Little Achievers

3280.94(a)(4) Hypothetical locations

“The playroom was documented consecutively as the hypothetical location of the fire on 9/25/2025 and 10/10/2025.”

Correction date in the state record: Jul 31, 2026

3280.94(a)(2) Different times of day

“Based on documentation on the fire drill logs, all drills conducted since 8/14/2025 were in the morning between 10:00 am and 11:40 am.”

Correction date in the state record: Jul 31, 2026

3280.95(a)/3280.95(b) FIRE DETECTION/Staff responsibility

“Based on documentation, testing of the fire detection system exceeded 30 days when tested on 12/2/2025 and the next testing on 1/2/2026.”

Correction date in the state record: Jul 31, 2026

3280.131(b)(2)/3280.182(1) Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments

“The file of Child #3, identified as a preschool age child (see LIS code sheet), did not contain a health assessment conducted in the last 12 months. The most recent assessment on file was dated 6/20/2025.”

Correction date in the state record: Jul 31, 2026

3280.26(a)(3) Contact when arises

“The emergency plan did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.”

Correction date in the state record: Jul 31, 2026

3280.20 General Health and Safety

“In the outdoor preschool play space, a large dollhouse and the back of a Cozy Coupe car conatined standing water. In the outdoor infant/toddler play area, standing water was observed in the back of a dump truck and in the bucket attached to a tricycle.”

Correction date in the state record: Jul 14, 2026

3280.102(a) Clean and good repair

“The handle to the small trampoline in the front classroom was loose and unstable, creating a tipping or fall hazard for children. A toy truck and dollhouse in the outdoor play area were found to be visibly unclean and in need of sanitizing. The table in the playhouse in the preschool play space was cracked.”

Correction date in the state record: Jul 31, 2026

3280.103 Small Toys and Objects

“Mulch from the adjacent preschool play space was spilling through the fence into the toddler play area and small stones were observed on the play surface in the toddler area. The mulch and stones, which were less than an inch in diameter, were accessible to children still placing objects in their mouths.”

Correction date in the state record: Jul 31, 2026

3280.66(b) Toxic use- no contamination

“Cleaning materials were being stored directly on top of the refrigerator and not in a bin to prevent leaking and contaminating the food in the refrigerator.”

Correction date in the state record: Jul 31, 2026

3280.76 Building Surfaces

“Three sections of wall paneling in the activities room, plus an area behind the door, are detached. This creates a pinch and cut hazard for children who might insert their fingers. A lock to a door beneath the steps is detaching from the wall in the activity room. The lower section of the fencing on the gate in the outdoor preschool area had sharp, protruding edges that pose an injury to children and staff. The wall in the corner of the bathroom by the vanity had discoloration and the trim was loose. After a conversation with the Staff #3, it was determined water had caused the damage.”

Correction date in the state record: Jul 31, 2026

3280.32(a)/3280.192(4) Comply with CPSL/CPSL information

“The file of Staff #1 did not contain documentation of a current FBI clearance with the previous being dated 6/15/2021, more than 60 months prior to the inspection. The disclosure statement on file for Staff #2 was a previous version of the form dated 11/8/2024 and not the current version dated 1/1/2025.”

Correction date in the state record: Jul 14, 2026

3280.181(c) Emergency info/agreement updated 6 mos

“The financial agreement for Child #2 was reviewed/updated more than 6 months apart (9/15/2025 and 4/12/2026).”

Correction date in the state record: Jul 31, 2026

3280.182(3) Consent for emergency medical care required prior to admission

“The file of Child #1 did not include signed parental consent for emergency medical care for the child.”

Correction date in the state record: Jul 31, 2026

3280.26(a)(4) Contact when ended

“The emergency plan did not include a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children”

Correction date in the state record: Jul 31, 2026

3280.182(5) Consent for administration of minor first-aid required prior to admission

“The file of Child #1 did not include signed parental consent for administration of minor first-aid procedures by facility staff.”

Correction date in the state record: Jul 31, 2026

3280.123(a)(3) Services proceeded

“The child service reports (the Department's approved form) for child #1 were dated more than 6 months apart (7/1/2024 and 5/2025). The file of child #3 and #5 contained a child service report dated 5/2025 which was more than 6 months from their start date at the facility (see LIS code sheet). The child service reports for child #4 were dated more than 6 months apart (3/14/2024 and 5/2025).”

