Willows Edge Academy

R381-100-17(1) — Nonrefrigerated medications requirements

The provider was out of compliance with rule R381-100-17(1) by having medications accessible to children. In the Toddler room, there were medications accessible to children. Inspection: Unannounced, Annual Inspection. Correction status: Correction Verified. Correction action: On June 10, 2025, the licensor verified the provider made the medications inaccessible as stated in rule.

R381-100-8(2)(a)-(c) — New covered individual background check

The provider was out of compliance with rule R381-100-8(2)(d) by allowing individuals to be involved with child care in the program before receiving notification of eligibility from Office of Licensing. In the facility, one individual was involved in caregiving duties and counting in ratio before getting notification of clearance. This was a repeat rule noncompliance as noted on November 7, 2024. Inspection: Unannounced, Annual Inspection. Repeat noncompliance. Civil money penalty: $200. Correction status: Correction Verified. Correction action: On June 10, 2025, the licensor verified that the individual was supervised and not counting in ratio until they had a cleared background check as stated in rule.

R381-100-6(12)(a)-(b) — Children's admission and health assessment reviewed, updated, signed, and on-site

The provider was out of compliance with rule R381-100-6(12)(b) by not ensuring the children's admission and health assessment forms are kept on-site for review by OL. At the time of the inspection, there were records that were not available for review. Inspection: Unannounced, Annual Inspection. Correction status: Correction Verified. Correction action: On June 26, 2025, the licensor verified the children's records were on-site for review as stated in rule.

R381-100-6(11)(a)-(m) — Children's admission and health assessment requirements

The provider was out of compliance with rule R381-100-6(11)(g) by having incomplete children’s records. In the facility, the admission and health assessment form was missing the parent's permission for emergency medical treatment. Inspection: Unannounced, Annual Inspection. Correction status: Correction Verified. Correction action: On June 26, 2025, the licensor verified the admission form included permission for emergency medical treatment as stated in rule

R381-100-6(10) — Children's admission and health assessment form completed prior to admittance

The provider was out of compliance with rule R381-100-6(10) by not ensuring that a child had a completed admission and health assessment form before being admitted into the program. At the facility, a child did not have a completed health assessment form. Inspection: Unannounced, Annual Inspection. Correction status: Correction Verified. Correction action: On June 26, 2025, the licensor verified the child had a completed health assessment as stated in rule.

R381-100-7(11) — Volunteer requirement

The provider was out of compliance with rule R381-100-7(11) by not ensuring that each volunteer is considered eligible by an OBP background check before becoming involved with child care. Inspection: Unannounced, Annual Inspection. Civil money penalty: $200. Correction status: Correction Verified. Correction action: On June 26, 2025, the licensor verified the volunteers had cleared background checks or were no longer volunteering at the facility as stated in rule.

R381-100-8(1)(a)-(b) — Associating New Covered Individuals

The provider was out of compliance with this rule by not associating a covered individual to their facility. In the facility, a caregiver with a background clearance was not associated to this facility. This is a repeat rule noncompliance. Inspection: Follow-Up, Additional Follow-Up Inspection, Non On-Site Inspection. Correction status: Correction Verified. Correction action: On 03/24/2025, the investigator verified that the Licensee has associated and will associate all new covered individuals prior to them being given caregiving duties.

R381-100-8(2)(a)-(d) — New covered individual background check

The provider was out of compliance with this rule by having a person who did not have a completed background clearance provide caregiving duties. In the facility, a person who did not have a completed background clearance was allowed to hold a child that was not their child. Inspection: Complaint, Focus Inspection. Correction status: Correction Verified. Correction action: On 01/14/2025, the investigator verified that the provider completed background checks before a covered individual completed child care duties as stated in rule.