3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility's policy for Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment lacked examples of the symptoms or signs of shaken baby syndrome, abusive head trauma, and general maltreatment.

Corrected Corrected by Sep 4, 2025

Category: ratio. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

A jaw-style staple remover was accessible to children in an unlocked desk drawer in Building 2 Room 2, Scuola 2.

Corrected Corrected by Aug 11, 2025

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

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #1 contained documentation of consecutive fire safety trainings completed more than 12 months apart; 5/10/24 and 6/23/25.

Corrected Corrected by Sep 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

A can of spray room deodorizer, labeled keep out of reach of children was accessible to children on a low shelf in the preschool restroom in Building 3. The storage cabinet was not locked.

Corrected Corrected by Aug 11, 2025

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

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

An unlabeled reusable spray bottle containing bleach solution was observed in Building 3 Room 3., Scuola 3.

Corrected Corrected by Aug 11, 2025

Category: ratio. Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

Morning glory was observed growing on the fence in the outdoor play space. The plant was located in one area of the garden and in the corner of the young toddler play space. Boxwood branches were observed protruding into the older toddler play space. The shrubs are planted outside the fence.

Corrected Corrected by Aug 11, 2025

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

The outer panel of the restroom door was observed to be separating from the inner core near the bottom creating a pinch point in Building 2 Room 1, Nido 1. A portion of damaged metal trim with sharp edges was observed under a window, at ground level, in the outdoor preschool play space.

Corrected Corrected by Sep 4, 2025

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Several cracks, creating pinch points, were observed on a green plastic storage bin containing blocks in the outdoor preschool play space.

Corrected Corrected by Sep 4, 2025

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Spilled brown liquid was observed in the bottom of the refrigerator in Building 2 Room 2, Nido 2.

Corrected Corrected by Aug 11, 2025

Category: nutrition. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file for child #3 did not include documentation that the most recent child service report, completed by staff in March 2025, was shared with the parents.

Corrected Corrected by Aug 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The emergency contact information and agreements for child #1, #2, and #4 were not reviewed by the parent within a 6-month period. Current parental reviews are now on file. The emergency contact information and agreement for child #5 have not been reviewed and signed by the parent in over 6 months. The most recent review was dated 3/03/24.

Corrected Corrected by Aug 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Standing water was observed in 4 tires on the preschool playground.

Corrected Corrected by Sep 12, 2024

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

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility's letter for parents explaining the emergency procedures did not include details regarding the accommodations for infants and toddlers.

Corrected Corrected by Sep 12, 2024

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

3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #4 did not renew their certification in pediatric first aid and pediatric CPR on or before the expiration of the most current certification. The previous certification was dated 1/18/22 and was renewed on 4/11/24. Current training is now on file.

Corrected Corrected by Sep 12, 2024

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #1 contained documentation of consecutive fire safety trainings completed more than 12 months apart; 10/25/22 and 11/03/23.

Corrected Corrected by Sep 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.. Staff person #3 will have until 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, then staff person #3 may not work in a child-care position at the facility.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR and First Aid from an approved source. The certification on file was BLS.

Corrected Corrected by Sep 30, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The files for staff #5,#6, and #7, all employed over 45 days, contained incomplete state police clearances. All three clearances lacked a dissemination date. (See LIS code sheet)

Corrected Corrected by Sep 12, 2024

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for staff #2 and #6, both designated as assistant group supervisors on the staff data sheet, did not contain documentation of the qualifications required for the position.

Corrected Corrected by Sep 12, 2024

Category: supervision. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Two loose nails were observed where the first aid kit was hanging in Room 3 of Building 1. One nail fell to the floor when the kit was removed to check its contents.

Corrected Corrected by Sep 12, 2024

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

A handwashing sign was not posted in the diapering area in Room 2 of Building 1.

Corrected Corrected by Sep 12, 2024

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

3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

An Ace Flyer Teeter Totter was observed in the play space used by toddlers. Based on statements made by staff, the play equipment has been in use for over a year. The manufacturer's instructions state the equipment is not suitable for use by children under 3 years of age. A set of suction cup toys in Picolo 3 was labeled not for use by children under 6 years old.

Corrected Corrected by Sep 12, 2024

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Sharp plastic was observed on a sensory cube in Room 2 of Building 1 and a wall mounted activity board in the EHS room in Building 2.

Corrected Corrected by Sep 12, 2024

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

3270.103/3270.104(a) · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

A torn corner which exposed the inner foam filling was observed on an adult chair in Room 2 of Building 1.

Corrected Corrected by Sep 12, 2024

Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information for children #1 and #2 did not include complete work addresses for the enrolling parent. The emergency contact information for child #2 was also missing a complete home address for the enrolling parent.

Corrected Corrected by Sep 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff #8 contained results of a screening for TB dated 9/26/22, which is more than 12 months prior to initial employment. (SEE LIS CODE SHEET)

Corrected Corrected by Sep 12, 2024

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The operator lacked updated sections in their emergency plan that addresses the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.

Corrected Corrected by Sep 18, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Staff file #1 contained a copy of the request for the NSOR Verification form but lacked the valid NSOR Verification form in the file within 45 days of hire. (See LIS CODE SHEET)

Corrected Corrected by Sep 19, 2023

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The infant room lacked soap and sterile gauze pads in the first aid kit.

Corrected Corrected by Sep 18, 2023

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

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

The facility lacked an emergency contact forms for child #1, child #2 and child #3 in the child care space where they were receiving care.