Correction date in the state record: Jul 21, 2025

3280.95(a)/3280.95(b) FIRE DETECTION/Staff responsibility

“Documentation of the testing of the fire detection system exceeded 30 days on the following occasions: 3/1/2025 to 4/1/2025 and 5/1/2025 to 6/2/2025.”

Correction date in the state record: Jul 21, 2025

3280.182(8) Copy of initial and subsequent agreements. Parent receives original.

“The file of child #2 and #3 did not contain financial agreements.”

Correction date in the state record: Jul 21, 2025

3280.103 Small Toys and Objects

“The changing pad on the changing table had a tear in the vinyl which exposed the foam inside to children still placing objects in their mouths.”

Correction date in the state record: Jul 21, 2025

3280.67(d) Contaminated trash in closed plastic-lined receptacle

“The trash can in the kitchen area contained partially eaten food which contained human secretions and did not have a lid.”

Correction date in the state record: Jul 21, 2025

3280.32(a) Comply with CPSL

“The file of staff #1 contained an NSOR verification certificate dated 7/3/2025 which was updated more than 60 months from the prior certificate dated 6/8/2020. The file of staff #2, who was observed working with children, did not contain a completed NSOR verification certificate.”

Correction date in the state record: Jul 12, 2025

3280.102(a) Clean and good repair

“A clear plastic bin containing play cars in the preschool classroom had a hole exposing children to sharp, rough edges. The changing pad on the changing table had a tear in the vinyl which exposed the foam inside.”

Correction date in the state record: Jul 21, 2025

3280.181(c) Emergency info/agreement updated 6 mos

“The emergency contact information review and/or update for child #1 were dated more than 6 months apart (2/18/2024 and 3/24/2025) and the last documented review and/or update of the financial agreement was dated more than 6 months ago on 7/1/2024. Documentation of the last review and/or update of the financial agreement for child #4 was dated 3/30/2024, more than 6 months prior to the inspection. Documentation of the last review and/or update of the financial agreement and emergency contact information for child #5 was dated 6/27/2024, more than 6 months prior to the inspection.”

Correction date in the state record: Jul 21, 2025

3280.124(b)(7) Name/address/phone release person

“The emergency contact information of child #1 and #3 did not contain the addresses of the persons designated by the parent to whom the child may be released.”

Correction date in the state record: Jul 21, 2025

3280.124(b)(5) Information re: special needs

“The emergency contact information of child #5 did not contain information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or documentation this is not applicable to the child.”

Correction date in the state record: Jul 21, 2025

3280.124(b)(3) Parent home/work address, phone

“The emergency contact information of child #2 and #5 did not contain the address of an enrolling parent.”

Correction date in the state record: Jul 21, 2025

3280.26(a)(6) Emergency plan

“Though the facility had documented an annual emergency drill, the documented information did not include information of any special accommodations used, or if any problems were encountered or observed during the emergency drill.”

Correction date in the state record: Jul 21, 2025

3280.95(a)/3280.95(b) FIRE DETECTION/Staff responsibility

“Testing the fire detection system exceeded 30 days on the following occasions: 7/16/2024 to 8/16/2024 and 1/3/2025 to 2/3/2025.”

Correction date in the state record: Feb 27, 2025

3280.32(a)/3280.192(4) Comply with CPSL/CPSL information

“The file of staff #1 did not contain an updated NSOR verification certificate within 60 months of the prior certificate dated 11/19/2019.”

Correction date in the state record: Feb 27, 2025

3280.52(c) Mixed age levels

“*At approximately 10:07 AM, staff #1 was the only person at the facility and identified 9 children they were supervising. In the group, staff #1 stated there were 2 older toddlers and 7 preschoolers present. Staff #1 exceeded the staff to child ratio of 1:6 (based on the youngest child in the group) until staff #2 arrived at approximately 10:12 AM.”

Correction date in the state record: Sep 10, 2024

3280.52(c) Mixed age levels

“At approximately 10:07 AM, staff #1 was the only person at the facility and identified 9 children they were supervising. In the group, staff #1 stated there were 2 older toddlers and 7 preschoolers present. Staff #1 exceeded the staff to child ratio of 1:6 (based on the youngest child in the group) until staff #2 arrived at approximately 10:12 AM.”

