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32 | Cribs were inspected and found to be in good repair and free of loose items. Each crib was assigned to a single infant with proper labeling. No blankets, pillows, bumpers, stuffed toys, or other items that could pose a suffocation risk were present inside cribs. Safe sleep regulations were followed. Infants were placed on their backs to sleep, and individual sleep plans were available.
Sleep checks were reviewed. Staff documented required visual checks while infants were sleeping. Logs showed consistent monitoring, and staff described procedures accurately. Napping infants were directly supervised at all times.
Bathrooms and handwashing stations were inspected and found to be clean, sanitary, and in good working condition. All fixtures, including toilets, sinks, and ventilation, were functioning properly, and supplies such as soap and paper towels were adequately stocked. Diapering areas were sanitary and properly equipped. Diapering surfaces had washable coverings and cleaning supplies readily available. Appropriate handwashing procedures were observed. Supplies such as gloves, wipes, paper towels, and soap were stocked. Diaper changing logs were maintained per regulation.
Feeding areas were clean and organized. Bottles were labeled with infant’s name and date. Formula and breast milk were stored according to regulation. Staff demonstrated proper bottle warming procedures. Feeding plans were reviewed and matched each infant’s current needs. Solid food introduction followed parent direction and individual feeding plans.
Food service was reviewed. The facility provides breakfast, lunch, and afternoon snacks. Food storage and preparation areas were clean and sanitary. Refrigerated foods were stored at 45°F or below. Menus were posted and maintained for 30 days. Solid waste containers had tight-fitting lids.
LPA toured the outdoor play areas. All yards were fully fenced and free of hazards. Equipment was age-appropriate, securely anchored, and had sufficient cushioning beneath climbing structures. Shade was provided by awnings, and drinking water was accessible outdoors via water fountain. No bodies of water were present. No evidence of rodents or insects was observed.
LPA reviewed a sample of children’s records and found them to be complete including admission agreements, immunization documentation, and medical assessments. Staff files were reviewed for qualifications, health screenings, immunizations, CPR/First Aid certification, and mandated reporter training. At least one staff member onsite held current CPR and First Aid certification. Criminal background clearances and exemptions were verified for all required individuals.
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