Tender Loving Care

Medium-high risk Safety Requirements for Play Yards - Snug Fitting, Firm, Flat Mattress Designed for Use in Play Yard and No Extra Pads

State rule 747.2311(2)(A) (minimum standards for child-care homes): "Safety Requirements for Play Yards - Snug Fitting, Firm, Flat Mattress Designed for Use in Play Yard and No Extra Pads"

Inspector's note: The two play yards the operation uses for the infants were equipped with supplemental mattresses. One had additional foam padding under the mattress. This was corrected at inspection when the mattresses and foam pad were removed from the play yards..

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

Medium-high risk Minimum Qualifications for Substitute Caregiver -pediatric first-aid and pediatric CPR

State rule 747.1209(2) (minimum standards for child-care homes): "Minimum Qualifications for Substitute Caregiver -pediatric first-aid and pediatric CPR"

Inspector's note: The substite caregiver did not have a copy of their CPR & First Aid training.

Corrected Sep 2, 2025, verified by the state Aug 21, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Infants under 12 months may sleep with only a snug-fitting sheet and mattress cover in the crib.

State rule 747.2315(b) (minimum standards for child-care homes): "Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age"

Inspector's note: An 8 month old infant was observed in a play-yard with a blanket. Corrected at inspection: The provider removed the blanket during the inspection.

Corrected while the inspector was there. 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(3) (minimum standards for child-care homes): "Safety - Air Conditioners, Fans, Heaters Safeguarded"

Inspector's note: There is a heater in the classroom that is plugged in, sitting on top of a desk in the classroom. Note: This was corrected when the heater was removed from the room.

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

High risk The operation's written policies must cover emergency preparedness plans.

State rule 747.501(11) (minimum standards for child-care homes): "Written Operational Policies - Emergency Preparedness Plans"

Inspector's note: The operation had no emergency preparedness plan.

Corrected Jan 31, 2025, verified by the state Jan 31, 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 of twelve children's files did nor include a signed medical authorization.

Corrected Jan 31, 2025, verified by the state Jan 31, 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: Twelve of twelve children's files did not list an address for the emergency contact. Three of twelve children's files did not answer the special care needs questions.

Corrected Jan 31, 2025, verified by the state Jan 31, 2025. The inspector gave technical assistance (advice on how to comply).

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: Twelve of twelve children's files did not have an acknowledgment that parents were provided a copy of the operational policies.

Corrected Feb 17, 2025, verified by the state Jan 31, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Each child's file must hold the enrollment agreement.

State rule 747.603(a)(1) (minimum standards for child-care homes): "Children's Records - Enrollment Agreement"

Inspector's note: Two of twelve children enrolled in operation did not have a signed enrollment agreement.

Corrected Jan 31, 2025, verified by the state Jan 31, 2025. The inspector gave technical assistance (advice on how to comply).

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

State rule 747.603(a)(4) (minimum standards for child-care homes): "Children's Records - Immunizations"

Inspector's note: Five of twelve children's files did not include an up-to-date immunization record. Twelve of twelve children's records did not include a signed physician's statement.

Corrected Feb 17, 2025, verified by the state Jan 31, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Each employee's file must show the employee meets the state's requirements.

State rule 747.901(2) (minimum standards for child-care homes): "Personnel Records- Meets Requirements"

Inspector's note: The assistant caregiver did not have proof of education qualifications. There was no pre-employment affidavit included in assistant caregivers file.

Corrected Jan 31, 2025, verified by the state Feb 3, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Illegal Operation - Not Licensed

State rule HRC42.041(a): "Illegal Operation - Not Licensed"

Inspector's note: Provider was observed caring for 11 children without a permit.

Corrected Dec 8, 2024, verified by the state Dec 8, 2024. The inspector gave technical assistance (advice on how to comply).