4 rules cited at Creative Connections Childrens Center changed after some of these citations (marked “rule revised”), so the wording that applied at the time may differ from our plain-English explanation.
Medium High · Nov 13, 2025 · Investigation (report)
746.3415(4) - Employee Handwashing After Diapering a Child
Based on the information reviewed, it was observed that a caregiver did not wash their hands after diapering children.
In plain English: Employees must wash their hands at set times, including on arrival, before handling food or medication or feeding a child, after diapering or helping a child use the toilet, after their own toileting, and after wiping noses or handling other bodily fluids. They must also wash after outdoor activities, handling animals or raw food, eating or smoking, using cleaners or chemicals, and removing gloves. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Jan 5, 2026
- Correction verified:
- Jan 13, 2026
- Technical assistance given:
- Yes
Medium High · Nov 13, 2025 · Investigation (report)
746.3417(3) - Children Handwashing After Toileting or Diapering
Based on the information reviewed during this investigation, it was observed that children did not wash their hands after having their diapers changed.
In plain English: Children must wash their hands before eating and before water-table play, and after using the toilet or having a diaper changed, after outdoor activities, after playing in sand, and after feeding or touching animals. They must also wash any other time a caregiver has reason to believe they touched something that could harm them. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Jan 5, 2026
- Correction verified:
- Jan 13, 2026
- Technical assistance given:
- Yes
Medium · Oct 24, 2024 · Inspection
746.603(a) - Children's Records Maintained
Records were evaluated for ten children enrolled and the following was determined: Two children needed emergency contact information. Three children needed permissions for transportation. Three children needed permissions for field trips. Four children needed permissions for water activities, including if whether the child is able to swim without assistance. One child needed an updated immunization record. Incident reports completed for two children in care were missing information such as the date and parent/director signature.
In plain English: The center must keep a record for each enrolled child, including the enrollment agreement, admission information, a health statement from a health-care professional, and immunization records, plus items such as sign-in and sign-out records and medication records when they apply. These records must be kept at the center, available during operating hours, generally until three months after the child's last day. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Nov 4, 2024
- Correction verified:
- Nov 7, 2024
- Technical assistance given:
- Yes
Show 20 older violations
High · May 4, 2023 · Investigation (report)
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
During this investigation it was determined a caregiver did not demonstrate good judgement by continuously holding a child's hand and wrists as the child was falling to the floor trying to get away causing the child to have a dislocated elbow.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Jun 16, 2023
- Correction verified:
- Jun 28, 2023
- Technical assistance given:
- Yes
High · Jan 17, 2023 · Inspection
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
A caregiver in the Two's I classroom was unaware of the group responsible for. The caregiver stated nine children were present, however ten were observed in the classroom.
Plain-English explanation above · rule revised March 2023
- Corrected at inspection:
- No
- Correction date:
- Jan 17, 2023
- Correction verified:
- Jan 30, 2023
- Technical assistance given:
- Yes
High · Jan 6, 2023 · Inspection
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
An eight month old child was observed asleep on a floor mat. The child was originally placed on a boppy pillow and slid onto the floor.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Jan 6, 2023
- Correction verified:
- Jan 17, 2023
- Technical assistance given:
- Yes
Medium High · Jan 6, 2023 · Inspection
746.2405(2) - Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age
During the follow up inspection an eight month old non-walking infant was observed sleeping on a mat.
In plain English: The infant area must have an adult-size rocker or chair, an individual crib for each non-walking infant under 12 months, and an individual crib, cot, bed, or waterproof or washable mat for each walking infant or infant 12 months or older. It must also have a hand-washing sink in the diaper-changing area and enough toys to keep infants engaged. Official rule text · rule revised March 2023
- Corrected at inspection:
- No
- Correction date:
- Jan 6, 2023
- Correction verified:
- Jan 17, 2023
- Technical assistance given:
- No
Medium High · Dec 20, 2022 · Inspection
746.1601 - Child/ Caregiver Ratio - 13 or More Children
One caregiver was observed with five children ages 8 months, 9m, 11m, 11m, and 15 months. The specified age group was 0-11 months. The caregiver was over ratio by one child.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Dec 20, 2022
- Correction verified:
- Jan 6, 2023
- Technical assistance given:
- Yes
Medium High · May 26, 2022 · Inspection
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The caregiver in the Toddler I classroom was observed caring for 9 children ages 14m, 16m, 16m, 17m, 17m, 18m, 18m, and 19m, and 2y. The specified age group for the room is 12-17 months. The maximum number of children one caregiver may supervise for this age group is 5. The caregiver was over ratio by four children.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- May 26, 2022
- Correction verified:
- Jun 9, 2022
- Technical assistance given:
- Yes
Medium High · May 11, 2022 · Inspection
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The caregiver in the Pre-K classroom was observed caring for 19 children ages 3-5 years old. The specified age group for the room was 4 years old. The maximum number of children one caregiver may supervise for this age group is 18. The caregiver was over ratio by one child.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- May 11, 2022
- Correction verified:
- May 26, 2022
- Technical assistance given:
- Yes
High · May 11, 2022 · Inspection
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
The caregiver in the Pre-K classroom was unaware of the number of children present. The caregiver stated a total of 18 children were present, however 19 were counted in the room.
