Inspection Reports for
Welcoming Willows Adult Daycare Inc.
1000 W. Main St., Little Chute, WI, 54140
Back to Facility Profile5 Reports
Inspection Report — Dec 11, 2025
Follow-Up
Date: Dec 11, 2025
Visit Reason
An announced virtual desk review verification survey was conducted as a follow-up to a complaint survey conducted on 2025-10-15 at Welcoming Willows Adult Daycare Inc.
Findings
Welcoming Willows Adult Daycare Inc. is in compliance with Wisconsin Administrative Code DHS 105.14 regulations for Adult Day Care Centers. No citations were issued.
Inspection Report — Oct 15, 2025
Complaint Investigation
Date: Oct 15, 2025
Visit Reason
An unannounced onsite complaint survey was conducted in response to complaint WI0062660 regarding alleged misconduct at Welcoming Willows Adult Daycare Inc.
Complaint Details
Complaint #WI0062660 is substantiated. The facility reported the incident 20 days late and had no policy regarding misconduct reporting requirements. Board President B stated the delay was due to uncertainty about active cause.
Findings
The facility was found out of compliance with Wisconsin Administrative Code DHS 105.14 for Adult Day Care Centers due to failure to submit an Incident Report within 7 calendar days after becoming aware of abuse. The complaint was substantiated.
Deficiencies (1)
105.14(2)(m)1.a-d Misconduct: The facility failed to submit an Incident Report to the Wisconsin Division of Quality Assurance within 7 calendar days after being made aware of abuse involving a caregiver's inappropriate behavior toward a participant.
Report Facts
Maximum Participants per Certification: 35
Maximum Participants based on square footage: 42
Days late reporting incident: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Board President B | Board President | Interviewed regarding delay in reporting misconduct allegation |
| Program Manager A | Program Manager | Alleged caregiver involved in misconduct toward participant |
Inspection Report — Aug 26, 2025
Follow-Up
Date: Aug 26, 2025
Visit Reason
An unannounced, desk review Verification Visit survey was conducted on 08/25/2025 - 08/26/2025 at Welcoming Willows Adult Day Care Center as a follow up to the 2nd Initial survey conducted on 7/21/2025.
Findings
Welcoming Willows is in compliance with the Wisconsin Administrative Code DHS 105.14 regulations for Adult Day Care Centers. No citations are issued.
Inspection Report — Jul 21, 2025
Original Licensing
Date: Jul 21, 2025
Visit Reason
An announced onsite 2nd initial survey was conducted at Welcoming Willows Adult Day Care Center to assess compliance with Wisconsin Administrative Code DHS 105.14 regulations for Adult Day Care Centers.
Findings
The facility was found out of compliance with several regulations including failure to document advance directive information upon enrollment, incomplete enrollment agreements lacking service descriptions and costs, failure to review and revise service plans every 6 months, and lack of written information describing side effects and adverse reactions for medications administered.
Deficiencies (4)
Failed to document advance directive information upon participant enrollment in 1 of 2 participant files.
Failed to have completed enrollment agreements including services provided, costs, and proof participant rights were received in 2 of 2 participant records reviewed.
Failed to review and revise participant service plan every 6 months in 1 of 1 participant files.
Failed to have written information describing side effects and adverse reactions of each medication in 2 of 2 participant medication administration records reviewed.
Report Facts
Maximum Participants Based on Square Footage: 42
Number of Participant Records Reviewed: 2
Number of Participant Records Reviewed for Service Plan: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator A | Interviewed regarding documentation of advance directives, enrollment agreements, service plan reviews, and medication side effect information |
Inspection Report — Oct 10, 2023
Original Licensing
Date: Oct 10, 2023
Visit Reason
An announced onsite initial survey of Welcoming Willows, an Adult Day Care Center in Little Chute, Wisconsin, was conducted.
Findings
Welcoming Willows was found to be in compliance with the Wisconsin Administrative Code 105.14. There were no deficiencies identified.
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