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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 (at least five feet high). LPA observed no out of the ordinary hazards and or bodies of water outdoors in the outdoor play area. LPA Birks advised Site Supervisor Pimental to constantly remind staff that Infants need to be within the direct care and supervision, including visual supervision of staff at all times.
Care and supervision was evaluated to determine if the basic needs of infants are met and appropriate. Infant Needs and Service Assessments are done quarterly. LPA observed all children were signed in by Parents and/or Authorized Representatives digitally. At approximately 11:00am LPA reviewed ten children's files to ensure completeness and to ensure files contain proper forms such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights, Physician's Reports, LIC 9227 Infant Sleep Form and Safe Sleep log.
At approximately 11:45am Staff Records were reviewed to ensure the following: Criminal record clearance or criminal record exemption, education credits, current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination. LPA observed at least one staff member to have current CPR (Expiration Dec 2024). All staff have the current required Mandated Reporter training on file.
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 Site Supervisor : Recently Approved Safe Sleep Regulations in Effect (PIN 20-24-CCP). LPA also continued to advised staff to sleep infants on their backs and check on them at least every 15 minutes for issues such as labored breathing, flushed skin color, increased body temperature and restlessness. The 15 minute checks must be documented. |