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32 | are labeled and stored in the refrigerator if needed. The facility provides food to children who eat solid foods, but parents are allowed to bring food for the child if needed. The facility is equipped with a centralized fire alarm system. LPA observed a functioning carbon monoxide detector at the facility.
LPA observed a fully charged fire extinguisher. First Aid kit was observed and inventoried. Disinfectants and cleaning solutions were observed to be inaccessible to children in the classroom. Isolation area for an ill child waiting to be picked up is in the office. LPA observed medication to be locked in a cabinet in infant classroom and inaccessible to children in care. Medication is administered on a as needed basis.
LPA toured the designated infant outdoor play area. Per Director, the infant and preschool programs use the same outdoor play area, but on a staggered schedule. They do not co mingle. LPA observed the school age programs outdoor play area to be physically separate from the infant outdoor play area. Outdoor play area was observed to have age-appropriate toys and materials for children. The outdoor play area was observed to be free of loose, sharp, and/or pointed parts. LPA observed required cushioning under climbing structures to absorb a fall. Per Director, water fountains are used for drinking outdoors. LPA observed adequate shade in the outdoor area. LPA did not observe any bodies of water at the facility.
Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Menus are posted in the classroom for children's authorized representatives. The facility provides breakfast, lunch and afternoon snack for children who eat solid food. LPA observed the kitchen/ food preparation area, and food storage area to be clean and free of litter, rubbish, rodents, and/or any other vermin. LPA observed refrigerator to be clean and in operable condition. LPA observed items in the refrigerator not to be expired. Food that was not in the original packaging were sealed and labeled with an expiration date.
LPA observed a can of “Real Kill Wasp and Hornet” insect poison stored under the sink. Insect poison was not in a locked cabinet or container. LPA observed Director remove the insect poison from under the sink and placed in a locked area inaccessible to children in care.
Staff records were reviewed for approved Pediatric First Aid and CPR certification, staff qualifications, LIC 508-Criminal Record Statement, LIC 503- Health Screening Report, LIC 9052- Employee Rights, Proof of immunizations against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, and LIC 9108- Statement of Child and Mandated Reporter Training Certificate. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. LPA did not observe immunization records for pertussis and measles for 3 out of 3 staff present.
Children’s records were reviewed for LIC 613A- Personal Rights, Admission Agreement, Immunization Records, LIC 700- Identification and Emergency Information, LIC 701- Physician’s Report, LIC 627- Consent
for Medical Treatment, LIC 995A Notification of Parents’ Rights, LIC 9227- Infant sleep form (0-12 months, |