Amy Kehoe

Regulation 3.6.2.2: The FCCP shall ensure that evacuation drills are conducted at least once a month, and children and staff are evacuated in less than three (3) minutes.

“Upon review of the Provider's evacuation drill record it was identified that that last drill was conducted in December of 2025. Corrective Action: During the months of March and April 2026, conduct two (2) evacuation drills per month. Develop a system to ensure that evacuation drills will be conducted monthly as required moving forward. In the corrective action email provide the dates in which the March and April evacuation drills will be conducted, and details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Mar 12, 2026

Regulation 7.4.4: All staff, with the exception of substitutes, shall complete fifteen (15) clock hours of annual professional development activities as required in the rule 7.4.2 of these regulations.

“Upon review of the Provider's completed professional development hours it was determined that the Provider had only completed three (3) of the required fifteen (15) annual hours between 11/2024 and 11/2025. Corrective Action: Prior to 11/29/2026 plan to complete twelve (12) hours of professional development in addition to the annually required fifteen (15) hours. Develop a system to ensure that professional development activities are completed in a timely manner moving forward. In the corrective action email provide a comprehensive plan of how a total of twenty-seven (27) hours will be completed prior to November, to include names and dates of training to be completed, and details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Mar 12, 2026

Regulation 5.10.1.14.1: The FCCP shall ensure that animals present at the FCCH do not present a danger or health hazard to the children and staff.

“Through discussion it was determined that the Provider's German Shepherd dog Harley, had bit an individual who was unkown to the dog while dropping off an enrolled child. Through further investigation, it was determined that the dog had, on another occassion, caused injury to a child by scratching the child in the face. Corrective Action: Following the 09/12/2025 visit, the Provider was informed that the dog must not intermingle with children until further notcie. Immediately ensure that the dog, Harley, does not intermingle with children at the program moving forward. In the corrective action email provide details of the systems put in place to ensure that Harley and enrolled children do not intermingle going forward.”

Correction date in the state record: Dec 16, 2025

Regulation 7.2.2: The FCCP shall submit a Records Check Authorization form to the Division for any new individuals, sixteen (16) years of age or older, residing in the FCCH or present more than five (5) times in 365 days during the FCCH's hours of operation as required in the rule 2.3.7.2 of these regulations.

“Upon reviwew of the Provider's Associated Parties List it was identified that a Record Check Authorization form for Household Member A had not been submitted to the Division upon them turning sixteen (16). A letter was sent to the Provider detailing this requirement on 12/24/2023. Corrective Action: Immediately submit a Record Check Authorization form to the Divison for Household Member A. Develop a system to ensure that Record Check Authorization forms are submitted as required for Household Members over the age of sixteen (16) moving forward. In the corrective action email provide details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Apr 14, 2025

Regulation 5.10.1.14.2: The FCCP shall ensure that any animals or pets present at or brought into the FCCH are vaccinated as prescribed by law, with documentation maintained at the FCCH.

“Upon review of the Provider's dog's vaccination records, it was identified that the dog's rabies vaccination had lapsed one month prior. Corrective Action: Immediately ensure that the dog is kept separate from enrolled children until receiving up-to-date vaccinations. By 04/22/2025 submit evidence that your dog "Harley" has received a rabies vaccination as prescribed by law. Develop a system to ensure that pet vaccinations are kept up-to-date moving forward. In the corrective action email provide details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Apr 5, 2025

Regulation 2.3.8.3: The FCCP shall ensure that the FCCP; all individuals residing in the home; staff; and any individuals who are left alone with children have met ongoing background check requirements by submitting at least once every five (5) years a Records Check Authorization form to the Division and as required shall submit to fingerprinting.

“A review of the BFIS accounts for all indivduals associated with this Provider's Family Child Care home reflected that while the other adult residing in the home had sent in a new background check form to the Division on 07/11/2023, they had not yet submitted to Fingerprinting. The individual's fingerprint results expired on 09/14/2023. The provider stated that as of 05/01/2024, the individual has refused to submit to fingerprinting. This does not meet the requirements of this rule. Corrective Action: Immediately plan to have Household Member A submit to fingerprinting and ensure the indivdual provides the fingerprinting station with the fingerprinting letter received by the Division in July of 2023. In the corrective action email, provide details of how the individual has come back into compliance and a plan for ensuring all required individuals residing in the home submit to a fingerprint supported background check at least once every five (5) years as required by this rule moving forward.”

Correction date in the state record: May 24, 2024

Regulation 3.3.6.1: The FCCP shall maintain a record of the date of each evacuation drill as required in the rules in section 3.6.2 of these regulations that includes the number of children, staff evacuated, time taken to evacuate, and notation of the drill conducted while children were sleeping or resting. Evacuation records shall be kept for two (2) years.

“During the visit it was noted that the provider did not maintain a record of evacuation drills as required by this rule. Corrective Action: Plan to develop a system to maintain documentation of each evacuation drill conducted at the program. This documentation should include all required components of this rule. In the corrective action email please include details of how the program has come back into compliance and the system developed to ensure proper documentation moving forward.”

Correction date in the state record: May 24, 2024

Regulation 6.2.1.5: The registered FCCP shall ensure that the number of staff present meets requirements described in the chart below for ages of children, maximum group size, and staff/child ratios at any time of day.

