Arletha Strickland

In review of the program's records, it was determined that requirements for written permission from the parent/guardian for a field trip or routine trip were not met as listed in number(s) 1 below: 1. Written parental permission was not secured for field trips and/or routine trips off the premises. 2. The written permission was missing the child’s name. 3. The written permission was missing the date(s) of the trip(s) (field trips only). 4. The written permission was missing the destination(s) of the trip(s). 5. The written permission was missing the departure and return time(s) of the trip(s) (field trips only). 6. The written permission was missing the signature of the parent. 7. The written permission was missing the date on which the permission was signed. 8. The written permission was missing a statement notifying parents how their child will be transported. 9. Permission forms for routine trips were not being updated annually. 10. Written parental permission forms for field trips and/or routine trips were not being maintained on file for at least one year from the date of the trip. 11. Other: [ ]. Submit the program’s corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 03/22/2026 Rules In-Compliance/Not Verified [Rule Status | Documenting Statements), If applicable 5180:2-13-02 Voluntary Temporary Compliant Closure [Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable a P Rule Status | Documenting Statement(s), If applicable a TG i Department of ~ Children & Youth ae | Rule sd Status | Documenting Statement(s), If applicable — a [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 [Rule Status | Documenting Statement(s), If applicable — a [Rule Status | Documenting Statement(s), If applicable a [Rule Status | Documenting Statement(s), If applicable 5180:2-13 Written Policies and Compliant Procedures [Rule Status | Documenting Statement(s), If applicable 5180:2-13-07 Type B Provider - Foster | Compliant Parent PRule i Status | Documenting Statement(s), If applicable TG i Department of ~ Children & Youth ae 5180:2-13-08 Child Care Staff Compliant Requirements | Rule Cd Status | Documenting Statement(s), If applicable ON a [Rule Status | Documenting Statement(s), If applicable ee a [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-09 Background Checks Compliant re [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-10 Health Training Compliant re [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-13-10 Professional Compliant Development [Rule Status | Documenting Statement(s), If applicable 5180:2-13-11 Indoor Space Compliant re [Rule Status | Documenting Statement(s), If applicable ee a [Rue Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable TG i Department of ~ Children & Youth ae a [Rule Status | Documenting Statement(s), If applicable a a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-12 Carbon Monoxide Compliant Detectors - Type B Only [Rule i Status | Documenting Statements), If applicable a a | Rule Status | Documenting Statement(s), If applicable 5180:2-13-13 Clean environment and | Compliant equipment [Rule Status | Documenting Statement(s), If applicable 5180:2-13-13 Toothbrushing Compliant re [Rule Cd Status | Documenting Statement(s), If applicable ee = ee [Rule Status | Documenting Statement(s), If applicable —e a [Rule Status | Documenting Statements), If applicable 5180:2-13-14 Ratio and Supervision Compliant for Field and Routine Trips | Rule Status | Documenting Statement(s), If applicable oo a P Rule 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 5180:2-13-15 Child Medical and Compliant Enrollment Records [Rule Status | Documenting Statement(s), If applicable a a | Rule Cd Status | Documenting Statement(s), If applicable 5180:2-13-15 Child Records Retention | Compliant and Confidentiality | Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 Emergency Drills Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 First Aid Kit/Standard Compliant Precautions [Rule Status | Documenting Statement(s), If applicable ee a p Rule i Status | Documenting Statements), If applicable — a | Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 Emergency Compliant Preparedness and Response Plan [Rule Status | Documenting Statement(s), If applicable 5180:2-13-17 Materials and Compliant Equipment P Rule Status | Documenting Statement(s), If applicable 5180:2-13-18 Group Size andRatios__| Compliant | TG i Department of ~ Children & Youth ae [Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable oe a [Rule Status | Documenting Statement(s), If applicable ON a | Rule 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 Pp Rue Status | Documenting Statement(s), If applicable 5180:2-13-20 Crib and Playpen Compliant Requirements [Rue i Status | Documenting Statement(s), If applicable 5180:2-13-21 Evening and Overnight Compliant Care | Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable ee a TG i Department of ~ Children & Youth ae [Rule i Status | Documenting Statement(s), If applicable ee a [Rule sd Status | Documenting Statement(s), If applicable a [Rue Status | Documenting Statement(s), If applicable 5180:2-13-23 Infant Bottle and Food Compliant Preparation [Rule i Status | Documenting Statement(s), If applicable oe “™ ee [Rule sd Status | Documenting Statement(s), If applicable 5180:2-13-24 On-site Pools Compliant ee [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-24 Swimming Sites Compliant re [Rue sd Status | Documenting Statement(s), If applicable 5180:2-13-24 Parent Permission for Compliant Swimming [Rule Status | Documenting Statementi(s), If applicable 5180:2-13-25 Medication Compliant Requirements

During the inspection, it was determined the requirements for the JFS 01242 "Medical, Dental and General Emergency Plan" were not followed as noted in number(s) 7 below: 1. The plan was not posted on each level of the home used for child care. 2. The name, address and telephone number of the program were not complete. 3. The location of the first aid kit, fire extinguisher and fire alarm system, fire alarm pull stations and electrical circuit box were not complete. 4. The telephone number for emergency squad, fire department hospital, poison control program, public children services agency, local health department, local emergency management agency and police department were not complete. 5. Location of children's records was not complete. 6. Emergency information including any medications or supplies needed i the event of an evacuation was not complete. 7. The current version of the prescribed form was not used. 8. The plan was not implemented when necessary in that [ ]. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule. Corrective Action Plan Due: 03/22/2026