• Type B

  101430(a)(3)(A)(4)(a) · Infant Care Activities (A) Staff shall place infants up to 12-months of age on their backs for sleeping. (4) Infants with an Individual Infant Sleeping Plan [LIC 9227 (3/20)] that have Section C of the form completed and signed by an authorized representative shall be placed on their back when first laid down to sleep. In the event the infant changes position, the infant may remain in the alternative position. (a) Upon staff observation that the infant is capable of rolling from their back to their stomach and stomach to their back, the provider shall fill out Section D of the Individual Infant Sleeping Plan [LIC 9227 (3/20)], notify the authorized representative, and obtain the authorized representative's signature on the individual sleeping plan no later than the next business day following observation.

  Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in two of five child files audited. Where C1 and C2 LIC 9227 Sec: D was not updated. Which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/23/2026

  Open Not marked corrected in the state record

  Category: health medication. Open / not marked corrected.

• Type B

  101216(g)(1) · Personnel Requirements (1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

  Deficient Practice Statement Based on record review the licensee did not comply with the section cited above in three of five staff files audited were missing a physical and proof of TB clearance. Which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/23/2026

Disposition: Unsubstantiated