2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Applicant 2, Lucas H., had an expired FBI clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Lucas H. have reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letter for Lucas H. with written response to Specialist. Correct by 09/23/2024

Corrected Corrected by Sep 23, 2024

Category: background checks. Marked corrected in the state record.

2.312.M · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved introduction to the early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

Applicant 2, Lucas H., had not yet completed; Introduction to the Early Intervention and Preschool Special Education Programs training. Correction: All staff must complete a Department-approved training on Early Intervention and Preschool Special Education

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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;

Two (2) out of six (6) child files had expired authorization for emergency medical care. Correction: Parents must annually submit written authorization for emergency medical for their enrolled child. Correct by 09/23/2024

Corrected Corrected by Sep 23, 2024

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

2.321.A.2.b · At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the family child care home: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s) and/or guardian(s), defining the interventions needed to care for a child who has an identified health condition or developmental concerns, including, but not limited to: seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, supplies, and or medical equipment must be available to the primary provider, applicant 2, equally qualified providers, qualified substitutes, and any staff members prior to the child’s first day of care. The primary provider, applicant 2, equally qualified providers, qualified substitutes, and any staff members working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented.

The program has a child with an individualized health care plan for special needs but did not have documentation of working with a Department-approved child care health consultant. Correction: Staff working with a child with a health care plan must be informed, trained and delegated by a Department-approved child care health consultant. Correct by 09/23/2024

Corrected Corrected by Sep 23, 2024

Category: supervision. Marked corrected in the state record.

2.321.A.3 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent(s) or guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children under two and one-half (2-1/2 ) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the licensed family child care home.

Two (2) out of six (6) child files had health statements but they were not signed by a health care professional. Correction: The statement of child's health for enrolled children must be signed and dated by a health care provider. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: ratio. Marked corrected in the state record.

2.321.C.5 · 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, and must be signed by the health care provider and the parent(s) or guardian(s). The plan must include if applicable, but not limited to, the following:

A child's individualized health care plan expired 8/28/2024. Correction: Individual health care plans must be updated at least every twelve (12) months. Correct by 09/23/2024

Corrected Corrected by Sep 23, 2024

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.”

Equate antibiotic ointment, leave in conditioner, baby wipes & disinfectant wipes were all accessible to children from a step stool in the bathroom. Correction: Items labeled, "keep out of reach of children," must be inaccessible to children at all times. Corrected at the

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.336.C.15.a · Fire extinguishers must be replaced at least every six (6) years.

The expiration date on the fire extinguisher in the home was 3/2021. Correction: Fire extinguishers must be replaced at least every six (6) years. Correct by 09/23/2024

Corrected Corrected by Sep 23, 2024

Category: ratio. Marked corrected in the state record.

2.337.D.2 · All outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children.

A broken porch swing and a gardening hose that could pose a hazard were accessible to children in the backyard. Correction: Outdoor play areas must be kept safe and free from hazardous materials. Correct by 09/23/2024

Corrected Corrected by Sep 23, 2024

Category: physical safety. Marked corrected in the state record.