CHILDREN OF AMERICA APPLETON

Staff-To-Child Ratios - Minimum (251.055(2)(b))

On May 14, 2026, there were five children under the age of 18 months with one child care worker from 7:28am until 8:15am in Infant A classroom. Rule 251.055(2)(b) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Staff-To-Child Ratios - Minimum (251.055(2)(b))

On 3/19/26 there was one staff member in the infant A room at 8:30am with 6 infants. Rule 251.055(2)(b) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Indoor Equipment - Intended Use (251.07(3)(a)5.)

The center self reported that on March 19, 2026, a child care worker was not using the high chair in accordance with manufactures instructions when the worker either didn't use the safety straps or did not tighten the safety straps when a one year old child was placed in the high chair. The tray fell off and the child fell resulting in a contusion to the head. Rule 251.07(3)(a)5. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Report - Prohibited Actions (251.04(3)(jm))

The facility did not report within 24 hours that they were working with a staff member on prohibited actions - verbal abuse. It was reported to them the week of March 1, 2026 Rule 251.04(3)(jm) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

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

During the week of March 1, 2026. a staff member in the 4K room is yelling at the children and speaking negatively to them and treating them in a harsh physical manner. Rule 251.07(2)(e)5. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Food Storage - Cold Storage Thermometers (251.06(9)(d)1.c.)

There was not a thermometer in the refrigerator in the infant A room. This was corrected during the visit date. Rule 251.06(9)(d)1.c. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

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

The medical logbooks in the infant A room and the Preschool 2 room were not reviewed once every 6 months. This was corrected during the visit. Rule 251.07(6)(dm)4. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

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

One intake in the Toddler A room was not updated once every 3 months. Rule 251.09(1)(c) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

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

Diaper changing surfaces failed to be easily cleanable/able to be disinfected. Pads were torn in the 2's and toddlers. Rule 251.09(4)(a)3. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Infant & Toddler - Soiled Diapers Disposal (251.09(4)(a)5.)

Diaper disposal container in the toddlers room failed to be in working order- container lid did not close. Rule 251.09(4)(a)5. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Naps Or Rest Periods - Bedding Maintenance, Storage, Cleanliness (251.07(4)(e))

Cots/bedding failed to be covered and stored in a sanitary manner- preschool ll and Pre-k A. Rule 251.07(4)(e) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Garbage Containers - Construction & Disposal Schedule (251.06(2)(n))

Garbage containers containing food waste failed to be covered as required, 2's and preschool ii. Rule 251.06(2)(n) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Meal Prep Personnel - Training (251.05(3)(gr)3.a.)

Meal prep personnel files failed to have documentation of annual/current food safety and sanitation training. Rule 251.05(3)(gr)3.a. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Health, Safety & Welfare Of Children (251.04(2)(m))

On June 30, 2025, a child care worker placed the classroom snack, goldfish crackers, on the table with children within reach of a child that has a known allergy. The child with the allergy consumed a few of the crackers which resulted in them having an allergic reaction needing Benadryl and an Epi pen to be administered and 911 was called as a precaution. The child also received additional medical attention after leaving the center. The above violation is the result of a self-reported incident as required by licensing. Order issued. Rule 251.04(2)(m) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Potential Source Of Harm On Premises (251.06(2)(a))

Each infant room contained a Bumpo seat that has been recalled. Manufacturer can be contacted to obtain safety straps. Rule 251.06(2)(a) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Food Storage - Dry Food (251.06(9)(d)2.a.)

Open dry foods-goldfish cartons- failed to be stored in food grade containers once opened. Rule 251.06(9)(d)2.a. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Medication Administration - Containers & Labeling (251.07(6)(f)1.b.)

A medication-Epi pen- failed to be labeled with the child's name and directions for administration. Prescription label was missing from medication. Rule 251.07(6)(f)1.b. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Infant & Toddler - Soft Materials In Cribs (251.09(1)(L))

Children under one year of age may not sleep in a crib or playpen that contains soft or loose materials, such as sheepskins, pillows, blankets, flat sheets, bumper pads, bibs, pacifiers with attached soft objects, or stuffed animals. No blankets and other items may be hung on the sides of the crib or playpen. An infant was observed wrapped in a blanket in their crib. Rule 251.09(1)(L) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

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

On August 16, 2024, a child care worker failed to supervise a 2 ½-year-old child when the child was left behind in the centers City Place indoor play area alone. The child was without sight and sound supervision for approximately four minutes before being found by other child care workers who were entering the play area with their class. The above violation is the result of a self-reported incident by the center as required by licensing. Order issued. 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 8/16/24, a child care worker failed to adhere to the center's child tracking procedure. The worker failed to utilize the centers movement log to have management, or another staff member verify and sign off on their number of children before leaving the play area. The worker also failed to do a name to face head count of the children upon returning to their classroom resulting in the 2 ½-year old child being left behind and unattended for approximately four minutes. The above violation is the result of a self-reported incident by the center as required by licensing. Order issued. Rule 251.055(1)(f) (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

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

Medication of site failed to have a fully completed parent authorization. Form was missing from/to dates for administering the medication. Rule 251.07(6)(f)1.a. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

Medication Administration - Containers & Labeling (251.07(6)(f)1.b.)

A medication on site failed to be labeled to include the child's name and directions for administering- no prescription label was available with the medication. Rule 251.07(6)(f)1.b. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).

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

A medication failed to be administered/authorized as labeled- medication expired March 24. Rule 251.07(6)(f)5. (View official inspection document). Source: Wisconsin DCF Child Care Finder (childcarefinder.wisconsin.gov).