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Inspection results from another state agency or political subdivision were used in the evaluation of some standards.
Others: 746.1201(2), 746.305(a)(5)
Form 2936
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In an effort to improve our inspection process, we are soliciting your feedback about this licensing inspection at your operation.
Please provide responses to the questions posed in the online survey. The survey will take approximately 5-10 minutes to
complete. Go to www.CCLinspectionfeedback.org. Your answers and comments are greatly appreciated.
ACKNOWLEDGEMENT OF RECEIPT
An inspection was conducted at my operation on the date below. Deficiencies and, where applicable, technical assistance were
discussed with me during the exit conference. Failure to comply within the specified time limit or repetition of deficiencies may
result in remedial action without further opportunity to correct the deficiencies. I understand that if the results of this inspection
were not given to me on this date, they will be sent through a supplemental letter within ten days of this inspection.
06/11/2018 06/11/2018
Signature (Person Signing for Operation) Date Signature (Licensing Staff) Date
Signed By: Director
Form 2936
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Records Evaluated:
Number of Children's Records: 10 Number of Staff Records: 4
Number of Children Enrolled: 102 Number of Staff Employed: 16
A sample of children's records were selected at random and evaluated. Deficiencies, if any, are described below in the Findings
section. If deficiencies are listed, operation staff must check all other enrollment/health records and make necessary corrections
no later than the compliance date indicated.
A sample of staff records were selected at random and evaluated. Deficiencies, if any, are described below in the Findings
section. If deficiencies are listed, operation staff must check all other staff records and make necessary corrections no later than
the compliance date indicated.
Inspection Dates:
Fire Inspection: 07/20/2017 Gas Pipe Pressure Test:
Health Inspection: 12/24/2017 Last LP Gas Inspection : 03/27/2017
Liability Insurance (exp.date) 01/01/2019
The following standards were cited during a previous inspection. The Findings column below states whether the previous
deficiencies were corrected. Any remaining deficiencies must be corrected by the Comply By Date.
Standard/Rule
Specifics Findings Comply By TA Given
Description
This standard was evaluated in regards to an
investigation and was found to be deficient. Based
on interviews conducted it was determined that an
employee did not relate to a child in a positive
manner. The employee yelled at a child to leave
746.1201(2) Responsibilities of the room when the child appeared to begin to
Employees and Caregivers - vomit. The employee then tossed a towel at the
Compliance N
Relate to Children child and told the child to clean up the vomit.
(Weight: High)
Follow Up: The administrators and the staff
members have a clear understanding of a
Discipline Positive Guidance. The caregivers were
observed relating to the children in a positive
matter.
Form 2936
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Standard/Rule
Technical Assistance Given
Description
746.2909(3) Arrangement of Napping Spacing also reduces the likelihood of transmission of infectious respiratory diseases
Equipment -Provides Sufficient Walking and spread by large droplets, generated by a sneeze or cough, and can be effective in controlling
Work Space the spread of other infectious diseases in the child care environment.