Forward to the Future Kidz

During the inspection, it was determined the fire extinguisher was not meeting the requirements in the following number 3 listed below: 1. There was no fire extinguisher. 2. The fire extinguisher was not working. 3. The fire extinguisher was not rated at the minimum rating. 4. The fire extinguisher had expired. 5. The fire extinguisher was not located in the kitchen where food is provided for child care or cooking area. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule. Corrective Action Plan Due: 03/15/2026

During the inspection, it was determined that an outdoor play area was used which was not protected from traffic and other hazards by a fence in good repair, or other barrier. Although the fence or natural barrier was not meeting the rule requirements, it was determined to not present an immediate risk for a child to be able to leave the playground. The fence or gate was not in good repair and/or being used inappropriately as noted in number(s) [ ] below: 1. The fencing had missing slat boards. 2. The fencing was broken. 3. The fencing was loose. 4. The fencing was rotting. 5. The gate was broken and did not close. 6. The gate was locked. 7. The latch on the gate was broken. 8. The latch was easily opened by children on the playground. 9. The latch was not engaged to prevent children from opening the gate. 10. The gate had no latch. 11. There were bolts with more than two threads exposed along a fence line or gate on a playground. 12. Other The barrier was not continuous and had 2 openings that allowed to children to exit the yard Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule. Corrective Action Plan Due: 03/15/2026

During the inspection, it was determined that the Type B Home did not have a working carbon monoxide detector in the building an on each floor where care is provided or carbon monoxide detector(s) were not [placed/installed/tested/maintained] in accordance with manufacturer's recommendations. A working carbon monoxide detector must be placed, installed, tested, and maintained in accordance with manufacturer's recommendations. Submit the program’s corrective action plan to verify compliance with this rule. Corrective Action Plan Due: 03/15/2026 Low Risk Non-Compliances | Domain: 00 License & Approvals | sa i Department of ~ Children & Youth ae

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 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: 03/15/2026 sa i Department of ~ Children & Youth ae

During the inspection, it was determined that the program did not have a first aid kit [onsite/ on the vehicle/ on a field trip] as required, that included all items listed in the appendix A of the rule. The kit(s) were missing the item(s) or the item(s) were not replaced after use and/or expired listed in number 9 below: 1. One roll of first-aid tape; 2. Individually wrapped sterile gauze; squares in assorted sizes; 3. Sterile adhesive bandages in assorted sizes; 4.Tweezers; 5. Gauze rolled bandage; 6. Triangular bandage; 7. Rounded end scissors; 8. Tooth preservation system or fresh chilled liquid milk in which to transport a lost permanent tooth, including a written reference indicating location of the refrigerator/freezer where milk is stored if a tooth preservation system is not part of the first aid kit (for programs serving school age children only); 9. A working digital thermometer; 10. Disposable non-latex gloves; 11. A working flashlight; 12. An instant cold pack that has not been activated or ice, including a written reference indicating location of the refrigerator/freezer where the ice is stored if an instant cold pack is not part of the first aid kit; 13. Sealable leak-proof plastic bags in assorted sizes or double bagged plastic bags that can be securely tied for materials soiled with blood or bodily fluids; 14. Pocket mask or face shield, appropriate; for all ages of children in care, for cardiopulmonary resuscitation (CPR) administration; 15. Soap or waterless sanitizer (field trip or transporting away from the program only); 16. Bottled water (field trip or transporting away from the program only). Correct the violation and submit the program's corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 03/15/2026 [Rule Status | Documenting Statement(s), Ifapplicable | 5180:2-13-02 Voluntary Temporary Compliant Closure P Rule Status | Documenting Statement(s), Ifapplicable | a TG i Department of ~ Children & Youth ae a [Rule Status | Documenting Statement(s), If applicable a [Rule Status | Documenting Statement(s), If applicable a [Rue i 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 5180:2-13-07 Provider Responsibilities | Compliant ee [Rule sd 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 ee a P Rule Status | Documenting Statement(s), If applicable 5180:2-13 Written Policies and Compliant Procedures sa i Department of ~ Children & Youth ae PRule Status | Documenting Statement(s), If applicable 5180:2-13-07 Type B Provider - Foster | Compliant Parent [Rule Status | Documenting Statement(s), If applicable ON a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-08 Child Care Staff Compliant Requirements [Rule sd 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 ee [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 [Rule i Status | Documenting Statement(s), If applicable —ee a [Rule Status | Documenting Statement(s), If applicable ee a PRule Status | Documenting Statement(s), If applicable ee a PRule i Status | Documenting Statement(s), If applicable TG i Department of ~ Children & Youth ae a a | 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 5180:2-13-14 Ratio and Supervision Compliant for Field and Routine Trips [Rule Status | Documenting Statement(s), If applicable 5180:2-13-13 Toothbrushing Compliant re [Rule Status | Documenting Statement(s), If applicable es “™ ee [Rule i Status | Documenting Statement(s), If applicable 5180:2-13-13 Clean environment and | Compliant equipment [Rule Status | Documenting Statement(s), If applicable 5180:2-13-14 Requirements for Field Compliant and Routine Trips [Rule i Status | Documenting Statements), If applicable — a [Rule Status | Documenting Statement(s), If applicable ———— a [Rule Status | Documenting Statement(s), If applicable TG i Department of ~ Children & Youth ae a [Rule Status | Documenting Statement(s), If applicable — a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-15 Child Medical and Compliant Enrollment Records [Rule Status | Documenting Statements), 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 Communicable Diseases | Compliant ee [Rule Status | Documenting Statement(s), If applicable — a [Rule Status | Documenting Statements), 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 [Rule Status | Documenting Statement(s), If applicable — a TG i Department of ~ Children & Youth ae [Rule ——S~—~S~SSSSS*SdS Status —~SS~*ditcmenting Statements), applicable ee a [Rule i Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable a | 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 re [Rule Status | Documenting Statement(s), 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 P Rule Status | Documenting Statements), If applicable 5180:2-13-21 Sanitary Environment Compliant and Hygiene | Rule Status | Documenting Statement(s), If applicable — a PRule Status | Documenting Statement(s), If applicable ee a P Rule Status | Documenting Statement(s), If applicable 5180:2-13-22 Food Handling [Compliant TG i Department of ~ Children & Youth (a [Rule Cd Status | Documenting Statement(s), If applicable ee a [Rule Status | Documenting Statement(s), If applicable 5180:2-13-23 Infant Bottle and Food Compliant Preparation [Rue Status | Documenting Statement(s), If applicable oe ™ ee [Rue i Status | Documenting Statement(s), If applicable 5180:2-13-24 On-site Pools Compliant re | 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 P Rue Status | Documenting Statement(s), If applicable 5180:2-13-25 Medication Compliant Requirements

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: 03/15/2026