statement the state requires on file.

State rule 746.611(a)(2) (minimum standards for child-care centers): "Required Health Statement - Signed affidavit from parent stating medical diagnosis and treatment conflict with religious beliefs"

Inspector's note: Of the seven children's records evaluated, two lacked a parent signed health statement that the child has been examined by a health care professional within the past year.

Corrected Mar 12, 2026, verified by the state Mar 12, 2026.

Medium-low risk No more than 80 percent of annual training may be self-instructional.

State rule 746.1309(g) (minimum standards for child-care centers): "Documented Annual Training-Self-Instructional 80%"

Inspector's note: Caregivers did not receive at least six clock hours of training through in-person training.

Corrected Mar 12, 2026, verified by the state Mar 12, 2026.

Low risk A child's health statement must be written, dated within the past year, and say the child can take part in the program.

State rule 746.611(a)(1) (minimum standards for child-care centers): "Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program"

Inspector's note: Of the eight children's records evaluated, one lacked a health statement from a health care professional.

Corrected Feb 17, 2026, verified by the state Mar 2, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Safety Requirements for Sprinkler Play - Equipment and Water Hoses Kept Out of Child's Reach

State rule 746.5015(c) (minimum standards for child-care centers): "Safety Requirements for Sprinkler Play - Equipment and Water Hoses Kept Out of Child's Reach"

Inspector's note: Waster hoses used on Friday were on the toddler playground. This was corrected at inspection.

Corrected while the inspector was there.

Medium-high risk The director must complete annual training on caring for children under 24 months.

State rule 746.1311(d) (minimum standards for child-care centers): "Director Annual Training - Caring for children under 24 months"

Inspector's note: A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. The director did not receive annual training hours in SIDS, Shaken Baby Syndrome, Abusive head Trauma and Understanding Early Childhood Brain Development for the March 2024-March 2025 training year.

Corrected Jun 18, 2025, verified by the state Jun 10, 2025.

Medium-high risk Play equipment 5 feet high or less needs at least six inches of loose-fill surfacing (such as mulch) underneath.

State rule 746.4907(a)(1) (minimum standards for child-care centers): "Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less"

Inspector's note: A follow-up inspection was conducted and compliance was not met. The loose fill surfacing in the use zone for equipment on the infant/toddler playground is not measuring at least 6 inches.

Corrected Jul 17, 2025, verified by the state Jul 16, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Play equipment taller than 5 feet needs at least nine inches of loose-fill surfacing (such as mulch) underneath.

State rule 746.4907(a)(2) (minimum standards for child-care centers): "Installation and Maintenance of Loose-fill Surfacing - Nine Inches if Equipment Greater Than 5 Ft."

Inspector's note: A follow-up inspection was conducted and compliance was not met. This deficiency is being re-cited. The loose-full surfacing in the use zones for the swings, which is at least 9 feet; is not being maintained at a depth of at least 9 inches.

Corrected Jul 17, 2025, verified by the state Jul 16, 2025.

Medium risk Caregivers' annual training must cover the topics the state requires, and be documented.

State rule 746.1309(e) (minimum standards for child-care centers): "Documented Annual Training- Required Content"

Inspector's note: A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. Of the 8 personnel records evaluated, 1 did not receive annual training for the January 2024-January 2025 training year in the following topics: 1. Emergency Preparedness 2. Communicable diseases including immunizations 3. Food allergies 4. Administering medications 5. Understanding building and physical premises safety 5. Handling, storing and disposing of hazardous materials

Corrected Jun 18, 2025, verified by the state Jun 16, 2025.

Medium risk The director must complete the additional annual training topics the state requires.

State rule 746.1311(e) (minimum standards for child-care centers): "Director Annual Training - Additional required topics"

Inspector's note: A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. The director did not receive annual training hours in emergency preparedness, communicable diseases including immunizations, food allergies, understanding building and physical premises safety and handling, storing and disposing of hazardous materials for the March 2024-March 2025 training year.

