GRAVES FAMILY CHILD CARE

Based on interview and record review, the licensee did not comply with the section cited above. Children's files are missing (LIC) 282- Affidavit Regarding Liability Insurance, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights LIC 9227 poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will submitt a photo by POC due date of 11/21/25 via email.

Based on record review, the licensee did not comply with the section cited above in three out of four children's files reviewed which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will provide LPA with a copy of the children's ID and informatin card for all children in care by the POC date of 10/28/22.

Based on record review, the licensee did not comply with the section cited above in four out of four files reviewed which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will send a copy of the immunization record for all the children in care by the POC date of 10/28/22.

Based on record review, the licensee did not comply with the section cited above in four out of four children's files reviewed which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will provide LPA with a copy of LIC 995A to LPA by the POC date of 10/28/22.

Based on record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Licensee did not have a current roster during the time of inspection.

Resolution: Licensee will provide LPA with a copy of a completed current roster by the POC date of 10/28/22.

Based on record review, the licensee did not comply with the section cited above in two out of two staff present which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will provide LPA with a copy of immunization record against measles, pertussis, and influenza or influenza declination letter by the POC date of 10/28/22.

Based on record review, the licensee did not comply with the section cited above in 11 out of 11 children present which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Per Licensee, she will obtain immunization records from the children's parents and send a copy of the immunization records to LPA by the POC date of 10/15/21.

Based on observation, the licensee did not comply with the section cited above in which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Licensee will purchase a new 2A10BC fire extinguisher and send LPA proof of purchase by the POC date of 10/8/21.

Based on record review, the licensee did not comply with the section cited above. Licensee did not have a roster during today's inspection which poses/posed a potential health, safety or personal rights risk to persons in care.

Resolution: Per Licensee, she will fill out a new children's roster and submit a copy to LPA by the POC date of 10/15/21.

Based on record review, the licensee did not comply with the section cited above in three out of total three staff which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Per Licensee, her and her staff will take the mandated reporter training and submit the certificates to LPA by the POC date of 10/8/21.

Based on record review, the licensee did not comply with the section cited above in three out of three staff which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Per Licensee, she will maintain a copy of the immunization records for herself and staff in the personnel files by the POC date of 10/15/21.

Based on record review, the licensee did not comply with the section cited above in three out of three staff which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Per Licensee, she will have her staff fill out and sign the Notice of Employee Rights and send a copy to LPA by the POC date of 10/8/21.

Based on record review, the licensee did not comply with the section cited above in three out of three staff which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Per Licensee, her and her staff will obtain proof of immunization against influenza, pertussis, and measles and submit them to LPA by the POC date of 10/15/21.

Based on record review, the licensee did not comply with the section cited above in 9 out of files reviewed which poses a potential health, safety or personal rights risk to persons in care.

Resolution: Per Licensee, she will update the LIC 700 for all children in care and send a copy to the LPA by the POC date of 10/15/21.