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

The authorizations for emergency medical care in two children's files reviewed were expired. Correction: Immediately (01/24/2024) obtain current signed authorizations for emergency medical care and retain in children's files. Submit verification of correction to Licensing with written response no later than 02/07/2024. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

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

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

No current Standard Precautions training was present in the files for Thea or Chloe. Correction: Immediately (01/24/2024) complete current Standard Precautions training and retain in employee files. Submit

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

No current Shaken Baby training was present in the file for Katrina. Correction: Immediately (01/24/2024) complete current Shaken Baby training and retain in employee file. Submit copy of certificate to Licensing with written response no later than 02/07/2024. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

No current abuse training was available in the file for Thea, Rebecca and Chloe. Correction: Immediately (01/24/2024) complete current abuse training and retain in employee files. Submit copies of certificates to Licensing with written response no later than 02/07/2024. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

Category: recordkeeping. Marked corrected in the state record.