ENCOMPASS CAROL B BUSH CENTER

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

On 3/5/26, there was no authorization for an inhaler in the 3k room. Rule 251.07(6)(f)6. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Medication Administration - As Labeled & Authorized (251.07(6)(f)5.)

On 3/5/26, there was an expired epi pen in the 4k room (exp 12/25). Rule 251.07(6)(f)5. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Medication Administration - Parent Authorization (251.07(6)(f)1.a.)

A child in the 4k classroom had an authorization for an epi pen that had expired 12/2024. Rule 251.07(6)(f)1.a. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Medication Administration - As Labeled & Authorized (251.07(6)(f)5.)

A child in the 4 year old room had an expired inhaler dated 7/2025. Rule 251.07(6)(f)5. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

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

On 11/3/25, during nap time, in the 3k room there were three children who all had their heads covered with blankets. The three children's nap area was surrounding the child care worker at the time of observation. Rule 251.09(1)(k) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Infant & Toddler - Correct Food, Breastmilk, Or Formula (251.09(3)(a)2m.)

The center self-reported that on October 31, 2025, a child care worker fed a five-month-old child approximately two oz. of another child's expressed breastmilk. Rule 251.09(3)(a)2m. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Supervision Of Children (251.055(1)(a))

On August 28, 2025, a child care worker left a 4.5-year-old child unsupervised in the 4k room for approximately 5 minutes. Rule 251.055(1)(a) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Child Tracking Procedure (251.055(1)(f))

On August 28, 2025, a child care worker failed to implement the center's child tracking procedure of using name to face attendance when transitioning from one location to another resulting in a 4.5-year-old child being left unsupervised in the 4k classroom for approximately 5 minutes. Rule 251.055(1)(f) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Child Record - Immunization History (251.04(6)(a)6m.)

Child #7 was missing the Immunization document in file Rule 251.04(6)(a)6m. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Infant & Toddler - Documenting Changes In Development (251.09(1)(c))

Infant 1 had 1 intake that was not outdated Toddler A had 5 intakes that were not current (updated once every 3 months) Rule 251.09(1)(c) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Medication Administration - As Labeled & Authorized (251.07(6)(f)5.)

The 4-5 year old room had an expire inhaler Rule 251.07(6)(f)5. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Medication Administration - Parent Authorization (251.07(6)(f)1.a.)

Toddler A had an epi pen that was missing an authorization Rule 251.07(6)(f)1.a. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Emergencies - Practice Written Plans (251.06(3)(b)2.)

Fire drill was not documented as practiced since February 2025 Rule 251.06(3)(b)2. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Child Record - Physical Exam - Over 2, Under 5 (251.04(6)(a)8.b.)

Child #7 was missing a current (once every 2 years) physical in file Rule 251.04(6)(a)8.b. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Child Record - Physical Exam - Under 2 (251.04(6)(a)8.a.)

Child number 3 was missing a current (once every 6 months) physical in file Rule 251.04(6)(a)8.a. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Prohibited Actions - Verbal (251.07(2)(e)2.)

Center self reported that on February 21, 2025, Staff A on the staff record checklist yelled at the children while in the process of taking them onto the playground. Rule 251.07(2)(e)2. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Medical Log - Reviewing Injury Records (251.07(6)(dm)4.)

Medical log books were last reviewed on November 22, 2023 in the toddler B, transition B and 4K rooms. Rule 251.07(6)(dm)4. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).