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Family Child Care Home - K820054884

JOLLEY, TABATHA DAWN

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Visit Date

Visit Time

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.

14 of 18

Areas in compliance

Requirement Description	C	NC	NR
Purpose and Policy of the Law
Necessity and issuance of license
Ages and number of children
Caregiver requirements
Home environment
Transportation
Records
Parent communication
Child health
Daily routine and equipment
Rest time
Discipline and behavior guidance
Food and nutrition
Requirements for large family child care homes
Drills
Non Compliance Observed Drills were last documented on 4/6/22 Numerous, Repeated, and/or Serious Non Compliance No Plan to Correct I will make sure that I document them every month Regulation Description Drills. Drills are conducted, documented, and follow the pre-determined emergency plans and procedures. Plan to Correct Date 2022-07-27
Bottle-feeding
Non Compliance Observed 5 month old was not being held while bottle feeding. Numerous, Repeated, and/or Serious Non Compliance No Plan to Correct I will hold the baby during every bottle feeding to make sure I am following requirements. Regulation Description Infants six months of age and younger are held while bottle-fed. Plan to Correct Date 2022-07-26
Smoke detectors
Non Compliance Observed Smoke detector was last documented on 4/6/22 Numerous, Repeated, and/or Serious Non Compliance No Plan to Correct I will make sure that I document them every month Regulation Description Smoke detectors are tested monthly, and documentation is maintained. Plan to Correct Date 2022-07-27
Carbon monoxide detectors
Non Compliance Observed Carbon monoxide was last documented on 4/6/22 Numerous, Repeated, and/or Serious Non Compliance No Plan to Correct I will make sure that I document them every month Regulation Description Carbon monoxide detectors are tested monthly and documentation is maintained. Plan to Correct Date 2022-07-27

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

No previous NCs

Inspections

Fire Drill Date

4/6/2022

Smoke Detector Test Date

4/6/2022

Tornado Drill Date

4/6/2022

Carbon Monoxide Test Date

4/6/2022

Fire Extinguisher Expiration Date

10/30/2022

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

Exception Declared Date

9/29/2019