Walk Through Indoor: LPA observed no bodies of water. Director states there are no weapons at the center. All children are under supervision, including visual supervision during the inspection; and the facility is operating within ratio. Temperature was measured between 70 and 72 degrees F by thermostats on the walls. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are stored in the locked storage room inaccessible to children. All materials and surfaces accessible to children are toxic free. All Medications are stored in office inaccessible to children. Children’s toilets and hand washing appears in safe and sanitary operating conditions. There is a separate staff bathroom not utilized by the children which an isolated child can use if needed. Floors appear clean and safe. Director stated the facility has hired three clean staffs to clean the campus multiple times in a day. Furniture and equipment is age appropriate and in good condition free of sharp, loose, or pointed parts at the time of the inspection. Kitchen, food preparation, and storage areas are clean, free of litter, rubbish, and rodents/vermin. All food is protected from contamination, and Director states that contaminated food is discarded immediately. Trash cans for solid waste have tight-fitting covers on, and are in good repairs. Drinking water is readily available for the children in each room via child's bottle and a water can is available to be refilled, and in the outdoor playground area via water bottles. Director stated children lunch was provided and delivered via a licensed outside vendor, snack was provided by the staff in the kitchen. Director stated that the school does not provide nuts for both lunch and snack. School provides 1% milk. Foods or beverages that are perishable are stored in covered containers at 45 (F) or less. Each classroom has a 3A40BC fire extinguisher and a combined smoke/carbon monoxide detector that meet statutory requirements.

LPA reviewed 5 staff records. Staff records contain appropriate documentation of education credits, Evaluation of Teacher Qualification, Health Screening Report, Personnel Record, Notice of Employee Rights, Criminal Record Statement, and Statement of Acknowledging Requirement to report Suspected Child Abuse. Director stated that every two years, the facility offers CPR & First Aid training. LPA observed at least one staff has current CPR & First Aid certification. LPA discussed SB 792 Immunization Requirement for staff with Director. LPA observed appropriate records for immunization against measles, pertussis, and influenza for Director and staff in file.PA also observed all staffs have completed their mandated reporter training and the certifications are kept in their files.

Child Records: LPA reviewed 16 children record. LPA observed child care facility roster, the sign in/out record reflects that all children are properly signed in/out by the person responsible for the child, Identification & Emergency Information, Admission Agreement, Physician’s Report, Consent for Medical Treatment are in each children file, Immunization records are maintained and up-to-date, Personal Rights and Notification of Parents’ Rights are in each child’s file.

Incidental Medical Services (IMS) were discussed with Director. This facility provides Epinephrine Auto-Injector Medications IMS and Plan of Operation has IMS included on file. LPA reviewed storage of medication and equipment /supplies, and reviewed children records, personnel, and administrative records including: Written Authorization from the child’s physician and parent consent for administration of medical service, and administered logs/records. Medication, supplies and equipment of medication were in the original labeled container with the child’s name on it and were not expired.

No deficiency was cited. Exit interview conducted with Director. A Notice of Site Inspection was issued, posted near the entrance of the facility, and must remain posted for 30 days.