2.337.A.7 · All outdoor areas where children may pass or play must be kept free of animal contamination. All animal wastes must be promptly removed and inaccessible to children.

Multiple piles of dog feces in the back yard where children play. Correction: All outdoor areas where children may pass or play must be kept free of animal contamination. Correct by 01/07/2026

Corrected Corrected by Jan 7, 2026

Marked corrected in the state record.

2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

Reviewed 8 child files, observed CH1, CH4, CH7 and CH8 to have expired health statements. Correction: Obtain current health statements for all children, retain in the child's file. Correct by 02/07/2026

Corrected Corrected by Feb 7, 2026

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

2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.”

A container of chicken vitamins labeled "keep out of reach of children" located in a bucket stored on the ground outside in an area accessible to children. Provider moved the container to the locked garage, making it inaccessible to children. No response is necessary. Correction: All items labeled "keep out of reach of children" must be inaccessible to children. Correct by 01/07/2026