Ds Heart to Heart

Medium-high risk Policies for Release of Children

State rule 746.4103(a) (minimum standards for child-care centers): "Policies for Release of Children"

Inspector's note: Based on information gathered, the operation failed to follow operation policy regarding verification of identification at pick up.

Corrected Sep 2, 2026, verified by the state Sep 8, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk Storage for Individual Belongings

State rule 746.4505 (minimum standards for child-care centers): "Storage for Individual Belongings"

Inspector's note: The children's storage space was not clearly labeled in toddler classroom.

Corrected Sep 2, 2025, verified by the state Aug 21, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Written Activity Plan - Outdoor Play Opportunities

State rule 746.2206(1) (minimum standards for child-care centers): "Written Activity Plan - Outdoor Play Opportunities"

Inspector's note: The daily schedule did not include outdoor play times for morning and afternoon in preschool 1 and toddler rooms. Note: corrected during inspection when schedule updated.

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

Medium risk The most recent licensing inspection report or letter must be posted.

State rule 746.401(2) (minimum standards for child-care centers): "Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation"

Inspector's note: I did not observe the most recent licensing inspection report posted.

Corrected Jul 29, 2025, verified by the state Jul 23, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Storage of Medication - Inaccessible to Children

State rule 746.3807(1) (minimum standards for child-care centers): "Storage of Medication - Inaccessible to Children"

Inspector's note: I observe bottle of Moltrin medication on a bottom cart in the classroom accessible to children. Note: corrected when staff removed the medication.

Corrected Jun 10, 2025, verified by the state Jun 23, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Pediatric CPR training and recertification must follow the state's guidelines and be skill-based.

State rule 746.1315(b)(1) (minimum standards for child-care centers): "CPR Training and Recertification Adhere to Guidelines-skill based"

Inspector's note: The on-line CPR recertification training obtain did not include use of a CPR manikin.

Corrected Jun 24, 2025, verified by the state Jun 24, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Each infant's bottles and cups must be labelled with the child's name.

State rule 746.2419(6) (minimum standards for child-care centers): "Requirements for Feeding Infants - Label Bottles/Cups"

Inspector's note: I observe two feeding bottles that were not labeled in the infant. Note. this was corrected when caregiver labeled both bottles.

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

Medium-high risk An evacuation and relocation diagram must be posted in each room.

State rule 746.5207(b) (minimum standards for child-care centers): "Emergency Evacuation and Relocation Diagram - Posted in Each Room"

Inspector's note: I did not observe emergency and evacuation diagram posted in the infant room. Note: this was corrected when diagram was posted.

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

Medium risk Caregivers must complete one hour of annual training on preventing, recognizing and reporting child maltreatment.

State rule 746.1309(c) (minimum standards for child-care centers): "Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment"

Inspector's note: Four staff files evaluated were missing one hour of child maltreatment training.

Corrected Jun 24, 2025, verified by the state Jun 23, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Posting of Activity Plan

State rule 746.2209 (minimum standards for child-care centers): "Posting of Activity Plan"

Inspector's note: I observe the activity plans not posted in the toddler 1 room. Note: this was corrected when activity plan posted.

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

Medium risk Personnel and training records must be kept and made available.

State rule 746.801(3) (minimum standards for child-care centers): "Required Records Maintained and Made Available - Personnel and Training Records"

Inspector's note: Three staff records evaluated did not have training records available for review.

Corrected Jun 30, 2025, verified by the state Jun 27, 2025. The inspector gave technical assistance (advice on how to comply).

Low risk Employees and caregivers must meet the minimum qualifications, including the signed affidavit (Form 2985).

State rule 746.1105(3) (minimum standards for child-care centers): "Minimum Qualifications Employees and Caregivers - Affidavit (Form 2985)"

Inspector's note: One staff records evaluated was missing notarized affidavit.

Corrected Jun 17, 2025, verified by the state Jun 23, 2025. The inspector gave technical assistance (advice on how to comply).

High risk The center must have a fire inspection by the local fire marshal before opening and every 12 months after.

State rule 746.5101(a) (minimum standards for child-care centers): "Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months"

Inspector's note: It was found that the annual fire inspection was not conducted. Last inspection was 3/4/2024.

Corrected Apr 2, 2025, verified by the state Apr 4, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk The operation's written policies must cover promotion of physical activity.

State rule 746.501(a)(18) (minimum standards for child-care centers): "Written Operational Policies - Promotion of Physical Activity"

Inspector's note: The operational policies did not include the promotion of indoor and outdoor physical activity.

Corrected Mar 21, 2025, verified by the state Apr 4, 2025.

Medium risk The operation's written policies must cover parent rights.

State rule 746.501(a)(20) (minimum standards for child-care centers): "Written Operational Policies - Parent Rights"

Inspector's note: A review of the operational policies was conducted and found that the parents rights were not included.

Corrected Mar 21, 2025, verified by the state Apr 4, 2025.

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(1) (minimum standards for child-care centers): "Prohibited Punishments - Corporal Punishment"

Inspector's note: During the investigation it was found that some of the caregivers were using forms of prohibited punishment, such as hitting, to control unwanted behaviors from the children in their care.

