8.9.5.11 · E Documentation

Registered primary caregiver does not maintain documentation of all applications, correspondence and clearances relating to the background checks required. **HHM MALE AGE 35 YEARS OLD. *** Correction Date to be Completed: 04/12/2026 Immediate: Immediately initiate and complete a full background check for the identified household member (husband, age 35) in accordance with regulations. Preventative: Implement a checklist or automated system within the intake/onboarding process to ensure that background checks for all household members are triggered and tracked systematically. Monitoring: Conduct a quarterly audit of a random sample of household member files to verify that all required background checks have been completed and are current according to regulatory requirements.

Open Not marked corrected in the state record

Open / not marked corrected.

8.9.5.10 · L CPR and First Aid Certification

Primary and substitute caregivers did not obtain current first aid and CPR certification with a pediatric component. Correction Date to be Completed: 04/12/2026 Immediate: Provider will submit the recently obtained CPR and First Aid certification with a pediatric component as soon as it is received via mail this week. Preventative: Provider will ensure to keep a current and updated certificate in hand at all times, as required by regulation. Monitoring: Provider will review records quarterly to check that the certificate is updated and on file, ensuring continuous compliance.