“Seven (7) children were in care; two (2) children under the age of twenty-four (24) months, and five (5) children ages two (2)- five (5). This makeup of children and their ages put the Provider over ratio. This is a serious violation. Corrective Action: A serious violation of staff/child ratios was cited during the licensing visit on 5/10/23. Immediate action was taken, and one (1) child was picked up from care. Ensure ratios are met and maintained ongoing. Provide a list of children's names, dates of birth, and schedule of days and times each child will be present. Provide each parent of every child enrolled a copy of the site visit report, and provide Licensor [name] with parent names, their child's name and their contact information.”

Correction date in the state record: May 17, 2023

Regulation 5.10.1.2.4: The FCCP shall ensure that each floor of the home, and in the corridor to access the home in an apartment building, has an operating smoke detector as well as a smoke detectors in the immediate vicinity where children sleep. The FCCP shall ensure carbon monoxide monitors are located outside of rooms were children sleep.

“The Provider confirmed that they did not have a combo smoke and fire detector, but that each were seperate units. Upon looking, the Provider determined that the carbon monoxide detector had been removed and did not locate it during the visit. Corrective Action: Ensure a functioning carbon monoxide and smoke detector are in place at all times children are in care.”

Correction date in the state record: Jun 21, 2022

Regulation 5.10.1.2.5: There shall be at least one (1) easily accessible dry chemical fire extinguisher which has at least a 2-A: 10BC classification. This fire extinguisher shall be maintained in operating condition. It shall bear an official tag, properly signed, attesting to current operating condition.

“The fire extinguisher was last inspected in March 2021, and was due for inspection in March 2022 which had not been completed. Corrective Action: Ensure there is a valid extinguisher on site at all times. Develop a system to ensure the extinguisher is inspected and tagged prior to the expiration date yearly.”

Correction date in the state record: Jun 21, 2022

Regulation 5.10.1.1: General Safety: The FCCP shall ensure the physical facilities of the FCCH, grounds, equipment, and toys present no hazard to the health, safety and well-being of the children.

“At the entrance door there was a spray bottle of yard bug spray, in the living room where children play and rest was a pump bottle of hemp lotion within reach, and next to the chair in the living room were empty drink cans. Corrective Action: Ensure that hazards are inaccessible to children at all times they are present. Develop a system to ensure ongoing compliance to this rule.”

Correction date in the state record: Jun 21, 2022

Regulation 5.1.2: General Health Examinations: Within forty-five (45) days of enrollment the FCCP shall obtain documentation of the child's age appropriate well care exam from the parent. Documentation shall include information regarding any health conditions and medications that may impact the care of the child.

“Five children's files were reviewed and three of the files were missing documentation of a general health examination. Corrective Action: Review the children's files and ensure that they include documentation from a general health examination. Contact the families of the three children who were identified as not having the required general health examination documents. Develop a system that ensures that within 45 days of enrollment families have supplied the required general health examination document.”

Correction date in the state record: May 21, 2021

Regulation 5.10.1.1: General Safety: The FCCP shall ensure the physical facilities of the FCCH, grounds, equipment, and toys present no hazard to the health, safety and well-being of the children.

“In the sandbox and in the area around the play structures, bits of broken toys and food wrapers were noted. Approximately a dozen broken toys were also noted, this included toy trucks, dramatic play materials and miscellaneous outdoor type toys. Corrective Action: Remove any broken toys and debris from the outdoor play space. Develop a system to ensure that when toys break they are removed from the outdoor play space”

Correction date in the state record: Apr 30, 2021

Regulation 3.6.3: Emergency preparedness Training: Within 365 days of opening a FCCH, the FCCP shall attend emergency preparedness training which shall include content specifically related to sheltering in place in the event of an emergency in which the FCCP and children present need to remain in the FCCH for an extended period.

“Provider has been operating for more than 365 days and has not completed the emergency preparation training course. Corrective Action: Enroll in an emergency preparedness training that meets the requirements of regulation 3.6.3. For more information please go to northernlightsccv.org”

Correction date in the state record: Jun 6, 2019

Regulation 5.2.3.11: Each diaper changing procedure shall include: * Preparation: assemble supplies, staff member washes hands, prepares changing surface with either a disposable covering or ensure that the surface was recently cleaned and disinfected and bring the child to the diaper changing area. * Dirty Phase: remove soiled diaper and cleanse diaper area of the child. * Clean Phase: put on clean diaper, dress child, and wash the child's hands. * Clean up: clean and disinfect the diaper changing surface, dispose of diaper, and staff member washes their own hands. * Record diaper change.

“A diaper change was observed and the provider did not complete all of the steps in the diapering process. Provider did not wash her hands between diaper changes, the children's hands and she did not sanitize the diaper changing mat. Corrective Action: Effective immediately provider will create a system to ensure that all steps of the diapering process are followed. Submit system to this licensor.”

Correction date in the state record: Jun 6, 2019

Regulation 5.10.3.1.5: Fencing installed after the effective date of these regulations shall: * Be a minimum of four (4) feet in height with openings no larger than 3.5 inches; * Equipped with gates with self-closing and self-latching mechanisms; and * Include at least two (2) exits with one (1) that does not lead into the FCCH.

“Fence was found to have sections that were less than four feet in height. There was only one exit gate with a self- closing and self- latching mechanism. There were two areas where the fence pushed out and was not even with the ground. The resulting gap was large enough for the providers medium sized dog to fit under and gain access to the front yard. Corrective Action: Submit for approval a program improvement plan that will describe the steps that will be taken to get the fence to meet the requirements of regulation 5.10.3.1.6. As part of the plan describe steps that will be taken to maintain the fence in a way so that it continues to meet the requirements of the regulation in the future.”

Correction date in the state record: Jun 6, 2019