Meghan Stout

13A.15.12.01D

“During the inspection, the Provider did not have any 1% fat milk; only whole milk, 2% fat milk and a milk alternative, which is Soy milk. It was observed in, at least one of the children's files, that the parent wanted their respective child to have the milk alternative. However, other children who are two years old and older should only have 1% or non-fat milk. Please write a letter of correction stating how you will become in compliance with this regulation in the future.”

13A.15.10.01A(3)

“According to the Provider's written records, she conducted both a fire drill and an emergency disaster drill on the same date and at the same time on 11/19/2025. These are separate drills and should be conducted as such. A fire drill must be conducted and recorded at least once per month. An emergency disaster drill must be conducted and recorded, at least, twice per calendar year. Please conduct and record these separately as they are different types of drills. Please write a letter of correction stating how you will become in compliance with this regulation in the future.”

13A.15.03.04C

“During a review of children's records, no evidence of a two year old boy having had any blood lead tests performed with subsequent results were found. Please provide the results or notify the parents, in writing, of the need for blood lead testing and results. Forward this written notice to OCC that you provide to the parents or provide the blood lead test results to OCC for the correction of this portion of this non-compliance. It was also found that a 6 month old girl does not have the correct amount of immunizations for her age. Please inform the parents of this so that they may obtain the proper amount of immunizations for her age or, if she has already had the age-appropriate immunizations, please obtain the most recent immunization record and provide a copy of it to OCC for the correction of this portion of this non-compliance.”

13A.15.06.02B(1)

“The Provider does not have any documentation that she completed MSDE's 2024 Basic Health and Safety Update which was due no later than 12/31/2024. The Licensing Specialist will send the Provider the link to take the training. Please send the completed training certificate to OCC for the correction of this non-compliance.”

13A.15.03.04A(1)

“During a review of children's emergency forms, it was discovered that two children's emergency forms do not include their dates of birth. Please notify the respective parents of the missing information so that they may complete their child's information, initial and date the form for the update. Please send a copy of both of the identified emergency forms, including all of the required information, to OCC for the correction of this non-compliance.”

13A.15.03.04C

“During a review of children's records, it was found that a two year old child is missing one DTP immunization for her age. Please inform the parent of the need for her additional DTP immunization that is needed according to the Age-Appropriate Vaccination Requirements for Children Enrolled in Child Care Programs. It may be that the parent hasn't provided an updated immunization record or that the child needs additional immunizations from her physician. Please obtain the age-appropriate immunizations and record, place in her file and provide a copy of the updated immunizations to OCC for the correction of this non-compliance.”

13A.15.03.04A(3)

“The emergency form for a three year old has not been updated in over a year. Please have the parent review the form for accuracy and then initial and date the form for the update. Please send a copy of the form with the update to OCC for the correction of this non-compliance.”

13A.15.03.04A(1)

“During a review of children's emergency forms, it was found that the date of birth is missing for an 11 month old child and for a two year old child. It was also found that the same two year old child's emergency form is missing her home address. A three year old child is missing her physician's address and a 1 year 11 month old child is missing his physician's address on their respective emergency forms. Please have the parents add the missing information to their respective child's emergency form and then initial and date the form to indicate the addition of the information. Please provide a copy of the completed emergency form for the correction of this non-compliance.”