THUNDERBULL, KIMBERLY

Based on interview, the licensee did not comply with the section cited above. Licensee stated she conducted her last drill approximately three months, however, does not have documentation, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that she will submit a copy of a diaster drill to CCL by the POC date.

Based on interview, the licensee did not comply with the section cited above. Licensee stated that she has not documented the 15 minute checks for infants(C1, C2 and C4),which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee stated that she will submit a plan to ensure that she is compliance with Infant Safe Sleep regulations, which is to include the 15 minute checks for sleeping infants to CCL by the POC Date.

Based on record review,the licensee did not comply with the section cited above. Licensee and S1 do not have a current Mandated Reporter Training on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit a copy of the Mandated Reporter Training to CCL by the POC date.

Based on record review, the licensee did not comply with the section cited above. S1 does not have immunization records(Pertussis, Measles, Flu) on fil, which poses a potential risk to the health and safety and personal rights to persons in care.

Resolution: Licensee will submit a copy of S1 immunization records to CCL by the POC date.

Based on interview, the licensee did not comply with the section cited above. Licensee and S1 do not have current Pediatric CPR/FIRST Aid, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit copies of the Pediatric CPR/FIRST AID to CCL by the POC date.

Based on observation, the licensee did not comply with the section cited above. LPA's were unable to review six children's files, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit the required forms for the six children to CCL by the POC date.

Based on record review the licensee did not comply with the section cited above. Licensee did not complete a LIC9227 for C4, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submit the LIC9227(Individual Infant Sleeping Plan) to CCL by the POC date.