Twin Oaks Kids & Fitness

Regulation 6.2.6.1: Staff shall be able to hear all children of pre-kindergarten age and younger at all times, shall be able to see the children with a quick glance, and shall be able to physically respond immediately.

“A 17 month old child was left alone in the classroom for at least 5 minutes without staff knowledge. The staff and children went to the gym and once there, realized the child was not with them. This is a repeat violation previously cited on 12/3/2020. This is a serious violation. Corrective Action: By 4/22/2026, submit a program improvement plan that will identify how the programs systems and supervision protocols will be reviewed and updated. The plan will describe how staff supervision practices will change to ensure that children are not being left behind and detail how internal training to educate existing staff will occur as well as onboarding new staff on the newly developed plan for supervision during transition times. A Parental Notification Letter, which is a copy of the licensing report, must be provided to each parent of every child enrolled within ten (10) days of the report submission. Provide a list of parent's names, child's name and contact information for each enrolled child.”

Correction date in the state record: Apr 17, 2026

Regulation 5.2.1.8: Staff shall wash the hands of children who are unable to wash their own hands and provide developmentally appropriate guidance and supervision to help children learn and practice healthy hand washing.

“It was observed that Staff A did not wash an infants hands after having their diaper changed in the older infant classroom. It was also observed in the younger infant classroom that Staff B did not wash the hands of two infants after having their diapers changed and then sat in high chairs to eat lunch. Corrective Action: Immediately instruct staff to always wash hands of infants after their diapers are changed and before they eat. Submit an email on how staff have been instructed to wash hands of infants when required and how staff will be supervised to ensure handwashing is occuring when necessary.”

Correction date in the state record: Jan 29, 2026

Regulation 7.1.3: The licensee, in consultation with the program director, shall establish written program policies and procedures and provide these to staff and to auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations during an orientation training session approved by the Division prior to being left alone with children. Trainees under eighteen (18) years of age and other staff not left alone with children shall complete the orientation training within at least one (1) month of their first date of working with children. Complete written information and the orientation training session shall include: Basic knowledge of child growth and development; Routine and emergency health protection of children including health related exclusions; Safety and sanitation requirements including handling and storage of hazardous materials and disposal of bio contaminants; Positive behavior management; Supervision of children; Child accident and injury procedures including building and physical premises safety; Safe sleep practices; Administration of medication requirements; Emergency and evacuation requirements; Nutrition and food safety including prevention of and response to emergencies due to food and allergic reactions; Recordkeeping; Transportation and child passenger safety; Release of children; Respectful engagement of families; Preventing, recognizing, and reporting child abuse and neglect; including information about the signs and symptoms of sexual abuse, sexual violence, grooming processes, recognizing the dangers of child sexual abuse, and other predatory behaviors of sex offenders; Recognition of and response to the symptoms of common childhood illnesses; Preventing the spread of infectious disease; Providing developmentally appropriate activities and experiences for children; Inclusion of children with special needs; Guidelines for volunteers, partner staff, auxiliary staff, and business managers; Responsibility to comply with current applicable licensing regulations; Staffing requirements to include opening and closing; and Ensuring children have extra clothes and diapers available.

“It was identified that five (5) staff have not completed the required Orientation training. Corrective Action: Have the identified staff complete the required Orientation training as soon as possible. Submit confirmation of plan for staff to complete the Orientation.”

Correction date in the state record: Jan 29, 2026

Regulation 5.4.1.5: Children shall be supervised by staff while napping or resting. Staff shall directly observe a sleeping infant at least every fifteen (15) minutes to check the infant's face, view the color of the infant's skin, and check on the infant's breathing.

“It was observed that an infant was sleeping in a nap room from 11:10 am-11:33 am without a 15 minute in person check occurring as required. Corrective Action: Effective immediately, infants are to be directly observed every 15 minutes while they are sleeping. Ensure all staff who are assigned to work in the infant room, are trained in safe sleep practices including 15 minute in person checks while infants are sleeping.”

Correction date in the state record: Jan 29, 2026

Regulation 5.4.2.3: Staff shall ensure that infants sleep in cribs or port-a-cribs. Infants shall not be placed to sleep on soft surfaces, such as a couch or sofa, pillow, quilts, sheepskins or blankets. Infants shall not be placed in car seats, swings, high chairs, jumping chairs or similar equipment for sleep. A child that falls asleep in this type of equipment shall be gently transferred to a crib or port-a-crib as soon as feasible.

“An infant was observed to be sleeping in a swing for ten (10) minutes. No staff attempted to transfer the infant to a crib as required. When asked, the staff said that the child had slept for 20 minutes in their crib and then was moved to the swing where they slept for 15 minutes before waking again. Corrective Action: Effective immediately, all infants under age twelve (12) months may not sleep in swings. Submit confirmation that staff are trained in safe sleep practices and that safe sleep practices are always being maintained.”

Correction date in the state record: Jan 29, 2026

Regulation 6.2.6.6: The program director shall ensure that no person be left alone with children without approval from the Division based on the results of a background check that includes fingerprinting; with the exception of a parent may be left alone with his/her own child(ren).

“Staff X and Staff Y were in the gym on the second floor with 14 children. Five (5) of the children needed to use the bathroom. Staff X brought the five (5) children to a bathroom located on the first floor with no other staff present. Staff X does not have approval from the results of the fingerprinting background check and may not be left alone with children. Corrective Action: Effective immediately, ensure that only staff with approved background checks that include fingerprinting are left alone with children. By 2/17/2025, submit a plan that describes how staff will be made aware of who may be left alone with children and who may not until fingerprinting results are received.”

