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32 | The LPA reminded the Site Supervisor that Pediatric First Aid/CPR and Mandated Reporter Training must be renewed every two years. The LPA also advised Site Supervisor that aides and assistants must be under direct supervision of a qualified teacher except during nap time and taking children to the bathroom.
During the inspection, the Licensing Program Analysts (LPAs) reviewed 10 children's files. All files were complete and included the Admission Agreement, Identification and Emergency Information (LIC 700), Consent for Emergency Medical Treatment (LIC 627), Physician's Report (LIC 701), immunization records, TB test results, Personal Rights (LIC 613A), Notification of Parent’s Rights (LIC 995A), sleep log, and Child's Pre-admission Health History. None of the infants enrolled are under 12 months old. Each infant had a written needs and services plan completed before enrollment and updated at least every three months. These plans included information on feeding, sleeping, and toileting routines. LPAs reviewed facility roster, sign-in/out and completed using full legal signatures and recorded times.
First-aid supplies were accessible to staff but out of reach of children. The kit included a first aid manual, bandages, scissors, adhesive tape, thermometer, tweezer and antiseptic solution.
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing 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: https://www.ada.gov/resources/child-care-centers/.
During the outdoor inspection, LPAs observed that all walkways, ramps, and stairs were clear of tripping hazards. The play area had proper shade, was well-organized to prevent accidents, and the ground was free of debris or dangerous items. Climbing structures and slides had protective surfacing; rubber foam. The sandbox was clean and safe. Outdoor equipment was age-appropriate, securely anchored, in good condition, and free of sharp edges or loose parts. Drinking water outdoor is via sippy cups. The outdoor area was fully enclosed by a fence at least four feet high. No dangerous equipment, chemicals, or utility fixtures were accessible.
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