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Family Child Care Home - K820055542

SOURIE, DAWNYELLE

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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
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 Insurance Notification and Compliance File Notification forms were not completed/signed annually. Numerous, Repeated, and/or Serious Non Compliance No Plan to Correct CCL gave copies of the forms to provider to have the parents sign today. Provider will put the due dates on her dry erase board to ensure those are completed annually. 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 2022-11-16
Transportation

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

Room arrangements, decorations and mini trampoline, spelling pack.

Inspections

Fire Drill Date

10/6/2022

Smoke Detector Test Date

10/5/2022

Tornado Drill Date

10/5/2022

Carbon Monoxide Test Date

10/5/2022

Fire Extinguisher Expiration Date

11/30/2022

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

5/25/2021