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32 | working toilets and three sinks. LPA observed that one restroom stall in the younger restroom had a broken toilet paper holder and there was no paper towel dispenser. Per applicant they will have that fixed as soon as possible.
LPA observed that facility has an operable carbon monoxide detector, smoke detectors, and a serviced fire extinguisher. Drinking water will be provided using a pitcher and cups both indoor and outdoors.
Disinfectants, cleaning solutions, and other items that are dangerous to children will be in an inaccessible in the kitchen, locked under the sink. Applicant states that poisons are not stored at the facility. All storage containers for solid waste have tight-fitting covers that are kept on and are in good repair.
Per applicant, the isolation area is located in the office; there will be a cot available for children to rest if needed and a restroom close by. Applicant states that medication will only be administered with a prescription from a doctor and it will be stored in the kitchen in a labeled box. First aid kits are available at the end of each hallway.
This program will provide AM snack, PM snack and dinner. Lunch will be provided by the child's family. A monthly snack/dinner menu is available and will be posted. LPA informed Applicant that all bags and/or dishes that are brought from home must be labeled with the child’s name and date for proper storage. All kitchen areas/food preparation areas and food storage areas were observed to be clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. The facility was observed to be free of flies, other insects and rodents. LPA observed that the kitchen did not have a refrigerator or stove. Per applicant both items will be installed soon.
Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. LPA's advised applicant that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. LPA observed awning outside of the facility which provides a shaded area. Per applicant they will be adding more shade soon. There are no bodies of water or firearms on the premises.
Incidental Medical Services (IMS): Incidental Medical Services was discussed – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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) -------------------PAGE 2
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