• Type B

  101212(c) · 101212 Reporting Requirements (c)The licensee shall notify the Department in writing of his/her intent prior to making any structural changes. This requirement has not been met as evidenced by Director will cease the use of the Hallway in Wing A as of today, 10/14/2025 and submit a written statement via email confirming that the facility will no longer use the unapproved areas by POC due date of 10/17/2025.

  Based on interview with the Director, LPAs confirmed that the program occasionally uses an unlicensed area (the hallway in Wing - A) as1 indoor activity space during inclement weather, which poses a potential risk to the health, safety, or personal rights of children in care

  Open Not marked corrected in the state record

  Category: health medication. Open / not marked corrected.

• Type B

  101238.3(a)(1) · 101238.3 Indoor Activity Space (a) (1) Bathrooms, halls, offices, isolation areas, food-preparation areas, and storage places shall not be included in the calculation of indoor activity space. This requirement has not been met as evidenced by Director will cease the use of the Hallway in Wing C as of today, 10/14/2025 and submit a written statement via email confirming that the facility will no longer use the hall in Wing C for play activities by POC due date of 10/17/2025.

  Based on interview with the Director, LPAs confirmed that the program occasionally uses the hallway in Wing - C as indoor activity space during inclement weather, which poses a potential risk to the health, safety, or personal rights of children in care

  Open Not marked corrected in the state record

  Category: ratio. Open / not marked corrected.

Disposition: Substantiated