2.418.D · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label and must match the written medication authorization and health care plans.

Prescription medication lacking original pharmacy label. Correction: Immediately ensure prescription medications contain the original pharmacy label. Correct by 07/16/2025

Corrected Corrected by Jul 16, 2025

Category: health medication. Marked corrected in the state record.

2.138.A · Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Reviewed recorded emergency drills and identified facility lacking documentation of lockdown and active shooter drills. Correction: Immediately ensure lockdown and active shooter drills are held at least quarterly but often enough so that all occupants are familiar will the drill procedure and conduct during a drill is a matter of established routine. Correct by

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.