| 340:110-3-154(a)(5) | Residents receive a medical examination by a licensed health care professional within 60-calendar days prior to admission or within 30-calendar days following admission. However, a documented medical exam performed within the 12 months prior to admission is acceptable when a resident is transferred from another licensed program. | One resident without verification of a medical examination meeting requirement on file. | Program will obtain documentation that verifies medical examination has been performed meeting licensing requirements and place in residents file or schedule an appointment to be performed. Program will notify licensing of how this correction will be completed. | 10/04/2024 | No |
| 340:110-3-152(f)(1)(F) | a serious resident injury requiring emergency medical treatment by a licensed health care professional; or | One resident transported for emergency medical attention on multiple occasions without notifying licensing personnel. | Program will notify licensing personnel within one DHS working day of resident receiving emergency medical treatment. | 10/03/2024 | Yes |
| 340:110-3-165(4)(B) | Means of exit are adequately lighted by natural or electric light at all times to permit safe evacuation of occupants. | Exit light located in on-site school building not operating properly with flood lights not staying on. | Work order will be submitted for exit light to be repaired. Program will notify licensing when operating properly. | 10/03/2024 | No |
| 340:110-3-157(h) | Bathrooms. Bathrooms are maintained in a clean and sanitary condition with adequate ventilation. | Flooring in bathrooms located on northside of facility present with stains/mold around toilets and walls. | Program will begin process of remodeling the floor in both bathrooms used for residents on the northside of facility. Program will continue to deep clean and take necessary steps to ensure they are in sanitary condition. Program will provide a detailed plan of completion to licensing regarding replacement of floors and any other items by 10-18-24 | 10/03/2024 | No |
| 340:110-3-153.1(g)(1)(A) | Verified references include the date, interview questions, responses, and interviewer's signature. | Three references on file for one personnel without dated interviewers signature. | References meeting licensing requirements will be on file for personnel identified during audit. | 10/04/2024 | No |
| 340:110-3-153.1(j)(2) | Criminal history restrictions. Individuals with criminal history restrictions are prohibited, per (k) of this Section, unless a criminal history restriction waiver is granted. Criminal history restrictions include pending charges, pleas of guilty or nolo contendere (no contest), or conviction of criminal activity involving: | One employee hired with restricted criminal history results received from OBI. | Program will only hire personnel with complete approved or preliminary results being received from OBI. | 10/03/2024 | Yes |
| 340:110-3-153.1(l) | Orientation. Personnel receive orientation within 30-calendar days of employment. | Two personnel without verification of completing orientation within 30 days of employment. | Program will provide verification of completed orientation for the two personnel identified during this audit to licensing. | 10/11/2024 | No |
| 340:110-3-153.1(m)(3)(E) | When residents are in care on the facility premises or on a program-sponsored field trip, at least one personnel is present with current age-appropriate first aid and cardio-pulmonary resuscitation (CPR) documentation. All other child care personnel obtain and maintain age-appropriate first aid and CPR within 90-calendar days of employment. CPR and first aid training are conducted by a certified instructor from an OKDHS-approved source. | Two personnel without current CPR/First Aid certification documents on file. | Program will provide verification of current CPR/First Aid certification for the two personnel identified during this audit to licensing. | 10/11/2024 | No |
| 340:110-3-153.1(o)(2)(A) | an OKDHS-provided personnel information sheet, completed for each personnel and submitted to Licensing within two weeks of his or her employment; | One personnel information form not submitted to licensing within two weeks of hire. | Program will submit personnel information form to licensing within two weeks of employment for new hires and personnel identified during this audit. | 10/04/2024 | No |
| 340:110-3-164(4)(C) | A thermometer is located in a conspicuous place in each refrigerator and freezer. | One refrigerator/freezer unit had oven thermometers located in each compartment. | Program will place appropriate thermometers in refrigerator/freezer unit. | 10/04/2024 | No |
| 340:110-3-154.5(d)(2) | In accordance with state law, insurance verification is kept in the vehicle used to transport residents. | Current insurance verification was not in the vehicle as program keeps it in a binder due to no glove box located within the vehicle. | Program will maintain current insurance in vehicle used to transport residents at all times. | 10/03/2024 | No |