THE NEST SCHOOL TOWNE LAKE

746.5207(a) - Emergency Evacuation and Relocation Diagram

An evacuation diagram was not posted in one of the classrooms used by children. Note: The operation posted the diagram during the inspection.

746.1203(6) - Responsibilities of caregivers-Set appropriate behavior expectations

Based on the information obtained, a caregiver did not set appropriate behavior expectations.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

Based on the information obtained, there was sufficient evidence to show that a caregiver did not practice good judgment when walking a child to their nap mat inappropriately.

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for

A caregiver did not know the correct number of children they were responsible for during the inspection.

746.1205(a)(5) - Responsibilities of Caregivers - Intervene to ensure each child's safety

Based on the information obtained, caregivers did not intervene to guide a child when a child stood at the bottom of a slide and jumped off of the slide and injured themselves.

746.901 - Required Personnel Records

As of today, 7/24/25 the provider has not submitted education documents showing how a caregiver meets minimum educational requirements.

746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps

An infant was observed in a high chair and the safety straps were not fastened. Note: Caregiver fastened the straps during the inspection.

746.901 - Required Personnel Records

The provider has not submitted education documents showing how a caregiver meets minimum educational requirements.

746.801(11) - Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care

The operation has not provided the annual fire inspection report that was requested on May 14th, 2025.

746.603(a)(4) - Children's Records - Immunizations

1 out of 10 children's files evaluated was missing an immunization record.

746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based

1 out of 10 employee files evaluated did not contain the skills-based CPR Training.

746.605(15) - Required Admission Information-Child's allergies and Completed Food Allergy Plan

A food allergy emergency plan was missing the parent signature.

746.901 - Required Personnel Records

Staff files evaluated were missing the following information: - Photo ID or Driver's License - Documentation showing staff meet minimum education requirements - Education documents written in a foreign language were not translated to English - Employment Affidavit Form

746.801(11) - Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care

Documentation showing the annual fire inspection report from the local fire marshal was not available to review upon request.

746.603(a)(2) - Children's Records - Admission Information

Children's files evaluated were missing the following admission information: - Name, Address and Phone number of the emergency medical facility or physician. - Name, Address and Phone number of emergency contact person - Date of Admission

746.603(a)(3) - Children's Records - Health Statement

1 out of 10 children's files evaluated was missing a completed health statement.

746.1203(6) - Responsibilities of caregivers-Set appropriate behavior expectations

Based on the information obtained, a caregiver did not set appropriate behavior expectations when children were observed climbing on the tables and the couch and fighting with one another.

746.2805(3) - Prohibited Punishments - Grabbing and Pulling

Based on the information obtained, a caregiver grabbed a child by the arm.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

Based on the information obtained, children were observed running in and out of the restroom unattended.

746.521(8) - Parent right to review video recordings of alleged incident of abuse or neglect involving parent child

Based on the information obtained, the operation did not provide parents the opportunity to review an alleged incident of abuse when it was requested.

746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based

Based on the information obtained from the operation, the skill-based portion of CPR training was not completed for the director.