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32 | operable. All floors were observed to be clean and safe. All materials accessible to infants were observed to be toxic free. Per Director, there are no firearms stored on the premises. There are no pools or bodies of water at the facility. All food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin.
Trash cans used to discard food and diapers have tight fitting lids. Infants are on formula and soft foods. Breakfast, lunch and 2 snacks menu was observed to be posted. Food in refrigerator was labeled. Sink counter tops were clean and free of clutter or standing food. Menus are posted one month in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request.
The outdoor playground was observed to be physically separate from the preschool component. Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. The outdoor surface is cushioned with material that absorbs a fall. There is adequate shade in the play yard. Outdoor drinking water was available. LPA advised that no children shall be left without the supervision of a teacher at any time.
Children’s Records were reviewed. Infant Needs and Service plans were reviewed and observed to be in each file and renewed at least quarterly or as needed. Facility have a sleeping log in which infants are physically checked by staff every 15 minutes. Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in.
LPA also reviewed staff records. The review of Staff records was documented on the LIC 859. Staff present have proof of TB negative test, measles, pertussis, and influenza. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. All staff have been given on-the-job training on sanitation principles, housekeeping, including universal health precautions. All individuals present have obtained a criminal record clearance or criminal record exemption as a condition of employment.
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free
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