Correction date in the state record: Jul 31, 2024

3280.76 Building Surfaces

“The gate prohibiting children to the kitchen area from the Activities Room was broken creating a potential pinching hazard.”

Correction date in the state record: Sep 10, 2024

3280.103 Small Toys and Objects

“In the Activities Room, 2 children, identified as older toddlers, were playing with playdough which had removable parts less than an inch in diameter. Shortly after, the 2 older toddlers were using markers with lids that were less than an inch in diameter. The playdough and marker lids were less than an inch in diameter making them a choking hazard to children still placing objects in their mouths.”

Correction date in the state record: Jul 31, 2024

3280.123(a)(3) Services proceeded

“The Child Service Report of child #1 was dated 2/14/2024 which was more than 6 months from their start date at the facility (see LIS code sheet). The Child Services Reports of Child #2 were dated 7/1/2023 and 2/14/2024, exceeding 6 months. The Child Service Report of child #3 was dated 2/28/2023, and child #4 was dated 7/1/2023, more than 6 months from the date of the inspection.”

Correction date in the state record: Jul 31, 2024

3280.124(b)(5) Information re: special needs

“The emergency contact form of child #2 did not contain on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.”

Correction date in the state record: Jul 31, 2024

3280.131(b)(2)/3280.182(1) Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments

“The files contained documentation of health assessments updated more than 12 months apart for child #3 (6/3/2022 and 6/11/2024) and child #4 (2/5/2022 and 4/25/2024), both identified as preschool age children (see LIS code sheet).”

Correction date in the state record: Jul 31, 2024

3280.192(4) CPSL information

“The file of staff #1 did not include documentation of a current child abuse clearance at the time of the inspection.”

Correction date in the state record: Jul 31, 2024

3280.94(a)(4) Hypothetical locations

“The hypothetical location of the fire documented on the fire drill log was consecutive on 2 occasions (12/1/2023 and 1/2/2024 = main room and 4/1/2024 and 5/1/2024 = kitchen).”

Correction date in the state record: Jul 31, 2024

3280.95(a)/3280.95(b) FIRE DETECTION/Staff responsibility

“Documentation of testing the fire detection system exceeded 30 days on 5 occasions in the past 12 months (8/4/2023 to 9/4/2023, 12/1/2023 to 1/2/2024 to 2/2/2024, 3/1/2024 to 4/1/2024 and 5/1/2024 to 6/3/2024).”

Correction date in the state record: Jul 31, 2024

3280.131(a) Health Information

“The initial health assessment of child #1 was dated 6/28/2024, more than 60 days from their start date at the facility (see LIS code sheet).”

Correction date in the state record: Jul 31, 2024

3280.151(b)/3280.192(3) Conducted by physician, PA or CRNP/Health assessment, TB test

“The health assessment of staff #2 did not include the signature or professional title of the physician, physician's assistant or CRNP which conducted the examination.”

Correction date in the state record: Jul 31, 2024

3280.26(a)(6) Emergency plan

“The facility lacked documentation on file of an emergency drill being conducted within the last year.”

Correction date in the state record: Aug 7, 2023

3280.131(b)(2)/3280.182(1) Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments

“The file for child #2, a preschooler, lacked a current health assessment updated within the last 12 months.”

Correction date in the state record: Aug 7, 2023

3280.181(c) Emergency info/agreement updated 6 mos

“The files for child #3 and #4 lacked a current agreement updated within the last 6 months. The file for child #1 had an emergency contact form and agreement that exceeded 6 months between updates. The file for child #2 had an agreement that exceeded 6 months between updates.”

Correction date in the state record: Aug 7, 2023

3280.131(d)(5)/3280.131(e)(3) Immunization record/Dismissal policy

“The files for child #2, a 3 year old, child #3, a 5 year old, and child #4, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.”

Correction date in the state record: Aug 7, 2023

3280.95(a)/3280.95(b) FIRE DETECTION/Staff responsibility

“According to the log, the operator did not manually test the smoke detectors in the facility at least once every 30 days on multiple occasions within the last year.”

