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 8 children's files and observed 6 files having an expired emergency medical authorization. Observed 2 files to be missing a dated emergency medical authorization. Correction: Obtain documentation of current emergency medical authorization and submit documentation of compliance to specialist with written response. Correct by 02/10/2026

Corrected Corrected by Feb 10, 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 screw protruding from a drawer on shelving unit accessible to children in the playroom to be exposed and posing a potential safety hazard Correction: Make all hazardous items inaccessible to children. ***CORRECTED AT TIME OF VISIT*** Provider removed exposed screw making it inaccessible to children. No response needed. Correct by 02/20/2025