Margarita Espinoza

High risk Caregivers must know and follow the minimum standards.

State rule 747.1501(c)(2) (minimum standards for child-care homes): "Additional Responsibilities of Caregivers - Know and Comply with Minimum Standards"

Inspector's note: The operation has been cited for child to caregiver ratio three times.

Corrected May 2, 2025, verified by the state May 14, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Child/ Caregiver Ratio - Registered Child Care Home

State rule 747.1701 (minimum standards for child-care homes): "Child/ Caregiver Ratio - Registered Child Care Home"

Inspector's note: The primary caregiver had seven students in care ages 3, 3, 2, 2, 2, 2, and 15 months old. The operation was out of ratio by one student.

Corrected May 5, 2025, verified by the state May 14, 2025. The inspector gave technical assistance (advice on how to comply).

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

State rule 747.2105(a) (minimum standards for child-care homes): "Screen Time Activities - Not Used for Under Two"

Inspector's note: During the follow up inspection the television was observed in use for students ages 15 months to 3 years old.

Corrected May 5, 2025, verified by the state May 14, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Child/ Caregiver Ratio - Registered Child Care Home

State rule 747.1701 (minimum standards for child-care homes): "Child/ Caregiver Ratio - Registered Child Care Home"

Inspector's note: The primary caregiver had seven students in care ages 3, 3, 3, 2, 2, 2, and 22 months old. The operation was out of ratio by one student.

Corrected Apr 15, 2025, verified by the state May 2, 2025. 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: The assistant caregiver was observed with seven students without the required background check results.

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

High risk Each child's file must hold an emergency medical authorization.

State rule 747.605(11) (minimum standards for child-care homes): "Required Admission Information - Emergency Medical Authorization"

Inspector's note: One record did not contain the required emergency medical authorization.

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

Medium-high risk Caregivers must have current pediatric first aid and pediatric CPR training that meets the state's guidelines.

State rule 747.1313(a) (minimum standards for child-care homes): "Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers"

Inspector's note: The assistant caregiver did not have the required first-aid and CPR training.

Corrected Apr 8, 2025, verified by the state Apr 16, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Pediatric first aid and CPR training must be skill-based and hands-on.

State rule 747.1313(b) (minimum standards for child-care homes): "Pediatric First-Aid and Pediatric CPR Training -skill based and hands on"

Inspector's note: The primary caregivers first-aid and CPR training did not contain the hands on portion.

Corrected Apr 8, 2025, verified by the state Apr 4, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Child/ Caregiver Ratio - Registered Child Care Home

State rule 747.1701 (minimum standards for child-care homes): "Child/ Caregiver Ratio - Registered Child Care Home"

Inspector's note: The primary caregiver had seven students in care ages 3, 3, 3, 2, 2, 2, and 22 months old. The operation was out of ratio by one student.

Corrected Mar 25, 2025, verified by the state Apr 1, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Children Handwashing After Toileting or Diapering

State rule 747.3213(3) (minimum standards for child-care homes): "Children Handwashing After Toileting or Diapering"

Inspector's note: Two students were observed being changed and not washing hands after diapering.

Corrected Mar 25, 2025, verified by the state Apr 1, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Diaper Changing Equipment - No Play or Eating Surfaces Used

State rule 747.3303(b) (minimum standards for child-care homes): "Diaper Changing Equipment - No Play or Eating Surfaces Used"

Inspector's note: The caregiver was observed changing diapers on the living room sofa.

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

Medium-high risk Diapering Procedures- Sanitizing the Diapering Area

State rule 747.3307(d) (minimum standards for child-care homes): "Diapering Procedures- Sanitizing the Diapering Area"

Inspector's note: The caregiver was observed changing students on the couch and not sanitizing after each child.

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

Medium-high risk Each child's file must hold an emergency contact.

State rule 747.605(6) (minimum standards for child-care homes): "Required Admission Information - Emergency Contact"

Inspector's note: One record did not contain the required emergency contact address.

Corrected Apr 1, 2025, verified by the state Mar 27, 2025. The inspector gave technical assistance (advice on how to comply).

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

State rule 747.2105(a) (minimum standards for child-care homes): "Screen Time Activities - Not Used for Under Two"

Inspector's note: A 22 month old was provided screen time. Note: This was corrected when the tv was turned off.

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

Medium risk Each child must have the written health statement the state requires on file.

State rule 747.611(b) (minimum standards for child-care homes): "Health Statement on File"

Inspector's note: One record did not contain the required health statement.

Corrected Apr 1, 2025, verified by the state Apr 1, 2025.