Lashawna Graham

2.337.B.1.b · Department-approved resilient surfacing includes loose fill materials such as wood chips, wood mulch, engineered wood fiber, pea gravel, synthetic pea gravel, shredded rubber tires, and sand. Solid unitary materials include poured in place surfacing, approved rubber mats, playground tiles, and artificial turf with built in resilient pad.

At the time of the visit the swing area did not have resilient surfacing. Correction: All playgound area fall zones must have at laest 6" of resilient surfacing. Submit a written statement of compliance to the specialist by Correct by 05/25/2025

Corrected by May 25, 2025

2.311.A.14 · Subsequent health evaluations for the primary provider, applicant 2, and children residing in the home who are less than ten (10) years of age must be obtained every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. A new family member and/or a new resident of the home must obtain a health evaluation form signed and dated by a licensed physician or other health care provider within thirty (30) days from the date the individual began living in the home.

Reviewed 1 Providers file. Observed 1 Provider (LaShawna G.) missing current health evaluations. Correction: Correct Immediately. Subsequent health evaluations for the primary provider, applicant 2, and children residing

2.321.A.3 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent(s) or guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children under two and one-half (2-1/2 ) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the licensed family child care home.

Reviewed 7 children's files. Observed 2 children's files was missing, statement of the child’s current health status or written verification of a scheduled appointment. Correction: Correct immediately ensure the parent or guardian of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care practitioner. Submit a written statement of compliance to the specialist by Correct by 06/14/2024

Corrected by Jun 14, 2024

2.320.A.7 · An admission record must be completed for each child prior to or at the time of the child’s admission and updated annually or when any changes occur, unless otherwise specified in these rules. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s) or guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 7 children's files. Observed 2 children's files was missing Emergency Medical authorization form Correction: Correct Immediately Facility must obtain and maintain emergency medical authorization form on file, and updated annually Submit a written statement of compliance to the specialist by Correct by 05/21/2024

Corrected by May 21, 2024