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32 | The outdoor play area is enclosed with exit gates are at least four feet high with alarms that sounds when gates are opened.
Areas around and under climbing equipment have mats and grass to cushion a fall. All play equipment, toys, materials and surfaces accessible to children appear to be age appropriate and toxic free.
Meal and Snack menus are posted at least one week in advance and are visible to an authorized representative. The facility provides Breakfast, AM and PM snacks and lunch is provided by an outside vendor. Snacks were reviewed for availability, quantity, expiration dates and appropriateness for children in care. LPA observed the snack storage area (kitchen) appear to be in sanitary condition. LPA informed Site Supervisor to constantly assess best by dates on food items. LPA observed drinking water available (indoors and outdoors) and trash receptacles have tight fitting covers.
Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are locked and/or inaccessible. The facility has one or more functioning carbon monoxide detectors that meet statutory requirements. LPA observed fire extinguishers in each classroom and in kitchen with service tag dated 10/9/23.
LPA reviewed sign in and sign out sheets in each classroom to ensure children are being properly signed in and signed out by the authorized representative. All children present were signed in during visit. Children's Records were reviewed 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.
Staff Records were 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 all classroom staff present have a current EMSA approved pediatric CPR/1st Aid (Expiration March 2025) .
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretation 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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