Corrected Dec 10, 2024, verified by the state Dec 13, 2024. The inspector gave technical assistance (advice on how to comply).

Medium risk Provide Access to Children's Records - Licensing

State rule 746.601(c) (minimum standards for child-care centers): "Provide Access to Children's Records - Licensing"

Inspector's note: A file for twins was not made accessible to review by licensing upon request.

Corrected Nov 26, 2024, verified by the state Dec 20, 2024.

High risk Caregivers must supervise every child at all times: close enough to step in, and always aware of what each child is doing.

State rule 746.1205(a)(4) (minimum standards for child-care centers): "Supervision ensures each child's safety, well-being, including physical proximity and auditory or visual awareness of each child's on going activity"

Inspector's note: Based on information obtained for the investigation, a caregiver was not maintaining supervision when engaging on their cell phone for personal reasons unrelated to caregiver responsibilities.

Corrected Dec 13, 2024, verified by the state Dec 20, 2024. 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 (minimum standards for child-care centers): "Prohibited Punishments - No Harsh, Cruel or Unusual"

Inspector's note: Based on information obtained for the investigation, a caregiver displayed inappropriate discipline towards a child in care.

Corrected Dec 13, 2024, verified by the state Dec 20, 2024. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Caregivers may not use personal phones or other electronic devices in ways that take their attention from the children.

State rule 746.1203(3)(D) (minimum standards for child-care centers): "Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games"

Inspector's note: Based on information obtained for the investigation, a caregiver was using their cell phone for personal reasons while caring for children.

Corrected Dec 13, 2024, verified by the state Dec 20, 2024.

Medium risk Each child's file must hold the required admission information.

State rule 746.603(a)(2) (minimum standards for child-care centers): "Children's Records - Admission Information"

Inspector's note: Based on information obtained for the investigation, a child was in care without admission information.

Corrected Dec 13, 2024, verified by the state Dec 20, 2024. The inspector gave technical assistance (advice on how to comply).

High risk Infants may not sleep in car seats, swings or other restrictive devices.

State rule 746.2426(a)(1) (minimum standards for child-care centers): "Infant May Not Sleep in a Restrictive Device"

Inspector's note: During the inspection two, 4 month old infants, were observed sleeping in a swing with a blanket.

Corrected Nov 15, 2024, verified by the state Nov 19, 2024. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Infant rooms must have a hand-washing sink.

State rule 746.2405(4) (minimum standards for child-care centers): "Infant Care Area Furnishings and Equipment - Hand-washing Sink"

Inspector's note: During the inspection it was observed that both of the diaper changing areas did not have a working sink available for use. This was corrected at the inspection when a sink was added to the infant diaper changing area and water was added to the sink in the toddler diaper changing area so that it would work.

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

Medium-high risk Activities for Pre-Kindergarten Age - Outdoor Play

State rule 746.2607(1) (minimum standards for child-care centers): "Activities for Pre-Kindergarten Age - Outdoor Play"

Inspector's note: During the inspection it was observed that the children were not going outside for outdoor play as required. The day of the inspection it was 70 degress and clear.

Corrected Nov 15, 2024, verified by the state Dec 9, 2024. The inspector gave technical assistance (advice on how to comply).

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: During the inspection it was observed that there was exposed metal on the playground, as well as exposed metal from worn down rain gutters. This metal was sharp and a child could be injured if they fell on it or touched it.

Corrected Nov 15, 2024, verified by the state Dec 9, 2024. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The outdoor play area must be fenced.

State rule 746.4305 (minimum standards for child-care centers): "Fenced Outdoor Activity Space"

Inspector's note: During the inspection the operation was re-cited as their outdoor activity space was not fully fenced in. While the majority of the playground was surrounded by a fence, there was an area about 4 ft wide that did not have any fencing.

Corrected Nov 15, 2024, verified by the state Dec 9, 2024. The inspector gave technical assistance (advice on how to comply).

Medium risk Screen time must not be used for children under two.

State rule 746.2207(a) (minimum standards for child-care centers): "Screen Time Activities - Not Used for Under Two"

Inspector's note: During the inspection it was observed that children under the age of two were observed watching the television.

Corrected Nov 15, 2024, verified by the state Nov 19, 2024. The inspector gave technical assistance (advice on how to comply).

Medium risk Screen time must be related to planned activities.

State rule 746.2207(c)(1) (minimum standards for child-care centers): "Screen Time Activities - Related to Planned Activities"

Inspector's note: During the inspection it was observed that the pre k classroom was watching the cartoon Resses. This cartoon was not related to their planned activities or meeting educational goals.

Corrected Nov 15, 2024, verified by the state Nov 19, 2024. The inspector gave technical assistance (advice on how to comply).

Medium risk Furnishings and Equipment for Pre-Kindergarten Age Interest Centers Clearly Defined

State rule 746.2605(1)(A) (minimum standards for child-care centers): "Furnishings and Equipment for Pre-Kindergarten Age Interest Centers Clearly Defined"

Inspector's note: During the inspection the operation was re-cited as it was observed that the pre k classroom still did not have interest centers available for use in the classroom.

Corrected Nov 22, 2024, verified by the state Dec 9, 2024. The inspector gave technical assistance (advice on how to comply).