2.513.A · Any un-expired routine medication, prescription and non-prescription (over-the-counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parent(s) or guardian(s) consent. Home remedies, including homeopathic medications, vitamins, and supplements must not be administered to children in childcare .

Reviewed 5 child medications. Observed CH5's health care plan lacking parent signature. Correction: Obtain a parent signature on the written order of a health care plan. Correct immediately respond with verification of compliance by 12/9/2025. Correct by 12/02/2025

Corrected Corrected by Dec 2, 2025

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

2.524.A.9 · All outdoor play areas used for children’s activities must be checked prior to use and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

Observed on the playground, a 3-4 inch gap between the sidewalk and pour in place, causing a potential tripping hazard. Correction: All outdoor areas must be kept safe and free from broken and worn play equipment. Correct immediately and

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.