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Family Child Care Home - K820034209

DERVIN, BRENDA

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Visit Date

2022-03-02

Visit Time

2022-03-02

Visit Type

Full

Visit Purpose

Periodic

Children Present

Single Age Group	Child:Staff Ratio

Mixed Age Group	Child:Staff Ratio

Monitoring Checklist

All items listed below are marked as either “C” Compliant, “NC” Non-compliant or “NR” Not Reviewed. To view the specifics of what was evaluated, click into the list item to expand.

13 of 16

Areas in compliance

Requirement Description	C	NC	NR
Purpose and Policy of the Law
Necessity and issuance of license
Total number of children
Care and supervision
Play equipment
Positive guidance
Swimming
Rest time
Infants, toddlers, and two-year-olds
Medication injections
Food and nutrition
Fire safety
Requirements for large family child care homes
Annual
Non Compliance Observed Three annual drills were not documented in the past 12 months. Numerous, Repeated, and/or Serious Non Compliance No Plan to Correct Primary Caregiver will complete drills and document the dates completed. Drill calendar provided for provider to use. Regulation Description Annual. Annual drills conducted include: Plan to Correct Date 2022-03-11
Children's records
Non Compliance Observed Three families were missing immunization records. Numerous, Repeated, and/or Serious Non Compliance No Plan to Correct Primary Caregiver will gain immunization records from the families and ensure that records are gained at enrollment. Regulation Description health information, including immunization records; Plan to Correct Date 2022-03-11
Parent notifications
Non Compliance Observed Parent notifications were not completed in full in the past 12 months. Numerous, Repeated, and/or Serious Non Compliance No Plan to Correct Primary Caregiver will gain completed forms from families and ensure that they are completed every 12 months. Regulation Description Parents complete DHS Forms 07LC045E, Insurance Notification, and 07LC046E, Compliance File Notification, every 12 months. Forms are maintained at the facility. Plan to Correct Date 2022-03-11
Driver qualifications

Areas of Improvement and corrections of non-compliance from previous visit:

No previous non-compliances.

Inspections

Fire Drill Date

2/16/2022

Smoke Detector Test Date

2/16/2022

Tornado Drill Date

2/16/2022

Carbon Monoxide Test Date

2/16/2022

Fire Extinguisher Expiration Date

2/14/2023

Fire Inspection Date

Health inspection Required to be paid for by Oklahoma Human Services?

Health Inspection Date

Equipment Inventory Completion Date

Physical Environment Checklist Completion Date

Annual Insurance Expiration Date

8/11/2022

Exception Declared Date