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32 | Drinking water was readily accessible, and bottles were labeled and stored properly. The facility provides snacks, breakfast, and lunch. Refrigerators used for food and milk storage were maintained at 45°F or below. All food and solid waste containers had tight-fitting covers and were in good repair.
LPA observed diaper-changing areas to be clean, sanitary, and within arm’s reach of a sink. Staff demonstrated proper diapering procedures, including cleaning and sanitizing between uses. Cleaning supplies, disinfectants, and other hazardous items were stored inaccessible to children. Medications were stored in locked boxes within cabinets and maintained according to facility procedures.
LPA discussed proper storage of Incidental Medical Services (IMS) medications to ensure accessibility to staff and inaccessibility to children.
This facility provides Incidental Medical Services (IMS). LPA reviewed medication/equipment storage, children’s records, personnel records, and administrative documentation related to IMS. For IMS information, see PIN 22-02-CCP. ADA resources were provided, including the USDOJ ADA Information Line at (800) 514-0301 (voice) or (800) 514‑0383 (TTY) and the publication “Commonly Asked Questions about Child Care Centers and the ADA” at https://www.ada.gov/resources/child-care-centers/.
Bathrooms and handwashing areas were safe, sanitary, and stocked with appropriate supplies. Staff stated there are no firearms or weapons on the premises. The facility appeared free of insects and rodents. A functioning carbon monoxide detector was observed.
The outdoor infant play area was inspected and observed to be fully fenced, well-maintained, and free of hazards. Age-appropriate equipment was in good repair with adequate cushioning under climbing structures. Shade was provided by awnings. Drinking water was accessible outdoors. There were no bodies of water on the premises.
A sample of infant files was reviewed and found to be complete. Required documents were reviewed, including admission agreements, emergency information, physician reports, feeding plans, individual infant care plans, and safe sleep documentation.
Personnel records reviewed contained documentation of staff qualifications, immunizations, health screenings, and completion of mandated reporter training. At least one staff member present held current CPR and First Aid certification. A review of staff records indicates that all adults requiring caregiver background checks have received criminal record and child abuse clearances or exemptions.
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