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32 | The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. Per Director Perez - Ordaz all children are under supervision, including visual supervision, of a teacher at all times. There is a ratio of one teacher supervising no more than four infants in care. LPA was able to review a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child, medical assessment, individual feeding plan, and Infant Needs and Services Plan. A reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis and measles and documentation of completed mandated reporter training. Staff records contain documentation of meeting qualification requirements. Menus are posted at least one week in advance where an authorized representative can view them. Infant changing tables have a padded surface and are covered with washable vinyl or plastic and have raised sides at least three inches high. Toys observed are safe with no sharp points, edges or splinters and are without small parts that can be pulled off and swallowed. The facility has sufficient cribs, cots or mats for infant napping. There is indoor and outdoor activity space for infants that is physically separate.
Per Director Perez-Ordaz, each crib, mat, or cot is occupied by only one infant at time and cribs are kept free from all loose articles including blankets and pillows and there are no objects hanging above or attached to the crib. Infants are not swaddled while in care. Per Director Perez-Ordaz, staff physically check on sleeping infants every fifteen minutes. Staff check for any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness, and labored breathing. Individual Infant Sleeping Plan (LIC 9227) were found to be completed for infants under 12 months. LPA observed an LIC 9227 and Individual Healthcare Plan for child #1 that had doctor instructions of an alternate sleeping position. Staff-infant ratio requirements are being met while infants are sleeping.
LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates.
LPA discussed Reporting Requirements as outlined in the regulations (Section 101212). Director Perez-Ordaz was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. Continued on LIC 809-C.
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