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32 | physically separated from the activity space in the infant Ramblers Room. Parents provide formula and bottles. Availability of drinking water was reviewed. The children have their own bottles with their names written on them. Children bring bottles from home and are allowed to drink freely at any time. Water bottles are refilled as needed by the facility. Food preparation areas were toured for safety, cleanliness and proper equipment. Bottles, dishes, and containers were labeled with infants’ names; dates were visible on all children's bottles and other refrigerated items. LPA Babcock advised Director that all Infants need to be within the direct care and supervision, including visual supervision, of the teacher(s) at all times. LPA observed toys and materials for children in the classroom. Per Director, the office is used as an isolation area. Per Director, staff provide 100% supervision when ill child is using the isolation room, and parents are contacted immediately when children are determined to be ill and staff are ensuring that children with obvious symptoms of illness are not being accepted.
Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Assistant Director states that there are no poisons, weapons, or firearms on the premises. First aid kits were located in each classroom.
Telephone service, heating, lighting and ventilation were evaluated. Per Director, preschool has their own land line. LPA observed a fire extinguisher with a service tag date of 10/31/23. Smoke detector and carbon monoxide detectors were tested and were operable on this day.The facility has an outdoor play area that is fully fenced. Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. There are safe toys, play equipment and materials observed for children outside on playground.
Sign-in and Sign-out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. LPA reviewed facility roster and Disaster Drill log. Last drill was conducted on 3/12/24. Page 2 of 4
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