| Deducted | Remarks |
| 2 | 14.C.5 Keep on file an emergency operations plan addressing: course of action in the event of a fire, severe weather (earthquake, flooding, hurricane, ice/snowstorm, thunderstorm warnings & watches, and tornado warnings & watches), serious accident or injury, power failure, loss of gas & water supply & security threat (active shooter, bomb, individual under the influence, intruder, shelter in place, violent individuals, including procedures, as well as evacuation and lockdown procedures, as well as parent notification protocols, and make readily available for review by parents, staff, and the Health Officer.
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| 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. Missing sounding devices on doors leading to the outside. |
| 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.
3.D.5 Serve an orange vegetable (e.g. carrots, sweet potatoes, winter squash, pumpkin), a dark cut leafygreen vegetable (e.g. broccoli, spinach, lettuce, greens), and a legume (e.g. pinto beans, kidney beans, lentils, chickpeas, tofu) at least once per week.
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| 1 | 9.A.2.f Place children head to toe on mats or cots that are spaced so that ample walking space is available between them at nap time.
9.A.2.f Place cribs at least 24 inches apart during use. |