Corrected Jun 18, 2025, verified by the state Jun 10, 2025.

Low risk A child's health statement must be written, dated within the past year, and say the child can take part in the program.

State rule 746.611(a)(1) (minimum standards for child-care centers): "Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program"

Inspector's note: A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. Two children's records lacked a health statement from a health care professional.

Corrected Jun 18, 2025, verified by the state Jul 16, 2025. The inspector gave technical assistance (advice on how to comply).

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: Infant children were not being properly supervised. The caregiver was sitting in the doorway of the classroom and playground. Three children were observed playing on the playground. The other two children were in the classroom.

Corrected Apr 16, 2025, verified by the state May 2, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Employees, caregivers and directors must complete orientation as the state requires.

State rule 746.1301(a)(1)(A) (minimum standards for child-care centers): "Training Requirements for Employees, Caregivers, and Directors - Orientation"

Inspector's note: Of the 8 personnel records evaluated, one did not complete an orientation that included the following topics: administering medication, responding to and preventing food allergies, understanding building and physical premises safety, handling, storing and disposing of hazardous materials and precautions when transporting children.

Corrected May 23, 2025, verified by the state Jun 4, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Employees, caregivers and directors must complete pre-service training as the state requires.

State rule 746.1301(a)(2)(A) (minimum standards for child-care centers): "Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training"

Inspector's note: Of the 8 personnel records evaluated, 1 staff has not completed 8 clock hours of pre-service training prior to being counted in the child/staff ratio.

Corrected Apr 30, 2025, verified by the state May 2, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The director must complete annual training on caring for children under 24 months.

State rule 746.1311(d) (minimum standards for child-care centers): "Director Annual Training - Caring for children under 24 months"

Inspector's note: The director did not receive annual training hours in SIDS, Shaken Baby Syndrome, Abusive head Trauma and Understanding Early Childhood Brain Development for the March 2024-March 2025 training year.

Corrected May 16, 2025, verified by the state Jun 4, 2025.

Medium-high risk The director and employees must complete 2 hours of transportation-safety training every year.

State rule 746.1316(a) (minimum standards for child-care centers): "Transportation Safety Training -Director and Employee Complete 2 Hours Annually"

Inspector's note: The director is not current with the required transportation safety training. This was corrected at inspection.

Corrected while the inspector was there.

Medium-high risk Diaper-changing surfaces must be smooth, non-absorbent and easy to clean.

State rule 746.3503(a) (minimum standards for child-care centers): "Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface"

Inspector's note: The diaper changing tables are not equipped with a smooth, non-absorbent easy to clean pad. Diapers are being changed on a wooden surface.

Corrected Apr 21, 2025, verified by the state May 2, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Play equipment 5 feet high or less needs at least six inches of loose-fill surfacing (such as mulch) underneath.

State rule 746.4907(a)(1) (minimum standards for child-care centers): "Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less"

Inspector's note: The loose fill surfacing in the use zones for equipment at least 5 feet high is not being maintained at a depth of at least 6 inches.

Corrected Jun 2, 2025, verified by the state Jun 4, 2025.

Medium-high risk Play equipment taller than 5 feet needs at least nine inches of loose-fill surfacing (such as mulch) underneath.

State rule 746.4907(a)(2) (minimum standards for child-care centers): "Installation and Maintenance of Loose-fill Surfacing - Nine Inches if Equipment Greater Than 5 Ft."

Inspector's note: The loose-full surfacing in the use zones for the swings, which is at least 9 feet; is not being maintained at a depth of at least 9 inches.

Corrected Jun 2, 2025, verified by the state Jun 4, 2025.

Medium risk People who leave the operation must be removed from its background-check list within 7 days.

State rule 745.651(1) (licensing rules for every operation): "Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving"

Inspector's note: Background checks for persons no longer affiliated with the operation has not been inactivated.

