| Deducted | Remarks |
| 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 (battery-powered) were not working on doors leading to the outside. Alternatives include wind chimes or jingle bells. |
| 1 | 6.F.4 Ensure that portable potty chairs, when used, are used and stored in the toilet rooms. /Several children using potty chairs in the front classroom instead of using them and having the potty chairs stored in the toilet room afterwards. |
| 1 | 10.B.2 Store children’s personal belongings, including outerwear (coat, jackets, sweaters, hats), in the children’s personal storage area. |
| 1 | 6.A.4.a Clean walls, ceilings, and attached equipment as needed. /Ceilings, ceiling fans, and walls throughout the facility had an accumulation of dust and cobwebs. |
| 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.6 Post a schedule of emergency drills conducted at least two times a year. Retain a log indicating the date and type of drill, as well as an evaluation of the response, conducted at least two times a year. |