• Type B

  101212(d)(1)(C) · ...a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report...shall be submitted to the Department within seven days following the occurrence of such event. Events reported shall include... This deficiency has been cleared, the incident was reported to the department on 5/19/26 and a written report was provided on 5/20/26. Per Facility, the facility will follow the reporting requirement per Title 22 101212 Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.

  no records of incident was reported to the department posing a potential risk to the health and safety of children in care Warren Birks NAME OF LICENSING PROGRAM MANAGER: Alicia Mooberry NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/20/2026 I acknowledge receipt of this form and understand my appeal rights as explained and received.

  Open Not marked corrected in the state record

  Category: health medication. Open / not marked corrected.

Disposition: Unsubstantiated