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32 | required shade in the outdoor area and did not observe any large bodies of water on the premises.
Per Director the Isolation area for ill children is the Directors office. LPA observed a separate restroom available for an ill child. Per Director, no children require medication and medication is stored in the Directors office if needed. Per Director, medication is administered on a as needed basis. Per Director there are no poisons stored at the facility. LPA advised Director that all poisons must be locked away, not only inaccessible LPA observed the kitchen area, 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 in appropriate bags or containers and labeled with an expiration date. Per Director, the facility provides breakfast, snack, lunch, and an afternoon meal.
During the inspection, children present was observed to be treated with dignity and respect, observed to be receiving safe, healthful, and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment.
LPA observed required posted documentation which included, Facility License, LIC610- Emergency Disaster Plan, Publication (PUB) 393- Notification of Parent Rights, PUB 269- Child Passenger Restraint System, LIC 613A- Notification of Personal Rights and Lunch/Snack Menus. All documents were observed at the entrance of the facility.
LPA observed Sign in/out sheets, LIC 9148 Earthquake Preparedness, Daily Activity Schedule, and Verification of Disaster and Fire Drills (last conducted on 6/9/23). LPA observed 17 of 42 children not to be signed in at the time of inspection. LPA advised Director that parents/guardians should sign their children in and out upon arrival and departure from the facility.
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. All children's records were observed to be complete.
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 observed 5 of 7 staff did not have proof of required immunizations against measles and pertussis. LPA observed 1 out of 7
staff did not complete the required mandated reporter training. LPA observed 3 out of 7 staff not to have |