6 rules cited at Toddler House INC No 4 changed after some of these citations (marked “rule revised”), so the wording that applied at the time may differ from our plain-English explanation.
Show 31 older violations
High · Sep 19, 2024 · Investigation (report)
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Base on the investigation conducted an infant had a bib on their neck while asleep in the crib.
In plain English: Centers may not use baby walkers, doorway jumpers, accordion gates, toys small enough to swallow or choke on, or bean bags, waterbeds, or foam pads as sleeping equipment for infants. For an infant younger than 12 months, the crib or play yard must be bare except for a tight-fitting sheet and, if used, a thin, tight-fitting mattress cover made for that mattress. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Nov 15, 2024
- Correction verified:
- Nov 19, 2024
- Technical assistance given:
- Yes
Medium High · Sep 9, 2024 · Inspection
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
In the classrooms walls and floors are not cleaned. In the toddler classroom the wall is missing the boarder.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Sep 20, 2024
- Correction verified:
- Oct 1, 2024
- Technical assistance given:
- Yes
Medium High · Aug 9, 2024 · Inspection
746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
A caregiver was seen using her personal device to watch a show during nap time. This was corrected at the inspection when the caregiver put her phone away.
Plain-English explanation above
- Corrected at inspection:
- Yes
- Correction date:
- Aug 9, 2024
- Technical assistance given:
- Yes
High · Aug 9, 2024 · Inspection
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
An infant was observed sleeping in a restrictive device at 12:51pm the infant dailly report showed the infant went to sleep at 11:40 am. The infant was asleep in the swing for over an hour. The infant was removed from the swing.
In plain English: An infant may not sleep in a restrictive device unless the center has a completed Sleep Exception Form with a health-care professional's signed statement that it is medically necessary. Without that form, if an infant falls asleep in such a device, the caregiver must move the infant to a crib as soon as possible. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Aug 9, 2024
- Correction verified:
- Aug 22, 2024
- Technical assistance given:
- Yes
Medium High · Aug 9, 2024 · Inspection
746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
Two teachers did not know or have documentation of the children's names and ages.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Aug 9, 2024
- Correction verified:
- Aug 22, 2024
- Technical assistance given:
- Yes
High · Aug 9, 2024 · Inspection
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Cleaning supplies were within reach of children in the school age room. This was corrected at the inspection when the caregiver moved the cleaning supplies to the cleaning supplies closet.
Plain-English explanation above
- Corrected at inspection:
- Yes
- Correction date:
- Aug 9, 2024
- Technical assistance given:
- Yes
High · Aug 9, 2024 · Inspection
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
During the inspection 3 caregivers provided an incorrect number to licensing for the number of children they were responsible for supervising.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Aug 9, 2024
- Correction verified:
- Aug 22, 2024
- Technical assistance given:
- Yes
Medium · Oct 24, 2023 · Inspection
746.4307 - Fenced Outdoor Activity Space -Exits Required
On the infant/toddler playground they is only one exit, the fence area needs another exit.
Official text of rule 746.4307
- Corrected at inspection:
- No
- Correction date:
- Jan 12, 2024
- Correction verified:
- Jan 17, 2024
- Technical assistance given:
- Yes
Medium High · Oct 24, 2023 · Inspection
746.4305 - Fenced Outdoor Activity Space
The fence around both play area was only 3 ft and 9 inches, it is not the required 4ft tall.
In plain English: The outdoor activity space must be enclosed by a fence or wall at least four feet high. Exceptions include programs that only offer after-school care in a public school classroom, programs that only offer alternate care or get-well care, and spaces used only by children five and older. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Jan 12, 2024
- Correction verified:
- Jan 17, 2024
- Technical assistance given:
- Yes
Medium · Oct 24, 2023 · Inspection
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Two infants did not have updated feeding instruction forms the forms was last updated in September.
In plain English: For an infant who is not yet eating table food, the center must get written feeding instructions signed and dated by a parent or health-care professional, and must follow them. The center must review and update the instructions with the parent every 30 days until the infant can eat table food. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Oct 31, 2023
- Correction verified:
- Oct 26, 2023
- Technical assistance given:
- Yes
Medium High · Oct 24, 2023 · Inspection
746.3401(a) - Annual Sanitation Inspection
The sanitation inspection expired 10-4-2023.
In plain English: The center must have a sanitation inspection by a local sanitation official before its first permit and at least once every 12 months, unless it is in a public school building run by the local school district. If no inspection is available, the center must get written proof of that from a sanitation official or county judge and keep it at the center. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Nov 17, 2023
- Correction verified:
- Oct 24, 2023
- Technical assistance given:
- Yes
Medium High · Sep 11, 2023 · Inspection
746.4901(a) - Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
Under the swings and moving equipment they did not have the required loose-fill surfacing under the equipment.
