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32 | Outdoor equipment was inspected for safety, cushioning material, good repair, and age appropriateness. LPA observed the outdoor area to have required shade, available drinking water and adequate fencing. LPA observed the play area appear to be free of hazards or bodies of water. LPA Birks reminded Director Bias that Infants need to be within the direct care and supervision, including visual supervision of staff at all times.
LPA observed the classroom to be within the required Teacher infant ratio. LPA evaluated care and supervision to determine if the basic needs of infants were met and appropriate. LPA observed that the facility is missing needs and services plans for Infants. LPA conducted a Children's Records Review for completeness and to ensure children have proper forms such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights etc. on file. LPA observed Child #9 missing immunization records. Children's roster was reviewed and is current.
LPA informed Director Infant Needs and Service Assessments are to be done quarterly and signed in by Parents and/or guardians. At approximately 3:00pm Staff Records were reviewed to ensure the following: All individuals present have obtained a criminal record clearance or criminal record exemption, documentation of education credits, Criminal Record Clearance documents available, Verification of current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination available. LPA observed at least one staff member to have current CPR (Expiration 2023) .
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
The following was discussed with the Director Bias : Recently Approved Safe Sleep Regulations in Effect (PIN 20-24-CCP). LPA also provided advised to sleep infants on their backs and check on them at least every 15 minutes. LPA provided a copy of PIN 20-24-CCP to Director Bias. |