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25 | An annual review was conducted by Licensing Program Analysts (LPAs) S. Mendoza-Ceja and C. Patterson who met with the Site Supervisor Lucia Torres. The center was toured inside and outside. Upon arrival, LPAs observed three staff supervising 10 infants during nap time. The classroom was observed to be clean and orderly. The kitchen area/refrigerator were observed to be made inaccessible to the infants by baby gates. Also observed was a changing table in the classroom near the sink. There is carbon monoxide detector in the center. The appropriate documents including the menu was posted for review. LPA was advised there is currently no medications being administered to children at this time. When medication is accepted it is maintained in the classroom inaccessible to children. LPA was advised there are no firearms/ammunition or bodies of water on the premises. LPAs did not observe any bodies of water. The outside playground was observed to be appropriate for young infants. A random review was conducted of children's records. Staff records were reviewed. The handouts “A Child Care Provider’s Guide to Safe Sleep, Safe Sleep in Child Care and Effects of Lead Exposure” were reviewed with the Site Supervisor. LPA reviewed current CPR and First Aid for three staff. Also reviewed was the AB1207 Child Abuse Mandated Reporter Training for staff. LPA reviewed the requirement for care providers/employees, including volunteers to obtain immunization against Influenza, Pertussis, and Measles. LPA reviewed verification of immunization for staff. LPA advised, each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year or obtain a signed statement declining the influenza vaccination. |