Graciela Morgan

It was observed that the caregiver disposed of an item in the trash while the children were inside the home.

The first aid kit did not have any gauze available for use.

When reviewing the emergency preparedness plan, the section on how to care for children while waiting for emergency services was not available to review.

Safety documentation for monthly smoke detector checks, fire extinguisher checks, and carbon monoxide checks were not documented as completed from Januray 2025-May 2025. Fire drill for the Month of April 2025 was not documented. The last fire drill documented was May 5th 2025.

Parents' rights were not available to review in the operation policy, and six out of six parents did not have notification of their rights to review in their file.

Safety documentation for monthly smoke detector checks, fire drills, fire extinguisher checks, and carbon monoxide checks were not documented as completed from September 2023- December 2023 for the reviewed year of 2023. There was also only three sheltering and lock-down drills documented as being completed for the year of 2023 with the last occurring on 7/7/23.

The Primary Caregiver did not have documentation of completing annual training for: Emergency preparedness; Preventing and controlling the spread of communicable diseases and immunizations; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury; and Handling, storing, and disposing of hazardous materials.

Two of four children's records reviewed did not have updated immunizations available for review.

The emergency preparedness plan did not specify procedures for: Communication with authorities, Continue care when relocating and Reunifying children with families.

The sliding door exiting out to the backyard was observed with no decal. NOTE: This was corrected at inspection.

The operational policy did not specify the following; Duration of indoor/outdoor activity Clothing and footwear Plan for extreme weather Parent visits Review Licensing inspection Abuse/Neglect hotline and Emergency Preparedness plan

Personnel records were missing the following; Affidavit

The fire extinguisher was observed on the counter not mounted.

The permit holder has not completed the remaining four required annual training hours on Leadership/Management for September 23, 2020-September 21, 2021.