In plain English: The area under and around climbing, rocking, spinning, bouncing, or moving equipment, slides, and swings must have loose-fill or unitary (one-piece) cushioning surface. How deep or thick that surface must be depends on the height of the highest play surface on the equipment. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Sep 18, 2023
- Correction verified:
- Oct 24, 2023
- Technical assistance given:
- Yes
Medium High · Sep 11, 2023 · Inspection
746.3407 - Maintenance of Building, Grounds and Equipment
On the playground the grass area was high and one of the play structures had broken pieces.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Sep 18, 2023
- Correction verified:
- Sep 20, 2023
- Technical assistance given:
- Yes
Medium High · Aug 31, 2023 · Investigation (report)
746.1601 - Child/ Caregiver Ratio - 13 or More Children
In the school age classroom they was one caregiver with 48 children in care they were 22 children over ratio. In the infant classroom the caregiver had 5 infants specified age group 0-11 months old the caregiver had one over ratio. One caregiver had 19 children specified age group 4 years old, the caregiver had one over ratio.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Sep 11, 2023
- Correction verified:
- Sep 20, 2023
- Technical assistance given:
- Yes
Medium Low · Oct 25, 2022 · Inspection
746.901(4) - Required Personnel Records - Required Affidavit
One caregiver is missing an affidavit form in their file.
In plain English: The center must keep a file at the center for each employee, caregiver, substitute, and volunteer, available during operating hours. It must include items such as start and end dates, proof of age and education qualifications, the required state affidavit forms (Forms 2985 and 2912), training records, proof that background checks were requested, and a copy of a photo ID. Official rule text · rule revised August 2024
- Corrected at inspection:
- No
- Correction date:
- Oct 28, 2022
- Correction verified:
- Oct 27, 2022
- Technical assistance given:
- Yes
Medium High · Oct 25, 2022 · Inspection
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
The director and three caregiver do not have annual transportation training. One caregiver last training was done 3/6/2020.
In plain English: If the center transports children younger than nine (by age or development), each employee must complete two hours of transportation training each year before transporting a child, and the director must complete it too. These two hours are separate from orientation, pre-service, and annual training hours. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Oct 31, 2022
- Correction verified:
- Oct 27, 2022
- Technical assistance given:
- Yes
Medium · Oct 25, 2022 · Inspection
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Four caregivers did not have 24 annual training hours (6/29/2021 to 6/29/2022, 11/2/2020 to 11/2/2021, 9/17/2021 to 9/17/2022, 10/21/2021 to 10/21/2022 and 9/4/2021 to 9/4/2022) and one caregiver is missing 14 hours of annual training for training year 11/5/2020 to 11/5/2021.
Plain-English explanation above · rule revised September 2024
- Corrected at inspection:
- No
- Correction date:
- Nov 11, 2022
- Correction verified:
- Oct 27, 2022
- Technical assistance given:
- Yes
Medium High · Oct 25, 2022 · Inspection
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Two caregivers are missing first aid training one caregivers expired 1/27/2019 and the other caregiver did not have a card.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Nov 11, 2022
- Correction verified:
- Oct 27, 2022
- Technical assistance given:
- Yes
Medium High · Oct 25, 2022 · Inspection
746.605(6) - Required Admission Information - Emergency Contact
Three children are missing an address for their emergency contact.
Plain-English explanation above · rule revised September 2024
- Corrected at inspection:
- No
- Correction date:
- Oct 28, 2022
- Correction verified:
- Oct 27, 2022
- Technical assistance given:
- Yes
Medium Low · Oct 25, 2022 · Inspection
746.605(3) - Required Admission Information - Date of Admission
One child is missing admission date on their enrollment form.
Plain-English explanation above · rule revised September 2024
- Corrected at inspection:
- No
- Correction date:
- Oct 25, 2022
- Correction verified:
- Oct 27, 2022
- Technical assistance given:
- Yes
Medium High · Oct 25, 2022 · Inspection
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Two caregivers are missing CPR training one caregivers expired 1/27/2019 and the other caregiver did not have a card.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Nov 11, 2022
- Correction verified:
- Oct 27, 2022
- Technical assistance given:
- Yes
Medium · Oct 25, 2022 · Inspection
746.1311(a) - Director Annual Training 30 Hours Required
The director did not have any training hours for training year 2/15/2021 to 2/15/2022. Corrected: When the director had training hours for current training year 2/15/2022 to 2/15/2023.