Correction date in the state record: Apr 18, 2025

Regulation 5.2.3.11: Each diaper changing procedure shall include: * Preparation: assemble supplies, staff member washes hands, prepares changing surface with either a disposable covering or ensure that the surface was recently cleaned and disinfected and bring the child to the diaper changing area. * Dirty Phase: remove soiled diaper, dispose of diaper, and cleanse diaper area of the child. * Clean Phase: put on clean diaper, dress child, and wash the child's hands. * Clean up: clean and disinfect the diaper changing surface, and staff member washes their own hands. * Record diaper change.

“A diaper changing table was brought into a classroom where there wasn't a sink for handwashing. A diaper procedure was not posted. As children were finishing lunch and laying down for nap time, Staff A picked up a child to change their diaper. They placed the child on the diaper mat without washing their hands first. After changing the diaper, they handed the child a pacifier and laid them down on their nap mat. Staff A and the child did not wash their hands at anytime. Corrective Action: Effective immediately, remove the diaper changing table from the classroom and place the table back into the bathroom. Review the diaper changing procedure with all staff and review handwashing requirements. Submit an email to this licensor confirming the diaper changing table has been moved back to the bathroom and a description of how staff have been trained in the diaper changing procedure and handwashing policies.”

Correction date in the state record: Mar 14, 2024

Regulation 5.4.1.5: Children shall be supervised by staff while napping or resting. Staff shall directly observe a sleeping infant at least every fifteen (15) minutes to check the infant's face, view the color of the infant's skin, and check on the infant's breathing.

“It was observed that an infant was sleeping in a nap room from 11:28 am-11:50 am without a 15 minute in person check occuring as required. This is a violation because it is required for all infants to be checked in person every 15 minutes while they are sleeping. Corrective Action: Effective immediately, infants are to be directly observed every 15 minutes while they are sleeping. Ensure all staff who are assigned to work in the infant room, are trained in safe sleep practices including 15 minute in person checks while infants are sleeping.”

Correction date in the state record: Mar 14, 2024

Regulation 6.2.7.3: Staff shall use positive methods of guidance and behavior management that encourage self-control, self-direction, self-esteem, and cooperation.

“On 3/30/2023, Staff A grabbed a child by the arm, removed them from their seat and dropped them down in a quiet space causing them to hit the back of their head. Staff A had already been reported to the director and spoken to for using an angry tone and moving a child too roughly by the arm in September 2022. It was found that other staff had reported Staff A to the director for becoming easily angered and frustrated by children's behavior. A violation is being cited due to the break down with Staff A not being able to follow positive guidance and behavior management that is required after having been spoken to by the director and being reprimanded for inappropriate guidance practices several times prior to this incident. Corrective Action: Submit a Program Improvement Plan that will identify how the program will develop a procedure for staff concerns and what steps the program will take when concerns with staff are identified. The plan will also include how there will be increased supervision, mentoring and professional development to support the staff in question.”

Correction date in the state record: May 16, 2023

Regulation 7.1.2.2: Staff who are counted in the staff/child ratios and auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations shall obtain training in pediatric first aid and in infant and child CPR within three (3) months of beginning work in the CBCCPP and remain currently certified.

“There are two (2) staff who have been employed for more than three (3) months who do not have current pediatric first aid/CPR certification. Corrective Action: Have staff complete pediatric First aid and CPR certification and maintain certification.”

Correction date in the state record: Apr 5, 2023

Regulation 5.4.2.3: Staff shall ensure that infants sleep in cribs or port-a-cribs. Infants shall not be placed to sleep on soft surfaces, such as a couch or sofa, pillow, quilts, sheepskins or blankets. Infants shall not be placed in car seats, swings, high chairs, jumping chairs or similar equipment for sleep. A child that falls asleep in this type of equipment shall be gently transferred to a crib or port-a-crib as soon as feasible.

“An infant was observed to be sleeping in a swing for twelve (12) minutes. No staff attempted to transfer the infant to a crib as required. Corrective Action: Effective immediately, all infants under age twelve (12) months may not sleep in swings. Submit confirmation that staff are trained in safe sleep practices and that safe sleep practices are always being maintained.”

Correction date in the state record: Apr 18, 2022

Regulation 5.2.3.12: The licensee shall post the diaper changing procedure at each diaper changing area.

“Three (3) diaper changing areas did not have the diaper changing procedure posted as required. Corrective Action: Post the diaper changing procedure at each diaper changing area.”

Correction date in the state record: Apr 18, 2022

Regulation 6.2.6.1: Staff shall be able to hear all children of pre-kindergarten age and younger at all times, shall be able to see the children with a quick glance, and shall be able to physically respond immediately.

“On 12/3/2020, a child was left outside and unsupervised on a playground for approximately 3-5 minutes without staff knowledge. The program reported this incident to the Child Development Division. In addition, on the dates of 1/23/2017, 11/6/2018, and 1/25/2019, the program reported that staff had left children unsupervised inside the building. The Division did not cite violations at those reported times but is citing a violation at this time, as there is now a pattern of a break down in supervision. Corrective Action: Submit a program improvement plan that will identify how the programs systems and supervision protocols will be reviewed and updated. The plan will describe how staff supervision practices will change to ensure that children are not being left behind.”

Correction date in the state record: Dec 27, 2020