Corrected Corrected by Sep 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.133(1)/3270.133(2) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

The facility had an Aovi Q for child #4 that lacked the original prescription label for the medication.

Corrected Corrected by Sep 18, 2023

Category: ratio. Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

The facility had an expired EPI Pen for child #5.

Corrected Corrected by Sep 19, 2023

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

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

On 4/5/23, Staff person #1 was in the outdoor playground with 6 older toddlers. When staff #1 was transitioning the children back to the classroom, Child #1, remained outside in the playground, unsupervised for 1 to 3 minutes. When Staff person #2 was notified that the child was alone on the playground she immediately left the classroom to retrieve the child. Staff person #3 remained in the classroom with more than 5 young toddlers.

Corrected Corrected by Jul 10, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

On 4/5/23, Staff person #1 was in the outdoor playground with 6 older toddlers. When staff #1 was transitioning the children back to the classroom, Child #1, remained outside in the playground, unsupervised for 1 to 3 minutes. When Staff person #2 was notified that the child was alone on the playground she immediately left the classroom to retrieve the child. Staff person #3 remained in the classroom with more than 5 young toddlers.

Corrected Corrected by Apr 15, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

On 4/5/23, Staff person #1 was in the outdoor playground with 6 older toddlers. When staff #1 was transitioning the children back to the classroom, Child #1, remained outside in the playground, unsupervised for 1 to 3 minutes. When Staff person #2 was notified that the child was alone on the playground she immediately left the classroom to retrieve the child. Staff person #3 remained in the classroom with more than 5 young toddlers.

Corrected Corrected by Apr 14, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Staff person #2 lacked copies of the North Carolina State Criminal History Check, State Sex Offender Registry Check and State Child Abuse and Neglect Registry Check where the staff person has resided within the past 5 years.

Corrected Corrected by Apr 14, 2023

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Staff was observed lifting the lid of the diaper can with hand and not using the hands free pedal to dispose of a soiled diaper.

Corrected Corrected by Aug 16, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

Staff file #2 contained a volunteer Child Abuse Clearance dated 6/14/21 in the file.

Corrected Corrected by Aug 16, 2022

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Staff files #1 and #3 contained written staff evaluations that were completed on 6/8/21 but lacked an updated staff evaluation every 12 months as required.

Corrected Corrected by Aug 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in the toddler room lacked sterile gauze pads and the first aid kit in the preschool room lacked disposable, nonporous gloves.

Corrected Corrected by Aug 16, 2022

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Child files #1, #2, and #3 lacked documentation of influenza vaccination in accordance of the schedule recommended by the ACIP.

Corrected Corrected by Sep 2, 2022

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Staff file #3 contained health assessments dated 12/2/19 and 8/1/22 which was more than 24 months as required.

Corrected Corrected by Aug 1, 2022

Category: ratio. Marked corrected in the state record.

3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

A five month old infant was observed drinking a bottle without being held by a staff person.

Corrected Corrected by Aug 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The facility lacked posting of safe routes at the facility in a conspicuous location.

Corrected Corrected by Aug 16, 2022

Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Staff file #3 contained documentation of 9 hours of child care training completed between 12/19/20-12/19/21.

Corrected Corrected by Aug 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Child file #1 and #2 lacked an initial health assessment received within 60 days of the first day of attendance at the facility. (See LIS CODE SHEET)

Corrected Corrected by Aug 16, 2022

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

3270.75(a) · A first-aid kit shall be in a child care space.

The preschool classroom lacked a first aid kit.

Corrected Corrected by Aug 3, 2021

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Three protruding nails were observed on the wall of the preschool room near the sleeping bag storage area.

Corrected Corrected by Aug 3, 2021

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Two holes, approximately the size of a dime, were observed on a fitted sheet being used in a crib in the infant room.

Corrected Corrected by Aug 3, 2021

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

The file for child #1 contained an agreement which did not include the operator's signature.

Corrected Corrected by Aug 4, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development in the following topics within 90 days of hire: Pediatric first aid and pediatric cardiopulmonary resuscitation.

The files for staff #1-#4, all employed for over 90 days, did not contain documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation.

Corrected Corrected by Aug 30, 2021

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

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

An extension cord in the older toddler room, accessible to children 5 years of age or younger, lacked 1 protective outlet cover.

Corrected Corrected by Aug 3, 2021

Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file for child #1 contained emergency contact information which did not include written consent signed by a parent for emergency medical care.

Corrected Corrected by Aug 4, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file for child #1 contained emergency contact information which did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Aug 4, 2021

Category: ratio. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

An electrical outlet in the young toddler room, accessible to children 5 years old or younger, lacked a protective cover.

Corrected Corrected by Jul 20, 2021

Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Splintering wood was observed on the fence in the outdoor play space near the shed. Pieces of broken glass were observed on the ground in the outdoor play space along the chain link fence near the parking area.

Corrected Corrected by Jul 21, 2021

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

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

A full length glass door between the young toddler and infant room lacked visual identification.

Corrected Corrected by Jul 20, 2021

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Sharp staples were observed around the interior of the lid of a toy box in the young toddler room where the fabric top was stapled in place.

Corrected Corrected by Jul 20, 2021

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Both the infant room and young toddler room lacked a posted written plan identifying the means of transporting a child to emergency care.

Corrected Corrected by Jul 20, 2021

Category: transportation. Marked corrected in the state record.