Modifications to Infant Needs and Services Plan (a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy.

Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in that infant needs and services plan for 4 out of 9 persons were not updated quarterly which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/05/2025

101419.3(a) · Correction status not published

Outdoor Activity Space (d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above due to the infant playground had debris, piles of wood branches, a wood board with nails protruding from the ends of the board, one (1) rusted nail exposed from the fencing, one (1) yard rake, a tent in disrepair and a piece of the chain link fencing protruding out towards the play area which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/28/2025

101238.2(d)(2) · Correction status not published

Responsibility for Providing Care and Supervision for Infants (B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following