2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

Reviewed provider file and observed provider to be missing 15 clock hours of ongoing professional development training. Correction: Obtain current documentation of 15 clock hours of ongoing professional development training. Submit documentation of compliance with written response. Correct by 02/20/2026

Corrected Corrected by Feb 20, 2026

Category: recordkeeping. Marked corrected in the state record.

2.321.B.8 · All medications in the family child care home, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff members trained in administering medication.

Over the counter and prescription medications accessible to children in kitchen in cabinet above counter on the left of the sink. Correction: All medications in the family child care home, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.”

Shampoo/Conditioner, Body wash all labeled keep out of reach of children accessible to children in bathroom shower. Razor accessible to children in bathroom shower. 2 packages of diaper wipes labeled keep out of reach of children accessible to children in playroom in low shelf. Knife, adult scissors and vegetable peeler accessible to children in low unlocked drawers in kitchen. Large plastice wrap from furniture accessible to children in play room. All posing potenial safety hazards. Correction: All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.” ***CORRECTED AT TIME OF VISIT*** Provider moved wipes, shampoo/conditioner, body wash and razor to locked closet, provider locked knife, adult scissors and vegetable peeler in drawer. Provider moved large plastic wrap to locked closet. Making all items inaccessible to children. No response required Correct by 01/20/2026

Corrected Corrected by Jan 20, 2026

Category: physical safety. Marked corrected in the state record.

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a Department-approved training in standard precautions that meets current occupational safety and health administration (OSHA) requirements prior to working with children. This training must be renewed annually.

Reviewed provider file and observed provider having an expired Standard Precautions training. Correction: Obtain current documentation of Standard Precautions training, add to file and submit documentation of

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.318.C.3 · The following emergency records must be kept and maintained at the family child care home for twelve (12) months: Dates of monthly smoke alarm testing.

Reviewed provider drill logs and observed 12 months of monthly smoke alarm testing to be missing. Correction: The following emergency records must be kept and maintained at the family child care home for 12 months: Dates of monthly smoke alarm testing. Provide plan of compliance with written response. Correct by 01/20/2026

Corrected Corrected by Jan 20, 2026

Category: recordkeeping. Marked corrected in the state record.

2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards.

3 electrical outlets to be missing protective covers in the family room, 1 electrical outlet in living room to be mssing protective cover. Correction: In rooms accessible to children, all electrical outlets and power strips must have protective covers or safety outlets must be installed. *** CORRECTED AT TIME OF VISIT*** Provider installed protective cover on all electrial outlets making them inaccessible to children. No response required. Correct by 01/20/2026

Corrected Corrected by Jan 20, 2026

Category: physical safety. Marked corrected in the state record.

2.337.A.7 · All outdoor areas where children may pass or play must be kept free of animal contamination. All animal wastes must be promptly removed and inaccessible to children.

Outdoor grass area observed to be having animal contamination. Correction: All outdoor areas where children may pass or play must be kept free of animal contamination. All animal wastes must be promptly removed and inaccessible to children. Submit plan of compliance with written response. Correct by 01/20/2026

Corrected Corrected by Jan 20, 2026

Marked corrected in the state record.

2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

Reviewed 5 child files and observed 1 child not having an updated health statement. Correction: Health statements for children over 2 years to 7 years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care or as required in writing by health care provider. Submit plan of compliance with written response. Correct by 02/20/2026

Corrected Corrected by Feb 20, 2026

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

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 5 child files and observed 3 child files to be having outdated Emergency Medical Authorization. Correction: An admission record must be completed for each child prior to or at the time of the child's admission and updated annually. Correct by 01/20/2026

Corrected Corrected by Jan 20, 2026

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