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32 | LPA observed menus that are posted one week in advance where it is visible by the child's authorized representative. Parents provide lunch or purchase prepared lunch from an outside agency. Snacks were reviewed for availability, quantity, expiration dates and appropriateness for children in care. The facility provides an AM snack and a PM snack. LPA observed food and snack preparation items appear to be in safe and sanitary condition. LPA also observed drinking water available indoors and outdoors and trash receptacles that have tight fitting covers.
Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are locked and/or inaccessible. The facility has one or more functioning smoke detectors and carbon monoxide detectors that meet statutory requirements.
LPA observed sign in and sign sheets to ensure children are being properly signed in and signed out by the authorized representative. 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. Children's roster was reviewed and is current.
At approximately 2:00pm 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, Mandated Reporter training, LPA observed at least one staff member to have current CPR (Expiration September 15, 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
LPA observed First Aid supplies in each classroom and all medications are stored in an inaccessible office cabinet (A Refrigerator is available if necessary). Fire extinguishers (type 2A-10BC) must be serviced at least annually (LPA observed service due date September 2023). LPA informed Teacher that any construction or remodeling should be reported to the Department before it occurs.
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