102425(a)(3) · Infant Safe Sleep (a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that there was one crib that had a sheet that did not fit tightly on the mattress, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/17/2025

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102425(c)(2) · Infant Safe Sleep An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility. The Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be maintained in the infant’s file and shall be available to the Department for review.

Deficient Practice Statement Based on record review and licensees own admission the licensee did not comply with the section cited above. There was no LIC9227 on file for the 1 infant in care who was under 12 months of age. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/04/2024