• Type B

  102419(d)(1) · Admission Procedures and Authorized Representatives Rights (d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). (1) The licensee shall request the child's parent or authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06), which acknowledges that the parent or authorized representative has received and read the LIC 995A. The bottom portion of this form must be kept in the child’s file as proof that the parent or authorized representative has been notified of his or her rights and received a copy of the Caregiver background Check Process, LIC 995E (6/05), and the Family Child Care Consumer Awareness Information, LIC 9212 (10/05).

  Deficient Practice Statement Based on interview, and record review, the Licensee did not comply with the section cited above in that a signed copy of LIC995A was not kept in each child's file which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/19/2025

  Open Not marked corrected in the state record

  Category: health medication. Open / not marked corrected.

• Type B

  102425(j)(2)(D)(c) · Infant Safe Sleep Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check

  Deficient Practice Statement Based on interview, and record review, the Licensee did not comply with the section cited above in that 15 mintue sleep were not being documentated for infants in care which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/19/2025

Disposition: Substantiated