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Sharp objects, detergents and cleaning compounds are inaccessible. Knives, cleaning products and personal medicines are kept in the kitchen. Knives are kept in a cabinet above the refrigerator, cleaning products are kept under the kitchen sink in a latched cabinet, detergents are kept in the laundry area which is off limits and medicine is kept in an upper kitchen cabinet. At this time, there are no children enrolled who require medication. Heating and ventilation was evaluated. There is central air and heat in the home. LPA observed an inaccessible fire place in the living room. Children nap in the day care area and infants nap in one of the bedrooms. LPA observed napping mats available for older children. The children use the restroom in the hallway. LPA observed no cleaning products or personal hygiene items stored in the cabinet under the sink. No medicine was observed in the restroom. Children use a section of the backyard for outdoor play. LPA observed age appropriate toys for children in the backyard. Per Licensee, Children are supervised while playing outside.
Per Licensee, there are no poisons stored in the home. Licensee was advised that all poisons must be locked, not only inaccessible to children. Isolation area for sick children waiting to be picked up is in the kitchen area separated from other children in care. Per Licensee, there are no firearms or weapons stored in the home. LPA did not observe any pools or spas, or other bodies of water. Per Licensee, there are two pet dogs in the home. The dogs are contained in one of the off limit bedrooms.
Infant Care: Currently there are two infants enrolled. LPA observed three play yards in the infant room. LPA did not observe any loose or hanging items in the play yards. Napping equipment does not block the entrances or exits. LPA discussed the following with Licensee: Licensee was advised Infants shall not be swaddled in care. Car seats shall not be used for sleeping. LPA discussed the new Safe sleep regulation, including LIC 9227 Infant Sleep Plan for infants under 12 months, 15-minute sleep check documentation for infants 0-24 months. LPA reviewed the infant sleeping logs.
Overnight Care: There is no overnight care provided at the moment. LPA discussed the following: Licensee is aware that they must remain awake while children are awake. If children sleep in separate area from licensee, the door must remain open. If licensee cannot hear children when they wake up, video or audio device can be used.
Children's records were reviewed. LPA verified that records contained (LIC) 282- Affidavit Regarding Liability Insurance, Immunization Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights
Staff records were reviewed: Licensee and Staff 1 have documentation of the required TB clearance and immunization against MMR, TDAP and flu. Licensee completed mandated reporter training for child care providers on 11/19/22. Staff 1 completed mandated reporter for child care providers on 1/14/22. |