Corrected Apr 16, 2025, verified by the state Apr 17, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Caregivers' annual training must cover the topics the state requires, and be documented.

State rule 746.1309(e) (minimum standards for child-care centers): "Documented Annual Training- Required Content"

Inspector's note: Of the 8 personnel records evaluated, 1 did not receive annual training for the January 2024-January 2025 training year in the following topics: 1. Emergency Preparedness 2. Communicable diseases including immunizations 3. Food allergies 4. Administering medications 5. Understanding building and physical premises safety 5. Handling, storing and disposing of hazardous materials

Corrected May 16, 2025, verified by the state Jun 4, 2025.

Medium risk The director must complete the additional annual training topics the state requires.

State rule 746.1311(e) (minimum standards for child-care centers): "Director Annual Training - Additional required topics"

Inspector's note: The director did not receive annual training hours in emergency preparedness, communicable diseases including immunizations, food allergies, understanding building and physical premises safety and handling, storing and disposing of hazardous materials for the March 2024-March 2025 training year.

Corrected May 16, 2025, verified by the state Jun 4, 2025.

Medium risk The first-aid kit must be complete.

State rule 746.4003(a) (minimum standards for child-care centers): "First Aid Kit - Incomplete Kit"

Inspector's note: The First Aid Kits on the buses did not include a Guide to First Aid and the kit in the building did not have tweezers.

Corrected Apr 21, 2025, verified by the state May 2, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Each child must have the written health statement the state requires on file.

State rule 746.611(a)(3) (minimum standards for child-care centers): "Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement"

Inspector's note: Of the 8 children's records evaluated, 2 lacked the name and address of the doctor for the health statement.

Corrected Apr 30, 2025, verified by the state Apr 21, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Children's product certification must be kept and made available.

State rule 746.801(18) (minimum standards for child-care centers): "Required Records Maintained and Made Available - Children's Product Certification"

Inspector's note: The CPSC form has not been completed for 2025. The last one was completed in January 2024.

Corrected Apr 30, 2025, verified by the state Apr 21, 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: Of the 8 personnel records evaluated, the following information was not available for review: 1. One staff lacked the age and education requirements 2. One staff lacked photo identification 3. One staff lacked signed documentation that a copy of the parent handbook was received. 4. All staff lacked a pre-employment affidavit 5. One staff lacked a notarized affidavit

Corrected Apr 30, 2025, verified by the state May 2, 2025.

Low risk A child's health statement must be written, dated within the past year, and say the child can take part in the program.

State rule 746.611(a)(1) (minimum standards for child-care centers): "Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program"

Inspector's note: Of the 8 children's records evaluated, 2 lacked a health statement from a health care provider.

Corrected May 16, 2025, verified by the state Jun 4, 2025.

Medium-high risk There must be enough caregivers when the children in a group differ in age by 18 months or more (the state's child-to-caregiver ratio).

State rule 746.1605(1) (minimum standards for child-care centers): "Child/Caregiver Ratio - 18 Months Difference in Age"

Inspector's note: During the follow up completed a 7 month was combined with two older 2 year olds (32 Months) for nap time. There were 14 children total in the building.

Corrected Mar 31, 2025, verified by the state Apr 4, 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(5) (minimum standards for child-care centers): "Prohibited Punishments - Humiliating, Rejecting, Yelling"

Inspector's note: Based on the investigation completed it was determined that a staff member is using inappropriate discipline with the children. This includes yelling and humiliating the children.

Corrected Mar 25, 2025, verified by the state Mar 31, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Director present-Minimum 75%

State rule 746.1011(a) (minimum standards for child-care centers): "Director present-Minimum 75%"

Inspector's note: Based on the investigation completed it found that the director is not present at the center. It was found that the director is present less than 75% of the time or less than 30 hours a week.

Corrected Mar 25, 2025, verified by the state Mar 31, 2025. The inspector gave technical assistance (advice on how to comply).