Little Wishes and Big Dreams Playhouse LTD

Medium-high risk The operation must follow the state's rules for feeding infants.

State rule 746.2419(8) (minimum standards for child-care centers): "Requirements for Feeding Infants - Other Use of Handwashing Sink"

Inspector's note: Rubber bibs were being washed in the hand sink in the infant room. This was corrected at inspection when the bibs were removed and the director had a discussion with the caregivers on not using the dedicated hand washing sink for washing bottles, toys, bibs, or other items.

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

Medium risk Each child's file must hold current immunization records.

State rule 746.603(a)(4) (minimum standards for child-care centers): "Children's Records - Immunizations"

Inspector's note: One out of ten children's immunization records audited were not current.

Corrected Oct 16, 2026, verified by the state Oct 30, 2026. The inspector gave technical assistance (advice on how to comply).

High risk A person may not be at the operation until their background check result has come back and allows it.

State rule 745.641 (licensing rules for every operation): "Background check results - Must receive notification prior to allowing subject to be present at your operation"

Inspector's note: One caregiver without an eligible background check was present in the classroom with children and another staff. Note.This was corrected when the staff was asked to leave and they left the property.

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

Medium-high risk Diaper-changing surfaces must be smooth, non-absorbent and easy to clean.

State rule 746.3503(a) (minimum standards for child-care centers): "Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface"

Inspector's note: A diaper changing mat was torn.

Corrected May 19, 2026, verified by the state May 22, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk Caregivers must complete 24 hours of annual training, and it must be documented.

State rule 746.1309(a) (minimum standards for child-care centers): "Documented Annual Training Area - 24 Hours Required"

Inspector's note: Two out of ten staff files did not have the full 24hrs of training at review.

Corrected May 26, 2026, verified by the state May 28, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Carbon-monoxide detector test dates and battery changes must be documented.

State rule 746.5537(a)(3) (minimum standards for child-care centers): "Electronic or Battery-Operated Carbon Monoxide Detector-Document Test Date, Battery Installation Date, and Staff Name Testing and Installation"

Inspector's note: The carbon monoxide detector was not documented as being completed.

Corrected Feb 27, 2026, verified by the state Mar 23, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Infant equipment such as high chairs and swings must be used with their safety straps.

State rule 746.2407 (minimum standards for child-care centers): "Infant Care Area Furnishings and Equipment -Use of Safety Straps"

Inspector's note: A caregiver had an infant in a highchair without being strapped in the seat. *This was corrected at inspection*

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

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: The operation did not have documented that they conducted the fire drill for the past month.

Corrected Dec 5, 2025, verified by the state Dec 16, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Employees and caregivers must relate to children in the ways the state requires.

State rule 746.1201(2) (minimum standards for child-care centers): "Responsibilities of Employees and Caregivers -Relate to Children"

Inspector's note: Caregiver did not relate to a child with patience or courtesy with the interaction of making the child cry by grabbing them multiple times leaving a mark. *Dir terminated the caregiver after reviewing video*

Corrected Sep 22, 2025, verified by the state Oct 2, 2025. 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: Caregiver grabbed a 4yr old child by the arm leaving a mark on the arm. *Dir terminated the caregiver after reviewing video*

Corrected Sep 22, 2025, verified by the state Oct 1, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Employees, caregivers and directors must have pediatric first aid training (with rescue breathing and choking).

State rule 746.1301(a)(3)(A) (minimum standards for child-care centers): "Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing"

Inspector's note: Based on the information gathered it was determined that one of the staff member's first aid certificate was expired at the time of the incident.

Corrected Mar 28, 2025, verified by the state Mar 28, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Vehicles used to transport children must carry a fire extinguisher.

State rule 746.5617(a)(5) (minimum standards for child-care centers): "Required Equipment in Vehicles - Fire Extinguisher"

Inspector's note: The operation had a fire extinguisher in the van, however the fire extinguisher was not secure in the van.

Corrected Mar 26, 2025, verified by the state Mar 19, 2025. 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: A caregiver grabbed a 2yr old child by the shoulder and chin hard enough to have the 2yr old off balance. *Management terminated the caregiver when it was brought to their attention*

Corrected Jan 23, 2025, verified by the state Feb 4, 2025. The inspector gave technical assistance (advice on how to comply).

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: A caregiver was unaware that a 3yr old child had acquired an aspirin from a first aid kit.

Corrected Nov 26, 2024, verified by the state Dec 6, 2024. 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: A 3yr old child had access to an aspirin from the first aid kit. *The child did not swallow the pill. All aspirin were removed from the first aid kits.

Corrected Nov 26, 2024, verified by the state Dec 6, 2024. The inspector gave technical assistance (advice on how to comply).

Medium-high risk First Aid Kit - Inaccessible to Children

State rule 746.4001(5) (minimum standards for child-care centers): "First Aid Kit - Inaccessible to Children"

Inspector's note: A 3yr old child had access to the first aid kit.

Corrected Nov 26, 2024, verified by the state Dec 6, 2024. The inspector gave technical assistance (advice on how to comply).