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32 | INDOOR INSPECTION: During today’s inspection, LPA toured the location. Observed teacher/child ratio, care and supervision. **Fire Extinguisher up to date and operable.
Bathrooms (3) were inspected and LPAs noted all toilets (3), sinks (5) were sanitary and operational. LPAs observed soap, paper towel and toilet paper. Each classroom has a water fountain, water containers, cubbies with children's names identified and cots. All flooring was found to be clean and safe
**(Director states floor are cleaned every day. Disinfectants, cleaning solutions, poisons and other items that are dangerous or hazardous were inaccessible to children and stored in kitchen locked cabinet. Trash cans/storage containers for solid waste were covered with tight-fitting tops that are kept on, and in good repair. *Snack/lunch menu’s, Allergy list were reviewed and posted. Food and snacks were reviewed for availability, quantity, proper storage, and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment. (1 refrigerator, sink, stove/oven). Location had telephone service, heating/cooling, lighting and ventilation were evaluated. *First Aid supplies were discussed and inspected along with medication policy, including labeling, administering and appropriate storage in original container. A review of medication policy indicated prescription medications are administered with “parent's written permission”. Certified staff administers medications and documents: date, time and dosage onto a log. Medication brought and taken home by the parent daily.
*Incidental Medical Services (IMS) were discussed and location do not provide services.
The 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. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
*Children isolation area is located in the front office..
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