Adeyinka Adigun

It was determined, the provider was not responsible for creating, maintaining or implementing the policies and procedures detailed in appendix C and D of this rule. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule. Corrective Action Plan Due: 06/13/2026 Rules In-Compliance/Not Verified TG i Department of ~ Children & Youth ae PRule Status | Documenting Statement(s), If applicable 5180:2-13-02 Voluntary Temporary Compliant Closure [Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statements), If applicable ON a [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-13-02 Provider Medical Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-03 Inspection Compliant Requirements [Rule Status | Documenting Statement(s), If applicable 5180:2-13-04 Building Requirements Compliant for Type B Homes [Rule Status | Documenting Statement(s), If applicable 5180:2-13-04 Fire Safety for Type B Compliant Homes [Rule Status | Documenting Statement(s), If applicable 5180:2-13-04 Flammable and Compliant Combustible Materials in a Type B Home [Rule Status | Documenting Statement(s), If applicable 5180:2-13-04 Heaters in a Type B Compliant Home PRule Status | Documenting Statement{s), If applicable a a TG i Department of ~ Children & Youth ae [Rule SCS Status ——~SCS~S Do curenting Statements), Paplcab le a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-07 Type B Provider - Foster | Compliant Parent [Rule Status | Documenting Statement(s), If applicable 5180:2-13-08 Child Care Staff Compliant Requirements | Rule Cd Status | Documenting Statement(s), If applicable 5180:2-13-08 Employee Requirements | Compliant re | Rule Status | Documenting Statement(s), If applicable 5180:2-13-08 Whistle Blower Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-09 Background Checks Compliant re [Rule Status | Documenting Statement(s), If applicable ee a P Rule Status | Documenting Statement(s), If applicable 5180:2-13-10 Professional Compliant Development | Rule Status | Documenting Statement(s), If applicable en a [Rule Status | Documenting Statement(s), If applicable ee a P Rule Status | Documenting Statement(s), If applicable 5180:2-13-11 Outdoor Space [Compliant TG i Department of ~ Children & Youth ae [Rule Cd Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable “eee a [Rule Status | Documenting Statement(s), If applicable ee a | Rule Status | Documenting Statement(s), If applicable 5180:2-13-12 Carbon Monoxide Compliant Detectors - Type B Only | Rule Status | Documenting Statement(s), If applicable a _ ee [Rule Status | Documenting Statement(s), If applicable 5180:2-13-13 Clean environment and | Compliant equipment | Rule i Status | Documenting Statements), If applicable oo a [Rule Status | Documenting Statements), If applicable 5180:2-13-14 Requirements for Field Compliant and Routine Trips | Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-14 Ratio and Supervision Compliant for Field and Routine Trips sa i Department of ~ Children & Youth ae [Rule i Status | Documenting Statement(s), If applicable —o a [Rule sd Status | Documenting Statement(s), If applicable a a [Rule Status | Documenting Statement(s), If applicable a [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-15 Health Conditions Compliant re [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-15 Child Records Retention | Compliant and Confidentiality [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-16 Medical, Dental, and Compliant General Emergency Plan [Rue Status | Documenting Statement(s), If applicable oe a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 First Aid Kit/Standard Compliant Precautions [Rule Status | Documenting Statement(s), If applicable a [Rule sd Status | Doocumenting Statement(s), If applicable ee a [Rule Cid Status Documenting Statement(s), If applicable TG i Department of ~ Children & Youth ae 5180:2-13-16 Emergency Compliant Preparedness and Response Plan | Rule sd Status | Documenting Statement(s), If applicable a a [Rule Status | Documenting Statement(s), If applicable es a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-19 Supervision Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-19 School Age Supervision | Compliant re [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-19 Child Guidance Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-21 Sanitary Environment Compliant and Hygiene [Rule Status | Documenting Statement(s), If applicable 5180:2-13-20 Sleep and Nap Compliant Requirements [Rule i Status | Documenting Statements), If applicable 5180:2-13-20 Crib and Playpen Compliant Requirements [Rule Status | Documenting Statement(s), If applicable 5180:2-13-21 Evening and Overnight Compliant Care [Rule Status | Documenting Statement(s), If applicable TG i Department of ~ Children & Youth ae a [Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable a [Rue i Status | Documenting Statement(s), If applicable 5180:2-13-23 Infant Bottle and Food Compliant Preparation [Rue i Status | Documenting Statement(s), If applicable 5180:2-13-24 On-site Pools Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-24 Swimming Sites Compliant re pRue Status | Documenting Statement(s), If applicable 5180:2-13-24 Parent Permission for Compliant Swimming [Rule Status | Documenting Statement(s), If applicable 5180:2-13-25 Medication Compliant Requirements

During the inspection, it was determined the provider’s license was not in a location visible to parents, as required. Submit the program’s corrective action plan to verify compliance with the requirements of this rule. TG i Department of ~ Children & Youth ae | Corrective Action Plan Due: 06/13/2026 |

During the inspection, it was determined the handwashing requirements were not being followed by a child after diaper change. Submit the program’s corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 06/13/2026

In review of the children's records, it was determined that information had not been secured from the parent/guardian on the JFS 01234 “Child Enrollment and Health Information For Child Care”, as required, for the items in number 4 below: 1. No enrollment form was completed for at least one child 2. The current JFS 01234 was not completed for at least one child 3. Complete child information 4. Complete parent information 5. Complete emergency contact information 6. Complete physician information 7. Information regarding the parent list 8. Health information 9. Additional information for all boxes checked “yes” 10. Emergency transportation information 11. Parent/guardian’s signature 12. Diapering Statement 13. Acknowledgement of Policies and Procedures 14. Enrollment form for at least one child was not updated by either the parent or the administrator 15. Enrollment form for at least one child was not signed by the administrator 16. Other [ ] Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule. Corrective Action Plan Due: 06/13/2026

During the inspection, it was determined the daily schedule was not posted in the program. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule. Corrective Action Plan Due: 06/13/2026

During the inspection, it was determined that equipment and materials in the following categories were not provided in sufficient quantities for children in the classroom, as required: 2, 3, 6, 7, 8. 1. Art supplies (excludes infants) 2. Manipulative materials and equipment 3. Blocks 4. Science-nature equipment (excludes infants) 5. Language arts and auditory materials and equipment 6. Pretend or dramatic play materials 7. Music equipment 8. Transportation materials and equipment 9. Gross motor equipment sa i Department of ~ Children & Youth ae 10. Sensory motor equipment 11. School age children were not provided sufficient equipment and materials in at least five of the first nine categories above. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule. Corrective Action Plan Due: 06/13/2026

During the inspection, it was determined that the program's weekly menu did not meet the requirement as noted in number 1 below. 1. The menu was not posted. 2. The posted menu was not in a visible place readily accessible to parents. 3. The menu was not currently dated. 4. The entire menu was substituted. 5. At least one item on menu did not match what was served. 6. The meal or snack served did not match the posted menu. Submit the program's corrective action plan to verify compliance with the requirement of the rule. Corrective Action Plan Due: 06/13/2026

During the inspection, it was determined the required supplies were not available for diaper changing as noted in the following number 1 below: 1. There was no disposable separation material; 2. There was no germicidal solution for sanitizing; 3. There were no plastic containers or bags for the storage of soiled clothing; 4. There was no clean supply of diapers; 5. There was no extra change of clothing; 6. Other [ ]. Submit the program’s corrective action plan to verify compliance with the requirements of this rule. sa i Department of hj Children & Youth [smstsstonomentmng __]