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;

At the time of the visit, three children’s files were reviewed. One file contained an expired emergency medical authorization form, and two files were missing the emergency medical authorization form. Correction: Immediately review all children’s files to ensure each file contains a signed and dated emergency medical authorization form that is updated annually. Submit copies of the completed forms along with a written statement of compliance by March 4, 2026. Correct by 02/18/2026

Corrected Corrected by Feb 18, 2026

Category: health medication. 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.