101221(b)(5) · Child's Records (b) Each record shall contain information including, but not limited to, the following: (5) Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by means of not having an LIC 700 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/01/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(b)(1) · Personal Rights (1) The center shall give each authorized representative a copy of the Personal Rights form (LIC 613A [9/96]).

Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by means of having the top portion in files and not provided to parents which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/01/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.