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32 | Some parents provide breast milk for infants that is labeled. The facility provides sheets and blankets and they are laundered every day. Food preparation areas were toured for safety, cleanliness and proper equipment. There are adequate amount of snacks and food in the kitchen.
Outdoor equipment was inspected for safety, cushioning material, good repair, and age appropriateness. LPA observed the outdoor area to have two separate playgrounds (infant and toddler). Outdoor area and equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water. Teacher child ratios were observed and staff names recorded. required shade, available drinking water and adequate fencing. LPA observed the play area appear to be free of hazards and bodies of water. LPA Birks reminded Director Ugalde that Infants need to be have 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 and determined the basic needs of infants and toddlers were met. LPA observed Sign in and Sign out records to be complete with signature of parent or guardian. LPA conducted a Children's Records Review to ensure children files are complete and have the proper forms (such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights, Needs and service plans, Infant safe sleep etc. and children's roster is current). LIC 9227 was not implemented and a minor technical violation was issued (Note: The facility was closed due to covid when this item was implemented).
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, education requirements, Criminal Record Clearance documents available, verification of current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza (or flu declination available). LPA observed at least one staff member to have current CPR (Expiration March 2024) .
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 |