Plain-English explanation above · rule revised March 2023
- Corrected at inspection:
- No
- Correction date:
- May 11, 2022
- Correction verified:
- May 26, 2022
- Technical assistance given:
- Yes
Medium High · May 11, 2022 · Inspection
746.2419(5) - Requirements for Feeding Infants - Fed in Safe Manner
A twelve month old was observed layng down on a mat in the infant classroom. The child was observed drinking from a bottle.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- May 11, 2022
- Correction verified:
- May 26, 2022
- Technical assistance given:
- No
High · May 10, 2022 · Investigation (report)
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on the information obtained, it was determined that the caregiver failed to demonstrate good judgment as she was issued a citation for failure to control speed after an auto accident.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Jun 8, 2022
- Correction verified:
- Jun 9, 2022
- Technical assistance given:
- Yes
Medium High · Apr 29, 2022 · Inspection
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The caregiver in the Infant classroom was observed caring for 5 children ages 3 months, 6m, 7m, 11m, and 11m. The specified age group for the room is 0-11 months. The maximum number of children one caregiver may supervise for this age group is four. The caregiver was over ratio by one child.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Apr 29, 2022
- Correction verified:
- May 11, 2022
- Technical assistance given:
- Yes
High · Apr 14, 2022 · Inspection
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
During the follow up inspection a three year olf child left the four year old classroom. The child was discovered hiding under a table.
Plain-English explanation above · rule revised March 2023
- Corrected at inspection:
- No
- Correction date:
- Apr 14, 2022
- Correction verified:
- Apr 29, 2022
- Technical assistance given:
- Yes
Medium High · Apr 14, 2022 · Inspection
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The caregiver in the Toddler I classroom was observed caring for 6 children age 13m, 14m, 15m, 15m, and 16 months. The specified age group for the room is 12-17 months. Tthe maximum number of children one caregiver may supervise for this age group is five. The caregiver was over ratio by one child.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Apr 14, 2022
- Correction verified:
- Apr 29, 2022
- Technical assistance given:
- Yes
Medium High · Apr 1, 2022 · Inspection
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
I observed unlabeled bottles in two of the classrooms. Note: This was corrected during inspection.
Plain-English explanation above
- Corrected at inspection:
- Yes
- Correction date:
- Apr 1, 2022
- Technical assistance given:
- No
Medium High · Apr 1, 2022 · Inspection
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
I observed tears in diaper changing equipment in four classrooms.
In plain English: The center must have a smooth, non-absorbent, easy-to-clean diaper-changing surface and a hand-washing sink in the diapering area, and may not change diapers where children play or eat. When a child is on a raised changing surface, the caregiver must use a guard such as raised sides, keep a hand on the child, or stay facing the child within arm's reach. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Apr 4, 2022
- Correction verified:
- Apr 4, 2022
- Technical assistance given:
- No
High · Apr 1, 2022 · Inspection
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
The caregiver in the Three's classroom was unaware of the number of children present in the room. The caregiver stated 11 children were present, however nine were signed in.
Plain-English explanation above · rule revised March 2023
- Corrected at inspection:
- No
- Correction date:
- Apr 1, 2022
- Correction verified:
- Apr 14, 2022
- Technical assistance given:
- No
Medium High · Mar 29, 2022 · Investigation (report)
746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
The operation did not notify Child Care Regulation of a child injury that required medical care.
In plain English: The center must tell the state licensing office as soon as possible, and within two days, about events such as a child injury that needs medical treatment or hospitalization, an illness that needs hospitalization, a reportable disease, the arrest or criminal charge of a person who needs a background check, or any unusual situation that puts a child at risk, such as a child left in a vehicle or wandering off. A child's death in care must be reported immediately. Official rule text · rule revised March 2023
- Corrected at inspection:
- No
- Correction date:
- Apr 1, 2022
- Correction verified:
- May 5, 2022
- Technical assistance given:
- Yes
Medium · Mar 29, 2022 · Investigation (report)
746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
Attendance sheets were reviewed for two directors. Time sheets were only available for the week of March 28, 2022.
In plain English: The center must keep certain records ready for state review during operating hours, including children's records, staff and training records, the director's certificate, staff time sheets, proof of liability insurance (or written notice to parents that it has none), playground checklists, and records of emergency drills, fire extinguishers, and smoke detectors. It must also keep its most recent fire, sanitation, and (if needed) gas inspection reports and its daily sign-in and sign-out system. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Apr 1, 2022
- Correction verified:
- May 4, 2022
- Technical assistance given:
- No
High · Mar 29, 2022 · Investigation (report)
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
Based on the information obtained, it was determined that supervision was not maintained when a child fell and broke their collarbone on the outdoor playground.
Plain-English explanation above · rule revised March 2023
- Corrected at inspection:
- No
- Correction date:
- May 26, 2022
- Correction verified:
- Jun 9, 2022
- Technical assistance given:
- Yes
Medium High · Mar 29, 2022 · Investigation (report)
746.307(b)(1) - AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
Based on the information obtained, it was determined that a parent was not immediately notified of an injury requiring medical treatment.
In plain English: The center must tell a parent immediately if there is an allegation that their child was abused or neglected in care, or after the child has an injury needing medical treatment, an illness needing hospitalization, an emergency allergic reaction that required a stock epinephrine auto-injector, a situation such as a fire, flood, or severe-weather damage at the center, or another unusual situation that put the child at risk. Minor injuries such as small cuts or bites must be reported at pickup; the parents of every child at the center must get written notice within 48 hours of a reportable disease in a child or employee, and the parents of a group must get written notice within 48 hours of a lice or other infestation outbreak in that group. Official rule text · rule revised March 2023
- Corrected at inspection:
- No
- Correction date:
- May 26, 2022
- Correction verified:
- Jun 9, 2022
- Technical assistance given:
- Yes