Mary Mays

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 provider completed an online course for CPR. I reviewed the CPR online training certificate during a follow-up visit.

Corrected Jul 11, 2025, verified by the state Jul 8, 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: Two out of four children did not have the emergency authorization section complete on the admission form.

Corrected Jun 5, 2025, verified by the state Jun 11, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Cleaning supplies and toxic materials must be marked, kept away from food and out of children's reach.

State rule 747.3203(13) (minimum standards for child-care homes): "Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible"

Inspector's note: During the monitoring visit, there were chemicals under the kitchen cabinet without locks for safety.

Corrected Jun 5, 2025, verified by the state Jun 11, 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: During the monitoring visit, a young child did not wash their hands after a diaper change.

Corrected Jun 5, 2025, verified by the state Jun 11, 2025. 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 747.3501(4) (minimum standards for child-care homes): "Safety - Sliding Door Glass Marked"

Inspector's note: During the monitoring visit, the glass sliding doors that lead to the outside do not have stickers or labels at children's eye levels.

Corrected Jun 5, 2025, verified by the state Jun 11, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Animals at the operation must have documented vaccinations.

State rule 747.3703(a) (minimum standards for child-care homes): "Animals at Center - Documentation of Vaccinations"

Inspector's note: During the monitoring visit, the operation did not have the health statement, vaccinations, or notifications in the parent handbook regarding an animal is in the home. The dog was in the backyard during the visit.

Corrected Jun 12, 2025, verified by the state Jun 11, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The emergency plan must include communication procedures.

State rule 747.5003(2) (minimum standards for child-care homes): "Emergency Preparedness Plan - Communication Procedures"

Inspector's note: The operation did not have a copy of the emergency preparedness plan to review during the monitoring visit.

Corrected Jul 1, 2025, verified by the state Jun 30, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The operation's written policies must cover safe sleep for infants.

State rule 747.501(6) (minimum standards for child-care homes): "Written Operational Policies - Safe Sleep for Infants"

Inspector's note: During the monitoring visit, the operation did not have the safe sleep policy available for review.

Corrected Jun 5, 2025, verified by the state Jun 11, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Fire extinguishers must be mounted as the state requires.

State rule 747.5105 (minimum standards for child-care homes): "Mounting of Fire Extinguishers"

Inspector's note: During the monitoring visit, the fire extinguisher was not mounted. The fire extinguisher is stored under the table in the kitchen.

Corrected Jun 5, 2025, verified by the state Jun 11, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Carbon-monoxide detectors must be installed, tested and documented as the state requires.

State rule 747.5337(a)(4) (minimum standards for child-care homes): "Electric or Battery Operated CO System-Test Documentation Available During Hours of Operation"

Inspector's note: During the monitoring visit, the operation did not have documentation available for the carbon monoxide detector, smoke detector, or the fire extinguisher.

Corrected Jun 5, 2025, verified by the state Jun 11, 2025.

Medium risk Provide Parents With Copy of Policies

State rule 747.503 (minimum standards for child-care homes): "Provide Parents With Copy of Policies"

Inspector's note: Four children's files did not have the operational page for operational policies signed by the parent or a copy of the document stating the parents have received a copy of the parent handbook.

Corrected Jun 5, 2025, verified by the state Jun 11, 2025.

Medium risk Each child's file must hold a health statement.

State rule 747.603(a)(3) (minimum standards for child-care homes): "Children's Records - Health Statement"

Inspector's note: I reviewed four children's files that did not have the health statement available for review during the monitoring visit.

Corrected Jun 12, 2025, verified by the state Jun 11, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-low risk Sign-in and sign-out logs must be stored as required.

State rule 747.635(b) (minimum standards for child-care homes): "Sign-in/out Logs Storage"

Inspector's note: During the monitoring visit, the operation did not have the sign-in sheets available for review. The operation was not able to access the log-on system.

Corrected Jun 5, 2025, verified by the state Jun 11, 2025.