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32 | Children have their own cubby to store their belongings. At 11:01 AM, LPAs observed six cribs in infant room kept separate from play area with waist high gate. Storage for infants’ belongings and napping equipment/cribs was inspected and meet all regulatory requirements. Per Director 1 teacher is always supervising the nap room while infants sleep. (LPA discussed Safe Sleep Practices and form provided) Linens are changed daily or more frequently, as needed by staff. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. LPA observed that infant changing tables have a padded surface no less than one-inch-thick and are covered with washable vinyl or plastic. The infant changing tables have raised sides that are at least 3 inches high. LPA observed that infant changing tables are within an arm’s reach of a sink.
Telephone service, heating, lighting and ventilation were evaluated and are in operating condition. Per Director, the isolation area is located in the her office. LPA observed a cot in the isolation area for ill children. Parents are contacted immediately when children are determined to be ill. Availability of drinking water was reviewed, per Director infants have water bottles. First Aid supplies were observed in the classroom.
Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were observed to be inaccessible. According to the Director, medication is only administered to a child when accompanied with a doctor's note and is stored in the office, inaccessible to children, with the child’s name and date. Director states that there are no poisons stored at the facility and understands that storage areas for poisons must be locked with a key or combination lock. Facility has one or more functioning carbon monoxide and smoke detectors that meet statutory requirements.
All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. LPAs discussed, bottles, dishes, and containers need to be labeled with infants’ names; dates were visible on all children's bottles and other refrigerated items. Menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. The facility provides AM snack, lunch and PM snack for children who eat table food (per needs and service plan). LPAs observed storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. All foods/beverages are stored in covered containers at 45˚ (F) or less.
LPA discussed Infant Needs and Services plan update with Director and provided updated LIC.
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