Correction date in the state record: Aug 7, 2023

3280.102(e)/3280.103 Infant/toddler - no material less than 1 inch/Small Toys and Objects

“According to staff statements, staff have taken older toddlers to play on the preschool play space that has embedded equipment and mulch. The older toddlers, who are still placing objects in their mouths, used the swing and slide on the preschool play space and had access to mulch that was less than 1 inch in diameter.”

Correction date in the state record: Aug 7, 2023

3280.94(a)(4) Hypothetical locations

“According to the fire drill log, the hypothetical location of the fire was the same for two consecutive drills on multiple occasions.”

Correction date in the state record: Aug 7, 2023

3280.134(a) Child's hands washed

“On 10-4-22 at approximately 1:22 p.m. in the infant room, staff person #1 was observed changing a 2 year old child's diaper and then immediately placing the child in their crib for naptime without washing the child's hands after being diapered.”

Correction date in the state record: Oct 4, 2022

20.71(a)(7) Fraud or deceit in obtaining or attempting to obtain a certificate of compliance

“The file for staff person #1 contained a health and safety training document that was observed to be altered. On the document, the first and last name of staff person #1 were handwritten on the certificate, and the date was partially handwritten with the month, day, and the last number of the year handwritten. At the time of the renewal inspection on 7-26-22, staff person #1 was asked if they had completed the health and safety training, and staff person #1 said, "No."”

Correction date in the state record: Sep 12, 2022

3280.14/3280.20 Pertinent Laws & Regulations/General Health and Safety

“The emergency plan lacked requirements for practice drills and continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).”

Correction date in the state record: Sep 22, 2022

3280.14/3280.20 Pertinent Laws & Regulations/General Health and Safety

“Staff person 1 was observed to be caring for children unsupervised. Staff person 1 has not completed the following pre-service trainings required prior to caring for children unsupervised: Mandated Reporter Training, Health and Safety Training in the topics of 3270.31(f)(1-9).”

Correction date in the state record: Sep 12, 2022

3280.32(a)/3280.192(4) Comply with CPSL/CPSL information

“The file for staff person #1 lacked an NSOR verification certificate and had an FBI clearance that was dated after their start date. The file for staff person #2 had a Department of Education FBI clearance and lacked a DHS FBI clearance. The files for staff person #1 and #2 had a disclosure statement that lacked the date and the signature of a witness.”

Correction date in the state record: Sep 12, 2022

3280.34(b)(5)/3280.192(2)(ii) HS/GED + 2 yrs/Exp, educ., training prior to facility

“The files for staff person #1 and #2, functioning as a primary staff person, lacked verification of experience to qualify as a primary staff person.”

Correction date in the state record: Sep 12, 2022

3280.52(b) Similar age levels

“On 7-26-22 at approximately 9:20 a.m., staff person #3 was observed answering the front door to the facility leaving 6 preschoolers alone in the large child care room without staff supervision, resulting in the children being out of ratio.”

Correction date in the state record: Sep 12, 2022

3280.52(c) Mixed age levels

“On 7-26-22 at approximately 9:31 a.m., staff person #1 was observed leaving the kitchen and walking through the activities room into the hallway around the corner for approximately 10 seconds before returning to the kitchen, leaving 3 children, including 2 young toddlers and an older toddler, alone in the kitchen in high chairs without staff supervision. On 7-26-22 at approximately 9:40 a.m., staff person #3 was in the activities room with 6 preschoolers and staff person #1 was in the kitchen that is located next to the activities room with 3 children, including 2 young toddlers and an older toddler, and staff person #3 was observed leaving the activities room to answer the front door of the facility, resulting in staff person #1 being out of ratio with an older toddler, 2 young toddlers, and 6 preschoolers. On 8-17-22 at approximately 9:29 a.m. in the large child care room, staff person #3 was observed supervising 9 children, including 2 older toddlers and 7 preschoolers, resulting in staff person #3 being out of ratio.”

Correction date in the state record: Sep 12, 2022

3280.61(c) 40 square feet wall-to-wall

“On 7-26-22, the activities room, with a capacity of 5 children, was observed overcapacity from 9:30 a.m. to 12 p.m. with a total of 7 children in the room.”

Correction date in the state record: Sep 12, 2022

3280.71 Heat Source

“On 7-26-22 at approximately 9:50 a.m. during breakfast, preschoolers were observed walking into the kitchen with the gate open that separates the kitchen and activities room, resulting in the knobs on the stove being accessible to children.”

