The Climbing Tree

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: This standard was tasked as part of the investigation and found to be deficient. It was determined that a caregiver did not demonstrate good judgment while engaging with a child at the operation.

Corrected Sep 17, 2026, verified by the state Sep 18, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The operation must report to the state a child's injury that needs treatment by a health-care professional or hospitalization.

State rule 746.305(a)(2) (minimum standards for child-care centers): "Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization"

Inspector's note: This standard was tasked as part of the investigation and found to be deficient. It was determined that the operation did not report an injury of a child that required medical attention to CCR.

Corrected Sep 17, 2026, verified by the state Sep 18, 2026. The inspector gave technical assistance (advice on how to comply).

High risk The state prohibits certain punishments of children, such as hitting, grabbing, shaming, withholding food or rest, or locking a child in a room.

State rule 746.2805(3) (minimum standards for child-care centers): "Prohibited Punishments - Grabbing and Pulling"

Inspector's note: It was revealed that the caregiver forcefully pulled and grabbed a child by the arm.

Corrected Sep 4, 2026, verified by the state Sep 18, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk Each infant's written feeding instructions must be reviewed and updated every 30 days.

State rule 746.2421(b) (minimum standards for child-care centers): "Written Feeding Instructions - Review and Update Every 30 Days"

Inspector's note: Based on information obtained during the investigation, the operation did not follow the child's documented feeding instructions.

Corrected Aug 28, 2026, verified by the state Sep 4, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The center must have an annual sanitation (health) inspection.

State rule 746.3401(a) (minimum standards for child-care centers): "Annual Sanitation Inspection"

Inspector's note: The annual sanitation inspection was expired.

Corrected Oct 10, 2025, verified by the state Oct 10, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Diaper-changing surfaces must be smooth, non-absorbent and easy to clean.

State rule 746.3503(a) (minimum standards for child-care centers): "Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface"

Inspector's note: The changing mat in the two year old classroom was ripped. Note: changing mat was replaced during this inspectiion.

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

Medium-high risk A child with a diagnosed food allergy must have an emergency plan signed by the parent and a health-care professional.

State rule 746.3819 (minimum standards for child-care centers): "Food Allergy Emergency Plan Signed by Parents and Health Care Professional"

Inspector's note: One child epi pen was expired.

Corrected Apr 30, 2025, verified by the state May 12, 2025. The inspector gave technical assistance (advice on how to comply).