Cozy Care

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(s) 15 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 TG i Department of ~ Children & Youth ae 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: 05/14/2026 Rules In-Compliance/Not Verified [Rule i Status | Documenting Statements), If applicable 5180:2-13-02 Voluntary Temporary Compliant Closure [Rule Status | Documenting Statement(s), If applicable 5180:2-13-02 License Visible Compliant re [Rule Status | Documenting Statements), If applicable ee a [Rule Status | Documenting Statement(s), If applicable — a PRule Status | Documenting Statement(s), If applicable Se i PRule Status | Documenting Statement{s), If applicable 5180:2-13-03 Inspection Compliant Requirements sa i Department of ~ Children & Youth ae | Rule sd 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 Cd Status | Documenting Statement(s), If applicable 5180:2-13-04 Heaters in a Type B Compliant Home [Rule Status | Documenting Statement(s), If applicable 5180:2-13-07 Staff Records Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-07 Provider Responsibilities | Compliant ee [Rule Status | Documenting Statement(s), If applicable 5180:2-13 Written Policies and Compliant Procedures [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-13-07 Type B Provider - Foster | Compliant Parent [Rule Status | Documenting Statement(s), If applicable a a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-08 Child Care Staff Compliant Requirements PRule i Status | Documenting Statement(s), If applicable TG i Department of ~ Children & Youth ae ee a | Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable ee a PRule 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 5180:2-13-11 Outdoor Space Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-11 Outdoor Equipment Compliant re [Rule Status | Documenting Statement(s), If applicable oo a [Rule i Status | Documenting Statements), If applicable ee 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 TG i Department of ~ Children & Youth ae a [Rule Status | Documenting Statement(s), If applicable _— a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-13 Clean environment and | Compliant equipment [Rule i Status | Documenting Statement(s), If applicable a a | Rule Status | Documenting Statement(s), If applicable 5180:2-13-13 Handwashing Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-13 Toothbrushing Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-14 Requirements for Field | Compliant and Routine Trips PRule Status | Documenting Statement(s), If applicable 5180:2-13-14 Ratio and Supervision Compliant for Field and Routine Trips [Rule Status | Documenting Statements), If applicable ———— a | Rule Status | Documenting Statement(s), If applicable ee a P Rule Status | Documenting Statement(s), If applicable — a TG i Department of ~ Children & Youth ae | Rule i Status | Documenting Statement(s), If applicable ee a [Rule i 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 Medical, Dental, and Compliant General Emergency Plan | 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 5180:2-13-16 Communicable Diseases | Compliant re [Rule Status | Documenting Statement(s), If applicable — a [Rue i Status | Documenting Statement(s), If applicable 5180:2-13-16 Emergency Compliant Preparedness and Response Plan | Rule Status | Documenting Statement(s), If applicable —oe a [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 5180:2-13-21 Evening and Overnight Compliant Care | Rule Status | Documenting Statement(s), If applicable 5180:2-13-20 Sleep and Nap Compliant Requirements [Rule Status | Documenting Statement(s), If applicable 5180:2-13-19 Child Guidance Compliant ee | Rule i Status | Documenting Statements), If applicable 5180:2-13-20 Crib and Playpen Compliant Requirements [Rule Status | Documenting Statements), If applicable 5180:2-13-21 Sanitary Environment Compliant and Hygiene | 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 PRule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable oe a [Rule Status | Documenting Statement(s), If applicable a a [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-13-24 Swimming Sites Compliant re [Rule 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 that the written record used to document infant routines and activities did not meet the requirements as noted in number(s) 1 below: 1. A daily written record was not provided to the parent or person picking up the infant on a daily basis. 2. Food intake was missing. 3. Sleeping patterns was missing. 4. Times and results of diaper changes was missing. 5. Information about daily activities was missing. Submit the program’s corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 05/14/2026

During the inspection, it was determined that written instructions for feeding the infants noted on the Children Record Review form was not on file, as required by 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: 05/14/2026