In plain English: A center director must complete 30 hours of training each year that fits the ages of the children served, including at least six hours on topics such as child development or guidance and discipline, at least one hour on preventing, recognizing, and reporting child abuse and neglect, and three to six hours on management or staff supervision depending on experience. At least six of the hours must be instructor-led. Official rule text · rule revised March 2023
- Corrected at inspection:
- Yes
- Correction date:
- Oct 25, 2022
- Technical assistance given:
- Yes
Medium High · Jul 28, 2022 · Inspection
746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
The play area on both playgrounds didn't have enough loose-fill surfacing under both swings sets.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Aug 8, 2022
- Correction verified:
- Aug 8, 2022
- Technical assistance given:
- Yes
High · Jul 20, 2022 · Investigation (report)
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
I asked a caregiver how many children they had it was stated 25, when I counted the children it was 26.
Plain-English explanation above · rule revised March 2023
- Corrected at inspection:
- No
- Correction date:
- Jul 28, 2022
- Correction verified:
- Aug 8, 2022
- Technical assistance given:
- Yes
Medium · Jul 14, 2022 · Inspection
746.2205(a)(4) - Written Activity Plan - No Long Waiting Periods
Children were sitting around at the tables and carpet with no activity sitting and waiting to go home.
In plain English: A written activity plan must name the group and the dates it covers and outline the specific daily activities. It must give children enough time to progress at their own pace and avoid long waits or long stretches of sitting or standing, and any screen time in the plan must come with other choices for children who do not want to take part. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Jul 14, 2022
- Correction verified:
- Jul 22, 2022
- Technical assistance given:
- Yes
High · Jul 14, 2022 · Inspection
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
The pre-school and school age children were combined together in the school age classroom. When asked the school age caregiver how many it was stated 15, when I asked the first pre-school caregiver how many she stated 6. When I counted all the children in the room their where 26 children, which left 5 children unattended without a caregiver.
Plain-English explanation above · rule revised March 2023
- Corrected at inspection:
- No
- Correction date:
- Jul 14, 2022
- Correction verified:
- Jul 22, 2022
- Technical assistance given:
- Yes
Medium High · Jul 1, 2022 · Inspection
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The school age caregiver had 27 children, the max group for one caregiver is 1 to 26.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Jul 1, 2022
- Correction verified:
- Jul 14, 2022
- Technical assistance given:
- Yes
High · Jul 1, 2022 · Inspection
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
When asking a caregiver how many children they had it was stated 15 and when I counted they were only 13 children. When asking another caregiver how many children she had it was stated 17 when I counted it was only 16 children.
Plain-English explanation above · rule revised March 2023
- Corrected at inspection:
- No
- Correction date:
- Jul 1, 2022
- Correction verified:
- Jul 14, 2022
- Technical assistance given:
- Yes
Medium · Jun 30, 2022 · Investigation (report)
746.201(7) - Operation Open to Parents At All Times
During the determination of the investigation it was stated that parents are not allowed in the building to drop children off or talk with caregivers. Parents are only allowed at the front entrance of the operation.
In plain English: The permit holder must set and follow policies that meet the state minimum standards, name a qualified director who is responsible on site every day, make sure staff report suspected abuse directly to the state hotline, and keep the number of children in care within the licensed capacity. It must also let parents visit any time during operating hours without prior approval and follow the state child-care licensing law and rules. Official rule text · rule revised March 2023
- Corrected at inspection:
- No
- Correction date:
- Jul 29, 2022
- Correction verified:
- Jul 29, 2022
- Technical assistance given:
- Yes
Medium High · Oct 29, 2021 · Inspection
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area
During the inspection I observed a changing table that was found to be contaminated with food and other substances. Photos were taken. This was corrected when the caregiver sanitized the changing table.
In plain English: Caregivers must wash their own hands, wash the child's hands after each diaper change, throw away disposable gloves after each change, and sanitize the changing surface after each use (or use a disposable paper liner between back-to-back changes). Soiled diapers must go in covered or sealed containers, soiled clothing must go home in a sealed plastic bag, and caregivers with open wounds or casts or bandages that get in the way of handwashing may not change diapers. Official rule text
- Corrected at inspection:
- Yes
- Correction date:
- Oct 29, 2021
- Technical assistance given:
- Yes
Medium High · Oct 29, 2021 · Inspection
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
During the inspection I observed a caregiver wiping two children's noses without washing her hands in between.
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:
- Nov 12, 2021
- Correction verified:
- Nov 11, 2021
- Technical assistance given:
- Yes