Central Child Development Center

Medium risk Medication no longer used must be returned to the parent or disposed of.

State rule 746.3809 (minimum standards for child-care centers): "Medication No Longer Used"

Inspector's note: A child's EpiPen had expired in the previous month and was still on site.

Corrected Oct 6, 2026, verified by the state Oct 19, 2026. The inspector gave technical assistance (advice on how to comply).

High risk The state prohibits certain punishments of children, such as hitting, grabbing, shaming, withholding food or rest, or locking a child in a room.

State rule 746.2805(3) (minimum standards for child-care centers): "Prohibited Punishments - Grabbing and Pulling"

Inspector's note: During the investigation, it was found a child was grabbed and pulled by a caregiver.

Corrected Jun 10, 2026, verified by the state Jun 16, 2026. The inspector gave technical assistance (advice on how to comply).

High risk The state prohibits certain punishments of children, such as hitting, grabbing, shaming, withholding food or rest, or locking a child in a room.

State rule 746.2805(5) (minimum standards for child-care centers): "Prohibited Punishments - Humiliating, Rejecting, Yelling"

Inspector's note: During the investigation, it was found a caregiver yelled at a child.

Corrected Jun 10, 2026, verified by the state Jun 16, 2026. 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: A caregiver did not use good judgment when giving candy containing vitamins to children in care.

Corrected May 26, 2026, verified by the state May 26, 2026. The inspector gave technical assistance (advice on how to comply).

Low risk Proof of each employee's training must be kept as the state requires.

State rule 746.1329(c)(1)(A) (minimum standards for child-care centers): "Documentation pediatric CPR-1st aid includes participant's name, training date, training title, trainer's name, length of training"

Inspector's note: At inspection, one caregiver had an expired CPR/First Aid card.

Corrected Jan 16, 2026, verified by the state Jan 5, 2026. 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: A classroom with a specified age of two-year-olds requires a 1:11 caregiver-to-child ratio. At the time of the incident, the classroom initially had two caregivers with 11 children. When one caregiver stepped away, the ratio became 1:12, exceeding the required limit.

Corrected Apr 25, 2025, verified by the state May 7, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Each infant's written feeding instructions must be reviewed and updated every 30 days.

State rule 746.2421(b) (minimum standards for child-care centers): "Written Feeding Instructions - Review and Update Every 30 Days"

Inspector's note: One infant feeding instructions had not been signed or updated within the last 30 days.

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

Medium risk Medication no longer used must be returned to the parent or disposed of.

State rule 746.3809 (minimum standards for child-care centers): "Medication No Longer Used"

Inspector's note: There were three expired EpiPens. Two from last month and one from October 2024.

Corrected Dec 27, 2024, verified by the state Dec 12, 2024. The inspector gave technical assistance (advice on how to comply).