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32 | Director Menendez indicated there are no weapons or bodies of water at the facility and LPAs did not observe any. At 2:10pm LPA observed areas around and/or under climbing equipment have sand cushioning material to absorb a fall. All materials and surfaces accessible to children appear to be toxic free. The outdoor play area is physically separate from another program on the premises. Play equipment and toys are age appropriate. The facility has two outdoor metal play equipment (small monkey bars and metal bar "dome") in use. LPA recommended a more current option as metal play equipment is dated. LPA observed menus that are posted at least one week in advance where it is visible by the child's authorized representative. Snacks were reviewed for availability, quantity, expiration dates and appropriateness for children in care. The facility provides an AM and PM snack. LPA observed the food storage and kitchen area appear to be in safe and sanitary condition. LPA informed Director to constantly assess expiration dates on food items and to continue to document dates. Trash receptacles have tight fitting covers. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are locked and/or inaccessible.
LPA observed digital sign in and sign sheets to ensure children are being properly signed in and signed out by the authorized representative. LPA reviewed pre-enrollment files in review for completeness and to ensure children have proper forms such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights etc.on file. The children's roster was available and current.
At approximately 2:20pm Director staff record was reviewed to ensure the following: Criminal record clearance or criminal record exemption, education credits, current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination, Mandated Reporter training. LPA observed at the staff member to have current CPR (Expiration November 2023).
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
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