Breakthrough Rhema Ministries

Medium risk Each child's file must hold all the admission information the state requires (such as contacts, medical authorization and permissions).

State rule 746.605(10) (minimum standards for child-care centers): "Required Admission Information - Physician Information"

Inspector's note: One child's enrollment form was missing healthcare information.

Corrected while the inspector was there.

High risk The operation must notify the state about additional services it offers.

State rule 746.301(7) (minimum standards for child-care centers): "Notification of Additional Services Offered"

Inspector's note: At the time of the inspection a calendar was observed with a field trip schedule posted for the summer of 2024. It was found that the operaiton had conducted field trips the previous summer, but not for the current calendar year.

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

Medium-high risk Responsibilities of Caregivers - Share Information with Incoming Caregivers

State rule 746.1203(10) (minimum standards for child-care centers): "Responsibilities of Caregivers - Share Information with Incoming Caregivers"

Inspector's note: At the time of the inspection a caregiver left the room while children were sleeping without notifying the person in charge that they needed to step out. The room was within a distance and open that auditory awareness was able to be maintained.

Corrected Sep 26, 2025, verified by the state Oct 9, 2025.

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 (minimum standards for child-care centers): "Safety - Areas Free From Hazards"

Inspector's note: At the time of the inspection the playground area was observed with the fence bowed out, leaving the pointed bottom area of the fence out where it could easily scratch a child. There were also broken toys observed laying around the area. There was animal feces observed in a few spaces around the play area.

Corrected Oct 3, 2025, verified by the state Oct 9, 2025.

Medium-high risk Fire drills must be held monthly, with everyone out within 3 minutes.

State rule 746.5205(1) (minimum standards for child-care centers): "Fire Drill Monthly - Exit in 3 Minutes"

Inspector's note: At the time of the inspection it was found that only 5 fire drills were logged for the current calendar year.

Corrected Oct 3, 2025, verified by the state Oct 9, 2025.