Trinity Lutheran Childrens Center

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: One plan did not have all required medications. Two plans did not have medical professional signature.

Corrected Oct 14, 2026, verified by the state Oct 19, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk The operation's written policies must cover promotion of physical activity.

State rule 746.501(a)(18)(F) (minimum standards for child-care centers): "Written Operational Policies - Criteria for Extreme Weather"

Inspector's note: Operation did not have a written operational policy for extreme weather in parent handbook at time of investigation inspection. An updated policy was shared with parents.

Corrected Jul 9, 2026, verified by the state Jul 23, 2026. The inspector gave technical assistance (advice on how to comply).

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

State rule 746.1205(a)(1) (minimum standards for child-care centers): "Responsibilities of Caregivers - Know children responsible for"

Inspector's note: It was determined during an investigation caregiver was unaware of all the children responsible for when a child was injured in care resulting in medical attention.

Corrected Dec 16, 2025, verified by the state Dec 22, 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: During an investigation it was determined a caregiver did not use good judgement when not ensuring all children had transitioned from indoor to outdoor area.

Corrected Nov 25, 2025, verified by the state Nov 25, 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: During an investigation it was determined a toddler was unsupervised outside of the fenced in outdoor area for 1 minute.

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

Medium-high risk Additional Requirements For Outdoor Activity Space Not Connected To Center - Written Plan for Supervision

State rule 746.4313(2) (minimum standards for child-care centers): "Additional Requirements For Outdoor Activity Space Not Connected To Center - Written Plan for Supervision"

Inspector's note: During an investigation it was determined there was not a written plan for supervision for outdoor space not connected to center.

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

Medium-high risk There must be enough caregivers for the number and ages of children in the group (the state's child-to-caregiver ratio).

State rule 746.1601 (minimum standards for child-care centers): "Child/ Caregiver Ratio - 13 or More Children"

Inspector's note: Sole caregiver was caring for nine children ages 12-18 months old. State ratio is one caregiver to five children for this age group. Corrected at inspection when second caregiver was added to classroom ratio.

Corrected Nov 10, 2025, verified by the state Nov 25, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Posting Requirements - Child's Food Allergy Plans

State rule 746.403(b) (minimum standards for child-care centers): "Posting Requirements - Child's Food Allergy Plans"

Inspector's note: Child with diagnosed food allergy did not have food allergy plan posted in the operation. This was corrected at time of inspection when posted in the classroom at time of inspection.

Corrected while the inspector was there. 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: One out of ten caregivers did not have 24 hours of annual training avalible for review at time of inspection.

Corrected Nov 24, 2025, verified by the state Nov 25, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk The operation's written policies must cover promotion of physical activity.

State rule 746.501(a)(18) (minimum standards for child-care centers): "Written Operational Policies - Promotion of Physical Activity"

Inspector's note: Complete outdoor policies were not available to review at time of inspection.

Corrected Nov 24, 2025, verified by the state Nov 25, 2025.

Medium risk The operation's written policies must support inclusive services.

State rule 746.501(a)(30) (minimum standards for child-care centers): "Written Operational Policies - Support inclusive services"

Inspector's note: Operation procedures for supporting inclusive services to children with special care needs was not available to review at time of inspection

Corrected Nov 24, 2025, verified by the state Nov 25, 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: Two out of ten children did not have up to date immunization records available at time of inspection.

Corrected Nov 24, 2025, verified by the state Nov 25, 2025. The inspector gave technical assistance (advice on how to comply).

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: Four infants under the age of 17 months were observed in high chairs without the use of safety straps. Corrected at inspection when caregivers were observed using the safety traps with all children in high chairs.

Corrected Jan 7, 2025, verified by the state Jan 21, 2025. 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(7) (minimum standards for child-care centers): "Safety - Bottle Warmers Inaccessible to Children"

Inspector's note: Crock pot being used as bottle warmer was observed on the edge of a table accessible to children in an infant classroom. Corrected at inspection when moved to a place in the classroom inaccessible to children.

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

Medium-high risk Immunization records, exceptions and exemptions must be current.

State rule 746.613(b) (minimum standards for child-care centers): "Immunization Records, Exceptions, and Exemptions Current"

Inspector's note: Ten out of ten children's records reviewed at time of inspection did not have up to date immunization records.

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