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25 | On 08/05/22, Licensing Program Analyst (LPA) Angelica Slaughter conducted an unannounced annual inspection for the infant license. LPA met with Director, Elsie Gaitan, and toured the facility, indoors and outdoors. The facility has indoor and outdoor activity space for infants that is physically separate from space used by preschool child care center. All bodies of water are covered or are inaccessible. Staff need to ensure that gates in playground are closed and secured at all times to prevent children from accessing the apartment pool. There are no firearms and/or ammunition on the premises. Disinfectants, hazardous items and medications were inaccessible to children. No poisons were observed during the inspection. Furniture and equipment were in good condition, free of sharp, loose or pointed parts. Playground equipment was in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space was maintained in a safe condition and was free of hazards. Children's toilets and hand washing facilities were sanitary and in good operating condition. Infant changing tables are within arm’s reach of a sink. Floors in the facility were clean and safe. All kitchen, food preparation and storage areas were clean and free of litter/rubbish. The facility was free of flies, insects, and rodents/vermin. Bottles, dishes, and containers of food brought by the infant’s authorized representative are labeled with the infant’s name and the current date. Solid waste storage containers had tight fitting covers and were in good repair. Menus are posted at least one week in advance where an authorized representative can view them. Drinking water was available both indoors and outdoors. The facility had one or more functioning carbon monoxide detectors that meet statutory requirements.
The facility had sufficient age appropriate furniture and equipment, including cribs, cots or mats and changing tables. Each crib, mat, or cot was occupied by only one infant at a time and cribs were free from all loose articles including blankets and pillows. There were no objects hanging above or attached to the crib. Infants are not swaddled in care. Staff physically check on sleeping infants every 15 minutes and documents any signs of distress which include but is not limited to: flushed skin color, increase in body temperature, restlessness, and labored breathing. For infants up to 12 months, documentation also includes sleeping position if it is other than on their back. Individual Infant Sleeping Plans were completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping. Staff-infant ratio requirements were being met while infants were sleeping. |