Sep 16, 2025 · Inspection
6 deficiencies cited
- Non-critical Records Maintained and Made Available - Children's Records
Inspector's note: A total of six children files were review. Six of six children files admission files were incomplete and missing documentation. Risk level: Medium. Corrected by 2025-09-30. - Non-critical Children's Products- Annual Certification
Inspector's note: The operation has not complete their annual children product certification since 09/11/2024. Risk level: Medium. Corrected by 2025-09-30. - Critical Fire Drill Monthly - Exit in 3 Minutes
Inspector's note: The operation has not complete their monthly fire drill for the month of September 2025. Risk level: Medium High. Corrected by 2025-09-30. - Critical Lock-down drill 4 times in a calendar year
Inspector's note: The operation has not complete their annual lock down drill for the physical year of 2025. Risk level: Medium High. Corrected by 2025-09-30. - Critical Sheltering drill for Severe Weather- 4 times in a calendar year
Inspector's note: The operation has not complete their annual sheltering drill for severe weather for the physical year of 2025. Risk level: Medium High. Corrected by 2025-09-30. - Non-critical Records Maintained and Made Available - Personnel and Training
Inspector's note: A total of two operational staff were review. Two out of two operational staff files were incomplete and missing documentation. Risk level: Medium. Corrected by 2025-09-30.