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32 | A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption. Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at off site activities. The name of the childcare center director or fully qualified teacher(s) designated to act in the director’s absence has been reported to the Department. 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 reviewed 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, and individual feeding plan. LPA reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training. Staff records contain documentation of meeting qualification requirements. Snack menus are posted at least one week in advance where an authorized representative can view them. The facility has sufficient age appropriate furniture, and equipment including cribs, cots or mats, changing tables and feeding chairs. There is indoor and outdoor activity space for infants that is physically separate.
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. Individual Infant Sleeping Plan is completed and on file for each infant up to 12 months of age. Infants up to 24 months of age are placed on their backs for sleeping. Staff-infant ratio requirements are being met while infants are sleeping. During file review, seven children's records had expired Needs and Services Plans; Children #1, #2, #3, #4, #5, #6,#7 (See LIC811 - Confidential names list). LPA informed the licensee representative written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. In addition, Staff are not documenting physical sleeping checks including the following: date, infants name, time and initials of staff. LPA informed licensee representative of the regulations regarding responsibility for providing care and supervision for infants. The Safe Sleep Regulations were provided during the inspection.
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