Sharon Ream

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 6 children's files and observed one child to have an expired emergency medical authorization. Correction: Obtain current emergency medical authorization for the children. Correct immediately by 10/16/25 or on next day child is in care and submit written statement of compliance with overall response is 11/16/25. Correct by 10/16/2025

Corrected by Oct 16, 2025

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2.311.A.14 · Subsequent health evaluations for the primary provider, applicant 2, and children residing in the home who are less than ten (10) years of age must be obtained every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. A new family member and/or a new resident of the home must obtain a health evaluation form signed and dated by a licensed physician or other health care provider within thirty (30) days from the date the individual began living in the home.

Observed the provider's health statement to be expired. Correction: Obtain a current health statement for the provider. Correct and submit written statement of compliance with

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