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32 | Around 12:15 PM, Licensing Program Analyst (LPA) asked the licensee whether she was providing Incidental Medical Services (IMS) to children in care, and the licensee stated that she was not. LPA discussed the Incidental Medical Services (IMS) policy with the licensee. LPA advised the licensee that 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/.
LPA inspected the cabinets and storage areas throughout the on-limit portions of the home, including the living room, dining room, kitchen, hallway bathroom, detached converted garage, and enclosed patio. No hazardous materials, cleaning supplies, medications, or other toxic substances were observed to be accessible to children during today's inspection. LPA tested the smoke detector and carbon monoxide detector located in the hallway and verified that both were functioning properly. The home is equipped with a working telephone, two (2) fully stocked first aid kits, a pull-down fire alarm, and a fully charged 3A40BC fire extinguisher that meets the standards established by the State Fire Marshal. Two (2) wall heaters located in the hallway were observed to be properly screened, preventing children's access.
At approximately 12:40 PM, LPA inspected the outdoor play area and verified that there were no swimming pools, hot tubs, spas, or other accessible bodies of water on the property. The backyard was observed to be fully enclosed with appropriate fencing and free of hazardous conditions. Outdoor play equipment included slides, a water play station, teeter-totters, ride-on cars, a crawling tunnel, a playhouse, play kitchens, a sandbox, a climbing structure, and an enclosed trampoline. All equipment was age-appropriate, in good repair, and properly maintained. A canopy provided adequate shade to protect children from direct sunlight during outdoor activities. The backyard contains two (2) gated areas. One area, which formerly contained a swimming pool, has been cemented over and no longer constitutes an accessible body of water. The second gated area contains the detached in-law unit and storage shed and is designated as off-limits to children in care.
At approximately 1:00 PM, LPA reviewed the files of three (3) children enrolled in care. Each file contained the required Identification and Emergency Information, Consent for Emergency Medical Treatment, Parent's Rights, and Notification of Parent's Rights Regarding Additional Children in Care forms. LPA also reviewed personnel records and verified that staff file contained the required Health Screening Report, Statement Acknowledging Requirement to Report Child Abuse, and Employee Rights forms. During the record review, LPA verified that the licensee was in compliance with applicable immunization requirements for child care providers.
The licensee conducts and documents fire and disaster drills at least once every six (6) months. Documentation showed that the most recent drill was completed on June 17, 2026. The licensee has completed the required Health and Safety training and maintains current Pediatric CPR and First Aid certification, which expires in September 2027. Mandated Reporter Training was completed on January 10, 2026, and is valid through January 10, 2028. LPA reviewed the facility roster and verified that it accurately reflected the children currently enrolled as well as those no longer attending the facility. All required licensing notices and documents were observed to be posted in a location that is visible and accessible for public review.
See 809-C.
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