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Family Child Care Home - K820056699

GOEN, STEPHANIE

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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.

16 of 17

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
Emergency preparedness
Transportation
Records
Child health
Daily routine and equipment
Rest time
Discipline and behavior guidance
Infants, toddlers, and two-year-olds
Food and nutrition
Fire safety
Requirements for large family child care homes
Parent notifications
Non Compliance Observed Two families had not completed the compliance form in the past 12 months. Numerous, Repeated, and/or Serious Non Compliance No Numerous: No Repeated: No Serious Non Compliance: No Plan to Correct Forms will be completed upon enrollment and every 12 months. Regulation Description Parents complete OKDHS Forms 07LC045E, Insurance Notification, and 07LC046E, Compliance File Notification, every 12 months. Forms are maintained at the facility. Plan to Correct Date 2024-01-19

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

No previous non-compliances. Privacy fence completed. Subsidy Contract approved earlier this year. New carpet.

Inspections

Fire Drill Date

12/28/2023

Smoke Detector Test Date

12/28/2023

Tornado Drill Date

12/28/2023

Carbon Monoxide Test Date

12/28/2023

Fire Extinguisher Expiration Date

12/30/2025

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

3/23/2024

Exception Declared Date