Return to Inspection Details
Findings:
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. See below:1. Shaver/Shaw/Keontae H.- First date at program missing, parent work information incomplete, 2nd parent information incomplete, incomplete doctor info, how to contact parent incomplete, and the name release questions not checked on page 1.2. Ita'lee W.- Missing first date at program3. Jaylen B.- First date at program, parent home telephone number, parent 1 work info, parent 2 info, how parents can be reached4. Ah'yanah W.- Missing first date at program, how to contact parent 1, parent 2 info, and medication history not complete for medical condition checked yes for5. Shon W.- First date at program, parent work missing, name release missing, how to contact missing, 2nd parent work missing, 2nd parent way to contact missing, emergency contact incomplete on how related to child, and emergency transport missing program name6. Jaylan H.- First date at program missing, parent 1 work missing, parent 2 info missing, emergency contacts missing, no doctor info, medical question on page 2 7. Caira J.- Parent 1 work info, how contact parent 1, parent 2 work info, how emergency contacts related, 1st question on page 3, diaper statement- should be every TWO hours8. O'Shay- Update diaper statement, and add first date at program9. Ahmoni H.and Lindsey family- First date at program missing, 1st parent work info missing, 2nd parent info missing, how to reach parent 1 missing, list and explain medical condition on page 210. Mardez H.- First date at program missing, emergency transport program name missing11. Deonius J.- Update diaper statement, first date at program missing12. Jaliyah C.- Child must have own enrollment form- can not be on other child form. Parent work missing, how contact both parents missing, diaper statement on page 4 incomplete, emergency transport missing name, policy acknowledgement not checked, admin and parent signature missing on page 4Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.
Status Updated:
09/30/2025
Compliance Status:
Returned for Revision