Shining Stars Montessori LLC

746.3501(2) - Diaper Changing Steps- Cleanse Child with Individual Cloths · Medium High

Information obtained throughout the investigation shows that a child was not thoroughly cleaned during a diaper change, resulting in a diaper rash.

746.3809 - Medication No Longer Used · Medium

Three children with diagnosed food allergies had expired medication.

746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional · Medium High

Two children were missing parent signatures on their food allergy plans. One child was missing a doctor's signature on their food allergy plan.

746.605(15) - Required Admission Information-Child's allergies and Completed Food Allergy Plan · Medium High

One child with a diagnosed food allergy did not have all of the medication listed on their food allergy plan present at the operation.

746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors · Medium

The operation did not document the dates that the fire extinguishers, smoke detectors, and carbon monoxide detectors were checked. This was corrected when the director completed the documentation.

746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training · Medium High

Three caregivers were missing annual training hours. One caregiver was missing 4 hours, one caregiver was missing 24 hours, and the last caregiver was missing 7 hours.

746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months · High

The operation did not have a current fire inspection. The most recent expired inspection 7/16/25.

746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date · Medium High

Two epipens were not in their original containers.

745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone · High

A caregiver, with direct access to children, was present without a background check eligibility. The caregiver was sent home during the inspection.

746.603(a)(3) - Children's Records - Health Statement · Medium

Two children did not have health statements on file.

746.1105(3) - Minimum Qualifications Employees and Caregivers - Affidavit (Form 2985) · Low

Three caregivers did not have affidavits on file.

746.1105(4) - Minimum Qualifications Employees and Caregivers - Affidavit (Form 2912) · Low

One caregiver hired after 9/2023 did not have a pre-employment affidavit on file.

746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation · Medium High

Two caregivers did not have orientation training.

746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training · Medium High

Two caregivers did not have proof of preservice training.

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

One caregiver did not have current first aid training.

746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR · Medium High

One caregiver did not have current in person CPR training.

746.201(8) - Liability Insurance Maintained · Medium

Operation has not updated liability through the provider portal as discussed on 5/7/25 during the inspection.

746.5319 - Smoke Detectors Testing · High

Operation did not have documentation that smoke detectors are being tested monthly.

746.901(2) - Required Personnel Records- Meets Requirements · Medium

One caregiver did not have proof of education on file.

746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR · Medium High

Three caregivers did not have hands on CPR training.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity · High

A caregiver walked out of her classroom and left the children unattended briefly during my inspection.

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

Three caregivers did not have first aid training.

746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training · Medium High

Five caregivers did not have the required 24 hours of annual training.

746.1301(a)(6)(A) - Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training · Medium High

The director did not have the required 30 hours of annual training.

746.3401(a) - Annual Sanitation Inspection · Medium High

The operation has did not have a current health inspection on file.

746.3417(3) - Children Handwashing After Toileting or Diapering · Medium High

A caregiver was observed diapering a child and allowing the child to go back and play without washing their hands.

746.3803(b) - Medication Authorization Expires on First Anniversary · Medium High

There was expired benadryl on the premises.

746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date · Medium High

Two epipens were not in their original containers.

746.603(a)(3) - Children's Records - Health Statement · Medium

Three children did not have a health statement on file.

746.605(6) - Required Admission Information - Emergency Contact · Medium High

Two children did not have the address of their emergency contacts listed.

746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based · Medium High

Three of four personnel files reviewed were found to only have online CPR training certificates available for review. The in person aspect of the training was missing.

746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months · High

The last compliant fire inspection was observed to be completed in 2022. A fire inspection completed on 4/3/24 required corrections that are not yet completed.

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

Three of 8 childrens' files reviewed were lacking a physician signed health statement.

746.4003(a) - First Aid Kit - Incomplete Kit · Medium

The first aid kit did not have gloves or the guide to first aid and emergency care. The director was able to add both items to the kit to make it complete at inspection.