LSP Four Points, Inc.

Medium-low risk Immunizations-Immunization record must include the child's name and birth date

State rule 746.623(1)(A) (minimum standards for child-care centers): "Immunizations-Immunization record must include the child's name and birth date"

Inspector's note: During an audit of immunization records, it was determined that 39 children were missing the medical professional's signature and/or did not have the required immunization frequency documented.

Corrected Aug 3, 2026, verified by the state Aug 5, 2026. 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(8) (minimum standards for child-care centers): "Safety-Hinged Lid Storage Containers Safe"

Inspector's note: The outdoor storage box(s) did not have ventilation holes.

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

Medium-high risk Medication Authorization Expires on First Anniversary

State rule 746.3803(b) (minimum standards for child-care centers): "Medication Authorization Expires on First Anniversary"

Inspector's note: A child's Allergy Action plan had expired.

Corrected May 22, 2026, verified by the state May 22, 2026. 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Inspector's note: Two medications were out of date.

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

Medium-high risk Medication Authorization - Signed and Dated

State rule 746.3803(a)(1) (minimum standards for child-care centers): "Medication Authorization - Signed and Dated"

Inspector's note: Medical authorization forms were missing parent signature and had expired signature from a medical professional.

Corrected Jul 2, 2025, verified by the state Jun 27, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high 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(12)(B)(i) (minimum standards for child-care centers): "Required Admission Information - Reasonable Accommodations or Modifications"

Inspector's note: Admission information did not include information on special needs.

Corrected Jul 2, 2025, verified by the state Jun 27, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high 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(16) (minimum standards for child-care centers): "Required Admission Information - Water Activity Permission"

Inspector's note: Admission information was missing the required information for water safety.

Corrected Jul 2, 2025, verified by the state Jun 27, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk The naptime child-to-caregiver ratio may be reduced by 50 percent only when the state's conditions are met.

State rule 746.1613(a) (minimum standards for child-care centers): "Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met"

Inspector's note: Ratio was reduced at nap time in a classroom that included and infant aged child.

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