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32 | Areas around and/or under climbing equipment have cushioning material to absorb a fall. All materials and surfaces accessible to children appear to be toxic free. The toddler component outdoor play area is physically separate from the preschool and the play equipment and toys are age appropriate. LPA observed menus that are posted at least one week in advance where it is visible by the child's authorized representative. Snacks were reviewed for availability, quantity, expiration dates and appropriateness for children in care. The facility provides an AM snack, lunch and a PM snack. LPA observed the food and kitchen area appear to be in safe and sanitary condition. LPA informed Director to constantly assess expiration dates on food items and to continue to document dates. 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. The facility has a 15 minute Safe Sleep Check for toddlers 18 months to under two years. The children's roster was available and current.
At approximately 3:00pm 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 January 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
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