THE NURTURING NOOK RIVER POINT

2025

1. Medium-High risk11/14/2025

   Current Authorizations For Medications On Premises (251.07(6)(f)6.)

   The center did not have an authorization for an epi pen at the center. Rule 251.07(6)(f)6. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

   Not corrected
2. Medium risk6/27/2025

   Access To Records & Reports - Parents (251.04(7)(b))

   A parent was not given access to video of her child. Rule 251.04(7)(b) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

   Not corrected
3. Medium-Low risk4/16/2025

   Monitoring Results Posted (251.04(2)(L)1.a.)

   The most recent monitoring results were not posted. Rule 251.04(2)(L)1.a. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

   Not corrected
4. Medium-Low risk4/16/2025

   Department Notices Posted (251.04(2)(L)1.b.)

   An enforcement action issued by the department on April 1, 2025, was not posted. Rule 251.04(2)(L)1.b. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

   Not corrected
5. Medium risk4/16/2025

   Staff Record - Registry Certificate (251.05(2)(a)4.a.)

   Staff I, working as a lead for more than six months, did not have documentation of a Registry certificate on file. Rule 251.05(2)(a)4.a. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

   Not corrected
6. Medium risk4/16/2025

   Child Abuse & Neglect - Biennial Training (251.05(3)(cm))

   Staff G's training in child abuse and neglect laws, identification, and reporting was expired. Rule 251.05(3)(cm) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

   Not corrected
7. Medium risk4/16/2025

   Indoor Equipment - Construction, Condition (251.07(3)(a)2.)

   A table in the perky ponies room was damaged. Rule 251.07(3)(a)2. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

   Not corrected
8. Medium-Low risk4/16/2025

   Infant & Toddler - Food & Formula Brought From Home (251.09(3)(a)2.)

   Food intended for a child in the darling ducklings room was not labeled with the child's name. Rule 251.09(3)(a)2. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

   Not corrected
9. Medium-Low risk4/16/2025

   Infant & Toddler - Diapering Lotions, Powders, Salves (251.09(4)(a)10.)

   Directions for use of diapering lotions, ointments, and powders were not posted near the diaper changing table in the bouncing bunnies room or the darling ducklings room. Rule 251.09(4)(a)10. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

   Not corrected
10. Medium risk1/3/2025

    Naps Or Rest Periods - Sleeping Surfaces - Children 1 And Older (251.07(4)(cm))

    A review of video from the toddling teddies room shows cots were placed closer than 2 feet apart on 11/5/24. Rule 251.07(4)(cm) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
11. Medium risk1/3/2025

    Prohibited Actions - Physical Restraint, Restriction, Enclosure (251.07(2)(e)3.)

    A review of center videos from October-early November showed instances where children in the toddling teddies room were forced to stay on cots, seated in chairs, and sitting or lying on the carpet for extended periods of time during 9 days. A review of police reports detailed an incident when a child was restrained on a cot by a staff person placing the edges of the blanket under the cot legs. The blanket covered the child's entire body. Rule 251.07(2)(e)3. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
12. Medium risk1/3/2025

    Meals & Snacks - Intervals (251.07(5)(a)3.)

    A review of center video showed a child in the toddling teddies room was not given a morning snack on 11/5/24. Rule 251.07(5)(a)3. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
13. Medium risk1/3/2025

    Meals & Snacks - Minimum Meal Requirements (251.07(5)(a)4.)

    A review of video from October-early November 2024 in the toddling teddies room showed instances when children who dropped food were not given additional food to meet minimum meal requirements. Staff also took food from some children's plates and gave it to other children. Rule 251.07(5)(a)4. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
14. Medium risk1/3/2025

    Meals & Snacks - Additional Portions (251.07(5)(a)4m.)

    A review of video from the toddling teddies room showed an instance when children requested more food and were told no. A staff person's child was given more food. Rule 251.07(5)(a)4m. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
15. Medium risk1/3/2025

    Eating Surfaces - Cleaned, Sanitized (251.07(5)(b)5.)

