| Deducted | Remarks |
| 1 | 10.A Provide adequate shelving or other storage constructed in a manner to facilitate cleaning and for orderly storage of supplies.
10.A Ensure rooms or spaces for the storage of necessary equipment are kept neat and clean. |
| 1 | 6.A.2.a Provide self-closing doors equipped with sounding devices that alert the staff that a door has been opened for all doors leading to the outside. Sounding devices (e.g. wind chimes, jingle bells) not installed on doors leading to the outside. |
| 1 | 6.A.4.a Clean walls, ceilings, and attached equipment as needed. /Ceiling vents and attached equipment throughout the facility in need of cleaning. |
| 2 | 3.D.10.b Provide a written plan of action on file regarding the nutritional requirements and feeding of the breastfed infant in the event that breast milk is spilled or unsuitable to serve to breastfed infants. |
| 2 | 14.C.7 Post evacuation maps in a conspicuous location for view by staff, parents, and the Health Officer. /There were no evacuation maps posted anywhere inside the facility. |
| 1 | 6.K.3 Keep outside waste containers, including dumpsters, covered with tight-fitting lids and/or doors and maintained in good repair. /Lid on dumpster was not closed, and drain plug was missing on dumpster. |