1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 | Page 2
Per Director, the facility water is not used for drinking, but it is used to wash hands and utensils. LPAs informed Director that she is required to provide the Department with a Lead Exceedance Clearance or obtain a waiver from the Department. LPAs provided Director with Provider Information Notification (PIN) 21-21.1-CCP for guidance.
Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Disinfectants, cleaning solutions, and medications are stored above the sinks located in each room, out of reach of children. Per Site Director, there are poisons stored at the facility in a locked shed in an area inaccessible to children. LPAs reminded Director that all poisons are to remain in an area that is locked and inaccessible to children. Per Director, two children require medication at this time. LPAs observed a box in cabinet inaccessible to children where medications were kept. An operable carbon monoxide detector and smoke detectors were in each classroom. Fire extinguishers are available in each classroom and were last evaluated on July 13, 2023.
The outdoor playground area was evaluated. LPAs observed staff engaging with children and visually supervising children. On the side of the building, LPAs observed a metal plank extending from under window air conditioning unit in play area. LPAs advised Director to cover the plank with cushion until the the plank can be removed. Per Director, the area will remain closed until she fix it tomorrow. LPAs observed all areas around or under high climbing equipment and similar equipment are cushioned with material that absorbs a fall. There is adequate shade on the play yard. Availability of outdoor drinking water was observed via personal water bottles available for each child. Per Director there are no firearms stored on the premises. There are no pools or bodies of water at the facility.
Children’s Records were reviewed for completeness. LPAs reviewed that three out eight children records did not have Child's Preadmission Health History Parent's Report (LIC 702). LPAs advised Director to update children's files with Physician Report.
Staff records were reviewed. Two Staff present have the valid required Red Cross Pediatric First Aid/CPR Certification. Based on record review, two out of seven staff did not have the required Mandated Reporter Training Certificate. This poses a potential threat to the safety of children in care. All staff have required proof of immunizations on file. All staff met educational requirements. |