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Family Child Care Home - K820057402

AREVALO, MORIAH

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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.

15 of 16

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
Parent notifications
Non Compliance Observed One child did not have a compliance file notification or an insurance notification. One child's compliance file was dated 10/30/2024. Numerous, Repeated, and/or Serious Non Compliance No Numerous: No Repeated: No Serious Non Compliance: No Plan to Correct Ms. Arevalo will print out the forms and get them signed today. In the future, Ms. Arevalo will have more copies of the forms on file. Ms. Arevalo will have parents fill out the compliance file notification and insurance notification forms annually in November. 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 2025-11-12
Requirements for large family child care homes

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

Ms. Arevalo has a current OPDL and 18 verifed training hours. Caregiver attendace is kept with days and hours worked. Child record missing compliance file notifcation and insuracne notification was corrected. Ms. Arevalo remained attentive and engaged with the child in care throughout the visit. Ms. Arevalo's home is organized and neat.

Inspections

Fire Drill Date

10/16/2025

Smoke Detector Test Date

10/16/2025

Tornado Drill Date

10/16/2025

Carbon Monoxide Test Date

10/16/2025

Fire Extinguisher Expiration Date

8/31/2027

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

4/10/2024