During prior visit LPA reviewed children's files during today's visit. Each child's file reviewed contains the Information and Emergency Information form (LIC 700), immunization records, physicians report, personal rights, and parents rights. LPA reviewed staff files during today's visit. All staff have fingerprint clearances. Staff has current CPR and First Aid certifications on file. Staff have Health Screening Report and TB test, Immunization (Measles, Pertussis, and Flu) record and required Training. Staff had current Mandated Reporter Training certificate. Director understands that there shall be at least one person with valid CPR and First Aid certifications on site at all times, or present during off-site activities.

Site Supervisor understands the conditions, limitations, and capacity specifications of the facility license. Site Supervisor understands that children shall be visually supervised at all times. LPA observed classrooms in order. Drinking water is readily available for the children in each room and in the outdoor playground area via water dispensers. LPA observed solid waste containers with tight-fitting lids in each room. Staff and children's bathrooms are clean, sanitary. There is a separate staff bathroom not utilized by the children which an isolated child can use if needed. Site Supervisor states that there are no weapons or firearms on the premises.

====CONTINUE IN LIC 809-C====

The center does not provide meals or snacks to children in care. Site Supervisor states children bring there meals, snacks, and water bottle. LPA observed center had water dispensers in each classroom and outdoors. LPA also observed a water gallon located in the kitchen that is being used for staff only or in case of an emergency. LPA observed multiple water gallons in the staff break. LPA observed no water outlets at the facility are being used for drinking or food preparation. LPA observed a fully charged 3A40BC fire extinguisher in hallway and in each classroom, and working smoke/carbon monoxide detectors and first aid kits in each classroom. Site Supervisor states that the center does not administer medications at this time.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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: http://www.ada.gov/childqanda.htm

Site Supervisor was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.