| Deducted | Remarks |
| 1 | 9.B.1 Provide a bottom sheet plus an additional sheet or cover for all cots & mats. |
| 2 | 3.D.10.b Provide a written plan of action on file regarding the nutritional requirements and feeding of the breastfed infant in the event that breast milk is spilled or unsuitable to serve to breastfed infants. |
| 2 | 6.D.5 Provide hand cleansing liquid or powder soap and individual, disposable paper towels or a forced air current hand drying device in close proximity to each handwashing sink. |
| 2 | 14.C.6 Post a schedule of emergency drills conducted at least two times a year.Retain a log indicating the date and type of drill, as well as an evaluation of the response, conducted at least two times a year. |