Crystal's Loving Family Childcare Llc

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) 2,4,6,12 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: 04/25/2026 Rules In-Compliance/Not Verified [Rule Status | Documenting Statement(s), If applicable 5180:2-13-02 Voluntary Temporary Compliant Closure P Rule Status | Documenting Statement(s), If applicable ee a Prue Cd Status | Documenting Statement(s), If applicable TG i Department of ~ Children & Youth ae ee a | Rule Status | Documenting Statement(s), If applicable a [Rule Status | Documenting Statement(s), If applicable — a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-03 Inspection Compliant Requirements [Rule Status | Documenting Statement(s), If applicable 5180:2-13-04 Building Requirements Compliant for Type B Homes [Rule i 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 sd Status | Documenting Statement(s), If applicable ee a | Rule Status | Documenting Statement(s), If applicable a Rule Status | Documenting Statement(s), If applicable TG i Department of ~ Children & Youth ae 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 [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-08 Child Care Staff Compliant Requirements [Rule Status | Documenting Statement(s), If applicable 5180:2-13-08 Whistle Blower Compliant re [Rule Cd Status | Documenting Statement(s), If applicable 5180:2-13-09 Background Checks Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-10 Health Training Compliant re [Rule Status | Documenting Statement(s), If applicable 5180:2-13-10 Professional Compliant Development p Rue Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable ae 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 ee a [Rule i Status | Documenting Statements), If applicable 5180:2-13-12 Safe Environment Compliant re | 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 oe ™ ee [Rule Status | Documenting Statement(s), If applicable 5180:2-13-13 Clean environment and | Compliant equipment [Rule Status | Documenting Statement(s), If applicable — a [Rule Status | Documenting Statements), If applicable — a | Rule Status | Documenting Statement(s), If applicable eo a P Rule Status | Documenting Statement(s), If applicable 5180:2-13-14 Requirements for Field Compliant and Routine Trips TG i Department of ~ Children & Youth ae [Rule SCS Status —~SCS~S Do crenting Statements), Paplcable 5180:2-13-14 Ratio and Supervision Compliant for Field and Routine Trips [Rule Status | Documenting Statement(s), If applicable ——— a [Rule i Status | Documenting Statement(s), If applicable a a | Rule Status | Documenting Statement(s), If applicable 5180:2-13-14 Vehicle Requirements Compliant re | Rule Status | Documenting Statement(s), If applicable 5180:2-13-15 Health Conditions Compliant re [Rule 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 [Rue i Status | Documenting Statement(s), If applicable — a | Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 First Aid Kit/Standard Compliant Precautions P Rule Status | Documenting Statement(s), If applicable ee a P Rule Status | Documenting Statement(s), If applicable 5180:2-13-16 Incident/Injury [Compliant TG i Department of ~ Children & Youth ae [Rule 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 | Rule i Status | Documenting Statement(s), If applicable 5180:2-13-18 Attendance Compliant re [Rule Status | Documenting Statement(s), If applicable oo _ ee [Rule Status | Documenting Statement(s), If applicable 5180:2-13-19 School Age Supervision | Compliant ee | Rule i Status | Documenting Statements), If applicable 5180:2-13-21 Evening and Overnight Compliant Care [Rule Status | Documenting Statements), If applicable 5180:2-13-20 Sleep and Nap Compliant Requirements | Rule Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-20 Crib and Playpen Compliant Requirements sa i Department of ~ Children & Youth ae P Rule Status | Documenting Statement(s), If applicable 5180:2-13-21 Sanitary Environment Compliant and Hygiene [Rule Status | Documenting Statement(s), If applicable a a [Rule Status | Documenting Statements), If applicable ee a [Rule Cd Status | Documenting Statement(s), If applicable a “™ ee [Rule Status | Documenting Statement(s), If applicable 5180:2-13-23 Infant Daily Care Compliant ee [Rule Status | Documenting Statement(s), If applicable 5180:2-13-23 Infant Bottle and Food Compliant Preparation P Rule Status | Documenting Statement(s), If applicable oo a [Rule i Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable oo a P Rule Status | Documenting Statement(s), If applicable 5180:2-13-24 Parent Permission for Compliant Swimming PRule i Status | Documenting Statement(s), If applicable TG i Department of ~ Children & Youth 5180:2-13-25 Medication Compliant Requirements

During the inspection, it was determined 7 children with 4 under two years of age were in the care of one child care staff member which resulted in more than [seven children/three children under two years of age]. Submit the program’s corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 04/25/2026 Low Risk Non-Compliances