La Petite Academy Marbach

746.605(10) - Required Admission Information - Physician Information

One out five children enrollment forms reviewed during the visit was missing information on the emergency medical attention section.

746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

The diaper changing mat in the toddler classroom was torn along one side of the seam. Corrected when the diaper changing mat was removed from the diaper changing table.

746.611(a)(1) - Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program

One out of five children enrollment forms reviewed was missing the health statement.

746.605(6) - Required Admission Information - Emergency Contact

One out of five children enrollment forms reviewed during inspection was missing the emergency contacts.

745.8641 - Requirements during probation

The operation has failed to maintain the child-caregiver ratio logs for the month of October and November.

746.611(b) - Health Statement on File within 1 Week of Admission

Four out of ten children files were missing the health statement information.

746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

One caregiver had an expired CPR/1st aid certification since November 2024.

745.8641 - Requirements during probation

The operation failed to follow the probation condition on ratios when several of the classrooms were out of ratio on a visit conducted by CCR on 9/9/2025 for inspection 4074769.

746.1309(e) - Documented Annual Training- Required Content

Five out of twelve staff files were reviewed. Two of the caregiver files were missing trainings on handling, storing, and disposing of hazardous materials ,understanding building and physical premises safety, preventing and responding to emergencies, administering medication, preventing and controlling the spread of communicable diseases, and emergency preparedness.

746.1309(a) - Documented Annual Training Area - 24 Hours Required

One caregiver did not accumulate the required trainings with certificates for the year 2024-2025 period.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

A caregiver providing care to seven children, ages four months to twenty- one months was over ratio by three children, and the assistant director providing care to twenty-seven children ages two to five years old was over ratio by sixteen children. Note: This was corrected at inspection when a second caregiver was placed in both classrooms.

746.3701 - Safety - Areas Free From Hazards

There was a hard plastic pipe sticking out of the mulch on the preschool/school age playground.

746.3407 - Maintenance of Building, Grounds and Equipment

Several air vents had accumulated dust.

746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days

Three infant feeding instructions were not updated.

746.2803(4)(D) - Positive Methods of Discipline and Guidance - Brief Supervised Separation

Based on the evidence gathered in the investigation conducted, it can be determined that a four year old was separated for thirteen minutes.

746.1203(4) - Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs

Based on the evidence gathered in the investigation conducted, it can be determined that a pre-k classroom was not in control as majority of the children refused to nap and played on and around the cots.

746.1003(3) - Director Responsibilities - Employee Assignments

Based on the evidence gathered in the investigation conducted, it can be determined that a caregiver was assigned to a classroom that did not math their skills and abilities as the classroom was not in control.

746.2905(1) - Children Not Required to Sleep - May Not Force Child to Sleep

Based on the evidence gathered in the investigation conducted, it can be determined that a blanket was placed over a child's head by a caregiver while the child laid on the cot during naptime.

746.1203(5) - Responsibilities of Caregivers - Interact positively with children

Based on the evidence gathered in the investigation conducted, it can be determined that a caregiver did not use positive interactions when they pulled a four year old child up by the arm and carried the same child by the arms to the other side of the classroom.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

Based on the evidence gathered in the investigation conducted, it can be determined that the pre-k classroom was out of ratio as there were twenty children to one caregiver with majority of the children were awake and were not asleep or laying down on their cots. As majority of the children were awake the ratio of one caregiver to 15 three year olds or one caregiver to 18 four year olds must be followed.

746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

One out of the ten staff files reviewed during inspection did not have Pediatric First aid and CPR training.

HRC42.054 - Required Fees

Fees have not been paid.