Madison Square Child Development Center

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: During the investigation, it was determined that staff used improper techniques when responding to a medical incident.

Corrected Aug 25, 2026, verified by the state Aug 25, 2026. 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: The infant bottles only had the first name on them at inspection.

Corrected Oct 8, 2026, verified by the state Oct 28, 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: Based on the information gathered through the investigation, a caregiver showed a lack of judgment by leaving a Tylenol pill on the windowsill next to the children's handwashing sink.

Corrected Jul 8, 2026, verified by the state Aug 7, 2026. The inspector gave technical assistance (advice on how to comply).

High risk Each caregiver must know how many children they are responsible for.

State rule 746.1205(a)(2) (minimum standards for child-care centers): "Responsibilities of Caregivers - Know number of children responsible for"

Inspector's note: The teacher in the PreK3 classroom stated there were 15 children in care. After verifying there were 16 children in care.

Corrected Feb 17, 2026, verified by the state Feb 23, 2026. The inspector gave technical assistance (advice on how to comply).

High risk Active-play equipment must have no pinch, crush or shear points.

State rule 746.4601(7) (minimum standards for child-care centers): "Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points"

Inspector's note: At the time of the inspection, a child-sized wooden well was observed with a broken wood piece that exposed nail. In addition to a broken wooden pallet board, both accessible to the children. NOTE: Compliance has been met as they were removed from the playground.

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

Medium-high risk Immunization records, exceptions and exemptions must be current.

State rule 746.613(b) (minimum standards for child-care centers): "Immunization Records, Exceptions, and Exemptions Current"

Inspector's note: One of the four children files was missing an updated immunization record.

Corrected Mar 9, 2026, verified by the state Feb 10, 2026. The inspector gave technical assistance (advice on how to comply).

Low risk A child's health statement must be written, dated within the past year, and say the child can take part in the program.

State rule 746.611(a)(1) (minimum standards for child-care centers): "Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program"

Inspector's note: 1 child's file is missing a health statement for review during the inspection.

Corrected May 9, 2025, verified by the state Apr 8, 2025.

Medium-high risk Employees must wash their hands after diapering a child.

State rule 746.3415(4) (minimum standards for child-care centers): "Employee Handwashing After Diapering a Child"

Inspector's note: When reviewing the video it was observed that a caregiver did not wash her hands after changing a diaper.

Corrected Mar 21, 2025, verified by the state Apr 1, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Children must wash their hands after using the toilet or being diapered.

State rule 746.3417(3) (minimum standards for child-care centers): "Children Handwashing After Toileting or Diapering"

Inspector's note: When reviewing the video it was observed of a child not washing hands after getting diaper changed.

Corrected Mar 21, 2025, verified by the state Apr 1, 2025. The inspector gave technical assistance (advice on how to comply).