102425(c) · Infant Safe Sleep. An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file. (1)This plan shall be signed and dated by the infant’s authorized representative. (2)The Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall That presents potential risks to the child's health and safety. Licensee agreed to complete the form together with the parent submit a copy to Community Care Licensing by 8/25/2021. be maintained in the infant’s file and shall be available to the Department for review.

Licensee Aron Cunningham and Tanya Alamin states that there is no LIC9227 developed for Child 1 who is younger than 12 months SUPERVISOR'S NAME: Aaron Ross