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 record review, the licensee did not comply with the section cited above. Child 5 (C5) does not have an Infant Sleep Log that documents the time of each 15-minute check at the time of the visit. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/25/2025

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

102421(d)(1) · (1) The licensee shall maintain a completed and signed LIC 9150 (Rev. 8/14) Parental Notification Additional Children in Care, which is incorporated by reference, for this purpose.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. Child 1, 2, 3, 4, and 5 (C1, C2, C3, C4, C5) does not have a copy of the Parent Notification Additional Children In Care (LIC9150) at the time of the visit. By the licensee own admission, there are at least 8 school age children enrolled at the facility and 16 children enrolled. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/25/2025