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32 | cleaning compounds are stored in inaccessible areas such as high cabinets and inaccessible office cabinets. The office is used as an isolation area for ill children and there is a cot available for children to rest until a parent picks up. The facility indoors and outdoors is completely separate from a Church building on the same premises. The outdoor play area is completely surrounded by gates at least 5 feet high. Areas around and under climbing equipment have cushioning material to cushion a fall. All play equipment, toys, materials and surfaces accessible to children appear to be age appropriate and toxic free. Director Nali Jayasighe indicated there are no weapons or bodies of water at the facility and LPA did not observe any.
Snack menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. Snack were reviewed for availability, quantity, expiration dates and appropriateness for children in care. The facility has AM and PM snacks for all children and parents provide lunch. LPA observed the food 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. 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 smoke detectors and carbo n monoxide detectors that meet statutory requirements. LPA observed a 2A10BC fire extinguisher due for service August 2023.
LPA observed proper sign in and sign sheets to ensure children are being properly signed in and signed out by the authorized representative. LPA reviewed eight children's files to ensure completeness and to ensure files contain proper forms such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights, Physician's Reports, etc. Child #3 missing LIC 9227 Infant Sleep Form.
At approximately 11:45am 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. LPA observed at least one staff member to have current CPR (Expiration April 2023). All staff have the current required Mandated Reporter training on file. Staff #1 missing infant units (addressed on separate report).
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. Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication:
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