101212(d)(1)(B) · 10212(d)(1)(B) Upon the occurrence, ... child care center of any of the events specified...(d) below, a report shall be made to the Department by telephone or fax within the Department's next working day...(1) events reported..(B) Any injury to any child that requires medical treatment.

I will have a meeting with the teachers to review the reporting requirements and timelines and will provide the agenda to Licensing and a sign in sheet of the staff in attendance. Based on interviews and record reviews the staff did not report the Unusual Incident to the Community Care Licensing office by the next working day according to the regulations which is a potential health, safety, or personal rights risks to the persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101221(b)(8) · 101221(b)(8)Child's Records (b) Each record shall contain information including, but not limited to, the following: (8) Medical assessment, including ... and the following health information

I will have the parent provide the most recent physicians report to Licensing Based on interview and record review Child 1(C1) did not have a physician's medical assessment in their file that was required no later than 30 days of the child's first day of enrollment which was in August 2025 which is a potential health, safety, or personal rights risks to the persons in care. Claretta Yates NAME OF LICENSING PROGRAM MANAGER: Kuliema Calloway NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/17/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record