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32 | disinfected between each use. Hand washing and toileting areas are in a safe, sanitary and operating condition. Nap cots for older infants are in good repair, disinfected every day. All storage containers or trash cans containing solid or diaper waste have tight fitting lids and are in good repair. Any waste water used to clean is being discarded after use.
Each infant is to be under direct visual observation and supervision by staff at all times. If the napping area does not have a half or transparent wall that allows for audio and visual supervision from the activity area, staff is present in the napping area. Sleep checks are conducted and documented every 15 minutes for all infants. Appropriate supervision was in place during this visit.
The outdoor activity space is fully fenced and separate from other programs with age appropriate play equipment. There is sufficient cushioning and adequate shade. However, several depressions/holes were noted as well as spongy areas of ground in the grass/dirt portion of the yard, some covered by leaves. See LIC 809D for Type B deficiency. Drinking water is available at all times, both inside and outside. There are several staff present with current CPR and First Aid certification. Medications are stored in the office or in the classrooms if an Epi-Pen, inaccessible to children with all required documentation in place. There is no evidence of rodent or insect activity. The carbon monoxide detector is operational. The facility has a written disaster plan in place that meets regulatory requirement and has been conducting and documenting evacuation drills at least every six months. The facility does not transport children.
LPA reviewed sign in/out sheets, a sample of personnel records and a sample of children's records. All were found to be in compliance with Title 22 regulation. Facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the following website: www.mandatedreporterca.com.
Children are evaluated upon entry and monitored throughout the day for signs of illness. The isolation area for ill children awaiting pick up is the Director's office. The facility has sufficient Personal Protective Equipment (PPE) and were discussed to include contact with County Department of Public Health for guidance (619-692-8499) and Licensing (619-767-2248) to report the unusual incident when there are two or more incidents.
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