Correction date in the state record: Sep 12, 2022

3280.104 High Chairs

“In the kitchen, there was a high chair with green fabric that lacked a T-shaped safety strap and was observed to be used by a child during the renewal inspection.”

Correction date in the state record: Sep 12, 2022

3280.113(a) Supervised at all times

“On 7-26-22 at approximately 9:20 a.m., staff person #3 was observed answering the front door to the facility leaving 6 preschoolers alone in the large child care room without staff supervision, resulting in the children being out of ratio. On 7-26-22 at approximately 9:31 a.m., staff person #1 was observed leaving the kitchen and walking through the activities room into the hallway around the corner for approximately 10 seconds before returning to the kitchen, leaving 3 children, including 2 young toddlers and an older toddler, alone in the kitchen in high chairs without staff supervision. On 7-26-22 at approximately 9:40 a.m., staff person #3 was in the activities room with 6 preschoolers and staff person #1 was in the kitchen that is located next to the activities room with 3 children, including 2 young toddlers and an older toddler, and staff person #3 was observed leaving the activities room to answer the front door of the facility, resulting in staff person #1 being out of ratio with an older toddler, 2 young toddlers, and 6 preschoolers.”

Correction date in the state record: Sep 12, 2022

3280.113(a)(1) Staff assigned to specific children

“On 7-26-22 at approximately 9:20 a.m., staff person #3 was observed answering the front door to the facility leaving 6 preschoolers alone in the large child care room without staff supervision, resulting in the children being out of ratio. On 7-26-22 at approximately 9:31 a.m., staff person #1 was observed leaving the kitchen and walking through the activities room into the hallway around the corner for approximately 10 seconds before returning to the kitchen, leaving 3 children, including 2 young toddlers and an older toddler, alone in the kitchen in high chairs without staff supervision. On 7-26-22 at approximately 9:40 a.m., staff person #3 was in the activities room with 6 preschoolers and staff person #1 was in the kitchen that is located next to the activities room with 3 children, including 2 young toddlers and an older toddler, and staff person #3 was observed leaving the activities room to answer the front door of the facility, resulting in staff person #1 being out of ratio with an older toddler, 2 young toddlers, and 6 preschoolers.”

Correction date in the state record: Sep 12, 2022

3280.131(b)(1)/3280.182(1) Infant: updated health report every 6 months/Initial and subsequent health assessments

“The file for child #1, a young toddler, lacked an updated health assessment within the last 6 months.”

Correction date in the state record: Sep 12, 2022

3280.131(e)(1)/3280.182(1) Exemption documentation from parent/guardian/Initial and subsequent health assessments

“The file for child #2, a 5 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #1, a 15 month old, had an immunization record that lacked documentation of the 2nd and 3rd doses of the DTAP and Pneumococcal vaccinations by age 6 months and the 2nd dose of the HIB and Polio vaccinations by age 4 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation.”

Correction date in the state record: Sep 12, 2022

3280.95(a)/3280.95(b) FIRE DETECTION/Staff responsibility

“On 7-26-22, there were 3 smoke detectors that the operator identified as interconnected smoke detectors that were observed operable in the facility, with 2 detectors on the bottom floor and 1 detector on the 1st floor. The smoke detectors were not functioning as an interconnected fire detection system as required. On 8-17-22, the smoke detectors were tested by the operator, and the 2 smoke detectors on the bottom floor were observed to be operating as interconnected, and the 1st floor smoke detector was not operating as interconnected with the 2 smoke detectors on the bottom floor.”

Correction date in the state record: Sep 12, 2022

3280.94(a)(5) Evacuation routes posted

“The evacuation routes were not posted on the 1st floor of the facility.”

Correction date in the state record: Sep 12, 2022

3280.151(c)(2) Mantoux TB

“The file for staff person #1 lacked a tuberculosis screening by the Mantoux method at initial employment, and requires a current tuberculosis screening by the Mantoux method.”

Correction date in the state record: Sep 12, 2022

3280.151(a) 12 months prior to service and every 24 months thereafter

“The file for staff person #1 had an initial health assessment that was dated after their start date providing initial service in a child care setting at the facility.”

Correction date in the state record: Sep 12, 2022