| Deducted | Remarks |
| 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. |
| 1 | 10.A Label stacked cots to identify the user’s name. |
| 1 | 10.B.1 Provide personal storage areas kept neat and clean and identified with the children’s names. |
| 2 | 3.A Provide a written and verbal description of the policies for parents upon their child’s enrollment. |
| 1 | 6.A.2 Provide smooth, non-absorbent, easily cleanable walls and attached equipment, including doors and windows of all rooms, and maintain in good repair. /Walls had holes and gaps and in need of repair. |