2.218.C.5.a · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider, parent(s)/guardian(s) and must include, but not be limited to, the following: Medication and dosing schedule;

Reviewed children's health care plans and observed one child lacking a parent/guardian signature on the health care plan. Correction: Ensure all children's health care plans are updated at least every (12) months and as changes occur, include all required information, and are signed by the health care provider and the parent/guardian. ***Corrected at the time of visit. Director obtained the parent's signature on the child's health care plan. NO RESPONSE REQUIRED. Correct by 12/30/2025

Corrected Corrected by Dec 30, 2025

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

2.138.A · Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.