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Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.
Safe Sleep regulations were discussed due to program being available for infant care. There is one crib or play yard for each infant in care, cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Infants up to 12 months of age are placed on their backs for sleeping. LPA discussed the importance of maintaining a current sleep log for all children under the age of 24 months. Licensee confirmed that children are always supervised when sleeping but a log has not been created; Type B citation was issued and License agrees to create a log that will be used for all children under the age of 24 months.
Capacity as specified on the license is being maintained during today’s inspection.
Licensee’s Pediatric CPR and Pediatric First Aid has recently been completed by Licensee and staff. Staff files were not available for review; Type B citation was issued. Mandated Reporter Training Certificate was not available for review, Type B citation issued.
LPA discussed the importance of creating a file for licensee that includes all the necessary LIC documents, including but not limited to, First Aid and CPR, Mandated Reporter Training, Immunizations- MMR and tdap, TB clearance, and Flu Vaccine and/or waiver.
LPA reviewed 5 children’s file and observed 1 out of 5 files incomplete, with LIC 627 Consent for Medical Treatment, not available for review. Type B citation issued.
LPA discussed all necessary forms needed in each staff file and children’s file. LPA provided licensees with a current copy of the LIC 311D and LIC 126 to use as a reference when auditing files; documents were provided during today’s inspection.
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