    A review of center video from October-early November 2024 of the toddling teddies room showed instances of the table not being cleaned and sanitized prior to children eating or after the meal/snack was done. When the table was washed, it was not washed using a two step clean and sanitize process. Rule 251.07(5)(b)5. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
16. Medium-Low risk1/3/2025

    Medical Log - Injury In Care (251.07(6)(dm)3.b.)

    A review of center video in the toddling teddies room showed children incurred head injuries on 11/5 and 11/7. Neither injury was documented in the medical log book. Injuries documented in the medical log book were not entered on the day the injury occurred when a 11/6 entry was written after two 11/7 entries. Rule 251.07(6)(dm)3.b. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
17. Medium risk1/3/2025

    Washing Child's Hands & Face (251.07(6)(i)1.)

    A review of center video from late October-early November 2024 in the toddling teddies room showed numerous instances when children's hands were not washed before meals and snacks, or after diapering. Rule 251.07(6)(i)1. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
18. Medium-High risk1/3/2025

    Adult Handwashing (251.07(6)(i)2.)

    A review of center video from late October-early November 2024 in the toddling teddies room showed numerous instances when staff did not wash their hands before handling food, before and after each child's diaper changes, or after wiping children's noses. The staff were observed to change diapers and then touch toys, tables, tablets, chairs, etc. Staff on occasion washed their diaper soiled hands in the food preparation sink. Rule 251.07(6)(i)2. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
19. Medium risk1/3/2025

    Infant & Toddler - Bedding (251.09(1)(k))

    A review of center video from October-early November 2024 from the toddling teddies room showed numerous instances of staff covering children's entire body, including mouth and nose, with blankets. Children would remove the blankets and staff would cover the children's entire bodies again. Police report review detailed one instance when staff covered a child's entire body with the blanket and put the edges of the blanket under the cot legs, restraining the child to the cot. Rule 251.09(1)(k) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
20. Medium risk1/3/2025

    Infant & Toddler - Responding To Crying Children (251.09(2)(a))

    A review of video and police reports from October and early November 2024 showed numerous lengthy instances where staff did not respond to crying children in the toddling teddies room. Children were sometimes left to cry for up to 40 minutes. Rule 251.09(2)(a) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
21. Medium risk1/3/2025

    Infant & Toddler - Language Development, Learning Experiences (251.09(2)(e))

    A review of center video from October 2024-early November 2024 showed two staff in the toddling teddies room did not use regular routines as occasions for language development or other learning experiences. Rule 251.09(2)(e) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
22. Medium risk1/3/2025

    Infant & Toddler - Drinking Water (251.09(3)(a)8.)

    A review of center video from October-early November 2024 from the toddling teddies room showed days where children were not offered drinking water throughout the day. The children were often only given a drink with meals and snacks. A few instances showed children not being given a drink at snack time. Rule 251.09(3)(a)8. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
23. Medium risk1/3/2025

    Infant & Toddler - Diaper Changing Surface Disinfection (251.09(4)(a)3.)

    A review of video from the toddling teddies room in later October-early November 2024 showed the diaper changing surface was frequently not sanitized between diaper changes. When the changing surface was cleaned, it was not cleaned using a two step, clean then sanitize process. Rule 251.09(4)(a)3. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
24. Medium risk1/3/2025

    Infant & Toddler - Diaper Changing Surface Safety (251.09(4)(a)4.)

    A review of video from the toddling teddies room from late October-early November 2024 showed children were frequently left alone on the diaper changing surface for short periods of time. Rule 251.09(4)(a)4. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected
25. Medium risk1/3/2025

    Prohibited Actions - Cruel, Aversive, Frightening, Humiliating Actions (251.07(2)(e)5.)

    Review of center video and police reports show in October 2024-early November 2024, two staff in the toddling teddies room using cruel, frightening, and humiliating actions towards children in care on 13 days. Children were told to be quiet when they were not making loud noises. Staff laughed at children when the children were confused after staff gave them conflicting directions. Children observed staff yelling at and being abusive toward other children. Children observed a staff person's child being allowed to get up, run around, and shout when other children were not allowed these actions. Rule 251.07(2)(e)5. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

    Not corrected